In the remote Raghopur block of Vaishali district in Bihar, the primary health centre (PHC) is supposed to be operational 24X7, with the medical officer in charge (MOIC) running the out-patient department between 8am and 12.30pm. On 8 May, the MOIC reached the PHC at 10.30am and left after an hour. According to patients, this was not a random event. Most of the 20-strong crowd awaiting medical attention is turned away....

That hospital births curb mother and child deaths is probably a no brainer. Convincing expectant mothers to get admitted to a hospital is only part of the problem in India’s rural healthcare system. The other challenge is abysmal infrastructure: There is just one hospital bed for every 10,000 Indians living in villages and one in 10 primary health centres in rural areas stumble along without doctors. The result is a human tragedy....

At the beginning of this millennium in year 2000, 189 countries and 23 international health agencies had pledged to reduce child under-5 mortality by two-thirds and maternal mortality by three-fourths by 2015. These were called the Millennium Development Goals (MDGs) number 4 and 5. With only five years left for the target year, a clutch of international health agencies and NGOs have come out with ‘‘Countdown to 2015 — Decade...

The word ‘Mitanin’ was derived from a Chhattisgarhi custom, where a ‘mitanin’ is a girl bonded ceremoniously in her childhood to another girl as a lifelong friend IT IS quite common for tractors in rural India to haul all kinds of unusual cargo. Even then, a late night emergency shuttle, from a small home in Narayanpaal village in the backward Bastar district of Chhattisgarh, to ferry a pregnant woman in...

There has recently been some triumphalism in Indian government circles over reports that the National Rural Health Mission (NHRM) has been successful in reducing maternal mortality and infant mortality. Yet while the reduction in maternal mortality – from 301 to 254 for every 100,000 live births – does provide some cause for cheer, the reduction in child mortality – from 58 to 53 for every 100,000 live births – still...