President & Group Managing Director: Dr.Shelly Ahmed | Editor in Chief & Group CEO: M H Ahssan
Showing posts sorted by date for query Madhya Pradesh. Sort by relevance Show all posts
Showing posts sorted by date for query Madhya Pradesh. Sort by relevance Show all posts

Sunday, August 20, 2017

India’s Pioneering Women Qazis Ask Muslim Men: Have You Read The Quran?

Newly trained women Islamic clerics, or Qazis, have started work in towns across India, offering an invaluable support system to Muslim women, and inviting opposition from orthodox circles.

Iqra's world fell apart in six months.

In her telling, it began, as it often does, with marriage. The 23-year-old's marriage to Ali was an exchange programme of sorts. Ali was her cousin, son of her khaala, her mother's sister. In turn, Iqra's brother married the same khaala's daughter. Her khaala also became her mother-in-law. Such marriage between first cousins is commonplace among Muslims in South Asia.

Thursday, August 03, 2017

Analysis: Why The Farmers' Protests Could Be The Beginning Of A Turning Point For The BJP?

The ongoing farmers' protests in several states across India's geographical diversity is the first major non-sectarian mass movement confronting the Narendra Modi government. Unless handled adroitly, the stir has the potential to throw up a major challenge to the Bharatiya Janata Party and Modi's political dominance.

Speciasl Report: Inside The Surreal Battle For Mind Control Playing Out In Rajasthan's Classrooms

From history to politics to math, text books are throwing caution to the wind, as teachers grow divided.

For someone who is courageously speaking truth to power, 51-year-old Mahavir Sihag is exceedingly soft spoken. On occasion, you have to remind him to speak louder, so that you can hear.

Monday, July 17, 2017

For Schools in Rural India, the Appropriate Language of Instruction Remains a Conundrum

The challenges faced by English medium students in rural areas go way beyond the quality of teachers.

The difficulty of deciding which language should be the medium of instruction has caused problems in the delivery of quality education in India.

Saturday, July 15, 2017

‘Maybe It Is Time To Change My Son’s Name’: The New Reality Of Being Muslim In India

Rumours, lies, violence and political support for bigotry embolden many Hindus to reveal hidden prejudices.

Saira does not call her son by his name when they are out of the house. “I prefer using J, it doesn’t have a Muslim ring to it,” said Saira, 40, a former colleague whose first name I have changed on her request and whose Muslim identity was never previously a point of discussion. “I cringe as I say this, but it is true.”

Whenever J asked his mother the difference between him and his friends, she always told him there was none. They were all Indian with different names, she said. That explanation, an evidently troubled Saira told me, is weakening at a time of uncommon anti-Muslim prejudice and violence.

Friday, June 30, 2017

Why Indian Liberals Are Falling Into The Hindutva Trap Again With 'Not In My Name' March?

It's disturbing how Muslims are lynched with the "beef" bogey so regularly, it has ceased to shock us. That is why, people in 11 cities will march silently today, black bands on their arms, placards screaming NOT IN MY NAME.

There is little doubt the BJP's rise has emboldened just about anybody to commit violence against Muslims in the name of beef. Those who belong to or support the BJP remain silent over these incidents, or worse, justify them in the name of the holy cow. Their beef is not with meat but with Muslims.

Opinion: Lynching The Diversity Out Of India

The new jungle justice system has obviously been given political imprimatur.

Junaid Khan, 15 years young, had gone for Eid shopping with his brothers to Delhi. He was never to return. On his way home to Ballabgarh, a hate-fuelled group of men pounced on him. He was stabbed during the attack and literally bled to death in excruciating pain. His brothers were assaulted too, but escaped with their lives. Beef eaters, yelled the rancorous chorus. No one in the train compartment helped. Junaid is the latest victim of the rising violent culture of cow-related mob lynching in India. It is a Frankenstein's monster on the loose taking giant strides. The ominous predator is out there as you read this.

What Cow-Loving India Should Focus On: Making More Fodder Available To Starving Cattle

With forests overrun by weed and other unwanted growth, free-grazing lifestock face a grim situation.

Much passion is now generated in our country on the subject of protecting cattle. However, a dispassionate narration of the reality about the fodder situation for them seems to be largely missing. There are 108 million adult female cows in a cattle population of 200 million, according to the National Dairy Development Board. In addition, there are about 100 million buffaloes in the country.

Friday, June 16, 2017

Exclusive: Race To Rashtrapathi Bhavan

2019 Calculations May Decide BJP’s Choices For President, Vice President. The unexpected is widely expected. The Modi government likes to surprise, keeping its cards close to its chest until it has to play them. We will know the name of the BJP's nominee for the post of President of India on 23 June and it may be none of the names in speculation until 22 June.

Monday, May 01, 2017

An Indian politician gifts brides laundry bats to tackle abusive husbands

This minister’s message to Indian women is simple: “If your alcoholic husband is physically abusive, thrash him.”

When one suffering woman asked Madhya Pradesh minister Gopal Bhargava if it was all right to beat up her abusive spouse with a mogri, the wooden bat traditionally used to wash clothes, he took the idea seriously. After all, Bhargava had been receiving numerous such complaints.

Friday, August 12, 2016

Health Crisis: India's Wealthier States Are Showing An Alarming Decline In Immunisation Process

By NEWSCOP | INNLIVE

The warning signs from the latest National Family Health Survey data have gone unnoticed so far.

A fair amount of media attention has been given to the resurgence of diphtheria in Kerala, which has been attributed to some Muslims rejecting immunisation efforts due to misinformation. However, a much more dangerous and widespread trend of declining immunisation rates as evidenced by the recent National Family Health Survey 4 data, seems to have gone entirely unnoticed.

Monday, August 08, 2016

Dark Night Advisories: How Raj-Era Prejudice Still Taints Police Attitudes Towards 'Criminal Tribes'?

By M H AHSSAN | INNLIVE

The authorities in North India believe that it is necessary to treat these communities differently.

About once every month, police departments in North Indian states issue rather unique instructions to those on the beat: “Dark Night” advisories that alert police teams about potential strikes by dangerous gangs that usually contain more than a few references to communities once known as criminal tribes.

Friday, August 05, 2016

Spotlight: Should Hospitals Give Patients 'Unbanked Blood' To Save Lives?.

By MITHILESH MISHRA | INNLIVE

Unbanked blood transfusion is illegal. But short of blood, rural hospitals in Chhattisgarh say it is not unethical.

In April, a woman walked into a hospital in Baitalpur in Bilaspur district of Chhattisgarh, bleeding heavily. She was in her thirties, and had ruptured her uterus while delivering a baby at home in a nearby village. She needed urgent medical attention. When a van dropped her off on the highway, she trudged two kilometres to Baitalpur's Evangelical Mission Hospital – only to be turned away.

The hospital had an operation theatre and a gynaecologist, but no blood.

With buses plying only once in two-three hours from Baitalpur to Bilaspur, the district headquarters, getting blood from the blood bank takes at least four to five hours, if not a day. Without a quicker way to access blood, the hospital is not equipped to handle an emergency.

“She had a ruptured uterus and was anaemic," said Dr Kusum Masih, the medical superintendent of the hospital who is also a gynaecologist. "We could not operate without blood."

The doctors sent her to Bilaspur about 35 km away – but she died on her way there.

Eleven districts with no blood banks
There are 16 blood government-run blood banks and 30 private ones across 27 districts of Chhattisgarh.

The deficit of blood in the state is about 48%, said Dr SK Binjhwar, from the State Blood Transfusion Council. According to the World Health Organisation, a country should have a stock of blood equivalent to 1% of its population. By this standard, Chhattisgarh alone needs 25 lakh units of blood at any given point – but it usually collects 16 lakhs units a year.

What's more, 11 out of 27 districts in Chhattisgarh do not have blood banks – the largest deficit in any state in the country. In all, there are 81 districts in the country without blood blanks, according to data from the Union Ministry of Health and Family Welfare. Most of them are concentrated in Chhattisgarh, Jharkhand, Bihar, Uttar Pradesh and the North East.

For Chhattisgarh, a state with very high rates of anaemia, especially among women and children, the shortage of blood throws up multiple challenges.

According to the National Family Health Survey, more than half of the women of the state – about 57% – suffer from anaemia, as do nearly three-quarters, or 71.2% of children aged 0-5. About 2% of both women and children have severe anaemia, with a haemoglobin level below seven grams per decilitre of blood, for which most patients need blood transfusions.

Apart from this, about 60,000 children are estimated to have sickle cell anaemia, a severe form of the condition caused by a genetic blood disorder.

Anaemic women additionally face a higher risk of postpartum haemorrhage, which is a leading cause of maternal mortality in India. The maternal mortality rate of Chhattisgarh is 230 deaths for every 1,00,000 live births, as compared to the national average of 178.

Unbanked blood
For a rural hospital in Chhattisgarh, there is just one option in case of emergencies where blood is required – to refer a patient to a bigger facility. This often means that the person reaches the hospital in a critical condition, or dies on the way, as in the Baitalpur case.

Some hospitals are countering this by opting for an illegal way of giving blood, called unbanked direct blood transfusion. Under this, the blood of a willing donor’s that matches with the recipient’s group is collected, tested for infection with a rapid blood kit and then transfused without roping in a blood bank.

Take the case of a 40-year old woman from Shahdol district in Madhya Pradesh, who had been having extremely painful menstrual bleeding for nearly four months.

“Khoon girat rahe [I was bleeding all the time],” she said. “But, I would still have to work in our fields. How can I stop?” She was also not able to eat or walk and had severe chest pain.

On June 28, she somehow made it to a rural hospital in Chhattisgarh, which shares a border with Madhya Pradesh, travelling more than 200 km by train and bus with her husband and son.

When the doctors examined her blood, they saw she had a haemoglobin count of 4.6 – the normal range for women is between 12.1 and 15.1 – which meant she needed immediate transfusion. She also required an abdominal hysterectomy, as she had a large fibroid in her uterus.

In all, she needed three units of blood.

“I do not know how she managed to travel so far,” said a doctor at the hospital. “There is barely any oxygen reaching the organs. We have patients coming in with haemoglobin count of one as well. We can't direct such patients to other hospitals as their condition is already critical.”

The names of the hospitals and the doctors have been withheld because it is illegal to get blood from any other establishment other than a blood bank.

In this case, her son gave one unit of blood through unbanked direct blood transfusion, while two other units were arranged legally.

Doctors have been arrested in the past for using unbanked blood in other states.

Hospitals that practice unbanked blood transfusion usually have a list of donors in the community who can come and give blood when required. These donors are usually not paid – unless they demand payment and the situation is dire.

Insufficient blood
In 1996, the Supreme Court outlawed professional blood donation – that is, donating blood for money – and ordered the establishment of National Blood Transfusion Council to oversee and strengthen policies and systems governing blood transfusion in the country. In 1998, unbanked directed blood transfusion was disallowed.

In 2002, the council allowed the setting up of blood storage centres that were allowed to keep blood from licensed blood banks (but were not authorised to collect it). These storage centres could come up in villages and towns, while the mother blood banks would usually be in the district headquarters or cities.

In Chhattisgarh, there are 60 such storage units, mostly in community health centres, many of which do not use the blood at all and direct patients to go to other healthcare facilities. For instance, the community health centre in Gaurella, attached to the Chhattisgarh Institute of Medical Sciences in Bilaspur, has never approached the storage unit for blood. “I am not even sure it [the centre] functions,” said Dr VP Singh, who is in charge of the blood storage centre in the Bilaspur college.

Patients from community health centres often make their way to Jan Swasthya Sahyog, a non-profit in Ganiyari, near Bilaspur city. “Often, we see patients who are bleeding copiously after childbirth and are referred to us in that condition,” said Dr Yogesh Jain, one of the founders of the hospital.

Even hospitals that do use blood storage units, such as Jan Swasthya Sahyog, Shaheed Hospital in Dalli Rajahara in Chhattisgarh's Balod district and the mission hospitals, said they get insufficient units of blood.

“Our storage centre is attached to a mother blood bank in Durg,” said Dr Saibal Jana, chief physician of Shaheed Hospital. “We need about 150 units per month, but have barely about 35 units from the bank. Last month, they gave us only 10.”

Jan Swasthya Sahyog has an understanding with a private blood bank in the city, which gives them blood nearing its expiry date for free. This they use for scheduled surgeries, when the blood requirement is known.

Replacement donation
For every unit of blood taken from the bank, hospitals are supposed to send a replacement donor to the mother blood bank. This unwritten rule holds true even for hospitals that send relatives of patients to collect blood from a blood bank – private or public – for a planned surgery.

This is against the country’s National Blood Policy, which prohibits coercion in enlisting replacement donors and aims to phase replacement donations out.

Dr SK Binjhwar, from the State Blood Transfusion Council in Chhattisgarh, said that the state has 80% voluntary donation. Public health activists, however, said this figure is highly debatable and that more than 99% of the blood is likely collected through replacement donation.

“A hospital that has a blood storage unit organises blood donations camps for mother blood banks,” said Bhinjwar. “This is enough to meet the demands of the districts.”

The demand for a replacement donor for the mother blood bank hangs like a sword over the heads of patients’ family members.

Many donors from the hinterlands are not willing to travel to the nearest blood bank in the city to replace blood. It’s also difficult to find eligible donors in the immediate family – if a patient has anaemia, it’s likely that members of her family would also suffer from the condition.

Many also have an apprehension towards donating blood, fearing it causes weakness.

In such a scenario, touts who can provide ready donors for a price thrive. There are many such businesses in operation near blood banks in the state that provide donors for a sum of money to provide replacement units to the banks.

Rajesh Sharma, who runs the laboratory in Jan Swasthya Sahyog said that touts realise that people are looking for donors for replacement donation when they see an icebox in their hands. To combat this, Jan Swasthya Sahyog sends a patient's relative for replacement donation, they now send a letter (pictured below) that has to be signed by the blood bank.

People who are unaware about the dangers of remunerative blood donation – which has higher chances of infection – are willing to pay for the blood, despite having meagre resources.

In a rural hospital in Chhattisgarh, a 76-year-old was diagnosed with nectrotising fasciitis – a severe bacterial skin infection that spreads to the tissues quickly – on her arm. She had to be operated upon immediately to remove the infected tissues, but her haemoglobin count was just 6.3. During the surgery, the hospital collected blood via unbanked direct blood transfusion. But they were short of one unit.

“I do not know who will donate now...can we buy the blood?,” asked her daughter, who was tending to her.

While admitting that most units of blood are given only after a replacement donation, Dr Singh from the Bilaspur college's blood storage unit said: “We give blood to people who do not have replacements too."

"Usually if someone is an orphan with no family support, or someone comes without attendants, we give the bank without exchange too (referring to replacement donation)," he added.

Dr Singh said he had instituted a rule that no sickle-cell patients should be asked for replacement donors as he found out that the patients' families were bringing in professional donors, especially when the patient needed immediate treatment.

Unbanked blood ethical?
In a scenario where lack of access to blood banks has resulted in deaths that could have been avoided and helped touts flourish, doctors and healthcare activists practicing in rural areas have pushed for unbanked direct blood transfusion to be legalised, even as other activists argue that it shouldn't.

In June, Dr Yogesh Jain and Dr Raman Kataria from Jan Swasthya Sahyog wrotein favour of the practice in Indian Journal of Medical Ethics. They said that unbanked directed blood transfusion, if done by trained and certified healthcare teams, meets ethical standards and helps fulfil emergency blood requirements in rural areas.

In 2014, the Ministry of Health and Family Welfare met a delegation from the Association of Rural Physicians that sought to legalise this practice. Though the Drug Technical Advisory Board considered the proposal, it was eventually rejected.

The delegation argued that there the Drugs and Cosmetics Act allows unbanked directed blood transfusion for Armed Forces in border areas and peripheral hospitals, which should be extended to the same in emergency situations in rural areas too.

The Drug Technical Advisory Board, however, said that testing of safe blood requires a lot of infrastructure and trained manpower, without which the blood is likely to be infected. Besides, they said, it would be difficult to monitor them. They also said that the exemption given to Armed Forces cannot be given to rural hospitals.

“Are soldiers' life more important than a woman giving birth?" asked Dr Jain. "The implication of this policy is that either people go to the cities for treatment, or choose to die wherever they are. People who have to handle emergencies have to be equipped with technology and regulations should look into the ethical requirement of safe blood.”

An ideal solution, said doctors, would be to increase blood availability in the country by having a central blood bank in each district, with well-equipped storage centres.

However, activists working towards ensuring voluntary blood donation said that unbanked direct blood donation should not be allowed.

“All hell will break loose," said Vinay Shetty, from Think Foundation, Mumbai and a member of Voluntary Blood Donation Committee of Maharashtra State Blood Transfusion Council. "There will be no control over the blood in this country and we will go back in time."

The state has to take responsibility for the shortage of blood and has to ensure that no bank is short of blood, he said.

“The only answer to this is blood sufficiency," said Shetty. "Organising blood is not the responsibility of the patient. It is the responsibility of society at large. This is happening because there is no value to human life. Somebody in the state has to take charge."

Thursday, August 04, 2016

The Big Expose: RSS Funded 'Operation Shuddhikaran'

By NEWS KING | INNLIVE

Although it did not make headlines, 31 poor tribal girls, all minors, from Assam brought to Delhi on June 11 last year have ended up in RSS-run schools in Gujarat and Punjab, as INNLIVE finds, which is part of a well-orchestrated conversion programme targeting children from poor minority communities to initiate them into Hinduism at a young age. Given the resources and reach the RSS and its sister organizations command, what INNLIVE investigation reveals may just be the tip of the iceberg.

Tuesday, August 02, 2016

Prespective: The Law’s Blindness To Teenage Sexual Consent Is Criminalising Young Boys


By Dr.SHELLY AHMED | INNLIVE

Those working in juvenile justice say they negotiate tricky issues related to consent, caste and parental pressure while dealing with juvenile rape cases.

Six months short of his 18th birthday, Aditya* met a 16-year-old girl from a neighbouring school. The two got into a relationship, but this did not sit well with the girl’s parents, according to Aditya’s mother.

Sunday, July 31, 2016

Adivasis: Cheated Of The Constitution

By MOHAN GURUSWAMY | INNLIVE

Tribal people who account for 8.2% of India’s population can be broadly classified into three groupings. The first grouping consists of populations who predate the Indo-Aryan migrations. These are termed by many anthropologists as the Austro-Asiatic-speaking Australoid people. The Central Indian Adivasis belong to this grouping. 

Wednesday, July 27, 2016

Swachch Bharat's Mothers, Babies In Peril: 343 Hospitals In 6 States Struggle With Hygiene, Toilets


By LIKHAVEER | INNLIVE


Swachch Bharat Abhiyaan is acheived by Modi's government but the reality is quite different,  as many as 19% of the facilities did not have wash basins near toilets and patient-care areas.


Half the post-natal wards of primary healthcare centres lacked toilets, as did 60% of larger community health centres in Madhya Pradesh, which has a higher maternal mortality rate than war-torn Syria.Open defecation was allowed within 38% and open urination in 60% of health facilities (PHCs, CHCs, area and district hospitals) in Odisha’s Ganjam district, which has the same maternal mortality rate as the impoverished African country of Gabon.

Monday, July 25, 2016

India's Model Villages: Why Modi's Pet Rural Development Scheme Is Not Working Properly?

By REX KUMAR | INNLIVE

Only 53 of 278 BJP MPs in the Lok Sabha have selected new villages in phase two of the scheme.

Close to two years after its launch, there seem to be few takers among parliamentarians for Prime Minister Narendra Modi's flagship rural development scheme, the Saansad Adarsh Gram Yojana, which aimed to develop at least three “model villages” in each parliamentary constituency by 2019. 

Soon after the launch of the scheme in October 2014, 701 of total 795 ruling and opposition MPs had adopted a village each to be developed over two years.

Friday, July 01, 2016

Success Story: This Indian E-Commerce Startup Has Reached Over A Million Indian Villagers

By LIKHAVEER | INNLIVE

While logistics is turning out to be one of the biggest challenges for e-commerce companies across the country, a Bengaluru-based e-commerce startup is trying hard to tap into the rural customer base.

Meet StoreKing. Founded by Sridhar Gundaiah in 2012, the company has harnessed the power of vernacular languages to introduce e-commerce to over a million villagers in the last three years.

Tuesday, June 28, 2016

India Is Slowly Cleaving Into Two Countries – A Richer, Older South And A Poorer, Younger North

By NEWSCOP | INNLIVE

Support to the elderly is fraying in India. But no one appears prepared for this – not families, not companies, not the government.

At traffic intersections, drivers in Delhi tune out the brown-haired, snot-nosed waifs who tap and scratch insistently at their car windows. Sometimes, the children are joined by equally ragged parents, mostly in their 20s, trying to sell cheap Chinese-made junk – from plastic flowers to cellphone and steering-wheel covers. The defining feature of destitution in North India appears to be youth.