Skip to main content
main-content

Tipp

Weitere Kapitel dieses Buchs durch Wischen aufrufen

2022 | OriginalPaper | Buchkapitel

3. When Hammer Misses the Nail: Health Aspirations and Internal Migration in India

share
TEILEN

Abstract

As the COVID-19 pandemic rages through the world, public health systems in India continue to fail the poor, most notably migrant labourers and their families. The historical levels of death and economic damage have strengthened support for investment in health infrastructure. However, calls for investment in health infrastructure overlook the role of the agency of migrants in effective health systems. This chapter elaborates on the links between health aspirations and migration decisions of rural households. Through a case study of seasonal migrants in Nuapada, Odisha, this chapter argues that precarity of seasonal migrants deprioritizes health aspirations for a life that “they have a reason to value”. Using a framework based on the capacity to aspire and the capabilities approach, I find that rural households in the sample have generally low health aspirations for their children. These aspirations—including levels of health and debt for health expenses—are further lower for girls than for boys. While debt related to health expenses is a key factor in creating debt traps that sustain high-risk low-return seasonal migration, lower health aspirations impair any investment in health or access to health systems. This chapter cautions against a singular focus on building infrastructures, and argues for thoughtful integration of the agency of migrants to develop effective health systems in the future.
Literatur
Zurück zum Zitat Ajay Dandekar, and Rahul Ghai. 2020. “Commentary: Migration and Reverse Migration in the Age of COVID-19.” Economic and Political Weekly LV (19). www.​epw.​in. Ajay Dandekar, and Rahul Ghai. 2020. “Commentary: Migration and Reverse Migration in the Age of COVID-19.” Economic and Political Weekly LV (19). www.​epw.​in.
Zurück zum Zitat ———. 2016. “Measures of Human Development: Key Concepts and Properties.” 107. OPHI Working Paper. Oxford, UK. ———. 2016. “Measures of Human Development: Key Concepts and Properties.” 107. OPHI Working Paper. Oxford, UK.
Zurück zum Zitat Anand, Paul, and Keith Dowding. 2009. “The Development of Capability Indicators and Their Relation to Life Satisfaction.” Journal of Human Development and Capabilities 10 (1): 125–52. Anand, Paul, and Keith Dowding. 2009. “The Development of Capability Indicators and Their Relation to Life Satisfaction.” Journal of Human Development and Capabilities 10 (1): 125–52.
Zurück zum Zitat Appadurai, Arjun. 2001. “Deep Democracy: Urban Governmentality and the Horizon of Politics.” 13. Appadurai, Arjun. 2001. “Deep Democracy: Urban Governmentality and the Horizon of Politics.” 13.
Zurück zum Zitat ———. 2004. “The Capacity to Aspire: Culture and the Terms of Recognition.” In Culture and Public Action: A Cross-Disciplinary Dialogue on Development Policy, edited by Michael Walton, and Vijayendra Rao. Washington, DC: World Bank Publications. ———. 2004. “The Capacity to Aspire: Culture and the Terms of Recognition.” In Culture and Public Action: A Cross-Disciplinary Dialogue on Development Policy, edited by Michael Walton, and Vijayendra Rao. Washington, DC: World Bank Publications.
Zurück zum Zitat Bryan, Gharad, Ahmed Mushfiq Mobarak, and Shyamal Chowdhury. 2014. “Underinvestment in a Profitable Technology: The Case of Seasonal Migration in Bangladesh.” Econometrica 82 (5): 1671–1748. Bryan, Gharad, Ahmed Mushfiq Mobarak, and Shyamal Chowdhury. 2014. “Underinvestment in a Profitable Technology: The Case of Seasonal Migration in Bangladesh.” Econometrica 82 (5): 1671–1748.
Zurück zum Zitat Burchi, Francesco, and Pasquale De Muro. 2016. “From Food Availability to Nutritional Capabilities: Advancing Food Security Analysis.” Food Policy 60: 10–19. Burchi, Francesco, and Pasquale De Muro. 2016. “From Food Availability to Nutritional Capabilities: Advancing Food Security Analysis.” Food Policy 60: 10–19.
Zurück zum Zitat Conradie, Ina, and Ingrid Robeyns. 2013. “Aspirations and Human Development Interventions.” Journal of Human Development and Capabilities 14 (4): 559–80. Conradie, Ina, and Ingrid Robeyns. 2013. “Aspirations and Human Development Interventions.” Journal of Human Development and Capabilities 14 (4): 559–80.
Zurück zum Zitat ——— 2011b. “Poverty, Aspirations and Wellbeing: Afraid to Aspire and Unable to Reach a Better Life—Voices from Egypt.” 141. BWPI Working Paper, Machester. ——— 2011b. “Poverty, Aspirations and Wellbeing: Afraid to Aspire and Unable to Reach a Better Life—Voices from Egypt.” 141. BWPI Working Paper, Machester.
Zurück zum Zitat Nussbaum, Martha C., and Amartya Sen. 1993. “Introduction.” In The Quality of Life, edited by Amartya Sen, and Martha C. Nussbaum. New York. Nussbaum, Martha C., and Amartya Sen. 1993. “Introduction.” In The Quality of Life, edited by Amartya Sen, and Martha C. Nussbaum. New York.
Zurück zum Zitat Rajya Sabha Secretariat. 2020. “TWO HUNDRED TWENTY NINTH REPORT ON MANAGEMENT OF COVID-19 PANDEMIC AND RELATED ISSUES.” Parliament of India: New Delhi. Rajya Sabha Secretariat. 2020. “TWO HUNDRED TWENTY NINTH REPORT ON MANAGEMENT OF COVID-19 PANDEMIC AND RELATED ISSUES.” Parliament of India: New Delhi.
Zurück zum Zitat ———. 2007. “Rethinking Equal Access: Agency, Quality, and Norms.” Global Public Health 2 (1): 78–96. Taylor & Francis Group. ———. 2007. “Rethinking Equal Access: Agency, Quality, and Norms.” Global Public Health 2 (1): 78–96. Taylor & Francis Group.
Zurück zum Zitat Sen, Amartya. 1999. Introduction “Development as Freedom.” Development as Freedom. 1st ed. New York, NY: Alfred A. Knopf. Sen, Amartya. 1999. Introduction “Development as Freedom.” Development as Freedom. 1st ed. New York, NY: Alfred A. Knopf.
Zurück zum Zitat ———. 2004. “Capabilities, Lists and Public Reason: Continuing the Conversation,” 77–80. ———. 2004. “Capabilities, Lists and Public Reason: Continuing the Conversation,” 77–80.
Zurück zum Zitat Stark, Oded, and David E Bloom. 1985. “The New Economics of Labor Migration.” The American Economic Review 75 (2): 173–78. Stark, Oded, and David E Bloom. 1985. “The New Economics of Labor Migration.” The American Economic Review 75 (2): 173–78.
Metadaten
Titel
When Hammer Misses the Nail: Health Aspirations and Internal Migration in India
verfasst von
Kundan Mishra
Copyright-Jahr
2022
DOI
https://doi.org/10.1007/978-3-030-93228-2_3

Premium Partner