Browsing by Author "Arima Mishra"

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    'A light inside a pot': Sites and sources of power emerging from an ethnography of traditional healing in South India
    (Glob. Public Health, 2019) Devaki Nambiar; Arima Mishra
    Medicine and healing have been critical elements of nation-building and governance in India. There is a clear hierarchy: biomedicine, followed by systems like Ayurveda which are to be 'mainstreamed,' and local health traditions, which are to be 'revitalised'. Mindful that power nonetheless resides in positions of marginality, this analysis drew from a health system ethnography on revitalisation of local health traditions in three southern Indian states. Data from multiple interviews with 51 healers, observations of meetings, healing sessions and events convened by healers, as well as a multi-stakeholder dialogue on local health traditions convened by authors were analysed using a grounded analytical process. The state was a source of power, but in an enmeshed, individualised form. Other sources of power included accomplished others who viewed healers and their practices with respect, healers' collectives that produced and reinforced power through the exercise of certain rituals, and the sacred calling to heal, which assumed stringent criteria for practice and training, while also creating a moral imperative for service orientation. Our study shows how power rests in or is derived from multiple sites and sources that inhere and interact in critical ways with the state and other systems of medicine.
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    Case Study of Mr. Gulati- A Heart Patient. (This case study has been developed from the transcripts of Prof. Arima Mishra research on heart diseases)
    Arima Mishra
    The case study of Mr. Gulati explores many pertinent issues pertaining to Non-Communicable diseases like decision making process in seeking health care, caregiving ecosystem, patient agency and voice, compliance, etc. It also raises some critical questions for reflection viz. What are the causes of NCDs (Heart Diseases/Diabetes)? Why NCDs are called Lifestyle diseases? Who is responsible for leading a healthy lifestyle? What are the constraints in accessing NCD care?
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    Case Study of Mr. Gulati- A Heart Patient. (This case study has been developed from the transcripts of Prof. Arima Mishra research on heart diseases).
    Arima Mishra
    The case study of Mr. Gulati explores many pertinent issues pertaining to Non-Communicable diseases like decision making process in seeking health care, caregiving ecosystem, patient agency and voice, compliance, etc. It also raises some critical questions for reflection viz. What are the causes of NCDs (Heart Diseases/Diabetes)? Why NCDs are called Lifestyle diseases? Who is responsible for leading a healthy lifestyle? What are the constraints in accessing NCD care?
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    Case Study of Ms. Nupur Bano. (This case study has been developed from the transcripts of Prof. Arima Mishra research on heart diseases)
    Arima Mishra
    The case study of Ms. Nupur Bano explores many pertinent issues pertaining to Non-Communicable diseases like decision making process in seeking health care, caregiving ecosystem, patient agency and voice, compliance, etc. It also raises some critical questions for reflection viz. Was Nupur Bano non-compliant of diabetic medication? What are the Constraints in accessing NCD care?
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    Case Study of Ms. Nupur Bano. (This case study has been developed from the transcripts of Prof. Arima Mishra research on heart diseases).
    Arima Mishra
    The case study of Ms. Nupur Bano explores many pertinent issues pertaining to Non-Communicable diseases like decision making process in seeking health care, caregiving ecosystem, patient agency and voice, compliance, etc. It also raises some critical questions for reflection viz. Was Nupur Bano non-compliant of diabetic medication? What are the Constraints in accessing NCD care?
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    Discussion Questions
    Arima Mishra
    This document has some questions for reflection and discussion regarding the case study-Ethical Issues in Health Policy Making-Trans-Fat Campaign in New York city and the film Miss Evers' Boys.
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    Discussion Questions
    Arima Mishra
    This document has some questions for reflection and discussion regarding the case study-Ethical Issues in Health Policy Making-Trans-Fat Campaign in New York city and the film Miss Evers' Boys.
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    Health in Food Systems Policies in India: A Document Review
    (International Journal of Health Policy and Management, 2021) Adithya Pradyumna; Arima Mishra; J黵g Utzinger; Mirko S. Winkler
    Food systems affect nutritional and other health outcomes. Recent literature from India has described policy aspects addressing nutritional implications of specific foods (eg, fruits, vegetables, and trans-fats), and identified opportunities to tackle the double burden of malnutrition. This paper attempts to deepen the understanding on how health concerns and the role of the health sector are addressed across food systems policies in India. Methods: This qualitative study used two approaches; namely (i) the framework method and (ii) manifest content analysis, to investigate national-level policy documents from relevant sectors (ie, food security, agriculture, biodiversity, food processing, trade, and waste management, besides health and nutrition). The documents were selected purposively. The textual data were coded and compared, from which themes were identified, described, and interpreted. Additionally, mentions of various health concerns and of the health ministry in the included documents were recorded and collated. Results: A total of 35 policy documents were included in the analysis. A variety of health concerns spanning nutritional, communicable and non-communicable diseases (NCDs) were mentioned. Undernutrition received specific attention even beyond nutrition policies. Only few policies mentioned NCDs, infectious diseases, and injuries. Governing and advisory bodies were instituted by 17 of the analysed policies (eg, food safety, agriculture, and food processing), and often included representation from the health ministry (9 of the 17 identified inter-ministerial bodies). Conclusion: We found some evidence of concern for health, and inclusion of health ministry in food policy documents in India. The ongoing and planned intersectoral coordination to tackle undernutrition could inform actions to address other relevant but currently underappreciated concerns such as NCDs. Our study demonstrated a method for analysis of health consideration and intersectoral coordination in food policy documents, which could be applied to studies in other settings and policy domains.