India's healthcare spending lower than Sudan, Tanzania, Namibia, Malawi, with very high "catastrophic spending"

By Our Representative
A research paper published in a top San Francisco-based multidisciplinary open access journal by a non-profit, PLOS, has said that the public health spending in India (4% of GDP) is among the lowest, not only in the larger economies of the world, but also compared to poorer countries such as Malawi (8.3%), Namibia (7.7%), Tanzania (7.3%) and Sudan (6.5%).
Insisting that India needs to “prioritise” its public health spending, especially Janani Suraksha Yojana (JSY) entitlements, in order to address the “exceedingly high Out-Of-Pocket Expenditures (OOPE) that many women incur for maternity care”, the paper says, this is particularly important “given the large disparities in the cost of maternity care between public and private health facilities.”
Insisting that “there is also a need to control the sky-rocketing costs of private health care services, and increase the availability and accessibility of quality public health facilities for maternity care in India”, the paper says, India remains “the highest contributor in terms of absolute numbers of female deaths occurring in the world due to pregnancy-related causes.”
“In 2014, India along with Nigeria accounted for one-third of all global maternal deaths, with 17% (50,000) in India and 14% (40,000) in Nigeria.”, the paper, titled “High Spending on Maternity Care in India: What Are the Factors Explaining It?”, the paper adds.
“Further”, the it complains, “Public expenditure on healthcare in India has stagnated since the early 1990s. Government expenditure on health care is considerably low compared to other countries with similar levels of per-capita income, inequality and poverty.”
“On the other hand”, it adds, “the private healthcare industry has witnessed an unprecedented boom, growing at a rate of over 15% compounded annually, more than twice the growth rate for all services over the same period.”
“As a consequence, the pattern of current health spending suggests that households meet 71% of their total health spending, with government contributions accounting for only 20% (Central), 6% (State) and the remaining 2% made up by local bodies, other firms and external flows respectively”, the paper underlines.
Commenting on Government of India efforts to reduce OOPE on maternal health care services, and improve maternal health outcomes in the country, through JSY, the world’s largest Conditional Cash Transfer (CCT) scheme under the National Health Mission (NHM), the paper says, it is “grossly insufficient” in providing “quality health care services” a forte of private health care facilities.
“Government health services in India are marred by unavailability and absenteeism of health professionals, poor health care facility and infrastructure, shortage of drugs and equipment, physical inaccessibility and some anecdotal evidence of callous behaviour of healthcare professionals”, the paper says.
Pointing out that “maternal healthcare related expenditures” are becoming “catastrophic for households”, the paper, which is based on the 2016 National Sample Survey Organisation (NSSO) report, “Key Indicators of the Social Consumption in India: Health”, says, “The average Cost of ANCs and PNCs per pregnancy were US$ 46 and US$ 28 respectively, with delivery expenditure (US$ 160) accounting for the largest share of average Total Maternity Expenditure or TME (US$ 258)”.
Revealing that the lowest earning (5% of all households) spent 75% of what it calls households' catastrophic maternal expenditure or CME, the paper says, “The proportion reduced with the rise in the income level – “to 50% the 10% threshold level and further decreased to 34% at 15% level”, the paper underscores.
“Average spending on total maternity cost was US$235 among women in the age group of 15–24 years, US$ 241 in the age-group 25–29 years, falling to US$ 225 for women aged 30–49 years”, the report states, adding, “Urban women incurred higher maternity expenditure (US$ 326) than their rural counterparts (US$ 196).”

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Girl child education: 20 major states 'score' better than Gujarat, says GoI report

By Rajiv Shah
A Government of India report, released last month, has suggested that “model” Gujarat has failed to make any progress vis-à-vis other states in ensuring that girls continue to remain enrolled after they leave primary schools. The report finds that, in the age group 14-17, Gujarat’s 71% girls are enrolled at the secondary and higher secondary level, which is worse than 20 out of 22 major states for which data have been made available.

Savarkar in Ahmedabad "declared support" to two-nation theory in 1937, followed by Jinnah three years later

By Our Representative
One of the top freedom fighters whom BJP and Prime Minister Narendra Modi revere the most, Vinayak Damodar Savarkar, was also a great supporter of the two nation theory for India, one for Hindus another for Muslims, claims a new expose on the man who is also known to be the original proponent of the concept of Hindutva.

Congress 'promises' cancellation of Adani power project: Jharkhand elections

Counterview Desk
Pointing out that people's issues take a backseat in Jharkhand's 2019 assembly elections, the state's civil rights organization, the Jharkhand Janadhikar Mahasabha, a coalition of activists and people’s organisations, has said that political parties have largely ignored in their electoral manifestos the need to implement the fifth schedule of the Constitution in a predominantly tribal district.

Hindutva founders 'borrowed' Nazi, fascist idea of one flag, one leader, one ideology

By Shamsul Islam*
With the unleashing of the reign of terror by the RSS/BJP rulers against working-class, peasant organizations, women organizations, student movements, intellectuals, writers, poets and progressive social/political activists, India also witnessed a series of resistance programmes organized by the pro-people cultural organizations in different parts of the country. My address in some of these programmes is reproduced here...
*** Before sharing my views on the tasks of artists-writers-intellectuals in the times of fascism, let me briefly define fascism and how it is different from totalitarianism. Totalitarianism is political concept, a dictatorship of an individual, family or group which prohibits opposition in any form, and exercises an extremely high degree of control over public and private life. It is also described as authoritarianism.
Whereas fascism, while retaining all these repressive characteristics, also believes in god-ordained superiority of race, cultur…

Ex-World Bank chief economist doubts spurt in India's ease of doing business rank

By Rajiv Shah
This is in continuation of my previous blog where I had quoted from a commentary which top economist Prof Kaushik Basu had written in the New York Times (NYT) a little less than a month ago, on November 6, to be exact. He recalled this article through a tweet on November 29, soon after it was made known that India's growth rate had slumped (officially!) to 4.5%.

With RSS around, does India need foreign enemy to undo its democratic-secular fabric?

By Shamsul Islam*
Many well-meaning liberal and secular political analysts are highly perturbed by sectarian policy decisions of RSS/BJP rulers led by Prime Minister Narendra Modi, especially after starting his second inning. They are vocal in red-flagging lynching incidents, policies of the Modi government on Kashmir, the National Register of Citizens (NRC), the demand for 'Bharat Ratna' to Savarkar who submitted 6-7 mercy petitions to the British masters (getting remission of 40 years out of 50 years' sentence), and the murder of constitutional norms in Goa, Karnataka and now in Maharashtra.

Post-Balakot, danger that events might spiral out of control is 'greater, not less'

By Tapan Bose*
The fear of war in South Asia is increasing. Tensions are escalating between India and Pakistan after the Indian defence minister's announcement in August this year that India may revoke its current commitment to only use nuclear weapons in retaliation for a nuclear attack, known as ‘no first use’. According to some experts who are watching the situation the risk of a conflict between the two countries has never been greater since they both tested nuclear weapons in 1998.

Ships recycling Bill 'allows' India to be turned into a landfill for foreign hazardous waste

Counterview Desk
In a letter to M Venkaiah Naidu, chairman, Rajya Sabha, senior activist Gopal Krishna of the Toxics Watch Alliance has said that the Recycling of Ships Bill, 2019 should be referred to the Parliamentary Standing Committee on Science and Technology, Environment, Forests and Climate Change to "safeguard country’s maritime environment from harmful and hazardous wastes and materials".

Worrying signs in BJP: Modi, Shah begin 'cold-shouldering' Gujarat CM, party chief

By RK Misra*
The political developments in neighbouring Maharashtra where a Shiv Sena-NCP-Congress government assumed office has had a trickle down effect in Gujarat with both the ruling BJP and the Congress opposition going into revamp mode.

80 RTI activists killed since 2014, yet Modi govt 'refuses' to implement whistleblowers Act

By Our Representative
Ever since Prime Minister Narendra Modi took over power in 2014 at the Centre, more than 80 have been killed “in their quest for information and accountability” through the Right to Information (RTI) Act, a public hearing in Delhi has been told. Senior politicians from opposition parties, including Congress and Left, heard people express their anguish over the manner in which the government was treating the RTI Act, even as refusing to operationalise the Whistleblower Protection Act, passed in 2014.

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