20,000 model facilities identified to promote safe abortion practices

July 7, 2012

New Delhi, July 7: India is going all out to publicize safe abortion practices.

For the first time, the Union health ministry has asked states to conduct a massive campaign popularizing safe abortion, besides informing women that the confidentiality clause will keep their identity secret.

The ministry has also identified 20,000 model health facilities across the country that will now be open for abortion service round the clock.

The National Rural Health Mission's (NRHM) Programme Implementation Plan (PIP) for 2012-13 of all states mentions the push required for first trimester safe abortion service.

The fund allocation of states will be cut, if such service isn't doled out free to all women.

NRHM mission director Anuradha Gupta told TOI that 8% of all maternal deaths are due to unsafe abortion.

India recorded 6.5 million abortions (of the total 10.5 million abortions in the south and central Asia region) in 2008 of which 66% were deemed unsafe.

The Guttmacher Institute recently said unsafe abortion has become rampant in India, with the region recording 200 deaths for every one lakh abortions.

Gupta said the ministry has sent guidelines on comprehensive abortion care to all the states which includes directions on how to counsel women before and after conducting an abortion.

"India has 1.75 lakh health facilities of which 20,000 are performing really well as far as making available the bouquet of maternal health services is concerned. We have mapped these facilities by name and have made them single-window delivery points. Now, they will provide abortion service 24x7," Gupta told TOI.

She added, "Doctors in these 20,000 facilities will be trained to conduct safe abortion and will be stocked with drugs and equipment needed to deal with unintended facilities. States have also been asked to carry out a massive publicity drive to inform women that abortion is legal in India."

Union health minister Ghulam Nabi Azad recently said that "safe abortion care has also been made an integral part of ASHA's orientation and training in order to equip them with the skills to create awareness on abortion issues in the women and the community and facilitate them in accessing services for safe abortion care."

Dr Gilda Sedgh from the Guttmacher Institute told TOI "Abortion is legal in India and the service is much safer that many other developing countries. But for some reason, women choosing to abort are not taking advantage of this liberal law. They are also getting abortion done in unsafe clinics. That's why a good measure of abortions in India are unsafe"

"There is a tremendous need for the country's family planning programme to spread awareness for safe abortion and also push for increased use of contraception and use of safe abortion services," she added. Dr Sedgh said 13% of all maternal deaths in the south and central Asia region is due to unsafe abortion.

Unsafe abortion is defined by the World Health Organization (WHO) as a procedure for terminating a pregnancy that is performed by an individual lacking the necessary skills or in an environment that does not conform to minimal medical standards, or both.

The health ministry data suggests that the number of induced abortions has started to dip in India. However, in absolute numbers, India in 2008 saw 6.41 lakh abortions across 12510 institutions, approved to carry out Medical Termination of Pregnancy (MTP).

In 2009, the Family Welfare Statistics in India recorded 7.25 lakh MTPs in 2005, 7.21 lakh in 2006 and 6.82 lakh in 2007.

Going by the 2008 figures, Uttar Pradesh recorded the highest number of MTPs at 89,194, followed by Tamil Nadu (63,875), Odisha (59,945), Assam (58,409) and Maharashtra (54,545). The other states with high abortion numbers include West Bengal (46,753), Haryana (31,126), Delhi (30,846), Rajasthan (29,292), Gujarat (27,837) and Bihar (24,149). The states with the lowest abortion figures are Daman and Diu (42) and the Andaman and Nicobar Islands (94) and Goa (930).

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News Network
June 12,2020

An Indian national was killed and four others injured in alleged firing by Nepal police personnel along the India-Nepal border in Bihar's Sitamarhi district today.

Sources said the firing took place after a clash between the Indians and personnel of Nepal police at the Lalbandi-Janki Nagar border in Pipra Parsain panchayat under Sonebarsha police station of the district.

Jitendra Kumar, the additional director general of police (headquarters), confirmed the death and injuries. The place of firing falls under Nepal jurisdiction.

Locals said Vikesh Kumar Rai, 25, died on the spot and Umesh Ram and Uday Thakur received bullet injuries when they were working in an agricultural field. Another person, Lagan Rai, is said to have been detained by the Nepali police.

Injured persons were rushed to Sitamarhi Sadar Hospital for better treatment.

Vikesh Kumar Rai’s father, Nageshwar Rai, said that his agriculture land falls under Narayanpur in Nepal where his son was working.

On May 17, Nepal police had fired blank rounds to disperse dozens of Indians trying to cross the border. It was not clear if they were also farmers.

The district magistrate and the superintendent of police of Sitamarhi have rushed to the spot.

Nepal shares a 1,850-kilometre (1,150-mile) open border with India and people travel across it for work and to visit family. It had closed its international borders on March 22 amid the coronavirus pandemic.

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News Network
April 15,2020

New Delhi, Apr 15: Tablighi Jamaat leader Maulana Saad Kandhalvi has been booked for culpable homicide after some of the attendees of the religious congregation died due to coronavirus, police said on Wednesday.

Kandhalvi had organised the religious gathering at Nizamuddin Markaz last month against the social distancing protocol imposed by the Centre to curb the spread of the deadly disease.

An FIR was registered against the cleric on March 31 at Crime Branch police station on a complaint of the Station House Officer of Nizamuddin.

He was earlier booked for holding the event, police said.

“After several attendees of the Tablighi Jamaat event succumbed to coronavirus, we added IPC section 304 (culpable homicide not amounting to murder) in the FIR against the leader, a police official said.

Some foreigners who attended the event have also been booked for violation of visa norms.

In an audio message, Kandhalvi had said that he was exercising self-quarantine after several hundreds who visited the Tablighi Jamaat congregation at Nizamudddin Markaz tested positive for coronavirus.

The FIR registered against the Tablighi Jamaat event says that the Delhi Police contacted the authorities of Nizamuddin Markaz on March 21 and reminded them of the government order which prohibited any political or religious gathering of more than 50 people.

It says that despite repeated efforts, the event organisers failed to inform the health department or any other government agency about the huge gathering inside the Markaz and deliberately disobeyed government orders.

“The sub district magistrate of Defence Colony inspected the premises several times and found that around 1,300 people, including foreign nationals, were residing there without maintaining social distance. It was also found that there were no arrangements of hand sanitizers and face masks,” the FIR adds.

The Nizamudddin centre, attended by thousands, turned out to be a hotspot for spread of coronavirus not only in the national capital, but the entire country.

More than 25,500 Tablighi members and their contacts have been quarantined in the country after the Centre and the state governments conducted a "mega operation" to identify them.

At least 9,000 people participated in the religious congregation in Nizamuddin. Later, many of the attendees travelled to various parts of the country.

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Agencies
May 30,2020

New Delhi, May 30: The COVID-19 pandemic has left the Indian private healthcare sector in acute financial distress, a new survey said on Friday adding that the healthcare facilities in the country have witnessed at least 80 per cent fall in average revenue.

Post the lockdown from March 24, Indian hospitals have seen a large impact, especially among small and medium-sized hospitals, which are now facing existential challenges.

The survey by healthcare industry body NATHEALTH was conducted in 251 healthcare facilities across nine states and 69 cities to assess the impact of COVID-19 on the domestic healthcare industry.

The findings showed that 90 per cent of the surveyed healthcare facilities are facing financial challenges with 21 per cent facilities facing an existential threat.

"There is a need for a stimulus package to revive the Indian healthcare industry which will be crucial to provide much-needed relief to the healthcare sector which is the frontline defence in this fight against COVID-19," said Dr Sudarshan Ballal, President NATHEALTH.

According to the survey, hospitals in tier 1 and tier 2 cities are experiencing a 78 per cent reduction in OPD footfalls, and a drop of 79 per cent in in-patient admissions.

The study found that 90 per cent of organisations require some form of financial assistance.

The findings indicated that even after the lockdown lift, the situation will remain difficult for the hospitals and nursing homes as patients will hesitate from visiting hospitals.

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