Skip to main content

India's under-5 pneumonia-diarrhea deaths go up in 2015-16, albeit marginally; action plan far off target: Report

By Rajiv Shah
A high-profile report prepared to mark the World Pneumonia Day (November 12) by a well-known US-based institute has revealed that, over the last year, there is an increase, albeit marginal, in the number of under-five deaths among children because of pneumonia and diarrhea.
Titled “Pneumonia & Diarrhea Progress Report: Reaching Goals Through Action and Innovation”, and prepared and published by the International Vaccine Access Center, at the Johns Hopkins Bloomberg School of Public Health, the 2016 report reveals that have been 296,279 deaths, as against 297,114 deaths mentioned in the 2015 report.
This suggests a considerable improvement in pneumonia and diarrhea deaths in children under five – it was 436000 deaths in the 2013 report and 318,000 deaths in the 2014 report – the report regrets, between 2015 and 2016, “The ranking of the 15 countries (including India) accounting for the greatest number of pneumonia and diarrhea deaths remain unchanged.”
No doubt, the report says, the Global Action Plan for Pneumonia and Diarrhea (GAPPD) scores improved for 12 countries out of 15 countries, with six countries realizing “an improvement of five or greater percentage points (India, Angola, Ethiopia, Indonesia, Niger, and Bangladesh)”, India’s GAPPD score remains poor.
It regrets, “India increased its (GAPPD) score by seven percentage points, although still remains with a score below 50.” India’s GAPPD score, according to the report, is 41%, which is lower than as many as 10 other countries out of 15. The countries which score better in GAPPD include Pakistan (46%), Afghanistan (51%), and Bangladesh (58%).
Under-5 deaths 15 top countries: 2016 report
“In 2016, only five of the 15 countries had overall GAPPD scores of at least 50% (Afghanistan, Sudan, Bangladesh, Ethiopia and Tanzania), and none met the 86% target for the overall GAPPD score, which would be achieved if a country met the minimal coverage targets for GAPPD interventions”, the report states, adding, “India achieved an improvement of seven percentage points, but still remained below the threshold of 50%.”
“Improved GAPPD scores were largely driven by new vaccine introductions and ongoing country rollouts”, the report says, adding, “India, the country that leads the world in under-5 pneumonia and diarrhea deaths, increased their GAPPD score by seven percentage points by continuing to roll out Hib vaccine (pentavalent) and improving exclusive breastfeeding rates.”
“It is increasingly evident that without significant gains in GAPPD scores in countries with large birth cohorts, such as India, Nigeria, Pakistan, and Democratic Republic of the Congo (DRC), reduction in global pneumonia and diarrhea mortality in children will not be achieved”, the report underlines.
“The pace of progress must be accelerated to make a difference in reducing global totals, which will occur through both the increased use of recommended interventions and treatment innovations”, it adds.
“The top 15 countries contributing to the global burden of child pneumonia and diarrhea deaths were unchanged between 2015 and 2016”, the report says, adding, “These 15 highest burden countries consist of (1) India, (2) Nigeria, (3) Pakistan, (4) DRC, (5) Angola, (6) Ethiopia, (7) Indonesia, (8) Chad, (9) Afghanistan, (10) Niger, (11) China, (12) Sudan, (13) Bangladesh, (14) Somalia, and (15) United Republic of Tanzania.”
“The pattern noted in previous editions of the Progress Report persists in 2016”, the report notes, adding, “Countries with the greatest absolute burden of child deaths from pneumonia and diarrhea have among the lowest GAPPD scores. Those countries with the largest number of under-5 pneumonia and diarrhea disease deaths, represented by the largest bubbles, are India, Nigeria, Pakistan, and the DRC. All of these countries have overall GAPPD scores below 50%.”

Comments

TRENDING

Green revolution "not sustainable", Bt cotton a failure in India: MS Swaminathan

Counterview Desk
In a recent paper in the journal “Current Science”, distinguished scientist PC Kesaven and his colleague MS Swaminathan, widely regarded as the father of the Green Revolution, have argued that Bt insecticidal cotton, widely regarded as the continuation of the Green Revolution, has been a failure in India and has not provided livelihood security for mainly resource-poor, small and marginal farmers.
Sharply taking on Green Revolution, the authors say, it has not been sustainable largely because of adverse environmental and social impacts, insisting on the need to move away from the simplistic output-yield paradigm that dominates much thinking. Seeking to address the concerns about local food security and sovereignty as well as on-farm and off-farm social and ecological issues associated with the Green Revolution, they argue in favour of what they call sustainable ‘Evergreen Revolution’, based on a ‘systems approach’ and ‘ecoagriculture’.
Pointing out that Evergreen Revol…

Rejoinder: Inescapable to have Central Water Commission as strong technical body in India

By BN Navalawala*
This is with reference to Counterview Blog (December 5, 2018), "Modi govt 'shelves' water reforms report, shows 'no interest' in its recommendations", below mentioned are my comments/observations thereon:
A committee was constituted under the Chairmanship of Dr. Mihir Shah, Former Member, Planning Commission, for restructuring of Central Water Commission (CWC) and Central Ground Water Board (CGWB) for optimal development of water resources in the country in the backdrop of Integrated Water Resources Management (IWRM).

Some Hindu bodies in US defending BJP-RSS' divisive, violent activities: Agnivesh

Counterview Desk Last week, Washington DC saw speakers at a religious freedom roundtable, chaired by the US Ambassador for Religious Freedom, Sam Brownback, express concern over "eroding" space for religious freedom in India. Dr Mike Ghouse, executive director, of the Center for Pluralism in Washington DC, referring to the roundtable, said in an email alert that Indian-Americans have "a moral duty to prevent India from being labeled as a Country of Particular Concern by the United States Commission on International Religious Freedom (USCIRF)".

Preventing childhood deaths: India performs worse than Bangladesh, "equals" Pakistan

By Rajiv Shah
A just-released study, “The Pneumonia and Diarrhea Progress Report 2018”, prepared by the International Vaccine Access Centre (IVAC) at the Johns Hopkins Bloomberg School of Public Health, has identified India among 15 other countries which are still far off the mark in achieving the targets of the Global Action Plan for the Prevention of Pneumonia and Diarrhea (GAPPD).

Karnataka: NGO Akshay Patra "not sensitive" to nutrition demands of school children

Counterview Desk
Well-known civil rights organizations, Right to Food Campaign and Jan Swasthya Abhiyan, have sent a letter to the Union minister of human resource development, the Chief Minister of Karnataka, other concerned ministers and officials of the state expressing concerns regarding the mid-day meal (MDM) to school children, insisting, all contracts to the Akshay Patra for supply of MDM should be immediately terminated.

India's rewritten textbooks talk of demerits of democracy, praise Hitler, underrate Mughals

Counterview Desk
A detailed, 3,800-word review of the books rewritten under directions of the BJP rulers across India since Prime Minister Narendra Modi came to power in May 2014 has suggested that one of aims of the books is to instill a sense of doubt about India’s democratic polity among the country’s young minds. Reviewed in the prestigious US journal, “The New York Review of Books”, in its latest issue (December 6, 2018) by Alex Traub, the scrutiny insists, the effort has also been to paint Indian history from the angle of “Hindu triumphalism”, even as creating “Islamophobia”.

Govt of India "tarnishing" NGO reputation, dossier leaked selectively: Amnesty

Counterview Desk
Amnesty International India has said that a deliberate attempt is being made to tarnish its reputation by leaking a dossier, supposedly made by investigating agencies, to media without giving it access to any such information. The high profile NGO’s claim follows a Times Now report about proceedings launched by investigative agencies, including Enforcement Directorate (ED) against the rights body for “violations” of rules pertaining to overseas donations.

World Bank clarifies: Its 26th rank to India not for universal access to power but for ease of doing business

By Our Representative
In a major embarrassment to the Government of India, the World Bank has reportedly clarified that it has not ranked India 26th out of 130 countries for providing power to its population. The top international banker’s clarification comes following Union Power Minister Piyush Goyal’s claim that India has “improved to 26 position from 99” in access to electricity in just one year.

Four children die after poor UP Dalit, Muslim families forced to flee to forest area: PVCHR

Counterview Desk
Peoples’ Vigilance Committee on Human Rights (PVCHR) has said that the forest department police’s crackdown, allegedly without any prior notice, on Dalit and Muslim households in Dakhin Tola, Churk Bazaar, Sonbhadra district, Uttar Pradesh, beating up “children and old people, women, and men in an inhuman way”, has led to “forced displacement, starvation and discrimination”. This has reportedly affected about 350 people.

Vedanta is out but corporate loot continues in Odisha: Local activists tell NAPM yatra

By Our Representative
Lok Shakti Abhiyan leader Prafulla Samantara, winner of the Goldman Environmental (also known as Green Nobel) Prize in 2017, has regretted that though Sundergarh in Odisha, like other forest areas, is a fifth schedule area, where Forest Rights Act (FRA) and Panchayats (Extension to Scheduled Areas) Act (PESA) is applicable, but these laws are being “outrightly violated to facilitate corporate loot.”