Health

Despite the promise of inclusive healthcare under the Ayushman Bharat scheme, transgender and gender-diverse individuals in India continue to face systemic barriers due to flawed implementation and policy gaps. In an earlier article, we highlighted the struggle of the transgender community to access gender affirmation procedures. Here, we explore the disconnect between international guidelines, legal mandate, and the reality on the ground, and how gender-affirming healthcare can be made safer and inclusive. SOP that is not based on international guidelines The policy framework and Standard Operating Procedures (SOP) for the Ayushman Bharat scheme for transgender persons are not backed by…

Arvinda dreams of becoming a psychologist. But the 21-year-old transwoman from Hyderabad had to discontinue her education in 2023, after finishing her polytechnic diploma, so she could work and raise money for her sex reassignment surgery.   That's the price she had to pay for living as her true self. Arvinda now earns ₹25,000 a month after taking a job at a BPO, of which around ₹12,000 goes towards repaying the loan she took to cover her medical expenses and afford other gender-affirming healthcare, including regular hormone treatments.   “I had to take a loan just to be who I am,”…

As the sun blazed across India's hottest regions, people faced an unprecedented heat risk this year. While Rajasthan, Maharashtra, Delhi, Tamil Nadu, Gujarat and many other states reported hundreds of heatstroke cases and heat-related illnesses, experts have warned that the actual toll of the heat wave impact may be underreported in India. Summer may be officially over, and the monsoon has brought respite, but the impact of heat on all aspects of life remains a real and present danger. Heat-related deaths can occur even when there are no heat wave warnings, and factors like humidity, wind speed, pre-existing medical conditions,…

Ever stepped out to be hit by a blistering wave of heat? When the surroundings felt like a furnace and the body seemed to give up from exhaustion? This is how it was a week ago, when in many parts of India, including Delhi, the mercury touched 40 degrees Celsius, before sudden rainfall drastically lowered temperatures. The high humidity pushed the 'feel-like temperature' to almost 50 degrees Celsius, and the heat wave disrupted daily life.   Now, imagine a long battle with unrelenting heat for weeks or months, stifling communities and threatening livelihoods. Heat waves and chronic heat stress may…

Chennai recorded the highest temperature of 42.7 degrees Celsius on May 17 last year, marking the hottest day of summer so far. According to a study by Heat Watch, titled Struck by Heat: A News Analysis of Heat Stroke Deaths in India in 2024, 733 deaths due to heatstroke were reported across 17 states in India between March and June. This year, the sweltering conditions have returned early. The India Meteorological Department has issued a forecast and heatwave warning, stating that maximum temperatures will likely remain above normal by 1 to 3 degrees Celsius across many parts of coastal Tamil…

வண்ணாரப்பேட்டையைச் சேர்ந்த 24 வயதான தரிஷினி, தான் தினமும் குடிக்கும் தண்ணீர் தனது உடல்நலத்தை இவ்வளவு மோசமாக பாதிக்கும் என்று ஒருபோதும் எதிர்பார்க்கவில்லை. திருநெல்வேலியைச் சேர்ந்த தரிஷினி கடந்த இரண்டு வருடங்களாக சென்னையில் தனியாக வசித்து வருகிறார். ஒரு நாள் மாலை, வேலையிலிருந்து வீடு திரும்பிய பிறகு, அவருக்கு கடுமையான வயிற்று வலி ஏற்பட்டது. மதிய உணவாக சாப்பிட்ட காரமான உணவு காரணமாக இருக்கலாம் என்று கருதி, அவர் மருந்தகங்களில் கிடைக்கும் சில மருந்துகளை எடுத்துக்கொண்டு படுக்கைக்குச் சென்றார். இருப்பினும், மறுநாள் அவரது அறிகுறிகள் மோசமடைந்தன. மேலும் அவருக்கு அதிக காய்ச்சல் ஏற்பட்டது. அவர் மருத்துவரின் அறிவுரைகளின்றி தானாக மருந்து எடுத்துக்கொண்டு இருந்தார், ஆனால் நிலைமை மோசமாகிவிட்டது. "அதிர்ஷ்டவசமாக, என்னைப் பார்க்க வந்த என் தோழி, நான் உடல்நிலை சரியில்லாமல் இருப்பதைக் கவனித்து அருகிலுள்ள மருத்துவமனைக்கு அழைத்துச் சென்றார். அங்குள்ள மருத்துவர்கள் நான் கடுமையாக நீரிழப்புடன் (severe dehydration) இருப்பதாகவும், என்…

Dharishini, a 24-year-old resident of Washermenpet, never anticipated that the water she consumed daily would take such a severe toll on her health. Originally from Tirunelveli, Dharishini has been living and working alone in Chennai for the past two years. One evening, after returning home from work, she developed intense stomach pain. Assuming it was due to the spicy food she had for lunch, she took some over-the-counter medicine and went to bed. However, her symptoms worsened the next day, and she developed a high fever. She continued self-medicating, but things took a turn for the worse. “Fortunately, my friend,…

Ever heard of theatre as therapy? When a person recovering from a mental health condition takes the stage, the result can be transformative. Many individuals who have experienced mental health issues often face discrimination and isolation. Art and theatre can help in the healing while challenging this stigma and bridging the gap between awareness and acceptance. Theatre can also be a powerful tool for mental health advocacy, changing public perception and breaking down harmful stereotypes about mental illness.    To this effect, a unique theatre initiative in India is proving that theatre performances can be a catalyst for social change.…

“Air pollution is never recorded as a direct cause of death. It’s always a contributing factor,” says Dr Aparna Birajdar, a consultant pulmonologist in Pune. She adds that it is difficult to get data on the impact of air pollution in India because doctors are overworked and have little time to research, while most lung infections are multi-factorial. This is why air pollution and its health consequences are rarely addressed with the urgency they demand.  Moreover, studies of air pollution's effects largely focus on adults, with data on children scarce. In 2019, air pollution caused about 6.7 million deaths globally,…

“My child’s commute to school is a half-hour ride, but it takes an hour for her to reach home everyday. The commute itself makes her so tired and the dust is so high during the after-school hour that her cough almost always worsens when she comes back home,” says Tanu, worried mother of a second-grade child in Bengaluru. Tanu is just one parent among the vast numbers across our cities, as air pollution puts their children's health and well-being at grave risk. In 2021, 15% of all global deaths in children under five were linked to air pollution. As per…