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Open Forum
Child Labour:A LOT MORE NEEDS TO BE DONE,by Dhurjati Mukherjee,20 October 2007 |
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People And Their
Problems
New Delhi, 20 October 2007
Child Labour
A LOT
MORE NEEDS TO BE DONE
By Dhurjati Mukherjee
Child labour represents a fundamental abuse of child right
and a violation of international and national laws. Many working children who
are employed as bonded labour or prostitutes are engaged in occupations that
negatively affect their physical, mental or moral well-being and are below
their country’s minimum age for employment. Matters have been made worse by
rampant physical abuse of children in different countries, including India.
The Hindi belt, including Bihar, Madhya Pradesh, Rajasthan
and Uttar Pradesh, commonly known as BIMARU States, account for 1.27 crore
working children in the country, engaged in both hazardous and non-hazardous
occupations and process. The maximum
number of over 19 lakh child labour in the 5-14 age group are in the Uttar
Pradesh. Rajasthan accounts for over 12.6 lakh workers followed by Bihar with over 11 lakh and Madhya Pradesh with 10.6
lakh. However, according to the 2001 census, in state-wise distribution of
working children in the 5-14 age group, Andhra Pradesh with 13.6 lakh child
labour stands second in the national list after U.P.
Largest Number In India
According to a UNICEF report, World’s Children 2006, India has the
largest number of working children and 17 per cent of them are under the age of
15. Girls aged 12-13 are the preferred choice of 90 per cent households. Noting
that all children should have access
to quality education, the ILO believes that universal access to schooling is a key component in ending child
labour and their exposure to violence in the work place.
In India,
the problem has received some attention.
The Ministry of Labour has asked the Planning Commission for about Rs.1500 crore to cover all the 600
districts under the National Child Labour Project (NCLP) as against the 250 districts
at present. According to the Ministry, children working in 57 hazardous
industries, in dhabas and homes (in
the 9-14 age group) would be covered under the project. The NGOs have been authorized
to open residential schools for 40 children in each district to bring them back
into the mainstream.
Child Labour Regulations
Schools are expected to be opened in most districts after a
detailed survey by a district level committee, headed by a district collector,
who would also monitor the scheme. The students in these schools would get a
stipend of Rs.100 each from the Government every month. They would be covered
under other Government schemes like the Sarva Siksha Abhiyan.
Meanwhile, the hospitality industry and domestic helps have
been put under child labour regulations from October 10, 2006 as the Government
is determined to check this menace. Also, the passage
of Offences Against Children Bill, drawn up in 2006, is expected to be passed by Parliament before long. In fact, the country
has woken up to the need for a comprehensive strategy to tackle child labour and
deal with crimes perpetrated against children.
India is a signatory to the U.N.
Convention on the Rights of the Child and ratified the document in 1992.
Article 19 of the Rights of the Child mentions: “State parties shall take all
appropriate legislative, administrative, social and educational measures to
protect the child from all forms of physical or mental violence… including
sexual abuse.”
Curb Sexual Offences
Sadly, it took the country 14 years to formulate a law
against sexual offences, which need to be curbed with an iron hand. Being the
most vulnerable sections of society, children have been the soft target for
large-scale human trafficking. In fact, child trafficking is happening for
different legal and illegal purposes. These children, mostly coming from poor
and backward communities, have no other option but to join such work and be
exploited in different ways.
Of interest are the findings of the International
Organization for Migration (IMO). These show that the global human industry
generates up to $8 billion each year. Its report further discloses that an
estimated 5,000 to 70,000 young girls between the 5 to 10 age group are
trafficked into India
every year. South Asia and South East Asia
have been the centre for large scale trafficking of children, especially young
girls, for sexual exploitation.
Children in Hazardous Industries
Apart from this aspect, the employment of children in
hazardous industries is another cause for concern. The mining industry is one
such sector as a result of which child labour is rampant in Bihar, Jharkhand
and West Bengal. Other affected States include
Andhra Pradesh, Madhya Pradesh and Rajasthan that are traditionally the BIMARU
regions of the country.
Legislative measures alone will not cut down the various
offences against children. This is because not much has happened. Labour inspectors, for instance, have not
been stringent in bringing the violators to book. They should be asked to
submit time-bound reports on the enforcement of the law. Child labour is not an
isolated problem. Many Ministries such as Labour, Education and Women and Child
Welfare need to coordinate to make a sense of the spirit behind the law.
Develop Infrastructure
There is urgent need for large-scale social infrastructure
development, namely, special emphasis on education and health. Moreover, strong
political will and involvement of the community would be greatly necessary to curb child exploitation and ensure their
attendance in school, at least till they reach the age of 14. In this regard,
NGOs and Community-Based Organizations would have a vital role to play.
The pledge that all children would be in school by the end
of the Tenth Plan is a far cry and sincere attempts need to be made now to make
this a reality by the end of the Eleventh Plan. One may mention here that other
targets of completion of five years of schooling by 2007 and a 50 per cent
reduction of the gender gaps in literacy and wage rates by 2007 would also not
be achieved this year. The Government has admitted its failure in the Mid-Term
Appraisal and underlined the urgency of addressing
violence against children and the problems of their security, especially that
of girls.
Clearly, there is imperative need for strong political will
in this regard and strong partnerships with the NGOs and CBOs who should be
given a major part of the work in ensuring children’s rights. These
organizations work with the community and their ability to penetrate and carry
out the desired work is well known.
Economic Costs And Benifits
There are powerful arguments for elimination of child labour
for a healthy society. Not only is child labour an effect of poverty, it is
also a major cause of poverty. In a
study by the World Bank in 1998, it was
found that countries with an annual per capita income of US$500 or less (at 1987 prices) the labour force participation rate
of children aged 10-14 was 30-60 per cent compared to only 10-30 per cent in
countries with an annual per capita income of $500-1000. India has the largest number of child workers in
South Asia.
Another study by the International Labour Organisation (ILO,
2003), which as the first integrated analysis of the economic costs and
benefits of eliminating child labour, found that the benefits of such
elimination in India and other Asian countries would be nearly seven times
greater than the costs. The reduction of
child labour would also help achieve the health and education Millennium
Development Goals (MDGs).
Despite legislative and policy measures and institutions
geared to addressing child labour,
its magnitude in India
indicates that a lot more needs to be done in making poverty-focused programmes
effective and in spreading the network of basic education to the rural and
backward areas of the region. We must remember that children are the future
torch-bearers of the country. If they are not cared and nurtured properly, the
future may not be all that encouraging. ---INFA
(Copyright,
India News and Feature Alliance)
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Biomass Energy:VILLAGERS’ HOPE TO POWER SUPPLY,by Radhakrishna Rao, 5 October 2007 |
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People And Their Problems
New
Delhi, 5 October 2007
Biomass Energy
VILLAGERS’ HOPE TO
POWER SUPPLY
By Radhakrishna Rao
Today 56 per cent of India’s
700-million rural residents lack an adequate power supply. More than 1,00,000
villages in the country are not connected to the central power grid. This dismal state of affairs is after 60
years of Independence.
What should be done to give the rural poor a better life, is a question which
needs to be addressed by the powers that be.
A section of developmental experts in the
country provide an answer. They propose a comprehensive law covering renewable
sector in line with a similar law in force in Germany
and China.
In a major initiative towards giving a boost to the renewable energy sector,
Pune-based World Institute of Sustainable Energy (WISE) has come out with a
draft law which seeks to increase the target of electricity generation for
renewables to 10 per cent by 2010 and to 20 per cent by 2020 of the total
electricity produced in the country. With a view to achieve the goal of energy
independence, the WISE draft has suggested technology missions on solar,
bio-fuel and hydrogen energy sources.
So far technological innovations and cost
efficiency are contributing to the steady growth of biomass energy here. According
to the experts, while it costs about Rs 350-400 million to generate one MW of
power through the solar photovoltaic route, it costs about Rs. 45 million for
the same through wind energy. However, coal thermal energy system costs Rs 38
million to generate one MW and if it is the path of biomass gasification it
would cost less than Rs 30 million to generate the same amount.
Therefore, decentralized biomass
gasification plants are being considered as an ideal solution to meet the
growing energy needs of villages, which boast of sufficient quantity of biomass
in the form of agricultural residue. Moreover, the biomass gasification route
to generate energy is considered an environmentally sound and economical viable
option.
“India produces an estimated 600-million
tones of agricultural residue every year. If all of this waste is gasified, it
can produce 79,000-MW of power—about 63 per cent of the total power available
in the country,” says Anil K Rajvanshi, of the non-profit Nimbalkar
Agricultural Research Institute (NARI) at Phaltan, Maharastra. The power
availability from biomass is dependent on the consistent availability of the
high quality feedstock require to run the biomass power plant, he adds.
Asia’s first community-based biomass
gasifier power plant at Kabbigere village, about 30 km from Tumkur town in
Karnataka, is contributing 0.5 MW of power to the Central power grid to ensure
round-the-clock uninterrupted power
supply to Kabbigere, Chikkamannahalli, Chikkarasanhalli, Ajjenahalli and
Obenahalli villages for both irrigation and domestic use. This pilot project
has been funded by the Global Environmental Facility (GEF), India-Canada
Environmental Facility (ICEF) as well as the Central and State Government.
The technology being used here was developed
and perfected by the Advanced Bio-residue Energy Technologies Society (ABETS)
promoted by the Combustion, Gasification and Propulsion Laboratory (CGPL) of
the Department of Aerospace Engineering of Bangalore-based Indian Institute of
Science (IISc). According to CGPL Prof P J Paul, who is closely associated with
ABETS, “Our technology package known as open top re-burn downdraft biomass
gasification generates gas from a range of biomass that comprises forest
residue, agricultural residue, woodchips and bagasse”.
In a significant development aimed at
giving a commercial edge to the biomass gasification technology, Cummins India
Ltd and IISc have entered into an agreement for commercialization of biomass
gasification power generation system. The two institutions will jointly pursue
the work on integrated development and the release of power generation systems
based on the open top re-burn downdraft
biomass gasification system developed by ABETS.
As envisaged now, the two will jointly
launch a range of biomass generation sets—anything between 2.5- KV to multiple
unit power plants of over 1.5-MW. As pointed out by Ram Praveen Swaminathan,
Vice-President, Power Generation Business, Cummins India, “We are committed to
developing power generation technologies based on lower cost and sustainable
feedstock. This initiative promises a significant life cycle cost advantage
over hydrocarbon fuels and also enables us to develop sustainable energy
systems”.
Meanwhile, the Cuban fishing hamlet of
Cocodrilo known for its scenic tourist attractions has gone in for ABETS
biomass energy technology to put an end to its heavy and continuing
dependence on costly and environmentally unfriendly diesel-run power
generators. Dr S Dasappa of IISC who had played a key role in developing the
“clean biomass combustion technology”, says the Cuban village will now be able to generate
producer gas from a resource that is “available in abundance in the island”.
The gasifier can be fed with just about any type of biomass—from the agricultural
residue to wood chips and forest residues” he adds.
Elaborating, Dasappa says, “Once the
biomass is fed into the reactor, it is converted into a gaseous fuel. The fuel
if cooled and cleaned with water and ash filtered off by a filtering system to
make it suitable for the engine. The water is not wasted; it is treated and
reused. The exhaust from the engine goes right back into the system to dry the
biomass and complete the cycle”.
Invariably Cocodrilo will “showcase” this
technology package that will be ultimately replicated in the rest of the
island. As things stand today, the island nation of Cuba hopes to generate 3.5 MW power
though this innovative biomass gasification system of Indian origin.
Nearer home, about 48 villages inhabited
by 1,20,000 people in the agriculturally prosperous Mandya district of
Karnataka, gets electricity from a 4.5-MW biomass based power plant situated at
Kirugavalu village. This plant counted among the largest biomass-based power
reactors in India
makes of agricultural wastes such as sugarcane refuse and coconut fronds
available aplenty in the villages of the district. Rustics sell such waste to
Malavalli Power Plant Private Ltd (MPPL) which is responsible for the plant
operations and power supply.
“We have established a supply chain to
procure farm wastes from villages within a radius of 10 kms and transport them
to the plant. This is very essential to keep the plant running year-round
without any disruption in feedstock supply and power generation,” says a spokesman
of MPPL. He elaborates that the plant consumes over 100-tonnes of biomass a
day. The biomass waste is chipped up and fed into the boilers of the plant for
combustion. The steam produced from the heat is used to drive the turbine to
generate electricity.
Clearly and apparently, energy experts’
familiar with the rural Indian energy scenario point out that power generation
through the route of biomass gasification is the best option for village
communities to get uninterrupted power supply in both a cost efficient and
environmentally sustainable manner. --INFA
(Copyright,
India News and Feature Alliance)
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India’s Growth Story:FAMILY PLANNING MUST, by Dhurajati Mukherjee,21 September 2007 |
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People And Their
Problems
New Delhi, 21 September 2007
India’s Growth Story
FAMILY PLANNING MUST
By Dhurajati Mukherjee
In a world where high growth and competitiveness has become
the order of the day, scarcity of resources, made worse by governance problems and
rising population have retarded the development process in India.
The vicious circle of poverty, population explosion and
environmental degradation has added to the country’s woes. If the population
remains uncontrolled, it would be disastrous for the country’s economy. The
growth rate of the economy, which has reached respectable levels in the last
two years, may get diluted if the population increase is not stabilized in the
coming years.
India has 2.4 per cent of the landmass of the world but it
has around 17 per cent of the population and this has been increasing at the
rate of 1.9 per cent per annum while that of the world has been moving at 1.4
per cent per annum. It is estimated that there would be 9.2 billion people in
the world by the year 2050. According to the UN Commission on Population and
Development, India, Pakistan and China
along with Indonesia and Nigeria are
among five countries that account for almost half the annual growth of 100
million of the world’s population.
Among the developing countries, China has launched commendable and
drastic family planning programmes over the last decade. It is estimated that
its population will increase from the present 1250 million to approximately
1500 million in the year 2025. On the other hand, India’s
record has been far from satisfactory and present indications reveal that the
country’s population will cross that of China in the first quarter of this
century.
The reasons for India
not attaining success in controlling population may be attributed to the
following factors: One, backwardness, especially in the BIMARU states like Bihar, where the population growth is very high. Two,
inadequate awareness generation and spread of literacy at the grass-root level
in some of the remote areas of the country. Three, lack of a common civil code
and the Government’s reluctance to impose this fearing backlash from the
minority community.
Four, high levels of gender inequality and hardly any
initiatives to make women conscious of the need for family planning. Five,
superstitious beliefs prevalent among the illiterate and the rural poor (abortion
and other birth control measures do not have divine sanction). Six, lack of
initiative by the panchayats to spread and implement family planning
rigorously.
More. The National Family Planning Health surveys found that
women on an average gave birth to 0.7 more children than they actually wanted
because of various factors, including non-availability of contraceptive
services. In the high population growth States this gap is much higher.
Additionally, it was found that wherever women were socially
disadvantaged because of their sex or lack of education and training or
oppression or where the patriarchal system made them economically and socially
dependent, population control became difficult and the birth rates were higher.
On the other hand, the birth rate decreased if the women were educated and autonomy.
Kerala is a case in point. Boasting of a very high literacy
rate there has been a drastic decline in the population growth. Also in most of
the North Eastern States, where women are professionally engaged the fertility
rate is quite low. In fact, contraceptive application and its long-term impact
should be aimed at men rather than women.
Clearly, India’s
growth and economic performance may lose its momentum if family planning is not
practiced by a majority of the people. Already our natural resources are
getting depleted thanks to a population density of around 320 per sq. km.
(compared to around 135 per sq. km of China) and it would be virtually
impossible for the country to make its presence felt in the international scene
if the population growth cannot be controlled.
Moreover, not only would it be difficult to curb food
insecurity but also our socio-economic advancement would be jeopardized if the
population growth rate is not brought down to around one or 1.25 per cent per
annum. As it stands, the foodgrains output growth has lost the race against
population increase. True, the scarcity of water resources, the per capita
availability of land and the depleting fossil fuels is a world wide trend
however, populous countries like India would have to be more
cautious in the coming years.
It is encouraging to note that the social infrastructure
development with emphasis on health and education has already been initiated.
There is an urgent need to inculcate family planning education in a massive
way, especially in the states of Bihar,
Jharkhand, Madhya Pradesh, and eastern Uttar Pradesh. Needless to say,
education is a powerful weapon to combat increase in fertility rate, poverty
and unemployment. The panchayats need to be involved and well known
personalities from all religious communities have to be mobilized to lead this
family planning campaign.
If education spreads among women and the underprivileged
sections, the fertility rate would go down as has been the experience in the Third World. There is need to marshaled public-private
partnerships to create awareness among the people and their participation in
the family planning programme. And simultaneous uplift the condition of the
people at the grassroot level through spreading education in the rural areas.
Besides, the Government needs to lay emphasis on
infrastructure development like construction of roads, highways and initiatives
in the power sector could lead to a transformation of the neglected and
impoverished rural scenario. This could help reduce population growth.
In the ultimate analysis, the people need to be educated on
the dire consequences of an over populated nation. This would only create
problems in the future. Especially in a country with scarce resources and acute
poverty. If the southern states of the country can achieve low population
growth, why not their northern counterparts? Superstitious beliefs and fundamentalist
attitude to life should give way to modern outlook and living. --- INFA
(Copyright,
India News and Feature Alliance)
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Air Pollution:GREAT DANGER TO LIFE, by Dhurjati Mukherjee,14 September 2007 |
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People And Their
Problems
New Delhi, 14 September 2007
Air Pollution
GREAT DANGER TO
LIFE
By Dhurjati Mukherjee
The human impact on the environment world-wide has indeed
been disastrous. In fact, the environmental problems have accentuated since the
90s thanks to the western-induced strategy of development and consumerist
approach to life and living. This has resulted in between one-third and
one-half of the land surface being altered by human activities, leading to the
loss of biological and genetic diversity
world wide.
Think. The concentration of carbon dioxide (CO2) in the
atmosphere has increased nearly 30 per cent since the beginning of the
Industrial Revolution. Air pollution from cars and industrial establishments
kills over half a million people annually in Third World
cities while another 2.5 million people die from indoor pollution, mostly in
rural areas. Global warming due to toxic gases has increased phenomenally and
is slated to increase further in the coming years. The rapid decline in forests
at an alarming pace has resulted in various problems affecting the atmosphere
and the environment.
At the present juncture, most Indians are exposed to
dangerous levels of highly toxic gases, including carcinogenic organic
compounds, sulphur and its fumes through the air they breathe. The levels of
air-borne suspended particulate matter recorded in the large metro cities, especially
Delhi, Kolkata
and Mumbai far exceeded the air quality standards adopted by the country and other
developing countries.
A few years ago, two independent analyses estimated that
urban air pollution in the country could be responsible for about 40,000
premature deaths annually primarily due to human exposure to elevated levels of
particulate matter. Not only that. The Community Environment Monitoring (CEM)
report titled ‘Smokescreen Ambient Air Quality in India’ (released in June 2006)
found that the country is “pathetically behind in terms of infrastructure to
safeguard its environment or health of people from air pollution”.
Shockingly, the report pointed out that India’s air
pollution monitoring is primitive and the world’s fourth largest economy has no
standards for most of the toxic and commonly found air pollutants. Worse, the
air in the country is unfit to breathe.
The study observed that compared to 1997, the carbon
monoxide levels were down by 32 per cent and the sulphur dioxide levels by 39
per cent. While the change has been remarkable, it has lulled regulators into
complacency. The air has never been monitored for toxic gases and has therefore
never been regulated for the same, the report pointed out with special
reference to Delhi.
Automobile emissions of particulate matter and oxides of
nitrogen and sulphur account for more than 60 per cent of the air pollution
load in our cities. In fact, auto mobilization in the country has led to
critical SPM levels, exceeding one-and-a-half times of the permissible standard
in the 57 per cent of monitored Indian cities. So pervasive is the phenomenon
that even smaller cities have become its victim. India’s
top ten hotspots include Raipur, Kanpur, Alwar and Indore
not to mention the congested metropolises.
Recently a comparative study of the air pollution levels in
17 cities undertaken by Central Pollution Control Board (CPCB) found respirable
suspended particulate matter (RSPM) and suspended particulate matter (SPM)
levels above the national standards. In these cities, the number of vehicles
has increased by about 4 per cent since 2000.
Delhi, the first city to implement the clean
air initiatives, still has critical levels of RSPM and SPM in the residential
areas. The SPM level has hovered around 333 ug/ms since 2000 when the number of
vehicles in the Capital were around 30 lakhs. Obviously, the 15 lakh new
vehicles that have been added to the Capital’s roads have to shoulder the blame
for the current state of affairs. Moreover, a jump in the registration of
diesel vehicles has led to an increase in the level of nitrogen oxide in 2006
to even higher than the pre-1995 era, when pollutants had chocked Delhi.
The study indicates the disturbing times ahead for India’s
economic capital, Mumbai where the RSPM level has again shown an upward trend
since 2003, taking the pollution level above the national standard of 60 ug/m3.
In Agra, Lucknow
and Kolkata the particulate matter has witnessed a slight upward trend.
The situation is particularly quite bad in Kolkata with the
RSPM 1.5 times the national standard because of inadequate road space, thanks
to poor maintenance and the entry of innumerable highly pollutant commercial
vehicles inside the city. In fact, automobiles alone contribute 30 per cent to
the city’s air pollution load.
While the CPCB study admits that the increasing number of
vehicles is the new challenge for acceleration of the air pollution,
environmental groups such as the Centre for Science & Environment (CSE)
attribute the reason to rampant violation of pollution standards, which are not
enforced by the regulatory authorities.
Commissioned to study the impact of the Supreme Court’s
direction to the Government to implement pollution abatement programmes since
1995, the CPCB has urged the Government to prepare action plans regarding
restricting the entry of commercial vehicles (and even inter-state buses) into
cities, phasing out of in-use vehicles, encouraging alternative fuels and
giving incentives for clean air technologies.
Apart from this, indoor air pollution, resulting from chulhas burning wood, coal and animal
dung as fuel has been another big problem. It claims 5 lakh lives in India every
year, most of whom are women and children. Burning solid fuels emit carbon
monoxide, particulates, benzene and formaldehyde, which can result in
pneumonia, asthma, blindness, lung cancer, TB and low birth weight.
According to the World Health Organization (WHO) India accounts for 80 per cent of the 600, 000
premature deaths that occur in South-East Asia
annually due to exposure to indoor air pollution. Nearly 70 per cent of the rural
households do not even have proper ventilation!
The WHO programme has planned smokeless chulhas or liquid cooking gas cylinders for the rural poor. Nearly
$ 650 million would be needed to change the way most of the world cooks. A
simple mechanism promoting such chulhas
and improving the ventilation can reduce the incidents of indoor pollution
deaths by half. The WHO goal is to achieve this by 2015. However, so far it has
managed only to raise just 10 per cent of the necessary funds. A lot more needs
to be done in this regard.
Air pollution has affected a significant section of the
population, especially those living in slums, squatter settlements and
pavements. The increase in cardio-vascular and other diseases, including
asthma, bronchitis and even lung cancer, has witnessed a significant rise.
As is well known, the oxides of sulphur and nitrogen cause
breathing problems while carbon monoxide hampers oxygen transport in the body.
In the lungs, oxygen gets attached to the haemoglobin present in the blood.
When carbon monoxide is inhaled, it combines with haemoglobin to form
carboxyhaemoglobin. As a result, less haemoglobin is available for transporting
oxygen. This causes headaches and, in extreme cases, death.
In sum, controlling the air quality is thus imperative. More
rigid regulatory standards need to be maintained and the CPCB should join hands
with the State Pollution Control Boards (SPCBs) to ensure that air quality is
closely monitored and fines imposed on all agencies and individuals for violating
the rules and environmental standards.
In the urban centres, more efficient and non-polluting
public transport as also non-mechanized modes have to be promoted. If Paris can have 200 km of bicycle paths with 250,000 people
using them, so can Delhi,
Mumbai or Kolkata. However, in the rural areas, there is need to promote
smokeless chulhas for which the Government should come out with a subsidy
scheme and also ensure that each house should have some form of ventilation.
---- INFA
(Copyright,
India News and Feature Alliance)
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Healing Touch From Space:TELE-MEDICINE BOON FOR RURAL AREAS, by Radhakrishna Rao,7 September 2007 |
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People and Their Problems
New Delhi, 7 September 2007
Healing Touch From
Space
TELE-MEDICINE BOON
FOR RURAL AREAS
By Radhakrishna Rao
Tele-medicine is
an important initiative of the Indian Space Research Organisation (ISRO) to use
space technology for societal benefits. The organisation which has been
instrumental in popularizing the tele-medicine network in the country, has
unveiled a new plan to develop and launch a dedicated health care satellite
which would help expand the tele-medicine services in the country in a big way.
In fact, ISRO has given an impetus to its tele-medicine project by making
available relevant technology and bandwidth capacity onboard the INSAT domestic
communications spacecraft.
While ISRO provides
the tele-medicine systems, which include the software, hardware and
communications equipment as well as the satellite bandwidth, the State Governments
and specialty hospitals have to allocate funds for their part of
infrastructure, manpower and maintenance. Technology development standards and
cost effective systems have also been evolved in association with various State
Governments, NGOs and the health industry.
Presently, there
are 186 hospitals in the tele-medicine network including 152 in the remote and
rural areas and 34 super specialty hospitals in major town. Further, ISRO also
supports the tele-medicine national grid activities through the task force
formed by the Directorate of Health Services. Appropriately, tele-medicine has
been described as “a healing touch from space”.
Incidentally, the
Indian tele-medicine network is an indigenous enterprise with Indian built
spacecraft systems and computer software engineered by experts playing a key
role in it. The tele-medicine system involving the use of IT (Information
Technology), satellite systems and communications technology enables the
transmission of medical images and health care data of a patient to an expert
at a super specialty hospital to facilitate timely diagnosis and early
treatment. In this way, the disorder of a patient in a remote rural area can
easily be diagnosed and an appropriate treatment course prescribed on time.
Significantly, the
tele-medicine initiative launched by ISRO way back in 2001 took off with a
pilot project linking Apollo hospital, Chennai with the Apollo hospital in
Aragonda village in Chittoor district of Andhra Pradesh. This was followed by
the linking of the Bangalore-based super specialty cardiac care centre Narayana
Hrudyalaya with Chamarajanagara District hospital in Karnataka. Similarly, a
tele-medicine network put in place moments after the killer earthquake hit
parts of Gujarat in early 2001 helped save
many lives.
When the killer
tsunami waves battered the islands of Andaman and Nicobar in the Bay of Bengal
in December 2004, the tele-medicine network operated by the INS Dhanvantri
Naval Hospital
and the G.B.Pant Hospital
at Port Blair and the Bishop
Richardson Hospital
at Car Nicobar were pressed into service and used extensively for consultation
and treatment.
Further, a
temporary tele-medicine facility at Pamba in the foothills of the popular
pilgrim centre of Sabarimalai in the Western Ghats
stretches of southern Kerala caters to the needs of millions of pilgrims
visiting this holy seat during the peak season stretching from November to January.
The Chennai-based Shankara Nethralaya and the Madurai based Aravind Eye
Hospital too are making use of the mobile tele-medicine facility to provide eye
care services to the people in the remote and rural areas of Tamil Nadu.
The integrated
tele-cardiology and tele-health project launched by the Kolkatta-based Asia
Heart Foundation (AHF) has hubs at Narayana Hrudayalaya and the Rabindranath
Tagore International Cardiac Care Centre at Kolkatta.The AHF has also initiated
tele-medicine projects in Pakistan
and Malaysia.
On the other hand, the Narayana Hrudayalaya operates tele-medicine centres in
many of the African countries.
In a significant development
the Oman-based medical centre of the Apollo Group of hospitals has been linked
to the Apollo tele-medicine network with a view to facilitate the Oman centre
to have an easy access to ‘high end
expertise” available in the Apollo hospitals to cater to the medical
needs of the people of Oman. Apart from video consultation, the Indian specialists
would be able to review a patient’s investigation in Oman and give their opinion to the doctors
attending on the patients. Besides, tele-medicine could also be used for taking
a second opinion from the experienced Indian doctors in complex clinical
situations.
Nearer home, the
New Delhi-based Sir Ganga Ram Hospital (SGRH) as part of its commitment to
provide specialized health care services to rural communities has set up a tele-medicine
network which facilitates many community health centres in Haryana and Rajasthan
to access the hospital’s super-specialty medical expertise. Inaugurating the
tele-medicine project, the Minister of Science and Technology Kapil Sibal, asserted,
“It aims to provide quality health care, early diagnosis and tertiary
consultation from SGRH to medical kiosks established in village hospitals”.
Importantly, an
impact study conducted on 1000 patients has revealed that there is significant
cost saving involved in using a tele-medicine network. According to the
Chairman of ISRO G.Madhavan Nair, “we have reduced the hardware transmission
costs by 25 per cent in less than three years. It is a good opportunity to
reach space applications to the community and extend it to mobile vans,
dedicated terminals and tele-medicine trained doctors.” He also revealed that
tele-medicine has exposed doctors serving in rural areas of the country to many
novel technologies being introduced in the super specialty hospitals located in
the urban centres.
Clearly, tele-medicine
a concept whose time has come is a boon for a vast majority of the rural population
which has virtually little access to health care facilities and finds it
difficult to travel to urban centres for medical treatment. Even as hospitals, clinics and super specialty
centres are expanding at a rapid pace in the urban centres, for an average
Indian villager, getting timely, proper and cost effective medical treatment is
an expensive proposition. Thus, the expansion of tele-medicine services could
go a long way towards filling a vital gap in the country’s rural health care
services. ---- INFA
(Copyright India
News and Feature Alliance)
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