o More substance, less fizz By indiatogether.org Published On :: Mon, 01 Mar 2004 00:00:00 +0000 The Joint Parliamentary Committee report on pesticides in colas reads like a charge-sheet on the functioning of many government ministries. Sudhirendar Sharma reports. Full Article
o Understanding Schizophrenia By indiatogether.org Published On :: Mon, 01 Mar 2004 00:00:00 +0000 Dr.Judith Jaeger, an expert on psychiatric disorders was recently in Chennai. She spoke to Lalitha Sridhar on schizophrenia and the current state of knowledge in the world about the illness. Full Article
o Competitive but inaccessible By indiatogether.org Published On :: Mon, 01 Mar 2004 00:00:00 +0000 Even as many Indian hospitals invite a foreign clientele to world-class treatment facilities, the poor have to contend with a different and unregulated private sector, says Abhijit Das. Full Article
o Pyrolysis : dangerous but favored By indiatogether.org Published On :: Mon, 01 Mar 2004 00:00:00 +0000 As an alternative to incineration that is known to produce toxic pollutants like dioxins, India is leaning towards pyrolysis for disposal of medical waste. Ratna Singh of New Delhi based Toxics Link on the implications. Full Article
o Sex ratio: the hidden horrors By indiatogether.org Published On :: Thu, 01 Apr 2004 00:00:00 +0000 Millions of males are falling victim to illnesses at much faster rates, skewing the demographic balance. Pavan Nair looks at the numbers. Full Article
o Elections and Health By indiatogether.org Published On :: Thu, 01 Apr 2004 00:00:00 +0000 What plans and promises on 'health for all' have the NDA and the Congress offered to the electorate this election cycle? Abhijit Das takes a closer look. Full Article
o New govt's population control thrust By indiatogether.org Published On :: Tue, 01 Jun 2004 00:00:00 +0000 Abhijit Das expresses concerns on the United Progressive Alliance's misplaced stress on population control targeting, taking the case of Uttar Pradesh. Full Article
o Crippling delivery to the disabled By indiatogether.org Published On :: Wed, 01 Sep 2004 00:00:00 +0000 Are tax-payer funded programmes for the empowerment of the disabled working? Until very recently, New Delhi has not even had reliable data to plan its programmes. Himanshu Upadhyaya digs into the 2004 Comptroller and Auditor General report. Full Article
o The unfinished war on polio By indiatogether.org Published On :: Wed, 01 Sep 2004 00:00:00 +0000 As new cases of polio are reported in Andhra Pradesh and Karnataka, health departments scramble to respond quickly. Safia Sircar on a neighbourhood program in Shorpur. Full Article
o The Census revelations By indiatogether.org Published On :: Wed, 01 Sep 2004 00:00:00 +0000 N P Chekkutty reports on several marked trends in the latest Census data. Full Article
o Blowing back the smoke By indiatogether.org Published On :: Fri, 01 Oct 2004 00:00:00 +0000 Reducing tobacco consumption is a multi-dimensional and complex challenge. Varupi Jain reports on an organisation that is lending its VOICE with strong efforts. Full Article
o The pressure for health care By indiatogether.org Published On :: Mon, 01 Nov 2004 00:00:00 +0000 These National Human Rights Commission's hearings on the Right to Healthcare are bringing out hundreds of poor citizens' experiences of being refused public health care. Gone are the days when citizens endured this with a fatalism born out of years of hopelessness, writes Abhijit Das. Full Article
o The ABC's of fighting AIDS By indiatogether.org Published On :: Mon, 01 Nov 2004 00:00:00 +0000 The main message that is going out to the masses is: use condoms. But this overlooks a fundamental reality about the values contained in that message, says Mirra Savara. Full Article
o Death knell for low cost medicines By indiatogether.org Published On :: Wed, 01 Dec 2004 00:00:00 +0000 Medicine prices nationwide are likely to go up soon, including at public hospitals and dispensaries. Domestic manufacturers will withdraw critical but cheaper medicines as India gets ready to fulfill WTO obligations. Devinder Sharma argues that this is the beginning of a scientific apartheid. Full Article
o Rural Health Mission has promising goals By indiatogether.org Published On :: Mon, 07 Feb 2005 00:00:00 +0000 Rural public health care is choked nationwide for a number of reasons. To name two, provisioning of services is very top heavy and many major programmes continue to be conceived and run uncoordinatedly. But Abhijit Das finds promising prospects in the formation of the National Rural Health Mission. Full Article
o Epilepsy: defogging the demon By indiatogether.org Published On :: Mon, 21 Feb 2005 00:00:00 +0000 Some studies estimate that roughly 10 million Indians may be suffering from epilepsy. But social stigma and economic barriers are keeping treatment out of reach for the majority. Unlike polio, which has a national eradication programme, epilepsy treatment has seen no such focus yet, finds Varupi Jain. Full Article
o Clean hands, not soap sales By indiatogether.org Published On :: Fri, 08 Apr 2005 00:00:00 +0000 Who can object to washing hands regularly to improve hygiene? In Kerala, the World Bank found out that it isn't enough to promote sensible messages; it's also important that the messages do not appear to be based on ulterior motives, like sales for MNC products. Darryl D'Monte reports. Full Article
o Global leadership, empty stomachs By indiatogether.org Published On :: Sat, 04 Jun 2005 00:00:00 +0000 Newspaper and television reports leave us thinking that India is poised to become a superpower, but a more wholesome measure of where the country is will paint a different picture. The problems are still immense, and India lags far behind the world in many ways; it is important to note this and begin tackling them, says Abhijit Das. Full Article
o Snuffed out on screen By indiatogether.org Published On :: Wed, 22 Jun 2005 00:00:00 +0000 Smoking in the movies fosters a culture that encourages young people to smoke, whereas what is needed is that we actively develop antipathy to smoking! More than the health effects alone, it is this battle that has been engaged by the government's move to ban tobacco on screen, says Pankaj Chaturvedi. Full Article
o Bringing hope to the rural disabled By indiatogether.org Published On :: Fri, 24 Jun 2005 00:00:00 +0000 Since 1988, SANCHAR has worked to improve the lives of the disabled in rural West Bengal. And with the increasing resources available by law to assist the handicapped now, SANCHAR is working to make sure panchayats tap into these to help their community. Rina Mukherji reports. 24 June 2005 - Sanu Ghosh was around one and a half years old when a visit to SSKM Hospital in Kolkata to treat an attack of pneumonia saw him diagnosed as a patient of cerebral palsy. But then, his daily wage-earning parents from the rural outskirts of the city could hardly have been expected to arrange for the necessary rehabilitation of their little son. Fortunately for them, the Society for Appropriate Rehabilitation for the Disabled (SANCHAR) traced him out when he was four, and even detected a hip dislocation that nobody had noticed until then. Today, not only does Sanu attend school, but can manage to seat himself there, thanks to a chair designed by SANCHAR. A similar contraption for his home enables him to manage his daily domestic chores. At school, he uses his mouth to hold a pencil to write, and can read and write nearly as well as any child of his age. Arup Sani was struck with polio at the age of three, resulting in the impairment of his left leg and right hand. The son of daily wage earning parents belonging to Krishnarampur village in South 24-Parganas, Arup was adopted by SANCHAR when seven years old. The provision of calipers and crutches under the government's scheme enabled Arup to attend the village primary school. Arup is now 19, and studying at the higher secondary level. He is not only getting educated, but also teaching three hearing impaired children from the neighbouring village. Besides, Arup is helping a visually challenged child, Mafijul, studying in the second grade, as a writer during the latter's exams. Very few people can identify 21-year old Sujata as a disabled young woman, given her confidence. And yet, Sujata could hardly move ever since she was struck with polio at one and a half years. Thanks to SANCHAR's home-based programme, Sujata not only helps her family make puffed rice for sale, but has taken advantage of the vocational training imparted to be able to stitch her own dresses. She is currently learning embroidery even as she broadens her knowledge of dressmaking to earn an income. These are but examples of the work taken up by SANCHAR on behalf of more than a thousand disabled persons in rural areas. Starting in 1988, SANCHAR launched itself with field support from CINI (a non-governmental organization working in the field of health) to work with disabled children. At first, there were only three or four children that the organization worked with, in a couple of villages. Today, SANCHAR operates in 75 villages spread over 4 blocks - Falta, Bishnupur I and II, and Thakurpukur-Maheshtala, bringing assistance to 819 disabled persons and 774 families. It has been a long journey, but as Director Tulika Das concedes, "The Disabilities Act of 1995 has proved a shot in the arm. With so much being offered by the government now, it is not too difficult to convince communities and Panchayats to take the initiative and give a fairer deal to the disabled." The organization works at three levels: the disabled individual, his/her family and the community. At the family level, SANCHAR personnel provide the necessary training to the parents and family-members as regards handling of a physically or mentally challenged child. Physiotherapy is provided for free by a professional to enable the child to handle his/her own chores. In cases where a child is unable to move out of the home to attend school, SANCHAR personnel actually arrange for the child's education at home. "The Disabilities Act of 1995 has proved a shot in the arm. With so much being offered by the government now, it is not too difficult to convince communities and Panchayats to take the initiative and give a fairer deal to the disabled." Editors' Note: The author has separately compiled a list of key facilities that can be accessed under the provisions of the Disability Act; click here to access this page. The community-based rehabilitation programme involves sensitizing villagers through villager education committees, members of which comprise Panchayat pradhans and members of the Panchayat, liaising with school authorities to provide the necessary facilities such as ramps and suitable chairs for the challenged and allowing clinics to be operated for their benefit. SANCHAR also facilitates the provision of identity cards, stipends and the like by getting Panchayat pradhans to apply and arrange for the same. Wheelchairs, hearing aids and appliances are given free by the government to all those whose incomes are below Rs 5000 a year. "All that we do is spread awareness among the persons in the village community about the facilities available", says Das. Tying up with Mobility India for the past two years has also helped Sanchar in this respect. "We especially provide technical know-how for the building of school ramps. The incline should never be too steep, lest the wheelchair user rolls down." It is to the credit of SANCHAR that nearly all schools in the 4 blocks in which it works have ramps to cater to the disabled, whereas most educational institutions and libraries in Kolkata lacking these, despite government funds being available for the purpose. Rehabilitation through vocational training is what SANCHAR has especially been working towards when dealing with the disabled. Here, training is imparted in vocations that complement the traditional occupations prevalent here. For instance, brush-making being a common cottage industry here, many mentally challenged youngsters have been trained in the vocation. The hearing or visually impaired youngsters interested in starting on a new enterprise have been imparted training in making packing boxes for these brushes. Sometimes, interest and talent may also determine the kind of training given. Physically challenged Krishna, for instance, always showed an uncanny talent for needlecraft since childhood. After being given the necessary training, Krishna has been taking on embroidery jobs to cater to the market and is earning a steady income. He is also training some others in the village to help him in the business. SANCHAR Director: Tulika Das A-2/6 Diamond Park, Joka, Kolkata 700104, West Bengal. Tel: 91-033-24975625. e-mail: sanchar@vsnl.com Not resting on its laurels thus far, the organization looks forward to changing the negative attitude of communities with regard to the disabled. The low priority to the disabled in national planning is also a matter of concern to SANCHAR. "It is important that disability figures on the agenda of all development plans formulated by the government in this country," emphasizes Tulika Das. For now, the organization is busy reaching out to prevent the occurrence of disability and help in rehabilitation of the disabled in as many villages as possible-including those outside its field area - through Open Day programmes. (Charkha Features) ⊕ Rina Mukherji 24 Jun 2005 Rina Mukherji is a freelance journalist, interested specifically in social and development issues. Write the author Disability Health West Bengal Feedback: Tell us what you think of this page View letters to the editors Full Article
o Living in a gray zone By indiatogether.org Published On :: Sun, 24 Jul 2005 00:00:00 +0000 Prem Kumar travels across the country, finding disabled children living in isolation and despair, carrying nature's cruel dispensation. But he is heartened as well by inspiring work that so many organisations carry out, and hopes that a brighter future awaits the children, thanks to their efforts. Full Article
o Remote adivasis face health care chasm By indiatogether.org Published On :: Mon, 25 Jul 2005 00:00:00 +0000 Despite crores of rupees having been spent in name of tribal and other development programmes in one block of Palakkad district in Kerala, the region suffers from poor access to decent health care. 80 per cent of the adivasi population here are living in abject poverty. M Suchitra reports. Full Article
o Wake up call for HIV/AIDS in U.P. By indiatogether.org Published On :: Fri, 05 Aug 2005 00:00:00 +0000 Official statistics are putting Uttar Pradesh firmly as one of India's low prevalence states for HIV/AIDS, even though stories from village after village show the disease making its way in. Abhijit Das finds holes in surveillance and reports that state authorities are not yet taking the penetration threat of HIV/AIDS seriously. Full Article
o Clubbing to combat HIV By indiatogether.org Published On :: Sat, 06 Aug 2005 00:00:00 +0000 In Andhra's Khammam district, awareness clubs are bringing conversations about AIDS into the open, and roping in the volunteer spirit of young people to hold the line against a potential epidemic. Usha Revelli reports that plans are afoot to expand the initiative. Full Article
o Cancer: The long fight By indiatogether.org Published On :: Sun, 21 Aug 2005 00:00:00 +0000 The citation for the 2005 Ramon Magsaysay award speaks of her "untiring leadership of the Cancer Institute as a centre for excellence and compassion for the study and treatment of cancer". Ambujam Anantharaman speaks with V Shanta, whose 50-year career is a glitterring record of progress against cancer in India. Full Article
o A poor and unhealthy nation By indiatogether.org Published On :: Sun, 25 Sep 2005 00:00:00 +0000 India is languishing in the Human Development Index recently released by the UNDP. Bangladesh has overtaken India in some vital parameters. What does this imply in terms of actual numbers? Are the Millennium Development Goals and those laid down by the Planning Commission achievable? Pavan Nair takes a look. Full Article
o Who cries when mothers die? By indiatogether.org Published On :: Mon, 21 Nov 2005 00:00:00 +0000 The probability of an Indian mother dying during childbirth is roughly 10 times that of her Chinese counterpart. Reducing the Maternal Mortality Ratio (MMR) by three-quarters in 10 years is now a Millennium Development Goal. Why is MMR in India so high and how far are we from the goal? Arati Rao unravels the many challenges to saving mothers' lives. Full Article
o Are we ready for the avian flu pandemic? By indiatogether.org Published On :: Thu, 01 Dec 2005 00:00:00 +0000 The WHO has warned that India would likely be hit if a bird-flu pandemic breaks out because India has large numbers of domestic ducks and the country is along major bird migratory routes originating in the East. Abhijit Das notes a few positive elements in India's readiness, but finds that much more is needed to avert disaster. Full Article
o The silence around sex work By indiatogether.org Published On :: Tue, 13 Dec 2005 00:00:00 +0000 Planning Commission member Syeda Hameed and her colleagues made a presentation before Prime Minister Manmohan Singh a few months back on the HIV/AIDS pandemic. Health interventions for sex workers and homosexuals would progress if they were not regarded as criminals and accorded dignity and rights, they stressed. Full Article
o A new plan for safe motherhood By indiatogether.org Published On :: Mon, 20 Feb 2006 00:00:00 +0000 It is certainly welcome that the government now recognises unsafe motherhood as a serious development concern. But the plans to tackle this are unimaginative, and ignore many realities of health care for women in rural areas, especially in the poorer states, writes Abhijit Das. Full Article
o Scientific interest surging in yellow magic By indiatogether.org Published On :: Tue, 21 Mar 2006 00:00:00 +0000 In India, we have known the magic of turmeric all along. An Indian kitchen without a can of turmeric is rare. The world today is discovering this member of the ginger family. Scientists worldwide as well as in India are validating the medicinal properties of the root, reports Ramesh Menon. Full Article
o White asbestos, a health time bomb By indiatogether.org Published On :: Wed, 12 Apr 2006 00:00:00 +0000 The Ministry of Mines and Minerals says it may lift the ban on asbestos mining. It is ignoring the views of exposure victims, informed recommendations of public sector medical experts, and mounting evidence of an asbestos disease epidemic emerging in developed countries. The rationale to permit mining is hollow, writes Gopal Krishna. Full Article
o Positive blip on HIV radar By indiatogether.org Published On :: Tue, 09 May 2006 00:00:00 +0000 A new Indo-Canadian study has found a one-third decline in new HIV infections in the worst-hit regions of the country - Tamilnadu, Andhra Pradesh and Karnataka and Maharashtra. Researchers say that prevention efforts seem to be paying off, but warn that the battle is far from over. Nitin Jugran Bahuguna reports. Full Article
o The doctor keeps away By indiatogether.org Published On :: Mon, 15 May 2006 00:00:00 +0000 Stressful apprenticeship in a system that is not geared to meet the medical needs of the majority makes junior doctors very different from the counterparts in other professions. Their strikes over questions of merit and reservation should not divert attention from this more important issue, says Abhijit Das. Full Article
o Iodised salt: The lesser known facts By indiatogether.org Published On :: Wed, 12 Jul 2006 00:00:00 +0000 The central government wants to ban the sale of non-iodised salt on grounds of rising iodine deficiency. However, states with notable rise in deficiency are those where a ban has already been in force for the past two decades the north-eastern states and Uttar Pradesh. P Venu, an Assistant Salt Commissioner in Gujarat, connects the dots. Full Article
o Iodised salt: health or mere profiteering? By indiatogether.org Published On :: Tue, 08 Aug 2006 00:00:00 +0000 Recently, there has been renewed stress on compulsory iodisation, with the central government attempting to bring back a national ban on non-iodised salt. But the nature and comprehensiveness of research into iodine deficiency has never made a categorical case for a ban, finds Aparna Pallavi. Full Article
o Leprosy nearly eliminated, challenges remain By indiatogether.org Published On :: Mon, 28 Aug 2006 00:00:00 +0000 India has recently declared that it has achieved the tag of 'elimination' of leprosy as the number of cases is now just around one per 10,000 people. Still, a major challenge is to reach medicine to remote areas and tribal pockets which still battle with leprosy, and integrating the cured into society, says Ramesh Menon. Full Article
o When all joy leaks out By indiatogether.org Published On :: Fri, 01 Sep 2006 00:00:00 +0000 Women's gynaecological and urological organs share a close relationship, and disorders affecting one may give rise to symptoms in the other. Better care and knowledge can reduce the incidence of these problems, however, and many of the conditions are treatable. Fehmida Zakeer reports. Full Article
o Iodised salt: Health or mere profiteering? -- II By indiatogether.org Published On :: Wed, 27 Sep 2006 00:00:00 +0000 While it is nobody's case that iodised salt should be pushed out of the Indian market, what concerns many people's groups is the one-sided way in which iodisation is being imposed on the people of India. Aparna Pallavi concludes a two-part series into New Delhi's interest in banning non-iodised salt. Full Article
o Universal care - still miles to go By indiatogether.org Published On :: Tue, 10 Oct 2006 00:00:00 +0000 Public expenditure on health care today is a dismal 0.9% of GDP; the overwhelming majority of health costs are paid by patients out of pocket. For many, even minor illnesses can cause big financial setbacks, and hospitalisation is out of the question. As a result, the promise of the Bhore Committee's vision is in shambles, writes Arati Rao. Full Article
o Playing politics with AIDS By indiatogether.org Published On :: Thu, 12 Oct 2006 00:00:00 +0000 The Goan government wants to make HIV testing mandatory for marrying couples. But mandatory testing will drive some people, who are already sceptical about the health care system, further away from it. It is also unlikely to cause the changes in behaviour necessary to prevent the spread of HIV, writes Neerja Vaidya-Yadav. Full Article
o Making menopause easier By indiatogether.org Published On :: Wed, 18 Oct 2006 00:00:00 +0000 As the world marks World Menopause Day on 18 October, millions of Indian women over 45 are finding it difficult to smile through it - thanks to the lack of information and misunderstanding among them about this rather rough phase of life. Neeta Lal reports on the Delhi-based Indian Menopause Society. Full Article
o TB: gravest danger to India By indiatogether.org Published On :: Mon, 06 Nov 2006 00:00:00 +0000 Tuberculosis has emerged as the greatest danger to India threatening the health of millions. More than 4,500 people die everyday unable to battle the disease. It is not AIDS that will be India's greatest threat, as most of us believe, warns Ramesh Menon. Full Article
o TB: gravest danger to India - II By indiatogether.org Published On :: Thu, 09 Nov 2006 00:00:00 +0000 In the last 20 years, the Human Immunodeficiency Virus (HIV) has emerged as an accelerator to Tuberculosis. It helps TB spread rapidly as the HIV patient's immune system is already weak. HIV's ability to fast forward TB has frightening implications, says Ramesh Menon. Full Article
o An opportunity to end health care slumber By indiatogether.org Published On :: Sun, 12 Nov 2006 00:00:00 +0000 The HIV epidemic has brought into focus multiple public health issues facing rural India today. In this respect, it presents us with an opportunity to deal with issues that have been neglected and even been actively ignored for too long, writes Supriya Kumar. Full Article
o In the line of fire By indiatogether.org Published On :: Mon, 13 Nov 2006 00:00:00 +0000 The Jharia mines in Jharkhand's Dhanbad district produce the best quality coking coal (used in blast furnaces) in India. However, the area, mostly inhabited by tribals, has been smouldering with underground mine fires for several decades now. Kalpana Pradhan reports on the health impact. Full Article
o Will the Public Health Foundation be meaningful? By indiatogether.org Published On :: Fri, 17 Nov 2006 00:00:00 +0000 The proposed Public Health Foundation of India (PHFI), likely to be instituted soon, will establish five 'world class' institutes to train 1000 public health professionals every year. But just where will these new public health experts be employed? Padma Prakash on the unaddressed issues. Full Article
o In UP, the war on polio stumbles By indiatogether.org Published On :: Sun, 31 Dec 2006 00:00:00 +0000 In India's most populous state, with its low levels of sanitation, and high malnutrition rates, polio has made a dangerous comeback. The world is now looking at India to stem the spread as fears of the disease spreading to other parts of the world have come true. Ramesh Menon reports. Full Article
o Healthcare as a broad public challenge By indiatogether.org Published On :: Mon, 01 Jan 2007 00:00:00 +0000 The mounting cost of hospital care, increasing out-of-pocket expenditure, and its catastrophic impact on family finances demand an innovative and flexible risk-pooling mechanism to provide a security net for the poor. Merely transfering the costs to the public exchequer will land the nation in a no-win situation, writes Jayaprakash Narayan. Full Article
o Struck by fluorosis By indiatogether.org Published On :: Tue, 09 Jan 2007 00:00:00 +0000 Of 62 million Indians suffering from fluorosis, more than six million are children and young people. Among these young, nearly 20,000 are in Assam alone, and in Karbi Anglong, well known for its scenic beauty and thick forests, a tenth of the population is afflicted with dental or skeletal fluorosis. Nava Thakuria reports. Full Article