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COVID-19 | Is India’s health infrastructure equipped to handle an...
With growing number of coronavirus cases in India (and worldwide), policymakers have sprung into action – more information is being disseminated about preventive measures such as hand washing and not touching the face. Social distancing has been suggested as a tool to “flatten the curve”, or in other words, prevent the health ...Medicines in India: Accessibility, affordability and quality
Healthcare expenditure is financed through various sources in a country. It can be financed by the government (state or union), insurance schemes (public or private) or borne by households directly in the form of out-of-pocket expenditures (OOPE). More financing by the government implies less financial burden on households in the form of ...Reviving Higher Education in India
This paper examines enrolment trends, graduation and employment patterns and the quality of Higher Education Institutions in India.Performance of the Supreme Court and tenure of Chief Justices of India: An...
This is a tentative and an exploratory analysis to assess the productivity of the Supreme Court of India (SC) under different Chief Justices of India (CJI) in terms of accomplished adjudications, which is its core function. In particular, we study the number of judgements passed by the apex court per day during ...Missing women patients: Gender discrimination in access to healthcare
Gender discrimination in access to healthcare has not been systematically studied in India or many other developing countries. This is primarily due to a lack of reliable data. In this paper, we use extensive data collected on clinical appointments from a large public-funded tertiary care hospital with a robust hospital information system ...The promise of impact investing in India
Achieving the ambitious sustainable development goals (SDGs) by 2030 will take an estimated $5 to $7 trillion per year, with a financing gap of $2.5 trillion in developing countries.In India alone, the outsize challenge has been translated into a financing gap of $565 billion. While the country has seen huge progress ...India 2024: Policy priorities for the new government
A changing global order, energy transitions and climate change and rapid technological advancement – India’s next government has the difficult task of steering the country through an interesting and crucial time. India 2024: Policy Priorities for the New Government, edited by Dhruva Jaishankar and Zehra Kazmi, is a compendium of policy briefs ...India 2024: An informed India
For years, governments, policymakers, and philanthropists have contributed funds for the delivery of social programs to achieve specific goals and development outcomes. These funds have been used to tackle poverty, hunger, malnutrition, and other critical policy issues. But while necessary, they have met varying degrees of success. Each year the government spends ...India 2024: A highly educated India
India has seen a rapid expansion in the higher education sector since 2001. There has been a dramatic rise in the number of higher education institutions (HEI) and enrolment has increased four-fold. The Indian higher education system is now one of the largest in the world with 49,964 institutions. Despite the increased ...The debate over jobs in India is missing the point
As nearly a billion Indians go to the polls this month and next, no one doubts jobs will be central to their vote. We just can’t agree on whether the employment picture is rosy or dark. While the government cites payroll data to claim significant job creation, the opposition holds up a leaked preliminary ...Difficult Dialogues: A compendium of contemporary essays on gender...
Existing literature has documented a significant gender gap in various sectors including health, labour market opportunities, education and political representation in India. The objective of this compendium is to move the gender policy focus towards the underlying trends and causes of these gender gaps. In particular, we highlight three areas of interaction ...Accelerating financial inclusion in India
By making financial services accessible at affordable costs to all individuals and businesses, irrespective of net worth and size, financial inclusion strives to address and offer solutions to the constraints that exclude people from participating in the financial sector. Research shows thatcountries with deeper levels of financial inclusion defined as access to ...Too slow for the urban march: Litigations and real estate market in...
India is urbanising and putting increasing pressure on urban land and there is growing impetus to convert land from agriculture to non-agriculture use. According to the United Nations (2015), India will see the largest increase of all countries in urban population by 2050. Efficient functioning of urban land markets will be critical ...Is India ready to JAM?
The Indian government’s JAM trinity comprises three components: Jan Dhan bank account, Aadhaar unique identity number and mobile phone. A combination of these three elements is seen as the pathway to implementing large-scale direct benefit transfers in India. The Jan Dhan Ayojana (Peoples’ Wealth Scheme) is a government scheme that aims to ...Why health doesn’t get the media attention it deserves
Shamika Ravi spoke at The Media Rumble about making health political and democratised. “No country can develop on the back of poor human capital.”Artificial intelligence and data analytics in India
Advances in artificial intelligence and data analytics are propelling innovation in many parts of the world.[1] China, for example, has committed $150 billion towards its goal of becoming a world leader by 2030.[2] And while the United States government is investing only $1.1 billion in non-classified AI research, its private sector is ...What India can do to build, bridge and bolster digital trust
There are more mobile phones than people on this planet, Facebook now has 2 billion monthly users, and over 93 per cent of India’s adult population now has access to a unique Aadhaar identity. With critical data pools lying with governments and social media networking sites, building, bridging and bolstering trust in ...Is the National Health Protection Scheme good public policy?
India recently announced an ambitious plan called the National Health Protection Scheme (NHPS) to provide government-sponsored insurance to roughly 500 million people or nearly 40% of India’s population. Since the announcement, there has been much debate about two issues. First, does this plan make sense? Second, if it is a good idea, ...How to solve issue of rising non-performing assets in Indian public sector...
The Indian banking system is beleaguered with non-performing assets (NPAs). According to the Reserve Bank of India’s Financial Stability Report of December 2017, they currently stand at 10.2 per cent of all assets, while stressed assets, which are believed to be NPAs in effect, stand at 12.8 per cent. Related frauds amount ...India reforms health: A compendium of writings
Restructuring the Medical Council of India to eliminate corruption By Shamika Ravi NITI Aayog has proposed replacing the compromised Medical Council of India with a new National Medical Commission (NMC), outlined in a draft Bill known as the National Medical Commission Bill of 2016. We look into this proposed Bill, refer to ...The need for reforms in healthcare finance
The Centre and state governments are experimenting with several new and exciting ideas in healthcare reforms. What is missing, however, is a serious reform agenda for health financing. The last big reform was expanding the coverage of the Rashtriya Swasthya Bima Yojana (RSBY) from Rs30,000 to Rs1 lakh, reinforcing insurance as the ...Who knew healthcare was so complex
The curious task of economics is to demonstrate to men how little they really know about what they imagine they can design.” F.A. Hayek, The Fatal Conceit: The Errors Of Socialism. NITI Aayog’s recommendation to improve access, reduce out-of-pocket expenditure, create infrastructure and augment capacity at district hospitals for non-communicable diseases (NCDs), ...What Uttar Pradesh tells us about health infrastructure
The death of children in the recent Gorakhpur tragedy has drawn significant attention towards the state of public health institutions in Uttar Pradesh (UP). While much of the focus remained only on Gorakhpur, our analysis shows that within the state, the public health infrastructure is far worse than Gorakhpur in most districts. ...Restructuring the Medical Council of India to eliminate corruption
The Medical Council of India (MCI) has been repeatedly criticized for providing opaque accreditation to aspiring medical colleges in India. Many of its members have been accused of taking bribes in order to fast-track accreditation. Bribes reduce the legitimacy of all accredited colleges and thereby compromise medical college quality overall in the ...Restructuring the Medical Council of India
The National Medical Commission Bill looks to create a National Medical Commission (NMC) to replace the currently existing and extremely corrupt Medical Council of India. This new body would be responsible for the accreditation of all medical education institutions within the country as well as maintaining a national registrar of all certified allopathic medical practitioners. ...Missing Female Patients: An Analysis of Gender Ratios from a Tertiary Care...
Abstract The issue of missing women, which is excess mortality of females as seen in low population ratio of women to men, in developing countries was first highlighted in a landmark mark paper by Sen in 1990 and again in 2003. Anderson and Ray estimate suggests that among the stock of women alive ...Health Monitor
The Health Monitor brings together real-time data, research & powerful analytics of India’s healthcare sector on a common platform. It’s created using publicly available data from across all states & Union Territories. It enables researchers & policymakers to access, monitor and analyse real-time health measures at a highly disaggregated level. This Health ...Important lessons for the Smart Cities Mission
With the 26th UN-Habitat governing council conference (GC26) held last month, the new urban agenda (NUA) has once again come to the fore. As the world moves towards a globalized policy discourse, one wonders if the NUA is an improvement on the existing unratifiable global documents. India’s minister for urban development, Venkaiah ...Advancing cooperation in higher education
It is that time of the year when India struggles to meet the educational expectations of its youth. An increasing number of school graduates are enrolling in college but the shortage of quality institutions has led to unreasonable entrance requirements. Despite recent visa restrictions, the US remains a favoured destination for resourceful ...Why EVMs are win-win
Free and fair elections to choose political representatives are a cornerstone of a democracy, and a fundamental human right of people. Voting procedures play a significant role in the conduct of free and fair elections in a democracy: These convert voters’ preferences into a political mandate, which forms the basis for policy ...The impact of Electronic Voting Machines on electoral frauds, democracy,...
Free and fair elections are cornerstones of democracy. In India, electronic voting machines (EVMs) were introduced with the objective of reducing electoral fraud. We exploit the phased roll-out of the EVMs in state assembly elections to study its impact on electoral fraud, democracy, and development. Our main findings are: Introductions of EVMs ...Gender issues in India: an amalgamation of research
Forty-two years have passed since the United Nations first decided to commemorate March 8th as International Women’s Day, marking a historical transition in the feminist movement. Gender remains a critically important and largely ignored lens to view development issues across the world. On this past occasion of International Women’s Day 2017, here ...What explains childhood violence?
Violence in childhood is a serious health, social and human rights concern globally, there is, however, little understanding about the factors that explain the various forms of violence in childhood. This paper uses data on childhood violence for 10,042 individuals from four countries. We report Odds Ratios from pooled logit regression analysis ...Women and representative governance in India
Brookings India Senior Fellow Shamika Ravi recently presented glimpses of her work on women and representative governance in India to a group of students from New York University. Dr. Ravi presented her research through three main perspectives namely, governance, representation and potential solutions. Her research has been inspired by the ‘missing women’ ...A tradeoff between growth and social objectives exists for microfinance...
Senior Fellow Shamika Ravi was a panellist at the 5th Plenary of Day 2 at the Inclusive Finance India Summit 2016, held on December 6, 2016. Shamika Ravi described why most microcredit borrowers are women. She shared a story of the Grameen Bank from a gender perspective. When Grameen Bank started, 40 ...The fight against hidden hunger: targeting the first 1000 days of a...
India faces an invisible public health crisis in the form of widespread maternal and child undernutrition. One-third of Indian women (of reproductive age) are undernourished, and close to 60 million children (under five years of age) are at risk, that is, they are either stunted (low height-for-age) or wasted (low weight-for-height). Women ...Demonetisation push to labour reforms: molding the future of the markets
Demonetisation has the potential to facilitate an environment that will develop a formal culture in India’s labour markets Among the loudest critics of the demonetisation policy are those who predict doom for India’s informal sector as a result of this exogenous shock. Numerous anecdotes are being forwarded to highlight the suffering of ...Health and Morbidity in India (2004-2014)
The decade from 2004 to 2014 saw the Indian economy grow at an impressive rate. This was also the time when the government brought sweeping policy initiatives into the healthcare sector. New health schemes were introduced at the national level as well as state levels. After a decade of experimentation, India is still faced with ...Demonetisation: Effect on interest rates, inflation and policy action
Dr. Shamika Ravi (Senior Fellow, Brookings India) and Dr. Eswar Prasad (Senior Fellow, Brookings Institution) participated in a debate about the demonetisation issue in India. Dr. Ravi responded to comments on inflation and interest rates: There is a problem of an information void within which estimates are being made, including the government ...Shamika Ravi on implications on govt’s demonetisation move
Speaking about Prime Minister Narendra Modi’s announcement to demonitise Rs 1000 and Rs 500 notes, Senior Fellow Shamika Ravi in this Facebook Live says the next few months will be painful, and should be seen as teething troubles for an economy trying hard to reform its corrupt self. As an economy we should aim ...Demonetization is a net positive move
Scaling back large bills will not end crime, but it will force the underground economy to employ riskier methods In a special broadcast on 8 November, Prime Minister Narendra Modi announced a positive exogenous shock to the country. He declared that in less than four hours, Rs500 and Rs1,000 bills would be ...Nutrition in India: Targeting the First 1,000 Days of a Child’s Life
Notwithstanding the sizeable economic and social gains made by India over the last two decades, the pernicious, often invisible, challenge of maternal and child undernutrition remains a national public health concern. This undermines the assumption that economic growth is in itself a sufficient condition for improvement in public health. India is home ...Municipal bond market could be the answer to financing woes of Smart...
As India considers more flexible and reliable ways of paying for the improvement of smart cities, the largely untapped municipal bond market can serve as a significant source of financial capital. As India continues to experience rapid urban expansion, public and private leaders at the national, state and local level are looking at ...Building Smart Cities in India: Allahabad, Ajmer, and Visakhapatnam
As India continues to experience rapid urban expansion, public and private leaders at a national, state, and local level are looking into ways to better manage larger populations and unlock greater economic potential. Launched under Prime Minister Narendra Modi in 2015, the “Smart Cities Mission” is an ambitious multiyear effort to boost ...For smart cities to succeed, strengthening local governance is a must
The lack of effective devolution of power to local governments is a major bottleneck in the essential transformation of urban India. India is in the midst of an ‘urban revolution,’ but the current state of municipal services across the country is found wanting. According to Census 2011, 31.16 per cent of the Indian population (377 ...India-US relations: Higher education
Over the past decade, college tuition fees in the United States have skyrocketed, making it extremely difficult for average Americans to invest in higher education. Within the same time frame, the country has fallen from being ranked number one in college degree attainment to number 12 globally. The rising costs of higher ...The Urgent Need For India To Build A Design Economy
The “Make in India” initiative aims to create 100 million new jobs in the coming 10 years in the manufacturing sector and boost its contribution to GDP from 15% to 25%. (Globally, manufacturing accounts for 34% in Thailand, 32% in China, 31% in the Philippines, and 24% in Malaysia and Indonesia.) Yet, ...Tie women’s reservation bill to sex ratio of constituency
Our existing political system is unlikely to throw up solutions for deep rooted gender inequality. The Women’s Reservation Bill has been doing rounds of the Indian Parliament in various forms since 1996 failing each time to pass. While we celebrate International Women’s Day, as a stroke of remarkable irony there is yet another 15-year-old girl, raped ...Marginal revolutions from Budget 2016
There are numerous small announcements in finance minister Arun Jaitley’s budget that must be lauded comments Shamika Ravi Most television channels track the stock market as the finance minister’s budget speech unfolds in Parliament. This is done to capture the announcement effects from the speech. Yet, it also reflects the gross mistake ...Paper | Building a Design Economy in India
In this paper, we outline the manner in which design can help promote the Indian economy. We look at the status of design in India, review the country’s development challenges, discuss the opportunities of a design economy, and make recommendations to enhance design in India. Highlights of Main Findings India’s design capacity ...Women who rose to the top and shattered stereotypes
Skard harbours the belief that it is women at the very top who make any sort of substantial change, but in India women have performed leadership roles even at the panchayat level writes Shamika Ravi In Women of Power, Skard examines ‘Half a century of female presidents and prime ministers worldwide’, and ...The Data Is Unambiguous: The Odd-Even Policy Failed To Lower Pollution In...
The Delhi government’s two-week-long odd-even rule ended on 15 January, with Chief Minister Arvind Kejriwal announcing that the plan will return in a revised form in the near future. There have been several commentaries and opinions on this policy in the national and local media, while ordinary citizens have enjoyed some side ...Support research as corporate social responsibility in India
India must build a culture of knowledge creation by fostering public support for research. Research is like defence, a pure public good which the private sector can directly support only in limited ways. There are no sustainable market solutions for research, the government therefore should provide the necessary support for this. Research is ...Priorities for India’s health policy
India’s health care sector is poised at a crossroads, and the direction taken now will be critical in determining its trajectory for years to come. In a recent Brookings India paper on the Indian government’s health care policy, Shamika Ravi and Rahul Ahluwalia argue that it should prioritize expanding and effectively delivering those aspects ...Delhi’s odd-even policy unsustainable
There is tremendous interest in the new experiment that Delhi government is running on the roads of the national capital. To complement efforts at curbing the number of cars, there is a barrage of advertisements on local radio extolling the virtue of sharing rides. It immediately makes you wonder: Why aren’t the ...Report | Priorities for India’s National health policy
One of India’s fundamental failings as a modern nation has been our inability to get successive governments to prioritize and deal with public goods. Public goods (as against private goods) have non-rival and non-excludable consumption which makes pricing difficult. This in turn makes their provision through the market mechanism tricky and hence ...Chennai floods: A ‘Smart City’ must also be a ‘Resilient...
One of the most important ambitions of modern India is the 100 smart cities project of Prime Minister Narendra Modi. We want to make our cities smarter by using IT and digital infrastructure, by managing our energy and water use and by creating an intelligent transport network. In the midst of all ...Smart city initiatives should recognise differences between Indian cities
Indian smart city efforts need to recognise the economic differences between its cities. Off-the-shelf technology solutions are not viable Prime Minister Narendra Modi’s bold commitment to build 100 smart cities throughout India is a worthy centrepiece of his urban agenda. The promise of this tech-savvy approach is greater livability, sustainability and improved ...Over the past two decades, every fifth suicide in India is by a housewife
The most disturbing trend to emerge out of the National Crime Record Bureau data is that consistently for over 2 decades, every fifth suicide in India is by a housewife. And though significant in numbers, farmer suicides, in comparison are a much smaller fraction. But more encouragingly, while farmer suicides have witnessed ...Depression drives maximum farmers to suicide, not debt, finds Brookings...
Depression, and not debts, is responsible for the decades-long tragedy of farmer suicides in Maharashtra, said a paper by an American think-tank after analysing suicide-related information provided by the National Crime Records Bureau (NCRB). The paper, written by Brookings Institution India fellow and Indian School of Business Professor Shamika Ravi, held illnesses ...Why inequality needs a radical agenda
INEQUALITY: WHAT CAN BE DONE? Anthony B Atkinson HARVARD BUSINESS; Pages 400, Rs 1,250 Inequality is back in fashion, thanks to Thomas Piketty. Yet, before Mr Piketty, there was Tony Atkinson, his teacher, who has been at the forefront of research on the topic since the 1960s. Over the last few years, ...Spectrum policy in India
The mobile sector continues to see dramatic growth around the world. Usage of cellphones, smartphones, and tablets is increasing at a rapid pace. With the growing popularity and ease of use of mobile devices such as iPhone, Android phones, tablets, and other portable devices, new mobile applications are coming online that increase access and capability, ...Women voters can tip the scales in Bihar
This column first appeared in The Hindu, on July 28, 2015. Like other products of the Brookings Institution India Center, this is intended to contribute to discussion and stimulate debate on important issues. The views are those of the author. As all political parties pull up their socks before the Bihar elections, they must recognise ...India’s Suicide Problem
For over a decade, farmer suicides in India has been a serious public policy concern. More recently, this has led to a shrill media outcry and much politicking. The government response to the crisis of farmer suicide has mostly been simplistic and sometimes aggravating. The main issue with offering “special packages” to ...Think Beyond Health Insurance
Budget 2015 was creative on several dimensions but fresh thinking was completely missing in health financing. This budget, like several in the past, reinforced insurance as the strategy for health financing in India. As the experience of many countries has revealed, this is a perilous path which will take India towards an ...A reality check on suicides in India
In this paper, we study the data from the National Crime Record Bureau (NCRB) of India and disaggregate across demographic and leading causes of suicides. We find that mental and physical health are the leading causes of suicides in India (20%) while the often cited factor, indebtedness, causes significantly lower number of ...The inclusion project
A little more than a week ago, World Bank chief Jim Yong Kim praised Prime Minister Narendra Modi for launching the Pradhan Mantri Jan-Dhan Yojana (PMJDY), which he called an “extraordinary effort” at financial inclusion. According to the Union finance ministry, India has attained 99 per cent financial inclusion, measured as households’ ...Band-aid solutions for health problems
The Draft National Health Policy of 2015 released by the Ministry of Health and Family Welfare, Government of India, is a comprehensive document. So comprehensive, in fact, that it says too little by saying too much. A National Heath Policy is commonly read as a political statement which is meant to provide ...Advancing Financial Inclusion in India beyond the Jan-Dhan Yojana
The recent policy measures undertaken by the Government of India and the Reserve Bank of India have provided a much-needed push for financial inclusion in the country. However, there remain some key gaps and concerns that must be addressed for attaining sustained comprehensive financial inclusion. This paper highlights some of these gaps ...Workfare as an effective way to fight poverty: The MNREGA
This article first appeared in Ideas for India, on December 11, 2014. Like other products of the Brookings Institution India Center, this is intended to contribute to discussion and stimulate debate on important issues. The views are those of the author. While developed countries are increasingly leaning on workfare programmes as a means to reduce ...Developing SAARC’s Higher Education Potential
Education is a powerful medium to unleash the potential of the SAARC region by cutting poverty and promoting development. It can also be an instrument of soft power for a nation like India by raising its cultural and political, especially democratic, attractiveness for others. With rapid globalization and expanding communication technology, India ...SAARC and India’s Healthcare Opportunities
Less than one fifth of all international tourists to India are from the SAARC countries. Yet, more than half of all foreigners who visit India for medical treatments are from SAARC countries. Together the two statistics imply that while India gains a lot more from rest of the world in the tourism ...Strengthening India-U.S. Relations through Higher Education
Over the last 20 years, we have witnessed an explosion of aspiration among the Indian youth, who are also among the biggest supporters of Prime Minister Modi. Access to quality higher education is the launchpad for the realization of those aspirations and dreams of young India. College and university education, however, remain ...Making it work
The MGNREGS stands out as one of the Indian government’s most ambitious social schemes, with far-reaching consequences throughout the economy. The only known recipe for poverty eradication is a combination of high growth and high development spending. Neither is sufficient. A recent study (Kapoor and Ahluwalia, 2012) has shown that post-liberalisation, one ...For new ideas, a clean break with the past
The Planning Commission is neither a constitutional nor a statutory body, but over the years it has acquired tremendous power of distant planning which is unsuitable to a country as diverse and complex as India. Let us neither reinvent nor restructure such a body. Let us, instead, make a clean break and ...Why So Few Women in Politics? Evidence from India
In this paper, the authors analyze women as political candidates in Indian democracy. Using 50 years of assembly elections data at the constituency level from the Indian states, they show that women are more likely to contest elections in those constituencies where gender ratio of the electors is less in favor of ...Missing women leaders
Women constitute a quarter of Narendra Modi’s cabinet, even though they make up only a little over 11 per cent of the 16th Lok Sabha. This is significant, even internationally. In South America, for instance, women hold the same proportion of Cabinet positions, but the proportion of women in the lower houses ...What Drives Entrepreneurship? Some Evidence from India
This paper studies the growth of entrepreneurship in India by analyzing the micro, small and medium enterprises sector (MSME) and explores the factors that contribute to its development. The author analyzes a panel data of all 35 states and union territories from 1991 until 2006. The outcomes of interest are number of ...Beginning a new conversation on women
A focus on women citizens Riding on the aspirations of an electorate, Modi’s arrival into Delhi is commonly seen as a vote for development. Women are a significant share of that electorate with fundamentally distinct concerns. The last few weeks’ horrific reminder of how India publically consumes violence against women, in conjunction ...Economic & Foreign Policy Priorities for Modi’s Government
Brookings India Fellow Dr. Shamika Ravi, and Mr. R.N. Ravi, former Special Director, Intelligence Bureau of India, address questions on the economic and foreign policy priorities for the new government: How will Narendra Modi govern? Is he the right person to lead India during this challenging time in its history? Narendra Modi ...Why less ladies in the Lok Sabha
Gender inequality is a serious concern in most sectors but the gap between men and women has narrowed the least in political representation. Women make up merely 22% of lower houses in parliaments around the world and in India, this number is less than half at 10.8% in the outgoing Lok Sabha. ...No monkey business
Why ‘right to entrepreneurship’, promised by Congress manifesto, is a bad idea. Little else is requisite to carry a state to the highest degree of opulence from the lowest barbarism, but peace, easy taxes, and a tolerable administration of justice; all the rest being brought about by the natural course of things. ...Working Paper: Women in Party Politics
Introduction: The Women’s Reservation Bill – which proposes to reserve 33 per cent of seats in Parliament and State Legislative Assemblies for women – has been doing the rounds of the Indian Parliament in various forms since it was first introduced by the Deve Gowda government in 1996, failing each time, to ...India’s Missing Women
Even though fair elections are held at regular intervals for State Assemblies and Parliament, they do not reflect the true consent of the people because a large number of women are missing from the electorate On her arrival in India recently, the words of Gloria Steinem, American feminist and leader of the ...