tag:blogger.com,1999:blog-64420083242213616162024-02-21T09:43:56.858-08:00NATIONAL ALLIANCE FOR MATERNAL HEALTH AND HUMAN RIGHTS (NAMHHR)“Towards Attaining Highest Quality of Maternal Health for the Marginalized In India”NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.comBlogger80125tag:blogger.com,1999:blog-6442008324221361616.post-2834900723630936922020-06-29T23:57:00.004-07:002020-06-30T00:49:01.488-07:00Status of Maternal Health Services- A Report<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;">By Centre for Health and Social Justice
(CHSJ)<br />
and National Alliance for Maternal
Health and Human Rights (NAMHHR)<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;"><br /></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;">To
strengthen the maternal health services in the country government has taken
various steps such as fix day services, care to pregnant women identified with
some kind of risks, cash incentives and free transport facility for childbirth
in the health facility, mandatory stay for 48 hours at the institution etc. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Centre for Health and
Social Justice (CHSJ) and National Alliance for Maternal Health and Human
Rights (NAMHHR) in collaboration with state networks in five states [Health
Watch Forum in Bihar, Jharkhand Women's Health Network, Dalit Human Rights
Forum-Karnataka (KR), Maternal Health Rights Campaign, Madhya Pradesh (MP), Health
Watch Forum- Uttar Pradesh(UP)] carried out community based monitoring (CBM) of
maternal health services in 2019. The
CBM tools were developed based on the health services entitlements promised
under the programs and as per the Indian Public Health Standards. Real time
data was collected using mobile application namely 'Swasthya Darpan'. Women who
had childbirth in last six months were interviewed for their childbirth
experience; Village level fixed day
services and Primary Health institutions were observed for the status of
maternal health services. Please see following table for the details: </span></div>
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<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">State<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No.
of Districts<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of Villages <o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of women<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of CHC<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of PHC<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of SC<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">No
of VHND<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Bihar<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">58<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">233<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">14<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">17<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">52<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">45<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">JH<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">46<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">201<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">16<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">44<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">KR<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">7<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">93<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">213<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">24<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">54<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">85<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">MP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">7<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">111<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">237<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">20<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">25<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">46<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">47<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">UP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">52<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">234<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">16<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">16<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">23<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">50<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.5pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Total<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.5pt;" valign="top" width="129"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">34<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.05pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">360<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.6pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">1118<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">75<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="111"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">97<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 53.75pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">191<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.2pt;" valign="top" width="86"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">271<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><b><span lang="EN-GB" style="font-size: 14pt; line-height: 115%;">Village Health Sanitation
and Nutrition Days (VHSND)</span></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><b><span lang="EN-GB" style="font-size: 14pt; line-height: 115%;"><br /></span></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">VHSND, a monthly designated day in the village for
carrying out various health related activities among which one of them is
providing maternal health services to pregnant and lactating women. It is
envisaged to be an inclusive and comprehensive space for catering to pregnant
women’s care by administering a range of services. A VHSND is successful when
it fulfils its objectives to ensure that women are given timely services with
utmost care. However in the current scenario the story is otherwise. The CBM
activity looked into three aspects of the VHSND namely human resource,
infrastructure and services administered. Each of these categories had a range
of relevant components that needed to be available for better functioning in
the given domains. Each of the observed components then weregiven a score of 1
if available or as required by IPHS standards and 0 if not available. The
scores were then converted into scores cards in the specific domains. The
status of the VHSND in the various states is as follows:</span><br />
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 564px;">
<tbody>
<tr style="height: 8.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="4" style="border: solid windowtext 1.0pt; height: 8.95pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 281.85pt;" valign="top" width="564"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-size: 9.0pt;">Table 1: Score percentages of the available components at the VHSND<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-size: 9.0pt;">[</span></b><b><span lang="EN-GB" style="font-size: 9.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≤</span></b><b><span lang="EN-GB" style="font-size: 9.0pt;">50 score %= Poor(Red); >50 and </span></b><b><span lang="EN-GB" style="font-size: 9.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≤80 score %= Satisfactory (Yellow); >80 score % = Good (Green</span></b><b><span lang="EN-GB" style="font-size: 9.0pt;">)]</span></b><b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;"><o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 30.7pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 30.7pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">State<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 30.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Human
Resource (%)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 30.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Infrastructure
(%)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 30.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Services
(%)<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Bihar<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">56.8<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">31.1<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">52.3<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">JH<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">61<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">41.5<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">43.5<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">KR<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">51<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">35.8<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">47.9<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">MP<o:p></o:p></span></div>
</td>
<td style="background: #00B050; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">87.5<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">53.1<o:p></o:p></span></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">48.6<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">UP<o:p></o:p></span></div>
</td>
<td style="background: #00B050; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">97.2<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">54.9<o:p></o:p></span></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">59.9<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB">Total<o:p></o:p></span></b></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="184"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">68.9</span></b><b><span lang="EN-GB"> <o:p></o:p></span></b></div>
</td>
<td style="background: red; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB">42.8<o:p></o:p></span></b></div>
</td>
<td style="background: yellow; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.35pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB">50.1<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
</div>
<br />
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">From the data collected, we see that the VHSNDs are still not functioning in the way as desired.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">In the states of Bihar, Jharkhand and Karnataka, the availability of the Human Resource (ANM) status is only satisfactory as many of the ANMs are not present throughout entire day.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">Across all the states, it is evident that even though the ANM is present in person, the status of the infrastructure and services is mostly in poor conditions.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">Most of the VHSNDs across the states have taken place without ensuring the minimum required infrastructure and services available.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">In Bihar services status was in the satisfactory category whereas infrastructure was highly poor with only 31% score percentage of the services present in the VHSND.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">IN Jharkhand and Karnataka both the services and the infrastructure in the VHSND were in the poor category.</span></li>
<li><span lang="EN-GB" style="font-size: 12pt; line-height: 18.4px;">In MP, the human resource fared better, but infrastructure was only 51% score percentage and services worse with 48.6%.</span></li>
<li><span style="text-indent: -18pt;"><span style="font-family: "calibri" , sans-serif;"><span style="font-size: 12pt;">IN UP, human resource was adequately available with 97.2% score percentage, but services and infrastructure fell into the satisfactory category with both falling only slightly above 50% score percentage. </span></span></span></li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Ante Natal Care (ANC) Services<o:p></o:p></span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPqeI5saRQ-9FPocCeFvb5wX-c2preC1T2iVGN64U4ajF8qobIDs8dR_v_GGv3Pneji_VG_V02Ipet1njUXbhpVQw4yav92tAZZCFTJZWTPvG02npio0Duhyi7dJN9DeCeyrWwbcL9S5Q/s1600/SCORE.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="414" data-original-width="658" height="201" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPqeI5saRQ-9FPocCeFvb5wX-c2preC1T2iVGN64U4ajF8qobIDs8dR_v_GGv3Pneji_VG_V02Ipet1njUXbhpVQw4yav92tAZZCFTJZWTPvG02npio0Duhyi7dJN9DeCeyrWwbcL9S5Q/s320/SCORE.jpg" width="320" /></a></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;"><br /></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 10.5pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Overall antenatal care services is
in very poor condition across the four districts<o:p></o:p></span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 10.5pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Receipt of 1<sup>st</sup> ANC in
first trimester- Early registration leads to early care and prevention. Not all
women were registered in the first trimester. Around 30% were registered after
the 1<sup>st</sup> trimester. <o:p></o:p></span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 10.5pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Minimum ANC check-up required is
four for every woman, however, only 24.2% of the women had 4 or more ante natal
checkups, 26% had 3 check ups and around 50% had only 2 or lesser check-ups. Except
in Karnataka, where less than 50% women had a full four ante natal check-up. In
Bihar and Jharkhand, the proportions are abysmally low with less than 10% women
receiving 4 ANCs which defeats the whole purpose of reducing maternal morbidity
and mortality.</span></li>
</ul>
</div>
</div>
</div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNormal">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9TTqdlhkm0W4jNTihbXRTD1SMCGg7dCaOT5f-VOejbp8crs5Qh0g4AIcvBhDrPDtsEkmHAsC9Fpmn_CEFRCNdBsACPGLeKiqlf67HDi7tm3w-DaAwcV8ZBQKziiRw47zTYJ4bdacIJGA/s1600/scrn_table.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="315" data-original-width="461" height="218" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9TTqdlhkm0W4jNTihbXRTD1SMCGg7dCaOT5f-VOejbp8crs5Qh0g4AIcvBhDrPDtsEkmHAsC9Fpmn_CEFRCNdBsACPGLeKiqlf67HDi7tm3w-DaAwcV8ZBQKziiRw47zTYJ4bdacIJGA/s320/scrn_table.jpg" width="320" /></a></div>
<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;"><br /></span></b>
<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;"><br /></span></b>
<br />
<div align="center">
<br /></div>
</div>
</div>
<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;"><br /></span></b>
<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Status of services provided during ANC:</span></b><br />
<div align="center">
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 519px;">
<tbody>
<tr style="height: 8.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="6" style="border: solid windowtext 1.0pt; height: 8.95pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 259.4pt;" valign="top" width="519"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">Table 3: Proportion of women received ANC services<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 6.6pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">State<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≥</span><span lang="EN-GB" style="font-size: 10.0pt;"> 3 BP check up<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≥</span><span lang="EN-GB" style="font-size: 10.0pt;"> 3 Hb test<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≥</span><span lang="EN-GB" style="font-size: 10.0pt;"> 3 Urine test</span><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">≥</span><span lang="EN-GB" style="font-size: 10.0pt;"> 3 Abdominal check</span><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">100 IFA tab<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">Bihar<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">10.3%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">6.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">5.6%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">11.6%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">87.1%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">JH<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">16.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">5.5%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">5%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">13.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">71.6<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">KR<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">92%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">88.2%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">46.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">81%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">93%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">MP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">48.5%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">42%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">30.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">30.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">83.1%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">UP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">35.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">38.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">21.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">37.2%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 10.0pt;">77.8%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.6pt;" valign="top" width="73"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">Total<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">40.5%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="82"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">36.2%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.95pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">22.9%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="113"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">34.8%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 10.0pt;">82.6%<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
</div>
<div class="MsoNormal">
</div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Across all
the states, from among the ante natal tests and checkups, most of the women
received Iron Folic Acid Tablets during the pregnancy period. Other tests were
not received as per the minimum mandated standard. It jeopardizes the purpose
of early detection of risks or to monitor the improvement in health of the
pregnant woman. </span></li>
<li><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Across the 4 states, leaving Karnataka, less than 50% of the women received
the mandated check-ups of blood pressure, haemoglobin, urine tests and
abdominal examinations. In the states of Bihar and Jharkhand, the situation is
very poor with less than 20% women receiving three or more check -ups.</span></li>
</ul>
<br />
<div class="MsoNormal">
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</w:wrap></v:imagedata></v:shape><b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Place of delivery<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">As a result of consistent and multidimensional
approach of the government significant no. of births have happened in an
institution- around 69% in a government facility and around 14.2% in a private
facility. Of all the births taken place, around 15% took place at home; few
births took place while on the way to institution.</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixJ5PCQt8oenND34vgqn1GmxFZ9ob6_ydOudu4lplQiHBo53TnZy3l2EfsuRp_ndPmYuJEjihKKvWPmPj6zsBg_qSCADaZa8x5H7n0oMKn1a_mvA2TN-lurRRpCOjJA41aOZjyRFxAup8/s1600/WhatsApp+Image+2020-06-30+at+10.59.22.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="229" data-original-width="322" height="227" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixJ5PCQt8oenND34vgqn1GmxFZ9ob6_ydOudu4lplQiHBo53TnZy3l2EfsuRp_ndPmYuJEjihKKvWPmPj6zsBg_qSCADaZa8x5H7n0oMKn1a_mvA2TN-lurRRpCOjJA41aOZjyRFxAup8/s320/WhatsApp+Image+2020-06-30+at+10.59.22.jpeg" width="320" /></a></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Experience in the Labour Room<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Although govt. Encouraged women to come to the health
institution for the childbirth but still Privacy, respect and dignity for the
woman in child birth to get there yet seems to be a remote dream as seen in the
table below:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">A large
proportion of women across the states reported having been touched
inappropriately while in labour, in UP, MP and Bihar it was more than 50%. </span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Except MP,
in all the states, a small proportion of women were physically abused, verbally
abused and passed undignified comments. </span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Birth
companions were not allowed in the labour room. In Bihar and UP, 40% of the
women reported birth companion not allowed, In Jharkhand and Karnataka it was
higher with 60.6% and 73.7% respectively. </span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">The influx
of other people into the labour room was also common, mostly in Bihar,
Karnataka and UP.</span></li>
</ul>
<div>
<div align="center">
<div align="center">
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 591px;">
<tbody>
<tr style="height: 8.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="7" style="border: solid windowtext 1.0pt; height: 8.95pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 295.35pt;" valign="top" width="591"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">Table 4: Behaviour experienced by women in the labour room<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 6.6pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">State<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Entry of other people</span><span lang="EN-GB" style="font-size: 8.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Companion not allowed</span><span lang="EN-GB" style="font-size: 8.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Physical Abuse<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Verbal Abuse<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Inappropriate<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">touch<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Undignified comments<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">Bihar<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">25%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">43.7%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">2.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">6.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">50.6%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">1.1%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">JH<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">2.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">60.6%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">1.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">3.5%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">36.6%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">3.5%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">KR<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">14.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">73.7%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">1.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">1.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">23%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">.5%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">MP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">36.3%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">59.7%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">0<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">UP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">32.5%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">40.4%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">2%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">1%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">57.1%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 8.5pt;">5%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 29.2pt;" valign="top" width="58"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">Total<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.65pt;" valign="top" width="69"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">16.6%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.55pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">50.7%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 38.4pt;" valign="top" width="77"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">1.5%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.35pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">2.5%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.7pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">45.6%<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.5pt;" valign="top" width="137"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 8.5pt;">1.1%<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
</div>
</div>
</div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Out of pocket Expenses<o:p></o:p></span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpJo45n_Wrgk5cOzAeS6_ntHCVzQVbFqKvcRWiTLCvMQi_wa1YssC18JNQWO06HwygXHRccl9EGwKb9ZD-JGPPjZPUUAyN87HJYyK7hQMN-1XWUKa7WSdAtt2m53uCWzysfKWNwo2Ozyk/s1600/scr.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="322" data-original-width="980" height="131" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpJo45n_Wrgk5cOzAeS6_ntHCVzQVbFqKvcRWiTLCvMQi_wa1YssC18JNQWO06HwygXHRccl9EGwKb9ZD-JGPPjZPUUAyN87HJYyK7hQMN-1XWUKa7WSdAtt2m53uCWzysfKWNwo2Ozyk/s400/scr.jpg" width="400" /></a></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;"><br /></span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Of those
who had institutional births (954), 88% had to shed money from their own
pockets.</span></li>
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Of those
who had some out of pocket expense, around 22.3% spent more than Rs5000, 13.4%
spent between Rs. 2001- Rs 5000, 63.4% spent Rs 2000 or lesser which raises question on free availability of
childbirth services!</span></li>
</ul>
<div>
<br /></div>
<br />
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Ambulance Service<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 10.5pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Free ambulance service to go to the
institution was received only by 32 % of the women; while for for returning
home, lesser women, around 19.8% only received free ambulance.<o:p></o:p></span></li>
</ul>
<div>
<b><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"> Post Partum Care </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbTAs_w2Z029GV1wAWnUx0tUXJcQineC5QtSEHj-PNFbsfFm3cVHSoUR5IW45TyfCxK6LBY0e83qPmxkt8OQfuO3l4fuUCmT6_69YONg982GrRQzama4cph0HyakgMIxrg6MS8JDXA4qM/s1600/scr6.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="341" data-original-width="547" height="199" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbTAs_w2Z029GV1wAWnUx0tUXJcQineC5QtSEHj-PNFbsfFm3cVHSoUR5IW45TyfCxK6LBY0e83qPmxkt8OQfuO3l4fuUCmT6_69YONg982GrRQzama4cph0HyakgMIxrg6MS8JDXA4qM/s320/scr6.jpg" width="320" /></a></div>
<div>
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"> A comprehensive maternal care is not complete without
providing care after the childbirth. Many women die post child birth or develop
some kind of complications. Even though health workers are supposed to make
regular visits to the woman’s house, we see that the situation is in an
unsatisfactory state.</span></div>
<div>
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<br />
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<ul style="text-align: left;">
<li><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">A huge
proportion of 44% had just one or no visit by the health worker</span></li>
<li><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Around 49%
had a health worker visit 2-4 times post delivery</span></div>
</span></li>
<li><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Only 6.9%
of the women had a health worker visit 5 times or more after delivery</span></div>
</span></li>
</ul>
<div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Receipt of the maternity schemes<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.5pt;">Janani Suraksha Yojana (JSY)</span></b><br />
<div align="center">
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 575px;">
<tbody>
<tr style="height: 8.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="3" style="border: solid windowtext 1.0pt; height: 8.95pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 287.4pt;" valign="top" width="575"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Table 3: JSY Scheme availed by women<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 6.6pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">State<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Received
JSY<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 6.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Paid
bribe to receive(n=those who received)<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Bihar<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">33.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">54.4%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">JH<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">8.9%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">22.2%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">KR<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">26.8%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">0<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">MP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">46.2%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">2.7%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">UP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">37.2%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">24.1%<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 14.95pt; mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.6pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">Total<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">31.3%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 14.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="255"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-size: 12.0pt; mso-bidi-font-size: 10.5pt;">20.1%<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
</div>
</div>
<div>
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">
</span>
<br />
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">
</span>
<br />
<ul style="text-align: left;"><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">
<li><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-left: 18.0pt;">
<span style="font-family: "calibri" , sans-serif; font-size: 12pt; text-indent: -18pt;">All eligible women did not receive
the JSY fund. More than 50% of the women in Bihar had to pay bribe to avail the
JSY scheme. IN JH, MP and UP, around 20% of the women had to pay a bribe to get
the money. </span></div>
</span></li>
</span></ul>
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">
<br />
</span><br />
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;">Overall
situation throws challenges to address the grey areas like continuity of care,
quality ANC and PNC, Care with respect and dignity and free childbirth services
and timely receipt of the maternity entitlements promised under various schemes
and programs. To achieve the sustainable Development Goal (#3) it is important
to ensure the continuum of care and quality maternal health services. </span></span></div>
</div>
<ul style="text-align: left;">
</ul>
</div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-21710368369121481052020-06-29T23:01:00.002-07:002020-06-29T23:04:52.725-07:00MATERNAL DEATHS IN MADHYA PRADESH DURING LOCKDOWN APRIL-MAY 2020<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
<span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;">As the country went
into an unplanned lockdown towards the end of March, the maternal health
services went from bad to worse. From not getting access to ambulances services
to not being admitted pregnant women suffered with various complications and
some even died. Below are a compilation of 8 maternal deaths from the districts
of Chhindwada, Sheopur, Datia, Rewa, Indore ,Shivpuri in Madhya Pradesh which
were reported in the news and collected from the field in April and May 2020.</span></div>
<div style="text-align: justify;">
<span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"><br /></span></div>
<div class="MsoCaption" style="font-family: Calibri, sans-serif; font-size: 14.6667px; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;"><b>Maternal Death during Covid 19 lockdown</b><o:p></o:p></span></div>
<div class="MsoCaption" style="font-family: Calibri, sans-serif; font-size: 14.6667px; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;"><b><br /></b></span></div>
<span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"></span><br />
<div class="MsoCaption" style="font-family: Calibri, sans-serif; font-size: 14.6667px; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;"><b>1. </b></span><b><span style="font-size: 11pt; line-height: 16.8667px;">Chhindwara, Madhya Pradesh - </span><span style="font-size: 11pt; line-height: 16.8667px;">Newspaper PatrikaChhindwara dated 9.4.20</span></b></div>
<div style="text-align: justify;">
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<div style="text-align: justify;">
On 30<sup>th</sup>
March 26 year old Monica came to the District Hospital alongwith her husband as
she had<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj34qAx5VRFbwkWCsBxUnexbfsuBNkI6prA7Pfy5gXrK4TsdC-IQHIvBBBacVTNE4iWdWSi-1P2uiwQ2C-I81Pv7j2qB6ZnD2HHGCe86uwB9eMt9oH5TjgAxRppWxYXugCYwycpmM-LQrM/s1600/WhatsApp+Image+2020-06-30+at+11.04.18.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="213" data-original-width="231" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj34qAx5VRFbwkWCsBxUnexbfsuBNkI6prA7Pfy5gXrK4TsdC-IQHIvBBBacVTNE4iWdWSi-1P2uiwQ2C-I81Pv7j2qB6ZnD2HHGCe86uwB9eMt9oH5TjgAxRppWxYXugCYwycpmM-LQrM/s1600/WhatsApp+Image+2020-06-30+at+11.04.18.jpeg" /></a></div>
started having labour pain. She reached at 7 a.m. but was not given any
treatment till 12 noon. Due to repeated seizures and severe labor pain she
became unconscious. The nursing staff took her to the labour room and she
delivered a baby girl in the unconscious state. The doctor sensed the
complication and referred her to Nagpur but the department staff delayed the
formalities and she was discharged only after an hour which further worsened
her condition. The woman died on the third dayof her delivery in Nagpur.</div>
<span style="font-family: "calibri" , sans-serif; font-size: 11pt;"></span><br />
<div style="text-align: justify;">
<span style="font-family: "calibri" , sans-serif; font-size: 11pt;"><span style="font-size: 11pt;">The
doctor and the nurse of the District Hospital are attributing the death to high
blood pressure but the family is of the opinion that the delay in treatment was
the cause. The family has also revealed that the hospital staff behaved rudely
and demanded money post the delivery in the name of gift. The woman’s mother
could not refuse as she wanted her daughter’s treatment to go on smoothly</span></span></div>
<span style="font-family: "calibri" , sans-serif; font-size: 11pt;">
</span><br />
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
The
family has put a complaint on the CM helpline. The civil surgeon has assured of
enquiry and strict action.<o:p></o:p></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="background: white; font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;">When whole health system is
fighting to prevent and control the spread of Covid 19 pandemic, maternal
health and reproductive health services somewhere got compromised. But a
country like ours cannot afford even a small negligence as it will take us
many years back. We have come so far in reducing the maternal death rate and
health system needs to come up with a plan ensuring each childbirth to be safe
and healthy.</span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="background: white; font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"><br /></span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="background: white; font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"><b>2.</b></span><b style="text-indent: -18pt;"><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></b><b style="text-indent: -18pt;">Sheopur,
Madhya Pradesh (MP)</b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
Manav
Foundation is a member of the Maternal Health Rights Campaign (MHRC-MP) and of
NAMHHR. The organisation is working with the Saharia tribal community in the
Sheopur district of Madhya Pradesh since many years. This tribe has been
classified as the Particularly Vulnerable Tribal Group (PVTG) in Madhya
Pradesh. Organisation’s district coordinator who had gone to the District
Panchayat office for some work learnt about a case of maternal death that had
occurred at the district hospital a few days ago. This information had come
through the department’s call centre. He contacted the doctor at the district
hospital followed by the woman’s family to get more information about the case. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
23
year old Parvati, resident of Kalarna village was in the 9<sup>th</sup> month
of her pregnancy. This was her 2<sup>nd</sup> pregnancy and she had come to her
parents’ house in Ochhapura village a few days prior to the lockdown. Her
pregnancy was registered in the month of November and she received her 1<sup>st</sup>
TT shot and had her ANC. Her weight at the time of ANC was 48 kg and Hb was
9gm. Parvati did not receive a second ANC nor a TT shot.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
On 5<sup>th</sup>
April late in the night Parvati went into labour and her family members called
for the ambulance. They went straight to the District Hospital (DH) and had to
pay 400rs to the driver. They reached around 1:30 a.m. when the nurse put her
on saline. On 6<sup>th</sup> April from
morning till night no medical staff came for any checkup or to give medication.
Post-midnight Parvati started feeling breathless and died after some time.
Parvati’s mother ShyamBai said that no one paid any attention to my daughter
and she was not given any treatment. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
The
medical staff at the district hospital said that the family was missing from
the ward from 5am to 3pm and therefore they were unable to check on Parvati.
However, ShyamBai said that this was not true as they had only stepped out for
half an hour to have food and no medical staff had come prior to that nor
later.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
The organisation will submit a
memorandum to the CMHO and other department authorities highlighting the
negligence of the health officials and demanding a strategy to be made to
ensure safe childbirth in the area.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
The negligence on the part of the health department is
condemnable. Is this because Parvati was a tribal woman and her life did not
matter? Or because the health department’s entire focus right now is on the management
of Covid cases? As a country committed
to SDG 5 to reduce the maternal death, can we afford such kind of negligence
which jeopardizes all efforts done so far in this direction? <o:p></o:p></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;">There is a need to ensure the availability of
maternal health care and services while trying to fight a pandemic since
childbirth is natural and will keep on happening in its own due course. It is
the health department’s responsibility to make special provisions to ensure
safe childbirth</span><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;"> even in the time of a pandemic so that no woman
or child has to suffer.</span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;"><b><span style="background: white; color: #222222; font-size: 11pt; line-height: 115%;">Compiled by: Manav
Foundation (Sheopur, Madhya Pradesh) and SEHER- A unit of CHSJ</span></b></span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;"><b><span style="background: white; color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></b></span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;"><b><span style="background: white; color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></b></span></div>
<div class="MsoCaption" style="margin-bottom: 0.0001pt; text-align: justify;">
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<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"><b>3.</b></span><span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]--><b>Indore, Madhya Pradesh</b> -Newspaper
NaiDuniaBundelkhand dated
13.4.20<o:p></o:p></div>
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<br /></div>
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</v:shape><![endif]--><!--[if !vml]--><!--[endif]-->On 10<sup>th</sup>
April Dipa reached the M.Y Hospital in Indore with her husband Suraj. Her
husband has reported that the doctor in the hospital did not even come close to
the patient and prescribed a few medicines without any checkup. Suraj took Dipa
to a nearby private hospital where they demanded Rs.25000/- to be deposited.
Suraj requested for sometime to arrange the money but by the time he came back
the private hospital refused to admit Dipa and asked them to go back to M.Y
Hospital. By the time the couple reached the hospital Dipa died. The postmortem
was also delayed by a day.<o:p></o:p></div>
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<br /></div>
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Suraj
now wants to file a complaint in the local police station against the negligent
hospital staff but he is being turned away from the police station as well.<o:p></o:p></div>
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<br /></div>
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<span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">It
is hard to understand the reason behind the apathetic behavior by the health
staff at the M.Y hospital. They should have immediately admitted Dipa and
started her treatment. What was the reason for such a discriminatory behavior
against her is beyond understanding. An
innocent life lost due to sheer negligence of the medical personnel presents a
very grim and worrisome picture of the health system.</span></div>
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<span style="background: white; color: #222222;">Compiled by: SEHER- A unit of CHSJ</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="background: white; color: #222222;"><br /></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="background: white; color: #222222;"><b>4.</b> </span><b style="text-align: justify; text-indent: -18pt;">Datia, Madhya
Pradesh (MP)</b><span style="text-align: justify; text-indent: -18pt;"> -</span><span style="text-align: justify; text-indent: -18pt;">Newspaper </span><span style="text-align: justify; text-indent: -18pt;">DainikBhaskarDatia dated 14.4.20</span></div>
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of the Maternal Health Rights Campaign (MHRC-MP) and<o:p></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhclkQKKhhXnBCm4Ovg_Zjr2QrtWZSmUQLs4VX15Y-pl3KLE3NDyc4AugNZOqRRL9pjPyWpy96pjptwt2-d_5tNlkIU_VRYJ4bJQi_4eVpmMMpy9DOLJd90mC3nmTbFVDvWBkzdyahrmjY/s1600/WhatsApp+Image+2020-06-30+at+11.05.38.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="193" data-original-width="225" height="274" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhclkQKKhhXnBCm4Ovg_Zjr2QrtWZSmUQLs4VX15Y-pl3KLE3NDyc4AugNZOqRRL9pjPyWpy96pjptwt2-d_5tNlkIU_VRYJ4bJQi_4eVpmMMpy9DOLJd90mC3nmTbFVDvWBkzdyahrmjY/s320/WhatsApp+Image+2020-06-30+at+11.05.38.jpeg" width="320" /></a></div>
NAMHHR. The organisation
works in Datia district of Madhya Pradesh in two blocks with the marginalized
communities such as Saharia tribes, dalits, differentially abled etc on issues
of health, gender, livelihood etc. On reading about the news of maternal death
in the local newspaper the district coordinator met the family members to get
more information and then had dialogue with the Civil Surgeon.<br />
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21 year old Varsha had a normal childbirth on April 12<sup>th </sup>at
about 4p.m she gave birth to a healthy baby but she died 6 hours later in the
District Hospital itself. Her mother in law who had accompanied her said that
the Nurse had not put stitches post the childbirth due to which there was a lot
of blood loss. When the mother in law asked the nurse to put the stitches she
was told that first the cleaning will happen and then the stitches will be put.
Varsha was not shifted to a bed even. To stop the blood flow the nurse roughly
inserted a thick cotton cloth and some cotton in the vagina which caused severe
pain to Varsha. She kept writhing in pain but the nurses paid no attention to
her. Her mother in law also said that Varsha was also slapped by the nurses
during labour and post-childbirth. When Varsha’s pain increased the mother in
law called the nurse but she was sent out of the room instead. Varsha continued
to bleed and eventually died after 6 hours. After her death the hospital staff
made her husband, Santosh, sign on some papers after which the doctor was
called.<o:p></o:p></div>
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Varsha had received both tetanus shots and as
per her ANC done in February her weight was 40kg and Hb 9.6gm. As per the
family Varsha had no problem in her pregnancy period. <o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9dxWvdYYoLw9B1ACGs3X7ZS7ef9zI9msDASQtnWzKM4VJKXa1vpQrlykG7QNthmtxXrcfbnmlih6tFD1-vGUrFBFxc_cTRwZY1NMqY5fJcG5fN4Ug0GFjN_rCc0zMivj4hbc7QoDIXfU/s1600/WhatsApp+Image+2020-06-30+at+11.06.38.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="74" data-original-width="223" height="132" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9dxWvdYYoLw9B1ACGs3X7ZS7ef9zI9msDASQtnWzKM4VJKXa1vpQrlykG7QNthmtxXrcfbnmlih6tFD1-vGUrFBFxc_cTRwZY1NMqY5fJcG5fN4Ug0GFjN_rCc0zMivj4hbc7QoDIXfU/s400/WhatsApp+Image+2020-06-30+at+11.06.38.jpeg" width="400" /></a></div>
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</v:shape><![endif]--><!--[if !vml]--><!--[endif]-->Civil
surgeon’s opinion is that the death happened due to blood clotting and not
bleeding. He says that if it was because of the negligence of the doctor or the
nursing staff then Varsha would have died during or immediately after
childbirth. He thinks that most probably the death has been caused by shock
after 6 hours. Varsha’s mother in law said that none of the nursing staff came
for any checkup post-childbirth inspite of her repeated requests. It was only
after the family protested that the post mortem was postponed till the next
morning and was done in the presence of the police. The reason stated in the
post mortem was pulmonary collapse. <o:p></o:p></div>
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The family has filed a complaint with the
police against the negligence of the doctor and the nursing staff. The Civil
Surgeon has said that the CMHO will appoint a committee for the maternal death
review which will bring more clarity on the cause of death.<o:p></o:p></div>
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The organisation will
extend all possible support to the aggrieved family so that the police
complaint filed by them is appropriately dealt with. In addition, they will
submit a memorandum on behalf of the campaign demanding strict action against
the doctor and nursing staff accused of negligence and to devise strategy to
provide better health services.<o:p></o:p></div>
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It is the health
department’s responsibility to provide quality healthcare services to each
woman who comes for childbirth. The woman needs to be given complete care until
she feels completely fine post-childbirth. One major aspect of quality
healthcare services is the behavior of the health staff and the incident of
slapping Varsha during and post labour is extremely disgraceful and
condemnable.<o:p></o:p></div>
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It is our aim to provide
safe childbirth services to every woman and to make efforts to reduce maternal
mortality which will not be possible if such cases of negligence are not dealt
with. <o:p></o:p></div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Compilation:
SwadeshGramotthanSamiti (Datia, Madhya Pradesh) and Seher- a unit of CHSJ</span></b></div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">5. </span></b><b style="text-align: justify; text-indent: -18pt;">Rewa, Madhya
Pradesh (MP)</b><span style="text-align: justify; text-indent: -18pt;">–NewspaperDainikJagranRewa dated
23.4.20</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
SrijanSevaSamiti
is a member of the Maternal Health Rights Campaign (MHRC-MP) and of<o:p></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSesfX44fGYG7N7N44QIKTbfaOFH8ZLACtiX294eM7RLzVFSNfvhD7QFrXins-9l2dvRYLomNVcpiVI8utwU946_SmrpUMypYI8P41mutzClu3T4rY3RX5kuycidK4YwFpb6sY1gA0h7A/s1600/WhatsApp+Image+2020-06-30+at+11.06.55.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em; text-align: justify;"><img border="0" data-original-height="196" data-original-width="290" height="270" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSesfX44fGYG7N7N44QIKTbfaOFH8ZLACtiX294eM7RLzVFSNfvhD7QFrXins-9l2dvRYLomNVcpiVI8utwU946_SmrpUMypYI8P41mutzClu3T4rY3RX5kuycidK4YwFpb6sY1gA0h7A/s400/WhatsApp+Image+2020-06-30+at+11.06.55.jpeg" width="400" /></a></div>
<div style="text-align: justify;">
NAMHHR. The
organisation is working with the tribal communities in the Rewa district of
Madhya Pradesh since many years.On reading about the news of maternal death in the local newspaper the district
coordinator tried to contact the family members. However, since the couple was
the only ones who had migrated from another district for work and the husband
had gone back to his hometown there was no one to provide more information. The
ASHA was contacted but she did not have much information.</div>
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<span style="background: white;">On the
evening of 23<sup>rd</sup> April, a pregnant woman was admitted to the Sanjay
Gandhi Medical Hospital as her labour pains had begun. She had a little
discomfort in breathing as well. The doctors started her treatment but her
condition did not improve and in sometime the baby died inside the womb itself.
The woman’s condition started deteriorating and her difficulty in breathing
increased. With suspicion of her suffering from Covid the doctors shifted her
to the isolation ward and sent her sample for testing. However, with no
improvement in her condition the woman died on the morning of 24<sup>th</sup>
April. She was found to be Covid negative as per her reports which came the
next day. <o:p></o:p></span></div>
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<span style="background: white;">As per
the head of the pediatrics department the woman was suffering from severe
pneumonia and therefore as per the government guidelines she was shifted to the
isolation ward. Her death happened before the test reports came, but instead of
waiting for the report , department did her cremation considering her a corona
patient, depriving her family to observe her list rites.<o:p></o:p></span></div>
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<span style="background: white;">This
death clearly shows negligence on part of the healthcare providers. Either it
was the incompetence of the doctors who could not ascertain the cause of the
woman’s deteriorating condition or the ill equipped facility which was not
prepared to handle an emergency situation. The fear of Covid has cost us
another neonatal and maternal life which may have been saved with better
responsiveness from the health department.<o:p></o:p></span></div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Compilation:
SrijanSevaSamiti (Rewa, Madhya Pradesh) and Seher- a unit of CHSJ</span></b></div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">6. </span></b><b style="text-align: justify; text-indent: -18pt;">Shivpuri,
Madhya Pradesh (MP)</b><span style="text-align: justify; text-indent: -18pt;">- Newspaper
NaiDuniaShivpuri dated 4.5.20</span></div>
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20 year old Sonam’s husband is stuck in Delhi due to the
lockdown and therefore she decided to go to</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKvQtb93OVTImuYpxOpyg1pd2p0exTsTzHsjEoHMcDOvCUqwyqONCqmtsSnNyJgjYPwxU2ZR3M0Z_15_9NdOlLNqVPsoutWPPdkD6VTPYLzWTjkNOH4Q7R-9f_RcSClPxmBCSNUBu0-qk/s1600/WhatsApp+Image+2020-06-30+at+11.07.22.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="274" data-original-width="223" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKvQtb93OVTImuYpxOpyg1pd2p0exTsTzHsjEoHMcDOvCUqwyqONCqmtsSnNyJgjYPwxU2ZR3M0Z_15_9NdOlLNqVPsoutWPPdkD6VTPYLzWTjkNOH4Q7R-9f_RcSClPxmBCSNUBu0-qk/s400/WhatsApp+Image+2020-06-30+at+11.07.22.jpeg" width="325" /></a></div>
her parent’s house for childbirth.
However, she died post childbirth in the absence of healthcare facilities. The
doctor who was on duty at the Pichhor health centre said that Sonam was alone
at home when her labour pains started and by the time her family members came
back from their day’s work in the field she had already given birth to the
baby. Seeing her condition they immediately took her and the newborn to the
health centre but she died by the time she reached the hospital. As per the
doctor the cause of death was excessive bleeding. The newborn is reported to be
doing fine.<br />
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The partner organisation of Maternal Health Rights Campaign
(MHRC) in Shivpuri district is trying to get in touch with Sonam’s family to
get more information about her death.</div>
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This case clearly shows that there is a need to constantly
keep in touch with the pregnant women especially those identified as high risk
and are in their third trimester. Here role of front line worker and family is
very important to understand as both of them are missing in this case. Also, one needs to educate the care givers of
the woman about the possible risks and how they need to be alert about the
woman’s health and to be better prepared. In case the women is alone then we
need to identify local support for her from the community so that she can be
taken to the hospital and can get medical assistance on time as required.</div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Compilation:
Maternal Health Rights Network (MHRC- Madhya Pradesh) and Seher- a unit of CHSJ</span></b></div>
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<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">7. </span></b><b style="text-indent: -24px;">Morena, Madhya Pradesh (MP)</b><span style="text-indent: -24px;">- </span><span style="text-indent: -24px;">Newspaper </span><span style="text-indent: -24px;">DainikBhaskarMorena and Patrika dated 5.5.20</span><br />
<span style="text-indent: -24px;"><br /></span>
<span style="text-indent: -24px;"><br /></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiADVeBk_tZSo5EwWZf6eyzA_X8J7uhk85yl8xdyRyHCihejW4Y42T8tKoWFB0Xi4plUjQIQQuIP5lLeDsWjNMBdls8mcC4jvqcJzv9SNHWJsBAqxcHNgG7mb-2ou7Ws8kBjP8sg5d1gq4/s1600/WhatsApp+Image+2020-06-30+at+11.08.03.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWzb0RGJH3WEmYqiG9Kc14a7FtDODvv1DRei48izMREKznK6xxcMgx7Dr19h521sEmPmz3VnyhbZ_XSa38YAi-l42RyMzJ0GWW5ovuWbNuQBfpakgUc7PFN_cWAKIABnOm7q5kkGoYyMg/s1600/WhatsApp+Image+2020-06-30+at+11.08.31.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="181" data-original-width="365" height="158" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWzb0RGJH3WEmYqiG9Kc14a7FtDODvv1DRei48izMREKznK6xxcMgx7Dr19h521sEmPmz3VnyhbZ_XSa38YAi-l42RyMzJ0GWW5ovuWbNuQBfpakgUc7PFN_cWAKIABnOm7q5kkGoYyMg/s320/WhatsApp+Image+2020-06-30+at+11.08.31.jpeg" width="320" /></a><img border="0" data-original-height="148" data-original-width="269" height="176" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiADVeBk_tZSo5EwWZf6eyzA_X8J7uhk85yl8xdyRyHCihejW4Y42T8tKoWFB0Xi4plUjQIQQuIP5lLeDsWjNMBdls8mcC4jvqcJzv9SNHWJsBAqxcHNgG7mb-2ou7Ws8kBjP8sg5d1gq4/s320/WhatsApp+Image+2020-06-30+at+11.08.03.jpeg" width="320" /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWzb0RGJH3WEmYqiG9Kc14a7FtDODvv1DRei48izMREKznK6xxcMgx7Dr19h521sEmPmz3VnyhbZ_XSa38YAi-l42RyMzJ0GWW5ovuWbNuQBfpakgUc7PFN_cWAKIABnOm7q5kkGoYyMg/s1600/WhatsApp+Image+2020-06-30+at+11.08.31.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-size: 7pt; text-indent: -18pt;"> </span></a><o:p></o:p></div>
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23 year old Mamta who was seven months pregnant was referred
from Ambah CHC toMorena DH as her condition was not good and she was bleeding.
She was admitted around 9 p.m. on 3<sup>rd</sup> May 2020 and the nursing staff
had put her on saline. The doctor on duty was not present in the hospital and
the nursing staff did not pay any attention to Mamta’s condition. She kept
suffering the entire night with continuous bleeding and died at 7a.m. in the
morning. The family members have alleged that Mamta was probably dead but still
the nursing staff hurriedly came and put her on saline and also gave an
injection. They were also making arrangements to refer her to Gwalior to avoid
but the ambulance driver refused and then a senior nurse came and informed the
family of Mamta’s death. Instead of sending the body for post mortem they again
took her to the ward. The family members and others from the community came and
protested outside the collector’s house demanding action. The local police
intervened and assured the family of appropriate action but to first let the
post- mortem to happen. This pacified the family a little bit and they returned
to the hospital.</div>
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A committee has been set up by the
Civil Surgeon to look into the matter and the report is expected to be produced
within a week.</div>
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Maternal Health Rights Campaign
(MHRC-MP) is actively working in this district and the partners went and met
the CMHO on 5<sup>th</sup> May 2020 to discuss the case. The CMHO said that
when Mamta arrived at the DH the doctoron duty immediately examined her. It was
found out that Mamta had not received any ANC, her Hb level was low and she
started having seizures due to high BP. It was a case of eclampsia and they
were unable to save her. The CMHO said that the committee will submit a report
based on the Post mortem report.</div>
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The MHRC group is trying to get in
touch with the family for further details and will follow up the case with the
CMHO once the enquiry report is out. The group is also advocating for
initiation of VHND services in their area in the lockdown period as the ante
natal checkups should not be delayed to avoid such adverse circumstances. The
group also routinely monitors the VHND to keep a check on the quality of care being
provided to the women and children. </div>
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<b style="text-align: justify; text-indent: -18pt;"><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Compilation:
Maternal Health Rights Network- Morena Unit (MHRC- Madhya Pradesh) and Seher- a
unit of CHSJ</span></b></div>
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<b><span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;">8. Sheopur, Madhya
Pradesh (MP)</span></b><span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"> - </span><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Newspaper
NaiduniaSheopur dated 14.4.20
and Patrika 15.4.20</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEik6gSaicKsbpcO2Cq6fWpzsjiti-PGd0bz3me-8FrIf05WciFajnapGNO1VSUERurSGDLsJjlw1uT0pW6bOLY1iktL9U-wGuGd2crxiVMyQfeOpXRujuU9zFFf3dAaRFuHCfLZfHlpdl8/s1600/WhatsApp+Image+2020-06-30+at+11.09.13.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3AsR8ysRnvjVHq2VKB_USnzRcDCtAwrBew2cBuyE_9hQPHJFsV7Ar42kahzMk3hJd4u2-rhgW836kOUuh-YnBmfP_nzkQTeXjdAukY2eAjm8O4fGaevfzrHfwYdvWyHCfEI0qmIattr0/s1600/WhatsApp+Image+2020-06-30+at+11.09.40.jpeg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="382" data-original-width="231" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3AsR8ysRnvjVHq2VKB_USnzRcDCtAwrBew2cBuyE_9hQPHJFsV7Ar42kahzMk3hJd4u2-rhgW836kOUuh-YnBmfP_nzkQTeXjdAukY2eAjm8O4fGaevfzrHfwYdvWyHCfEI0qmIattr0/s320/WhatsApp+Image+2020-06-30+at+11.09.40.jpeg" width="193" /></a><img border="0" data-original-height="413" data-original-width="232" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEik6gSaicKsbpcO2Cq6fWpzsjiti-PGd0bz3me-8FrIf05WciFajnapGNO1VSUERurSGDLsJjlw1uT0pW6bOLY1iktL9U-wGuGd2crxiVMyQfeOpXRujuU9zFFf3dAaRFuHCfLZfHlpdl8/s320/WhatsApp+Image+2020-06-30+at+11.09.13.jpeg" width="177" /></div>
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<span style="text-align: justify;">Manav
Foundation is a member of the Maternal Health Rights Campaign (MHRC-MP) and of
NAMHHR. The organisation is working with the Saharia tribal community in the
Sheopur district of Madhya Pradesh since many years. This tribe has been
classified as the Particularly Vulnerable Tribal Group (PVTG) in Madhya
Pradesh.</span></div>
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On reading
about the news of maternal death in the local newspaper the district
coordinator tried to contact the family members. The woman’s husband could be
contacted but he could not share much information as he was not aware about the
status of the ANC checkups that his wife had received. Since they used to live
in Jaipur even the family members were unable to share details of her health
during pregnancy. <o:p></o:p></div>
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25 year old Sima
and her husband VimleshMeena used to work in Jaipur as daily wage labourers.
Since Sima’s 9<sup>th</sup> month had started and she was experiencing some
discomfort they had come to Sheopur for the childbirth. On 13<sup>th</sup>
April, Sima went to the district hospital with the ASHA and had a normal
childbirth. The ASHA left the hospital after the childbirth as things were
normal. However, 5 hours after the childbirth Sima died owing to complications.
The husband is unaware of what went inside the labour ward as he was not allowed
to enter. As per the doctors present Sima’s condition was not good and they
were making arrangements to refer her to Jaipur but she died till the
formalities could be completed. The neonate has been admitted in the NICU as
she weighs only 2.5kg.<o:p></o:p></div>
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A case has
been registered in the local police station and investigation is ongoing. The
partner organisation is keeping a close watch on cases of violation at the
health centres especially those of maternal deaths. Advocacy is being planned
around these cases to demand accountability from the health system for the
negligence of their staff which has led to this maternal death and others.
Apart from this the partner organisation is also closely monitoring the VHND
services which have recently begun in the district to ensure proper ANC
checkups and counseling are carried out.<o:p></o:p></div>
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<b><span style="background: white; color: #222222; font-size: 11pt; line-height: 115%;">Compiled by: Manav Foundation (Sheopur, Madhya
Pradesh) and SEHER- A unit of CHSJ</span></b></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-29049866404294134932020-06-20T11:03:00.001-07:002020-06-20T11:03:53.122-07:00Scenario of Sterilisation Camps in Madhya Pradesh: Are Court directives enough to bring an end to the camp approach?<div dir="ltr" style="text-align: left;" trbidi="on">
<b style="text-align: justify;"><span lang="EN-IN" style="font-size: 14.0pt; line-height: 107%;">Shreeti Shakya*, CHSJ</span></b><br />
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<span style="font-size: 16px;">Even after a year of the landmark judgment by the Supreme Court, (Devika Biswas vs Union of India and Ors.) directing the state governments to put an end to the camp approach for sterilisation, operations still continue unabated in appalling conditions in these camps. Conducting sterilisations camps especially targeting women has been a common practice in the Family Planning Programme in India since decades. Even with standards for procedure of sterilication available since 1989, the focus has remained especially on female sterilisation and on fulfilling targets to control population.</span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">The poor state of affairs in the
female sterilisation camps has been time and again brought to fore by different
Public Interest Litigations (PIL’s) filed by activists and civil society
members, for example a petition by activist Ramakant Rai as part of Health
Watch Forum UP Bihar was filed in the Supreme Court in 2003. The judgment for
this PIL in 2005 directed all states to adhere to the guidelines of the
ministry for such operations. Part of the order also directed to introduce a
system of having an approved panel of doctors entitled to carry on
sterilization procedures, set up Quality Assurance Committees, collect and
publish reports of the number of persons sterilised as well as the number of deaths
or complications arising out of the sterilisation and bring into effect an
insurance policy to compensate for death of the patient sterilised, in case of
post–operative complications.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Following this PIL, new guidelines
were formulated and older ones revised<a href="file:///D:/About%20write%20ups/Camp%20Watch-dialogue.docx#_ftn1" name="_ftnref1" style="mso-footnote-id: ftn1;" title=""><span class="MsoFootnoteReference"><span style="mso-special-character: footnote;"><!--[if !supportFootnotes]--><span class="MsoFootnoteReference"><span lang="EN-IN" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 107%; mso-ansi-language: EN-IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Mangal; mso-bidi-language: HI; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">[1]</span></span><!--[endif]--></span></span></a>,
and on a positive note the Government also brought in the Family Planning
Insurance Scheme in November 2005. The various guidelines <span style="mso-spacerun: yes;"> </span>provide detailed guide to ensuring<span style="mso-spacerun: yes;"> </span>standards of quality regarding the place and
timings of where the camp must be conducted, number of operations allowed in a
day by one surgeon, women’s eligibility criteria, pre-operative counselling and
<span style="mso-spacerun: yes;"> </span>tests and post-operative check-ups and
overall care, taking informed consent of the women etc. <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Even with multitude guidelines in
place, there is continued negligence on part of the states in implementing them
in the camps.<span style="mso-spacerun: yes;"> </span>A glaring example of the
utter neglect in camps came to light in Araria district of Bihar where 53 women
were sterilised within 2 hours by a single surgeon in unhygienic and dire
conditions. After witnessing the horrific negligence in this sterilisation camp,
Devika Biswasa social activist filed a PIL on the gross violations in 2012. Even
during the hearing of the case, news reports of violation came from the state
of Chhattisgarh, where 13 women had died in Bilaspur after undergoing
sterilisation operation in a camp, due to neglect in quality of the services
provided by the health system. The historic judgment which came on the petition
of Biswas in September 2016 was well received as it vociferously highlighted
the end to the camp approach within three years and outlined to strictly adhere
to guidelines for all procedures.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-IN" style="font-size: 14.0pt; line-height: 107%;">Conditions </span></b><b><span lang="EN-IN" style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: Arial;">in
Camps of Madhya Pradesh after the Biswas PIL Judgement<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Following the judgment on the Biswas
PIL, </span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Maternal Health Rights Campaign (MHRC), a rights
based network of more than 50 organisations based in the state of Madhya Pradesh
(MP) took the responsibility to observe 35 camps across 11 districts to
understand the compliance of guidelines in the camps. As part of this observation
exercise, <span style="mso-spacerun: yes;"> </span>evidence was generated using
an observation checklist, by capturing photographs of the ongoing activity and
situation, and through conversations with beneficiaries about their experience
with the services and facilities they received and behaviour of the healthcare
providers. The observations were made during the winter months of December 2016
and January 2017, which fall under the peak season for sterilization. The
observation and analysis has been done keeping in alignment with the prescribed
standards in the guidelines issues by </span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">ministry of health and family welfare (MOHFW).</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">The observations
and statistics from the exercise undertaken by MHRC reveal that even after the
directives, the camp approach continues to violate the rights of the women and
camps continue to be conducted in poor conditions. </span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;"><br /></span></div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Timing and
Information Regarding the Procedures:<o:p></o:p></span></b></div>
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</w:wrap></v:imagedata></v:shape><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Women were brought in groups to the camps during morning hours, were made
to wait for long hours before the arrival of the doctors. The arrival time of
the doctors was unknown in many camps and reason quoted for the same was scarcity
of human resource. Due to the late arrival of doctors and their determination
to complete their workload of ‘reaching the target’, the operations took place
outside of the prescribed hours which is from 9am to 5pm as mentioned in the guidelines
set by the MOHFW. In around 18 camps out of 35, the prescribed timing was not followed
and some operations went on till as late as 11.30 in the night, indicating the
importance given to </span><span class="MsoCommentReference"><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">fulfilling targets rather than
following the guidelines. <span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Number of
Procedures<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">As per the
guidelines, for maintaining quality services, each surgeon should restrict to
conducting a maximum of 30 procedures a day spread across 8 hours (9am- 5pm)
with the availability of 2 laproscopes. The findings however highlight contrary
observations as only 9camps followed this criteria. Even in these 9 camps, the
number of procedures were conducted between 25 minutes to 2 hour 30 mins, which
is otherwise recommended to be spread during the 8 hours allotted time, therefore
raising questions on the quality maintained during the procedure. Doing excess
procedures is strictly prohibited by the Supreme Court yet they were carried
on, in some of the camps around 60-80 women underwent the procedure in a single
day. It was also reported that in one of the camps, officials entered only enough
names so as to not go beyond the cap, and other names were entered on other
dates or not entered at all indicating a malpractice. This purposeful act can complicate
the lives of the woman for future reference in case of complications or failure
and also provides a false database.<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Pre-Operative Procedures<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgldhJAtlNsOWwoKzzUt88NnS2GUcV-BBqZ1m8QHApX9AaEd_QyPNeOI1A7pqCl-Ge5fLed8JsK_gwucByhrI7JgiF6lNWHk5laCkRmb_Qh0wX1I2cx36fVUo3eOe-VzEDBOkoFwIUKlDM/s1600/1.+A+Content.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="238" data-original-width="252" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgldhJAtlNsOWwoKzzUt88NnS2GUcV-BBqZ1m8QHApX9AaEd_QyPNeOI1A7pqCl-Ge5fLed8JsK_gwucByhrI7JgiF6lNWHk5laCkRmb_Qh0wX1I2cx36fVUo3eOe-VzEDBOkoFwIUKlDM/s1600/1.+A+Content.JPG" /></a><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Counselling,
voluntary consent and undergoing tests before the procedure are a pre -requisite
as per the guidelines. Every woman has a right to receiving all the required
information about the procedure and also about the consequences in order to
make an informed decision. The observations from the camps highlight that there
were no rooms for counselling ensuring confidentiality as only in 11camps out
of 35, women were given information on other contraceptive methods,only in 9
women were explained about the ill effects and complications post sterilization
and in 8 camps were told about management and compensation in case of
complication, failure or death. In regard to taking informed consent, in 25
camps, no woman were read to or explained about the content of the consent
forms, and women were made to sign them without them knowing what was written
on in. Similarly, a set of mandatory tests like blood, urine, blood pressure,
weight and abdomen check-up are to be done before the surgery which will ensure
the eligibility for the procedure. Considering the status of anaemia among
women in MP, not conducting a blood test and also a pregnancy test before the
procedure puts the woman at great risk often leading to complications and
sometimes even death. <o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-size: 10.0pt; line-height: 107%; mso-bidi-font-family: Arial;">A makeshift OT table which was not movable and placed at a wrong
angle </span></b><b><span lang="EN-IN" style="font-size: 9.0pt; line-height: 107%; mso-bidi-font-size: 8.0pt;"><o:p></o:p></span></b></div>
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</w:wrap></v:group><b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Makeshift OTs</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhssBXWSgMKGnkUCn3eBXeHLRMu0q0lD7KaG9l7nQLqbJgf4w5uLqxrSvId9vScIQolX4tR34dDPubxg84EgIXwjr6lx9Rw6UxRnT5yDyO9Q_DrDmsfVOjbyz6iLFgzajTYRRPBzSTAn00/s1600/2.+Image.JPG" imageanchor="1" style="clear: right; display: inline !important; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><img border="0" data-original-height="219" data-original-width="297" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhssBXWSgMKGnkUCn3eBXeHLRMu0q0lD7KaG9l7nQLqbJgf4w5uLqxrSvId9vScIQolX4tR34dDPubxg84EgIXwjr6lx9Rw6UxRnT5yDyO9Q_DrDmsfVOjbyz6iLFgzajTYRRPBzSTAn00/s1600/2.+Image.JPG" /></a><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">The
guidelines state no sterilisation procedure can be conducted in a non-functional
OT, but this mandate was overlooked and 5 out of 35 camps had makeshift OTs in
the hall of the hospitals. Also the rooms had no privacy, it was flooded with
the women being operated on, women waiting for their turn along with relative
and doctors. Another practice observed was the use of cycle pumps in 11 camps to
inflate the abdomen, which is a gross violation of the standards of care which
have previously been reiterated in court judgments. </span></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">Post-Operative
Procedure</span></b></div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;"></span></b></div>
<div class="separator" style="clear: both; text-align: center;">
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</w:wrap></v:path></v:stroke></v:shape><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">The sterilisation procedure ends with ensuring that women are not going
through complications, immediately after the procedure and months after it.
While long term follow up was not part of this exercise, the immediate care and
follow up by the nurses and doctors was<span style="mso-spacerun: yes;">
</span>not be seen in the camps. On the contrary, due to inadequate beds, women
had to sleep on the floor, only 4 camps provided mattress and a blanket,
considering that it was winter months, no effort was made to feel women feel
warm and comfortable. Even at the time of discharge when adequate information
needs to be given about care and follow up, it was observed that in around 20
camps women were not checked for recovery and stability by the doctor or a nurse
until 4 hours nor were they given information on follow up and care before
discharge. <o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Calibri","sans-serif"; font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Arial; mso-bidi-language: HI; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Conclusion</span></b></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">The
overall scenario of the camps through observations made by MHRC, suggests a
dismal picture. Not even a single camp qualified following the standards and
procedures. These are just 35 camps which have shown the gruesome reality,
however the findings from these observations are enough to understand the
commitment of the state to improve women’s reproductive health. As the
judgement completes one year, the Government still does not have a plan to end
the current approach. Though the government has introduced the Mission Parivar
Vikas to ensure that services reach out to every couple, quality of care in
each of the services remain a matter of concern. It is thus important to
discuss the pathways of the current programme and a commitment from the state
to learn from the past experiences and come up with strategies which will
ensure informed decision making by women, remove social barriers to bring men
to the forefront to take equal or even greater responsibility in using
contraception, focus on the highest attainable quality of care in delivering
all contraceptive method with special attention to spacing methods, </span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">steadfast action to bring
an end to all camps </span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">and most importantly on this run ensuring
women’s empowerment to decide for their own reproductive health, care and
fertility. Without such deliberation and an increasing demand to limit
fertility, women’s health and life will continue to be at risk. <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;"><br /></span></div>
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<i><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">*ShreetiShakya
works as a research officer at the Centre for Health and Social Justice (CHSJ).
To know more about CHSJ P<a href="https://www.blogger.com/null" name="_GoBack"></a>ls see </span></i><span lang="EN-IN"><a href="http://www.chsj.org/"><i><span style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;">www.chsj.org</span></i></a></span><i><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: Arial;"><o:p></o:p></span></i></div>
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<a href="file:///D:/About%20write%20ups/Camp%20Watch-dialogue.docx#_ftnref1" name="_ftn1" style="mso-footnote-id: ftn1;" title=""><span class="MsoFootnoteReference"><span lang="EN-IN"><span style="mso-special-character: footnote;"><!--[if !supportFootnotes]--><span class="MsoFootnoteReference"><span lang="EN-IN" style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 107%; mso-ansi-language: EN-IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Mangal; mso-bidi-font-size: 9.0pt; mso-bidi-language: HI; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">[1]</span></span><!--[endif]--></span></span></span></a><span style="mso-ansi-language: EN-US;">All family planning related guidelines can be found on ministry’s website
- http://nhm.gov.in/nhm/nrhm/guidelines/nrhm-guidelines/family-planning-guidelines.html<o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-23796370307934295982020-06-18T11:11:00.000-07:002020-06-19T04:11:37.748-07:00Prioritizing Reproductive Rights: The Continuing Struggle for Quality of Care in Family Planning Services<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span lang="EN-IN" style="color: windowtext; font-size: 14.0pt; line-height: 150%;">Prioritizing Reproductive Rights: The
Continuing Struggle for Quality of Care in Family Planning Services<o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="color: windowtext; font-size: 10.0pt; line-height: 150%;">Rudrakshina Banerjee and Shreeti Shakya, Centre
for Health and Social Justice <o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Control over one’s fertility is an important
marker of women’s empowerment and a long standing demand of the feminist
movement. Feminists have viewed the ability to control one’s fertility as an
integral part of the right to self-determination. At the same time, there have
also been concerns about the thrusting of contraceptives on women in the
interest of controlling ‘population explosion’. India’s family planning
program, one of the oldest and largest in the world, has the potential to give
women access to much needed contraceptive services, but it is riddled with
concerns around coercion and quality of care. There is an over emphasis on
limiting methods as opposed to spacing methods, although the latter is what is
required. As per the latest </span><span lang="EN-IN"><a href="http://rchiips.org/NFHS/pdf/NFHS4/India.pdf"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">National Family Health Survey data</span></a></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">,
substantial focus continues to be given to permanent contraceptive methods,
especially female sterilizations. Yet, despite female sterilization being the
mainstay of family planning in the country, quality of care remains
questionable. </span><span lang="EN-IN"><a href="http://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/family-planning/std-for-sterilization-services.pdf"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Guidelines
on Standards of Female and Male Sterilisation</span></a></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">
were first issued by the Government of India way back in 1998 in order to
improve the quality of family welfare services and ensure the well-being of the
person undergoing sterilisation during every aspect of the procedure. However,
incidents of non-compliance and violations led to filing of a </span><span lang="EN-IN"><a href="http://www.hrln.org/hrln/images/stories/pdf/DEVIKA-BISWAS-HRLN.pdf"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">writ
petition</span></a></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"> in the Supreme Court of India (DevikaBiswas v
Union of India). In September 2016, the court issued a </span><span lang="EN-IN"><a href="https://www.escr-net.org/sites/default/files/caselaw/devika_biswas_v_uoi.pdf"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">strong
order</span></a></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"> upholding reproductive rights and asked for a
moratorium to be put on the camp-based approach and to stringently follow
quality guidelines. One year after this order, we undertook an analysis of news
reports related to violations arising in the conduct of female sterilizations,
to understand the situation on the ground. Our analysis reveals thatdespite the
Supreme Court’s directive, myriad problems continue.<o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">Between October to December 2017 Centre for Health and Social
Justice tracked news reports on the issue of female sterilisationsfromsix
states. 62 news reports were collected from the states of Bihar(11),
Jharkhand(3) Uttar Pradesh(9), Madhya Pradesh(30), Chattisgarh(4) and
Rajasthan(5). The reports bring out different kinds of violations during
sterilisation camps, someresulting in complications and even deaths. In the
states of Uttar Pradesh, Bihar and Rajasthan the districts from where the incidents
have been reported are all high focus districts under the </span><span lang="EN-IN"><a href="http://www.nhmmp.gov.in/WebContent/FW/Scheme/Scheme2017/Mission_Parivar_Vikas.pdf"><span style="font-size: 12.0pt; line-height: 150%;">Mission ParivarVikas</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">. <o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>An analysis of
the reports reveals a range of violations of guidelines. According to the
reports, women were made to wait for hours before the surgery, as doctors were
not available, and for some women surgeries were conducted in late evening.Even
though the guidelines mandatesthe camps to be organised between 9am to 5pm. At
a</span><span lang="EN-IN"><a href="https://www.patrika.com/raigarh-news/after-the-ruckus-happened-the-operation-took-place-1959679/"><span style="font-size: 12.0pt; line-height: 150%;">camp in Chhattisgarh</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">,it was
reported that the medical college kept 18 women waiting for 2 days without
food, pre check-ups were done only on the second day, after which 4 women were found
not fit and were sent home and the rest were operated on the third day. In </span><span lang="EN-IN"><a href="https://mnaidunia.jagran.com/madhya-pradesh/sheopur-negligence-120-women-sitting-9-hours-for-sterilization-1431959"><span style="font-size: 12.0pt; line-height: 150%;">a camp in Madhya Pradesh</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">the
doctor reportedly left during the day and came back at 5.30pm to continue the
procedures whereas in </span><span lang="EN-IN"><a href="https://mnaidunia.jagran.com/madhya-pradesh/guna-guna-news-1453054"><span style="font-size: 12.0pt; line-height: 150%;">another camp</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">the
procedures started only at 6pm and operations went on till late night. </span><span lang="EN-IN"><a href="https://naidunia.jagran.com/madhya-pradesh/satna-satna-news-1458853"><span style="font-size: 12.0pt; line-height: 150%;">In another camp</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, whenwomen
and family members objected to the poor quality, the doctor reportedly fled
leaving many women unconscious on the floor. <o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">The guidelines mandatefor a detailed screening procedure
which involves pre-operative testsand counselling to ruleout thosewho are unfit
for the operation. This mandate was not followed as according to the reports,in
many cases women reported pregnancy few months after the procedure. In </span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Mangal; mso-bidi-theme-font: minor-bidi;">one</span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">camp in MP, </span><span lang="EN-IN"><a href="https://www.patrika.com/dindori-news/sterilized-but-there-is-no-facility-to-go-home-2096709/"><span style="font-size: 12.0pt; line-height: 150%;">a woman wasreportedly given
anaesthesia before assessingher eligibility</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> and waslater asked
to go home without being operated upon. In an alarming </span><span lang="EN-IN"><a href="https://www.prabhatkhabar.com/news/banka/story/1069875.html"><span style="font-size: 12.0pt; line-height: 150%;">case from Bihar</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, it was
reported that a 16 year old unmarried girl was sterilised without her consent. <o:p></o:p></span></div>
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<a href="https://www.blogger.com/null" name="_gm34qf7clkr9"></a><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">The maximum number
of operations that can be conducted per camp in one day is 30 but the reports
outline, that several camps violated this standard. Violations werereported in
19 sterilisation camps across the states (except Chhattisgarh) risking women’s lives
and disregarding their right to access good care.Reportedly in Bihar the number
of procedures in a day</span><span lang="EN-IN"><a href="https://www.jagran.com/bihar/vaishali-52-sterilization-of-women-17207945.html"><span style="font-size: 12.0pt; line-height: 150%;">went to 52</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, in UP
it </span><span lang="EN-IN"><a href="https://www.jagran.com/uttar-pradesh/maharajganj-events-17069840.html"><span style="font-size: 12.0pt; line-height: 150%;">was 40</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, in MP </span><span lang="EN-IN"><a href="https://mnaidunia.jagran.com/madhya-pradesh/seoni-seoni-news-1452739"><span style="font-size: 12.0pt; line-height: 150%;">it was 100</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, in
Jharkhand </span><span lang="EN-IN"><a href="https://www.jagran.com/jharkhand/garhwa-general-news-17220310.html"><span style="font-size: 12.0pt; line-height: 150%;">50</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> and in Rajasthan
the highest with </span><span lang="EN-IN"><a href="https://www.bhaskar.com/rajasthan/chouhtan/news/RAJ-OTH-MAT-latest-chouhtan-news-030004-586549-NOR.html"><span style="font-size: 12.0pt; line-height: 150%;">145 women</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">. Women also
reported rude and abusive behaviour of staff. In one camp in MP a </span><span lang="EN-IN"><a href="https://www.bhaskar.com/mp/nepanagar/news/MP-MAT-latest-nepanagar-news-045052-732767-NOR.html"><span style="font-size: 12.0pt; line-height: 150%;">woman was slapped and pushed</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> in the
operation theatre by the staff, and in another women were </span><span lang="EN-IN"><a href="http://nishpakshbaat.com/why-stuck-on-the-forehead-of-sterilization-sticker/"><span style="font-size: 12.0pt; line-height: 150%;">treated like animals as stickers were
put on women's forehead</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> to differentiate between operated
one’s and non-operated one’s thus disrespecting<span style="mso-spacerun: yes;">
</span>women’s dignity.<o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">As per the reports, violations continued even after surgery
as most of the women were not given beds to rest on and bed sheets/blankets
were not provided, stretchers were not availableto carry women after the operationand
most of them lay in </span><span lang="EN-IN"><a href="https://www.jagran.com/bihar/muzaffarpur-problems-17028663.html"><span style="font-size: 12.0pt; line-height: 150%;">open veranda</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">either </span><span lang="EN-IN"><a href="https://naidunia.jagran.com/madhya-pradesh/morena-after-sterilization-operation-in-morena-women-were-laid-among-dirt-1399900"><span style="font-size: 12.0pt; line-height: 150%;">on the floor</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> or on </span><span lang="EN-IN"><a href="https://www.jagran.com/bihar/east-champaran-patients-on-the-floor-after-17244247.html"><span style="font-size: 12.0pt; line-height: 150%;">dirty rugs.</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> The guidelines
clearly mention provision of a separate room to rest for recuperation. This
scenario was observed across all the states. Ironically one </span><span lang="EN-IN"><a href="https://hindi.news18.com/news/chhattisgarh/jashpur-negligence-in-sterilization-of-women-of-jashpur-1204988.html"><span style="font-size: 12.0pt; line-height: 150%;">such hospital of Chhattisgarh</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> has been
awarded as one of the best hospitals in the state. In </span><span lang="EN-IN"><a href="https://www.livehindustan.com/bihar/bhagalpur/story-bhagalpur-medicine-and-needle-from-shahkund-phc-1638350.html"><span style="font-size: 12.0pt; line-height: 150%;">a camp in Bihar</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">,
families werereportedly asked to pay for stretcher services, medicines and
syringes. These violations shows the lack of vigilance on part of <span style="mso-spacerun: yes;"> </span>health service providers as patients are not
being given entitled services and are asked to pay bribes. <o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">Four cases of death were reportedfrom Bihar and MP as a
result of poor quality of services. In a casereported from Bihar a
sterilisation operation reportedly </span><a href="https://www.blogger.com/null" name="_GoBack"></a><span lang="EN-IN"><a href="https://www.prabhatkhabar.com/news/bhagalpur/story/1079127.html"><span style="font-size: 12.0pt; line-height: 150%;">resulted in a death</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;"> where the
bladder of the patient was cut instead of the tube, and referral was also
delayed. In the 3 cases from MP, the reason for death was not mentioned however
reports do talk about delay in </span><span lang="EN-IN"><a href="https://naidunia.jagran.com/madhya-pradesh/sheopur-pm-was-doing-at-night-in-sheopur-sent-to-gwalior-after-protest-dead-body-have-been-lying-12-hours-1406901"><span style="font-size: 12.0pt; line-height: 150%;">post mortem by health officials</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">This dismal state of affairs reflects the apathy of the
state and its lack of commitment to uphold women’s rights. This is especially a
matter of concern, as it raises questions about India’s </span><span lang="EN-IN"><a href="https://advancefamilyplanning.org/sites/default/files/resources/FP2020-Vision-Document%20India.pdf"><span style="font-size: 12.0pt; line-height: 150%;">commitment on the international
platform Family Planning 2020 (FP2020)</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, to provide access
to voluntary contraception to 48 million additional women by the year 2020. At
the Family Planning Summit in 2017, India also made </span><span lang="EN-IN"><a href="http://summit2017.familyplanning2020.org/revitalized-commitments.html#India"><span style="font-size: 12.0pt; line-height: 150%;">a large monetary commitment to these
goals</span></a></span><span lang="EN-IN" style="color: windowtext; font-size: 12.0pt; line-height: 150%;">, which indicates its enthusiasm; however the paradigm
of reproductive rights needs to be upheld. These incidents reflect that women’s
dignity is being disregarded by subjecting them to unsafe procedures resulting
in complications and death. Inspite of several Supreme Court orders and
Comprehensive guidelines there appears to be a resistance to adhere to these.
These violations call for an urgent need and significance to be given to reproductive
health care and rights of women which is critical to safeguard their human
rights.<o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-33853541748464827072020-03-27T07:49:00.001-07:002020-03-27T08:16:36.463-07:00Letter to the PM for guarding Human Rights<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span lang="EN-IN" style="font-size: 14.0pt; line-height: 107%;">To<o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="font-size: 14.0pt;">The Hon'ble Prime
Minister,<o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="font-size: 14.0pt;">Government of India<o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="font-size: 14.0pt; line-height: 107%;">Subject: Respecting Dignity and
Rights of All during the Coronavirus Pandemic<o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Dear Sir,<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">The Covid-19 pandemic has caused an
unprecedented health emergency across the world. The Government of India and
your government has acknowledged the crisis and has undertaken a set of
measures to contain the pandemic, provide testing and the necessary health care
facilities. Controlling the spread of the infection among the population has
emerged as a key step in the management and containment of the pandemic, and
across the country lockdown, home quarantine and similar restrictive measures
have been adopted. At the same time measures are being taken to ensure that
essential services can be available. We acknowledge and congratulate the
government for taking these steps.<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">HOWEVER, <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">We, the members of National Alliance
for Maternal Health and Human Rights (NAMHHR), a civil society network, are
deeply concerned about several incidents that compromise citizen’s dignity and
human rights that have been noted in the news:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Open violence by police on people out on the streets seeking
essential supplies, finding a way to return to their native places<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Harassing and beating up of delivery persons and others
associated with supply and delivery of essential goods and supplies<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Public display of names of persons infected with Covid19
virus <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Marking and public naming and shaming of people who have
stepped out for their needs by the police <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Vigilante actions by citizens against health workers, people
seeking supplies, care givers and so on.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">People with perceived health emergencies are unable to
receive care from hospitals<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">The tension between the needs of
control and management of the pandemic, and the maintenance of human rights for
all, including health care providers, patients, vulnerable populations and the
public at large has been documented as recently as during the Ebola epidemic in
West Africa several years ago. Experts have cautioned about the need for
ethical quarantine, guard against the stigmatisation of the infected,
respectful and collaborative relationship with the public and so on. We would
urge the government to supplement all efforts <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">aimed at controlling and managing of
the Covid-19 pandemic with efforts and information to mitigate against possible
human rights abuses.<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">While appreciating all the efforts
the government is doing to address the corona pandemic and pledging our
fullhearted co-operation, in solidarity with other civil society members, we
draw your attention to the following: <o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">To recognise that <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Different people have different levels of health related and
economic vulnerabilities and differing needs and anxieties in the current,
emerging and unfolding situation related to the pandemic. Some of the breach of
lockdown restrictionsby citizens may be due to anxieties and fears<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo1; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Restrictions and limitation especially related to lockdown
can lead to various forms of vigilante action by well-intentioned citizens as
well as excessive use of force and coercion by authorities.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo1; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Heath care workers and infected persons and potentially
infected persons are more vulnerable to stigma and discrimination<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">There are possibilities of disruption of those requiring home
based care like elderly persons, chronically ill people and persons with
disability etc. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo1; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Some women and others may be at higher risk from domestic
abuse due to the lockdown <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">In addition to physical ‘distancing’ there is need to
reinforce the need for social solidarity at all levels <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo1; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">A large proportion of the poor in the country lack secure
shelter and the conditions of a complete lockdown could have disproportionate
impact on their lives<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">To promote and ensure<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Provision of essential care for vulnerable populations. This
will require mapping the population and distribution of vulnerable people –
older people, people with chronic diseases, persons with disability, bed-ridden
and terminally ill persons and others. Map their special needs including their
food, supplies, medical and care needs and ensure the supply of these materials
through publicly assured channels.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">No undue coercion and use of force or violence while
maintaining compliance to home-quarantine and limited movement outside the
house. To brief police and allied public officials charged with maintaining
public order about the need to create public confidence in the good-will of the
authorities. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Availability of essential services through mapping of shops
and outlets, effective distribution among users/consumers, supply chains,
informing timings of availability, setting up control rooms for ensuring smooth
operations and trouble-shooting. This needs to be done at the lowest possible
level including rural, semi-urban and urban areas and the information disseminated
actively.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Community support and social solidarity among communities is
essential to maintain physical distancing <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Community support by setting up communitysupport and
coordination mechanisms at the district, sub-district and village level for coordinating
with authorities on the availability and supply of essential services, as well
as ethical quarantine.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Public support for those who are ‘at risk’ or whose
compliance is essential like those who are infected or under home quarantine,
health care workers, workers delivering essential services. They need to be
identified and felicitated instead of identified and stigmatised. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">All helplines for support to women, children and others
facing violence are included under essential services and continue as usual.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Setting up tele-medicine facilities for addressing the needs
of persons with perceived health emergencies and widespread dissemination of
this information.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Establish district and sub-district level helplinesin
collaboration with community level support groups<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">That the needs of those with shelter related insecurities are
addressed<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">That no patient or person exposed to the Coronavirus is
victimised <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo2; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">All families who may be bereaved during this period may be
able to conduct the cremation/burial ceremony maintaining necessary dignity<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">We hope that you will take cognisance
of these recommendations and take necessary action to balance between
mitigation and containment measures, and the prevention of potential human
rights abuses in the control and management of the Covid -19 pandemic. <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Sincerely,<o:p></o:p></span></div>
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<i><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Dr Vasavi Kiro, Dr Y K Sandhya,
Sandhya Gautam, Dr Abhijit Das, Anjani Kumari, Sulekha Singh<o:p></o:p></span></i></div>
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<b><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">National Alliance for Maternal Health
and Human Rights (NAMHHR), India.<o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Secretariat:<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Centre for
Health and Social Justice, Delhi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span lang="EN-IN"><a href="http://www.chsj.org/"><span style="font-size: 12.0pt; line-height: 107%;">www.chsj.org</span></a></span><span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span lang="EN-IN" style="font-size: 12.0pt; line-height: 107%;">Contact: +
91 8800607304<o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-53828548718312674172017-07-11T04:06:00.001-07:002017-07-11T04:06:14.581-07:00Over Population- Myths and Facts #WorldPopulationDay <div dir="ltr" style="text-align: left;" trbidi="on">
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by <strong>National Alliance for Maternal Health and Human Rights</strong></div>
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The <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/World_Population_Day" href="http://en.wikipedia.org/wiki/World_Population_Day" rel="wikipedia noopener noreferrer" target="_blank" title="World Population Day">World Population Day</a> is celebrated every year on the 11th of July as a result of a UN Resolution in 1990 seeking to enhance awareness of population issues, including their relations to the environment and development. In <a class="zem_slink" data-mce-href="http://maps.google.com/maps?ll=28.6133333333,77.2083333333&spn=0.1,0.1&q=28.6133333333,77.2083333333 (India)&t=h" href="http://maps.google.com/maps?ll=28.6133333333,77.2083333333&spn=0.1,0.1&q=28.6133333333,77.2083333333%20(India)&t=h" rel="geolocation noopener noreferrer" target="_blank" title="India">India</a> the World Population Day has more often than not been an occasion to highlight the ‘overpopulation’ in the country with a focus on the total number of people living in India and that this number is ‘too much’. This year this focus on overpopulation has been reinforced by a new group of concerned citizens called TAXAB or the <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Tax" href="http://en.wikipedia.org/wiki/Tax" rel="wikipedia noopener noreferrer" target="_blank" title="Tax">Taxpayers</a> Association of Bharat who are calling for a new population control law under the hashtag #Bharat4PopulationLaw.</div>
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The overall logic of this campaign is two-fold – the first part argues that as tax-payers of India we should be concerned about the misuse of our taxes by the system towards the development of Bharat. The second part explains the nature of the misuse which manifests as lack of good roads, joblessness, increasing poverty, lack of good food, clean air etc. And this lack of good infrastructure and facilities as well as pollution is due to increasing population – primarily among the BPL.</div>
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In quick strokes it creates a division between the tax-payer who is being short-changed by the poor who are growing in numbers, and secondly it attributes all the ills of the country to growing population, though it first argues that there is mismanagement by the system. The problems in the country are there for all to experience, and urban overcrowding is a phenomenon nearly all taxpayers are facing daily – so the logic is bound to be extremely attractive.</div>
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However this entire argument is based on myths.</div>
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The <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Population_growth" href="http://en.wikipedia.org/wiki/Population_growth" rel="wikipedia noopener noreferrer" target="_blank" title="Population growth">population growth rate</a> in India is not growing but instead has been slowing for the last few decades. From a high of 2.3 percent per year in the 1970’s and 80’s it is now down to 1.2% per year. At the level of the family the <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Total_fertility_rate" href="http://en.wikipedia.org/wiki/Total_fertility_rate" rel="wikipedia noopener noreferrer" target="_blank" title="Total fertility rate">Total Fertility Rate</a> or number of children a woman has in her life has reduced from 5 in the 1970’s to 2.2 in 2015-16. The total wanted fertility is below 2 but women do not receive the contraceptive services that they want. The population growth rate is a function of birth, death and migration. In India, the birth rates are still a little high, but not because women are having more babies but because the number of young couples in India is higher than ever before. And this large number of young couples even when they have fewer babies each, the total adds up. This will come down as the babies born in the heydays of population growth and their children become older. In other words there is not much we can do to reduce their reproductive rate other than provide them with spacing methods. Now understand the various problems that have been attributed to population growth. India was a poor country in 1947 when India became independent, now it is no longer a poor country.</div>
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By expert estimates the <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Economic_growth" href="http://en.wikipedia.org/wiki/Economic_growth" rel="wikipedia noopener noreferrer" target="_blank" title="Economic growth">GDP growth</a> between 1951 and 2011 was over 20 times and food grain output grew by over 4 times while population grew by a little over 3 times in the same period. Clearly the total amount of food or income available per head has grown but poverty seem to be all around us. The TAXAB campaign has highlighted the bad state of roads and infrastructure as a result of overpopulation, highlighting the poor state of infrastructure in cities. This overcrowding of <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/List_of_cities_in_India_by_population" href="http://en.wikipedia.org/wiki/List_of_cities_in_India_by_population" rel="wikipedia noopener noreferrer" target="_blank" title="List of cities in India by population">Indian cities</a> is not a result of overpopulation but migration from villages to cities. This migration is often as a result of rural distress, and lack of employment opportunities which is highlighted by the continuing news of farmer suicides from across the country.</div>
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The TAXAB campaign also makes reference to pollution in the name of ‘shudh’ and ‘ashudh’ food, water and air. Pollution in India is undeniable, but is overpopulation the cause behind it as the #Bharat4PopulationLaw seems to imply? Pollution is most often contributed by the burning of fossil fuels, either for transportation or for factories or for generating electricity which then powers our air conditioners, or factories. We need to understand that the poor, who are a much larger proportion of the population, require very little fossil fuel generated energy. Their requirements for water too are very little. Research shows that the richer countries and the rich in countries like ours consume 20 – 30 times more energy in their whole lifetimes than the poor. Here if the population of people is to be seen as a problem, it is the fewer rich who pose much more problems for the absolute consumption of resources as well as the contribution to pollution.</div>
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The overall logic of the #Bharat4PopulationLaw campaign seems to imply that the taxpayers need to be worried because not much has happened through their taxes in the last seventy years. And this is where the campaign organisers have been completely misled. While overcrowding is a fact, it does not indicate a failure of contraceptive related practices among the people. Overall contraceptive usage rates have increased from 13% in the 1970’s to over 56% now. Infant mortality rate, or number of children who die before reaching the age of one year has reduced from over 130 per 1000 children to 41 now.</div>
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Overall life expectancy has also increased from less than 40 years at the time of independence to over 64 years now. More people are living, less people are dying, fewer children are being born but more people are crowding to cities where there is inadequate infrastructure, few job opportunities and we see more poor people in our streets.</div>
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A population control law is not the solution to the problems that have been indicated by TAXAB. A population control law as we have seen in <a class="zem_slink" data-mce-href="http://maps.google.com/maps?ll=39.9166666667,116.383333333&spn=0.1,0.1&q=39.9166666667,116.383333333 (China)&t=h" href="http://maps.google.com/maps?ll=39.9166666667,116.383333333&spn=0.1,0.1&q=39.9166666667,116.383333333%20(China)&t=h" rel="geolocation noopener noreferrer" target="_blank" title="China">China</a> will lead to further decline in the number of girls in the country, a problem that our society is already facing. It will lead to reducing opportunities for the poor, and marginalized, including the dalits, as such laws deny benefits to those with more children. Data shows the poor have more children, but not because they want it, but because they don’t receive the appropriate services.</div>
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Women bear the disproportionate burden of population control laws, as they bear children and can be faced with repeated abortions or even desertion as men take desperate measures to keep their family size small and qualify for positions for which they can become disqualified. Yes we need changes in policies and the way they are implemented to address the issues that TAXAB has highlighted but the approach is misplaced. . The problem lies not in the population related policies but in economic policies which have not focused adequately on health or education or economic opportunities for the poor.</div>
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Yes tax-payers need to rise up and make demands from our government to increase the investment of healthcare so that not only the poor but we all are healthier and more capable, without become <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Poverty" href="http://en.wikipedia.org/wiki/Poverty" rel="wikipedia noopener noreferrer" target="_blank" title="Poverty">penurious</a> due to healthcare costs.</div>
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We need to make demands to increase the quality of standards of the government schools so that children educated there are more empowered, and we are all confident enough to send our children to these schools rather than the very expensive private schools that are coming up every day.</div>
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Our family planning programme needs to be reoriented towards the needs of younger couples through increased availability of spacing methods. Men need to involved in discussions around family planning.</div>
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And last but not the least we need to ensure all young people have adequate knowledge and information about their bodies, and <a class="zem_slink" data-mce-href="http://en.wikipedia.org/wiki/Reproductive_health" href="http://en.wikipedia.org/wiki/Reproductive_health" rel="wikipedia noopener noreferrer" target="_blank" title="Reproductive health">reproductive health</a> which enables them to take decisions that will enable them to live healthy and productive lives.</div>
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<strong>NAMHHR is an Alliance of members from 14 states of India, as well as expert advisors working with research, Right to Food, public health, right to medicines and budget accountability.</strong></div>
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Dr Abhijit Das, NAMHHR Convenor</div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-28060875445785563402017-04-26T04:48:00.000-07:002017-04-26T04:48:30.390-07:00Assam – NAMHHR submits comments on the Draft Population Policy<div dir="ltr" style="text-align: left;" trbidi="on">
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Mr Samir K Sinha,</div>
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Commissioner and Secretary to the Government of Assam,</div>
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Health and Family Welfare Department,</div>
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Government of Assam.</div>
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Date 25<sup>th</sup> April 2017</div>
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Sir,</div>
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This is with reference to the Draft State Population Policy Assam which has been put up for comments. We would like to make the following observations:</div>
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1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>In the Introduction Section we would like to endorse the inclusion of the following as issues of key concerns – promotion of inclusive growth, ageing, urbanization, migration, financial and economic challenges, improving the quality of life of present and future generations, promote social justice and eradicate poverty and so on.</div>
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2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We endorse the context of the National Population Policy 2000 with its focus on Socio Demographic Goals</div>
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3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We would however like to draw your attention to the assertion that the population of Assam has grown by ‘almost 1 crore’ between 2001 and 2011. According to the figures given in the document the population has grown from 2.66 crore to 3.12 or 46 lakh or less than 50% of 1 crore and it is a gross exaggeration The percentage growth of Assam’s population has been declining consistently from 35% and 36% decadal growth in the 1970’s and 1980’s to 17% now. This decline is more than the decline that has taken place at the National Level.</div>
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4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>The decline of Total Fertility Rate in Assam has been from 3.53 in 1992 -93 to 2.3 now which is a 35 % decline in a little over 20 years. There is also an unmet need for contraceptive (10%) which if met would bring down the TFR by a further.2 to 2.1 the desired level of fertility.</div>
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5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We would like to bring to your notice that the reduction in TFR to 2.1 will not immediately reduce the population growth rate to stabilization levels because of ‘Population Momentum’. Population Momentum will continue for nearly 20 years or more because as population growth comes down from high population growth rates, the proportion of reproducing couples increases due to earlier high growth rates and lower mortality among children. Thus the population growth rate continues to be high as higher number of couples now have fewer children compared to the earlier situation of fewer couples having more children.</div>
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6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We also endorse 10 of the 11 Targets of the Policy and would like to draw your attention to the last target – “Encouraging the Two family norm to substantially reduce TFR”. The two family or two child norm which is aimed at encouraging family size reduction through peer pressure has not been found to be successful in India since it was introduced in the Panchayati Raj acts in some states 1990’s. Some states have even withdrawn it. Some of the adverse effects of the two child norm that has been identified and studied through research are as follows:</div>
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a.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>It tends to penalize women compared to men, because when faced with the option between a job or local leadership, women have to give up their aspirations and have the child, while men go ahead with their option compelling women to have an abortion</div>
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b.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>It tends to penalize younger people compared to older people because the two child norm applies to children born after a particular date. It does not penalize older people with three four five or more children born before the cut-off date. This is particularly discriminatory because India is a country of young people.</div>
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c.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>It tends to penalize poor and marginalized communities because the poor and marginalized usually have more children. This is not because they ‘want’ more children but because infant mortality figures are higher in poorer communities, and they are also further away health services. The data provided in the section Assam: The Development and Demographic Challenge, indicates the diversity in the state and how this affects some of the marginalized communities. This a two child norm will vitiate against the ‘inclusive growth’ agenda of the population policy.</div>
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d.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>The two child norm has also been shown to be against child rights because people with more than two children often hide their third child or give it away for adoption. In such a situation the child is often denied even basic services like immunization. In other cases the third child often gets excluded from development benefits which are intended to ‘punish’ the parents. We must realize that the third or subsequent child has no role in the decision to be born and to deny it any benefits essential for its survival and well-being would be a child rights and human rights violation.</div>
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e.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Assam is one of the few states in the country with a ‘healthy’ sex ratio including the juvenile or child sex ratio. However the child sex ratio did show a small decline of three points between 2001 and 2011 which should alert planners. A two child norm has severe implications for the child sex ratio of the state. In the presence of gender discrimination and son preference when faced with a two child norm families adopt sex selective practices and while it is okay for them to have two boys, one boy and one one girl or one boy, families do not prefer 2 daughters or one daughter. This creates a further pressure on the sex ratio of children. In China a similar one-child has led to a drastic reduction in the ratio of girls and women in the population</div>
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f.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We would like to point out that states like point out that states like Haryana, Himachal Pradesh and Madhya Pradesh repealed the two child norm from their Panchayati Raj Acts, and state like UP and Bihar considered the two child norm but finally did not implement it because of the various adverse outcomes associated with this act. China too has relaxed its one child policy.</div>
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7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>We would also like to point out the essential difference between a restriction through a laws like minimum age at marriage and two child related restrictions. Restricting child marriage prevents young girls (and boys) from being exposed to reproductive responsibilities and possible sexual violence before they are capable to being either able to decide for themselves or before their bodies are mature. It is a restriction meant to protect the vulnerable. A two child norm on the other hand has been seen to systematically disadvantage the vulnerable. Since the Population Policy is intended to primarily support and help vulnerable population including children, women, elderly and the poor the two child norm is a totally in appropriate measure.</div>
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We do hope you will take these facts into considerations and revise the draft Population Policy accordingly,</div>
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Sincerely,</div>
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National Alliance for Maternal Health and Human Rights (NAMHHR)</div>
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Dr. Abhijit Das, Centre for Health & Social Justice, New Delhi</div>
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Vasvi Kiro, Torang Trust, Jharkhand</div>
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Kalyani Meena, Prerna Bharti, Jharkhand</div>
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Jeevan Krushna Behera, SODA, Odisha</div>
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Vivekanand Ojha, Health Watch Forum, Bihar</div>
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Smriti Shukla, Maternal Health and Rights Campaign, MP</div>
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Adv. Kamayani Bali Mahabal, Maharashtra</div>
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Sandhya YK, Sahayog, UP</div>
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Sandhya Gautam, from NAMHHR Secretariat</div>
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Attachments:</div>
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1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Article: Victimising the Vulnerable in <i>Economic and Political Weekly</i> by DrLeelaVisaria and colleagues</div>
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2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Article: Victims of Coercion: in <i>The Frontline</i> by T.K. Rajlakshmi</div>
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3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Press clipping: HP plans to delete two-child norm from Panchayat eligibility <i>Indian Express</i></div>
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4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Press Note: Two Child norm for contesting elections to be abolished <i>MP Government website</i></div>
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5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span>Debate on Two child norm in the Parliament on 10.03.2006 – <i>RajyaSabha proceedings</i></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-78482678468955884592016-12-21T02:35:00.002-08:002016-12-21T03:43:45.170-08:00<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>People’s
Convention on Maternal and Reproductive Health Rights<o:p></o:p></b></div>
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<b>Organized by NAMHHR, CommonHealth, Scavengers
Dignity Forum & Dalit Alliances, Wada Na Todo Abhiyan, Jan Swasthya Abhiyan<o:p></o:p></b></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgk-Fav9MwhxFMhDFDlWEvVSkKGSmSMJSgZHJJ-fg1EDfJ1bum4HKxT5scAbNDUMZFdoJE4YsirmtqU7IrQJbwozTVtrxNe9HRPYOW5cY8sUgeQ5Z28QbdoxxFBGUuHeEu4fy7ZhmLRic/s1600/IMG-20161221-WA0007.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgk-Fav9MwhxFMhDFDlWEvVSkKGSmSMJSgZHJJ-fg1EDfJ1bum4HKxT5scAbNDUMZFdoJE4YsirmtqU7IrQJbwozTVtrxNe9HRPYOW5cY8sUgeQ5Z28QbdoxxFBGUuHeEu4fy7ZhmLRic/s320/IMG-20161221-WA0007.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><a href="https://www.flickr.com/photos/150382725@N05/sets/72157674282515283" target="_blank">Click here for More pictures</a></td></tr>
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Over the past 10 years, maternal and child health
has taken centre stage in health policies and programmes in India. In order to
tackle high rates of maternal and neonatal mortality, the government of India
has taken various measures to incentivize institutional deliveries, strengthen
health systems, increase allocations, remove financial barriers, improve
immunization coverage, and implement regular tracking systems. In this time, India
has apparently experienced a decline in its maternal mortality ratio (MMR) from
301 (in 2006) to (178 in 2013) maternal deaths per 100,000 live births, however,
these numbers are likely highly under-reported. Similarly Neonatal and Infant
Mortality continues to be a serious challenge for India. Although rates of
mortality have dropped over the past three decades, one fourth of all deaths of
children under six years of age, occur in India. According to UNICEF, 1.34
million children aged under five, 1.05 million infants, and 0.748 million
newborns die every year in India. Even going by conservative estimates, about
45,000 women die due to childbirth every year in India, and most of these
deaths are preventable. <span lang="EN-US">The rates of decline of MMR </span>vary widely between different states with 12%
of global maternal deaths occurring within nine states of northern and eastern
India. Although <span lang="EN-US">institutional delivery coverage has
increased over the years, this in itself has been insufficient to reduce MMR.
Critical issues such as quality of antenatal and post natal care, risk
identification, availability of emergency obstetric care, behavior of staff
during delivery, availability of abortion and contraceptive services, continue
to be a challenge. Survey data shows that out-of-pocket expenses for poor
families have not reduced, despite the efforts to reduce financial barriers. </span>Moreover, the government of India is pushing
for privatization of in various modes such as contracting out services via
Public Private Partnerships, for which there is no evidence of increased
equity, but on the contrary they have been known to encourage unscrupulous practices.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; text-align: justify;">
<b><span lang="EN-US">Why Should Other Social Movements Care about Maternal and Infant
Mortality <o:p></o:p></span></b></div>
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<b><span lang="EN-US"><br /></span></b></div>
<div class="MsoNormal" style="line-height: normal; text-align: justify;">
<span lang="EN-US">The issue of maternal and reproductive morbidity and mortality is
intersectional in that social location plays a role in determining outcomes for
women and children, and social determinants such as access to nutrition,
sanitation and poverty also strongly influence health. The biggest burden of
maternal and infant mortality falls on women from marginalized communities and
the poor. The latest available national level survey data – the NFHS3 (2005-6)
shows disparities in women’s access to maternal health services – women
belonging to scheduled castes and tribes are less likely to receive antenatal
care and skilled birth attendance. UNICEF also notes that there are gross
disparities in mortality indicators with Scheduled Castes, Scheduled Tribes and
minorities having a higher IMR and U5MR. Further, there are specific problems
faced by women belonging to marginalized communities – such as abusive behavior,
neglect and culturally inappropriate services. Despite overwhelming evidence
that there are disparities in maternal health indicators, the government of
India does not publish disaggregated data on these. In fact datasets from three
rounds of the annual health survey which were conducted in high-focus states
with the express purpose of contributing to meaningful tracking of progress
towards improved health status have not been released and any kind of
disaggregated analysis is rendered impossible. Although maternal death reviews
are meant to fix accountability, they are not being conducted in many cases and
the findings are also not made public. Thus there is a situation of prevailing
silence around issues of equity and accountability, suggesting that it is a
problem that is being wished away rather than tackled. In this situation it is
critical that civil society actors raise the issue in a concerted manner and
facilitated a grassroots demand for accountability.<o:p></o:p></span></div>
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<span lang="EN-US"><br /></span></div>
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<b><span lang="EN-US">The Need for A People’s Convention: <o:p></o:p></span></b></div>
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<b><span lang="EN-US"><br /></span></b></div>
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<span lang="EN-US">Over the course of the Millennium Development Goals, indigenous
civil society organizations have continuously dialogued with the state to
influence its “input” – i.e. policy and program design, to make it responsive
and relevant to women’s realities. Coalitions like NAMHHR and CommonHealth have
systematically documented maternal health rights violations in the field and
repeatedly held policy dialogues at the national level, to impress upon policy
makers the need for rethinking their approach to address emerging issues. The
policy dialogues have received attention from policy makers and elected
representatives, however there is a need to complement this with mobilization
and dialogue with the system, closer to the grassroots to demand accountability
for maternal and child health services. It is critical to make maternal and
child health a core concern of communities, especially marginalized
communities, and grassroots movements that represent them.<o:p></o:p></span></div>
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<span lang="EN-US">Building on these experiences, we perceive the need for greater
synergy among groups working at the grassroots level, to generate a nationwide
campaign to demand maternal and child health rights. Not limiting ourselves to
health rights groups, a wider alliance of political groups (especially those
representing marginalized communities, including dalit rights groups, minority
rights groups, disability rights groups, groups working on other social rights
such as right to food) must be built so that the agenda of maternal health is
owned by us collectively. The Sustainable Development Goals, several of which
address reproductive and child health, are meant to guide the government of
India’s future policy and programmatic priorities and for which India will be
held accountable at international forums; these can become a rallying point
around which communities can be mobilized to demand for better maternal and
reproductive health services, building on such mobilization that has already
begun through networks such as the Wada Na Todo Abhiyan.<o:p></o:p></span></div>
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<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">As a first step towards building such an alliance, we propose to
host a 2-day “People’s Convention on Maternal and Child Health Rights” in Delhi
in mid-December. This convention would bring together organizations and
movements working on various issues and across different states, to amplify
voices of their constituencies at the national level and develop a common and
synergistic agenda for a grassroots campaign in the future. <o:p></o:p></span></div>
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<span lang="EN-US">The objectives of the convention will be as follows:<o:p></o:p></span></div>
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<span lang="EN-US">1 – To understand the issues of maternal and
reproductive health and its determinants from the life experiences and field
realities of diverse marginalized groups<o:p></o:p></span></div>
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2 – To explore synergy between
various field-based and issue-based groups and campaigns to generate a
nation-wide collaborative accountability agenda to address preventable maternal
and reproductive morbidity and mortality <o:p></o:p></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">3- To strengthen the conversation between rights
groups working at the national and sub-national level, and build intersectional
cross-movement alliances to address maternal and reproductive health<o:p></o:p></span></div>
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The 2-day Convention will bring together
approximately 100 participants from across the country, who are advocating for
the rights of women and would be interested in taking on board the issue of
maternal and child health in their mobilization. These include grass root
organizations, movements and Networks like Right To Food Campaign, Bebaak Collective, other groups working on Tribal’s
Rights, Right to Education, LGBTQ rights, minority rights, land rights and Rights
of Single Women (Ekal Nari Shakti Sangathan).<o:p></o:p></div>
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<b>Dates: 16- 17 December<o:p></o:p></b></div>
<b><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">Venue: Indian Social
Institute, New Delhi</span></b></div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-62855022911239070532016-09-26T01:41:00.003-07:002016-09-26T01:41:31.841-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span lang="EN-US">Chronicles of Deaths Foretold: Part 2 - Policy
recommendations<u><o:p></o:p></u></span></b></div>
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<b><span lang="EN-US"><br /></span></b></div>
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<span lang="EN-US">Data from the health
ministry shows that only 42% of maternal deaths are being reported. Out of them
67% are institutional deliveries. Nearly 20% of women are dying during transit.
<o:p></o:p></span></div>
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<span lang="EN-US">Experiences from the
field indicate the same.<o:p></o:p></span></div>
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<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">“We have 120 medical
colleges, only 55 are reporting maternal deaths to us. We have sensitized them,
but it is not picking up,” saidDr. Veena Dhawan from the Ministry of Health and
Family Welfare.<o:p></o:p></span></div>
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<span lang="EN-US">She listed many
initiatives of the government to reduce maternal deaths. “But the
implementation lies in the hands of the State governments. We can only make
policies at the Centre,” she said. <o:p></o:p></span></div>
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<span lang="EN-US">The report was presented to </span><span lang="EN-US">Dr. Veena Dhawan, assistant commissioner, maternal health,
Ministry of Health and Family Welfare and Dr. Prasanth of National Health
System Resource Centre. </span><span lang="EN-US"><o:p></o:p></span></div>
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<span lang="EN-US"><br /></span></div>
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<span lang="EN-US"><b>
<span lang="EN-US" style="font-family: Calibri, sans-serif; line-height: 115%;">Recommendations:</span></b></span></div>
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<span lang="EN-US"><b><span lang="EN-US" style="font-family: Calibri, sans-serif; line-height: 115%;"><br /></span></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">In the two-day consultation, organized
during the release of report “Chronicles of Deaths Foretold,” activists
strongly demanded accountability for lapses when a woman dies. They said that
there should be enquiry into maternal deaths, responsibility fixed and culprits
punished. When there are protocols, then someone should be punished if they are
not followed and lead to deaths.<o:p></o:p></span></div>
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<span lang="EN-US"><br /></span></div>
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<span lang="EN-US"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
</span></span></div>
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<span lang="EN-US">Based on the report and the consultation on
maternal health, the civil society organizations came up with recommendations.
Five suggestion that NAMHHR believes have to be implemented immediately are:<o:p></o:p></span></div>
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<ol>
<li>Ante-natal check-up (ANC) must identify high-risk
cases – use RED FLAG to signify a high risk for all providers</li>
<li>EMERGENCY HELP DESK in all facilities used
by ‘populations at risk’ with compounded vulnerabilities</li>
<li>Develop Adverse Outcome Management
protocols, monitor use in HPDs</li>
<li>Blood storage at all FRUs; in emergency situations, no
donor requirement</li>
<li>Free REFERRAL transport to tertiary facilities with
paramedic (EMT)- even if across state border; a simple PHONE CALL to next
facility </li>
</ol>
<b>The 10 medium-term recommendations are</b><br />
<div>
<ol style="text-align: left;">
<li>System of using MCTS information to prevent/prepare
for any adverse outcomes</li>
<li>Skill training of all nurses and ANMs in safe
childbirth, including ANMs in sub-centres/community</li>
<li>Adequate
nurse/ANM posts & appointments according to case-load</li>
<li>Ensuring visits to each CHC by a Gynaecologist at
least once every 15 days</li>
<li>Ensuring
essential drugs for maternal survival are available, and using generics</li>
<li>Providing Iron-sucrose injections for very anaemic
women at CHC/PHC</li>
<li>Strong feedback loops for JSSK, with User
participation</li>
<li>Acknowledgement and Regulation of the private
sector including informal providers</li>
<li>Stronger monitoring of data based on AHS estimates;
counting numbers of anaemic women, checking maternal death reports and doing
CB-MDR with CSO support</li>
<li>Involvement of PRIs in identification of maternal
deaths, process of death review & community awareness</li>
<li>Free hearse service for bereaved families</li>
</ol>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">Dr. Abhijit Das, director, Centre for Health and
Social Justice, said that the government should create a feedback mechanism
from community experience. We can use ICT for a platform through which every
citizen can provide their experience. It will be anonymous but will have
important indicators like geographical area and facility where the person was
treated. This can further be consolidated and feedback sent to specific
facilities for their improvement.</span></div>
</div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br /></span></div>
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<span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US">“We do not need new schemes and
announcements. We need to ensure implementation of what already exists. We need
to hold people accountable when they do not implement policies,” said Renu
Khanna from Sahaj, Gujarat. <o:p></o:p></span></div>
<span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><div style="text-align: justify;">
<span lang="EN-US" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">Jashodhara
Dasgupta from Sahayog, nodal organization that prepared the report, said that an
overhaul of the current system is the need of the hour. “Our evidence through
the report shows that the current way of working has not produced results. The
model of </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">JSY+ ASHA+ EmOC/JSSK has not worked, especially in
marginalised areas and communities. We have rethink and look beyond the
existing system”.</span></div>
</span></span></div>
</div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-3487495728842958672016-09-26T01:24:00.004-07:002016-09-26T01:26:33.253-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-61209620960054402302016-09-26T01:24:00.002-07:002016-09-26T01:26:29.509-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 style="font-family: calluna, arial; font-stretch: normal; margin: 0px; outline: 0px; padding: 10px 70px 0px; text-align: center;">
<span style="font-size: medium;">Sterilisation judgment: Beginning of a longer battle to reorient family planning programme</span></h1>
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<span style="font-size: medium;"><a data-saferedirecturl="https://www.google.com/url?hl=en&q=http://www.firstpost.com/india/sterilisation-judgment-beginning-of-a-longer-battle-to-reorient-family-planning-programme-3015478.html&source=gmail&ust=1474960325295000&usg=AFQjCNEGTsf-FlIvsgRbD7Nig7ZxU8z42A" href="http://www.firstpost.com/india/sterilisation-judgment-beginning-of-a-longer-battle-to-reorient-family-planning-programme-3015478.html" target="_blank">http://www.firstpost.com/india<wbr></wbr>/sterilisation-judgment-beginn<wbr></wbr>ing-of-a-longer-battle-to-reor<wbr></wbr>ient-family-planning-programme<wbr></wbr>-3015478.html</a></span></div>
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<br /></div>
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-- <strong style="color: #333333; font-family: georgia,arial; font-size: 16px; margin: 0px; outline: 0px; padding: 0px;">By Maya Palit</strong><br />
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
In
April 2012, Salamuni and her husband, a rickshaw puller based in
Bundelkhand, visited a hospital in Chitrakoot. She was pregnant and ill,
and they assumed she would get better medical treatment there. The
doctor on call, Ranjana Sharma, was aggressive in her attempts to
convince Salamuni to have a sterilisation operation. Despite Salamuni
insisting that she was too weak, Sharma made her sign a document, gave
her an injection, and initiated an abortion as well as sterilisation
before the anaesthesia kicked in. According to Salamuni’s account, the
doctor spent three hours pumping air into her to locate the nerve, and
when she screamed from the pain, the sari she was wearing was stuffed in
her mouth before she lost consciousness. She had to spend eight days
recovering at a hospital in Allahabad after the ordeal because the
bleeding wouldn’t stop, she told activists from Sahayog, a women’s
reproductive health advocacy group.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
Salamuni’s case was an extreme version of the scores of botched
sterilisation jobs that are frighteningly common in India. Earlier this
year, the central government reported 113 deaths caused by tubectomy
surgeries in the last year, but several women’s health activists have
rejected this as a conservative estimate, and the National Alliance on
Maternal Health and Human Rights (NAMHHR) suggested during a press
conference last Friday that approximately 1,000 of the 4 to 5 million
women who undergo sterilisation die every year. This has been attributed
to the appalling conditions under which the abdominal operation is
conducted – often in dharamshalas, under torchlight at night, sometimes
with very poor hygiene and unsanitary tools like bicycle pumps and rusty
scalpels.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirmzfnk7a6IfZI-aBMrfkym62TRlPdCSVX7anElweTqn-H_XlqAeTyQQ91Hj_dI63IHC6gZwX88zHOMN8zIM3P2vBLeXDZvvfuoFqbEeYl5P3Is2qHKQZTNj06KbY2aukq22JQDeOdI0E/s1600/unnamed.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirmzfnk7a6IfZI-aBMrfkym62TRlPdCSVX7anElweTqn-H_XlqAeTyQQ91Hj_dI63IHC6gZwX88zHOMN8zIM3P2vBLeXDZvvfuoFqbEeYl5P3Is2qHKQZTNj06KbY2aukq22JQDeOdI0E/s320/unnamed.jpg" width="320" /></a>The particularly horrific case of the 18 women who died in 2014 after
contracting septicemia and other complications in a sterilisation camp
in Bilaspur, Chhattisgarh is now widely known. RK Gupta, the doctor who
operated on 83 of those women over five hours was briefly put in police
custody but then released because of insufficient evidence. The news
that in the same year he had been rewarded for his ‘record’ career of
50,000 surgeries only epitomises the target-obsessed mentality of the
Family Planning programme.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
It was the gory details of a similar incident that took place four years
ago — when 53 Dalit and Scheduled Caste women were operated on at night
in a government school in Araria, Bihar — that convinced the Supreme
Court last week to direct the Centre to end sterilisation camps across
the country, acting on a petition filed in 2012 by health rights
activist Devika Biswas. Activists working on maternal health and human
rights have since organised meetings to discuss the implications of the
judgment. While they welcomed the decision, they were not optimistic
about the 3-year transition period which the Court provided the Centre,
and said that until an actual blueprint is written out to end these mass
camps, it is difficult to say what impact the judgement will have.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
Kavita Krishnan, Secretary of the All India Progressive Women’s
Association and member of the CPM pointed out at the conference that the
family planning debate is still very much centred on tackling
population control rather than focusing on women’s reproductive rights:
"The question [should not be] about which is the next best technological
fix in contraception but about what actions will empower women to gain
control over their bodies, and encourage men to take responsibility for
contraception," she said. Unfortunately, the focus on population control
has governed family planning since the late 80s, ever since the Pomeroy
method of tubal ligation through laparoscopy made abdominal operations
easier to conduct. And as Deepa Dhanraj’s 1991 film Something Like A War
shows, doctors had begun conducting them in unsanitary situations early
on: “I spend 45 seconds per operation. I have conducted 3,13,939
operations, this year, more than two thousand in schools and government
halls…” says one gynaecologist in the film.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
Abhijit Das, co-founder of Healthwatch Forum and a trained doctor
working at the Centre for Health and Social Justice in Delhi, added that
paranoia about the population explosion has been so deeply ingrained in
the public mindset that the government feels justified in its search
for quick-fix solutions. The alternative, he says, is aiming for
population growth to be spread over years: “India has a very young
population. What you want is for reproduction to take place over time,
rather than people having many babies and getting sterilised at 24.
Sterilisation should also happen later because it has been associated
with high regret and hysterectomy rates.”</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
One of the most crucial questions that was raised at the NAMHHR
conference concerned the (lack of) temporary contraceptive and
alternatives in the family planning programme. The post-partum
intra-uterine contraceptive device (PPIUCD) is another measure that has
been gaining popularity. Rajdev Chaturvedi, from the Gramin Punarnirman
Sansthan in Azamgarh, Uttar Pradesh, spoke about increasing cases of the
device being inserted without women’s consent or knowledge after they
give birth. He was also skeptical about the impact of the judgment,
claiming that the real change would involve the improvement of access to
counselling for women regarding contraception, as at the moment they
are targeted while they are vulnerable and in pain during deliveries.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
Jashodhara Dasgupta, a coordinator of Sahayog who also works with
Healthwatch Forum, UP, emphasised the importance of expanding the
objectives of family planning to include a variety of contraceptives so
that women can make “informed choices”. These include measures for those
who find the PPIUCD invasive or adolescents at the start of their
sexual lives, for whom sterilisation is entirely unnecessary. “The
government has put off a long-term vision that encompasses the diversity
of people’s needs for so long,” she said.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px; text-align: justify;">
But the reason that non-consensual sterilisation is so rampant in the
first place is because doctors are given annual (unofficial) targets or
ELAs (Expected Levels of Achievement) to fulfil. Although the recent
Supreme Court judgement directs the government against encouraging
“incentivised consent” or setting even informal targets for health
workers, this may well conflict with India’s commitment to providing
contraceptive services to 48 million additional users as part of its
family planning goals for 2020. And as of last year, more than 80
percent of the annual family planning budget was spent on promoting
sterilisation. Even though the most recent National Family Health Survey
statistics suggest that female sterilisation has decreased overall in
many states in the last decade, in states like Andhra Pradesh, as many
as 68.3 percent of women across rural and urban areas have undergone
sterilisation — it doesn’t look like a problem that can be completely
eradicated right away.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px;">
It
remains to be seen, then, whether this judgement will be the beginning
of a much longer battle to reorient the family planning programme.</div>
<div style="color: #333333; font-family: georgia, arial; font-size: 16px; outline: 0px; padding: 0px 0px 15px;">
<em style="margin: 0px; outline: 0px; padding: 0px;">The
Ladies Finger (TLF) is a leading online women’s magazine delivering
fresh and witty perspectives on politics, culture, health, sex, work and
everything in between.</em></div>
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<br /></div>
</div>
</div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-51790816216606077892016-09-23T04:25:00.003-07:002016-09-26T01:51:59.374-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US">Chronicles of Deaths Foretold:Part 1 - Experiences from the
field</span></b><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">Sunita
Devi (name changed) breathed last in a district hospital in Godda district of Jharkhand
while delivering her baby. Devi was 28 year-old and died due to absence of
blood in the hospital. She was already delayed in reaching the hospital as her
family took time in arranging money for the ambulance.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">The
family had to mourn two deaths as her child too was still born. The family also
had a debt of Rs 15,000 by the end of entire affair.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">“Such
experiences discourage people from going back to the public health system. If a
woman delivers her first child in a health facility, she resists going through
the same experience for future deliveries,” said Jiban, an activist from Odisha.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">Devi’s
story is one of the 20 from Jharkhand that have been documented in the report
“Chronicles of Deaths Foretold,” released 19<sup>th</sup> August, 2016 in
Delhi. Like her, most of the women died of heavy bleeding. Either there was no
provision of blood in the hospital, or they were asked to pay a hefty sum of Rs
2000-3000 per bottle. By the time families from economically weaker sections arranged
for the money, women were dead.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">Prepared
by the National Alliance for Maternal Health and Human Rights (NAMHHR), the
report documents in details the events that led to 139 maternal deaths in seven
districts of four states of India – Jharkhand, Odisha, Uttar Pradesh and West
Bengal. All these women are from marginalised communities. Study areas like
Godda in Jharkhand or Mayurbhanj in Orissa are tribal dominated, Murshidabad
and Malda and West Bengal have poor Muslim populations whilst in Azamgarh,
Banda and Mirzapur in Uttar Pradesh, most women who died were from either Dalit
or OBC or Muslim backgrounds.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;">The
aim of the report was not to look at medical reasons of death – which are
usually recorded as heart attacks. The aim was to find causes that led to
delays in their treatment that ultimately resulted in their deaths.</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">The narratives show that women are going to health facilities, but the
health facilities are not equipped to handle emergency cases, leading to
colossal number of deaths. This situation is different than what existed a
decade ago when pregnant women were seen as not seeking services of a health
facility.</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">Lack
of blood transfusion facility, disruptive ambulance services, lack of empathy
from staff and unavailability of doctors are reversing the trend, as is evident
from data on Janani Suraksha Yojana.</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">According
to an analysis by Centre for Budget and Governance Accountability (CBGA), there
has been a steep decline in JSY beneficiaries in the last five years. Devi’s
home-state saw a decline of as much as 35.4% from 2010-11 to 2014-15. While in
2010-11, JSY was used by 386354 for pregnancy related services, by 2014-15,
only 249455 women were using it. Women in other states are also rejecting the
model. In West Bengal, the decrease has
been of 37.1%, in Odisha 6.6% and in Uttar Pradesh it has been 0.7%.</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">Experiences
from the field, as captured by the report, show that public health facilities
are equipped to deal only with routine check-ups and deliveries. They are
unable to manage emergency situations. To begin with, high-risk women are not
even picked up by the health system to take care of during delivery. Devi was
aneamic and weak. Her weight was lower than required of a pregnant woman. She
had delivered five children before. All these were clear signs of her being
high risk. But still, not only the health system did not register her as
someone who needs special attention, but could not treat her when she reached
the district hospital, with meager support from neighbouring primary health
centre (PHC)and Community Health Centre (CHC).</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">Devi
died of heavy bleeding. The child had probably died even before reaching the
hospital</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">In
another case in UP, a woman was referred to a CHC by the PHC. The nurse at CHC
realised that she needed to be taken to District Hospital (DH). But the woman
had to wait till next morning for the doctor to arrive for referral to the DH.
By the time doctor at CHC arrived, she had died, leaving her unborn child also
dead.</span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><br /></span></span></div>
<div class="MsoNormal" style="tab-stops: 9.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";">“These are common stories in Azamgarh
in UP. Government officials keep saying that there are no maternal deaths, but
our experience and data show otherwise,” said Rajdev, who conducted the study
in Azamgarh, UP. He was speaking at the national consultation organized during
the launch of the report.<o:p></o:p></span></div>
<div class="MsoNormal" style="tab-stops: 9.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;">
<span lang="EN-US" style="font-size: 11pt; line-height: 115%;">Health activists and experts showed their
frustration saying that things have not moved in the right direction despite
presence of so many schemes, programmes and incentives.</span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><br /></span></span></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";">“It is the government’s duty to
conduct maternal death reviews (MDR). As civil society, we can only tell them
“how to,” said Abhijit Das, director, Centre for Health and Social Justice. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";">The government is not regular in
conducting MDR. Even when it does, data is not made public. There is no
analysis based on the reviews to improve or change the situation.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif";"><br /></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;">
<span lang="EN-US" style="font-size: 11pt; line-height: 115%;">“We need to realize that a pregnancy is not a
disease. It is something that can be managed and we all know it is simple.
Unfortunately, in the lack of political will, saving women has emerged as a big
public health issue,” said senior journalist T K Rajalakshmi, who works with
fortnightly Frontline.</span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><br /></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;">Jashodhara
Dasgupta from Sahayog, the nodal organization which conducted the study, said,
“The report is titled such because the formula of institutional delivery has
not worked. Women reached the hospital as soon as they realised that they need
care, but the hospitals failed them as they were not ready with the required
facilities. Thus, scripts of their deaths were written while drafting policy
and their deaths were foretold."</span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><br /></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;">The
report also shows that Janani Shishu Suraksha Karyakram (JSSK) -- entitlement to free maternal health services
-- does not work at the point of delivery. Violations have been reported from
every state from where the case studies have been collected. Often women’s
families have had to arrange money for ambulance and expected expenses on
diagnostics, medicines, supplies and in some cases informal payments, which led
to delay in reaching healthcare facilities. For poor families this is
catastrophic and discourages them from going to hospitals the next time.</span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><br /></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;">Failure
of the health system in providing something as simple as contraceptive services
and counseling kept cropping up time and again in all the regions. A
40-year-old woman in Banda district of UP died during her 12<sup>th</sup>
pregnancy. She had 10 live births and went for induced abortion by consuming
pills for the 11<sup>th</sup> time. As the 12<sup>th</sup> pregnancy was also
unwanted, she went for abortion by similar method. The woman consumed five
pills without any proper medical advice. She died in less than 24-hours due to
heavy bleeding. Despite reaching a public hospital, she could not be saved.</span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><br /></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 11.0pt; line-height: 115%;"><span lang="EN-US" style="color: #222222; font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;"><span lang="EN-US" style="font-size: 11pt; line-height: 115%;">The
public health system is clearly not reaching women for guidance on
contraceptives. It is then doubly failing them by not providing access to safe
abortion services, even after, like in the present case, they have previous
record of abortions. The State’s neglect is responsible for innumerable deaths
and morbidity. Behavioural issues of healthcare staff in public health
facilities were faced by majority of families interviewed. Coming from
marginalized backgrounds, they are not treated as equals by the government
staff and this discouraged many women from seeking care in public health
facilities.</span></span></span></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-17938150911950579462016-09-21T03:40:00.003-07:002016-09-21T03:47:46.153-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-17860117217799216072016-09-21T03:40:00.002-07:002016-09-21T04:12:30.835-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://namhhr.blogspot.in/2016/09/reproductive-rights-and-access-to.html" target="_blank"><b><span style="color: #626262;"><span style="font-size: x-large;">Reproductive Rights and Access to Contraception in</span> <span style="font-size: x-large;">India</span></span></b></a><br />
<span style="color: #626262;"><span style="font-size: x-large;"><span style="font-size: x-small;"><span style="font-family: "georgia" , "times new roman" , serif;"><span style="color: #a82e2e;">Access reading materials related to this article - (<a href="http://www.rhobservatory.net/uploads/1/0/2/1/10215849/background_note_for_press_con.docx" target="_blank">Background Note</a>, <a href="http://www.rhobservatory.net/uploads/1/0/2/1/10215849/final_judgment_devika_biswas_v_union_of_india___ors__1_.pdf" target="_blank">Final Judgement</a>, <a href="http://www.rhobservatory.net/uploads/1/0/2/1/10215849/call2actiondrft2.docx" target="_blank">Call to Action</a>)</span></span></span></span></span><b><span style="color: #626262;"><span style="font-size: x-large;"> </span></span></b><br />
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<b>New Delhi,</b> <b>Sep 16 2016</b><br />
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<b></b><span style="color: #2a2a2a;">A
national alliance of organisations working on maternal health rights
today called for setting up of an independent monitoring commission to
look at the audits and reports that are commissioned by the government
to review its family planning programme. An oversight body of
parliamentarians, women's rights organisations and academicians needs to
be constituted immediately, said Jashodhara Dasgupta of HealthWatch
Forum U.P, adding that such measures would support Wednesday's landmark
Supreme Court order in the case of Devika Biswas vs Union of India and
others (Writ petition (Civil) No.95 of 2012), </span><span style="color: #2a2a2a;">that
ruled against mass sterilisation camps and called for greater
transparency in the family planning programme. Dasgupta said, speaking
at a press conference organised in New Delhi today by the National
Alliance for Maternal Health and Human Rights (NAMHHR) and HRLN through
whom the petition had been filed, activists from across the country and
public health experts welcomed the judgement as an important step
towards reproductive health justice for women in India.</span></div>
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<span style="color: #2a2a2a;">Petitioner Devika Biswas appreciated the order acknowledging the
government’s failure opining at the same time that mass sterilisation
camps should be stopped immediately rather than being given a buffer
period of three years. She felt government accountability needed to be
emphasised through ensuring redressal and compensation for the women who
had suffered, which was currently lacking. "Civil society and media
now need to vigilantly monitor the implementation of the SC order by
informing communities that the practice is soon to be banned," said
Biswas.</span></div>
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<b><span style="color: #c23b3b;">"Government
accountability needed to be emphasised through ensuring redressal and
compensation for the women who had suffered, which was currently
lacking. "Civil society and media now need to vigilantly monitor the
implementation of the SC order by informing communities that the
practice is soon to be banned." </span><span style="color: #626262;"> <u><span style="font-size: small;">- DEVIKA BISWAS</span></u></span></b></div>
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Kavita Krishnan, Secretary AIPWA expressed concern at the press
conference that the issue was still being framed as a population
control problem rather than a question of reproductive justice for all
women. She emphasized,"The question is not about which is the next best
technological fix in contraception but about what actions will empower
women to gain control over their bodies, and encourage men to take
responsibility for contraception."</div>
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Described as the single largest operation ever to take place anywhere in
the world, equivalent only to the cataract eye surgeries, about 4-5
million women in India undergo sterilisations each year, and the
estimate is that close to 1000 women die every year due to the appalling
conditions in which sterilisations are carried out by public health
system.“The family planning program in India adopted a mass surgery
approach in the 1970’s in Ernakulam, Kerala, where men underwent
vasectomy by the hundreds. This same approach was applied, however, to
the more complicated procedure of female sterilization which involved an
abdominal operation, a grossly inappropriate move in hindsight,” said
Abhijit Das, Convener of NAMHHR.</div>
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Sanjai Sharma of HRLN recounted the long struggle of over two decades to
highlight concerns about quality of care in sterilization camps.
Specifically he referred to the Ramakant Rai v Union of India case,
which the present judgment refers to and expressed surprise that the
Supreme Court orders in that case from 2005 have not been implemented as
yet on the ground.</div>
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Ajay Lal of the Maternal Health Rights Campaign in Madhya Pradesh spoke
about the conditions prevailing insterilization camps in the state. He
related observations from 28 camps in 12 districts of M.P in 2016,
describing that even now camps were being held in unsanitary conditions
in dharamshalas and schools apart from public health centres, and cycle
pumps were being used to pump air into the abdomen, a gross violation
of standard operating procedures. Rajdev Chaturvedi from Healthwatch,
Uttar Pradesh who is also a member of the quality assurance committee
(QAC) in the district of Azamgarh, said that the committee was
constituted three years ago but no meeting has been held. He also spoke
of emerging issues related to family planning, especially that of
fraudulent records of post-partum IUCDs and stealth insertion of IUCDs
without women’s knowledge after delivery. From Chhattisgarh Dr Yogesh
Jain ofJan Swasthya Sahayog provided his observations following the
Bilaspur incident where 13 women died after sterilization operations in
2014. He mentioned that the Anita Jha commission report which inquired
into the matter had not inspired any confidence as it merely shifted the
blame onto an external party – the drug manufacturer – even though
evidence pointed to the contrary. In response to the case, the public
health facilities had altogether stopped conducting sterilization camps
and now women who needed the procedure had to go to neighbouring states
or pay a private provider to avail of these services. This is an
unintended consequence of the issue and ultimately ends up harming
women.</div>
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The press conference ended with a call to use this judgment as an
impetus to launch a larger public movement against the 'violation of
women's bodily rights' by highlighting concerns around the
implementation of the family planning program with regard to quality of
care and informed choice and maintaining pressure on the government for
greater accountability. </div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-58431900068049458822016-08-11T00:12:00.002-07:002016-08-11T00:12:37.958-07:00Abortion- A question of human rights<div dir="ltr" style="text-align: left;" trbidi="on">
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We are a group of persons from across the country working with women over several decades around issues of their rights and health. In response to the article, <a class="ui-link" href="http://www.thehindu.com/opinion/lead/a-tricky-debate-on-abortion/article8934071.ece" style="color: #1f57a5; font-weight: bold; text-decoration: none;">“A tricky debate on abortion” (Aug. 3, 2016)</a>, we would like to contest from the perspective of women’s rights the arguments made by the author. </div>
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Worldwide, it is estimated that 46 million women seek abortion every year and the World Health Organisation estimates that close to half of these happen in unsafe conditions. In India, around 20 million women seek to terminate an unwanted pregnancy every year. Even today, due to the stigma around women’s sexuality and abortion itself, a woman dies every two hours of an unsafe abortion. What makes this statistic even more tragic is that in our country, as the article points out, we have had a law permitting abortion access under certain conditions since 1971; however, this has not ensured widespread access to safe abortion services.</div>
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<b>Right to bodily integrity</b><br /><br />This is one of the reasons that over the last three decades, international human rights bodies, including those of the UN, have paid attention to the issue of abortion and have called upon states to remove barriers to access to safe abortion. Internationally accepted human rights law supports the right to choose whether to continue a pregnancy or not within the framework of the right to life, right to health, and right to autonomy and bodily integrity. There is enough evidence that non-availability of safe abortion kills — where abortion laws are not restrictive, morbidity and mortality due to unsafe abortion are much lower. </div>
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A woman’s decision to terminate a pregnancy is not a frivolous one. Abortion is often the only way out of a very difficult situation — pregnancy resulting from coerced or non-consensual sex, ignorance that pregnancy may result even from the first sexual intercourse, inability to use a method of contraception due to a husband’s (or other’s) objection, fear of side effects, not receiving information and counselling at the appropriate time, wrong use of methods, discontinuities in use because of various reasons including not receiving supplies regularly, and, of course, method failure. An abortion is a carefully considered<a class="ui-link" href="http://www.thehindu.com/opinion/op-ed/raising-the-choice-ceiling/article8891315.ece?utm_source=InternalRef&utm_medium=relatedNews&utm_campaign=RelatedNews" style="color: #1f57a5; font-weight: bold; text-decoration: none;"> decision taken by a woman who fears that the welfare of the children she already has</a>, and of other members of the household that she is obliged to care for with limited financial and other resources, may be compromised by the birth of another child. These are decisions taken by responsible women who have few other options; they are women who would ideally have preferred to prevent an unwanted pregnancy, but are unable to do so. We have reported this in the many studies published by us. And if the pregnancy was the result of sexual violence and the woman does not want to continue with the pregnancy, then forcing her to do so represents a violation of the woman’s bodily integrity and aggravates her mental trauma, impeding her healing and recovery from violence. </div>
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<b>The question of ethics</b></div>
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The article refers to “strong ethical objections to abortion per se”. It is worth mentioning here that abortion is permitted for social or economic reasons in 80 per cent of developed countries, as compared with only 16 per cent of developing countries. According to international human rights law, a person is vested with human rights only at birth; an unborn foetus is not an entity with human rights. The ethical issues here are not just of the rights of the foetus. The foetus is not an independent entity and depends completely on the welfare of the woman. Without her well-being, one cannot talk about the well-being of the foetus. We also need to consider the fact that the woman herself is a living human being in the here and now — the pregnancy takes place within her body and has profound effects on her health, mental well-being and life. Thus, how she wants to deal with this pregnancy must be a decision she and she alone can make. </div>
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The article also juxtaposes women’s choice to continue or terminate a pregnancy with the right of a disabled person to live. We would like to present the grim reality that adult women and young girls face when they are pregnant against their wishes or when a wanted pregnancy can become difficult to continue if the foetus is diagnosed as having serious abnormalities. The state does not offer any special relief for parents of disabled children and the entire burden of medical care, education, daily care and future security falls on the individuals alone. It is also not true that most serious foetal abnormalities can be diagnosed before 20 weeks — abortion for serious foetal anomaly often is needed after 20 weeks as tests are mostly done at 18 weeks and results can take three or more weeks. </div>
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We would like to state that upholding the rights of the disabled does not conflict with upholding women’s reproductive rights. Many disability rights activists are pro-abortion rights and those who uphold reproductive rights are also supportive of the rights of persons with disability to make reproductive choices, to not have to face coerced sterilisation and/or abortion. </div>
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<b>A basic right</b><br /><br />Perhaps the time has come for us to discuss whether women in India are indeed equal citizens and whether the right to control their own body and fertility and motherhood choices are primary to their empowerment. The judiciary and lawmakers need to maintain a secular outlook and strive to ensure that the women citizens of this country have equal citizenship rights in consonance with the Constitution and with accepted international covenants on human rights. These include a right to life for the woman, as also a right to dignity and a right to benefit from scientific progress. Religion and other traditional frameworks are inherently imbued with patriarchy and cannot be used by a secular state to direct its laws and policies. </div>
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Let us not lose sight of the basic right of women: the right to autonomy and to decide what to do with their own bodies, including whether or not to get pregnant and stay pregnant. </div>
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<i>Suchitra Dalvie, Sundari Ravindran, Subha Sri B., Renu Khanna (CommonHealth); Jashodhara Dasgupta (National Alliance for Maternal Health and Human Rights); Sana Contractor (Centre for Health and Social Justice); Rupsa Mallik (CREA); Padma Deosthali (CEHAT); Sarojini N., Deepa V. (SAMA).</i></div>
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<i>The rebuttal appeared in the hindu </i><span style="color: #333333; font-size: 16px;">http://m.thehindu.com/opinion/op-ed/abortion-womens-rights-and-human-rights/article8969843.ece</span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-88100461274195082252016-03-07T22:10:00.001-08:002016-03-08T22:27:08.175-08:00An Open Letter to the Prime Minister of India on the occasion of 107th International Women’s Day, 8 March 2016<div dir="ltr" style="text-align: left;" trbidi="on">
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Hon’ble Prime Minister,</div>
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We, the undersigned women’s organizations and other concerned groups, convey our greetings on the occasion of 8<span style="font-size: 7.3px; line-height: normal;"><sup>th</sup></span> March, Women’s Day. This day has been celebrated for more than a hundred years to commemorate the women’s movement’s struggles for equality, justice and peace across almost all countries of the world.</div>
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On this memorable occasion, we are aware that you and your colleagues will be making speeches and statements to indicate how much this nation values the contribution of its women to the country’s progress. We expect that many will praise women as mothers, caring family members and hard workers; we hope some will acknowledge the diverse struggles of women everywhere in securing freedom from violence and ensuring peace.</div>
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We appreciate your earlier efforts to promote the value of daughters and encourage education for the girl child. We therefore look forward to more announcements from you this year that will indicate just how much this nation, and your government, shows appreciation for the women of this country. We would especially like to draw your attention to women’s work that produces food, goods, services, and care for the household as well as children who will be the future workforce of India; yet women’s care work continues to remain invisible, unsupported and unshared. You must have noticed how everywhere women work simultaneously in fields, forests, water bodies, and at home; providing water, fuel, fodder, cooking, cleaning, caring of children, sick, elderly, yet they are often unpaid and sometimes get much lesser wages than men on farms, work sites, factories, and markets. In fact unpaid care and household work by women, even though it is ten times as much as men, remains unrecognized and unaccounted for in the System of National Accounts (SNA).</div>
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The McKinsey report (<i>The Power of Parity</i>, 2015) points out how the gender gap in employment is exacerbated by unfair conditions for working women who become pregnant. In India 95% women workers are in the informal and unorganized sector and do not receive any wage compensation during pregnancy and after childbirth, although we expect them to rest, gain weight, improve their own health and then provide the baby with exclusive breastfeeding for six months. The Economic Survey of India 2016 (Ministry of Finance, Government of India) points out that ‘42.2% Indian women begin pregnancy too thin and do not gain enough weight during pregnancy’ and recommends that ‘some of the highest economic returns to public investment in human capital in India lie in maternal and early life health and nutrition interventions.’</div>
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Sir, on the occasion of Women’s Day we would earnestly request you to announce some substantial entitlements for women that would show very tangibly how much this country values women’s contribution to society and their families: as workers, as mothers and as valuable members of communities.</div>
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I. At the very least, we expect your leadership in immediate implementation of the National Food Security Act 2013, within which:</div>
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a. The Central Scheme for <span style="font-kerning: none; text-decoration: underline;">Maternity Entitlements</span> should immediately be up-scaled from its pilot phase into at least 200 high-priority districts especially including those with a larger proportion of tribal (ST) population. The universal guarantee of at least Rs. 6000/- is only to be read as a beginning, and it should subsequently be rationalised as wage compensation.</div>
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b. Maternity entitlements in all sectors must be <span style="font-kerning: none; text-decoration: underline;">universal and unconditional</span>, and not linked to the number of children or age of the woman, as that is fundamentally discriminatory to both women and children.</div>
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c. Supplementary nutrition through<span style="font-kerning: none; text-decoration: underline;"> locally prepared foods </span>– preferably hot cooked meals to be supplied to all pregnant and lactating women at the local Angawadicentre. The money invested for such a meal is highly inadequate currently under the ICDS program, leading to poor quality and quantity of the supplementary nutrition</div>
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d. The public distribution system must provide universal access to <span style="font-kerning: none; text-decoration: underline;">10 kgs of cereals, I kg of pulses and 1 kg of oil rations</span> under the NFSA.</div>
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II. We also hope within a short time to see:</div>
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a. The <span style="font-kerning: none; text-decoration: underline;">progressive realisation of nine months of maternity leave</span> (three months before childbirth to six months after) with full <span style="font-kerning: none; text-decoration: underline;">compensation of wages for all women, calculated at least according to minimum wages at prevalent rates</span>. This revision of the Maternity Benefits Act (1961) should recognise women’s work in all spheres, markets, domestic, for care and reproduction and subsistence; and guarantee maternity entitlements to all pregnant women, adoptive parent(s), surrogate mothers etc without discrimination.</div>
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b. Large scale campaigns that call upon <span style="font-kerning: none; text-decoration: underline;">men to increase their contribution</span> to care work and domestic chores, and reduce the burden on women.</div>
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c. <span style="font-kerning: none; text-decoration: underline;">Creche and breastfeeding</span> facilities at every work place and community (through Anganwadi-cum-creches) to be made mandatory to ensure women can continue to work and care for the infant.</div>
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d. Financial resources for maternity entitlements and crèches should come from<span style="font-kerning: none; text-decoration: underline;"> all economic activities in the country </span> as a state obligation to ensure entitlements and services, since reproduction is a social function which benefits the family, society and the nation</div>
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Sir, on the occasion of Women’s Day, while paying compliments and appreciating the role of women, we are sure the government would want to change the embarrassingly inadequate allocation of 400 crores for Maternity Entitlements against the requirement of 15000 crore annually. We urge you to translate rhetoric into action by allocating resources for social security in maternity, and acknowledging unpaid reproductive work done by women in this country, even as you greet them on this Women’s Day.</div>
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<span class="Apple-tab-span" style="white-space: pre;"> </span></div>
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Dipa Sinha, Sejal Dand, Jashodhara Dasgupta and Sudeshna Sengupta</div>
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<b>On behalf of</b>: </div>
<ul>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Right to Food Campaign, India, </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>National Alliance for Maternal Health and Human Rights (NAMHHR),</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Working Group for Children under Six, </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Alliance for Right to Early Childhood Development</li>
</ul>
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Contacts:</div>
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Jashodhara Dasgupta: 9910203477</div>
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Sejal Dand: 08130200062</div>
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Dipa Sinha: 9650434777</div>
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Sudeshna Sengupta: 9811065400</div>
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<b>Also endorsed by the following 135 organizations and individuals from across India:</b></div>
<br />
<ol>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Abha Bhaiya, JAGORI Rural, HP</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Adarsh Sharma, Former Director, NIPCCD</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>ADIVASI ADHIKAR SAMITI, Chhattisgarh</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>AGRAGAMI INDIA, Patna</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>ALL INDIA DRUG ACTION NETWORK</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>AMAN BIRADARI, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>ANANDI, Area Networking And Development Initiatives Gujarat </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Anjali Bopat, SWADHAR, Maharashtra</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>ANNA SURAKSHA ADHIKAR ABHIYAN, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Anubha Rajesh, ICFI</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Asha Singh, Lady Irwin College</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Ashalatha- MAKAAM Mahila Kisan Adhikar Manch, </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Ashalatha, MAHILA KISAN ADHIKAR MANCH</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Arundhati Dhuru and Suhas Kolhekar NATIONAL ALLIANCE FOR PEOPLE’S MOVEMENTS</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Bharat Randive, researcher</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Bharti Kumar& Sophy Joseph, National Law University, Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Bimla Chandrasekhar, EKTA RESOURCE CENTRE FOR WOMEN, Madurai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Biswa Ranjan Patnaik, CARE India</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>C. Ramakrishnan, BHARATIYA GYAN VIGYAN SAMITI</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Chandan Kumar, ACTION AID India</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Chhaya Pachauli and Narendra Gupta, PRAYAS</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Chinu Srinivasan LOCOST</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Chirashree Ghosh, DELHI FORUM For Crèches And Childcare Services, NEENV</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Devaki Nambiar, Public Health Researcher, New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>DEVGARH MAHILA SANGATHAN Gujarat </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Devika Singh, Zakiya Kurien, Nikita Agarwal, ALLIANCE FOR RIGHT TO ECD</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Dr. Kavita Bhatia, Independent researcher </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Dr. Mohan Rao, Professor, CSMCH JNU Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>FORUM FOR ENGAGING MEN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Gabriel Dietrich Pennurimai Iyakkam</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Geeta Menon & others, STREE JAGRUTI SAMITI </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>DOMESTIC WORKERS RIGHTS UNION</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Guliben Nayak, DEVHADH MAHILA SANGATHAN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>HEALTHWATCH FORUM Uttar Pradesh</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Hema Srinivas</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Imrana Qadeer ex Professor JNU Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Inayat Singh Kakar, Research Associate TISS, Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Indira Hirway, CENTRE FOR DEVELOPMENT ALTERNATIVES, Ahmedabad</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Indrani Mazumdar, CENTRE FOR WOMEN’S DEVELOPMENT STUDIES</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Isfaqur Rahaman, ELLORA VIGYAN MANCHA, Guwahati, Assam</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>JAN SWASTHYA ABHIYAN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>J P Dadhich BREASTFEEDING PROMOTION NETWORK OF INDIA </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jahnvi Andharia, Neeta Hardikar, ANANDI, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jameela Nashid</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jameela Nishat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>JAN SWASTH ABHIYAAN, Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jaya Iyer, KHADYA NYAY ABHIYAN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jayashree Satpute, NAZDEEK, Assam</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Jigisha Shastri</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Juhi Jain</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Kavita Bhatia, independent researcher</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Kavita Kuruganti, ASHA</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Kavita Panjabi, Professor, Jadavpur University.</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>KARNATAKA JANAAROGYA CHALUVALI</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Khaledaben, MALIYA MAHILA SHAKTI SANGATHAN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Lakshmi LIngan, TISS Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Lakshmi Menon</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Lalita Ramdas, Alibag, Raigad, Maharashtra</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mahesh Pandya, PARYAVARAN MITRA , Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>MAHILA SWARAJ MANCH, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mandavi Jaykar, Jindal Global Law School</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Manisha Gupte, Women's Health Rights Activist, Pune</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Manmohan Sharma, VOLUNTARY HEALTH ASSOCIATION, Punjab, Chandigarh</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mira Shiva, INITIATIVE FOR HEALTH AND EQUITY IN SOCIETY </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mohan Rao, Professor CSM-CH JNU</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Moumita Biswas, ALL INDIA COUNCIL OF CHRISTIAN WOMEN, National Council of Churches in India</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mridul Eapen, CENTRE FOR DEVELOPMENT STUDIES, Trivandrum</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mridula Bajaj, Amrita Jain and Sonia Sharma, MOBILE CRECHES</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Mujaheed Nafees, SHALA MITRA SANGH, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Nasim Ansari, TARUN CHETNA, Pratapgarh UP</li>
<li style="-webkit-text-stroke-color: rgb(35, 35, 35); -webkit-text-stroke-width: initial; color: #232323; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="color: black; font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Neeru Chaudhury, CHILDREACH India </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Nina P Nayak, Bangalore</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Niranjan Aradhya, CENTRE FOR CHILD AND LAW, National Law School of India University, Bangalore</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Padma Bhate-Deosthali, Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Padmini Swaminathan, TISS, Hyderabad</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Pallavi Gupta, Public Health Practitioner Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Pallavi Sobti Rajpal, UTTHAN, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>PEACE AND EQUALITY CELL, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Poonam Kathuria SWATI Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Prasad Chacko, HDRC St. Xavier’s College, Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Preeti Darooka, PWESCR Programme on Women’s Economic, Social and Cultural Rights</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>R. Padmini, CHILD RIGHTS TRUST, Bangalore</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>R. Srivatsan, ANVESHI Research Centre for Women's Studies, Hyderabad</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Radha Holla Bhar, New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Radhika Desai, Feminist Scholar and Independent Researcher, Hyderabad </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rahul Purkayastha, Centre of MEDICAL & SALES REPRESENTATIVES UNION (North East Region)</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rajalakshmi RamPrakash, Independent Researcher, Chennai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rajni Palriwala, Professor of Sociology, Delhi University </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rakhi Sehgal, Hero Honda Theka Mazdoor Sangathan/NEW TRADE UNION INITIATIVE</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Raman VR, Public Health Practitioner, New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Ravi Duggal, Health Researcher and Activist, Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Razia Ismail, INDIA ALLIANCE FOR CHILD RIGHTS</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rekha Sharma Sen, IGNOU</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Renu Khanna SAHAJ Vadodara</li>
<li style="-webkit-text-stroke-color: rgb(35, 35, 35); -webkit-text-stroke-width: initial; color: #232323; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="color: black; font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Ridhi Sethi, Researcher </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rohit Prajapati Activist</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rukhiben Pagi, PANAM MAHILA SANGATHAN</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Rukmini Rao, GRAMYA Resource Centre</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sachin Kr. Jain, VIKAS SAMVAD, Madhya Pradesh</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sadhna Arya, University of Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>SAHELI WOMEN’S RESOURCE CENTRE, Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>SAMA Women’s Health organization, Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>SAMYAK Pune</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sandipan Paul, Freelance Consultant, ECCE</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sandhya YK SAHAYOG</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sanjib Sikdar, DESHABANDHU CLUB, Cachar, Assam</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Santosh Mahindrakar, Research Scholar JNU</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sarojini N.B., New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>SATHI, Pune</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Satish Kumar Singh, MENENGAGE New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Satnam Singh, JSA Haryana</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Savitri Roy, FORUM FOR CRÈCHES AND CHILDCARE SERVICES</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Seema Kulkarni- SOPPECOM </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Shakeel, CHARM, Bihar</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sheila Devaraj, APSA</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Shewli, TISS Mumbai</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Shishir Chandra, MASVAW. UP </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Shraddha Chickerur, Doctoral Candidate, University of Hyderabad</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Soma KP, Collective for Advancement of Womens Land and Livelihoods Rights </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Soumik Bannerjee, Jharkhand</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sudha Sundaraman ALL INDIA DEMOCRATIC WOMEN’S ORGANIZATION</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sukriti Gangola, IPE Global</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Sulakshana Nandi, RIGHT TO FOOD CAMPAIGN, CHHATTISGARH</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Suneeta Dhar, New Delhi. </li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Suroor Mander , Advocate</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Susana Barria, Public Services International (PSI) India affiliates</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Susie Tharu, Hyderabad</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>SWAYAM, Kolkata</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Trupti Shah SAHIYAR Gujarat</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Uma V Chandru, CHET (Centre For Health Ecologies And Technology) Bangalore</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Usha Abrol, KGNMT, Karnataka</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Usha Rani K, APD India</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Usha Seethalakshmi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Vasudeva Sharma, CHILD RIGHTS TRUST</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Vasudha Iyengar</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Veena Poonacha</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Veena Shatrugna, ex-Dy. Director, National Institute of Nutrition</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Venita Kaul, CECED Centre For Early Childhood Education And Development</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px; text-align: justify;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Vimala Ramakrishnan, New Delhi</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Virginia Saldanha, INDIAN CHRISTAIN WOMEN’S MOVEMENT</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Yogesh Jain, JAN SWASTHYA SAHYOG, Chhattisgarh</li>
<li style="-webkit-text-stroke-color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; font-family: Arial; font-size: 11px; line-height: normal; margin: 0px 0px 5px;"><span style="font-family: "helvetica"; font-size: 12px; line-height: normal;"></span>Yogesh Kumar, SAMARTHAN- Centre for Development Support, Bhopal</li>
</ol>
</div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-4668203775383131612015-11-05T01:22:00.000-08:002015-11-05T01:22:36.078-08:00 Expecting, lactating tribal mothers in Maharashtra to get cooked meal every day !!!<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">The Maharashtra government approved a revised scheme, named APJ Abdul Kalam Amrut Yojna, for expecting and lactating women in the tribal areas of the state. </span><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">The scheme aims to provide at least one full hot nutritious meal to every pregnant lady and lactating mother. </span><br />
<span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;"><br /></span>
<strong style="background: rgb(255, 255, 255); border: 0px; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; outline: 0px; padding: 0px;">The main highlights of the scheme: </strong><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* Free hot cooked meal will take into consideration the beneficiary's food preference; food will be provided for six months, beginning from third trimester of pregnancy to three months after delivery; meal will include pulses, rice, fruits, vegetables and boiled eggs with occasional supply of milk</span><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* Anganwadi workers, tribal women and local meal committees will implement the scheme.</span><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* Women and Child Welfare Department will spend Rs 10 crore as stipend to anganwadi workers.</span><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* Four-member meal committee will be constituted in every tribal village across 16 districts.</span><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* Woman panchayat member will head the committee, along with two pregnant or lactating mothers and an anganwadi worker.</span><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;">* The implementation of the yojna will ensure that the babies benefit during the lactation period, which will eventually help curb malnutrition among tribal children.</span><br />
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<span style="background-color: white; color: #3f3f3f; font-family: georgia; font-size: 15px; line-height: 20px;"><br /></span></div>
NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-42479153191450751182015-11-03T00:33:00.001-08:002015-11-03T00:33:08.225-08:00Maternity leave is the reason for poor basic education! Eh Seriously????<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-size: 14pt;"> </span><span style="font-size: 14pt;">Gujarat on National Education Policy:
Draft report blames maternity leave for poor basic education</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBoJ2dcZ1eN-eyUq4clMDvK6MLGXHo__KGV0k64MzSMf3VI0jmlOo85EywQsmCebgnCClPfsSHY_nyv5u5DChBJmO6YkpLCPD1XbH-2Z4cOeFf3CJJghnQuwjBR6sRwdt24UF3b8sWQSQ/s1600/download.jpe" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBoJ2dcZ1eN-eyUq4clMDvK6MLGXHo__KGV0k64MzSMf3VI0jmlOo85EywQsmCebgnCClPfsSHY_nyv5u5DChBJmO6YkpLCPD1XbH-2Z4cOeFf3CJJghnQuwjBR6sRwdt24UF3b8sWQSQ/s200/download.jpe" width="200" /></a><span style="font-size: 14pt;">High number of women teachers and
subsequent maternity leaves were listed among the 70-odd factors affecting
elementary education in the draft report of the National Education Policy (NEP)
prepared by Gujarat government. The draft report, prepared by state education
department after a district-level consultation on school education, also
suggested creating a reserve of teachers to combat the problem of frequent
maternity leaves. It will be submitted to the Ministry of Human Resource
Development soon. Please read the story <a href="http://indianexpress.com/article/india/india-news-india/gujarat-on-national-education-policy-draft-report-blames-maternity-leave-for-poor-basic-education/">here</a></span><span style="font-size: 13.5pt;"><o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-17070985766188610492015-09-23T23:24:00.004-07:002015-09-23T23:24:49.201-07:00Hindsight of Government of India - on MMR and IMR<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjert6IFaVu1O4wn0VQpfiNhbQKMPvZG6DX0QSdL3CtlgnfmpL808tjqUMZLRHGpwpQIi9ukUaiVqrYAlN2Q9SmAfIjw75wflfRBeC1zIuHrCMnRw4jjIzhJ-CCyJkk07U8VEYTg1-sluU/s1600/s2015092270052.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="174" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjert6IFaVu1O4wn0VQpfiNhbQKMPvZG6DX0QSdL3CtlgnfmpL808tjqUMZLRHGpwpQIi9ukUaiVqrYAlN2Q9SmAfIjw75wflfRBeC1zIuHrCMnRw4jjIzhJ-CCyJkk07U8VEYTg1-sluU/s320/s2015092270052.jpg" width="320" /></a><span style="background: white; font-family: Cambria, serif; font-size: 12pt; line-height: 115%;">India will miss its
Millennium Development Goal (MDG) target of reducing maternal mortality rate to
109 per 1,00,000 live births, according to National Health Profile-2015, which
was released by Health Minister J P Nadda</span><span style="font-family: Cambria, serif; font-size: 12pt; line-height: 115%;"> on 22nd August. Please read the report </span><a href="https://drive.google.com/file/d/0B-fynPVsu-vxdGEtQnZiZXNxc0k/view?usp=sharing">here</a></div>
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<span style="font-family: Cambria, serif; font-size: 12pt; line-height: 115%;"> <span style="background: white;">"From an estimated MMR (maternal mortality rate)
level of 437 per 1,00,000 live births in 1990, India is required to reduce MMR
to 109 per 1,00,000 births by 2015. At the historical pace of decrease, India
tends to reach MMR of 140 per 1,00,000 live births by 2015, falling short by 31
points," the report said.</span><br />
</span><span style="font-family: "Cambria","serif"; font-size: 12.0pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Please read the news <a href="http://www.igovernment.in/article/2015/09/23/india-will-miss-mdg-target-maternal-mortality%23.VgKd-AsE9DE.gmai">here</a><o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-87891499108518417412015-09-03T04:43:00.000-07:002015-09-03T04:43:06.456-07:00Jharkhand Mahila Manch : state level meeting <div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjvxT1LTvPDd8CPCvGMCxJU6T5Vfs0FkezLVcruwOZrzaXqNkC3PTJecW1I_QphGjWnVZCCqgE1Lfu4eTs-8lI6tfwRAIsfmy6iZCz1NtWZgR1TWxmv9HzHWJdMIyG4ZJrltMhrGT25RY/s1600/IMG_20150826_094232.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: justify;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjvxT1LTvPDd8CPCvGMCxJU6T5Vfs0FkezLVcruwOZrzaXqNkC3PTJecW1I_QphGjWnVZCCqgE1Lfu4eTs-8lI6tfwRAIsfmy6iZCz1NtWZgR1TWxmv9HzHWJdMIyG4ZJrltMhrGT25RY/s400/IMG_20150826_094232.jpg" width="183" /></a></div>
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NAMHHR member Prerana Bharti (Jharkhand) successfully
organized a two day state level meeting of the <i>Jharkhand Mahila Manch</i> on the 26<sup>th</sup> and 27<sup>th</sup>
of August 2015. The objective of this
meeting was to revive the women’s movement in Jharkhand and to brainstorm on
strategies to empower the women of Jharkhand to once again take up cudgels against
the obstacles that continued to enslave them.
The occasion saw stalwarts of the
women’s movement such as Dr. Rose Ketketta, Prof. Malanch Ghosh and Anjali Bose
address a large gathering of over 200 participants representing the 78 members
who form part of the <i>Jharkhand Mahila
Manch</i>. In their motivational
speeches these senior women activists spoke about problems related to gender
equality, gender stereotyping and patriarchal structures that encouraged
detrimental practices such as child marriage, witch-hunting and trafficking of
women to flourish. The meeting also saw
in-depth discussions and brainstorming on strategies covering four thematic
issues - violence against women, maternal health and nutrition, livelihoods and
women’s participation in local governance.
The chief guests who graced the occasion were Smt. Sampat Meena, (DG of
Police, CID) and Smt Mahua Manjhi, President of the Women’s Commission,
Jharkhand.</div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-56773349471194047212015-09-03T02:19:00.000-07:002015-09-03T03:13:12.767-07:00ANM Convention: Reclaiming our skills,redefining our scope <div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhO81JApj69R3nThf1853eP9d476FVshPJhiL1EngQPaDZ5ENZaiaaQTsGubqkoe9LhuIMUZLBZAZddMY_k425BINe1TmnLoTj4-PQbKXuoKBYoI0Nev7rJln1nbwmEz01-QkA4gjLSBuc/s1600/P1020532.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="160" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhO81JApj69R3nThf1853eP9d476FVshPJhiL1EngQPaDZ5ENZaiaaQTsGubqkoe9LhuIMUZLBZAZddMY_k425BINe1TmnLoTj4-PQbKXuoKBYoI0Nev7rJln1nbwmEz01-QkA4gjLSBuc/s400/P1020532.JPG" width="400" /></a><i><span style="font-family: "Cambria","serif"; font-size: 12.0pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">"</span></i><i><span style="font-size: 13.5pt;">"ANM is an important link in the
public health system. She is the first stair in the staircase of the whole
public health system"</span></i><span style="font-size: 13.5pt;"> said
Satyendar Jain, Honourable Health Minister, Delhi Government on 10th July on
the occasion of the ANM Convention held in Talkatora stadium in New Delhi from
the 10-12<sup>th</sup> July 2015. The first of its kind, this convention was attended
by the<span class="apple-converted-space"> </span>1500 ANMs (Auxiliary
Nurse- Midwives)<span class="apple-converted-space"> </span></span><span lang="EN-US" style="font-size: 13.5pt;">from
different parts of the country to discuss their role and career in public
health.</span><br />
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<span lang="EN-US" style="font-size: 13.5pt;">The
Convention was organized by ANSWERS (Academy for Nursing Studies and Women’s
Empowerment Research Studies), in collaboration with Society of Midwives of
India (SOMI), National Alliance for Maternal Health and Human Rights (NAMHHR)
and Human Rights Law Network (HRLN). ANSWERS is a NAMHHR member also.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 13.5pt;">The
Convention re-iterated the important role played by ANMs who are front-line
public health personnel catering to the needs of the most vulnerable groups in
rural, tribal and remote areas. They are
the single largest health care personnel in the public health system and over
the last seven decades ANMs have worked to enhance public awareness about
health and nutrition and played a vital role in implementing family planning
and immunization programmes. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 13.5pt;">However
the career of ANMs has not moved forward over the last 50 years and with the
passage of time their growth opportunities have further shrunken. Today, ANMs do not have an independent
identity, management cadre or policy access to promote their career. Hence the goal of the National Convention was
to raise the ANMs’ awareness about their role in peripheral primary health care,
strengthen their collective voice and enhance their professional
accountability.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 13.5pt;">NAMHHR played
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see a movie on the convent</span><span lang="EN-US" style="background-color: transparent; font-size: 14pt; line-height: 115%;">ion (Photographs) </span><span style="background-color: transparent; font-size: 14pt; line-height: 115%;"><a href="https://drive.google.com/file/d/0B-fynPVsu-vxbkpYMDNpU19SMXc/view?usp=sharing">Here</a></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-84810859602051242082015-08-22T05:27:00.001-07:002015-08-25T04:53:02.069-07:00Maternal Health in Tribal Communities of India: Advocacy Dialogue<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>Maternal Health in Tribal Communities of India: Advocacy Dialogue</b></div>
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<b>National Alliance for Maternal Health and Human Rights, India</b></div>
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<b>YWCA, New Delhi</b></div>
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<b>Aug 20, 2015 (Day 1)</b></div>
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In an initiative to deliberate upon and voice issues of maternal health of tribal communities through a human rights perspective, a host of Civil society groups, researchers, lawyers, experts and members of Parliament, senior officials from across 13-14 states of the nation congregated in New Delhi on August 20, 2015 for a two day Advocacy dialogue on maternal health issues of women in tribal areas. The advocacy dialogue was organized by the National Alliance for Maternal Health and Human Rights (NAMHHR).<br />
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<b> Setting the context for the Day 1,</b> Convener of NAMHHR, Jashodhara Dasgupta outlined that the dialogue aimed to draw attention to the condition of the maternal health among tribal communities and present examples of sensitive service provisioning. Along with, it endeavoured to highlight the recommendations of the report of the high level committee (XaXa Committee, 2014) on the status of Tribal Communities in India and it aspired to build a consensus on further policy programme and budgetary recommendations towards addressing healthcare<br />
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<b>Sessions on Day 1:</b><br />
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The sessions for the first day in the Advocacy dialogue were divided into five different segments comprising of discussions and sharing of experiences surrounding maternal health of tribal communities. The sessions in the first half of the day presented a situation analysis of the lived experiences of the tribal communities through differnet case studies and the latter half of the day focused upon issues of budget in maternal health and saw deliberations upon the XaXa Committee report.<br />
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<b> The first session</b> for the day which focused upon issue o<b>f Availability, Accessibility and Acceptability of health services in tribal areas</b> saw enriching discussions and sharing of studies from Rayagada- (Odisha); Jharkhand besides study on tribal healing practices. The session summed up the discussion that the health system and the health plans have failed to meet the health need expectations of the tribal communities and have had alienating experiences from the health system and there is a quotient of trust deficit in the health system from the community, with cultural, language barriers, remote distance of the communities and other factors cumulatively exacerbating the gaps. </div>
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Experiences from the field also suggested that the tribal medicine though has been existing since times immemorial but has not been accepted in mainstream health systems and has not been documented and validated. Chair for the session Dr. Dinesh Baswal, Deputy Commissioner for Maternal Health, from the MoHFW, while acknowledging the issue of gap in health status of the tribal communities reiterated that it was a complex issue and a concern of all departments. Co-Chair for the session Dr. Abhijit Das, member of the Advisory Group on Community Action of the NHM, reflected upon evidence building for the margins, as well the need for strengthening the compliance and accountability mechanisms.</div>
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A report by NAMHHR, titled Maternal Health in Tribal Communities: A Qualitative Enquiry into Local Practices and Interactions with the Health System in Rayagada District, Odisha was also released on the occasion.<br />
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<b>The second session</b> saw deliberations premised upon the theme of nutrition and other social determinants of health in tribal areas and highlighted through different experiences of tribal communities that the phasing of traditional sources of livelihood, malnutrition, poverty, migration and non recognition of tribal persons working in stone quarries as scheduled tribes, besides other factors have been detrimental for the health status of the tribal population. The second session also provided reflections on the issue of vulnerability of the already marginalised tribal women, though the concerns of unnecessary hysterectomies of tribal and Dalit women in private hospitals in Chhattisgarh and the efforts of the state to control the reproductive health rights of tribal women through sterlization and the government orders for the PVTGs to not adopt permanent family planning methods. <br />
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Chair for the session, Biraj Patnaik, a key champion of the Right to Food Writ Petition, proposed some suggestions. He elucidated that the institutional understanding for maternal health has been weak and amongst many issues, food security also need to addressed. He outlined that some concerns like budget cuts need to be reflected. Besides the phasing out of Antodhya scheme needs to be stopped and implementation of the Food Security Act needs to be ensured at pan India level as it is currently implemented only in 11 states. <br />
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<b>The third session</b> titled effective approaches to health service delivery for tribal communities reflected upon the examples of advocacy by civil society groups for maternal health through collective initiatives like that of mobile text community reporting amongst tea tribes in Assam, involving a trained cadre of tribal health workers to reduce the health status gaps in Chhattisgarh and raising community voices in Gujarat.<br />
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Parliamentarian T N Seema, who chaired the session deliberated that health status of the situation of the tribal population was same across the nation. While citing example of her home state, Kerala, she reflected that though Kerala is an outlier in the health and education but there are differentials within the state in health situation of the tribal relative to the state at large. She suggested upon the need for integration of different departments and ensured for taking up the issue of the health status of the tribal communities with fellow Parliamentarians and in the Parliamentary Standing Committee on Health & Family Welfare. Co-Chair for the session Amar Jesani, Member of Mission Steering Group of the NHM, suggested for the need for advocating health care as a right on lines similar to Right to education, right to Foos Security Act. <br />
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<b>The fourth session</b> of the day reflected upon the key concerns around<span style="font-size: 11px;"> </span>Policy recommendations on budgets for maternal health in tribal communities and the emerging priorities surrounding the Tribal Sub Plan (TSP).<br />
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It was highlighted that the TSP was a very narrow approach and does not plan for targeted improvement of specific social sectors there was a need to strengthen state planning and the coordination, monitoring and evaluation function of Ministry of Tribal Affairs for the TSP.<br />
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<b> The fifth session</b> for the day highlighted the Key Findings and Recommendations of high level XaXa Committee report. Prof. Usha Ramanathan, who has been a part of the committee and key note address outlined that the report reflected the socio-economic status of the tribal population and the context was the education, health and livelihood of the tribal population.<br />
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She said that while compiling the report and interacting with several tribal communities it discerned that, migration, mass displacement, malnutrition were some of the visible issues of the tribal population. Discussant in the session Shiraz Bulasara suggested that there was a need to ensure the basic minimal facilities in the health institutions. Co-discussant Madhuri Krishnaswamy stressed upon creating nursing colleges and medical colleges for tribal communities near tribal district hospitals, so that the trained cadre of tribal health workers can be created to bridge different gaps in health status of the tribal communities. </div>
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It was also suggested in the session that the XaXa Committee report did not apply to the North East Tribes and tribal communities from Ladakh and Lahaul &Spiti as these were very different and diverse contexts. </div>
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The first day of the Advocacy Dialogue closed on a very positive note as Parliamentarian and Chair of Parliamentary Standing Committee on Tribal Welfare, Fagan Singh Kulaste promised to take the health issue of tribal community at different platforms and voice concern on the issue vehemently in the Committee. </div>
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<b>Aug 21, 2015 (Day 2)</b></div>
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The two day Advocacy dialogue on maternal health issues of women in tribal areas organized under the aegis of the National Alliance for Maternal Health and Human Rights (NAMHHR) in New Delhi, on its second day, saw the development of further call to action and draft recommendations as culled out from the previous day discussions, presentations and deliberations.<br />
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<b><i>Draft Recommendations and Call to Action</i></b><br />
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Sana Contractor, representative of NAMHHR and Convener of NAMHHR, Jashodhara Dasgupta highlighted upon the draft recommendations of the National Alliance and elaborated that the recommendations were still in a draft stage and would be refined after more discussions with other stakeholders and sent to the MoHFW Committee on Tribal Health for consideration. They reflected that through the day one presentations of studies and discussions, it discerned that the exclusion and marginalisation of tribal communities was not limited to their geographic isolation only, other factors like poverty, hunger, migration, lack of identity, displacement, loss of traditional sources of livelihood etc. too were instrumental aggravating health gaps of the tribal communities. It was stressed that there is a need to address the deprivation among the tribal population. <br />
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They reflected that the common approach was that the tribal population was resistant to modern medicines, however through the studies and discussions it came forth that wherever the tribal population could access these health services they were not averse to it. It was also mooted that decentralization, flexibility in budget was required in monitoring and planning to address the local tribal needs. The tribal blocks were underserved, lacked in staff and infrastructure and home deliveries were largely conducted amongst these communities. Malaria, sickle cell anemia were recognized to be rampant among the tribal communities silicosis and TB were identified as the occupational hazards the tribal communities faced. Lack of blood transfusion services, and emergency obstetric care were identified as the major areas of intervention for maternal health of tribal communities.<br />
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They further elaborated that it emerged through the discussions and presentation that the Tribal Sub Plan has not worked well and the emphasis has been on the demand side. The tribal health systems were quite sophisticated however there had been no recognition of the healing practices or the practitioners. <br />
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<b> Based on these observations the National Alliance has drafted recommendations broadly in four major areas. </b><br />
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<img src="webkit-fake-url://c8c80035-c27e-443b-92c5-9d40def2800f/image.tiff" />These included strengthening of the health system, within which some of the aspects include providing clean labour rooms, provision of emergency obstetric care, qualitative health services, employment of skilled workforce, and support for home deliveries with adequate transport and telecommunication services besides other aspects. The recommendations also highlighted for massive training of tribal communities to create a skilled health force and increase their ownership and also stressed upon the need for the sensitization of health service providers. Within the set of recommendations convergence of different departments was stressed for along with the need for disaggregated data tribal health. The draft recommendations stressed for a robust food security network to combat malnutrition and chronic hunger which has a manifestation on tribal maternal health status per se and tribal health status. It called for immediate universal implementation of maternal health benefits and the need to involve local millets, oils and other local available nutrition sources. The set of draft recommendations called for study on healing tribal practices, midwifery practices, and recognition of the tribal practitioners, besides validation and documentation of the vast tribal health practices.</div>
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<b><i>Abhay Bang-(Chair of the MoHFW Committee on Tribal Health) responses to the draft recommendations of the Alliance </i></b></div>
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Abhay Bang, Chair of the MoHFW Committee on Tribal Health who was present for the Advocacy dialogue appreciated the recommendations of the National Alliance and said that the Call for Action has provided rich inputs and these would be taken seriously by the CommitteeHe outlined that maternal health was ‘<b><i>Like A Tiger in the Ecosystem’</i></b> which was indexical of the overall tribal heath system. He reflected that the issue of effect of alcoholism on tribal maternal health also needs to be elaborated upon. He also highlighted that the Panchayat Extension Scheduled Area (PESA) has not been implemented ideally. There were few concerns which need to deliberated, he said, like have we reduced maternal health to JSY; what should be the centre of decision making , designing and planning in tribal health, what role do tribal Gram Sabhas have in planning when PESA is seen as a governing instrument etc. Bang added that the committee report on the tribal health provides information on current status of tribal health in India and it provides a rich data, through ICMR, National Institution of Nutrition, Census and SRS and now the committee is further delving into report on the current status of health care of tribal population.<br />
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Roadmap for 2<span style="font-size: 8px;"><sup>nd</sup></span> generation recommendations for Maternal Health Programme, a publication of NAMHHR was also launched on the occasion.<br />
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Manoj Jhalani, Joint Secretary (Policy) Ministry of Health & Family Welfare outlined that certain questions remain pertinent as how do we ensure sensitivity of health service providers towards the tribal communities. He highlighted that the government has decided upon some steps to bridge the health gaps like ‘<b>Time to Heath Care Approach’ </b>in hilly and tribal areas at sub-centre with mid level service providers, amongst other steps. Jhalani elaborated that the NFHS will now be done every three years at district level also and this will help in providing disaggregated data. </div>
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Parliamentarian Jairam Ramesh, chair delineated that there were disparities in the health status of the tribal population. He outlined that the fundamental problem starts with tribal administration and advocated for adoption of models like ITDA, and suggested that though it is not an universal solution but partnership with civil society groups in provision of health services in tribal areas can be looked out as options. </div>
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The second day of the Advocacy dialogue ended with a renewed energy among different stakeholders of the Alliance and on a promising note with Chair of the MoHFW Committee on Tribal Health, Abhay Bang promising to take the recommendations in the high level report and Parliamentarian Jai Ram Ramesh assuring to take up the aspects of tribal health in Parliamentary Standing Committee and other platforms. </div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-59699595280698871402015-04-24T22:38:00.000-07:002015-04-24T23:02:16.535-07:00Haq Wapsi, Ghar Wapsi Nahi<div dir="ltr" style="text-align: left;" trbidi="on">
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<span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: Garamond, serif; font-size: 14pt;">On the 23<sup>rd</sup>& 24<sup>th</sup> of April, 2015, a Joint Dharna called <b><i>Haq Wapsi, Ghar Wapsi Nahi</i></b>, was organised at Jantar Mantar by Right to Food Campaign along with various national campaigns to protest against the Union Government’s policies which are seen as an attack on the rights of poor people. The Dharna raised issues related to the following: </span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<b><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Plight of Farmers:</span></b><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;"> Impact of the land acquisition ordinance, 2015 and </span><span style="font-family: Garamond, serif; font-size: 18.6666660308838px;">Land grab for Corporates</span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">The widespread crop damage and worsening situation of farmers,</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<b><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">The non-implementation of NFSA by Central and State Governments:</span></b><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Converting<b> </b>the PDS into cash transfers and the move towards Direct Bank Transfers,</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Reducing budgets for children's right to food,</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Non implementation of Maternity entitlements,</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: Garamond, serif; font-size: 14pt;">Bringing commercial interests and contractors in the public provisioning of food instead of local communities.<u></u><u></u></span></div>
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<b><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Delays in MGNREGA:</span></b><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Depressing demand through imposing conditionality in MGNREGA</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Delayed payment of wages</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<b><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Pensions:</span></b><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Targeted and meager pensions</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Pension Budget Cuts</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<b><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Transparency and Accountability: <wbr></wbr> </span></b><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Dilutions in the RTI Act</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Lack of effective grievance redressal mechanisms</span><span style="font-family: Garamond, serif; font-size: 14pt;"><u></u><u></u></span></div>
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<span style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span lang="EN-US" style="font-family: Garamond, serif; font-size: 14pt;">Non implementation of Whistleblowers Protection Act</span></div>
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<span style="font-family: Garamond, serif;"><span style="font-size: 18.6666660308838px;">Several hundred people from the states of Madhya Pradeesh, Maharashtra, Gujarat, West Bengal, Rajasthan, Bihar, Uttar Pradesh, Delhi, Chhattisgarh and Tamil Nadu participated in the Dharna</span></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com0tag:blogger.com,1999:blog-6442008324221361616.post-15781498887069358302015-04-23T04:25:00.000-07:002015-04-23T05:21:16.220-07:00 "A Voice for Healthy Family" -NAMHHR and SOMI<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: 'Times New Roman', serif;"><span style="background-color: white; color: #222222; font-family: Cambria, serif; font-size: 12pt; text-align: left;">NAMHHR
was invited as special guest in the 2nd State Conference
organised by Society of Midwives India (SOMI) West Bengal
Chapter on 14th - </span><span style="background-color: white; font-family: Cambria, serif; font-size: 12pt; text-align: left;">15th</span><span style="background-color: white; color: #222222; font-family: Cambria, serif; font-size: 12pt; text-align: left;"> March 2015 in Kolkata. NAMHHR Member
Devika Biswas attended this meeting. She mentioned that NAMHHR
was strongly commitment to using strong rights based strategies to promote
maternal health rights of marginalized women through collection
of evidence of rights violation and advocacy with stakeholders.
She mentioned that </span><span style="background-color: white; color: #222222; font-family: Cambria, serif; font-size: 12pt; text-align: left;">NAMHHR was eager to establish a dialogue
between the nurses/ANMs and obstetricians. </span></span></div>
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<span style="color: #222222; font-family: Cambria, serif; font-size: 12pt; font-weight: normal;">NAMHHR recognized that ANMs and nurse-midwives were
several human rights violations themselves including difficult working conditions,
lack of role-clarity & gendered systems of hierarchy in the overall
health workforce. She stressed that there was a need to advocating for
improvements, and a need of joint action to bring more 'rights-based
approaches' to caring for women. <o:p></o:p></span></div>
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<span style="color: #222222; font-family: Cambria, serif; font-size: 12pt; font-weight: normal;">A women-centred approach will need some reforms in
childbirth practice, such as given below, and she persuade the SOMI group to
join NAMHHR in trying to get these:<o:p></o:p></span></div>
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<span style="font-weight: normal;"><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">·</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"> </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Ending
labour-room violence and abuse, </span><span style="font-family: Cambria, serif; font-size: 12pt;"><br />
</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">·</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"> </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Birth
companions for women, </span><span style="font-family: Cambria, serif; font-size: 12pt;"><br />
</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">·</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"> </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Choice
of position for the labouring woman, </span><span style="font-family: Cambria, serif; font-size: 12pt;"><br />
</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">·</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"> </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Privacy
during childbirth, </span><span style="font-family: Cambria, serif; font-size: 12pt;"><br />
</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">·</span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"> </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;">Use
of only Evidence-based practices (<u>no need</u> for pubic shaving, for
routine enema, for routine episiotomy cuts, for oxytocin injections/IV drip
etc) and so on<o:p></o:p></span></span></div>
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<span style="font-weight: normal;"><span style="font-family: Cambria, serif; font-size: 12pt;">The meeting was attended by 400 participants and
the technical sessions were related to maternal health and child health. </span><span style="color: #222222; font-family: "Cambria","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; mso-hansi-theme-font: major-latin;"><o:p></o:p></span></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com1tag:blogger.com,1999:blog-6442008324221361616.post-64921786905585955012015-03-09T04:16:00.000-07:002015-03-09T04:16:23.254-07:00Times' Social Impact Award for NAMHHR Member !!!<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%; text-align: justify;">Hurray!!! NAMHHR is so proud to announce that the NAMHHR member
Jan Sahas has received the Times of india's </span><span style="background: white; font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%; text-align: justify;"> Social
Impact Award for the Garima Abhiyan Programme for eradication of manual
scavenging in villages. </span><br />
<span style="background-color: white; font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%; text-align: justify;">They got this award in the advocacy and empowerment
section.Please read the news </span><a href="http://epaperbeta.timesofindia.com/index.aspx?eid=31805&dt=20150309" style="font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%; text-align: justify;" target="_blank">here</a><br />
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<span style="background: white; font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%;">The eight-member Jury, looked for impactful,
scalable work, especially in remote corners of the country or aimed at
vulnerable social groups like the girl child, manual scavengers and leprosy
patients.</span><span style="font-family: Tahoma, sans-serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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NAMHHRhttp://www.blogger.com/profile/13118957591511694152noreply@blogger.com1