-Frontline A study finds that institutional support alone cannot help reduce maternal mortality in India.  THE high rate of maternal mortality in India has been a cause for national concern, especially on account of the focus on reaching the United Nations’ Millennium Development Goals by 2015. Although there is a growing realisation that it will be difficult to meet the MDG targets by that deadline, there is a renewed interest in the...

ASHAs will continue to bear the burden of the government's rural health mission as a new order lists more incentive-based services. On May 31, a Union Ministry of Health and Family Welfare order listed additional incentivised duties for accredited social health activists, or ASHAs, but was silent on the issue of regularisation of their employment. ASHAs, who bridge the gap between the rural population and the nearest health care outlets under...

The government and the MCI dither on a proposed course to provide better primary health care in villages. On February 27, the Delhi High Court slapped contempt notices on the Union Health Secretary and the Chairperson of the Medical Council of India (MCI) for their non-compliance with its order of November 10, 2010, to initiate measures to introduce a “Bachelor of Rural Health Care (BRHC)” course of three and a half...

The Bill to regulate medical education and govern human resource in health is a highly diluted version of the original draft. Distortions in the area of Human Resource for Health (HRH) are the root cause of many of the ills facing the health sector in India. Among them is the shortage of qualified medical professionals. The estimated density of 19 health workers (qualified and unqualified) per 10,000 population is nearly 25...

Less than two in 10 women in India received medical attention by a qualified professional in 2010 while delivering at home. Contrary to popular belief, fewer women in urban India received medical attention while delivering at home than rural India - 10.8% against 16.2%. Nearly 1 in 4 births overall were attended by "untrained functionaries" - varying from as high as 53.5% in Jharkhand to as low as 0.2% in...