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);

    }
$message = '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.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 150,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'catslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 150,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'catslug'
	]
]
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
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

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);

    }
$message = '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.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 151,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'artileslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 151,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'artileslug'
	]
]
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')) {

                trigger_error($message, E_USER_WARNING);

            } else {
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan    </title>
    <meta name="description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..."/>
    <meta name="keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(34537);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Aug 30, 2017</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Aug 30, 2017</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-Livemint.com<br /><br /><em>The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh<br /></em><br />The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly on the country&rsquo;s ailing public health system. The lack of all things important to human settlements&mdash;sanitation, disease surveillance, primary healthcare, tertiary hospitals, resources, life-saving equipment, political will and public health response&mdash;was so dramatic, if someone were to document the state of affairs of a crumbling health system, one couldn&rsquo;t have described it better.<br /><br />Yet it is imperative to see the Gorakhpur incident against a larger backdrop of child deaths in Uttar Pradesh. The state&rsquo;s neonatal mortality rate stands at 49 deaths per 1,000 live births. Each day, 1,043 children under the age of 1 (including 751 newborns) die in Uttar Pradesh, mostly from entirely preventable causes. And Uttar Pradesh is not one single monolith. Infant mortality rates are especially high in the eastern part of the state, where neonatal deaths rates rise to as high as 97 per 1,000 live births in districts like Shravasti. For comparison, the infant mortality rate in Sierra Leone, one of the poorest countries in Africa, is only 89 per 1,000 live births. Gorakhpur is in the middling category of neonatal mortality&mdash;certainly not the worst performer in Uttar Pradesh but not the best either.<br /><br />Gorakhpur&rsquo;s Baba Raghav Das (BRD) Medical College witnessed more than 85 of these tragic deaths but the larger question remains for the rest, who are dying of various illnesses, including malnutrition, pneumonia and diarrhoea.<br /><br />We don&rsquo;t have to look to developed countries for solutions. If the 5.6 million children born in Uttar Pradesh every year had been born in another state with better health systems, like Kerala or Tamil Nadu, for example, 90% of the babies who die in that state in their first year of life would still be alive. While the authorities in Gorakhpur are still trying to investigate and solve the more immediate problems of oxygen cylinder supply, it is time we acknowledge and address the backlog of long-standing health indicators, without which we would only be treating the symptoms rather than addressing the root cause.<br /><br />In Gorakhpur, the issue has been perennial, with some reports claiming more than 25,000 encephalitis deaths among children in the last 40 years. Despite that, one is left wondering how a system could be caught so off-guard in an endemic region that faces the same issues year after year.<br /><br />To begin with, a lack of preventive measures is at the heart of the problem. Consider this: The available vaccine for Japanese Encephalitis (JE) helps only a small percentage of children who are affected by the disease. Yet, not enough measures are being taken to address the larger problems of lack of clean drinking water and poor sanitation.<br /><br />Other measures that could have given these children a standing chance to fight disease, disability and death are also at a disappointing low, with only one in two children fully immunized in the state.<br /><br />The failure of primary healthcare is yet another glaring gap: A little more than 3,600 primary health centres (PHCs) serve more than 97,000 villages. And the existing PHCs are not adequately staffed. Uttar Pradesh has among the lowest health worker densities among states.<br /><br />Poor disease prevention and weak infrastructure at the primary level continually lead to the overburdening of tertiary care hospitals. Tertiary hospitals like Gorakhpur&rsquo;s BRD Medical College, despite having a special ward for encephalitis, crumble under patient load as the outbreak peaks each year. Well-equipped intensive care units (ICUs) with enough beds, doctors, staff, medicines and other critical resources are a fact of life in most countries at India&rsquo;s level of prosperity. One cannot expect healthcare systems to work without these. The number of patients that pour in each year also have to be taken into account&mdash;shared ICU beds should not be considered normal or even tolerable.<br /><br />If we are to save our children, these recurrent issues must be addressed. This would require scaling up health spending. Uttar Pradesh is India&rsquo;s most populous state with a population of 200 million, yet it spends only Rs452 per capita on health, 70% less than the national average. If we don&rsquo;t act now, next year, the doctors working round the clock in Gorakhpur will be able to do little to stop this from recurring.<br /><br />Please <a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" title="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html">click here</a> to read more. </div><div align="justify">&nbsp;</div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" class="re" target="_blank">Livemint.com, 29 August, 2017, http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Gorakhpur"
                   title="Gorakhpur">
                    Gorakhpur                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Japanese Encephalitis"
                   title="Japanese Encephalitis">
                    Japanese Encephalitis                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Acute Encephalitis Syndrome (AES)"
                   title="Acute Encephalitis Syndrome (AES)">
                    Acute Encephalitis Syndrome (AES)                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/launch-a-national-tribal-health-mission-abhay-bang.html"
                       title="Launch a national tribal health mission -Abhay Bang">
                        Launch a national tribal health mission -Abhay Bang                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/expired-pill-editorial-on-new-drugs-and-cosmetics-bill.html"
                       title="Expired pill: Editorial on new drugs and cosmetics bill">
                        Expired pill: Editorial on new drugs and cosmetics bill                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/interviews/dr-sylvia-karpagam-a-public-health-doctor-who-also-advocates-for-balanced-diet-interviewed-by-rohitha-naraharisetty-theswaddle-com.html"
                       title="Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)">
                        Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/maharashtra-s-female-farm-workforce-struggles-in-the-shadows-of-floods-sanket-jain.html"
                       title="Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain ">
                        Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain                     </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="34537"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=814721821" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$maxBufferLength = (int) 8192
$file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php'
$line = (int) 853
$message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 148]
Code Context
            $response->getStatusCode(),

            ($reasonPhrase ? ' ' . $reasonPhrase : '')

        ));
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan    </title>
    <meta name="description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..."/>
    <meta name="keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(34537);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Aug 30, 2017</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Aug 30, 2017</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-Livemint.com<br /><br /><em>The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh<br /></em><br />The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly on the country&rsquo;s ailing public health system. The lack of all things important to human settlements&mdash;sanitation, disease surveillance, primary healthcare, tertiary hospitals, resources, life-saving equipment, political will and public health response&mdash;was so dramatic, if someone were to document the state of affairs of a crumbling health system, one couldn&rsquo;t have described it better.<br /><br />Yet it is imperative to see the Gorakhpur incident against a larger backdrop of child deaths in Uttar Pradesh. The state&rsquo;s neonatal mortality rate stands at 49 deaths per 1,000 live births. Each day, 1,043 children under the age of 1 (including 751 newborns) die in Uttar Pradesh, mostly from entirely preventable causes. And Uttar Pradesh is not one single monolith. Infant mortality rates are especially high in the eastern part of the state, where neonatal deaths rates rise to as high as 97 per 1,000 live births in districts like Shravasti. For comparison, the infant mortality rate in Sierra Leone, one of the poorest countries in Africa, is only 89 per 1,000 live births. Gorakhpur is in the middling category of neonatal mortality&mdash;certainly not the worst performer in Uttar Pradesh but not the best either.<br /><br />Gorakhpur&rsquo;s Baba Raghav Das (BRD) Medical College witnessed more than 85 of these tragic deaths but the larger question remains for the rest, who are dying of various illnesses, including malnutrition, pneumonia and diarrhoea.<br /><br />We don&rsquo;t have to look to developed countries for solutions. If the 5.6 million children born in Uttar Pradesh every year had been born in another state with better health systems, like Kerala or Tamil Nadu, for example, 90% of the babies who die in that state in their first year of life would still be alive. While the authorities in Gorakhpur are still trying to investigate and solve the more immediate problems of oxygen cylinder supply, it is time we acknowledge and address the backlog of long-standing health indicators, without which we would only be treating the symptoms rather than addressing the root cause.<br /><br />In Gorakhpur, the issue has been perennial, with some reports claiming more than 25,000 encephalitis deaths among children in the last 40 years. Despite that, one is left wondering how a system could be caught so off-guard in an endemic region that faces the same issues year after year.<br /><br />To begin with, a lack of preventive measures is at the heart of the problem. Consider this: The available vaccine for Japanese Encephalitis (JE) helps only a small percentage of children who are affected by the disease. Yet, not enough measures are being taken to address the larger problems of lack of clean drinking water and poor sanitation.<br /><br />Other measures that could have given these children a standing chance to fight disease, disability and death are also at a disappointing low, with only one in two children fully immunized in the state.<br /><br />The failure of primary healthcare is yet another glaring gap: A little more than 3,600 primary health centres (PHCs) serve more than 97,000 villages. And the existing PHCs are not adequately staffed. Uttar Pradesh has among the lowest health worker densities among states.<br /><br />Poor disease prevention and weak infrastructure at the primary level continually lead to the overburdening of tertiary care hospitals. Tertiary hospitals like Gorakhpur&rsquo;s BRD Medical College, despite having a special ward for encephalitis, crumble under patient load as the outbreak peaks each year. Well-equipped intensive care units (ICUs) with enough beds, doctors, staff, medicines and other critical resources are a fact of life in most countries at India&rsquo;s level of prosperity. One cannot expect healthcare systems to work without these. The number of patients that pour in each year also have to be taken into account&mdash;shared ICU beds should not be considered normal or even tolerable.<br /><br />If we are to save our children, these recurrent issues must be addressed. This would require scaling up health spending. Uttar Pradesh is India&rsquo;s most populous state with a population of 200 million, yet it spends only Rs452 per capita on health, 70% less than the national average. If we don&rsquo;t act now, next year, the doctors working round the clock in Gorakhpur will be able to do little to stop this from recurring.<br /><br />Please <a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" title="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html">click here</a> to read more. </div><div align="justify">&nbsp;</div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" class="re" target="_blank">Livemint.com, 29 August, 2017, http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Gorakhpur"
                   title="Gorakhpur">
                    Gorakhpur                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Japanese Encephalitis"
                   title="Japanese Encephalitis">
                    Japanese Encephalitis                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Acute Encephalitis Syndrome (AES)"
                   title="Acute Encephalitis Syndrome (AES)">
                    Acute Encephalitis Syndrome (AES)                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/launch-a-national-tribal-health-mission-abhay-bang.html"
                       title="Launch a national tribal health mission -Abhay Bang">
                        Launch a national tribal health mission -Abhay Bang                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/expired-pill-editorial-on-new-drugs-and-cosmetics-bill.html"
                       title="Expired pill: Editorial on new drugs and cosmetics bill">
                        Expired pill: Editorial on new drugs and cosmetics bill                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/interviews/dr-sylvia-karpagam-a-public-health-doctor-who-also-advocates-for-balanced-diet-interviewed-by-rohitha-naraharisetty-theswaddle-com.html"
                       title="Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)">
                        Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/maharashtra-s-female-farm-workforce-struggles-in-the-shadows-of-floods-sanket-jain.html"
                       title="Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain ">
                        Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain                     </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="34537"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=814721821" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$reasonPhrase = 'OK'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
Code Context
                    $value

                ), $first);

                $first = false;
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan    </title>
    <meta name="description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..."/>
    <meta name="keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Gorakhpur,Japanese Encephalitis,Acute Encephalitis Syndrome (AES),Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-Livemint.com

The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh

The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Uttar Pradesh&#039;s child death crisis -Ramanan Laxminarayan</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(34537);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Aug 30, 2017</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Aug 30, 2017</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-Livemint.com<br /><br /><em>The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh<br /></em><br />The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly on the country&rsquo;s ailing public health system. The lack of all things important to human settlements&mdash;sanitation, disease surveillance, primary healthcare, tertiary hospitals, resources, life-saving equipment, political will and public health response&mdash;was so dramatic, if someone were to document the state of affairs of a crumbling health system, one couldn&rsquo;t have described it better.<br /><br />Yet it is imperative to see the Gorakhpur incident against a larger backdrop of child deaths in Uttar Pradesh. The state&rsquo;s neonatal mortality rate stands at 49 deaths per 1,000 live births. Each day, 1,043 children under the age of 1 (including 751 newborns) die in Uttar Pradesh, mostly from entirely preventable causes. And Uttar Pradesh is not one single monolith. Infant mortality rates are especially high in the eastern part of the state, where neonatal deaths rates rise to as high as 97 per 1,000 live births in districts like Shravasti. For comparison, the infant mortality rate in Sierra Leone, one of the poorest countries in Africa, is only 89 per 1,000 live births. Gorakhpur is in the middling category of neonatal mortality&mdash;certainly not the worst performer in Uttar Pradesh but not the best either.<br /><br />Gorakhpur&rsquo;s Baba Raghav Das (BRD) Medical College witnessed more than 85 of these tragic deaths but the larger question remains for the rest, who are dying of various illnesses, including malnutrition, pneumonia and diarrhoea.<br /><br />We don&rsquo;t have to look to developed countries for solutions. If the 5.6 million children born in Uttar Pradesh every year had been born in another state with better health systems, like Kerala or Tamil Nadu, for example, 90% of the babies who die in that state in their first year of life would still be alive. While the authorities in Gorakhpur are still trying to investigate and solve the more immediate problems of oxygen cylinder supply, it is time we acknowledge and address the backlog of long-standing health indicators, without which we would only be treating the symptoms rather than addressing the root cause.<br /><br />In Gorakhpur, the issue has been perennial, with some reports claiming more than 25,000 encephalitis deaths among children in the last 40 years. Despite that, one is left wondering how a system could be caught so off-guard in an endemic region that faces the same issues year after year.<br /><br />To begin with, a lack of preventive measures is at the heart of the problem. Consider this: The available vaccine for Japanese Encephalitis (JE) helps only a small percentage of children who are affected by the disease. Yet, not enough measures are being taken to address the larger problems of lack of clean drinking water and poor sanitation.<br /><br />Other measures that could have given these children a standing chance to fight disease, disability and death are also at a disappointing low, with only one in two children fully immunized in the state.<br /><br />The failure of primary healthcare is yet another glaring gap: A little more than 3,600 primary health centres (PHCs) serve more than 97,000 villages. And the existing PHCs are not adequately staffed. Uttar Pradesh has among the lowest health worker densities among states.<br /><br />Poor disease prevention and weak infrastructure at the primary level continually lead to the overburdening of tertiary care hospitals. Tertiary hospitals like Gorakhpur&rsquo;s BRD Medical College, despite having a special ward for encephalitis, crumble under patient load as the outbreak peaks each year. Well-equipped intensive care units (ICUs) with enough beds, doctors, staff, medicines and other critical resources are a fact of life in most countries at India&rsquo;s level of prosperity. One cannot expect healthcare systems to work without these. The number of patients that pour in each year also have to be taken into account&mdash;shared ICU beds should not be considered normal or even tolerable.<br /><br />If we are to save our children, these recurrent issues must be addressed. This would require scaling up health spending. Uttar Pradesh is India&rsquo;s most populous state with a population of 200 million, yet it spends only Rs452 per capita on health, 70% less than the national average. If we don&rsquo;t act now, next year, the doctors working round the clock in Gorakhpur will be able to do little to stop this from recurring.<br /><br />Please <a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" title="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html">click here</a> to read more. </div><div align="justify">&nbsp;</div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html" class="re" target="_blank">Livemint.com, 29 August, 2017, http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Gorakhpur"
                   title="Gorakhpur">
                    Gorakhpur                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Japanese Encephalitis"
                   title="Japanese Encephalitis">
                    Japanese Encephalitis                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Acute Encephalitis Syndrome (AES)"
                   title="Acute Encephalitis Syndrome (AES)">
                    Acute Encephalitis Syndrome (AES)                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/launch-a-national-tribal-health-mission-abhay-bang.html"
                       title="Launch a national tribal health mission -Abhay Bang">
                        Launch a national tribal health mission -Abhay Bang                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/expired-pill-editorial-on-new-drugs-and-cosmetics-bill.html"
                       title="Expired pill: Editorial on new drugs and cosmetics bill">
                        Expired pill: Editorial on new drugs and cosmetics bill                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/interviews/dr-sylvia-karpagam-a-public-health-doctor-who-also-advocates-for-balanced-diet-interviewed-by-rohitha-naraharisetty-theswaddle-com.html"
                       title="Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)">
                        Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/maharashtra-s-female-farm-workforce-struggles-in-the-shadows-of-floods-sanket-jain.html"
                       title="Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain ">
                        Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain                     </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="34537"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=814721821" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/uttar-pradesh039s-child-death-crisis-ramanan-laxminarayan-4682642.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$cookies = []
$values = [
	(int) 0 => 'text/html; charset=UTF-8'
]
$name = 'Content-Type'
$first = true
$value = 'text/html; charset=UTF-8'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Home हिन्दी

Uttar Pradesh's child death crisis -Ramanan Laxminarayan

Published on Aug 30, 2017   Modified on Aug 30, 2017

-Livemint.com The Gorakhpur tragedy must be seen against the larger backdrop of public health failure in Uttar Pradesh The recent tragedy of more than 85 children and newborns who died in Gorakhpur has, not for the first time, put the spotlight starkly on the country’s ailing public health system. The lack of all things important to human settlements—sanitation, disease surveillance, primary healthcare, tertiary hospitals, resources, life-saving equipment, political will and public health response—was so dramatic, if someone were to document the state of affairs of a crumbling health system, one couldn’t have described it better. Yet it is imperative to see the Gorakhpur incident against a larger backdrop of child deaths in Uttar Pradesh. The state’s neonatal mortality rate stands at 49 deaths per 1,000 live births. Each day, 1,043 children under the age of 1 (including 751 newborns) die in Uttar Pradesh, mostly from entirely preventable causes. And Uttar Pradesh is not one single monolith. Infant mortality rates are especially high in the eastern part of the state, where neonatal deaths rates rise to as high as 97 per 1,000 live births in districts like Shravasti. For comparison, the infant mortality rate in Sierra Leone, one of the poorest countries in Africa, is only 89 per 1,000 live births. Gorakhpur is in the middling category of neonatal mortality—certainly not the worst performer in Uttar Pradesh but not the best either. Gorakhpur’s Baba Raghav Das (BRD) Medical College witnessed more than 85 of these tragic deaths but the larger question remains for the rest, who are dying of various illnesses, including malnutrition, pneumonia and diarrhoea. We don’t have to look to developed countries for solutions. If the 5.6 million children born in Uttar Pradesh every year had been born in another state with better health systems, like Kerala or Tamil Nadu, for example, 90% of the babies who die in that state in their first year of life would still be alive. While the authorities in Gorakhpur are still trying to investigate and solve the more immediate problems of oxygen cylinder supply, it is time we acknowledge and address the backlog of long-standing health indicators, without which we would only be treating the symptoms rather than addressing the root cause. In Gorakhpur, the issue has been perennial, with some reports claiming more than 25,000 encephalitis deaths among children in the last 40 years. Despite that, one is left wondering how a system could be caught so off-guard in an endemic region that faces the same issues year after year. To begin with, a lack of preventive measures is at the heart of the problem. Consider this: The available vaccine for Japanese Encephalitis (JE) helps only a small percentage of children who are affected by the disease. Yet, not enough measures are being taken to address the larger problems of lack of clean drinking water and poor sanitation. Other measures that could have given these children a standing chance to fight disease, disability and death are also at a disappointing low, with only one in two children fully immunized in the state. The failure of primary healthcare is yet another glaring gap: A little more than 3,600 primary health centres (PHCs) serve more than 97,000 villages. And the existing PHCs are not adequately staffed. Uttar Pradesh has among the lowest health worker densities among states. Poor disease prevention and weak infrastructure at the primary level continually lead to the overburdening of tertiary care hospitals. Tertiary hospitals like Gorakhpur’s BRD Medical College, despite having a special ward for encephalitis, crumble under patient load as the outbreak peaks each year. Well-equipped intensive care units (ICUs) with enough beds, doctors, staff, medicines and other critical resources are a fact of life in most countries at India’s level of prosperity. One cannot expect healthcare systems to work without these. The number of patients that pour in each year also have to be taken into account—shared ICU beds should not be considered normal or even tolerable. If we are to save our children, these recurrent issues must be addressed. This would require scaling up health spending. Uttar Pradesh is India’s most populous state with a population of 200 million, yet it spends only Rs452 per capita on health, 70% less than the national average. If we don’t act now, next year, the doctors working round the clock in Gorakhpur will be able to do little to stop this from recurring. Please click here to read more.

Livemint.com, 29 August, 2017, http://www.livemint.com/Opinion/c92nu3gIscxEHmuA2BdlyH/Uttar-Pradeshs-child-death-crisis.html

Tagged with: public expenditure on health Gorakhpur Japanese Encephalitis Acute Encephalitis Syndrome (AES) Public Health

Related Articles

• After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala
• Launch a national tribal health mission -Abhay Bang
• Expired pill: Editorial on new drugs and cosmetics bill
• Dr. Sylvia Karpagam, a public health doctor who advocates for balanced diet, interviewed by Rohitha Naraharisetty (TheSwaddle.com)
• Maharashtra’s female farm workforce struggles in the shadows of floods -Sanket Jain

 

Write Comments

Your email address will not be published. Required fields are marked *

Name *

Email *

Contact No.

Comment

Type the characters you see in the image below *

Video Archives

Archives

• Moving Upstream: Luni – Fellowship
• 135 Million Indians Exited “Multidimensional" Poverty as per Government...
• Explainer: Why are Tomato Prices on Fire?
• NSSO Survey: Only 39.1% of all Households have Drinking...
• More...

Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...

"Session 1: Scope of IDEA and AgriStack" in Exploring...

"Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...

"Session 3: Future of Digitalisation in Agriculture" in Exploring...

• Public Spending on Agriculture in India (Source: Foundation for...
• Agrarian Change Seminar: 'Protests against the New Farm Laws...
• Webinar: Ramrao - The Story of India's Farm Crisis...
• Water and Agricultural Transformation in India: A Symbiotic Relationship...
• More...

Website Developed by RAVINDErkHURANA.com

Objectives | About Us | Workshops | Disclaimer

Support im4change
	10 100 1000   50 500