Saturday 18 April 2009

Gender and Health

Gender and Health
1. Abolish all coercive laws, policies and practices that violate the reproductive and democratic rights of women, including the two child norm.
2. Stop coercion in the use of contraception. Make user-controlled contraceptives available.
3.Guarantee comprehensive, quality health services (preventive, promotive and curative) for women, that are accessible, accountable, irrespective of capacity to pay. Special provisions – resources and implementation- to be made to address health issues specific to women. For example, access to safe abortion services
4.Assure women of gender-specific health entitlements (maternity leave, abortion leave, sterilization leave, creches, toilets) in public and private employment. A national scheme for maternity entitlements in the informal sector, on the lines of the “Dr. Muthulakshmi Reddy Maternity Benefit Scheme” in Tamil Nadu (including cash support of Rs 1,000 per month for six months for care during pregnancy and after delivery), should be introduced.
5. Register all deaths and initiate audits of all maternal deaths.
6. Ensure safety, transparency and accountability in all clinical trials, and guarantee that the post-trial benefits of research are made available to women even from marginalized groups. Ensure disclosure of funding and of potential conflict-of-interest in all clinical trials, medical research and publications.
7. Make mandatory the inclusion of women’s organizations and women’s health advocates on ethics committees, from national to local and institutional level.
8. Regulate use of invasive reproductive technologies in the private sector, that covers surrogacy, genetic engineering, cloning and intensive ARTs.
9.Recognise violence against women as a public health issue and ensure provision of necessary services. Ensure prosecution and conviction of violators of the Prevention of Domestic Violence against Women and Girls Act as also the PCPNDT Act.
10. Include the topics of ‘Violence against women’ and ‘sexuality and gender’ as part medical and paramedical curricula to equip medical professionals deal in a sensitive manner with survivors of
violence, including domestic violence. Train forensic experts on the social aspects of sexual assault and rape, collection and retention of proof in cases of individual or mass sexual violence.
11 Repeal Section 377 of the Indian Penal Code, and other laws, policies and practices that discriminate on the basis of sexuality.


R.S.Daahiya

Child Health and Nutrition

Child Health and Nutrition
1.National policy on Child health and nutrition should be formulated with urgency. This must ensure policies and technical interventions follow the overall approach of decentralization, selfreliance
and promotion of food security and local economies. A clear ‘ no conflict of interest’ needs to be demonstrated by any agency that is allowed to work on child health and nutrition
issues.
2. A high-level overseeing mechanism (e.g. empowered steering committee along the lines of the NRHM) should be created to ensure convergence and accountability in the entire range of interventions concerned with child nutrition.
3. Universalization with quality” should be the overarching goal for ICDS in the 11th Plan with adoption the two worker model.
4. 10% of all Anganwadis be converted to Anganwadi-cum-crèches.
5.Centre to retain full financial responsibility for the ICDS with no increase in the fiscal burden to the states.
6.Infant and young child feeding counseling and support should be recognized as one of the core “services” both in ICDS and NRHM, with a clear budget head. Special sub-scheme to give appropriate supplementary nutrition to children in the age group 6 months to 3 years.
7. A phased withdrawal and closure of the pulse polio programme and the reintegration of polio immunization into the Universal Immunization Programme.