Nitish plays DNA politics while his govt denies health care even for the new-born

A study by IIM Ahmedabad gives a grim picture of lack of services and specialists in four states

GN Bureau | August 10, 2015


#bihar   #madhya pradesh   #rajasthan   #uttar Pradesh   #iim   #health  

Bihar chief minister Nitish Kumar should study a recent report on his state and rework his priorities for the election promises. Instead of targeting prime minister Narendar Modi for his DNA remark, the chief minister should visit state hospital. A recent study by IIM Ahmedabad has picked holes in the health care facilities provided by the 'BIMARU' states and Bihar is the worst health giver.

Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh are known as 'BIMARU' states and the study mainly discusses aspects of infrastructure, manpower and operational challenges faced in effective provisioning of specialist services through rural health facilities in these states.

One area where the BIMARU states lag significantly is availability of specialists including gynaecologist, paediatricians, surgeons and physicians at community health centres (CHCs) or district hospitals (DHs).

The study also revealed poor health care facilities for new-born in the BIMARU states.

"The percentage of CHCs with new born stabilization units are found to be significantly lower in Bihar (1.43 per cent) and MP (17.4 per cent) and CHCs with new born corners were found to be significantly lower in Bihar (31.4 per cent) and relatively lower in Rajasthan (66.1 per cent) and UP (74.3 per cent) again as compared to the national average," it said.

"While it is observed that Bihar (34.3 %) has a relatively greater proportion of such CHCs, all other states like Rajasthan (8.3 %), MP (1.2 %) and UP (1 %) perform quite poor in terms of presence of all four specialists at CHCs," said the study.

As on March 2014, Bihar and UP have only 0.83 and 2.91 specialist doctors per million population in the CHCs, DH and Sub district hospitals (SDHs).

While, states like Rajasthan (11.52) and MP (4.36) were in a relatively better condition when compared with national average of 3.98 specialist doctors per million population in CHCs.

"The findings reveal significant dearth of specialist doctors with their concentration at the district level," said the study done by assistant professor Shreekant Iyenger at Institute of Law in Nirma University and Ravibndra Dholakiya, professor of economics at IIM -Ahmedabad.

"Moreover, there are severe mis allocations of the specialist doctors and lack of manpower support, equipment and basic infrastructure within the public health system causing serious challenges in effective provisioning of specialist services for maternal and child health care," said the study.

"While it is observed that Bihar (34.3 per cent) has a relatively greater proportion of such CHCs, all other states like Rajasthan (8.3 per cent), MP (1.2 per cent) and UP (one per cent) perform quite poor in terms of presence of all four specialists at CHCs," said the study.

"It is found that number of Community Health Centres per million people is relatively low in UP (3.87) and significantly low in Bihar (0.67) but is higher in MP (4.60) and almost double in Rajasthan (8.26) as compared to the national average (4.43). It is also observed that all these states including Bihar (17.83), MP (7.53) and UP (3.91), except Rajasthan (61.19) are below the national average (20.74) in terms of total and rural government hospitals per million people. The percentage of district hospitals having HIV test facility in MP (60.9 per cent) and with ultra-sound facility in Bihar (17.6 per cent) and MP (56.5 per cent) are relatively lower," said the study.

Moreover, except Rajasthan (84.4 per cent), all the three states including Bihar (52.9 per cent), MP (39.1 per cent) and UP (58.3) have relatively lesser district hospitals with operational blood banks, it added.

Bihar (20.92 per million population) and UP (26.55 per million population), in terms of paramedical staff at all levels, and MP (14.78 per million population) in laboratory technicians and nurses (60.13 per million population) perform poorly as compared to the average of the nation (62.16 per million population) in government health care centres.

Comments

 

Other News

An African salient

To counter Beijing’s aggressive agenda in the Indian Ocean, New Delhi is seeking to create strategic bastions in Mauritius, Seychelles and Madagascar. The immediate provocation was China’s inauguration of its first overseas military base in Djibouti, in the Horn of Africa.

Look who’s talking ethics in Karnataka?

 Just after the UP assembly election in 1996, I was among the scores of reporters waiting at Kalyan Singh’s residence, waiting to get the first inkling of the future course of the BJP. The party had secured the maximum seats – 174 out of 425 seats – but was short of the majority mark

Company secretaries are gatekeepers of corporate governance: SEBI Chairman

“Company Secretaries, once known as secretaries to the board and management, have transformed themselves into key managerial and governance professionals. Today they are recognised for their importance on corporate landscape and have become gatekeepers of corporate governance,” said Ajay Tyagi,

Will there be light at the end of the tunnel?

Any good news which promises to bring about qualitative improvement in the lives of people, especially in rural India, is always welcome. It was heartening indeed to learn that every single village in the country now has access to electricity, as announced by the prime minister on April 29. This is most ce

A dry run in Bundelkhand

The paved road, the few concrete houses and men on motorcycles – these are deceptive signs of development in Madralalpur village. Only a couple of weeks ago, Babu, a 47-year-old distressed farmer, had hanged himself from a babool tree. Villagers were gathered at his house as his wife, mother, sister-

Our jobs, their jobs

Statistics has come a long way from the time when British prime minister Benjamin Disraeli observed: “There are three kinds of lies: lies, damned lies, and statistics.” Statistics is now an accredited branch of applied mathematics; statistical methods are routinely used to prove or disprove the

Current Issue

Current Issue

Video

CM Nitish’s convoy attacked in Buxar

Opinion

Facebook    Twitter    Google Plus    Linkedin    Subscribe Newsletter

Twitter