Skip to main content

Child care? Gujarat No 1 in institutional deliveries, but one of the poorest in other health indicators: GoI report

By Rajiv Shah
In a curious disclosure, a top Government of India (GoI) study, “Healthy States, Progressive India Report on the Ranks of States and Union Territories”, has found that, while “model” Gujarat ranks No 1 in institutional delivery of babies, in sex ratio at birth it is one of the worst – 854 girls as against 1000 boys.
Prepared by the GoI’s powerful policy-making body headed by Prime Minister Narendra Modi, Niti Aayog, with the “technical” support of the World Bank, the report has found the “proportion of institutional deliveries” in Gujarat is a whopping 97.8%, much higher than Kerala (92.6%).
However, as for sex ratio, only two major Indian states perform worse than Gujarat: Uttarakhand (844/1000) and Haryana (831/1000).
The top policy-making body – which is headed by Amitabh Kant, a high-flying bureaucrat, who replaced well-known Columbia University economist Arvind Panagariya – does not say what the reason is for this odd paradox.
Yet, the data do suggest that in under-five mortality rate (U5MR) as many as 11 major states perform better than Gujarat, with a U5MR of 39 per 1000 live births, with the best performer being Kerala (U5MR 13/1000), followed by Tamil Nadu, Maharashtra, Punjab, Jammu & Kashmir, West Bengal, Karnataka, Himachal Pradesh, Telangana, Uttarakhand, and Andhra Pradesh.
Similarly, in the proportion of low birth weight among newborns, the states which perform better than Gujarat (10.5%), are seven (Telangana, Jammu & Kashmir, Andhra Pradesh, Punjab, Bihar, Uttarakhand, and Uttar Pradesh); in full immunization, nine states perform better than Gujarat (90.6%): Jammu & Kashmir, Punjab, Uttarakhand, Maharashtra, Karnataka, West Bengal, Himachal Pradesh, Kerala, and Andhra Pradesh.
Interestingly, while the report does not seek to explain the paradox of high institutional deliveries, which are in stark contrast to poor indices of early child care, another set of data of the top policy-making body reveals the poor state of Gujarat’s health care delivery system.
Thus, Gujarat has a 28.1% shortage of Auxiliary Nurse Midwives (ANMs), who are necessary during institutional deliveries at sub-centres, up from 17.1% in a year; just one state out of the 21 major ones analysed, Bihar, is found to have a still higher shortage of (59.3%) ANMs.
The situation is identical with regard to the the shortage of staff nurses at Primary and Community Health Centres (PHCs and CHCs). While Gujarat’s shortage is 36.5%, only five of 21 major states have a still higher proportion of vacancies – Chhattisgarh, Haryana, Rajasthan, Bihar and Jharkhand.
Then, Gujarat has a 32.2% vacancies of medical officers at PHCs, higher than 16 of 21 major states; and 55.5% vacancies of specialists in district hospitals, higher than all states but three (Uttarakhand, Bihar and Chhattisgarh).
Further, Gujarat has 43% “functioning” First Referral Units, worse than 14 other states; 31.5% “functional” PHCs, worse than 13 other states; and 48.5% cardiac care units, worse than seven other states.
One may find it amusing, yet, the fact is, despite these data, while measuring the “state of health”, the report has placed Gujarat fourth best among 21 major states. Only three states perform better than Gujarat in the “composite index score” – Kerala (76.5 on a scale of 100), followed by Punjab (65.21), and Tamil Nadu (63.38). Gujarat’s score is 61.99.
On its methodology, the report states: “The index was developed by Niti Aayog with technical assistance from the World Bank… in consultation with the Ministry of Health and Family Welfare (MoHFW), States and UTs, domestic and international sector experts and other development partners.”

Comments

Uma said…
Gujarat only shines for businessmen who shine😁
siva said…
Thank you for your awesome service to the child. During early and middle childhood, the brain forms and refines a complex network of connections in the brain through synaptogenesis, pruning, and myelination. The process of forming connections is biologically driven, but experiences also promote synapse formation.
concentration exercise for student
child concentration exercise in Chennai
maths tuition in Chennai
right brain training in Chennai
kids brain training in Chennai
memory improvement technique in Chennai
brain development training in Chennai

TRENDING

India reaches 8th of 10 stage genocide: US Muslim advocacy group raises 'alert'

By Hena Zuberi* India has reached the 8th stage of genocide with the persecution of the Muslim community. Stating this, Professor Greg Stanton, who heads Genocide Watch, declared a Genocide Emergency Alert for India today at Justice For All online briefing.

Mayawati's 'success' depends on how BSP taps new crop of young Amdekarite leaders

By Vidya Bhushan Rawat*  Whatever be the election results in Uttar Pradesh on March 10, it is extremely important to understand: that the Bahujan Samaj Party (BSP) and its leader Mayawati have the potential to rise like a Phoenix any time.

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.

Anti-poor? 'Cumbersome' to link aadhaar, voter ID for people sans internet access

By Prashant Kumar Chaudhary, Ajit Kumar Jaiswal*  At present, technology plays an increasingly crucial part in modelling human existence by offering a variety of solutions to many of the challenges individuals confront in the real world. As a result, every branch of research works to provides means to solve these difficulties precisely and efficiently. The Central government works along the same lines as well.

India's actual Covid death rate about 2500 per million, third highest in world: Study

By Rajiv Shah  There is now well-researched proof, if it can be called that, indicating that the Government of India may have fudged data to show lower Covid death rate. A new paper, published in “Science”, has said that while officially the Government of India’s Covid-related death estimates as of January 1, 2022 – 345 per million population – are one-seventh of the US death rate, the actual analysis of crude death rate in India suggests, this may be a gross underestimation. 

'Dargah site was a temple': Claim in Gujarat following post-Babri verdict demands in UP

By Rajiv Shah  Will Gujarat also see demands to replace mosques and dargahs with Hindu temples? It would seem so, if a new fact-finding team conclusion is any indication. Apprehending the “danger” of communal conflagration, it has cited the claim on a 15th century dargah was originally a Hindu temple – allegedly quite on line with what has been happening in UP following the Supreme Court verdict on Babri Mosque.

Savarkar 'criminally betrayed' Netaji and his INA by siding with the British rulers

By Shamsul Islam* RSS-BJP rulers of India have been trying to show off as great fans of Netaji. But Indians must know what role ideological parents of today's RSS/BJP played against Netaji and Indian National Army (INA). The Hindu Mahasabha and RSS which always had prominent lawyers on their rolls made no attempt to defend the INA accused at Red Fort trials.

Why Church in India today needs a Rutilio Grande, martyred for stance on social justice

By Fr Cedric Prakash SJ*  For the people of El Salvador, January 22, 2022 will be more than just a red-letter day. Three of their sons, Jesuit Fr Rutilio Grande and his two lay associates 72-year-old Manuel Solorzano and 15-year-old Nelson Rutilio Lemus (and Italian Franciscan missionary Fr Cosme Spessotto who was also martyred) will be beatified in San Salvador.

Gender insensitive? Model Gujarat's cyclone relief package ignores 40,000 fisherwomen

CSJ volunteers talking to fisherwomen By Rajiv Shah  A Centre for Social Justice (CSJ) note on the Gujarat government’s compensation package to the victims of the devastating Tauktae cyclone, which hit the coastal belt of Saurashtra's Amerli, Rajula, Una, and Gir-Somnath districts in May 2021, has said, the relief offered was so terribly inadequate that many of the fisherfolk were not able to fish for the rest of the year.

Haridwar call for genocide direct result of Modi 'tolerating' Islamophobic policies

By Our Representative  A high-level briefing organised in Washington DC, in which as many as 17 human rights and interfaith organizations -- including Amnesty International USA, Genocide Watch and Hindus for Human Rights, apart from several persons in their individual capacity -- participated, has come down heavily on what they called "Prime Minister Narendra Modi’s Islamophobic policies and tolerance of open incitement by Hindu extremists for a genocide of Muslims."