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Women’s health needs in India
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- The story: The Vice President of India has called for the highest priority to the health needs of women, who constitute nearly 50% of the country’s population.
- Points to note: In Indian families, discrepancies among males and females occur right from beginning with a pronounced differences in the girl child to boy child ratio. Women, despite working as caretakers both in and outside the household, are the most neglected lot. Promotive and preventive health of females are equally important and must be stressed upon. The health interventions must focus on bolstering and meeting women’s health needs.
- Women and health: The UNFPA State of World Population 2020 estimated the sex ratio at birth in India as 910, which is on the lower side of index. At the adolescent age 70% of the girls are anaemic and their problems related to their menstrual health and hygiene often go unaddressed. The United Nations defines Adolescent Fertility Rate (AFR) as the annual number of births to women aged 15-19 years per 1,000 women. Among 22 surveyed states as per National Family Health Survey-5, Tripura recorded the highest AFR with 69 births per 1,000 women. The lowest adolescent fertility was recorded in Goa with 14 births per 1,000 women.
- Facts on teenage pregnancies: There are 3 times more chances of deaths of girls in teenage pregnancies. Reproductive and sexual health needs of women are often ignored. About 113 women in India every year lose their lives as a result of libels due to teen pregnancies. Moreover, under-reporting of such deaths are also there. Nearly 70% of women of India are suffering from reproductive tract infections which may lead to infertility, abortions and similar kind of problems that are perceived as normal.
- Maternal Mortality Rate: The Maternal Mortality Ratio (MMR) is defined as the number of maternal deaths during a given time period per 1,00,000 live births during the same time period. India's MMR has declined to 113 in 2016-18 from 122 in 2015-17 and 130 in 2014-2016.
- Women amid the pandemic: Women who are working amid the pandemic as frontline workers, many of them don’t have access to simple necessities at such times like PPE kits which makes them more vulnerable to infections. There is an unmet need for women’s menstrual products while wearing PPEs. unmet need for contraception. Women, besides frontline workers, who get infected also have to face double trouble as they are supposed not only have to look after themselves but also other family members who are infected. Even the women suffering from covid-19 who are admitted to the hospital, their mean number of days of admission are much less as compared to their male counterparts. Among the school dropouts, the majority of them are girls.
- Government initiatives: India has about 76,000 health and wellness centres which perform screening of 5 types of health issues; hypertension, diabetes, breast cancer, oral cancer and cervical cancer. Total footfalls in these health and wellness centres is about 46.4 crores. Out of these 24.91 crore i.e. 53.7% are women. The Rashtriya Kishor Swasthya Karyakram works to sensitise female adolescents about their health. The programme also focuses on reaching out all adolescents including Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ). Auxiliary Nurse Midwife, commonly known as ANM, is a village-level female health worker in India who is known as the first contact person between the community and the health services. The Janani Suraksha Yojana (JSY)is a safe motherhood intervention under the National Health Mission (NHM). It was launched on 12th April 2005 and is being implemented in all states and UTs with special focus on low performing states. JSY is a 100% centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care. The Pradhan Mantri Matru Vandana Yojana (PMMVY): PMMVY is a scheme for pregnant women and lactating mothers. The scheme has crossed the mark of 1 crore beneficiaries. Is a direct benefit transfer (DBT) scheme under which cash benefits are provided to pregnant women in their bank account directly to meet enhanced nutritional needs and partially compensate for wage loss.
- Summary: In order to ensure good health of women, the same should be tackled at multi sectoral level such as eradication of child marriages, access to contraceptives and healthcare facilities at all levels. Maternal healthcare is no doubt important, but healthcare for women across her life span is where the focus should be the most. Women access health facilities if it is available near their homes as they can barely take out time for themselves due to their multiple roles. The mantra to ensure that women access healthcare facilities is to have reliable and good healthcare facilities near women. A healthy society cannot be created if the health needs of women are neglected as they are the bedrock of a healthy society.
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