Are Women of Indian Sundarbans Living in Dark: A Gender Analysis of Eye Health Problem

Agency : RinGs Consortium, Johns Hopkins Bloomberg School of Public Health, USA

The study aimed to assess the role of gender in health care seeking for visual impairments for males and females aged50 years and above in the Indian Sundarbans. It studied differences in perception of visual impairment, detection, care seeking and financing for eye health among elderly males and females. It explored the difference in dependencies of the visually impaired elderly individuals by gender and other social determinants. The study was carried out in two blocks of the region: one with poor physical accessibility and another with better physical accessibility. It uses a mixed methods approach. An intersectional analysis has been adopted to understand how social identities of gender, age and disability intersect resulting in differential patterns in health status and care seeking.

The study findings have significant implications for policy. Eye health is not a priority for the elderly in the Indian Sundarbans. Care seeking for eye health differs among the elderly in the different age groups. It is generally delayed. There are gender differentials in seeking inpatient and outpatient care for eye health conditions. Male privileges get offset with advancing age. The care seeking behavior of the elderly females continues to be restricted. When gender is considered alongside education, we can see that education is a bulwark among men only. There is a need for recognizing the heterogeneous nature of the elderly. Without applying an intersectionality lens to the analysis, such distinctions would be lost. Analysis using single stratifiers (e.g. gender, education) will miss different degrees of vulnerability that the elderly may be exposed to. Policies for the elderly need to be more granulated in their approach.


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