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
April 2,2020

Thiruvananthapuram, Apr 2: With the coronavirus lockdown in place, liquor would be delivered home by state-run retail outlets in Kerala after the left government has decided to issue special passes to tipplers, who exhibit withdrawal symptoms and have doctors prescription.

Protesting the government decision, the Kerala Government Medical Officers Association (KGMOA) wore black badges on Wednesday, but attended duty and seeking immediate withdrawal of the order, saying it was "anti-people".

As per guidelines issued by the Kerala State Beverages Corporation managing director G Sparjan Kumar, for the supply of liquor, a service charge of Rs 100 would be collected from each pass holder for meeting the delivery expenses.

Each person would be entitled to 3 litres of Indian Made Foreign Liquor (IMFL) and sale of wine and beer was not envisaged, the order stated.

Those not willing to undertake the home delivery, the name and details of the employee should be reported to the Head office for submission to the government, it said.

A civil police officer will have to accompany the distribution vehicle.

The sale of liquor should be only to the pass holders, limiting it to the quantity mentioned in the pass.

Any excess sale to pass holders or sales to non-pass holders is strictly prohibited, the order said.

In the order issued on Monday, the government said, following the lockdown and the closure of liquor outlets in the state, there were many instances of social issues, including suicidal tendencies shown by those who consumed liquor regularly and the state government has decided to initiate steps to resolve the matter.

Speaking to reporters, chief minister Pinarayi Vijayan said his government has not forced anyone to prescribe liquor to addicts.

He was responding to a query on the indifference of doctors towards the matter of prescribing liquor to addicts.

"If the doctors are not ready to prescribe liquor, it's fine. We are not forcing anyone to do so. We were just following the protocol which are prevalent at many places. It's been over a week. The family and friends of the addicts can gently persuade them to approach the de-addiction centres," he said.

Sparjan Kumar said the order on home delivery was just a modality, as part of the earlier order issued by the government to provide liquor under prescription.

"We have worked out a modality. We have a meeting tomorrow. Some new order has been issued by the Centre today. The meeting will discuss the implementation of the orders," Kumar told.

A person showing withdrawal symptoms has to get a doctor's prescription on his condition so that he could be provided liquor in a "controlled manner", the order added.

The Indian Medical Association (IMA) has also come out against the government's move.

Meanwhile, Vimukthi, an anti-narcotics campaign launched by the state government, has till now admitted 64 patients since March 24.

"Since March 24, the day lockdown started, we have 64 patients admitted due to withdrawal symptoms. We have also registered at least 200 out patients at various de-addiction centres across Kerala," K Mohammed Resheed, Joint Excise Commissioner in charge of awareness told.

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coastaldigest.com news network
May 6,2020

New Delhi, May 6: The government on Wednesday said no data or security breach has been identified in Aarogya Setu after an ethical hacker raised concerns about a potential security issue in the app.

The app is the government's mobile application for contact tracing and disseminating medical advisories to users in order to contain the spread of coronavirus.

On Tuesday, a French hacker and cyber security expert Elliot Alderson had claimed that "a security issue has been found" in the app and that "privacy of 90 million Indians is at stake".

Dismissing the claims, the government said "no personal information of any user has been proven to be at risk by this ethical hacker".

"We are continuously testing and upgrading our systems. Team Aarogya Setu assures everyone that no data or security breach has been identified," the government said through the app’s Twitter handle.

The tweet gave point-by-point clarification on the red flags raised by the hacker.

"We discussed with the hacker and were made aware of the following... the app fetches user location on a few occasions," it said, but added that this was by design and is clearly detailed in the privacy policy.

The app fetches users’ location and stores on the server in a secure, encrypted, anonymised manner - at the time of registration, at the time of self assessment, when users submit their contact tracing data voluntary through the app or when it fetches the contact tracing data of users after they have turned COVID-19 positive, it said.

On another issue that users can get COVID-19 stats displayed on the home screen by changing the radius and latitude-longitude using a script, Aarogya Setu said that all this information is already public for all locations and hence does not compromise on any personal or sensitive data.

"We thank the ethical hacker on engaging with us. We encourage any users who identify a vulnerability to inform us immediately...," it said.

Responding to Aarogya Setu's clarification, Alderson tweeted, "I will come back to you tomorrow".

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News Network
April 15,2020

New Delhi, Apr 15: CPI-M leader Sitaram Yechury has sought a substantial increase in relief spending of the Central government in the fight against coronavirus, saying that there should be cash transfer of Rs 7,500 to families not paying income tax and distribution of free foodgrains to all needy.

In an article in the forthcoming issue of the party's mouthpiece -- People's Democracy -- Yechury said that India ranks among the countries that are testing the least for the coronavirus and testing should be increased rapidly.

Yechury said the financial stimulus package should be raised from the current 0.8 per cent to at least 5 per cent of GDP and States should be provided liberal funding.

"We must ensure that there are no starvation deaths that occur in our country. It is, therefore, imperative that the government must immediately implement a Rs 7,500 ex gratia cash transfer to all non-income tax-paying families and resort to universal distribution of free foodgrains to all needy people," Yechury said.

He said all MGNREGA workers should be paid wages irrespective of work and employers should be assisted financially to protect workers from job losses and wage cuts and arrangement should be made for the return of migrant workers to their homes.

"Testing is of crucial importance to identify the clusters where the pandemic is spreading in order to isolate and insulate them to contain the community spread. Inadequate testing does not provide us with such information. It is dangerous both for the inability to contain the spread and to identify the critical areas," the article said.

It said that till April 9, India's record of testing was 0.092 per thousand, while in Germany it was 15.96, Italy 14.43, Australia 12.99, Denmark 10.73 and Canada 9.99. "Unless our testing rate increases substantially, our strength to combat the pandemic will not grow," the article said.

Yechury said that the first case in India was reported on January 30 and "no substantive measures were taken despite this for seven long weeks" until the declaration of the lockdown on March 24.

"As far as the lockdown is concerned, many countries in the world moved with greater urgency - China locked down Wuhan on January 23, the whole of Italy was locked down on March 10, USA declared a national emergency on March 13, Spain on March 14, France on March 17 and UK on March 23," he said.

Yechury said the people were looking forward to the Prime Minister's address to the nation on the last day of the three-week countrywide lockdown.

"These three weeks have thrown up many experiences that need to be addressed urgently in order, both, to strengthen our fight against the COVID-19 pandemic and to protect the lives and survival of crores of our fellow citizens. On none of these issues of vital importance did the Prime Minister have anything substantial to say," he said.

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