Mother-and-child healthcare: Gujarat urban slums are worse than rural areas

By Jag Jivan
A recent study suggests that healthcare facilities in Gujarat’s urban slums, as in the rest of India, are worse than those the rural areas. Though the study is confined to one of Gujarat’s richest districts, Anand, which has lately considerable urbanization, it is indicative of the fact that there is a complete failure on the part of the officialdom to provide basic healthcare facilities to the deprived sections of population, who come from the rural areas and settle down in slums in the hope of eking out a better livelihood.
Titled “Urban slums in Gujarat Newborn Care Practices and Health Seeking Behavior in Urban Slums and Villages of Anand, Gujarat”, the study was jointly carried out by Archana S Nimbarkar and Vivek V Shukla from the Department of Pediatrics, Pramukhswami Medical College, Karamsad, and Ajay G Pathak and Somashekhar M Nimbalkar from the Central Research Services, Charutar Arogya Mandal, Karamsad, Anand district.
A major conclusion of the study is that “infant and neonatal mortality rates have declined in India but are relatively higher in urban slums and rural areas.” It underlines, “About one-third of India’s urban population resides in slums and squatters and this is expected to rise. Urban health care indicators are better than rural areas but these numbers disregard the differences between urban rich and poor slum dwellers. The Government of India has an elaborate and variably functioning healthcare delivery system in the rural areas. Urban slum areas lack such healthcare systems.”
The scholars compared the urban slums in Anand district with surrounding rural areas for aspects related to newborn care and care seeking. This comparison was done in order to “put in context the poor status of newborn health and health seeking in slums of even smaller cities and give direction to policy making in the future”, the scholars say. Families with infants less than 9 months were included in the study. In all, 156 families (more than 90% of eligible families) in slums were approached. Village survey followed and 160 families were recruited across 6 villages selected by random process from eligible 27 villages with more than 30 estimated deliveries per year.
To carry out the study, the scholars say, “Families were contacted a day prior to survey to ensure completeness of data.” The study was conducted from May 2011 to September 2011. It was carried only after the Institutional Human Research Ethics Committee granted approval for it. Gender distribution of participants was similar across study areas. There was a clear distinction even in the educational status of women between slum areas and rural areas. While 44.2 per cent of mothers from slums were illiterate, things were not as bad in the urban areas. In urban areas, 83.7 per cent of mothers from villages had at least primary education.
Similarly, the study says, the socioeconomic status and living conditions of the village participants were better than the slum participants. “Healthcare utilization, antenatal care (ANC), hospital delivery, neonatal follow up, health seeking behavior was better in village participants. Harmful cultural practices like administration of non-essential syrups, and Kajal application in eye were more common in slum participants, whereas substance application over umbilicus was more common in village participants. Bathing baby at birth was equally prevalent (31.2 per cent vs 32.5 per cent) whereas bottle feeding was not very common (8.6 per cent vs. 12.5 per cent)”, the study says, adding, “Early essential newborn care and exclusive breast feeding were better followed in village participants.”
The study reveals wide socioeconomic gap between slums and villages. “This gap exists even for a smaller town with a population smaller than the national average for a city. There is lack of properly functioning and structured healthcare delivery system in urban slums vis-à-vis affluent urban and rural areas. Proximity of the slums to two multispecialty hospitals and smaller private hospitals did not improve utilization of services. Urban slum dwellers are ignorant about their health needs and also lack attitude for seeking healthcare. There is lack of basic sanitation (72 per cent) and water supply facility (44.8 per cent) in most slum residents”, it says.
The study points out that neonatal follow-up and care of infants requiring medical attention was provided by unqualified personnel or not taken in 72 per cent of slum areas. Exclusive breastfeeding till 6 months was given in 6.5 per cent of slum participants versus 85.6 per cent in village participants. Education of immediate health care providers and mothers in basic neonatal care is required in urban slums as similar provisions exist in villages under various government efforts.
The scholars conclude, “The study describes a wide gap in newborn practices in slums of a smaller town with better practices in surrounding villages. Slum dwellers were 6 times less likely to seek care. Not taking ANC and being illiterate was associated with home deliveries. A single district study is a limitation of this study but similar gaps between rural and urban health settings are likely in rest of Gujarat as well as India. Detailed assessment of reasons for poor health care seeking behavior is required. Policy planners need to plan for urban slums while allocating funding for health in urban areas.”

Comments

Grueling summer ahead: Cuttack’s alarming health trends and what they mean for Odisha

By Sudhansu R Das The preparation to face the summer should begin early in Odisha. People in the state endure long, grueling summer months starting from mid-February and extending until the end of October. This prolonged heat adversely affects productivity, causes deaths and diseases, and impacts agriculture, tourism and the unorganized sector. The social, economic and cultural life of the state remains severely disrupted during the peak heat months.

Concerns raised over move to rename MGNREGA, critics call it politically motivated

By A Representative Concerns have been raised over the Union government’s reported move to rename the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA), with critics describing it as a politically motivated step rather than an administrative reform. They argue that the proposed change undermines the legacy of Mahatma Gandhi and seeks to appropriate credit for a programme whose relevance has been repeatedly demonstrated, particularly during times of crisis.

A comrade in culture and controversy: Yao Wenyuan’s revolutionary legacy

By Harsh Thakor* This year marks two important anniversaries in Chinese revolutionary history—the 20th death anniversary of Yao Wenyuan, and the 50th anniversary of his seminal essay "On the Social Basis of the Lin Biao Anti-Party Clique". These milestones invite reflection on the man whose pen ignited the first sparks of the Great Proletarian Cultural Revolution and whose sharp ideological interventions left an indelible imprint on the political and cultural landscape of socialist China.

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.

MG-NREGA: A global model still waiting to be fully implemented

By Bharat Dogra When the Mahatma Gandhi National Rural Employment Guarantee Act (MG-NREGA) was introduced in India nearly two decades ago, it drew worldwide attention. The reason was evident. At a time when states across much of the world were retreating from responsibility for livelihoods and welfare, the world’s second most populous country—with nearly two-thirds of its people living in rural or semi-rural areas—committed itself to guaranteeing 100 days of employment a year to its rural population.

Why India must urgently strengthen its policies for an ageing population

By Bharat Dogra A quiet but far-reaching demographic transformation is reshaping much of the world. As life expectancy rises and birth rates fall, societies are witnessing a rapid increase in the proportion of older people. This shift has profound implications for public policy, and the need to strengthen frameworks for healthy and secure ageing has never been more urgent. India is among the countries where these pressures will intensify most sharply in the coming decades.

School job scam and the future of university degree holders in West Bengal

By Harasankar Adhikari The school recruitment controversy in West Bengal has emerged as one of the most serious governance challenges in recent years, raising concerns about transparency, institutional accountability, and the broader impact on society. Allegations that school jobs were obtained through irregular means have led to prolonged legal scrutiny, involving both the Calcutta High Court and the Supreme Court of India. In one instance, a panel for high school teacher recruitment was ultimately cancelled after several years of service, following extended judicial proceedings and debate.

India’s Halal economy 'faces an uncertain future' under the new food Bill

By Syed Ali Mujtaba* The proposed Food Safety and Standards (Amendment) Bill, 2025 marks a decisive shift in India’s food regulation landscape by seeking to place Halal certification exclusively under government control while criminalising all private Halal certification bodies. Although the Bill claims to promote “transparency” and “standardisation,” its structure and implications raise serious concerns about religious freedom, economic marginalisation, and the systematic dismantling of a long-established, Muslim-led Halal ecosystem in India.

Women’s rights alliance seeks NCW action against Nitish Kumar over public veil incident

By A Representative An alliance of women’s rights activists has urged the National Commission for Women (NCW) to initiate legal action against Bihar Chief Minister Nitish Kumar over an incident at a public function in Patna that they allege amounted to a grave violation of a Muslim woman’s dignity and constitutional rights. In a detailed complaint dated December 18, the All India Feminist Alliance (ALIFA), part of the National Alliance of People’s Movements (NAPM), sought the NCW’s immediate intervention following an episode on December 15 during the distribution of appointment letters to newly recruited AYUSH doctors in Patna.

Search This Blog