Balsari Lab

Installation

Every Body Counts

When India’s underfunded and fragmented healthcare system failed its informal workers during COVID-19, SEWA’s decades of community investment proved that member-centered care saves lives.

Do we not always find the diseases of the populace traceable to defects in society?
Rudolf Virchow, 1848

Rudolf Virchow (1821–1902) was a German doctor and scientist often called the “father of modern pathology.”

Virchow pushed for public health reforms, believing that preventing disease meant improving living conditions, sanitation, and access to care. He was also a politician and social reformer, unafraid to call out governments when poor social conditions made people sick.
Rudolf Virchow portrait
Rudolf Virchow, known as the “father of modern pathology” and founder of social medicine.

In 2020, India’s health expenditure ranked 179th among all countries, at 2.96 percent of its GDP.

Poor infrastructure, lack of accountability, and a fragmented healthcare system with little oversight resulted in gross mismanagement.

The differential access to care in India across class and caste divides could not be obliterated by the Herculean mobilization of oxygen cylinders and the rushed building of new hospitals and intensive care units. Pandemic-related excess mortality rates in India were among the highest in the world, but remain heavily contested by the government to date.

SEWA’s decades-long investments in their communities allowed them to mount a multi-pronged response to protect their members. Their guiding talisman “What do our members need? How will this benefit our members?” ought to be the lodestar that guides health systems everywhere.

Data Visualization

Weekly Deaths in India

2020-2022

This graph shows the weekly reported deaths in India from 2020 to 2022, based on World Health Organization (WHO) data. The chart reveals multiple waves of increased mortality, with a sharp spike in mid-2021 during the second wave of COVID-19.
Weekly deaths in India 2020–2022, WHO data visualization
Featured Research

Health Data & Medical Responsibility

Essential research highlighting the importance of accurate data and responsible healthcare practices during public health emergencies.

Why Every Body Counts — PLOS Global Public Health
Read Full Article

Why Every Body Counts

A critical examination of mortality ascertainment during the COVID-19 pandemic in India, emphasizing how accurate death counting after public health emergencies generates vital knowledge for future preparedness. The authors argue for documenting both direct and indirect deaths to understand the full impact of disasters.

PLOS Global Public Health Satchit Balsari, Caroline Buckee, Jennifer Leaning
Indian Express — Open Letter Against Unwarranted Interventions
Read Full Article

Open Letter: Appeal Against Unwarranted Medical Interventions

Thirty leading doctors issue a collective appeal against the inappropriate use of medications and diagnostic procedures during the pandemic, advocating for evidence-based practices that prioritize patient safety and responsible resource allocation.

The Indian Express 30 Medical Professionals
Data Visualization

Health Services Access During Crisis

This visual represents the proportional distribution of SEWA health services accessed by households in India during the COVID-19 pandemic. The data reveals both the reach of community-based healthcare initiatives and the critical gaps that remain.

SEWA Health Services Distribution — 1000 Households

Proportional Distribution of Health Services Access

Visual representation of 1,000 surveyed households and their access to SEWA health services.

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