Showing posts with label Social Issue. Show all posts
Showing posts with label Social Issue. Show all posts

India's PDS fails to ensure food for all

The National Food Security Act has failed to reform the discriminatory public distribution system leaving many high and dry. The costly targeted system excludes the genuinely poor and encourages corruption
A concept note on the proposed National Food Security Act circulated to all states continues to push for a targeted public distribution system instead of a universal one, and proposes to reduce the issue of foodgrains to 25 kg per BPL household, completely ignoring the contentious issue of who is poor and what an adequate and nutritious diet consists of.
At a public hearing on the public distribution system (PDS), held before the Justice Wadhwa Committee in Bangalore in December 2008, Sarojamma, a single parent with four children (one of whom is mentally disabled) pleaded for a below the poverty line (BPL) ration card. She had been given an above the poverty line (APL) ration card as she is a garment worker earning Rs 3,500 per month. The APL ration card fetches her only kerosene and no foodgrain in Karnataka.

To be eligible for a BPL card, Sarojamma needs to be earning less than Rs 17,000 per year, or less than Rs 1,500 per month. At today’s prices, the rent alone for a measly 10 x 10 sq ft space in Bangalore is upwards of Rs 1,500 a month. So, to be considered poor, the state expects its citizens to be living on air and to have no other needs such as health and education.

Eeramma, who has been a single parent for 20 years with six children, was seen pleading for an Antyodaya Anna Yojana (AAY) card that would entitle her to 10 kg more foodgrain than her BPL card. Her BPL card gets her a maximum of 25 kg of foodgrain, or around 3.5 kg per person per month for her household of seven.

Insufficient food for the poor

One would have thought one needed at least 15 kg of cereal per person per month to provide 2,400 calories per day merely to exist, let alone eat a balanced diet consisting of pulses, oil, fruit and vegetables that is necessary to grow to one’s full potential and lead a healthy life. The present PDS expects you to become food secure by merely eating an inadequate quantity of cereal!

There were others like Arthiamma and her husband, both blind, and Ritu (name changed) who is HIV+, who had been given APL cards. Their social and physical vulnerability did not make them eligible for special consideration by the state.

"Almost 50% of its children are malnourished and 75% of its women suffer from anaemia; and per capita food availability has actually decreased"
What is incredible about ‘Incredible India is that while it sports a high growth in GDP, it ranks 66th in a list of 88 countries on the World Hunger Index. Almost 50% of its children are malnourished and 75% of its women suffer from anaemia; and per capita food availability has actually decreased between 1991 2004-05.
Food security refers to a situation that exists when all people at all times have physical, social and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life,” says an FAO report ‘State of Food Insecurity in the World, 2001’.

As reflected in these examples, India’s current public distribution system does not seem to be fulfilling any of the above criteria to ensure the right to food expected of a just and humane society.

Flawed concept note

However, into this gloomy scenario comes the UPA government’s hopeful promise of enacting a National Food Security Act. A concept note on the proposed Act, circulated to all state food secretaries by the food secretary, GoI, cites the above FAO quotation and says: “To ensure food security to all citizens of the country based on a rights approach, there is need for providing a statutory basis to food security.” And, “the nutritional status of individual household members is the ultimate focus,” (emphasis added).Although these pious statements give the impression that here, at last, is an attempt to address shameful deficiencies in the country’s food security situation, the rest of the concept note is more in the manner of a preamble to a National Food Insecurity Act!

While civil society is clamouring that the PDS be universalised, without any distinctions between BPL and APL, so that the poor get self-selected as it was earlier when the country was growing at the Hindu rate of growth of about 3%, the concept note seeks to make the targeted PDS statutory.
"If universalisation of the PDS is not accepted, those earning less than the minimum wage need to be considered poor"
The targeted PDS is costly and gives rise to a lot of corruption in the process of trying to decide who is and who is not poor. This results in the genuinely poor being left out whilst the ineligible get several cards. Economists like Jayati Ghosh say that the cost difference between a universal and targeted PDS is not very great. So what happens to the aim of covering all citizens?

Currently, the limits of annual income required for a household to be declared BPL are illogical. In Karnataka, for instance, the figures are Rs 11,000 and Rs 17,000 in rural and urban areas respectively. That means that a household of five people in Bangalore would have to be living on around Rs 47 per day, or about Rs 10 per person, on which even a beggar would not survive.

Rising hunger and malnutrition problem

In other words, a person would have to be earning less than half the minimum wage of Rs 88 (which itself is inadequate) to be considered poor. If universalisation of the PDS is not accepted, those earning less than the minimum wage need to be considered poor.

The concept note assumes without any justification that the nation may not be able to procure the required amount of foodgrain or bear the cost of a food subsidy. It is therefore proposing to reduce the scale of issue to 25 kg per BPL household, or 5 kg per person. This, despite the Supreme Court ruling that every BPL family shall be given 35 kg, and that no changes shall be effected in any food-related scheme without its permission. This will result in families having to buy 10 kg from the market, paying more for the same amount of food than earlier.

Taking all this into consideration, the Wadhwa Committee recommends that “the income criterion needs to be revisited” and that “estimation of poverty should not be made on a criteria (sic)which is less than the minimum wage fixed by the state for agricultural labourers”. Also, that “the government may also consider using calorie intake per person per day as an indicator of poverty”.

The People’s Health Movement has demanded that every person be given enough foodgrain to ensure 2,400 calories per day. Moreover, the predominance of cereals and lack of adequate pulses, oil, fruit and vegetables in the diet of most Indians is what is causing high levels of malnutrition among them. We need to find ways to get these items to the populace through the PDS, if malnutrition is to be addressed.

The concept note does not mention the word ‘malnutrition’ at all; it completely ignores the contentious issue of defining who is poor and how much and what constitutes ‘adequate and nutritious food’.

It does not recognise anywhere that entitlements should be linked to levels of malnutrition, if food security is to be achieved. It concentrates wholly on how to reduce the number of BPL families, reduce entitlements, and reduce subsidies. A great way indeed to ensure food security and raise India’s position on the World Hunger Index!

Binding clauses
Further, the concept note seeks to take away the freedom enjoyed by the states until now to: (1) fix the numbers of those who are BPL in their respective states; (2) decide the amount of foodgrain to be given to them, and (3) fix the rate at which these shall be provided. As a result of this freedom, the note says, the actual number of BPL ration cards issued by all the states is 10.68 crore while the accepted figure of BPL households by the Centre is 6.52 crore, resulting in an excess of 4.16 crore BPL cards. Tamil Nadu, for instance, has universalised the PDS, while Karnataka has issued BPL cards to 85% of households.

"The Centre is planning to bring in an enforcement mechanism that will monitor the states’ adherence to the Centre’s fiats and penalise those that transgress them"
The Centre is planning to curtail this right and insist that all states abide by the levels of poverty fixed by the Planning Commission, and that the Centre shall decide the numbers of poor that shall be eligible in each state, the amount of foodgrain that shall be given, and the rates at which these shall be issued to families.

To ensure that states do not defy these restrictions and fix their own entitlements, the Centre is planning to bring in an enforcement mechanism under the Food Security Act that will monitor the states’ adherence to the Centre’s fiats and penalise those that transgress them. Here is a blatant attempt not only to centralise decision-making and curtail the freedom of the states in a federal set-up, but also to reduce the basic entitlement to food of a hungry and malnourished nation.

The present allocation under the TDPS to the BPL and AYY categories is 277 lakh tonnes which entails a “huge commitment on the central pool for BPL families,” the concept note adds. The Planning Commission’s latest poverty estimates, according to 2004-05 figures, reveal that the country’s BPL population is only 27.5% whereas it was 36% according to 1993-94 figures.

As per the above, the number of BPL families (including AAY) will come down from 6.52 crore to 5.91 crore, and the number of APL families will go up from 11.52 crore to 15.84 crore. In view of this, based on the current scale of issue, annual allocations of foodgrain for AAY and BPL categories may come down from 277 lakh tonnes to 251 lakh tonnes, and for the APL category it will go up from 162 lakh tonnes to 202 lakh tonnes, the concept note estimates.

However, in view of this increase of 40 lakh tonnes for the APL category, the concept note makes the categorical statement that “the central government will not be able to guarantee distribution/supply of any quantity of foodgrain for the APL category from the central pool,” and that the “APL category may be excluded from TDPS,” except for APL families in some food-deficit and inaccessible states/union territories. This reasoning fails to recognise that there will be a saving of 26 lakh tonnes of foodgrain as a result of the reduction in BPL numbers.

The effective increase in foodgrain allocation to the APL category will thus only be 14 lakh tonnes. To use this reasoning to restrict the PDS only to 27.5% of the population is to deprive the rest of the population, which is unable to meet the requirement of 2,400 calories per day, of the right to food. Researchers like Utsa Patnaik estimate this number to be 70% of the population.

While civil society demands that BPL cards be updated every year in order to capture those who have slid back into poverty due to various exigencies like debt, drought, displacement, etc, the Centre is talking about annual updation only to seek out those who have risen above the poverty line, with the aim of taking away their BPL cards.

The concept note recognises that some households may have more than the average number of persons whereas others may have less than the average. But nowhere does the Centre make a commitment to provide foodgrain to every individual in a family, whether it has five or 10 members. It continues to think in terms of an upper ceiling of five units per household as the maximum that a family can receive. What happens to the guarantee of having the “individual as the focus”?

Schemes/ Yojana's for addressing hunger

Even more worrying seems to be the Centre’s intent to do away with other food-related schemes such as the Annapoorna Yojana for elderly destitutes and supply of foodgrain from the central pool to welfare institutions, hostels, etc, in the name of avoiding multiplicity of schemes, as beneficiaries of these schemes may already be covered under the TDPS.

By mentioning the school midday meal scheme, the ICDS scheme, and the nutrition programme for adolescent girls as schemes that cause multiplicity, the Centre is hinting that these too may be curtailed or done away with altogether. Or, at the very least, that it is keeping its options open. There goes the hope of 50% malnourished children and anaemic adolescent girls of ever leading a full and healthy life. In the same breath, the Centre is proposing that the Antyodaya sub-category within the BPL also be done away with on grounds that sub-categories are unnecessary.

"With this, the government seemingly wishes to wash its hands of any accountability ensuring the right to food to all its citizens"
The Centre doles out a plethora of excuses as to why it may not be able to obtain or sustain current levels of foodgrain procurement at minimum support prices, or sustain their distribution at current levels. And that all this uncertainty could necessitate the import of foodgrain.

The Centre also hints that if the issue price of rice and wheat are fixed at Rs 3 per kg for all BPL families, the annual food subsidy may go up from the current Rs 37,000 crore to Rs 40,380 crore. And that continuing to provide foodgrain for the APL category would further affect this figure. Nowhere is there an acceptance that these costs have to be borne as a matter of course if food security is to be ensured. The possible increase in cost is spoken of more in the nature of a looming threat to the economic health of the nation, which needs to be avoided.

The only good points in the concept note appear to be the government’s commitment to ensuring doorstep delivery of foodgrain to all fair price shops (FPSs), monitoring FPSs and certification of issuance of foodgrain by local vigilance committees, social audit by local bodies, computerisation of operations, effective grievance redressal mechanisms, and the setting up of food security tribunals at the taluka level, and appellate tribunals at the district level.

The piece de resistance of the concept note lies in the statement: “In case a state/UT government is unable to distribute the entitled monthly quantities of foodgrain to eligible BPL families/individuals, such families/individuals will be entitled for payment of a food security allowance.” With this, the government seemingly wishes to wash its hands of any accountability in the matter of ensuring the right to food to all its citizens.

Activists see the proposed Food Security Act as a gimmick to win future votes, just as the NREGA was seen as the reason for the substantial mandate given to the UPA in the last elections. The government will be seen to have done something pro-poor even though it will only be a mask behind which it quietly carries on its real agenda of neo-liberal reforms.

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Gender Analysis

Gender analysis is a way of seeing/analyzing problems, situations and solutions with awareness of gender relations and in order to identify gender issues. The key elements of a gender analysis should include identification of similarities and differences between men and women and amongst women. These relate to work, resources, responsibilities and powers-Assessment of how gender relations have an impact on opportunities, needs, incentives and rewards. Assessment of capacity of intervening institutions to promote gender equality goals. Estimation of the potential obstacles and resistances to initiatives to promote gender equality and development of strategies to counter these resistances. It is important to understand practical needs and strategic needs of women.

Practical needs can be defined as women’s needs that do not question her subordination or traditional roles। These are often to do with the practical needs of day to day living such as housing, water; healthcare and employment. In contrast Strategic Gender interests are the needs of women identified on the basis of thier subordinate position in society. They may vary from context to context and may include issues such as legal rights to freedom from domestic violence, rights to land and property, sexual rights, unequal divisions of labor in the family etc.These are often less obvious and have long term implications.

For example a woman who is not in dire poverty, may still fight with her brothers for equal rights of inheritance to family land. The struggle for strategic needs is more difficult and encounters much more resistance than the struggle for practical gender needs. It is the SGIs therefore that often get left out of gender planning .Merely fulfilling the practical needs of women do not improve their status in terms of power or equality. It is important to acknowledge that addressing both is critical to the success of planning; addressing Practical Gender Needs alone will not lead to long term improvements for women and may reinforce their subordination. Similarly addressing strategic gender interests alone may fail as a strategy if practical considerations are not taken into account. Other steps in gender analysis include collection of gender disaggregated data, and collecting information focusing on gender differences in activities, access to and control over resources and roles and position in decision making processes.

Analysis may take place at various levels-individual, household, community, institutional and politics. At the institutional level, gender analysis may look at institutional policy and services, organizational structure and staff qualifications and training. At the family level, gender analysis may look at who does what work, how financial resources are controlled and by whom etc.Many tools, checklists and questionnaires are available to assist gender analysis in various sectors.

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Water problem in India

Summers are here and the cities in India are already complaining about water shortage not to mention many villages which lack safe drinking water। In the list of 122 countries rated on quality of portable water, India ranks a lowly 120।Although India has 4% of the world’s water, studies show average availability is shrinking steadily. It is estimated that by 2020, India will become a water-stressed nation. Nearly 50% of villages still don’t have any source of protected drinking water.

According to 2001 census 68.2% households have access to safe drinking water. The department of drinking water supply estimates that 94% of rural habitations and 91% urban households have access to drinking water. But according to experts these figures are misleading simply because coverage refers to installed capacity and not actual supply.

The ground reality is that of the 1.42 million villages in India, 1, 95,813 are affected by chemical contamination of water. The quality of ground water which accounts of more than 85% of domestic supply is a major problem in many areas as none of the rivers have water fit to drink.

37.7 million People –over 75% of whom are children are afflicted by waterborne diseases every year. Overdependence on groundwater has brought in contaminants, fluoride being one of them. Nearly 66 million people in 20 states are at risk because of the excessive fluoride in water. While the permissible limit of fluoride in water is 1 mg per litre in states like Haryana it is high as 48 mg in some places. Delhi water too has 32 mg.But the worst hits are Rajasthan, Gujarat and Andhra Pradesh. Nearly 6 million children below 14 suffer from dental, skeletal and non-skeletal fluorosis.

Arsenic is the other big killer lurking in ground water putting at risk nearly 10 million people. The problem is acute in Murshidabad, Nadia, North and South 24 Paraganas, Malda and Vardhaman districts of West Bengal. The deeper aquifers in the entire Gangetic plains contain arsenic.

High nitrate content in water is another serious concern।Fertilizers, septic tanks, sewage tanks etc are the main sources of nitrate contamination. The groundwater in MP, UP, Punjab, Haryana, Delhi, Kanataka and Tamil Nadu has shown traces of nitrates.

However it is bacteriological contamination which leads to diarrhoea, cholera and hepatitis which is widespread in India. A bacteriological analysis of the water in Bangalore revealed 75% bore wells were contaminated.Iron; hardness and salinity are also a concern. Nearly 12,500 habitats have been affected by salinity. In Gujarat it is a major problem in coastel districts. Often babies die of dehydration and there are major fights in villages for freshwater. Some villages have seen 80% migration due to high salinity.

Health is not the only issue; impure water is a major burden on the state as well. Till the 10th plan the government had spent Rs 1,105 billion on drinking water schemes. Yet it is the poor who pay a heavier price spending around Rs 6700 crore annually on treatment of waterborne diseases.

There is an urgent need to look for alternative sources of portable water in places where water quality has deteriorated sharply. Community based water quality monitoring guidelines should be encouraged. People should be encouraged to look at traditional methods of protecting water sources. Also in places where groundwater has arsenic or fluoride, surface water should be considered as an alternative.

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State of the World’s Children 2009- UNICEF Report

UNICEF released the State of World’s Children Report- 2009 with some shocking findings regarding maternal mortality status in India. Avoidable complications during child birth are killing 78,000 women in India every year. One woman dies from complications related to pregnancy and childbirth every seven minutes. One million children born in India are dying every year even before they become 28 days old. A child born in India is 14 times more likely to die during the first 28 days than one born in the US or UK.The maternal mortality rate of India stands at 301 per 100,000 births. It is highest in Uttar Pradesh at 517 and lowest in Kerala at 110.For Bihar it is 371. An Indian woman is 350 times more likely to die in childbirth or from pregnancy –related complications than women in America or England. For every mother who dies, 20 others suffer pregnancy related illness. Around 10 million women annually experience such adverse outcomes. Despite an increase in institutional deliveries, 60% of pregnant women still deliver their babies at home. In India more than 2/3 of all maternal deaths occur in a handful of states- UP, Uttarakhand, Bihar, Jharkand, Orissa, MP, Chattisgarh, Rajasthan and Assam. In UP one in every 42 women faces risk of maternal death compared to 1 in 500 women in Kerala

The main medical causes of maternal deaths are:

Abortion: 8%
Obstructed labor: 5%
Hypertensive disorders: 5%
Sepsis: 11%
Hemorrhage: 38%
Other conditions: 34%

In India the states with the top five neonatal mortality(Early neonatal mortality refers to a death of a live-born baby within the first seven days of life, while late neonatal mortality covers the time after 7 days until before 28 days. The sum of these two represents the neonatal mortality) rates are

Orissa- 52 deaths /1000 live births
Madhya Pradesh- 51/1000 live births
Uttar Pradesh- 46/1000 live births
Rajasthan- 45 /1000 live births
Chattisgarh- 43/1000 live births

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Public Health System in India

Public health system in India suffers from many problems which includes insufficient funding, shortage of facilities leading to overcrowding and severe shortage of trained health personnel. There is also lack of accountability in the public health delivery mechanisms. These are some of the reasons which have placed India at the lowest rank in the Human Development Index.

India however holds top position in migration of physicians to developed countries like UK and the US. According to Planning Commission the country has a shortfall of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. This has led to a dismal patient-doctor ratio in the country. For every 10,000 Indians, there is just one doctor.

The much publicized National Urban Health Mission is yet to see the light of day. The scheme plans to monitor and improve the health of 22 crore people living in urban slums in 429 cities and towns. It was to be launched mid 2008 but the mission is yet to become functional.NURM is aimed at providing accessible, affordable, effective and reliable primary health care facilities especially to urban poor. Even for NHRM there is limited progress due to lack of standardization of medical facilities.

India has banned tobacco consumption in public places but only 12 states have started implementing the ban. More than 10 lakh people at present die in India every year due to tobacco consumption. At present more than 57% male and 10.9% female consume tobacco while 15% children consume tobacco.

Female feticide continues to tarnish India’s image.The child sex ratio (0-6 years) was 945 (1991 census) and this declined to 927 girls per thousand boys (in 2001 census).The figures are alarming in prosperous states like Punjab(798),Haryana (819),Chandigarh (845),Delhi (868),Gujarat (883) and Himachal Pradesh (896).

Number of PHCs,CHC and SCs
Year CHC PHC SC
2007 4,045 22,370 1, 45,272


Infant Mortality Rate
Year Rural Urban Total
2007 61 37 55


Number of Health Care Workers
Year Doctors at PHCs Specialists at PHC Health workers Health workers



Male Female
2007 22,608 5,117 62,881 1, 47,439


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