Re: MDG- 7-7-7 HIMACHAL- THE SUTRA REPORT
- Thanks for sharing this piece of information with me.
Dr Mohua Biswas
--- In email@example.com, "DR RK SOOD" <drrksood@...>
> HP losing face in health sector ?
> Increase in Infant Mortality Rate and decrease in
> immunization rate the major concerns
> Archana Phull
> SPECIAL REPORTER HINDUSTAN TIMES
> Shimla, July 14
> Himachal Pradesh may no more carry the same impression
> of providing one of the best health services in the
> country as the tiny hill state is witness to a decline
> in some important health indices over the past some
> years with`` commitment'' and ``money spent''
> not translating into results in the field.
> The most disturbing trend in recent years is seen in
> the Infant Mortality Rate (IMR, a very sensitive
> indicator), which has gone up from 34 to 36, for rural
> population from 34 to 39, from NFHS-2 (National Family
> Health Survey) in 1998-1999 to NFHS-3 in 2005-2006.
> What makes it a matter of concern is that HP, which
> has already shown a downfall in child sex ratio for
> the past three decades, witnesses a slight gender
> differential in this indicator also with females
> having higher IMR.
> The state is fairing badly in immunization of children
> as well despite massive money being pumped into
> awareness campaigns. The percentage of fully immunized
> children for all vaccines in the state has come down
> from 84.4 from NFHS-2 to 74.4 in NFHS-3, and this
> entire decline pertains to rural population. Numbers
> in urban areas are stable at 80%. However, there was
> not much difference by caste or religion and
> immunization, while education of mothers did affect
> this. A report on the mid term evaluation of
> Million Development Goals in health sector released by
> NGOs, SUTRA (Social Uplift Through Rural Action) and
> Jan Swasthya Abhiyaan on July 7 as a part of Vaada Na
> Todo Abhiyaan throws light that 67 % children of
> illiterate mothers were fully immunized compared to
> 91-92 % children of literate mothers.
> The report points out that maternal health has not
> been given due attention in the state. There is no
> survey on Maternal Mortality Ratio in HP so far.
> From NFHS-2 to NFHS-3 the percentage of institutional
> deliveries has risen from 28.9 to 45.3 in HP, but the
> percentage of pregnant women with anaemia has also
> risen from 31.8 to 37 per cent during the
> corresponding period. As many as 58.8 % children
> between age of 6 months to 35 months are also anaemic
> and little more than 40 % women (between the age of 15
> to 49 years) are anaemic , which is a gloomy picture.
> ``The number of health institutions are on the rise,
> but then where is the quality? The most important unit
> of health services is the health sub centre in a
> village, but this is unfortunately the most ignored
> institution in state. In HP, more than 1100 posts are
> lying vacant in the sub centres in rural areas. The
> medicine kits have not been provided to a number of
> sub centres in interior areas for the past two years.
> Under such a situation, people in the rural area have
> to walk several kilometers to get ordinary tablets
> like paracetamol. And surprisingly, even a premier
> hospital like Rippon in the state hospital has not
> received supply of iron tablets for past some
> months'', the report finds, as it highlights that the
> health department remains complacent by considering an
> overall view based on urban centric data only.
> Finds the director of SUTRA, Subhash Mendhapurkar,
> `` The department is not ready to accept authenticated
> data brought out by NFHS, which shows decline in the
> health indices in Himachal and on which GOI policies
> are based. It refuses to accept that immunization
> coverage has gone down in the state over past seven
> years as per NFHS and is instead saying that that
> immunization coverage has gone up from 90 to 104 per
> cent in the state. The health department should not
> merely satisfy itself with the convenient data
> collected by its own network. It needs to make the
> system field feedback oriented, involve the NGOs in
> functioning, and work for better inter-sectoral
> coordination to improve the declining health indices?.