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...

In what could be perceived as a disturbing trend, vaccination in rural Bihar has been adversely affected due to casteism. According to the recent survey report, which was prepared after an on-the-spot study in 14 villages of Bihar’s nine districts, several instances of “caste discrimination” have came to fore. For instance, such was the social divide in a Rohtas village that vaccinations could not take place either in Brahmin’s tola (colony) or...

-Live Mint At a time when India plans a multi-pronged attack on malnutrition in 200 high-burden districts, it will pay to examine the cracks in state institutions that have led to past failures and can still derail well-intentioned plans. Melghat, a tribal corner in the northeastern fringes of India’s richest state—Maharashtra—is an apt example of almost everything that has gone wrong in India’s response to malnutrition and child deaths. Every 14th child dies...