Professional Documents
Culture Documents
Health
Health
Health
Diabetes................................................................................................................ 4
Malaria................................................................................................................... 4
AIDS/HIV................................................................................................................
Child Under-nutrition.............................................................................................. 8
Compulsory Licensing.......................................................................................... 14
Road Safety.......................................................................................................... 15
Heath Issues in India: A note
Eleventh FYP
AIDS
2-3 million people in the country are living with HIV/AIDS
AIDS is acquiring a female face and increasingly affecting pregnant women
NACO working closely with Revised National Tuberculosis Control
Programme (RNTCP)
TB
India accounts for one-fifth of the world incidence
Every year 1.8 mn people in India develop TB
Emergence of HIV-TB co-infection and multi-drug resistant TB has
increased the problem
Directly Observable Treatment, Short Course (DOTS)
Sanitation
India accounts for 58 pc of those practicing open defecation globally:
UNICEF
o 54 pc of countrys population practices open defecation
o
Diabetes
ICMR- India Diabetes Survey in 2011 (ICMR-INDIAB)
o First truly national study done in India in the last 40 years after the
last ICMR study in early 70s.
Extrapolation shows that 62.4 million people live with diabetes in India and
77.2 million people are on the threshold, with pre-diabetes
Malaria
In 1953 a national eradication campaign against malaria was launched. By 1965-
66 malaria deaths were completely eliminated. However, the disease has made a
comeback in recent years.
In its World Malaria Report 2008, the WHO estimated that there had been 10.6
million case of malaria and 15000 deaths from the disease in India during 2006.
Malaria Atlas Project: The data on India is very volatile. <MAP is UK based
organization founded in 2005 to develop a spatial database on malaria>
Views:
AIDS/HIV
<refer Shankar notes>
Features:
1. States/UTs classified into Low Performing States (J&K and Assam) and High
Performing States.
4. Incentive to the ASHA (not less than Rs 200 per delivery case)
Impact:
Study published in Lancet shows that the programme has reduced about 4
prenatal deaths per 1000 pregnancies and 2 neonatal deaths per 1000 live
births.
Op-Ed: Sept 8
ICDS anganwadis are poorly managed and lack adequate facilities. In order to lay
more stress on removing malnutrition following is suggested:
2. Creative campaigns
3. Feedback system
Child Under-nutrition
Under-nutrition causes 35pc of under-5 child deaths, impairs learning
outcomes, increases the likelihood of being poor and is linked to illness or
death during pregnancy
o China has already met its goal, halving its 1990 rate of underweight
a few years ago
Nutrition data are collected every five to six years. This is too infrequent to
track changes and respond to events
Because there are so many moving parts in any nutrition strategy, the
government needs to use nutrition diagnostic tools to prioritise and
sequence action to improve child growth, in the way it does for economic
growth
This lack of data and strategic analysis also diminishes the effectiveness
of Indian civil society to mobilise around nutrition.
Some suggestions
India needs national nutrition strategy with a senior leader within the
government who is empowered to implement that strategy
Aims at
Challenges
Regional Variation
o Eg. The NRHMs Village Health and Nutrition Days compete with the
ICDSs well-established Anganwadi programme
2. Many pharma companies are export oriented. Hence the domestic prices
are high.
DIPP suggests four ways of using CL to make drugs affordable in the country:
2. Invoking the Competition Act 2002 to find out if the price or the availability
of a drug is a result of an anti-competitive agreement or a combination
which has an adverse effect on competition
Highways: The highways constructed did not take into account the local reality.
Most of the highways were built on existing roads connecting small towns. These
highways hence go through towns, bisecting villages. Pedestrian crossings, near
towns and villages, make for killing fields.
The absence of overbridges and alternative roads for village traffic means that
speeding vehicles compete with slow-moving farm and rural traffic (cycles,
tractors, animal-drawn carts etc). Alcohol outlets along the highways encourage
drunken driving.
Cities: Most cities employ ad-hoc and non-uniform solutions to local road
situation. Routing heavy vehicular traffic through densely populated areas, and
poor and non-standardized road signs and marking also compound the problem.
There is a need to seriously examine and correct lapses and inadequacies in road
design and planning. Periodic fitness certification of all motorised vehicles,
universalisation of road signs and enforcement of law and safety regulations are
crucial. Cumulative penalties for recurrent infringements should result in
temporary withdrawal of licences or a permanent ban on driving. A combination
of legislation, enforcement of laws and education of road-users can significantly
improve compliance with key safety rules, thereby reducing injuries.