NHFS 5

 

Women (15--49) who have ever used the internet(%) 48.4
Men (15--49) who have ever used the internet(%) 72.4
Women age 15-19 years who were already mothers or pregnant at the time of survey (%)..3.9
Infant and Child Mortality  Rates(per1000 live births )
Neonate Mortality Rate..NNMR.. ..21.6
Infantil Mortality Rate(IMR)..33.3
NFHS 4..32.8
Under Five Mortality Rate(U5MR)..38.7
Children under 5 years who are stunted (height for age)%..27.5
Children under 5 years who are wasted (weight for height)%..11.5
Children under 5 years who are severely wasted (weight for height)%..4.4
Children under 5 years who are underweight (weight for age)%..21.5
Children under 5 years who are over weight (weight for height)%..3.3
Anaemia among children and adults
Children age 6-59 months who are anaemic ( less than 11 g/dl)%..70.4
Non pregnant women age 15-49 years who are anaemic (less than 12.0 g/dl)%..60.6
Pregnant women age 15--49 years who are anaemic (less than 11g/dl)%..56.5
NFHS4..55.0
All women age 15-19 years who are anaemic.%..62.3
Men age 15--19 years who are anaemic (less than 13 g/dl) %..29.9
Women owing a house and/or land(alone or jointly with others)(%)
39.3
Women who worked in the last 12 months and were paid in cash(%)..18.8
Women having a mobile phone that they themselves use(%)..50.4
Ever -married women age 18--49 years who have ever experienced spousal violence(%)..18.2
Ever married women age 18-49 years who have ever experienced physical violence during any pregnancy(%)..1.6
Young women age 18-29 years who ever experienced sexual violence by age 18(%). 0.4
Health
Women ever under gone a screening test for cervical cancer , age 30-49 years.(%)..0.8
Women ever under gone a breast examination for breast cancer, age 30-49 years.(%)..0.3
Women(15-49 years)  who have comprehensive knowledge of HIV/AIDS(%)..19.7

Gender issues in Health in Haryana

 GENDER ISSUES IN HEALTH IN HARYANA

Dr. R.S. Dahiya

Dr R.S.Dahiya 

Ex. Sr.Prof, PGIMS, Rohtak. 

     It is a well established fact the biologically women are a stronger sex. In societies where women and men are treated equally, women outlive men and there are more women than men in adult populations. More girls die during course of pregnancy in our country. Naturally there are106 boys for 100 girls at birth as the more boys die in infancy& ratio is balanced. The unequal status, unequal access to resources and lack of decision making power experienced by girls and women because of their gender would result in disadvantages in health. These disadvantages include a higher likelihood of exposure to health, greater susceptibility to adverse health consequences as a result of the exposure, and a lower probability of receiving timely, appropriate and adequate health care. 

It is widely acknowledged on the bases of studies done in diverse settings, that inequalities in health across population groups arise largely as a consequence of differences in social and economic status and differential access to power and resources.. The heaviest burden of ill health is borne by those who are most deprived, not just economically, but also in terms of capabilities such as literacy levels and access to information. In the words of Noble Laureate Amartya Sen, India, with its present population of 1 billion has to account for some 25 million missing women.

       On the top of that in a modern world of today this discrimination has not allowed a gender sensitive language to develop. There is mankind but no woman kind; there is house wife but no house husband; there is house mother but no house father; kitchen maid is there but no kitchen man. The unmarried woman crosses the threshold from bachelor girl to spinster to old maid but the unmarried man is always bachelor.

        Discrimination means ‘treating one or more members of a specified group unfairly as compared with other people.’ A convention on this issue was held on the elimination of ACI forms of discrimination against woman (CEDAW) by the United Nations in 1979. The gender discrimination in that convention was defined as:

“any distinction, exclusion or restriction made on the basis of sex which has the effect or purpose of impairing or nullifying the recognition, enjoyment or exercise by women, irrespective of their material status, on a basis of equality of men and women, of human rights and fundamental freedoms in the political, economic, social, cultural, civil or any other field”. This gender discrimination emanates from an ideology that favours men and boys and undervalues women and girls. It is perhaps one of the most widespread and pervasive forms of discrimination. Measures of gender empowerment measure (GEM) show that there is gender discrimination worldwide. In many countries, especially from the developing world, a much larger proportion of women than men are illiterate. World wide women occupy only 26.1 % of parliament seats. Practically in all countries, developing as well as industrialized, women’s participation in the labour market is lower than that of men, women are paid less for equal work and work many more hours doing unpaid labour as compared to men. The most blatant expression of discrimination against female is the practice of sex determination in the womb and then selective sex abortion. Modern technology has now come to the aid of perpetuating culture of discrimination This  resulted in a decline in the proportion of females as compared to males in Haryana in past years op opand many other states of India. 

    Overall, more females die during pregnancy than do males. So that's why there's an excess number of males at birth,” said Orzack, who has published research on this issue.24-Jan-2019

After birth more male children die .

       Director Neerja Sekhar while sharing the details of provisional census data maintained the co-relation between literacy rate and sex ratio suggested inverse relationship, however the exact relation would be deduced after final data has been compiled.

   There were 18.02 lakh boys under the age of 6 in Haryana; the number of girls in the same age group was 14.95 lakh. (2011 census)

       The highest sex ratio was observed in Mewat at 907, followed by Fatehabad at 902, as per Census 2011.

According to the Census of 2021,

Child sex ratio (0-6 Age Group) of Haryana is 902 females per 1000 males.

Sex Ratio in Haryana

According to last Census of India in 2011, Haryana has the lowest sex ratio (834 females) in India. The state is known all over India for female feticide. However, with Government schemes and initiatives, the sex ratio in Haryana has started to show an upward movement. The state recorded a child sex ratio (0-6 age group) of over 900 for the first time in December, 2015. This is the first time since 2011 that Haryana sex ratio crossed the 900 mark. 

The highest sex ratio was observed in Mewat at 907, followed by Fatehabad at 902, as per Census 2011.

Haryana’s gender ratio was 903 (2016) according to state’s health department.  .

According to the Census of 2021,

Child sex ratio (0-6 Age Group) of Haryana is 902 females per 1000 males.

        Haryana’s skewed sex ratio reflects in adoption data too.

Providing specific details about adoption applications received from Haryana, CARA’s central public information officer said the current waiting list for adoption of female children in Haryana is 367 and the waiting list for the adoption of male child in Haryana is 886. 

    The gender discrimination has got its roots in our older cultural practices and way of living also, of course it has got a material base. The cultural practices of Haryana have a gender bias. At the time of birth of a boy, it is celebrated by beating a ‘Thali’ whereas the birth of a girl is mourned (matka phorna) in one way or the other; at the time of delivery, if a child is male, the mother will be given 10Kg ghee (do dhari ghee) and if a child is female, the mother will be given 5 Kg ghee; the sixth day (chhath) of a male child will be celebrated; the namkaran sanskar will be done if the child is male; the girls are not allowed to fire the funeral of the family members some where as the can burn mounds of wood in chulha at home . As the number of woman is going down in Haryana, they are becoming more insecure in the society. The violence in home and outside has increased in Haryana and is affecting the health of women adversely. The news papers carry many news items daily in this regard. Health department Haryana also behaves as the whole society behaves on the gender issues. The number of gynecologists in govt. hospitals is very meager compounding the women’s health still further.

         Rape cases up as Haryana sees sharp rise in crimes against women. The data shows there were 944 rape cases in 2014, 839 in 2015, 802 in 2016, 955 in 2017, 1178 in 2018, 1360 in 2019, 1211 in 2020 and 1546 in 2021.

(04-Mar-2022 https://www.dailypioneer.com › rap...)

The number of dowry deaths from the period of January 1 to July 11, a total of 13 deaths have been recorded, in 2022 whereas, this number stood at 4 in 2021.(9 deaths more)

(24-Jul-2022 https://www.tribuneindia.com › news)

    

      Haryana is infamous for crimes against women and its share in sexual crimes in India is 2.4 per cent, more than Punjab and Himachal. Around 32 per cent women are victims of spousal violence. Besides, 88 cases of child sex abuse, and 93 cases of rape had been registered every month since 2015.

(04-Aug-2018 https://www.tribuneindia.com › news)

      The unregistered cases are many more. This indicates that the price of women or the importance of woman has not increased by the decrease of their number as conceived by many people in Haryana. 

   Similarly if there is some increase , even then the atrocities on women are not coming down. Violence affects the health of women in many ways.

       Even today women have to go through many struggles, small and big. Women have achieved this day on the strength of their struggles and on this occasion women should fight against discrimination, injustice and all kinds of oppression. 

  Because even today, no value is assessed for the work done by women, whereas money has to be paid in the market for the same work. Women themselves are also unable to register their work which they should get done. He told that women have more stamina than men and they raise their children even in very bad conditions. 

 .      Think of a situation that in a dream when a man had to go through the trouble of getting pregnant and giving birth to a child. That's when she felt the pain of labor. That's why men should also realize that women have to go through a lot of hardships while giving birth to a child and men can never bear those pains. But unfortunately, the whole process of producing and raising a child is never recorded as a big task.

     Women need justice, respect and equality the most, that is why they have to struggle again and again. Whereas there is no difference between male and female except physical structure. But even then, women do not get all the opportunities that they deserve.

           The other thing which is happening in most of the villages of Haryana is that the number of unmarried males is increasing. Beyond 30 years of age, many males can be seen without marriage in each village. Unemployment is increasing amongst boys and girls both .Also there seems to be increasing trend of impotency in males because of multiple factors. The purchase of bridegrooms is becoming an accepted cultural practice in most of the villages. All these factors are adding the miseries of the women in Haryana. Side by side son preference and the under-valuation of daughter manifests itself in discriminatory practices against daughters such as well being, including, premature and preventable death of female child.

The data from the National Family Health Survey – 5 and NFHS 4

The data from the National Family Health Survey 5 and 4 indicates that

    Infant and Child Mortality  Rates(per1000 live births )

Neonate Mortality Rate..NNMR.. ..21.6

Infantil Mortality Rate(IMR)..33.3

NFHS 4..32.8

Under Five Mortality Rate(U5MR)..38.7

Children under 5 years who are stunted (height for age)%..27.5

Children under 5 years who are wasted (weight for height)%..11.5

Children under 5 years who are severely wasted (weight for height)%..4.4

Children under 5 years who are underweight (weight for age)%..21.5

Children under 5 years who are over weight (weight for height)%..3.3

Anaemia among children 

Children age 6-59 months who are anaemic ( less than 11 g/dl)%..70.4

NFHS4..71.7

NFHS 5 data revealed stunting, wasting , under weighting, adequate diet and anaemia as 27.5%,11.5%,21.5%,11.8% and 70.4% as compared to NFHS4 34.0%,21.2%,29.4%,7.5% and 71.7%

     Anaemia is very high almost same as in earlier survey. Diet intake has improved by 4.3 % but still very low percentage .  

V . Gupta et all have found in their study that stunting and underweight were more prevalent amongst girls.

.     The median duration of breast feeding for girls has been slightly lower than the median duration of breast feeding for boys . 

.    This deprivation in childhood contributes to substantial proportions of women being malnourished and stunted as adults. 

Pregnant women age 15--49 years who are anaemic ( Hb less than 11gm) are 56.5 % whereas they were 55% in NFHS 4. 

It has increased in last five years or so . All women age 15-19 years 62.3 % where as 29.9 % men of this age are anaemic. Clear gender hisse here.

For a significant proportion of adolescent Indian girls, an early marriage followed soon after by a pregnancy is the norm. 

    About 25 per cent of women aged 18-29 and 15 per cent of men aged 21-29 got married before reaching the minimum legal age of marriage, according to the latest National Family Health Survey (NFHS) conducted between 2019-21. 

    The women have no say on sexuality and reproduction. Child bearing in adolescence affects women adversely in many ways; socially, economically, psychologically and physically. It truncates their education, limits their income-earning opportunities and burdens them with responsibilities at an age when they aught to be exploring life. In developing countries, early childhood bearing carries a greater relative risk of dying in pregnancy and delivery as compared to woman in the 20-24 age .  

India’s maternal mortality rat

 (MMR) improved to 103 for the period 2017-19, but the ratio has worsened in states such as West Bengal, Haryana, Uttarakhand and Chhattisgarh, according to official data just released.

It is very unfortunate that our legal system has not been able to remove the existing social biases. Despite the constitutional guarantee of equality between men and women the law implementing agencies failed in their execution. That is the reason the women also often lack the authority to make their health care decisions for themselves. Though half a century has elapsed after framing of constitution, our social customs have not changed to match the spirit of the constitution. Still customary laws and traditions are given perferance over constitutional commitment in combination with patriarchal norms that deny women the right to make decisions regarding their sexuality , reproduction and health. Women are exposed to avoidable risks of morbidity and mortality in Haryana. 

Dr. R.S.Dahiya

Ex Senior Professor,

PGIMS, Rohtak.

जो होना चाहिए

 

जो होना चाहिए
1 उप स्वास्थ्य केंद्र , प्राथमिक स्वास्थ्य केंद्र , सामुदायिक स्वास्थ्य केंद्र की संख्या 2011 के हिसाब से और 2020 कि जनसँख्या के हिसाब से बहुत कम हैं । इंफ़्रा स्ट्रक्चर बढ़ाया जाए।
2 इन स्वास्थ्य केंद्रों में स्टाफ की बहुत कमी है वह पूरी की जाए। खासकर सर्जन, स्त्री रोग विशेषज्ञ, शिशु रोग विशेषज्ञ, फिजिशियन, बेहोशी देने वाले स्पेशलिस्ट डॉक्टर, की बहुत कमी है।
3 mbbs कोर्स की फीस बहुत बढा दी गई है वह कम की जाए
10 लाख एक साल की।
4 बीमारी होने के सामाजिक कारकों पर पूरा ध्यान दिया जाय
*** स्वच्छ पानी सबके लिये
***पौष्टिक खाना सबके लिये
*** रहने को मकान और शौच की सुविधाएं सबके लिए
*** साफ वातावरण सबके लिये
*** रोजगार सबके लिए
*** इलाज तक पहुँच सबके लिए
*** गुणवत्ता पूर्ण शिक्षा सबके लिए
***

795 kisan andolan health camp

 Kisan Andolan free health camp

795 pillar Tent of All India Kisan Sabga Haryana a health camp was organised by Gyan Vigyan Andolan Haryana
10 doctors retired and in service,  12 retired pharmacists and 15 gyan vigyan activists.
Starting date :
2nd December, 2020 daily and then 3 days a week Till date .
Pts from December 2 to December 31, 2020:December--- 2130 cases
Total pts seen from 1st January till date: 15440
Total pts seen :17570 pts.
*Medicines*
Worth Rs 350000 donated by associations, individuals and medical stores

Drs
Dr O. P. Pathsala
Dr Ranbir Khasa
Dr Dr R.S.Dahiya
Dr Ishwar Singh
Dr Suresh Sharma RMP
Dr Satish Barons
Dr
Dr
Dr
Dr

Retired Pharmacists :*
1 Ajad Singh Siwach
2. Ranbir Singh Kadian
3. Prem Singh Zoon
4. Balwan
5. Dharamvir Rathee
6.Mohinder Singh Siwach
7.Virender Saharan
*JSA activists :*
1. Madhu Mehra
2. Saumesh Sharma
3. Karan Singh
4. Dr Satnam Singh convenor JSA
Haryana
5. Suresh Kumar co-convener JSA Haryana
Special contribution of Driver Mahavir Karauntha who was always at our back and call.



Madhu Mehra
Dr Satnam 

हमारा स्वास्थ्य 1

 1^^^^

मेरी कहानी
मेरा नाम कमला है । जब मैं मां के पेट में थी तो भी मां हमेशा काम करती रहती थी। वह भूखी भी रहती थी क्योंकि मुझे भी भूख लगती थी। जब मैं मां के गर्भ से बाहर आई तो मेरा वजन 2.2 किलो था। मुझे मां का दूध चाहिए था, पर मुझे पैदा होने के एक दिन बाद तक कुछ नहीं मिला और मेरा वजन और कम हो गया।        मां मुझे जन्म देने के हफ्ते बाद ही मजदूरी पर जाने लगी। कोई और रास्ता भी तो नहीं था। 10 घंटे में मुझे तीन चार बार जब जब मां अपनी छाती से लगाती तो मुझ में जान आ जाती। मेरी उम्र जैसे तैसे  बढ़ने लगी।
    6 महीने की होते होते मेरी जरूरतें बढ़ गई। मां के दूध के अलावा खाना चाहिए था। कुछ भी मछली हुई दाल- चावल, खिचड़ी, केले, उबली-मसली सब्जी, दूध कुछ भी । 8 महीने के होने तक मुझे मां के दूध के अलावा कुछ न मिला। मैं भीतर से कमजोर होती गई।
   मेरे गांव में पीने का साफ पानी भी मुश्किल से मिलता था।मैं बार बार बीमार पड़ने लगी। हर बार की बीमारी मुझे और कमजोर करती गई । मैं अपने मां -पिताजी के चेहरे पर चिंता ही देखती थी । उन्हें अक्सर यह कहते सुनती थी कि आज भी काम नहीं मिला, कमला को क्या खिलाएंगे। वे यह भी कहते , काम किये कितने दिन हो गए पर मजदूरी का भुगतान नहीं हुआ।  
      बारिश में लकड़ी गीली हो गई थी और राशन की दुकान से मिट्टी का तेल नहीं मिला था ।बस इसी कारण घर में 2 दिन खाना नहीं बन पाया था । बाहर से खरीद कर कितना लाते । एक दिन में आंगनवाड़ी गई। कार्यकर्ता मौसी ने एक झूले में लटका कर मेरा वजन लिया। इसके बाद मेरी लंबाई नापी। जब उन्होंने अपने रजिस्टर में मेरा वजन लिखकर निशान लगाया तो वह दुखी हो गई। मैं बहुत कमजोर थी। जिंदा रहने की मेरी लड़ाई शुरू हो चुकी थी।
2^^^^
*कुपोषण क्या है?*
*भूख और बीमारी कुपोषण के बीज हैं*
हमें भोजन चाहिए ताकि हमारा शरीर और दिमाग दुरुस्त रहें । हम अक्सर  भोजन की बात करते समय गेहूं और चावल पर आकर अटक जाते हैं। केवल इन अनाजों से ही हमें पूरा पोषण नहीं मिलता है।
    और जब कई दिनों तक हमारे शरीर को पूरा पोषण नहीं मिलता है तो उसमें कमजोरी आना शुरू हो जाती है ।
  यही कमजोरी जब जड़ जमा लेती है तू इसे कुपोषण कहते हैं। **कुपोषण सबसे पहले बच्चों को अपनी गिरफ्त में लेता है ।
**यदि हम चाहैं तो हर एक बच्चा कुपोषण के जाल से बाहर निकल सकता है ।
आइए, कुपोषण के समुदाय आधारित प्रबन्धन की  पहल का हिस्सा बनें।
3*****
कुपोषण कैसे होता है?
**कुपोषण हित है----
* यदि नवजात शिशु को 6 माह तक मां का दूध न मिले।
* यदि 6 महीने के बच्चे को माँ के दूध के साथ नरम पतला खाना न मिले।
* यदि 2 वर्ष से ज्यादा उम्र वाले बच्चे को भरपेट भोजन न मिले।
* यदि बच्चे को बार बार दस्त हों या कोई और बीमारी हो।
* यदि बच्चे के खाने में केवल अनाज हो।
* यदि बच्चे को अनाज के साथ दाल, तेल,गुड़,सब्जियां,दूध,या इससे बनी सामग्री, अंडे और फल न मिलें।
* यदि गर्भवती महिला को भी पूरा और अलग -अलग तरह का खाना नहीं मिलता है तो गर्भ में ही बच्चा कुपोषित हो जाता है।
अब हमें तय करना होगा कि ------
* हर परिवार में पर्याप्त भोजन हो।
* महिलाओं के साथ कोई भेदभाव और दुर्व्यवहार न हो।
* हर एक बच्चे का आंगनवाड़ी में वजन और लम्बाई का माप लिया जाए।
* हर बच्चे को पोषण आहार मिले और टीकाकरण हो।
डॉ रणबीर सिंह दहिया
4*****
**कुपोषण के असर**
1. बच्चे अपनी ऊर्जा खो देते हैं।
2. बार बार बीमार पड़ते हैं ।
3. सीखने की क्षमता कम हो जाती है।
4. वे जल्दी थक जाते हैं।
5. कुपोषण आंखों की रोशनी पर भी असर डालता है।
6. कुपोषण जान भी जोखिम में डाल सकता है।
^ हम चाहें तो बच्चों की ऊर्जा को बचाने के लिये सरकार पर दबाव बना सकते हैं।
^ सरकार कुपोषण के कारकों का समाधान करे यह दबाव बना सकते हैं
^ जीवन के सामाजिक कारकों का सही इंतजाम करके बच्चों का जीवन बचाया जा सकता है।
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डॉ रणबीर सिंह दहिया
5****
**कुपोषण को कैसे पहचानें**
कुपोषण की जांच इस प्रकार की जा सकती है...
1. उम्र के हिसाब से वजन सही है या नहीं।(कम वजन वाला कुपोषण )--कुपोषित होने और सही कदम उठाने के संकेत देने वाला।
2. लम्बाई या ऊंचाई के हिसाब से वजन सही है या नहीं। (दुबलापन या कमजोर मांसपेशियों वाला कुपोषण--गम्भीर कुपोषण)
3. उम्र के हिसाब से लम्बाई सही है या नहीं।(बच्चे की सही वृद्धि न होने का प्रमाण-स्थाई कुपोषण)
4. बांह के ऊपरी हिस्से के ठीक बीच में बांह मापक टेप से यह देखना कि बांह की गोलाई 12.5 सेंटीमीटर से कम तो नहीं है।
5. और यदि ऊपरी बांह मापक टेप के मुताबिक बांह की गोलाई 11.5 सेंटीमीटर से कम है तो बच्चा खतरे में है।
6. बच्चे का वजन नहीं बढ़ रहा है।
7. यदि बच्चा बार बार बीमार पड़ रहा है ।
8. यदि उसका वजन कम हो रहा है।
9. यदि बच्चे का पेट बढा हुआ है।
10. यदि वह सुस्त हो रहा है।
11. खेलने में रूचि नहीं है।
12. आंखों के आस पास काला पन है।
13. चमड़ी चकत्तेदार या रूखी या झुर्रीदार हो रही है।
14. बच्चे में चिड़चिड़ापन है।
15. बाल रूखे हो गए हैं।
16. यदि उसके शरीर के किसी भी हिस्से पर सूजन है।

RURAL HEALTH SERVICES IN HARYANA

 

Rural Health Services in Haryana

In the era of globalisation, health is one of the human rights everywhere including Haryana- a prosperous state of Indian economy. Health which refers to the state of complete physical , mental , social and spiritual well-being and not merely an absence of the disease ; received prominent place in the construction of Human Development Index since 1990

Along with that there are social determinents also like safe drinking water, balanced diet, no air pollution,

 

World Health organisations pointed out the dependency of health  on the availability of better health infrastructure in terms of health Institutions , medical staff in medical Institutions and doctor patient ratio , doctor nurse ratio etc.

Therefore provision of health infrastructure ,health services and related health issues are one of the prime areas of concern .

Here is the attempt to go into details of Haryana Rural Health Services .

      There should be one sub health centre on 5000 population .

There needs to be one Primary Health Centre (PHC) for 30,000 population.

It is recommended that there should be one Community Health Centre(CHC) on

80000 hilly area and plain area 1,20000 population.

(As per data by Rural Health Statistics 2019-2020)

The condition of rural health services in Haryana is very miserable as per the above parameters of the Govt. of India are taken in to consideration.

  There are 3 points which are being  taken note of as follows.

 

1. The condition of Haryana Health Services which should have been as per the required norms set by Govt. of India as per rural population of Haryana 1.65 crores in Census 2011.

2. The condition of Haryana Health Services as per projected April 2021 rural population of Haryana 181 crores in 2021.

3.The actual condition of Haryana Health Services  infrastructure and staffing as per the available data of Mar/Jun 2020.

When Haryana Rural Health Services  Infrastructure Position is being analysed in detail a very miserable situation comes out

1.Sub Health Centre :-

*Required Sub Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 3301

Where as required  sub health centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 3609. But

the Current /Actual Position of Sub Health Centres in Mar/Jun 2020 is 2667 . Shortfall is very obvious.

2. Primary Health Centre :-

*Required Primary Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 550 and Required  Primary Health Centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 606, whereas Current /Actual Position of Primary Health Centres in Mar/Jun 2020 is 532. We are lacking in the required numbers .

 

3. Community Health Centre :-

Required Community Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 137

and Required  Community Health Centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 151, but Current /Actual Position of Community Health Centres in Mar/Jun2020 is 119. Need more CHCs as per requirement.

      If we go through the data of rural health services in Haryana , as per 2011 rural population of Haryana norms , we do not find required infrastructure upto the mark.

*We have deficiency of 634 Sub Health Centres, 18 Primary Health Centres and 18 Community Health Centres.*

    Similarly if we consider the Haryana projected  rural population  of April,2021, then it is still more miserable.

*Then we have deficiency of 942 Sub Health Centres, 74 Primary Health Centres and 32 Community Health Centres*

The staff which is required in these is also not as per required norms.

Haryana Rural Health Services Staff Position is also not up to the required needs. The details are as follows.

1) Specialists in CHCs:

It is recommended that there should following specialists  in each CHC:-

one each General Surgeon,Physician,Obstetrician &

Gynaecologist , Paediatrucian,Orthopedic surgeon 1

Orthopedics surgeon 1

Anaethetist-1

*Required specialists with respect to Rural Population of Haryana 1.65 crores in census 2011 should be  822

And Required specialists with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 906

***Current /Actual Position of specialists in Mar/Jun 2020 is 27

There are only 27 specialists in position whereas we need 906 specialists with respect to Projected Rural Population of Haryana 1. 81 crores . So there is shortfall of  879 specialists.

2)  Medical officers in PHC :

We have at present 491 Medical officers for 532 Primary Health Centres where as we need 1212 Medical officers with respect to Projected Population of Haryana 1.81 crores in 2021. There is shortfall of 721 Medical officers .

 

3) Nursing staff at PHC and CHC:

* Required nurses at PHC and CHC with respect to Rural Population of Haryana 1.65 crores in census 2011 should be 2333

**Required nurses at PHC and CHC with respect to Projected Population of Haryana 1.81 crores  should be 2571

***Current /Actual Position of staff nurses in Mar/Jun 2020 is 2193

So in  required  phcs and chcs as per 2011 population , we have shortfall of  140 nurses.

Also there will be shortfall of 378 nurses with respect to projected Rural Population  of Haryana 1.81 crores in 2021.

4) Radiographers at CHC

At  present in 119 CHCs,

there are 38 radiographers where as we need 119. There is a shortfall of 81 radiographers. As per  2011 population there should be 137 CHCs , then shortfall would be of 99 radiographers.

As per April,2021 projected population, there should be 151 chc's , then there should have been 151 radiographers . But position at present is  that

radiographers are 38. So we will need 113 radiographers more in that case .

5) Pharmacist at PHC and CHC

There are at present 405 pharmacists in position. As per 2011 population, the need of pharmacists is 824, there by shortfall of 419. As per projected population in April, 2021, we need 908 pharmacists. Shortfall comes out to be of 503 pharmacists .

 

6) Lab technicians at PHC and CHC

There are at present 400 lab technicians in position.

As per 2011 rural population, the need of lab technicians  is 824, there by shortfall of 424.

As per projected rural haryana population in April, 2021, we need 908 lab technicians. Shortfall comes out  to be of 508 lab technicians .

 

 

   Seeing these conditions of Haryana Rural Health Services,

Jan Swasthya Abhiyan Haryana suggests and demands new creation of required posts and filling of vacant posts .

Dr R.S.Dahiya

State core committee member

Jan Swasthaya Abhiyan Haryana

1. The health services infrastructure should be immediately updated to face probable third wave of Covid pandemic or otherwise to provide quality health care facilities to citizens of Haryana

2. Allocate immediately more funds for health services infrastructure  strengthening.

3. Guarantee comprehensive , accessible, quality health services for all,Covid and non Covid patients.

4. Along with this there should be proper and immediate training of health work force on line or otherwise for covid 19 norms and post covid 19 situations.

5. At the same time the government should work on the social determinants of health which include

A) Promotion of food security by universalisation and expansion of the public distribution system.

B) Safe drinking water for all C) Sanitation facilities

D) Full employment to all

E) Education for all

F) Decent and adequate housing.

G)The gender dimensions of health should also be addressed adequately.

6. Guarantee comprehensive , accessible, quality health services for all women for all their health needs which includes but is not limited to maternal care.

7. Create more posts for the entire range of health personnel  in the public health system as per latest population requirements .

8. Regularise contractual employees and provide ASHAs ANMs and all levels of public health system staff with adequate skills, salaries and decent working conditions.

            Extreme inequality in access to health care services and the poor living conditions of people are responsible for the poor conditions of health in India and Haryana as well. 

       While people who can pay are able to receive world class treatment facilities , for most people in the state a major illness in the family plunges the family in to extreme poverty and destitution .

     The corona pandemic also shows this rich poor gap in the management of covid cases who need hospitalisation. The Govt should see remedies for these inequalities also.

  It is sincere effort of JAN SAWASTHAYA ABHIYAN HARYANA to make the people aware about these issues  so that people make Health as people's agenda and struggle for it collectively and request the Haryana Govt. to take immediate remedial measures.

With regards.

Dr R.S.Dahiya

Retired Sr Professor Surgery,

PGIMS, Rohtak. Haryana

 

(Data Source :Rural Health Statistics 2019-20)

And

http://haryanahealth.nic.in/Documents/CHC.pdf

Documents/PHCsubcenter.pdf

http://haryanahealth.nic.in/infrastructure.htm/

Mission https://ejalshakti.gov.in

 

Seeing these conditions of Haryana Health Services,

Jan Swasthya Abhiyan Haryana suggests and demands :

1. The health services infrastructure should be immediately updated to face probable third wave of Covid pandemic or otherwise to provide quality health care facilities to citizens of Haryana

2. Allocate immediately more funds for health services infrastructure  strengthening.

3. Guarantee comprehensive , accessible, quality health services for all,Covid and non Covid patients.

4. Along with this there should be proper and immediate training of health work force on line or otherwise for covid 19 norms and post covid 19 situations.

5. At the same time the government should work on the social determinants of health which include

A) Promotion of food security by universalisation and expansion of the public distribution system.

B) Safe drinking water for all C) Sanitation facilities

D) Full employment to all

E) Education for all

F) Decent and adequate housing.

G)The gender dimensions of health should also be addressed adequately.

6. Guarantee comprehensive , accessible, quality health services for all women for all their health needs which includes but is not limited to maternal care.

7. Create more posts for the entire range of health personnel  in the public health system as per latest population requirements .

8. Regularise contractual employees and provide ASHAs ANMs and all levels of public health system staff with adequate skills, salaries and decent working conditions.

            Extreme inequality in access to health care services and the poor living conditions of people are responsible for the poor conditions of health in India and Haryana as well. 

       While people who can pay are able to receive world class treatment facilities , for most people in the state a major illness in the family plunges the family in to extreme poverty and destitution .

     The corona pandemic also shows this rich poor gap in the management of covid cases who need hospitalisation. The Govt should see remedies for these inequalities also.

  It is sincere effort of JAN SAWASTHAYA ABHIYAN HARYANA to make the people aware about these issues  so that people make Health as people's agenda and struggle for it collectively and request the Haryana Govt. to take immediate remedial measures.

With regards.

Dr R.S.Dahiya

Retired Sr Professor Surgery,

PGIMS, Rohtak. Haryana

प्रेस विज्ञप्ति

               *प्रेस विज्ञप्ति*

*बजट में स्वास्थ्य के लिए किया आंवटन काफी नहीं है,*
*स्वास्थ्य सेवाओं की बदहाली कम नहीं  होगी *

देश के लोगों के स्वास्थ्य को लेकर सरकार का बजट आंवटन जुमलेबाजी से ज्यादा कुछ नहीं है। दुनिया भर के विकसित देश स्वास्थ्य में अपनी जीडीपी का 10 प्रतिशत से भी अधिक खर्च करते हैं। कोरोना काल में देश की स्वास्थ्य ढांचे की बुरी हालत देश के सामने आ चुकी है। कोरोना की दूसरी लहर के दौरान देश के लोगों को अस्पताल में बेड, ऑक्सीजन व चिकित्सा किसी भी कीमत पर नहीं मिल पायी थी। परन्तु मोदी सरकार ने इससे भी सबक नहीं लिया है। मोदी सरकार चाहती तो स्वास्थ्य के लिए 4-5 लाख करोड़ रुपये का बजटीय आवंटन कर देश के लागों के लिए अस्पतालों में उपकरणों, चिकित्सकों का इंतजाम कर सकती थी परन्तु वित्त मंत्री ने ऐसा करने की जगह जनता को टेली मेडिसिन जैसा झुनझुना पकड़ा दिया है।

कुल मिलाकर यह बजट कॉरपोरेट व साम्राज्यवादियों के मुनाफे बढ़ाने के लिए बनाया गया बजट है जो कि देश की 80 प्रतिशत जनता की दुख-तकलीफों को और अधिक बढ़ाएगा। जनता को इकट्ठे होकर सरकार पर दबाव बढ़ाने की जरूरत है कि स्वास्थ्य बजट को बढ़ाया जाए।
डॉ रणबीर सिंह दहिया ,
रज्या कोर कमेटी सदस्य
जन स्वास्थ्य अभियान हरियाणा
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