Ignoring widespread concern over the safety, efficacy and cost of pentavalent vaccines, India’s central health ministry has, this month, approved inclusion of the prophylactic cocktail in the Universal Immunisation Programme in seven of its provinces. Pentavalent vaccine doses, a cocktail of five antigens in a single shot, confers immunity against five paediatric diseases - diphtheria, pertussis, tetanus, hepatitis B and haemophilus influenza type b (Hib), with the last one considered particularly...

The ICDS' plight is symptomatic of the problems plaguing the Union government's flagship schemes for the poor all over the country.   INDIA may be the only country in the world where we describe the ensuring of the basic socio-economic rights of the people in terms of “flagship schemes” that are seen as the benevolent contribution of governments. One problem with this approach is that the delivery of basic services is...

The accredited social health activists (ASHAs) — the first port of call for health care under the National Rural Health Mission (NRHM) — will be entrusted with additional responsibilities, albeit with better monetary incentives, as the Mission Steering Group – the highest decision making body of the NRHM — has approved the proposal for involving them in activities such as spacing between births, promoting iodised salt and village sanitation. The ASHAs...

While welcoming the report of the High Level Expert Group on Universal Health Coverage for India for its comprehensive vision and many well-conceived recommendations, this article focuses on the conditions needed for its promise to bear fruit. Towards this, it explores the political dimension, which comprises the forces and interests that come into play to shape and reconfigure administrative policy and its implementation.   We are grateful to Anand Zachariah and Susie...

India seems to have arrived at the threshold of polio eradication, but should it lower its guard? ON January 13, India achieved what had only two years ago seemed impossible in the immediate term. The country, which, given the epidemiological data in the new millennium, had come to be regarded by health experts around the world as one that would be the last to achieve freedom from polio (poliomyelitis), recorded no...