As states get together to launch security operations, official data from the first-ever study done of the country’s 33 districts hardest hit by Naxalites, shows an abysmal record of government expenditure on basic amenities, including health, education, roads, electricity and child care. In fact, the evidence couldn’t be more stark: the expenditure in a state’s Naxal-affected districts is merely a fraction of the figure for the rest of the state...

The government needs to allocate more funds for public health. The mismatch between the declared objective of universal healthcare through the public health system and the actual level of expenditure remains serious.  One of the three most important planks on which Barak Obama won the U.S. presidential election was the country’s healthcare system, which he promised to fix. Indeed, the most important legislative measure initiated by Mr. Obama so far...

Rural service bonds for students and pre-PG mandatory qualification have helped Chhattisgarh, Rajasthan have created a special cadre with financial, non-financial incentives Acknowledging the difference the National Rural Health Mission (NRHM) has made to the health care system, the third Common Review Mission (CRM) says many States have come up with innovations for attracting and retaining professionals in public service in rural and remote areas. While most States focus on financial incentives,...

Insufficiency and prescribing medicines from outside continues  CRM draws attention to ‘irrational’ use and non-availability of essential medicines Supplies are mostly top-down, based on availability instead of being demand-based No State provides free medicines to below the poverty line (BPL) patients under the National Rural Health Mission (NRHM). “The insufficiency of drugs and thereby the imperative of prescribing medicines from outside continue widely. This could also be linked to insufficiency of understanding...

Copenhagen showed how fast and far India has traveled geo-politically. The same, alas, cannot be said about the health of the nation. On the international stage, India’s relentless focus on equity made us proud. The time has come to apply that principle at home. India’s ailing health delivery system is viewed as a worthy but dull topic on a normal day in a typical newsroom in the country. Typically, such neglected...