Manmeet Kaur, Sukhbir Singh, Madhu Gupta, Pankaj Bahuguna and Soma Rani
People often migrate from rural to urban areas within a country or from less developed to more developed countries for better life opportunities but may remain outside the range…
Abstract
Purpose
People often migrate from rural to urban areas within a country or from less developed to more developed countries for better life opportunities but may remain outside the range of health services. The purpose of this paper was to find out the socio-economic and health system factors that may affect the utilization of health services by the migrants.
Design/methodology/approach
Five villages and three slums were randomly selected from 23 villages and 18 slums of Chandigarh, a northwest Indian city. Using stratified random sampling, 145 migrants and 63 native women, who were pregnant or had delivered a baby from April 1, 2009 to March 31, 2012 were interviewed using semi-structured interview schedule. χ2 was used for testing statistical significance of the differences, and logistic regression was utilized to evaluate the “independent effect” of migration on Maternal and Child Health (MCH) service utilization.
Findings
The level of education was higher among migrants than the natives but their income was less than that of natives. Majority of the migrant women had registered themselves for antenatal care (ANC) in the first trimester of pregnancy (55 percent) compared to the natives (21 percent), but only few had availed more than three ANC check-ups (18 percent) as compared to the natives (44 percent). Knowledge about danger signs of childhood diarrhea and pneumonia was low among migrants compared to the natives (p < 0.0001). Health workers interacted less often with migrants (29 percent) than the natives (67 percent). After controlling the effect of socio-economic and -demographic variables, utilization of MCH care services were significantly higher among natives than the migrants. Inadequate community support among migrants led to the lower utilization of MCH care.
Research limitations/implications
Present study reflects early ANC registration among migrants but the number of ANC visits much less than the natives. This could be further be investigated using qualitative methods.
Practical implications
Specific strategies are required to address the health needs of migrants such as formation of community-based support groups. Health services and health workers need to be oriented to support migrants to the special needs of migrants.
Social implications
Reduction in inequality in accessing health between natives and migrants can be addressed with social support.
Originality/value
The study supports the fact that migration is one of the social determinants of health. Lack of community support to migrants is the major barrier in accessing the health services.
Details
Keywords
Sukhbir Sandhu, Saras Sastrowardoyo, John Benson and Christina Scott-Young
The purpose of this paper is to problematize authenticity and integrity in the context of tourist-based interventions in historic cities through a case study of skewed strategies…
Abstract
Purpose
The purpose of this paper is to problematize authenticity and integrity in the context of tourist-based interventions in historic cities through a case study of skewed strategies in urban conservation programs. The paper aims to explore the paradoxes of tourists’ requisites against the heritage management imperatives.
Design/methodology/approach
The methodology is a mix of case study and analytical study of theories, literature, and principles related to authenticity and integrity in urban conservation with a focus on tourism.
Findings
In the context of historic areas, while tourism is essential for generating the economic support necessary for conserving and managing a heritage site, lopsided strategies challenge the “authenticity” and “integrity” of the place.
Practical implications
Bringing forth the point of the authentic or curated identity, the paper argues for a framework grounded in authenticity and integrity for achieving balance in the management of historic cities.
Originality/value
The paper brings together the subject of authenticity and integrity in the context of tourist-based strategies in historic cities. It highlights the gap in current practices, which often gets into inadvertent consequences of tourists appreciating the intervention that appear to be against the fundamentals of heritage conservation.
Details
Keywords
Sonia Mehrotra, Uday Salunkhe and Ishani Chakraborty
Strategy.
Abstract
Subject area
Strategy.
Study level/applicability
MBA.
Case overview
On 20 May 2016, the Management team at Patanjali Ayurved Limited (PAL), an Indian fast-moving consumer goods (FMCG) company, had assembled in their Haridwar office, India, to discuss their future growth plans. The team was in a celebratory mood, as their internal reports suggested the annual revenue forecasts for the year 2016-2017 to be INR 10bn, an increase of 100 per cent as compared to the previous fiscal year 2015-2016 that recorded annual revenues of INR 5bn. PAL incorporated in 2006 and co-founded by Acharya Balkrishna operated in four business segments of foods, personal care, home care and Ayurved products. The products sold under the brand name Patanjali were single-handedly promoted by Swami Ramdev (hereafter referred as Ramdev), a popular Yoga practitioner and preacher amongst the Indian masses, as well as PAL’s co-founder. Ramdev recommended PAL’s products in his yoga sessions on television and yoga shibirs which had led to huge positive “word-of-mouth” publicity for their brand Patanjali. Their fast-paced growth in less than a decade had generated a disruption in the Indian FMCG sector, resulting in a negative impact on the sales of established multinational corporations (MNCs) such as Colgate-Palmolive, Hindustan Unilever Limited (HUL), ITC Limited (ITC), besides the domestic players such as Dabur India Ltd. and Emami Ltd. This had led their FMCG competitors to launch plans to strengthen their product portfolios so as to provide a tough competition to PAL. The management team at PAL, though confident of achieving their annual revenue targets, were apprehensive of this new competition from the big players of the FMCG sector. Were they capable of continuing their success story? Going forward what strategic steps would ensure them a sustainable growth and a market leader position? The mood turned reflective as the team pondered on some of these questions.
Expected learning outcomes
The case is structured to enable discussion on: conducting and understanding a general environment analysis and industry and competitive analysis and critically evaluating the firm’s strategic positioning and scope in a competitive environment.
Supplementary materials
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Subject code
CSS 11: Strategy.