A healthcare model relying mainly on people from within the community to provide care is reaping success One of India’s most backward districts and Maharashtra’s worst ranked in human development indicators, Gadchiroli, today finds itself at the forefront of a healthcare revolution that can potentially save millions of infant lives and help India rapidly reduce her abysmal infant mortality rate (IMR). Under the aegis of the National Rural Health Mission (NRHM), India...
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Lessons from Melghat’s health crisis-Pramit Bhattacharya
-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...
More »The road to universal health care-K Srinath Reddy and AK Shiva Kumar
Progressive strengthening of public facilities is the only way to reach medical services to the population as a whole. “The best form of providing health protection would be to change the economic system which produces ill health, and to liquidate ignorance, poverty and unemployment. The practice of each individual purchasing his own medical care does not work. It is unjust, inefficient, wasteful and completely outmoded ... In our highly geared, modern...
More »Where are farm hands when you need them? by Devinder Sharma
MGNREGA is certainly a good idea. But it can’t be allowed to play havoc with farming operations by weaning away labourers during peak season RURAL DEVELOPMENT Minister Jairam Ramesh recently rubbished the need for freezing the flagship rural job scheme MGNREGA during peak agricultural season. Dismissing the possibility, Ramesh had said: “The matter has been examined by the Mihir Shah Committee and rejected.” Knowing that Mihir Shah’s entry into Planning Commission...
More »The mothering effect-KumKum Dasgupta
-The Hindustan Times Rambai, a lean and sprightly 34-year-old, has never been the quiet sort. So when her neighbours at the Rokra hamlet were asked to choose a community health worker (CHW) — called Mitanin (friend) in Chhattisgarh — they knew that Rambai would be an ideal candidate. “We selected her because she could communicate well and interact with officials with ease, even though she has studied till Class 5,” said...
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