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  • drmohua2003
    Thanks for sharing this piece of information with me. Dr Mohua Biswas
    Message 1 of 2 , Jul 20 1:51 AM
      Thanks for sharing this piece of information with me.
      Dr Mohua Biswas

      --- In iapsm_youthmembers@yahoogroups.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
      > 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?.
      > Ends
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