Bisht Ramila, Saharia Rajashree, Sarma Jyotishmita
Centre of Social Medicine and Community Health (CSMCH), Jawaharlal Nehru University (JNU), New Delhi, India.
J Soc Econ Dev. 2021;23(Suppl 2):342-356. doi: 10.1007/s40847-020-00117-x. Epub 2020 Dec 18.
In this paper, we attempt to show how the novel coronavirus disease (COVID-19) has disrupted routine health services in India and has created further inequalities in the society. By taking a few examples of non-COVID diseases and conditions like immunization, maternal health services, tuberculosis and non-communicable diseases, this paper shows how these services have been disrupted by the pandemic. The paper argues that these disruptions have not emerged only as a result of the current crisis, but because of the paradigm shifts in the healthcare delivery in the country towards privatization which have disproportionately marginalized particular sections of the society. The paper concludes by stating that if adequate measures are not taken now to transform the health system and strengthen the public healthcare system, it might lead to catastrophic consequences in the future, especially for the marginalized sections.
在本文中，我们试图展示新型冠状病毒病（COVID-19）如何扰乱了印度的常规卫生服务，并在社会中造成了进一步的不平等。通过列举一些非COVID疾病和状况的例子，如免疫接种、孕产妇保健服务、结核病和非传染性疾病，本文展示了这些服务是如何被疫情扰乱的。本文认为，这些扰乱不仅是当前危机的结果，还归因于该国医疗服务提供模式向私有化的转变，这使得社会中的特定群体被过度边缘化。本文最后指出，如果现在不采取适当措施来改革卫生系统并加强公共卫生保健系统，未来可能会导致灾难性后果，尤其是对边缘化群体而言。
