21 September 2009
Healthcare in jeopardy as ANMs not paid salaries
Healthcare in jeopardy as ANMs not paid salaries
PNS | Kalahandi
The Central Government has implemented programmes like KBK Yojana in Orissa meant for uplifting the rural people of backward regions. However, lax attitude of the State Government has now put the programmes in doldrums.
Recently, it has been observed that theState Government send the Auxiliary Nurses and Midwives (ANMs) to remote areas and make them work without paying for a long period of time. While many people have died of diarrhoea in the district in the last couple of months, ANMs were reported to be absent in most of villages, including the interior areas of the district.
According to the reports, the ANMs of Kalahandi have not been paid their salaries for the last eight months. Besides, willingness to serve in almost all the villages is also lacking among them. Immediate intervention of the State Government is required to resolve the issue.
INDRAVATI TODAY SMS NEWS
Dat: 21.Sept.2009
Preparatory meeting of MONDEI-2009 (The Tribal Cultural fiesta ) will be held at Mission Shakti Hall on 22.Sept.09
Central University of Orissa is becoming a victim of official apathy, The first Vice Chancellor Professor Surabhi Banerjee is not spending time at KORAPUT
ORISSA GOVERNMENT DELAYS CRUCIAL POSTINGS
DIRECTOR AGRICULTURE POST LIES VACANT IN ACTIVE KHARIF SEASON
DIRECTOR AGRICULTURE DR.ARABINDA PADHEE LEAVES FOR FOREIGN TRAINING
Basant Rath, Editor-in-chief
Indravati Today.
08 September 2009
Three New Tahasils Inaugurated.
Nabarangpur:
Three New tahasils has been inaugurated today.Smt. Roopa Mishra, IAS,Collector< Nabarangpur, joined as the chief guest and inautgurated, with infrstctures and records which has sifted from Nabarangpur. New tahasils Nandahandi, Tentulikhunti and Papadahandi, functining from today.
Nabarangpur left high and dry
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LETTER TO THE WORLD BANK FROM ORISSA KRUSHAK MAHASANGH PRESIDENT
Letter to the World Bank from Orissa Krushak Mahasangh President, Banka Behary Das Expressing Great Discontent of Displace Persons of Indravati Project On March 15, 1992.
To,
Resident Dirictor, World Bank Mission
55, Lodi Estate, New Delhi, 110 003
Dear Sir,
You have been funding the Indravati Multipurpose Project of Orissa, When thirty thousand tribals of Koraput district, the most backward tribal district of Orissa, are being displaced, it is every body’s concern and you cannot escape the responsibility. The Global Institutions including U.V.O. is committed to the problem of the displaced, who become refugee in their own homeland.
But I am sorry to state that though cost of rehabilitation is a part of project expenditure, whether you are funding directly or not, no rehabilitation work has been done. After paying a paltry sum of compensation, the displaced tribals are being forced to vacate their hearth and home alongwith their agricultural land.
No colony has been established for them, not has any facility been provided. A small are which was cle3aned for another project and the displaced persons there did not accept it is being shown as an area allotted for Indravati Project by them. It is far off and also does not suit to the living style and needs of the tribals.
If rehabilitation programme is drawn up in comsultation with tribal leaders of the area and also the voluntary activists who are functioning with them. It may be possible to prepare such programme compensation is no substitute for rehabilitation. Alleviation of human misery should be the sine qua non of any rehabilitation programme.
I am not going into details of matter as Government has not published their rehabilitation measurers for the informing of the public. People only know that when last year World Bank suspended payment of the loan, one of the reason stated was improper rehabilitation policy. Many villages which will be submerged in the reservoir have not been listed and many villages where agricultural land will be submerged rendering the inhabitants pauper are not being considered for rehabilitation.
As President of the Orissa Krushak Mahasangh, I have toured a portion of that area and talked to thousands of displaced persons also. I feel the entire approach is faulty in human and smacks of heartlessness.
I felt duty bound to inform you and am sending a copy of this letter to the state government also for their information. I am afraid the deteriorating situation may hamper the progress of the work, which is not desirable nor healthy. In fact since April, 3 last, progress of work has been greatly hampered due to intense agitation of displaced persons.
I hope the World Bank officials and the State Government representatives will draw a proper rehabilitation programme, inform the displaced persons to get their cooperation and implement them faithfully before the dams are completed.
Yours sincerely,
BANKA BEHARY DAS
PRESIDENT,
ORISSA KRUSHAK MAHASANGH &
FORMER REVENUE MINISTER.
REPLY OF THE WORLD BANK TO ORISSA KRUSHAK MAHASANGH PRESIDENT SHRI BANKA BEHARY DAS.
THE WORLD BANK,International Bank for
Reconstruction & Devlopment.
Resident Mission In India
55, Lodi Estat
NEW DELHI – 110003. INDIA
MAY 4th, 1992
Mr. B.B. Das
President
Orissa Krushak Mahasangh
14, Ashoknagar,
Bhubaneswar – 9
Dear Mr. Das,
Thank you for your letter and for sharing your concerns on the displacement of tribals in Orissa.
Please be assured that this is an issue of which the Bank has been taking serious note and we share your concerns. The Bank is working closely with the Government of Orissa to ensure that the resettlement aspects of the project are properly taken care of.
We are coping your letter to our specialists at headquarters to ensure that their views are considered by future supervision missions.
We appreciate your interest in writing to the Bank,
With best wishes.
Yours sincerely
MLA NANDA BISSELL
Information Officer.
LOK SABHA UNSTARRED QUESTION ON UPPER INDRAVATI PROJECT
MINISTRY OF ENVIRONMENT AND FOREST.
LOK SABHA UNSTARRED QUESTION No.5179 of 11th August 1992.
UPPER INDRAVATI MULTIPURPOSE PROJECT.
5179. SHRI SRIBALLAV PANIGRAHI. MP
Will the Minister of ENVIRONMENT AND FORESTS be pleased to state :-
(a) Whether environmental clearance has been accorded to the Upper Indravati
Multipurpose project of Orissa ;
(b) If so, the conditions prescribed at the time of granting clearance and how far
they have been implemented ;
(c) Whether any environmental impact study has been concluded recently by the
this government in this regard ;
(d) If so, the out come thereof ?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF ENVIRONMENT AND FOREST.
SHRI KAMAL NATH
(a) & (b) Yes Sir, The Upper Indravati Multipurpose Project was accorded environmental
clearence in January, 1979 subject to formulation and effective
Implementation of such action plans as Rehabilitation Master Plan,
Compensatory Afforestation Scheme, anti-Poaching Measures etc.
(c) & (d) The Project authorities have taken up studies and surveys on various
environmental aspects for evolving comprehensive environmental Management
Plan.
07 September 2009
WORLD BANK FUNDED UPPER INDRAVATI PROJECT IS A DEATH TRAP FOR THE TRIBALS
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06 September 2009
MAA PENDRANI OF UMERKOTE
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HILL TEMPLES
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MANYAMKONDA
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SATIGUDA DAM.
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MOTU OF MALKANGIRI DISTRICT
MOTU
Motu is the southernmost point of the Malkangiri District situated at 150 feet from the see level at the confluence of the rivers Sabari and Sileru.Timbers and bamboos are transported in large quantity from this place down the Sabari and Godavari to Rajahmundary. This Tahasil Headquarter attracts the tourists for it's beautiful "Jagannath Temple" and "Moogi Point"- the extreme south point on the bank of the confluence of the river Savari and Sileru. Difference in colour of the water of these two rivers can be marked even after confluence. A statue of "Utkal Gourav Madhusudan Das" is built inside the park near the confluence.
AMMAKUNDA.
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BONDA HILL OF MALKANGIRI
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Malkangiri District
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Tourist Information
Where to stay:
Name of the Establishment Reservation Authority
Inspection Bunglow Executive engineer, (R&B), Rayagada- 06856-222149
Hotel Sai International Manager, - 06856 223396 Fax - 06856-225554, 225555
Hotel Swagat - Manager, - 06856- 222208)
Hotel Kapilas - Manager, - 06856- 222280)
Hotel Ashok - Manager, - 06856- 223246)
Hotel Jyoti Mahal - Manager,- 06856 - 223015
Hotel Maruti - Manager, - 06856- 225333
Assistance : Tourist Information Counter,
Rayagada Railway Station, - 06856Tel: 222248
Tourist Office,Koraput at Koraput Club, - 06852-250318, Gram: ORISSATOUR
Tourist Counter, Vizianagaram Railway Station , - 08922 - 223582.
Superintendent of Police, Rayagada, 06856 , 222304
District Information & Public Relations Officer, Rayagada, 06856, 222193
How to Reach Rayagada
Getting to Rayagada is not difficult. Nearest air port is at Visakhapatnam (Andhra Pradesh) 200 KMs away which is well connected with New Delhi, Kolkata, Chennai, Mumbai, Nagpur by going flights.
Rail: Well connected from other parts of India like Delhi, Chennai, Allepy, Bokaro, Raipur, Gujrat, Nagpur, Kolkata, Hyderbad, Bilaspur and Bhubaneswar.
Road : Convenient road transport facilities available as NH-43 is passing through Koraput,i.e. 109 KMs from Rayagada. Direct Express bus services are available from Vishakhapatnam, Vizianagarm, Bhubaneswar, Cuttack, Puri, Jeypore, Koraput, Malkangiri, Phulbani, etc.
Facilities: Taxies and Auto-Rickshaw are available here at Rayagada for visiting the places of attraction and excursion.
Medical : District Head Quarters Hospitals Rayagada. Phone No.06856-222059, Ambulance - 06856-222059, 102
Postal : Available in almost all the places of the district.
Banks : State Bank of India and other Nationalised Banks have their branches at Rayagada and other important places of the District.
Shopping : Shopping complexes are available under the supervision of Municipality, Special Planning Authority and also private. There is no weekly special markets at Rayagada, but in surrounding villages weekly markets are held. All essential commodities are made available at those places to facilitate the remote tribal people.
Fairs & Festivals Of Rayagada
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MINAJHOLA & DEVAGIRI
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chatikona
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LAXMINARAYAN TEMPLE & PAIKAPADA
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HATIPATHAR OF RAYAGADA.
RAYAGADA DISTRICT TOURIST ATTRACTIONS
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05 September 2009
Jain Statue
Tribal Museum.
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Jeypore Town
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Highest broad gauge Railway Tunnel
Batrisa Sinhasan
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GUPTESWAR TEMPLE.
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DUDUMA.
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TOURIST ATTRACTIONS
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04 September 2009
YSR death triggers ugly CM race
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YSR A (PULI) TIGER SO APT FOR MAN WHO CAME FROM PULIVENDULA
Manmohan , Sonia to leave for Hyderabad today
New Delhi,4/9: Prime Minister Manmohan Singh and Congress chief Sonia Gandhi will go to Andhra Pradesh on today following the death of Chief Minister Y S Rajasekhara Reddy.
AICC General Secretary Rahul Gandhi is also expected to visit Andhra Pradesh to pay tributes to the leader who brought back the Congress to power in the state beating the anti-incumbency factor.
Hailing him as a tall leader who brought tremendous development to Andhra Pradesh, the Union Cabinet on Thursday condoled the death of Chief Minister Y S Rajasekhara Reddy and announced a state funeral for him.
"The national flag will fly at half mast in Andhra Pradesh today and tomorrow and all Central and state government offices in the state will remain closed tomorrow," Information and Broadcasting Minister Ambika Soni told reporters after the cabinet meeting.
The meeting, chaired by Prime Minister Manmohan Singh, adopted a resolution highlighting various welfare schemes implemented by him during his first tenure as Chief Minister.
"He gave a new thrust to the women's self-help group movement and made Andhra Pradesh the leading state in enrolment and empowerment of women," it said.
Describing Reddy, a qualified doctor, as a "natural reformer and moderniser", the resolution said the overwhelming support of the poor and the middle classes as well as those belonging to SC, ST and OBC people, ensured his victory in the assembly elections held in May this year, and enabled him a second term in office as Chief Minister.
"Reddy has passed away in tragic circumstances. He was at the peak of his political career and popularity when the hand of fate intervened".
" In his death, the country as lost an eminent political leader, an astute administrator and above all a friend of the poor and downtrodden," it said, adding that the Cabinet has placed on record its deep sense of grief and loss and extended its condolences to his family.
Brief profile of YSR , the Departed Chief Minister
Hyderabad,3/9: Dr. Yeduguri Sandinti Rajasekhara Reddy (8 July 1949- 2 September 2009) was born to Y S Raja and Jayamma Reddy in Pulivendula, Andhra Pradesh.
He represents the Indian National Congress party. He was elected to the 9th, 10th, 11th and 12th Lok Sabha from the Kadapa constituency for four terms. He also made it to the Andhra Pradesh Assembly for five terms from the Pulivendula constituency.
Reddy took oath of office and secrecy as Chief Minister of Andhra Pradesh for the term of 2009-2014 on 20 May 2009 in Hyderabad's Lal Bahadur Shastri Stadium.
He comes from a family, which stood for the cause of the downtrodden masses for generations daring the wrath of feudal lords of Cuddapah district.
YSR is married to Vijayalakshmi in 1971 and is blessed with a son and a daughter. A proud-dad he is, YSR enjoys the company of his grand children to the brim- needless to mention here that he rarely finds any time to spare for his family members. YSR's son emerged a successful entrepreneur to the utmost pleasure of his father. Son Jagan Mohana Reddy, daughter Sharmila, and their children enjoy a very special place in YSR's world.
He graduated in medical science from M.R.College of Gulbarga. He did his House-Surgeoncy in SV Medical College, Tirupathy.
A weightlifter in his student days, his strong conviction is '' A sound soul in a sound body.''
After completing MBBS, he served as Medical Officer at CSI Campbell Hospital, Jammalamadugu for a brief period.
In 1973 he established a 70-bed charitable hospital at Pulivendula in the name of his father, which continues to serve the poor till today.
Not many people know that he is keenly interested in reading fiction in English. His favourite author is Mario Puzo, the creator of epoch making novel ''God Father''.
In 2003 he undertook a 1400-km three-month long paadayaatra across several districts in Andhra Pradesh. He led his party to victory in the next general and assembly elections held in 2004.
From 1980-1983, as a minister, he held important portfolios related to Rural Development, Medical Health and Education.
He reached the Lok Sabha from Kadapa constituency four times and ensured victory in the Andhra Pradesh State Assembly elections six times from Pulivendula constituency.
Reddy served as the leader of the opposition in the Andhra Pradesh State Assembly for five years.
From 1983-1985 and 1998-2000, he was President of the Andhra Pradesh Congress Committee (APCC). Rendering Yeomen service to the party, as the president of APCC, Reddy and regained the faith and trust of the masses. From 1999 to 2004 he was the Leader of Opposition in the eleventh state assembly.
Reddy was elected as the Chief Minister of Andhra Pradesh by the Legislature party of the Indian National Congress after they later won 185 seats of the Legislative Assembly in the May 2004 elections.
He has initiated a variety of programs, including free power supply for farmers, Jalayagnam - a large scale program to construct more than 70 pending irrigation projects in the state to improve irrigation facilities to the farmers, and an increase in the minimum support price for rice.
Arogya Shree- a health insurance scheme for rural masses where the government pays the entire price of any surgery and does not require people to pay any premium, Pavala Vaddi- a program that provides loans to people at 3% per year so as to encourage them to take up small scale businesses and entrepreneurship primarily targeted at rural woman, and several others programmes were started by him for the welfare of masses.
Reddy campaigned for the 2009 election with "Development and the credibility".
In the elections, Congress won 156 seats required for majority in the assembly. The party also won 33 seats in parliament
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02 September 2009
The Pioneer. BHUBANESWAR | Wednesday, September 2, 2009
Anganwadi workers stage rally, seek Govt staff status
PNS | Nabarangpur
The Nabarangpur District Anganwadi Ladies Workers’ Association took out a procession from the Ram Mandir here to the Collectorate and submitted a memorandum to Collector Roopa Mishra demanding absorption of Anganwadi workers and helpers in Government service.
The association’s other demands included payment of salary to Anganwadi workers and helpers Rs 10,000 and Rs 5,000 per month, respectively along with DA and other allowances, no direct recruitment for the posts of ICDS supervisors judging by experience of 10 years, promotion of Anganwadi workers as Supervisors against 100 per cent posts, brining Anganwadi workers and helpers under the EPF and MP Act 1952, ESI Act 1948 and compensation, gratuity and bonus laws, provision of leave on national and festival holidays and provision of summer vacation at par with the regular Government servants.
The demonstrators held a meeting in front of the Collectorate. Association secretary Sabita Nayak pointed out that the Governments of Tamil Nadu and Pondicherry have absorbed the Anganwadi workers and helpers in Government service.
01 September 2009
New Zilla Parisad President Taken Oath Today.
Nawrangpur.
Newly elected Zila Parisad President Mr.Bhagirathi Nayak, taken oath and assumes office today.In the oath taking ceremony held at the zila parisad conference hall Collector, Smt. Roopa Mishra, IAS, PDDRDA, Mr. Laxmidhar Sethi,zilla parisad members, and officials present at the meeting.
Tribals suffer as NRHM flops in KBK districts
Basant Rath | Nabarangpur
The Pioneer, Bhubaneswar.
Date:1.09.2009
Recognising the importance of health in the process of economic and social development and improving the quality of life of our citizens, the Government of India launched the National Rural Health Mission (NRHM) in 2005 to carry out necessary architectural correction in the healthcare delivery system. The NRHM seeks to provide effective healthcare to rural population throughout the country with special focus on 18 States, including Orissa, which have weak public health indicators and/or weak infrastructure.
The NRHM seeks to revitalise local health traditions and mainstream AYUSH into the public health system and to improve access of rural people, especially poor women and children, to equitable, affordable, accountable and effective primary healthcare. It also aims to provide an umbrella scheme to the existing health and family welfare programmes including reducing IMR and MMR. The national programmes cover malaria, blindness, iodine deficiency, filaria, kala azar, tuberculosis, leprosy and include integrated disease surveillance.
The plan of action includes increasing public expenditure on health, reducing regional imbalance in health infrastructure, pooling resources, integration of organisational structures, optimisation of health manpower, decentralisation and district management of health programmes, community participation and ownership of assets, induction of management and financial personnel into district health system and operationalising community health centres into functional hospitals meeting the Indian Public Health Standards in each block of the country.
But the undivided KBK districts of Orissa have got the dubious distinction of having one of the highest maternal mortality rate (MMR) in the country despite the massive launching of NRHM. So, there is a lot more to be done in direct and indirect health care practices to minimise the death rate so that we can have more healthy babies for a healthy generation in future.
Lack of commitment of medical officials, who are working in the KBK districts, lack of communication facilities, shortage of staff and non-development of existing Primary Health Centres (PHCs) force poor tribals to die as they fail to get medical treatment on time. A visit to remote tribal villages under KBK districts has exposed the miserable condition of the tribals living in the villages. All the PHCs are functioning without MBBS doctors and some centres are functioning only with mere pharmacists. Unnatural deaths of tribals occur mostly among children who are below five years. Junior doctors after completion of their MBBS are posted in Government service to serve for a period of three years in the district mandatorily but they leave immediately after obtaining service certificate from the authorities for higher education or better-paying hospitals in corporate places.
Lack of community ownership of public health programmes impacts levels of efficiency, accountability and effectiveness. This also leads to lack of integration of sanitation, hygiene and nutrition and results in drinking water issues. There are striking regional inequalities. Population stabilisation is still a challenge, especially in the KBK region of the State with weak demographic indicators. More than 70 per cent of hospitalised patients belonging to the KBK region fall below poverty line.
Unnatural deaths of tribals occur mostly among children who are below five years of age. According to official sources, for every 1,000 live births, 251 die within five years. More than 60 per cent of the villages in KBK districts do not have drinking water facilities. The Government health inspector says that it took years to create awareness among the tribals. Over the last two decades 15 lakh tribals in undivided KBK districts alone died. The chief medical officers of districts have returned crores of unspent money meant for health service in undivided KBK district.
Due to lack of commitment by the scheme implementing agencies, the money meant for construction of new health sub-centres and repair of existing PHCs are partly spent and the rest of the money is kept locked in the bank. The situation is worse in the rural areas in spite of recommendations by various organisations, including the district administration have not been able to do enough for these tribal-dominated tracts that report a large number of deaths due to under-nutrition, endemic malaria, diarrhea and other diseases.
Reduction in IMR and MMR, universal access to public health services such as women’s health, child health, water, sanitation, personal hygiene, immunisation and nutrition, prevention and control of communicable and non-communicable diseases, including locally endemic diseases, revitalising local health traditions and mainstream AYUSH and promotion of healthy lifestyles is a distant dream for the tribals of KBK region. Due to the non-availability of health services, the tribals in the remote areas of KBK districts mainly depend on quacks and those who sell indigenous medicines. Some people, who do turn up at the nearest health centre, are more often treated by nurses and health workers.
The NGOs who are engaged for resources organisations are the torrent ones as local NGOs are not involved in the improved programme management.
Immunisation coverage is the poorest in the case of tribal population compared to other social groups and the aggregate population. Only 26 per cent of tribal children are completely immunised against all vaccine-preventable diseases and 18 per cent have not received any vaccine at all. Thus 56 per cent of children are only partially immunised. Children having three common childhood diseases, namely respiratory infection, diarrhoea and fever, during a reference period of two weeks among the tribal population is surprisingly lower than for the population as a whole as well as for other social groups such as SC/ST and other backward population.
The nutritional status of tribal children is apparently worse as compared to that of other social groups and the population as a whole. The incidence of anaemia among children is much higher among tribal population. As in the case of tribal children, the nutritional status of tribal women is also worse than that in the case of the general population or that of women belonging to other disadvantaged social groups such as SC/ST or OBC.
However, the incidence of anaemia amongst tribal women is significantly higher than that for other social groups. Till today 40 per cent or more of the population still have to travel more than 5 km to reach the nearest health facility. The problem of physical access is compounded by two other factors, poor roads and poor transport connectivity.
The so-called coastal NGOs who were selected for this purpose do not know the name of the villages or any data about the KBK districts. The NGOs are claiming creating awareness, workshops to streamline the existing policies and programmes and also establishing synergy among stakeholders but all these are in pen and paper only. The NGOs have neither visited the villages of KBK region nor interacted with the villagers, alleged former MP, Parshuram Majhi. He further alleged that in the KBK region there are several local NGOs who are working for the tribals but the mission dawdles to select the local NGOs for the smooth running of the programme. Due to the lackadaisical attitude of the State Mission and the district mission authorities, the programme failed to achieve any goal in the KBK region. Lack of motivation and awareness among the people is said to be the main reason for failing to bring an improvement in quality of health among the rural people.
The inter-district disparity comes down in the case of safe deliveries as still about two-thirds of deliveries are unsafe being not attended by any trained professionals. Access to post-natal care seems to be poor in KBK. Immunisation coverage in the State cannot be said to be satisfactory. With only about 60 per cent of children completely immunised in the districts, the immunisation coverage is between 40 to 60 per cent. Frequent cases of severe diarrhoea, malaria, measles, tuberculosis, gastroenteritis, diphtheria, whooping cough and poliomyelitis also remain a major public health problem in the undivided KBK districts.
NEWS FROM: THE PIONEER, Bhubaneswar
date:29.08.2009
Cong wins ZP president post in N’rangpur
Nabarangpur: In the byelection to the post of Zila Parishad president held on Thursday at the Nabrangpur Zila Parishad conference hall, the Congress candidate Bhagirathi Nayak won the election by defeating his only rival Manjula Majhi of the BJP by 6 votes. Majhi is the vice-chairperson of Zila Parishad. Bhagirathi Nayak got 15 votes out of 25, while Majhi secured only 6 votes. The post of the Zila Parishad fell vacant following the resignation of Pradeep Majhi of the Congress who won from the Nabarangpur Parliamentary constituency.
Nabarangpur BJP general secretary resigns
Nabarangpur: The BJP district general secretary Tapan Debanath resigned from his post on Wednesday. He stated in his resignation letter that the president of the BJP Nabarangpur district unit Ramesh Ch Sahu was arbitrarily taking all decisions, ignoring the primary as well as the district functionaries of Umerkote NAC and Umerkote Block.
Boat capsises in river; locals rescue passengers
Nabarangpur: A boat coming from Sirisi Ghat to Bhatrasiuni Ghat with 40 persons aboard, including some students capsized in river Turi. Local villagers of Bhatrasiuni rushed to the spot and managed to rescue the lives of 40 persons. The locals of the areas are demanding for a bridge over Turi since last 50 years. Deprived of basic infrastructure, 33 villages depend on boats for communication, alleged former Sarpanch of Bhatrasiuni Ramesh Mishra.
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Health Care in a shambles: 60 doctors post vacant
Tribal-dominated district is in shambles due to the non-availability of doctors. Although the district has seven community health centres, three primary health centers for 10 blocks and 37 primary health new centres but doctors are not posted
BASANT RATH, JOURNALIST.
Merinews.com
THE HEALTH sector in this tribal-dominated district is in a shambles due to the non-availability of doctors. Although the district has seven community health centres, three primary health centres for 10 blocks and 37 primary health new centres, adequate doctors are not posted there. While there is a dearth of specialists at the community health centres, the District Headquarters Hospital has 10 vacancies, including that of seven specialist doctors. Key posts in the departments such as medicine, orthopedics, skin, anaesthesia, pathology and surgery are yet to be filled at the DHH.
At primary health centres, while 50 posts of surgeons are vacant, no doctors were posted in the past 10 years for 11 speciality departments. Surprisingly, at least 20 hospitals in the district are being run by only health workers and nurses while some hospitals are managed by 4th class employees. Health service in Kosagumuda, Papadahandi, Dabugam, Jharigam, Chandahandi, Nandahandi, Tentulikhunti are in a shambles with no doctors appointed over the years. The situation in remote areas in worse with doctors playing truant. In certain hospitals medical authorities go on closing the hospitals at peak hours. The private practice by the doctors in also blamed for the degradation in health care services.
Tribals in the remote areas mainly depend on quacks and those who sell indigenous medicines. Some people, who do turn up at the nearest health centre, are more often treated by nurses and health workers. While those who can afford to pay for medicines go to hospitals at Visakhpatnam in Andhra Pradesh or Berhempur Medical College, the poor have no other alternative but depend on quacks. According to a survey, the district tops the list for infant mortality in the state.
Though the local administration claims the introduction of several schemes for safe motherhood and child care, for want of minimum facilities, women are dying at the time of delivery. Even the life of the newborn is not safe. Though money was by the government to take pregnant women to the nearest PHCs or CHCs, the funds allotted for the purpose are being siphoned off by the officials concerned. The situation is worse in the rural areas in spite of recommendations by various organizations, including the district administration have not been able to do enough for these tribal-dominated tracts that report a large number of deaths due to under-nutrition, endemic malaria, diarrhea and other diseases.
Rising graph of maternity deaths, mostly expectant mothers from minority community, has become a major cause of concern for health planners in this tribal dominated district. Even a government sponsored health service network has failed to live upto the expectations. While in the district mortality of children below five years remained at nearly 90 per every 1000 children and this district has come down to the second position in list of infant mortality rate (IMR) in orissa. Recently a NGO described the scenario with regard to safe child birth in Nabarangpur as exceedingly bleak. In rural areas with predominant tribal population, thing have gone from bad to worse.
In ordinate delay in reaching govt hospitals often results in the death of pregnant mothers. Many women from this community prefer to delivered of their babies at home under the care of elderly woman relatives and untrained attendants. Besides anemia caused by multiple pregnancies has also contributed to the sport in maternity causalities. Most of the pregnant women hardly ever receive gynecological support for safe delivery. The grim reality is that only 25 per cent pregnant women have access to institutional delivery facilities while the rest languish and perish in the process due to utter neglect. As a matter of fact little over 20 per cent pregnant women receive timely antenatal care while the much-touted government sponsored health scheme for women has failed to come to their rescue.
With governmental health service on the average of break down quacks rule the roost and run a parallel health service network aggravating the situation further. These self styled doctors are wreaking havoc in remote areas bereft of primary health service. Having little expertise, the quacks resort to crude and unscientific methods for childbirth and very often the exercise ends up with the death of the expecting mother or the child often both die. But ironically two-third of these maternity deaths go unreported.
For obvious reason quackery goes on as government doctors play truant and skip duty in remote areas. There are allegations that some doctors demand bribe from relatives of pregnant women for delivery. On the other hand malaria eradication programme has failed to takeoff in the district, people who are at the receiving end of the epidemic, alleged that menace continues to grow in ferocity because doctors and health officials don’t pay regular visits to the malaria-affected areas for slide tests. With cases of malaria and brain malaria on the rise allegations of bungling of programme funds are flying thick and fast. Local MP, Pradeep Majhi, criticized the state government for not filling posts of doctors and specialists in the district. The newly constructed District Headquarters Hospital has good infrastructure but it is of no use as many posts of doctors are lying vacant.
More than 3Lakhs people depend on this hospital for health problems. A resident’s forum here has alleged that working doctors were more concerned about their private practice than their responsibilities in the district hospital. Even the doctors who are working at PHCs and CHCs are not staying at their respective headquarters. Although crores has been spent for up gradation of the hospitals with good infrastructure, large number of vacancies has hit the health care.
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