Skip to main content

12 states ahead of Gujarat in basic rural health facilities, state lags in institutional deliveries: SRS report

By Our Representative
Sample Registration Survey (SRS) data, recently released by the Census of India, have shown Gujarat in poor light with regard to health facilities, especially in the state’s rural areas. The data show that as many as 12 major states of India out of 20 have a higher proportion of primary health centres (PHCs) than Gujarat in rural areas.
Gujarat’s just 19.5 per cent of “sample rural units” are found to have (PHCs), as against the national average of 29.7 per cent. Kerala tops the list with 67.9 per cent of rural areas having PHCs, followed by Telangana 62.0 per cent, Haryana 49.3 per cent, Andhra Pradesh 46.6 per cent, and Tamil Nadu 45.5 per cent.
Even Bihar (22 per cent), Rajasthan (31.4 per cent) and Assam (41.1 per cent) have a higher proportion of PHCs than Gujarat.
PHCs are essentially single-physician clinics, usually with facilities for minor surgeries. They are part of the government-funded public health system in India and are the most basic units of this system. Presently there are 23,109 PHCs in India.
Each PHC has five or six sub-centres, staffed by health workers for outreach services such as immunization, basic curative care services, and maternal and child health services and preventive services. Gujarat’s 41.1 per cent rural areas are covered with sub-centres, but this is again lower than the all-India average of 47.8 per cent.
As for Community Health Centres (CHCs), which constitute the secondary level of health care designed to provide referral as well as specialist health care to the rural population, Gujarat’s just about 8.7 per cent of rural areas have them, as against the national average of 13.4 per cent.
A relatively poor spread of health centres in Gujarat tells adversely on the availability of delivery services to pregnant mothers, suggest data. Thus, Gujarat’s 38.1 per cent sub-centres, 18.2 per cent PHCs and 6.1 CHCs provide facility for delivery, as against the national average of 43 per cent, 25.1 per cent, and 10.3 per cent respectively.
The data appear to suggest that the Gujarat government-sponsored Chiranjivee project, under which private gynecologists are “hired” for providing free delivery to the rural folk, may have helped bring down maternal mortality rate in Gujarat; yet, it has not been able to increase institutional deliveries vis-à-vis the rest of India.
Thus, in 52.4 per cent of cases, the deliveries are allowed to happen at the hands of an auxiliary nurse midwife (ANM), or a lady health worker (LHV), or an accredited social health activists (ASHAs), and not in any of the government or private health facilities. Traditional dais remain equally important, as they carry out deliveries in 23.8 per cent of cases.
In fact, Gujarat has failed in its attempt to privatize institutional health facilities deliveries, too, failing to keep pace with the rest of India. Thus, as against Gujarat’s 9.5 per cent institutional deliveries in private dispensaries and clinics, nationally they happen in 25.2 per cent of cases. Further, while in Gujarat 3.5 per cent of the rural folk go in for delivery to a private hospital, it’s 12.8 per cent for the country.
Lack of health facilities forces rural folk to travel more than two kilometres in Gujarat in 38.5 per cent of cases, as against the national average of 29.1 per cent. Kerala is the best performer, with just 3.6 per cent of the rural folk having to travel more than two kilometres, followed by Assam 5.6 per cent, and Maharashtra 9.7 per cent.

Comments

TRENDING

Impact of state repression? Kashmir's 65% people prefer independence: Cambridge study

By Rajiv Shah 
Even as the Government of India’s controversial move to abrogate Article 370 of the Constitution and bifurcate Jammu and Kashmir (J&K) into two union territories is not only refusing to down die but has acquired international dimensions, a recent study, published by the Cambridge University Press, has claimed “pro-independence attitudes” among that 65% of Kashmiris, warning, this sentiment worsens when the state machinery resorts “repressive violence”.

Hindus to be 'sent' to Kashmir? Despite Israeli settlements, peace eludes the region

By Anand K Sahay*
Curfew, news and communications blackout, transportation shut-down... News reports from Kashmir are worrying. So are the views relayed through the media, especially television. Old-fashioned repression seems to be consorting comfortably with expressions of concern “for our Kashmiri brethren”. We are looking at Orwell’s 1984 in the making.

Dholera 'inundated': Gujarat govt tries selling low lying area as top smart city site

Counterview Desk
Even as the Dholera Special Investment Region Regional Development Authority (DSIRDA) of the Gujarat government was busy organising a junket for Gujarat-based journalists for the area sought to be sold as an ideal special investment region (SIR) for industrialists, well-known farmers' activist Sagar Rabari has wondered why no investor has so far agreed to put in money in an area situated in Ahmedabad district along the Gulf of Khambhat.

Congress' anti-democratic laws led to Modi govt's 'Constitutional' changes: Scholars

Counterview Desk
A large number of academics* said to be belonging to several Indian and international institutions, even as taking strong exception to the Narendra Modi government's alleged move to amend the Constitution through "illegitimate" means, have taken strong exception to their colleagues in academia who we have become "all too accustomed to adopting a calculated silence in the face of such indignities."

Kashmir normal? Schoolboys, teenagers being arbitrarily picked up, detained: Report

Counterview Desk
A four-person team, consisting of Jean Drèze, well-known development economist; Kavita Krishnan, who is with the Communist Party of India (Marxist-Leninist); Maimoona Mollah of the All India Democratic Women's Association (AIDWA); and Vimal Bhai of the National Alliance of People's Movements (NAPM), back from a five-day fact-finding mission (August 9-13) from Kashmir, has said that people they spoke to “expressed their pain, anger, and sense of betrayal against the Government of India.”
In a report, “Kashmir Caged”, released along with a short eight-minute film, they said, the abrogation of Articles 370 and 35A, dissolution of the state of Jammu and Kashmir (J&K), and bifurcating it into two Union Territories, is not being supported by anyone they met, except for BJP spokesperson on Kashmir affairs Ashwani Kumar Chrungoo, who claimed 46% vote share in J&K.
Excerpts from the report: When our flight landed, and the airlines staff announced that passeng…

Modi's Gujarati mind? Why govt move to 'sell-off' defence PSUs isn't in national interest

By Sandeep Pandey*
The Standing Committee on Defence, 2017-18, of the 16th Lok Sabha highlights the idea of Buy Indian-IDDM (Indigenously Designed Developed and Manufactured). The Committee expressed concern over the import content of equipments produced and developed by Defence Research and Development Organisation (DRDO), Ordnance Factories (OFs) and defence Public Sector Undertakings (PSUs) because of the dependence it creates for military hardware on foreign suppliers.

Central Gujarat effluent channel 'releasing' highly polluted industrial wastewater: PM told

Counterview Desk
Senior environmentalists of the Paryavaran Suraksha Samiti (PSS), Vadodara, Rohit Prajapati and Krishnakant, in an open letter to the Prime Minister, the Gujarat chief minister, the Gujarat chief secretary, and senior Government of India and Gujarat government officials dealing with environment, pollution and climate change have said that the authorities’ response their pleas to take action against the leakages and flow of polluted wastewater from the effluent channels of Central Gujarat industrial areas has met with complete inertia.

Can't go to court with RTI information, rule Ahmedabad authorities: Kankaria accident

By Pankti Jog*
In a shocking reply to an application filed by me, the Ahmedabad Municipal Corporation (AMC) authorities have said that the information provided under the Right to Information (RT) Act should be used in court or in a judicial process. The Act is known to be a major tool that enables citizens to seek certified copies of documents, records from any public authority of state and Central government within 30 days, as per provisions of the Act.

Quit India Movement 'betrayal' and dubious role of Hindu Mahasabha, RSS leaders

By Shamsul Islam*
After the recent guillotine of Article 370, Hindutva ideologue Ram Madhav, while celebrating the occasion stated that it was honouring of the sacrifices of Dr Shyam Prasad Mukherjee and thousands others who laid down their lives for its removal. It is to be noted that Dr Mukherjee was a cadre of RSS and was groomed into a Hindutva leader by another Hindutva icon, VD Savarkar.

Strategy for united struggle against Hindutva 'fascism': Ideological silence is 'no option'

By Dr Bhabani Shankar Nayak*
Electoral alliance and opportunism of national and regional political parties, neoliberal economic marginalisation and soft secular Hindutva line pandering to Hindu majoritarianism laid the foundation of Hindutva fascism in post-colonial India.