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 Sheth said…
Gujarat only shines for businessmen who shine😁

TRENDING

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.

"Misleading" satellite images being shared on Balakot surgical strike on Jaish camp

By Dr Vinay Kate*
With every passing day more questions are being raised about the surgical strike India did in Balakot as a response to Pulwama attacks. So far the Indian media has claimed mass casulaty of 300+ terrorists of Jaish-e-Mohammad in this surgical strike, but there is hardly any report from foreign media about the same.

Extreme repression, corporate loot, cultural genocide "characterise" India's tribal belt

Counterview Desk
As Lok Sabha polls approach, there is considerable ferment in one section of the population -- India's Adivasis, forming about 8.6 per cent of India's population. Things became particularly critical following the February 14, 2019 Supreme Court order, allegedly seeking to evict lakhs of tribals from their forest lands.

Industry in India "barely growing", export growth 0%, whither moral anchors?

Counterview Desk
In a sharp critique of the Modi government, the Indian Institute of Management-Ahmedabad (IIM-A), one of world renowned economist Prof Kaushik Basu, who is Professor of Economics and Carl Marks Professor of International Studies at Cornell University, has told students at the IIM-A’s 54th Annual Convocation on March 16, 2019 that they have a “special responsibility” on their shoulders, “the responsibility to reject narrow sectarianism, uphold scientific thinking, openness to new ideas, and freedom of speech.”

Gujarat model? Industrial effluents "invade" borewells, discharge coloured water in farms

By Rajiv Shah
In a major embarrassment for Gujarat model, of the 21 samples taken by officials of the state government's environmental watchdog Gujarat Pollution Control Board (GPCB) in two villages of Vadodara district and analyzed by its laboratory in Gandhinagar, the state capital, to find out pollution level in groundwater, 16 were assessed as highly contaminated – these were, in fact, found to be discharging reddish, brownish, reddish, or yellowish water.

Refugees as criminals? US govt report blames Amit Shah for calling Bangladeshis termites

Counterview Desk
The chapter “Freedom of Movement” of the US State Department’s “India 2018 Human Rights Report”, released recently, has criticized BJP chief Amit Shah for terming alleged Bangladeshis who may be in Assam as “termites”, because their names were struck down from the list of National Register of Citizens, under preparation in the state.
Pointing out that four million residents were excluded from Assam’s final draft list, leading to “uncertainty over the status of these individuals, many of whose families had lived in the state for several generations”, the report regrets, the Indian law does not even contain the term “refugee,” treating refugees like Rohingiyas as “any other foreigners.”
“Undocumented physical presence in the country is a criminal offense. Persons without documentation were vulnerable to forced returns and abuse”, the report says.
Text of the Freedom of Movement chapter: The law provides for freedom of internal movement, foreign travel, emigration, a…

Congress would win just 9 of 26 Lok Sabha seats: Gujarat Assembly segment-wise analysis

By Rajiv Shah
Even as the Congress plans its first working committee meet in Gujarat on February 28 after an almost 58 year gap, there is reason to wonder what is in store for India’s grand old party in a state which has been long been a BJP bastion – in fact ever since mid-1990s. Ahead of the then assembly polls in late 2012, talking with me, a senior Gujarat Congress leader, currently Rajya Sabha MP, frankly said he saw no reason why Congress would win.

"Pro-corporate" Supreme Court order on FRA would further marginalize Adivasis

By VS Roy David, JP Raju*
For millions of Adivasis and other traditional forest dwellers February 13, 2019 will go down in history as the day of apocalypse. This is like the proverbial Black Friday where millions of most marginalized people of India were ordered by malicious anti-people draconian Supreme Court order depriving them the life and livelihood by evicting them from their habitats.

Financial inclusion? Not micro-loans; India's poor "need" investment in health, education

By Moin Qazi*
India has grown into a global powerhouse. Its economy is soaring but the picture on the ground is still quite arid. The green shoots that you see are only a patch of its landscape. Most Indians are hapless victims of inequity. India is one country where intense poverty abounds in the shadow of immense wealth.

India, Pakistan told to eliminate nuclear weapons: N-war "would kill" 2 billion

Counterview Desk
The International Physicians for the Prevention of Nuclear War (IPPNW), a non-partisan federation of national medical organizations in 64 countries, representing tens of thousands of doctors, medical students, other health workers, and concerned citizens, claiming to share the common goal of creating a more peaceful and secure world freed from the threat of nuclear annihilation, has warned that “an unprecedented global catastrophe” awaits the globe against the backdrop of warmongering in India and Pakistan.