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India's RisksDemocratizing the Management of Threats to Environment, Health, and Values$
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Raphaelle Moor and M.V. Rajeev Gowda

Print publication date: 2014

Print ISBN-13: 9780199450459

Published to Oxford Scholarship Online: September 2014

DOI: 10.1093/acprof:oso/9780199450459.001.0001

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The Rise of Institutional Births in India

The Rise of Institutional Births in India

Are Maternal and Newborn Risks Adequately Addressed?

(p.101) 5 The Rise of Institutional Births in India
India's Risks

Asha Kilaru

Shanti Mahendra

Baneen Karachiwala

Zoe Matthews

Oxford University Press

The government has successfully increased facility-based childbirth over the last decade, but are these hard pressed services successfully recognizing women’s health risks in pregnancy, birth, and post-partum stages? Is there an understanding of women’s health behaviour and the risks they perceive and prioritize? Chapter 5 explores the quality of health services in two studies conducted nearly ten years apart in rural Karnataka, during which time there was a 47 per cent increase in institution-based births. This chapter shows that the healthcare system narrowly perceives risks within a biomedical framework as opposed to women’s more multidimensional view of risk. Furthermore, the process of identifying, assessing, and managing these health risks has not been located in an institutional framework of accountability that prioritizes its patients. This chapter proposes that the government must adopt a more culturally attuned approach that strengthens the quality and not simply the coverage of health services.

Keywords:   maternal mortality, risk perception, risk behaviour, risk assessment, culture, accountability, Janani Suraksha Yojana, Karnataka, institutional births

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