Re: Programme to Improve Women's Health

[Sadanand Patwardhan]

A very detailed analysis. 

1. **The question naturally arises as to why the Government, which can get the clinical diagnosis, laboratory tests and the medicine at even cheaper rates than an NGO like Majlis, isn't providing this important service to the women. The survey revealed that let alone provide these gynaecological services, it is not even providing properly the safe motherhood services which are such an integral part of its family welfare agenda.**

Of course Government can and must do it’s job. But for that Focus has to change from “Budgeting & Spending” to achieving Well Defined Outcomes. The failure to do so should have clear onus and consequences for the bureaucracy. Today, bureaucracy only has targets to spend money on various Heads and Subheads; and reaching those is considered the end of responsibility. Even here the failures are glaring when it comes to health and welfare schemes or SC & ST Sub-plans.

2. **National Family Health Survey IV 2015-16 data for urban areas of Madhya Pradesh and that from the Majlis sample**

Why is there such significant divergence between the two sets? Is it because former is for urban areas, whereas latter is for a specific subset of that -a slum area, which would be expected to fare badly as it is inhabited by poor.

Secondly, how was TFR worked out in Majlis sample? TFR is an expectation of number of children a woman is likely to bear through her childbearing age based on age group-specific fertility rates.

3. **A very high proportion of 71.6 percent of women complained of waist pains which generally arise from a combination of anaemia, overwork and problems of the reproductive tract.**

In my observation, an extremely important cause of waist pain is Poor Ergonomics of working styles or methods & postures of which overwork and strenuous work are parts. Proper training about how to do home or industrial manual work would go a long way in alleviating suffering.

regards,

sadanand

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On 06-Oct-2016, at 15:59, Rahul Banerjee <> wrote:

The Dalit and Adivasi Women's Collective named "Mahila Jagat Lihaaz Samiti" or Society for Respect for Women and Nature has initiated a reproductive and gynaecological health programme for poor urban women residing in slums in Indore city. The preliminary results of the intervention show how devastating the situation of poor urban women is and how it has been improved considerably with a cost effective intervention by the collective - 

http://anar-kali.blogspot.in/2016/10/in-search-of-womens-health.html

regards

rahul banerjee

[Sadanand Patwardhan]

multiple causes may lead to similar symptoms. depending on diagnosis more than one line treatment may be called for.  poor-ergonomics is a perennial cause of waist pain among women in particular, which needs to be treated separately from other transitory causes.

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On 08-Oct-2016, at 17:57, Rahul Banerjee <rahul....@gmail.com> wrote:

Less said about the government the better!! The nfhs sample is representative of the whole urvan population abd so has better indicator values than the majlis sample which is from among the poorest women. The waist pains you are referring to are due to the malfunctioning of the bones and joints of the spine and pelvic girdle whereas the waist pains in reproductive health arise due to infections and malfunctioning of the reproductive tract and have to be treated accordingly.

On Oct 7, 2016 7:25 PM, "Sadanand Patwardhan" <2sad...@gmail.com> wrote: