On verso of t.p. of v. 1: A thesis on which the degree of doctor of letters was awarded by the Agra University in 1936. / "The sources": v. 1, p. 348-355.

Thesis (M.A.)--University of Wisconsin, 1966. / Title from opening screen. Description based on display of Aug. 2, 2002. Includes bibliographical references. Mode of access: Internet.

Thèse--Lettres--Paris 10, 1979. / Bibliogr. p. 177-182. " Cartographie dirigée par Guy Arbellot " Notice : nombreux tableaux statistiques.

Pregnancy and motherhood are natural processes in the lives of women of reproductive age. These processes are generally considered to be positive and fulfilling experiences. However, for various reasons, many women end up dying as a result of these processes. Improving maternal health and reducing maternal mortality are accepted as human rights challenges and prioritized in several international declarations and national policies. However, progress in achieving these objectives still remains poor. This thesis aims to explore the maternal health and healthcare in the Indian state of Madhya Pradesh through a human rights lens. A human rights lens provides a framework to study various aspects of the problem of maternal health from a human rights perspective. It helps in highlighting the gaps and challenges related to political priority, sociocultural, economic and individual-level factors and the availability, accessibility, acceptability and quality of maternal healthcare services. A combination of quantitative and qualitative research methodologies was applied in four sub-studies conducted in Madhya Pradesh. The specific objectives were: to investigate, by using John W. Kingdon’s multiple-streams model of agenda setting, why and how maternal health became a political priority in the state (Paper I); to estimate the effects of individual-, community- and district-level characteristics on the utilization of maternal health services with special reference to antenatal care, skilled attendance at delivery and post-natal care (Paper II); to analyse sociocultural and service delivery related dimensions of maternal deaths in rural central India through a human rights lens (Paper III); and to evaluate the technical efficiency of the public district hospitals using data envelopment analysis (Paper IV). The findings of the first qualitative study indicated that various developments at international, national and state level brought the issue of maternal health to the priority political agenda in Madhya Pradesh state. This resulted in the introduction of new policies and programmes and more resources were allocated for improving maternal health. However, several challenges still remain in ensuring proper implementation of these programmes and policies. The quantitative study on factors affecting the use of maternal health services revealed that 61.7% of women used antenatal care at least once, 49.8% of women used skilled attendance at delivery and 37.4% of women used post-natal care during their most recent pregnancy. The household’s socio-economic status and mother’s education emerged as the most important factors associated with the use of antenatal care and skilled attendance at delivery. Delivery by skilled personnel and the use of antenatal care were the most important factors in the use of post-natal care. This study highlighted the need to identify and focus on community- and district-level intervention along with addressing the individual-level factors. The findings of the third qualitative sub-study revealed that all pregnant women in the study tried to access medical assistance for obstetric complications but various factors delayed appropriate care. The underestimation of complication symptoms by family members, gender inequity and the negative perceptions regarding delivery services deferred decisions to seek care. Transportation problems and care seeking at multiple facilities also constrained timely reaching of appropriate health facilities. Negligence by health staff in providing care, and unavailability of blood and emergency obstetric care services, delayed the receiving of adequate care after reaching a health facility. This study indicates that normative elements of a human rights approach to maternal health, i.e. availability, accessibility, acceptability and quality, were not fully upheld. The deceased women and their relatives were unable to claim their entitlements and the duty bearers could not meet their obligations despite their conscious efforts to improve maternal health. In the last study, the results of data envelopment analysis revealed that half of the district hospitals (20) in the study were operating inefficiently. This research establishes a need to give special attention to addressing challenges in the maternal health programmes at the implementation level as well as tackling the social determinants of maternal health. In order to increase the utilization of maternal health services in the state, the need to identify and focus on community- and district- as well as individual level interventions is emphasized. In order to prevent maternal deaths, a need for further concentrated efforts is underlined with a view to honouring human rights elements of maternal health by better community education, women’s empowerment and health system strengthening with the provision of appropriate and timely services including emergency obstetric care of good quality. It also highlights a need to identify the causes of the observed inefficiencies and to take appropriate measures to increase the efficiency of district hospitals.

This is a case study of tourism policies made around the Satpura Tiger Reserve in Madhya Pradesh, India. The purpose of this study is to analyse the state tourism policies in Madhya Pradesh. The study is divided in two parts, the first part analyses the state tourism policies using Foucault’s governmentality theory. The governmentality theory is used to expose the ideas in the policies with consideration to neoliberalism and the local communities. The first part also examine the ideas of inclusion of the local communities in tourism. The second part are interviews with officials and semi-officials that are implementing the policies. The local communities are the focus in this study since tourism is marketed as a solution to economic growth and employment. Therefore, one of the aspects is if the local communities are a resource in the development of tourism, and if there is any obstacles for the local communities to participate in the tourism industry. The material used is state tourism policies from 2005 and 2016. Interviews were conducted in Pachmarhi, Madhai, Soghagpur, Pipariya and Bhopal. The conclusion is that the state tourism policy from 2016 is clearly neo-liberal that the market and the government is clearly in concurrence. When it comes to the local communities the main problem for participation is that most of the local communities lack of skills, however the type of tourism were the local communities could be beneficiaries is not the tourism that the state government is developing.

The development of rural areas concerning food security, sustainability and social-economic stability is key issue to the globalized community. Regarding the current state of climatic change, especially semi-arid regions in uenced by monsoon or El Niño are prone to extreme weather events. Droughts, ooding, erosion, degradation of soils and water quality and deserti cation are some of the common impacts. State of the art in hydrologic environmental modeling is generally operating under a reductionist paradigm (Sivapalan 2005). Even an enormous quantity of process-oriented models exists, we fail in due reproduction of complexly interacting processes in their effective scale in the space-time-continuum, as they are described through deterministic small-scale process theories (e.g. Beven 2002). Yet large amounts of parameters - with partly doubtful physical expression - and input data are needed. In contradiction to that most soft information about patterns and organizing principles cannot be employed (Seibert and McDonnell 2002). For an analysis of possible strategies on the one hand towards integrated hydrologic modeling as decision support and on the other hand for sustainable land use development the 512 km2 large catchment of the Mod river in Jhabua, Madhya Pradesh, India has been chosen. It is characterized by a setting of common problems of peripheral rural semi-arid human-eco-systems with intensive agriculture, deforestation, droughts and general hardship for the people. Scarce data and missing gauges are adding to the requirements of data acquisition and process description. The study at hand presents a methodical framework to combine eld scale data analysis and remote sensing for the setup of a database focusing plausibility over strict data accuracy. The catena-based hydrologic model WASA (Güntner 2002) employes this database. It is expanded by a routine for crop development simulation after the de Wit approach (e.g. in Bouman et al. 1996). For its application as decision support system an agentbased land use algorithm is developed which decides on base of site speci cations and certain constraints (like maximum pro t or best local adaptation) about the cropping. The new model is employed to analyze (some) land use strategies. Not anticipated and a priori de ned scenarios will account for the realization of the model but the interactions within the system. This study points out possible approaches to enhance the situation in the catchment. It also approaches central questions of ways towards due integrated hydrological modeling on catchment scale for ungauged conditions and to overcome current paradigms. / Die Entwicklung ländlicher Regionen hinsichtlich von Ernährungssicherheit, Nachhaltigkeit und sozio-ökonomischer Stabilität ist eine der wichtigsten Aufgaben unserer globalisierten Gemeinschaft. In Hinblick auf den Klimawandel sind insbesondere semi-aride Gebiete im Einfluss von Monsun oder El Niño von extremen Wetterereignissen betroffen. Tockenheiten, Überschwemmungen, Erosion, Bodendegradation, Verschlechterung der Wasserqualität und Versteppung sind nur einige, oft beobachtete Folgen. Der Stand der Forschung in Sachen hydrologischer Umweltmodellierung ist insbesondere einem reduktionistischen Paradigma verhaftet (Sivapalan 2005). Obwohl eine enorme Menge verschiedenster Prozessmodelle existiert können auf Grundlage kleinskaliger Prozessapproximationen die komplex interagierenden Prozesse in ihren wirkenden Skalen im Raum-Zeit-Kontinuum nur begrenzt beschreiben werden (z.B. Beven 2002). Während die verwendeten Modelle große Mengen an Parametern und Daten benötigen, können wichtige Informationen über Muster und Organisationsprinzipien nicht in die Simulationen einfließen. Für eine Analyse möglicher Wege und Restriktionen der integrierten hydrologischen Modellierung als Mittel in der Entscheidungsunterstützung wurde das 512 km² große Einzugsgebiet des Mod Flusses in Jhabua, Madhya Pradesh, Indien ausgewählt. Es ist gekennzeichnet von charakteristischen Problemen der Neuen Peripherie (z.B. Scholz 2004) (im human-geographischen Kontext) und intensiv anthropogen beeinflusster Agrar-Öko-Systeme der semi-ariden Tropen. Die dünne Datengrundlage des nicht-bepegelten Einzugsgebiets stellt dabei eine besondere Anforderung an die Datenakquise. In der vorliegenden Arbeit wird ein methodischer Ansatz vorgestellt, der Feld- und Fernerkundungstechniken zur Landschaftsanalyse verbindet. Mit dem Fokus auf Plausibilität statt strenger "Datengenauigkeit" wird eine Datenbank zur hydrologischen Modellierung des Gebiets entwickelt. Das Catena-basierte hydrologische Prozessmodell WASA (Güntner 2002) wird um eine Routine zur Simulation der Entwicklung von Nutzpflanzen nach de Wit (z.B. in Bouman et al. 1996) erweitert. Zur Anwendung des Modells als Entscheidungsunterstützungssystem ist ein agentenbasierter Landnutzungsalgorithmus entwickelt worden, welcher auf Grundlage von Standorteigenschaften und politischen Vorgaben wie Profitmaximierung oder Standortanpassung über die Landnutzung entscheidet. Das neue Modellsystem wird zur Untersuchung von einigen Landnutzungstrategien so verwendet, dass nicht antizipierte Szenarien sondern die Wechselwirkung des Systems selbst die Realisation des Modells bestimmen. Die Umsetzung zeigt einerseits mögliche Ansätze zur Verbesserung der Situation im Untersuchungsgebiet auf. Anderseits gibt sie konkrete Vorschläge zu zentralen Fragen hydrologischer Umweltmodellierung und zur Überwindung bestehender Paradigmen.

The purpose of this study is to examine the possible influence that local communitieshas over the development of eco-tourism in Madhya Pradesh. Interviews with people invillages around the Satpura Tiger Reserve have shown several failings of the Panchayatiraj system as well as testimonies of violation of human and democratic rights inconnection to displacements that occurred.

No description available.