CONTENTS
Undertaking i
Certificate ii
Acknowledgments iii
Abstract vi
Table of contents viii
List of figures x
1. Introduction
1.1 Background and Rationale 1
1.2 Theoretical Underpinnings 4
1.3 Field Area: SEZ-Jamnagar 8
1.4 NRHM: Flagship Programme for Health 11
1.5 Residents of Veghpar 13
1.6 Objectives of Research: 16
2. Literature Review
2.1 Anthropological Moorings 18
2.2. Community and Social Capital 24
2.3. Migrant labourers : Invisible Citizens 28
2.4. Theories and Models of Health 32
2.5 Critique of Health Behaviour Models 38
3. Methodology
3.1 Context and Research Design 42
3.2 Ethical Dimension 44
3.3 Selection of the Field Site 44
3.4 Data Collection Techniques 45
3.5 Key Informants 48
3.6 Rapport Building 50
3.7. Dilemmas in the field 50
3.8.Data Analysis 53
4. Data Presentation and Discussion
4.1 The Locale 55
4.2 Health Behaviour and Processes involved
4.2.1 Women's Health in Veghpar 62
4.2.2 Religious Practices and Health 69
4.2.3 Combining different treatment routes 74
4.2.4 Who is a trusted doctor in Veghpar 76
4.2.5 Can't avoid getting sick: Accounts from Veghpar 79
4.3. Engagement with Government for Healthcare
4.3.1. Government health system-riddled with many constraints 81
4.3.2. Utilization of government health services 85
4.4. Community Structures and Social Capital
4.4.1 What is community for a migrant? 93
4.4.2 Social capital among local Darbars: Not so benevolent 99
4.4.3 Dalits: Strong community feeling but, is there social capital? 103
4.4.4 Scheduled tribes of Madhya Pradesh: Aloof and distant 104
5 Concluding Discussion and Recommendations
5.1.Health Behaviour Patterns in Veghpar 107
5.2. Government Health Services in Veghpar 112
5.3.Whither Social Capital 114
5.4.Permanant Outsiders of Veghpar 116
5.5. Recommendations 118
6. Annexures:
A. List of participants 123
B. Interview Guide 125
7. Reference 128