Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Monday, 12 January 2015

Hinduism does not need the protection of numbers


Sakshi Maharaj

No matter how hard it tries, like a boat caught in a whirlpool, the Narendra Modi government is being pulled from one controversy to another. As if there wasn't enough on the government's plate, a recent statement by Sakshi Maharaj, the BJP MP from Unnao, that every Hindu woman must produce at least four children, has brought unwarranted attention on the BJP, and by extension on the government.
Sakshi Maharaj's statement has been justifiably panned for its anti-women views. It is also problematic on other counts. The first aspect is that it disregards issues relating to women's health. It's a no-brainer--family planning and women's health (and empowerment) are interconnected. India's public health centres, where they are functional, are testaments to the crippling public healthcare system in India. The sterilisation deaths in Chhattisgarh's Bilaspur district in November, where more than 12 women died, are a peek into the larger horror spectacle that public health in India is.
His call for more children per family comes at a time when India has failed to reduce child mortality and improve maternal health. India's maternal mortality rate, according to at least two reports that were published last year, is among the highest in the world. At 178 deaths per 100,000 live births, it misses the fifth Millennium Development Goal by a mile (India had to reduce it to 109 per 100,000 by 2015). India has the highest number of neonatal deaths in the world--one in three of the babies who die on the first day is in India. Even if the health system was at its best, shouldn't the woman have the power to decide on when and how many children--and not a religious leader?
The second aspect is religious discourse. Of late there has been an increase in statements by leaders aimed at polarising society on the lines of religion. This has led to a sort of competitive communalism. From time-to-time, leaders, across the religious spectrum, urge believers to procreate and increase the fold. In Kerala, Christian priests are known to chastise believers for stopping at one or two children. In Tamil Nadu, during a NACO (National AIDS Control Organisation) project in 2006, Muslim women spoke about how clerics asked them to show their love for the religion by having many children.
Thus, the swami's is not a lone voice. But being a part of the ruling party, he has the added responsibility to make intelligent statements. His clarification later that it was made at a religious, and not political, gathering doesn't fool anyone.
The third aspect is that such statements yet again shift the focus away from the BJP-led NDA government's development agenda. Sakshi Maharaj's comment comes at a time when there has been a torrential flow of mindless statements and inflammatory campaigns--from Sadhvi Niranjan Jyoti's appalling statement in December to ghar wapsi to love jihad. Such statements and campaigns derail the efforts of any government that wants to work for the people. The BJP may disassociate itself from such statements but it is easier said than done.
And this perhaps is the greatest threat to the BJP faces today. At a time when the Congress is lost in a maze of electoral defeats, and other opposition parties are trying and testing new permutations and combinations, the BJP has an opportunity to prove that it is indeed the party with a difference.
These statements have forced many to ask if the government really wants to go ahead with its development agenda. Or rather, the question is: Will the Right allow Modi to go about with his development agenda?
The government's reiterating that it is focused on development and the nauseatingly frequent polarising statements by the Right is taking farcical dimensions. Even so, the relation between the government and the Right-wing has parallels with the Elizabethan theatre. To break the tension during a tragedy, Elizabethan playwrights were forced to include comic scenes--and the audience loved it. However, the frequent interludes by the Right hampering the smooth functioning of the Modi government are not applauded. The aam aadmi wants development and communal polarisation is not the best stimulus for growth. The likes of Sakshi Maharaj are not helping the government.
Hinduism is not under threat and it does not need the protection of numbers. The best way, perhaps, to serve Hinduism and to propagate it as a wonderful way of life is if the so-called protectors of Hinduism, for a change, try to understand it.
(This appeared in the Hindustan Times on January9)

Tuesday, 4 February 2014

ISC 2014: Lack of resolve cripples India's science vision

Prime Minister Manmohan Singh                               (AFP photo)
Prime Minister Manmohan Singh’s inaugural speech at the Indian Science Congress (ISC) in Jammu reflected India’s research and development (R&D) storyline: big on hope and promises with little to show as results. This numbing monotony was evident in Mr Singh’s speech: as in the past few addresses Mr Singh stressed on the need for affordable innovations in healthcare, sustainable agriculture, clean energy, and more investment from the corporate sector in R&D. This poor show should be attributed to the government’s commitment or lack of it towards basic sciences and R&D in science and technology. In 2003, the government had set a target of increasing its investment in R&D from under 1% to at least 2% by 2007. Seven years later, Mr Singh repeated the same target. Compare this with China, which spends 1.7% of its GDP on R&D, and it is evident why India lags behind.
Mr Singh highlighted the successful launch of the Mars mission and the GSLV, with an indigenous cryogenic engine, and the achievements in the field of atomic energy and high-energy physics, with the effort to develop a Fast Breeder Reactor, a prototype of it under construction in Kalpakkam, Tamil Nadu. He announced a National Mission on High Performance Computing, at the cost of Rs 4,500 crore and a Rs 1,450-crore neutrino-based observatory in Tamil Nadu. While this is a step forward one expected the PM to give concrete plans to promote basic sciences at the school and college level. This, especially after he stressed on the need to improve the ‘quality’ of education. If a majority of Indians think of science only when ISRO launches a satellite, it is because the government has failed to attract young minds to study basic sciences and pursue a career in it. Mr Singh rightly said “we need to ensure that the best among our young people take up science as a career”. Sadly, he made a similar observation in his first speech to the ISC as PM in 2005 when he said “…our best minds are not turning to science, and those who do, do not remain in science”. Almost a decade later the concerns remain.
Mr Singh was spot on when he observed that “science has not yet got its proper due in our value system”. For this it is essential that a conducive environment, with world-class facilities and attractive incentives, is provided. Steps should also be taken to improve and attract science streams of education and research. Unless such steps are taken, India’s ‘superpower’ dreams coupled with a robust economic base will not be fulfilled.

Monday, 7 October 2013

Global AgeWatch Index: Ageing gracefully is not an option in India

In a country that has more than 50% of its population under the age of 35 years, it is expected that the older people are taken good care of, if not revered. That, sadly, is not the case in India where the older people are often seen as cheap labour or as a liability. Instances of children abandoning their parents by the roadside or at old age homes reflect this. The economic pressure and the breakdown of the joint-family system have adversely affected the dignity of life of older people. This plight is worsened as, unlike many developed Western nations, the safety net of social security is absent. As is always the case, when faced with a crisis, it is the older women who doubly suffer.
Given this, it is not surprising that India is ranked at an unimpressive 73 among the 91 countries surveyed as ideal for older people to live. HelpAge International launched on Tuesday the first-ever Golbal AgeWatch Index ranking ‘countries according to the social and economic well-being of older people’. The parameters for developing the index were: the income status (including the pension coverage, poverty rate in old age), health (including life expectancy at 60, and psychological wellbeing), education and employment (including educational status of old people) and the living environment (including physical safety, civic freedom and access to public transport). Sweden tops the list, followed by Norway and Germany. India can take cold comfort in the fact that Pakistan (ranked 89) and Afghanistan (91) are at the bottom of the table. On the other hand, China (35) and Sri Lanka (36) have fared much better. Colombo’s long-term investments in education and healthcare have paid off providing a better standard of living for its older people, and New Delhi should take note of this achievement. The study dispels the myth that the wellbeing of older people is better in wealthier economics. None of the BRICS nations — Brazil, Russia, India, China and South Africa — that accounted for 40% of the global population and 25% of the world’s GDP based on the purchasing power parity in 2012, figured in the top 20 nations on the index. The high ranking of countries like Bolivia and Mauritius showed that smaller economies could also be good places for the old. The West, especially Scandinavian countries, has done well and this is mainly because the system is geared towards the demographic shifts taking place.
India has at present about 8% of its total population above the age of 60 and in the coming decades this is set to increase. The index shows that India’s rank in health is low. This is mainly attributed to the lack of availability of good healthcare facilities in rural India where most of the country’s ageing population resides. Some states, like Kerala, already have a significant number of older people and in the coming decades, unless farsighted policies are implemented, the quality of life for older people will not improve.