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Articles

India’s Handling of the Covid-19 Crisis: Could a Rights-Based Approach Overcome Systematic Inadequacies?

 

Abstract

Covid-19 exposed the fragility and inadequacies in India’s health care system, especially in its public health services. The sudden lockdown imposed during the first wave of the virus severely impacted the livelihoods of millions of migrant workers. Then, in spite of warnings about an impending second wave of infection, the government’s failure to prepare the health infrastructure, together with delays in vaccine distribution, cost the lives of hundreds of thousands of people. Unlike the first wave of infection, the second wave impacted rural India very badly. Taking into consideration the existing social hierarchies and inequalities, it was marginalised groups of the population who bore the brunt of the pandemic. This article analyses the failures of the Indian government in handling the Covid-19 crisis, especially during the second wave, and concludes by suggesting ways in which the state needs to intervene to avert disasters of this kind in the future. It argues for the adoption of a ‘rights-based’ approach to public health on the grounds that successive governments have not been properly held to account for their long-term failures to address the issue.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Notes

1 Abraham Samuel, and Gorky Chakroborty et al., ‘Emerging Governmentality and Biopolitics of Covid-19 in India’. Economic & Political Weekly Vol. 55. Issue 37 (2020): 26–28.

2 Ibid.

3 Dipankar Sinha, Pandemic, Governance and Communication: The Curious Case of Covid-19. New York: Routledge, 2022, p. 2.

4 Indira Chakravarthi and Imrana Qadeer, ‘Covid 19: Reinforcing the ‘Technical Fix’ and Distorting Public Health in India’. Economic & Political Weekly Vol. 56. Issue 51 (2021): p. 14.

5 Isabelle Guérin, et al., ‘Surviving Debt and Survival Debt in Times of Lockdown’. Economic & Political Weekly Vol. 57. Issue 1 (2022): 41–49.

6 Saurabh Kumar, ‘Second Wave of COVID-19: Emergency Situation in India’. Journal of Travel Medicine Vol. 28. Issue 7 (2021).

7 ‘India Covid 19 cases skyrocket amid election campaign’, Al Jazeera, January 8, 2022, https://www.aljazeera.com/news/2022/1/8/india-covid-19-cases-skyrocket-amid-election-campaigns.

8 Hannah Ellis Peterson and Akash Hassan, ‘Kumbh Mela: How a Superspreader Festival Seeded Covid Across India’. The Guardian, May 30, 2021, https://www.theguardian.com/world/2021/may/30/kumbh-mela-how-a-superspreader-festival-seeded-covid-across-india.

9 Outlook India, ‘From Pinarayi Vijayan To Kanimozhi, Here’s A List Of Politicians Who Tested Covid Positive While Campaigning’, Outlook India, April 13, 2021, https://www.outlookindia.com/website/story/india-news-assembly-polls-from-pinarayi-vijayan-to-kanimozhi-heres-a-list-of-politicians-who-tested-covid-positive-while-campaigni/380078 (accessed 20 November 2021).

10 Department-Related Parliamentary Standing Committee on Health and Family Welfare, One Hundred Twenty Third Report on the Outbreak of Pandemic Covid-19 and its Management, Parliament of India, November 21, 2020, pp. 21–22, https://rajyasabha.nic.in/rsnew/Committee_site/Committee_File/ReportFile/14/142/123_2020_11_15.pdf (accessed 13 November 2021).

11 P. Singh, ‘India’s COVID-19 emergency’. The Lancet, May 6, 2021, https://pubmed.ncbi.nlm.nih.gov/33965073/2021 (accessed 18 November 2021).

12 Department-Related Parliamentary Standing Committee, op. cit., p. 90.

13 Bhopal Guru, ‘Accumulation of Poor Health Infrastructure’. Economic & Political Weekly, Vol. 56. No. 18 (2021).

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16 The Hindu, ‘Centre, States failed to prepare for predictable second wave, says International Commission of Jurists’. The Hindu, April 29, 2021, https://www.thehindu.com/news/national/centre-states-failed-to-prepare-for-predictable-second-wave-says-international-commission-of-jurists/article34441167.ece (accessed 13 November 2021).

17 Department-Related Parliamentary Standing Committee, op. cit., p. 11.

18 Ibid., p. 18.

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20 Ibid.

21 Harsh Mander, Locking Down the Poor. New Delhi: Speaking Tiger Books, 2021, p. 18.

22 Suresh, James and Balraju, op. cit., pp. 633–635.

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25 ‘Over 8,700 people died on tracks in 2020 lockdown — many of them were migrants’. The Indian Express, June 2, 2021, https://indianexpress.com/article/india/over-8700-people-died-on-tracks-in-2020-lockdown-many-of-them-were-migrants-7341473 (accessed 13 July 2022).

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28 Mander, op. cit., p. 101.

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30 Mahesh Vyas, ‘The Jobs Bloodbath of April 2020’. Centre for Monitoring Indian Economy, May 5, 2020, https://cmie.com/kommon/bin/sr.php?kall=warticle&dt=2020-05-05%2008:22:21&msec=776 (accessed 15 March 2022).

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34 Vyas, ‘Treacherous Labour Statistics’, op. cit.

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37 Harsh Mander and Anr. v. Union of India W.P.(C), D.No. 10801/2020.

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39 Chakravarthi, op. cit.

40 Dipankar, op. cit.

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43 ‘Global Annual Results Report 2021: Gender equality’, https://www.unicef.org/reports/global-annual-results-2021-gender-equality (accessed 13 July 2022).

44 Ibid., p. 14.

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51 Vrinda Mehta and Shruti Gandhi, ‘The Repercussions of Covid-19 on Health Care Workers in India’. International Journal of Policy Sciences & Law Vol. 2. Issue 2 (2022): 3710–3745.

52 Council of Civil Service Unions v. Minister for the Civil Service, (1984) 3 All ER 935.

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54 Sibha S. V. Union of India, Represented by the Secretary and Others, 2021 SCC OnLine Ker 2545.

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56 Department-Related Parliamentary Standing Committee, op. cit. (accessed 13 November 2021).

57 Narayan, op. cit.

58 Mark Dayan, Deborah Ward, Tim Gardner and Elaine Kelly, ‘How Good is the NHS?’. The King’s Fund, June 25, 2018, https://www.nuffieldtrust.org.uk/files/2018-06/the-nhs-at-70-how-good-is-the-nhs.pdf (accessed 20 December 2021).

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60 Belinda Bennett and Terry Carney, ‘Pandemic Preparedness in Asia: A Role for Law and Ethics?’. Asia Pacific Journal of Public Health Vol. 23. Issue 3 (2011): 419–425.

61 Pande, op. cit., p. 45.

62 Peter C. Doherty, ‘COVID-19 and Beyond’, The Round Table, 110:1, 171–172, 2021, https://doi.org/10.1080/00358533.2021.1875717 (accessed 16 November 2021).

63 George, op. cit., p. 18.

64 Global Health Security Index, ‘India Overall’, Global Health Security Index, 2021, Ghsindex.org/country/india/ (accessed 20 November 2021).

Additional information

Notes on contributors

Sharmila Narayana

Dr. Sharmila Narayana is a Professor at Christ (Deemed to be University), Bangalore, India.

Nia Susan Chaly

Nia Susan Chaly is a student pursuing her 3rd year B.A. LL.B course in School of Law, Christ (Deemed to be University), Bangalore, India.

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