| Titre : | Private practitioners and their role in the resurgence of malaria in Mumbai (Bombay) and Navi Mumbai (New Bombay), India : serving the affected or aiding an epidemic ? (2001) |
| Auteurs : | Vinay-R KAMAT |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 52, n° 6, 2001) |
| Pagination : | 885-909 |
| Langues: | Anglais |
| Mots-clés : | Système santé ; Secteur privé ; Médecin généraliste ; Profession santé ; Rôle du professionnel ; Paludisme ; Parasitose ; Infection ; Epidémie ; Milieu urbain ; Homme ; Relation médecin malade ; Relation sociale ; Diagnostic ; Thérapeutique médicamenteuse ; Thérapeutique ; Inde ; Asie ; Réglementation |
| Résumé : | [BDSP. Notice produite par INIST R0xfR4GV. Diffusion soumise à autorisation]. The increased emphasis on privatization of the health care sector in many developing countries by international financial institutions and national governments expects an expanding role for private health care practitioners in the management of major communicable diseases such as tuberculosis, malaria, acute respiratory infections (ARIs) and sexually transmitted diseases (STDs). Largely unexamined in the Indian context, however, is the socio-cultural context, the micro-level political environment in which private practitioners carry out their activities, and the quality of care they provide to their patients. Examining these aspects is significant given the impressive growth of the country's private health sector during the past decade. This paper reports the results of an ethnographic study carried out in Mumbai (Bombay) and Navi Mumbai (New Bombay), India on private general practitioners (GPs) and their role in the management of malaria at a time when these two neighboring cities were in the midst of the worst malaria epidemic in over 60 years. Described are the characteristics of a sample of 48 private practitioners from the two cities, and their clinics. This is followed by a discussion of the data gathered through untructured interviews with practitioners and patients, and complemented by observational data on doctor-patient encounters gathered at 16 clinics over a 9-month period. (...) |
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