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Health inequity and women’s self-help groups in India: The role of caste and class
Anant Kumar
Xavier Institute of Social Service, Ranchi, Jharkhand, India
Abstract
With the United Nations Millenium Declaration of 2000, the establishment of Self-Help Groups (SHGs) has been identified as a significant strategy in addressing the alarming levels of poverty and marginalisation that have accompanied global development.
SHGs are small, voluntary associations of people from the same socio-economic background that have been established for the purpose of solving shared social and economic problems through self-help and mutual help. Such grass-roots commonality, it has been assumed, will promote community empowerment and prevent economic marginalisation. Such an assumption is largely based on the global, neo-liberal agenda of seeing the withdrawal of the State from social provisioning. SHGs have been widely adopted in India, especially to eliminate the social exclusion of poor women and improve their access to health.
This article reviews the scope and limitations of SHGs in improving women's health, focusing on their implementation in the State of Bihar in India. It critically assesses the extent to which SHGs can be involved in attaining better health for women and children by exploring the crucial role of caste and class in access to health services. The article concludes that solutions such as SHGs, which emanate from international policy circles, fail to capture local structural contexts such as caste and class and, as a result, develop instrumentalised approaches that are unlikely to produce equitable health services provision to poor and marginalised people
Keywords
Sociology, self-help groups, health, caste, class, equity
References
Batliwala S (1995) Defining Women's Empowerment: A Conceptual Framework, Education for Women's Empowerment, ASPBAE Position Paper for the Fourth World Conference on Women, Beijing, September 1995, New Delhi, Asia-South Pacific Bureau of Adult Education.
Beegle K, Frankenberg E and Thomas D (1998) Bargaining power within couples and use of prenatal and delivery care in Indonesia, Studies in Family Planning 32(2): 130.
Goetz A M and Sen Gupta R (1996) Who takes the credit? Gender, power, and control over loan use in rural credit programs in Bangladesh, World Development 24(1): 45-63.
Hashemi SM, Schuler S and Riley AP (1996) Rural credit programs and women's empowerment in Bangladesh, World Development 24(4): 635-653.
IFAD (2007)
Kishor S (1995) Autonomy and Egyptian women: Findings from the 1988 Egypt Demographic and Health Survey, Occasional Papers 2, Macro International Inc. Calverton MD.
Kishor S (2000) Women's contraceptive use in Egypt: What do direct measures of empowerment tell us? Paper prepared for presentation at the annual meeting of the Population Association of America March 23-25 2000 Los Angeles California.
Malhotra A and Mather M (1997) Do schooling and work empower women in developing countries? Gender and domestic decisions in Sri Lanka, Sociological Forum 12(4): 599-630.
Nayar KR, Kyobutungi C and Razum O (2004) Self-help: What future role in health care for low and middle-income countries? International Journal for Equity in Health 3: 1
Planning Commission (2002) National Human Development Report 2001, Government of India, New Delhi
UNICEF (nd) Mapping of SHGs in Bihar, India.
United Nations (2006)
Zeller M, Schreider G, Von Braun J and Heidhus F (1997) Rural finance for food security for the poor, Food Policy Review 4, Washington DC. International Food Policy Research Institute.
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