Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | Government to discontinue National Family Health Survey-Pramit Bhattacharya    </title>
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Health ministry instead plans to roll out an integrated national health survey; experts question decision


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The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of..."/>
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Health ministry instead plans to roll out an integrated national health survey; experts question decision


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                            <div style="text-align: justify"><em>Health ministry instead plans to roll out an integrated national health survey; experts question decision</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of which was to be conducted in 2012-13, in a move that has been criticized by development experts.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry of health and family welfare is instead planning to roll out an integrated national health survey (NHS) that will replace three existing ones&mdash;NFHS, the district-level health survey (DLHS) and the Annual Health Survey (AHS) conducted across nine priority states by the office of the census commissioner.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;We are interested in getting data at the district level, so that action can be taken accordingly,&rdquo; said a senior health ministry official directly involved in the matter who declined to be identified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry also wants to integrate all the existing surveys into one, he added.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS, carried out on a representative sample of families all over India, gave data on health indicators at the state and the national level.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The move was confirmed by Faujdar Ram, director at the Mumbai-based International Institute for Population Sciences, the nodal agency for conducting both DLHS and NFHS surveys.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While NFHS was largely funded by external agencies such as United States Agency for International Development and agencies of the United Nations, the proposed NHS will be funded fully by the health ministry, although it has not been decided yet which agency is going to conduct it.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NHS will generate both district and state-level data, and the health ministry says that the data will be comparable to NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;All stakeholders will be consulted before the guidelines are finalized,&rdquo; said the ministry official cited above.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed NHS will start only in 2014 and the data is likely to be available by 2015, a full decade after the third and last round of NFHS in 2005-06.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision has dismayed experts who questioned the wisdom of discontinuing NFHS&mdash;which provides a wealth of information on nutrition and health&mdash;till a credible alternative is put in place. The government&rsquo;s move is &ldquo;mind-boggling&rdquo;, said Jean Dr&egrave;ze, development economist and former member of the National Advisory Council led by Congress president Sonia Gandhi.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;India has the highest rates of child undernutrition in the world, based on standard weight-for-height (wasting) data, and reliable and regular information on child nutrition is extremely important for effective action in this field,&rdquo; said Dr&egrave;ze. &ldquo;Instead, the available sources of information are being dismantled without any guarantee of their being replaced in good time with other credible sources.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">It is the three successive rounds of NFHS that established that child malnutrition rates in India are among the highest in the world and nearly double that of poorer countries in sub-Saharan Africa.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS being largely externally designed and funded was also seen as a more credible source of information compared with data from government sources such as those provided by the Integrated Child Development Services (ICDS) that publishes block-level data on malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The health ministry is currently conducting the fourth round of DLHS in all states barring the nine AHS states and data from both surveys will be available in 2013. However, AHS doesn&rsquo;t provide data on child malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;What worries me is the politics behind these moves,&rdquo; said Veena Shatrughna, former head of the clinical division at the National Institute of Nutrition and adviser on nutrition to the Supreme Court commissioners in the Right to Food case.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;NFHS was intended largely to collect data on fertility and family planning but it is the data on nutrition that attracted the most attention and proved to be a source of embarrassment for the government,&rdquo; said Shatrughna. &ldquo;I fear that these are part of attempts to camouflage the extent of the nutritional crisis in the country.&rdquo; Nearly every second child in India is undernourished.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While DLHS will publish data on nutrition outcomes for all states, barring the nine AHS states in 2013, its reliability is lower compared with NFHS, academics and officials said. NFHS data was largely in line with data from the National Nutrition Monitoring Bureau, unlike DLHS-2 data published in 2004.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Child malnutrition indicators were later dropped in the third round of DLHS conducted in 2007-08 but have been reintroduced for the fourth round.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A 2011 large-scale survey by civil society organizations across 100 districts found underweight rates among children to be 42%, similar to what NFHS had recorded and rates of stunting to be 59%, 11 percentage points higher compared with NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision to discontinue NFHS till NHS is in place, is surprising because the survey costs are minuscule compared with the sums being spent on child nutrition programmes such as ICDS, said Dr&egrave;ze. &ldquo;If the government wanted to know as little as possible about child nutrition, it could hardly do better.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The moment an internal agency of the health ministry takes up the task, there will be a conflict of interest since planning and implementation, and evaluation will be done by same agency, said V. Ramani, former head of the Rajmata Jijau Mother-Child Health and Nutrition Mission, Maharashtra&rsquo;s nodal agency in charge of its anti-malnutrition drive. &ldquo;NFHS is an internationally comparable, open-source database used by different multi-lateral agencies and I doubt if the government will devote enough resources to develop an equally credible database.&rdquo;</div>                                                           
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    <br><a href="http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp" class="re" target="_blank">Live Mint, 12 April, 2012, http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp</a><div class="clear"></div>
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    <h1 class="cat-box-title">Government to discontinue National Family Health Survey-Pramit Bhattacharya</h1>
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                            <div style="text-align: justify"><em>Health ministry instead plans to roll out an integrated national health survey; experts question decision</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of which was to be conducted in 2012-13, in a move that has been criticized by development experts.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry of health and family welfare is instead planning to roll out an integrated national health survey (NHS) that will replace three existing ones&mdash;NFHS, the district-level health survey (DLHS) and the Annual Health Survey (AHS) conducted across nine priority states by the office of the census commissioner.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;We are interested in getting data at the district level, so that action can be taken accordingly,&rdquo; said a senior health ministry official directly involved in the matter who declined to be identified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry also wants to integrate all the existing surveys into one, he added.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS, carried out on a representative sample of families all over India, gave data on health indicators at the state and the national level.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The move was confirmed by Faujdar Ram, director at the Mumbai-based International Institute for Population Sciences, the nodal agency for conducting both DLHS and NFHS surveys.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While NFHS was largely funded by external agencies such as United States Agency for International Development and agencies of the United Nations, the proposed NHS will be funded fully by the health ministry, although it has not been decided yet which agency is going to conduct it.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NHS will generate both district and state-level data, and the health ministry says that the data will be comparable to NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;All stakeholders will be consulted before the guidelines are finalized,&rdquo; said the ministry official cited above.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed NHS will start only in 2014 and the data is likely to be available by 2015, a full decade after the third and last round of NFHS in 2005-06.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision has dismayed experts who questioned the wisdom of discontinuing NFHS&mdash;which provides a wealth of information on nutrition and health&mdash;till a credible alternative is put in place. The government&rsquo;s move is &ldquo;mind-boggling&rdquo;, said Jean Dr&egrave;ze, development economist and former member of the National Advisory Council led by Congress president Sonia Gandhi.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;India has the highest rates of child undernutrition in the world, based on standard weight-for-height (wasting) data, and reliable and regular information on child nutrition is extremely important for effective action in this field,&rdquo; said Dr&egrave;ze. &ldquo;Instead, the available sources of information are being dismantled without any guarantee of their being replaced in good time with other credible sources.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">It is the three successive rounds of NFHS that established that child malnutrition rates in India are among the highest in the world and nearly double that of poorer countries in sub-Saharan Africa.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS being largely externally designed and funded was also seen as a more credible source of information compared with data from government sources such as those provided by the Integrated Child Development Services (ICDS) that publishes block-level data on malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The health ministry is currently conducting the fourth round of DLHS in all states barring the nine AHS states and data from both surveys will be available in 2013. However, AHS doesn&rsquo;t provide data on child malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;What worries me is the politics behind these moves,&rdquo; said Veena Shatrughna, former head of the clinical division at the National Institute of Nutrition and adviser on nutrition to the Supreme Court commissioners in the Right to Food case.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;NFHS was intended largely to collect data on fertility and family planning but it is the data on nutrition that attracted the most attention and proved to be a source of embarrassment for the government,&rdquo; said Shatrughna. &ldquo;I fear that these are part of attempts to camouflage the extent of the nutritional crisis in the country.&rdquo; Nearly every second child in India is undernourished.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While DLHS will publish data on nutrition outcomes for all states, barring the nine AHS states in 2013, its reliability is lower compared with NFHS, academics and officials said. NFHS data was largely in line with data from the National Nutrition Monitoring Bureau, unlike DLHS-2 data published in 2004.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Child malnutrition indicators were later dropped in the third round of DLHS conducted in 2007-08 but have been reintroduced for the fourth round.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A 2011 large-scale survey by civil society organizations across 100 districts found underweight rates among children to be 42%, similar to what NFHS had recorded and rates of stunting to be 59%, 11 percentage points higher compared with NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision to discontinue NFHS till NHS is in place, is surprising because the survey costs are minuscule compared with the sums being spent on child nutrition programmes such as ICDS, said Dr&egrave;ze. &ldquo;If the government wanted to know as little as possible about child nutrition, it could hardly do better.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The moment an internal agency of the health ministry takes up the task, there will be a conflict of interest since planning and implementation, and evaluation will be done by same agency, said V. Ramani, former head of the Rajmata Jijau Mother-Child Health and Nutrition Mission, Maharashtra&rsquo;s nodal agency in charge of its anti-malnutrition drive. &ldquo;NFHS is an internationally comparable, open-source database used by different multi-lateral agencies and I doubt if the government will devote enough resources to develop an equally credible database.&rdquo;</div>                                                           
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    <br><a href="http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp" class="re" target="_blank">Live Mint, 12 April, 2012, http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp</a><div class="clear"></div>
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Health ministry instead plans to roll out an integrated national health survey; experts question decision


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The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of..."/>
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Health ministry instead plans to roll out an integrated national health survey; experts question decision


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The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of..." />
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    <h1 class="cat-box-title">Government to discontinue National Family Health Survey-Pramit Bhattacharya</h1>
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		 Published on</span><span class="text-date"> Apr 12, 2012</span>
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                            <div style="text-align: justify"><em>Health ministry instead plans to roll out an integrated national health survey; experts question decision</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Union government has decided to discontinue the country&rsquo;s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of which was to be conducted in 2012-13, in a move that has been criticized by development experts.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry of health and family welfare is instead planning to roll out an integrated national health survey (NHS) that will replace three existing ones&mdash;NFHS, the district-level health survey (DLHS) and the Annual Health Survey (AHS) conducted across nine priority states by the office of the census commissioner.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;We are interested in getting data at the district level, so that action can be taken accordingly,&rdquo; said a senior health ministry official directly involved in the matter who declined to be identified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The ministry also wants to integrate all the existing surveys into one, he added.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS, carried out on a representative sample of families all over India, gave data on health indicators at the state and the national level.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The move was confirmed by Faujdar Ram, director at the Mumbai-based International Institute for Population Sciences, the nodal agency for conducting both DLHS and NFHS surveys.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While NFHS was largely funded by external agencies such as United States Agency for International Development and agencies of the United Nations, the proposed NHS will be funded fully by the health ministry, although it has not been decided yet which agency is going to conduct it.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NHS will generate both district and state-level data, and the health ministry says that the data will be comparable to NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;All stakeholders will be consulted before the guidelines are finalized,&rdquo; said the ministry official cited above.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed NHS will start only in 2014 and the data is likely to be available by 2015, a full decade after the third and last round of NFHS in 2005-06.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision has dismayed experts who questioned the wisdom of discontinuing NFHS&mdash;which provides a wealth of information on nutrition and health&mdash;till a credible alternative is put in place. The government&rsquo;s move is &ldquo;mind-boggling&rdquo;, said Jean Dr&egrave;ze, development economist and former member of the National Advisory Council led by Congress president Sonia Gandhi.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;India has the highest rates of child undernutrition in the world, based on standard weight-for-height (wasting) data, and reliable and regular information on child nutrition is extremely important for effective action in this field,&rdquo; said Dr&egrave;ze. &ldquo;Instead, the available sources of information are being dismantled without any guarantee of their being replaced in good time with other credible sources.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">It is the three successive rounds of NFHS that established that child malnutrition rates in India are among the highest in the world and nearly double that of poorer countries in sub-Saharan Africa.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">NFHS being largely externally designed and funded was also seen as a more credible source of information compared with data from government sources such as those provided by the Integrated Child Development Services (ICDS) that publishes block-level data on malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The health ministry is currently conducting the fourth round of DLHS in all states barring the nine AHS states and data from both surveys will be available in 2013. However, AHS doesn&rsquo;t provide data on child malnutrition.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;What worries me is the politics behind these moves,&rdquo; said Veena Shatrughna, former head of the clinical division at the National Institute of Nutrition and adviser on nutrition to the Supreme Court commissioners in the Right to Food case.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;NFHS was intended largely to collect data on fertility and family planning but it is the data on nutrition that attracted the most attention and proved to be a source of embarrassment for the government,&rdquo; said Shatrughna. &ldquo;I fear that these are part of attempts to camouflage the extent of the nutritional crisis in the country.&rdquo; Nearly every second child in India is undernourished.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While DLHS will publish data on nutrition outcomes for all states, barring the nine AHS states in 2013, its reliability is lower compared with NFHS, academics and officials said. NFHS data was largely in line with data from the National Nutrition Monitoring Bureau, unlike DLHS-2 data published in 2004.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Child malnutrition indicators were later dropped in the third round of DLHS conducted in 2007-08 but have been reintroduced for the fourth round.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A 2011 large-scale survey by civil society organizations across 100 districts found underweight rates among children to be 42%, similar to what NFHS had recorded and rates of stunting to be 59%, 11 percentage points higher compared with NFHS.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The decision to discontinue NFHS till NHS is in place, is surprising because the survey costs are minuscule compared with the sums being spent on child nutrition programmes such as ICDS, said Dr&egrave;ze. &ldquo;If the government wanted to know as little as possible about child nutrition, it could hardly do better.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The moment an internal agency of the health ministry takes up the task, there will be a conflict of interest since planning and implementation, and evaluation will be done by same agency, said V. Ramani, former head of the Rajmata Jijau Mother-Child Health and Nutrition Mission, Maharashtra&rsquo;s nodal agency in charge of its anti-malnutrition drive. &ldquo;NFHS is an internationally comparable, open-source database used by different multi-lateral agencies and I doubt if the government will devote enough resources to develop an equally credible database.&rdquo;</div>                                                           
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    <br><a href="http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp" class="re" target="_blank">Live Mint, 12 April, 2012, http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp</a><div class="clear"></div>
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Home हिन्दी

Government to discontinue National Family Health Survey-Pramit Bhattacharya

Published on Apr 12, 2012   Modified on Apr 12, 2012

Health ministry instead plans to roll out an integrated national health survey; experts question decision   The Union government has decided to discontinue the country’s most reliable and widely tracked health survey, the National Family Health Survey (NFHS), the fourth round of which was to be conducted in 2012-13, in a move that has been criticized by development experts. The ministry of health and family welfare is instead planning to roll out an integrated national health survey (NHS) that will replace three existing ones—NFHS, the district-level health survey (DLHS) and the Annual Health Survey (AHS) conducted across nine priority states by the office of the census commissioner. “We are interested in getting data at the district level, so that action can be taken accordingly,” said a senior health ministry official directly involved in the matter who declined to be identified. The ministry also wants to integrate all the existing surveys into one, he added. NFHS, carried out on a representative sample of families all over India, gave data on health indicators at the state and the national level. The move was confirmed by Faujdar Ram, director at the Mumbai-based International Institute for Population Sciences, the nodal agency for conducting both DLHS and NFHS surveys. While NFHS was largely funded by external agencies such as United States Agency for International Development and agencies of the United Nations, the proposed NHS will be funded fully by the health ministry, although it has not been decided yet which agency is going to conduct it. NHS will generate both district and state-level data, and the health ministry says that the data will be comparable to NFHS. “All stakeholders will be consulted before the guidelines are finalized,” said the ministry official cited above. The proposed NHS will start only in 2014 and the data is likely to be available by 2015, a full decade after the third and last round of NFHS in 2005-06. The decision has dismayed experts who questioned the wisdom of discontinuing NFHS—which provides a wealth of information on nutrition and health—till a credible alternative is put in place. The government’s move is “mind-boggling”, said Jean Drèze, development economist and former member of the National Advisory Council led by Congress president Sonia Gandhi. “India has the highest rates of child undernutrition in the world, based on standard weight-for-height (wasting) data, and reliable and regular information on child nutrition is extremely important for effective action in this field,” said Drèze. “Instead, the available sources of information are being dismantled without any guarantee of their being replaced in good time with other credible sources.” It is the three successive rounds of NFHS that established that child malnutrition rates in India are among the highest in the world and nearly double that of poorer countries in sub-Saharan Africa. NFHS being largely externally designed and funded was also seen as a more credible source of information compared with data from government sources such as those provided by the Integrated Child Development Services (ICDS) that publishes block-level data on malnutrition. The health ministry is currently conducting the fourth round of DLHS in all states barring the nine AHS states and data from both surveys will be available in 2013. However, AHS doesn’t provide data on child malnutrition. “What worries me is the politics behind these moves,” said Veena Shatrughna, former head of the clinical division at the National Institute of Nutrition and adviser on nutrition to the Supreme Court commissioners in the Right to Food case. “NFHS was intended largely to collect data on fertility and family planning but it is the data on nutrition that attracted the most attention and proved to be a source of embarrassment for the government,” said Shatrughna. “I fear that these are part of attempts to camouflage the extent of the nutritional crisis in the country.” Nearly every second child in India is undernourished. While DLHS will publish data on nutrition outcomes for all states, barring the nine AHS states in 2013, its reliability is lower compared with NFHS, academics and officials said. NFHS data was largely in line with data from the National Nutrition Monitoring Bureau, unlike DLHS-2 data published in 2004. Child malnutrition indicators were later dropped in the third round of DLHS conducted in 2007-08 but have been reintroduced for the fourth round. A 2011 large-scale survey by civil society organizations across 100 districts found underweight rates among children to be 42%, similar to what NFHS had recorded and rates of stunting to be 59%, 11 percentage points higher compared with NFHS. The decision to discontinue NFHS till NHS is in place, is surprising because the survey costs are minuscule compared with the sums being spent on child nutrition programmes such as ICDS, said Drèze. “If the government wanted to know as little as possible about child nutrition, it could hardly do better.” The moment an internal agency of the health ministry takes up the task, there will be a conflict of interest since planning and implementation, and evaluation will be done by same agency, said V. Ramani, former head of the Rajmata Jijau Mother-Child Health and Nutrition Mission, Maharashtra’s nodal agency in charge of its anti-malnutrition drive. “NFHS is an internationally comparable, open-source database used by different multi-lateral agencies and I doubt if the government will devote enough resources to develop an equally credible database.”

Live Mint, 12 April, 2012, http://www.livemint.com/2012/04/11222824/Government-to-discontinue-Nati.html?atype=tp

Tagged with: Health Human Development

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