Monthly Archive: July 2018

Lifestyle diseases in India

Indian Council of Medical Research (ICMR) and other Institutes conduct studies on lifestyle disease.  According to ICMR India State-Level Disease Burden Study report “India: Health of the Nation’s States”, the estimated proportion of all deaths due to Non-Communicable Diseases (NCDs) has increased from 37.09% in 1990 to 61.8% in 2016.

As per the National Family Health Survey (NFHS); 2015-16, 11% of women (1 in 10) and 15% of men (1 in 7) of age 15-49 are hypertensive. The survey has also found that about 60.4% of persons screened have ever had their blood pressure measured.

As per ICMR’s cancer registry data, the estimated incidences of cancer patients in India are 13,28,229, 13,88,397, 14,51,417 and 15,17,426 during the years 2014, 2015, 2016 and 2017, respectively. While estimated deaths due to cancer during these years are 670541, 701007, 732921 and 766348, respectively.

The Government has formulated the National Health Policy, 2017, which aims attainment of the highest possible level of good health and well-being for all at all ages, through a preventive and promotive health care orientation in all the developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence. The policy seeks to move away from Sick- care to Wellness, with thrust on prevention and Health promotion. The policy, inter alia, seeks to reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases.

Government of India is also implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health Mission. The objective of the programme includes awareness generation for Cancer prevention, screening, early detection and referral to an appropriate level institution for treatment. For Cancer, the focus is on three Cancer namely breast, cervical and oral.

Further, for early diagnosis, population level initiative of prevention, control and screening of common NCDs (diabetes, hypertension and cancers viz. oral, breast and cervical cancer) has been rolled out in over 150 districts of the country in 2017-18 under NHM, as a part of comprehensive primary healthcare. This initiative will not only help in early diagnosis but also will generate awareness on risk factors of common NCDs.

Under PradhanMantriSwasthyaSurakshaYojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has been undertaken which will also improve tertiary care facilities for NCDs including Diabetes.

In collaboration with the Ministry of AYUSH, an initiative to use the knowledge available in AYUSH system of medicines for prevention and control of Non-communicable Diseases is being implemented in 6 districts on pilot basis.

The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.

 

 

High cost on medical expenditure

As per a recently published research paper based on cross-sectional analysis of National Sample Survey Office (NSSO) data, 55 million Indians were pushed into poverty in a single year because of having to fund their own healthcare, and out of this, 38 million fell below the poverty line due to spending on medicines alone.

It is true that the total expenditure on out-patient care is significantly higher than the in-patient care. Further, as per the 71st Round (January-June 2014) of the National Sample Survey Office(NSSO) on Health in India, purchase of medicine accounted for around 72% in rural sector, and 68% in urban sector, of the total expenditure on non-hospitalized treatment of ailments.

The Minister of State (Health and Family Welfare), Smt  Anupriya patel  stated this in a written reply in the Rajya Sabha here today.

CSC To Register Ayushman Bharat Beneficiaries

Health Ministry keen to support CSC Initiative on Tele-Medicines

Common Service Center (CSC) and National Health Accounts (NHA) signed an MoU to implement the Ayushman Bharat scheme through 3 lakh Common Service Centers (CSCs) across the country here today in the presence of Hon’ Minister of Electronics & IT and Law & Justice, Shri Ravi Shankar Prasad and Shri Jagat Prakash Nadda, Hon’ Minister of Health and Family Welfare. Ayushman Bharat is National Health Protection Scheme, which will cover over 10 crore poor vulnerable families (approximately 50 crore beneficiaries) providing coverage of up to 5 lakh rupees (per family per year) for secondary and tertiary care hospitalization.

During the meeting, Shri Ravi Shankar Prasad said that, “Today, I am very happy that CSC VLEs are going to be the soldiers of healthcare-Ayushman Bharat in India. The identity and registrations of beneficiaries would be done through CSCs. I would like to congratulate Shri J.P. Nadda that his ministry has chosen CSCs for the implementation of the largest healthcare scheme of the world.” He said CSCs have become a major instrument of change in rural India.

Praising the efforts of CSCs in improving healthcare Hon’ Minister said that, “CSCs efforts in Ayushman Bharat would be a game changer in our country. CSCs have done great efforts in improving menstrual hygiene of the country through Stree Swabhiman.” With continued support of the policy makers there is little doubt that this initiative will help us in building a new rural India having all facilities of urban India and also create a new team of entrepreneurs capable of being active partners in shaping new India.

Shri Jagat Prakash Nadda, Minister of Health and Family Welfare said, “Today, the dream of Digital India is getting big leap with Ayushman Bharat. In Ayushman Bharat, 50 Cr people would get benefitted with this revolutionary healthcare scheme. The 3 lakh CSCs in 2.5 lakh Panchayat would be a great help in the implementation of the scheme. ” He added, “I am confident that CSCs would be a big milestone in the access of universal healthcare in our country.”

He said CSC have played an impressive role in shaping a new economic model for rural populations. He asked CSC to give a presentation on how CSC tele medicine initiative can be further strengthened with participation of central Government health facilities.

Benefits to Citizens through CSC Centres

· MoH&FW and CSC SPV came forward to implement the scheme through CSC centres.

· Beneficiary can visit the nearby CSCs across India to get the benefit of this scheme.

CSCs will help a beneficiary to identify his name in the MoH&FW database and his entitlement for the scheme.

· CSCs will help beneficiary to scan/upload his KYC documents for verification of his/her identity and claim his/her entitlement.

· Beneficiary will have facility to print his/her Ayushman Scheme card through csc centres which will be his base source claim.

· CSCs will also provide requisite information about the scheme and promote it among citizens so that maximum number of beneficiaries can avail the benefit.

· CSCs will get Rs 30 inclusive of tax for supporting beneficiary, identification, documents upload and printing a laminated card.

Envisaged Flow

· Beneficiary will visit nearby CSC centre to get check his/her entitlement for Ayushman Bharat Scheme

· CSC Centre will check entitlement of the beneficiary and upload the requisite details and documents like Aadhaar Card, Ration Card, PAN Number and others.

· CSC Centre will submit the details for verification to approver/state authority for verification and approval.

· MoH&FW has kept a SLA to get this approved in particular timelines and revert on real time basis.

· Beneficiary will get a printed card on a paper from CSC Centre.

· This card can be used at hospitals to claim the benefits under Ayushman Bharat Abhiyan.

 

Cess on Sugar

A proposal to impose cess on sugar has been sent by Department of Food and Public Distribution to Department of Revenue, which has referred the matter to GST Council for consideration. Based on the decisions taken in the meeting of GST Council held on 04.05.2018, a Group of Ministers has been constituted to examine feasibility of imposition of cess on sugar.

The issue of levying cess on sugar has been referred by Department of Revenue to Department of Legal Affairs, Ministry of Law & Justice for legal opinion.

The Ministry of Law & Justice is examining the issue.

This was stated by Shri C.R.Chaudhary ,MoS ,Ministry of Consumer affairs,Food and Public distribution in a written reply in lok sabha today.

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Home Delivery of Foodgrains

Section 12 of the National Food Security Act, 2013 states that the Central and State Government shall endeavour to progressively undertake necessary reforms in the Targeted Public Distribution System (TPDS) which include doorstep delivery of foodgrains to the TPDS outlets. Further, Section 24 of the Act mandates the State Government to take delivery of the foodgrains from the designated depots of the Central Government in the State and organize delivery of the allocated quantities at the doorstep of each fair price shop.

Presently, door-step delivery is being done in most of the States/Union Territories by their respective Civil Supplies Corporation through private transporters or by themselves. In the State of Gujarat, door-step delivery of foodgrains is being done by State Civil Supply Corporation by hiring private contractors through tender system. The state-wise status is at Annexure.

Government has also issued instruction to the States/UTs to put in place special dispensation for distribution of foodgrains to beneficiaries who are unable to visit the FPS for reasons such as old age, physical disability, etc. by adopting either Home Delivery of foodgrains through the FPS dealer or Delivery of foodgrains through authorized nominees of such beneficiaries.

To ensure assured regular supply of subsidized foodgrains to beneficiaries through Public Distribution System, several reform measures have been undertaken since the inception of NFSA. Government is implementing a scheme on ‘End-to-End Computerization of PDS Operations’ with an aim to improve the efficiency and effectiveness of PDS and to address challenges of leakages and diversion of foodgrains, fake/bogus ration cards etc. Key components of the scheme are digitization of ration cards/beneficiaries, automation of supply chain management, online grievance redressal and automation of fair price shops (FPSs) by use of electronic point of sale (ePoS) devices.

Government has been regularly issuing advisories/instructions to States/UTs to review their lists of beneficiaries under NFSA, launch special drives to issue ration cards to the weaker sections of the society and ensure supply of foodgrains through PDS to all eligible beneficiaries.

State-wise status of Door Step Delivery of foodgrains under NFSA

Sl.No Name of State Door Step Delivery
1. Andhra Pradesh Being organized by Civil Supply Corporation through private transporters.
2. Arunachal Pradesh Done by State Govt through Private transporters.

In remote areas, it is done through IAF helicopters/air dropping/ sorties.

3. Assam 10% through private transporters selected by Tender, and remaining 90% through Gram Panchayat Samanvay Samiti/Whole sale consumer coop Societies/large area multipurpose societies.
4. Bihar Being done by Bihar State Food Supply Corporation.
5. Chhattisgarh Yes, the Chhattisgarh State Civil Supply Corp. does it through hired private transporters.
6. Goa By Deptt. of F & CS through contractors upto Taluka. FPS owners lift foodgrains from Taluka.
7. Delhi By Civil Supply Corporation
8. Gujarat

 

Being done by State Civil Supply Corporation by hiring private contractors through tender system. They lift the foodgrains and deliver at FPS level under instructions from Collector and GSCSC. Signature of VVC member is taken on delivery challan.
9. Haryana Being done by CONFED, wholly Govt. controlled and financed federation.
10. Himachal Pradesh

 

State Government reimburses freight charges to FPS holders for lifting foodgrains from wholesale godowns of HP State Civil Supplies Corporation.
11. Jharkhand Deptt. F & CS organized door-step delivery through hired private transporters
12. J&K In some areas, State Government is providing foodgrains through a network of Government sale depots held by the salesmen (Govt employees). In other areas, it is done by FPS owners engaged on commission basis.
13. Karnataka Door step delivery is being organized by the Department through hired private transporters.
14. Kerala Civil Supplies Corporation is organizing door step delivery through private transporters.
15. Madhya Pradesh Being done by Civil Supplies Corporation and no private agents are involved.
16. Maharashtra

 

Transportation of foodgrains from FCI depot to State Government godown and from StateGovernment godown to FPS is done at full Government cost by Government appointed private contractor for each district on tender basis. In 17 districts, the tender process has been completed. However, in 5 MTRA regions, 5 cities and 28 districts, the State Government has introduced direct transportation of foodgrains from FCI godowns to FPSs through tender system.
17. Manipur Through private transporters by the State Government Department.
18. Mizoram The FPS dealers lift the foodgrains and are reimbursed by the State Government.
19. Meghalaya Through private agents.
20. Nagaland Being done through hired private transporters.
21. Odisha Being done by Civil Supplies Corporation through Pvt. Transporters.
22. Punjab

 

Distribution of foodgrains in bulk i.e. 6 monthly entitlement is done directly to the beneficiaries by the Departmental inspectors at village level by associating FPS owners
23. Sikkim Delivery upto FPSs with assistance of Government.
24. Rajasthan By State F&CS Corporation/ Kray/Vikray Sahkari Samiti.
25. Tamil Nadu Through coop. societies that run the FPSs and make their own arrangement to transport the foodgrains.
26. Telangana Being done by Civil supply Corporation by hiring private transporters.
27. Tripura Being done by private transporters hired by Civil Supply Corporation.
28. Uttar Pradesh Being done by CSC in some districts and in the remaining by FPS dealers.
29. Uttarakhand Being done by State Government through private transporters upto Block level State godowns. Thereafter upto FPS, it is being done by FPS owners who are reimbursed the expenditure incurred.
30. West Bengal

 

Being done through private transporters hired by Distributers/ wholesellers approved by State Government.
31. Andaman & Nicobar Done by FPS dealers. Cost of transportation being reimbursed to FPS dealers.
32. Daman & Diu By private transporters hired by the Food Deptt./ Civil Supply Corporation.
33. Dadra & Nagra Haveli Done by UT Administration.
34. Lakshadweep Through Co-operative Societies.
35. Chandigarh Does not arise as the UT is under DBT.
36. Puducherry Does not arise as the UT is under DBT.

 

This was stated by Shri C.R.Chaudhary ,MoS ,Ministry of Consumer affairs,Food and Public distribution in a written reply in lok sabha today.

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APS/PC

Hunger Death

In so far as Department of Food & Public Distribution, Government of India is concerned, no State Government/Union Territory Administration has reported any incident of death due to hunger/starvation. There have been media reports of starvation deaths in some states. However, on enquiry, the State Governments informed that the allegations of deaths due to starvation have not been substantiated. State Government of Gujarat has also informed that there have been no deaths due to starvation in the state.

The Government has been providing food grains at highly subsidized prices to the targeted population through State Governments/Union Territory Administrations under the Targeted Public Distribution System (TPDS) in terms of National Food Security Act, 2013 and Other Welfare Schemes (OWSs).

National Food Security Act (NFSA), 2013 provides for coverage of upto 75% of the rural population and upto 50% of the urban population, thus covering about two-third of the population of the country for receiving foodgrains @ of Rs. 3, 2 & 1 per Kg for rice, wheat & coarse grains respectively under TPDS.

This Department has issued instructions to all States/UTs that no beneficiary/household shall be deleted from the list of eligible beneficiaries/households only on the ground of not possessing Aadhaar, and shall also not be denied for subsidized foodgrains or cash transfer of food subsidy under NFSA due to non-availability of Aadhaar or failure of biometric authentication due to network/ connectivity/ linking issues/ poor biometric of the beneficiary or other technical reasons.

Streamlining and upgradation of TPDS is a continuous process. Department of Food & Public Distribution is implementing a Scheme on ‘End-to-End Computerisation of TPDS Operations’ on cost sharing basis with the States/UTs. The Scheme consists of activities namely, digitization of ration cards/beneficiary and other databases, computerisation of supply-chain management, setting up of transparency portals and grievance redressal mechanisms and installation of ePoS devices at Fair Price Shops.

This was stated by Shri C.R.Chaudhary ,MoS ,Ministry of Consumer affairs,Food and Public distribution in a written reply in lok sabha today.

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“The Walled City of Jaipur, Rajasthan, India” is the next proposed site for UNESCO World Heritage recognition: Dr. Mahesh Sharma

The site namely “The Walled City of Jaipur, Rajasthan, India” has been proposed for World Heritage. As per Operation Guidelines 2017, only one site can be nominated by the state party each year. The recognition of World Heritage is a matter of great pride. It impacts the local economy by giving a boost to domestic and international tourism leading to increased employment Generation, creation of World class infrastructure and augmentation of sale of local handicrafts, handlooms and heritage memorabilia. Besides, it adds to the prestige of the country as well as prescribed site.

There are a total of 37 World Heritage sites in India at Present. A list of these sites, State wise, is given below,

WORLD HERITAGE SITES IN INDIA

CULTURAL SITES:

Under Protection of Archaeological Survey of India

S.

No

 

Name of Site State

 

Agra Fort (1983) Uttar Pradesh
Ajanta Caves (1983) Maharashtra
Ellora Caves (1983) Maharashtra
Taj Mahal (1983) Uttar Pradesh
Group of Monuments at Mahabalipuram (1984) Tamil Nadu
Sun Temple, Konarak (1984) Odisha
Churches and Convents of Goa (1986) Goa
Fatehpur Sikri (1986) Uttar Pradesh
Group of Monuments at Hampi (1986) Karnataka
Khajuraho, Group of Temples (1986) Madhya Pradesh
Elephanta Caves ( 1987) Maharashtra
Great Living Chola Temples at Thanjavur, Gangaikondacholapuram and Darasuram (1987 & 2004) Tamil Nadu
Group of Monuments at Pattadakal (1987) Karnataka
Buddhist Monuments at Sanchi (1989) Madhya Pradesh
Humayun’s  Tomb, Delhi (1993) Delhi
Qutb Minar and its Monuments, Delhi (1993) Delhi
Rock Shelters of Bhimbetka (2003) Madhya Pradesh
Champaner-Pavagarh Archaeological Park (2004) Gujarat
Red Fort Complex, Delhi (2007) Delhi
Hill Forts of Rajasthan

(Chittaurgarh, Kumbhalgarh, Jaisalmer and Ranthambhore, Amber and Gagron Forts)      (2013)

(Amber and Gagron Forts are under protection of Rajasthan State Archaeology and Museums)

Rajasthan
Rani-ki-Vav (The Queen’s Stepwell) at Patan (2014) Gujarat
Archaeological Site of Nalanda Mahavihara (Nalanda University) at Nalanda (2016) Bihar

 Under Protection of Ministry of Railways

23. Mountain Railways of India ( Darjeeling,1999), Nilgiri (2005), Kalka-Shimla(2008) West Bengal,  Tamil Nadu, Himachal Pradesh
24. Chhatrapati Shivaji Terminus (formerly Victoria Terminus) (2004) Maharashtra

Under Protection of Bodhgaya Temple Management Committee

 25 Mahabodhi Temple Complex at Bodh Gaya, (2002) Bihar

Under Protection of Rajasthan State Archaeology and Museums

26. The Jantar Mantar, Jaipur (2010) Rajasthan

Under Protection of Chandigarh Administration

27. The Architectural Work of Le Corbusier, an Outstanding Contribution to the Modern Movement (2016) Chandigarh

Under Protection of Ahmedabad Municipal Corporation

28. Historic City of Ahmedabad  (2017) Gujarat

Under Protection of Government of Maharashtra

29. Victorian and Art Deco Ensembles of Mumbai (2018) Maharashtra

 NATURAL SITES:

 Under Protection of Ministry of Environment, Forest and Climate Changes

30. Kaziranga National Park (1985) Assam
31. Keoladeo National Park (1985) Rajasthan
32. Manas Wildlife Sanctuary (1985) Assam
33. Sunderbans National Park (1987) West Bengal
34. Nanda Devi  and Valley of Flowers National Parks (1988, 2005) Uttarakhand
35. Western Ghats (2012) Karnataka, Kerala, Maharashtra,Tamil Nadu
36. Great Himalayan National Park (2014) Himachal Pradesh

 MIXED SITE:

 Under Protection of Ministry of Environment, Forest and Climate Changes

37. Khangchendzonga National Park (2016) Sikkim

 

The above information was given by Minister of State (independent charge) for Culture and Minister of State for Environment, Forest and Climate change Dr. Mahesh Sharma, in reply to an Unstarred Question in the Rajya Sabha, today.

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India’s first Rapid Rail in the first phase of implementation

Uttar Pradesh will soon step on to the rank of country’s first state to get Rapid Rail in the first phase of implementation of RRTS. The ambitious rapid rail project will connect Delhi and Meerut in the first corridor.

Ahead of the next elections in 2019, the central government is in the process of giving green signal to the project soon.

The NCRTC team recently held a presentation under the chairmanship of UP Chief Secretary in Lucknow. The experts from UP Metro Rail Corporation and other officials were also present an occasion. The works related to the first corridor Delhi-Meerut corridor has already begun. For this, road widening from Duhai to Sahibabad in Ghaziabad is currently underway. Also, the tender process for various works is on a fast track.

Meanwhile, the Central Government has taken cognisance of all such projects which can be started in the next few months. Under this, the preparation of Rapid Rail is also to be done this year.

In the NCR, traffic jam is a major problem, which affects the area economically as well as financially. About 46 million people live in 58 thousand square kilometres of NCR. 39 per cent of the NCR population lives in Delhi. The

Rapid Rail will save time, environment and money of the commuters.

Rapid Rail network will be linked to all major airports, ISBT and Metro stations.

Kashmiri Gate, Sarai Kale Kha, Anand Vihar, Airport, IFFCO Chowk, Mohan Nagar will be bigger interchange points. In the first phase of Rapid Rail, three corridors will be constructed, the very first at Meerut-Ghaziabad-Delhi Corridor. The next corridor will cover Delhi, Gurgaon, Rewari and Alwar. The third corridor will be covering Delhi, Sonipat and Panipat.

In the second phase, it has been decided to build five corridors. The first corridor will cover Delhi, Faridabad and Palwal. The second corridor will touch Ghaziabad and Khurja. In third, Delhi-Ballabhgarh-Rohtak. In fourth Ghaziabad-Hapur and in the last corridor Delhi, Shahdara and Barot will be covered.

National Capital Region Transport Corporation is a Joint Venture of Government of India and State Governments of Uttar Pradesh, Rajasthan, Haryana and Delhi, is mandated to design, construct, operate and maintain rail based Regional Rapid Transit System (RRTS) in the National Capital Region.

NCRTC is headed by Vinay Kumar Singh. Prior to this appointment, he was working with Rail Vikas Nigam Limited (RVNL), a railway PSU involved in the study of high-speed rail corridors.

Singh was the first officer who started construction of Delhi Metro on the ground, the first chief executive officer of the High-Speed Rail Corporation of India and is now the first Managing Director of NCRTC.

He has been Director on the Board of various SPVs and has been involved in planning and development of public-private partnership PPP projects.