Banerji D
Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi.
Indian J Public Health. 2005 Jul-Sep;49(3):113-22.
The setting up of the National Rural Health Mission is yet another political move by the present government of India to make yet another promise to the long suffering rural population to improve their health status. As has happened so often in the past, it is based on questionable premises. It adopts a simplistic approach to a highly complex problem. The Union Ministry of Health and Family Welfare and its advisors, either because of ignorance or otherwise, have doggedly refused to learn from the many experiences of the past, both in terms of the efforts to earlier somewhat sincere efforts to develop endogenous mechanisms to offer access to health services as well as from the devastative impact on the painstakingly built rural health services of the imposition of prefabricated, ill-conceived, ill-formulated, techno-centric vertical programmes on the people of India. The also ignore some of the basic postulates of public health practice in a country like India. That did not substantiate the bases of some of their substantive contentions with scientific data obtained from health systems research reveals that they are not serious about their promise to rural population. This is yet another instance of what Romesh Thaper had called 'Baba Log playing government government'.
印度国家农村卫生使命的设立是印度现任政府的又一政治举措，旨在向长期受苦的农村人口再次做出改善其健康状况的承诺。正如过去经常发生的那样，它基于可疑的前提。它对一个高度复杂的问题采取了简单化的方法。联邦卫生与家庭福利部及其顾问，要么是因为无知，要么是其他原因，顽固地拒绝从过去的许多经验中吸取教训，这些经验既包括早期为发展内生机制以提供卫生服务而做出的一些真诚努力，也包括对印度农村艰苦建立起来的卫生服务造成毁灭性影响的预制、构思不周、制定不当、以技术为中心的垂直项目强加于印度人民的情况。他们还忽视了像印度这样的国家公共卫生实践的一些基本假设。他们没有用从卫生系统研究中获得的科学数据来证实其一些实质性论点的依据，这表明他们对向农村人口做出的承诺并不认真。这又是罗梅什·塔帕尔所说的“巴巴们扮演政府”的一个例子。
