Abstract

Health is one of the basic human needs. The Human Rights and the International Covenant on Economic, Social and Cultural Rights (ICESCR) recognises health as central to the dignity of the person. Health is one of the indicators of development of a society. Hence, it is also included in the Millennium Development Goals. In developing countries like India, one can see large disparities in availability and access to health facilities. In India, health is the responsibility of the state and it is included in the Directive Principles. Attainment and maintenance of good health depends on access to nutritious food, clean water, appropriate and timely availability of medical services for treatment during sickness. From this point of view, providing good health services to people becomes responsibility of the state government. In India, three types of health services are available namely- hospitals run by government, hospitals run by municipal corporations and hospitals governed by public trusts and private organizations. Health workers play a vital role in taking these services to the patients. Hence, their physical and mental status matters in reaching the health services to patients. From this angle, the researcher has chosen the appropriate topic for the study. The book highlights equity issues in health services. Subordination of nurses and its ill-effects on patients are discussed keeping gender discrimination at the centre. The researcher has focused on many issues related to nursing profession. They include working conditions of nurses, their salary, shift duties and stress levels, safety at work place and violence, grievance redressal mechanism, affiliation to unions, etc. For this, the researcher has collected primary data by interviewing nurses from various sectors, which is the strength of this research. The sample of the research includes nurses employed in various health care institutions located in ward H-East and West of Mumbai district, Maharashtra.

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