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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Agencies
June 6,2020

United Nations, Jun 6: The coronavirus disease has not "exploded" in India, but the risk of that happening remains as the country moves towards unlocking its nationwide lockdown that was imposed in March to contain the Covid-19, according to a top WHO expert.

WHO Health Emergencies Programme Executive Director Michael Ryan on Friday said the doubling time of the coronavirus cases in India is about three weeks at this stage.

“So the direction of travel of the epidemic is not exponential but it is still growing,” he said, adding that the impact of the pandemic is different in different parts of India and varies between urban and rural settings.

“In South Asia, not just in India but in Bangladesh and...in Pakistan, other countries in South Asia, with large dense populations, the disease has not exploded. But there is always the risk of that happening,” Ryan said in Geneva.

He stressed that as the disease generates and creates a foothold in communities, it can accelerate at any time as has been seen in a number of settings.

Ryan noted that measures taken in India such as the nationwide lockdown have had an impact in slowing transmission but the risk of an increase in cases looms as the country opens up.

“The measures taken in India certainly had an impact in dampening transmission and as India, as in other large countries, open up and as people begin to move again, there's always a risk of the disease bouncing back up,” he said.

He added that there are specific issues in India regarding the large amount of migration, the dense populations in the urban environment and the fact that many workers have no choice but to go to work every day.

India went past Italy to become the sixth worst-hit nation by the COVID-19 pandemic.

India saw a record single-day jump of 9,887 coronavirus cases and 294 deaths on Saturday, pushing the nationwide infection tally to 2,36,657 and the death toll to 6,642, according to the health ministry.

The lockdown in India, was first clamped on March 25 and spanned for 21 days, while the second phase of the curbs began on April 15 and stretched for 19 days till May 3. The third phase of the lockdown was in effect for 14 days and ended on May 17. The fourth phase ended on May 31.

The country had registered 512 coronavirus infection cases till March 24.

The nation-wide lockdown in containment zones will continue till June 30 in India but extensive relaxations in a phased manner from June 8 are listed in the Union home ministry's fresh guidelines on tackling the Covid-19 pandemic issued last week.

WHO Chief Scientist Soumya Swaminathan said the over 200,000 current coronavirus cases in India, a country of over 1.3 billion people, "look big but for a country of this size, it's still modest.”

She stressed that it is important for India to keep track of the growth rate, the doubling time of the virus and to make sure that that number doesn't get worse.

She said that India is a “heterogeneous and huge country” with very densely populated cities and much lower density in some rural areas and varying health systems in different states and these offer challenges to the control of Covid-19.

Swaminathan added that as the lockdown and restrictions are lifted, it must be ensured that all precautions are taken by people.

“We've been making this point repeatedly that really if you want behaviour change at a large level, people need to understand the rationale for asking them to do certain things (such as) wearing masks,” she said.

In many urban areas in India, it's impossible to maintain physical distancing, she said adding that it then becomes very important for people to wear appropriate face coverings when they are out, in office settings, in public transport and educational institutions.

“As some states are thinking about opening, every institution, organisation, industry and sector needs to think about what are the measures that need to be put in place before you can allow a functioning and it may never be back to normal.”

She said that in many professions working from home can be encouraged but in several jobs, people have to go to work and in such cases measures must be put in place that allow people to protect themselves and others.

“I think communication and behaviour change is a very large part of this whole exercise,” she added.

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News Network
April 16,2020

Kochi, Apr 16: A middle-aged man carrying his ailing father on his shoulders walked close to one-kilometre in Kerala’s Punalur when the autorickshaw he was driving was allegedly stopped by the police over the ongoing lockdown. He was bringing back his father from the hospital after he was discharged on Wednesday.

In a video that has gone viral on social media, the man can be seen carrying his bare-bodied father on the shoulders and struggling to handle the weight while a woman carrying the hospital documents, prescriptions and other items, is running along with him.

The incident took place in Punalur town of Kollam district.

The 65-year-old man, a native of Kulathupuzha, was released from the Punalur Taluk Hospital and his son was taking him home when he was stopped on the road. The man has alleged that even after he produced hospital documents, the police refused to let him pass with the autorickshaw.

The vehicle was stopped about a kilometre from their house in the middle of a traffic jam and the family had to walk the rest of the path. He said even after he told the police and showed papers from hospital he was not allowed to go.

After the video went viral in Kerala, the state human rights commission took suo motu cognizance of the incident.

The nationwide lockdown has prevented all non-essential movement in the public space while medical emergencies have been allowed. The extended lockdown will now continue till May 3.

According to the police, the vehicle did not have the patient when it was stopped. The driver was asked to show a declaration document.

He stepped out of the vehicle and walked to the hospital which was 200 metres from the checkpoint and returned carrying his father on the back, said the police.

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News Network
February 9,2020

Kochi, Feb 9: P Parameswaran, one of the senior-most "pracharaks" of the Rashtriya Swayamsevak Sangh (RSS) and former leader of the erstwhile Bharatiya Jana Sangh, died at 91 in the early hours today, Sangh Parivar sources said.

The founder director of the Bharatheeya Vichara Kendram died at 12.10 am while undergoing Ayurvedic treatment at Ottappalam in Kerala's Palakkad district, according to sources.

P Parameswaran, who had worked with leaders like Deendayal Upadhyaya, Atal Bihari Vajpayee and LK Advani during the Jana Sangh days, was honoured with Padma Vibhushan, the country's second highest civilian award in 2018 and Padma Shri in 2004.

Fondly called as Parameswar ji by Sangh Parivar and Bharatiya Janata Party leaders, he was a prolific writer, poet, researcher and a widely-respected RSS ideologue. He was the Bharatiya Jana Sangh's secretary (1967-1971) and vice0president (1971-1977), as well as the director of the Deendayal Research Institute (1977-1982) in New Delhi.

Born in 1927 in Muhamma, Alappuzha district, he joined the RSS during his student days.

His body will be brought to the RSS headquarters in Kochi this morning for people to pay their last respects. The cremation will be held in Muhamma in the evening, sources said.

During the days of Emergency between 1975-77, he courted arrest as part of the all India Satyagraha against it and was jailed for 16 months.

Bharatheeya Vichara Kendram was established by P Parameswaran in 1982 "to promote nationalist thoughts among Keralites".

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