patliavadana : edition 2 rural empowerment

Patliavadana () 2nd Edition, September 2015

A Quarterly E-Magazine on Social Issues by Patli Urbanocrats (Trust) 1

Avinash Kumar

Sohum Krishna

Raj Saurabh

Mithilesh Kr. Mishra

Ankit Keshan

Shivangi Singh

Vikash Kr. Chaudhary

THE TEAM

Patliavadana, A Quarterly E-magazine on Social Issues, Edition 2, September 2015

Patli Urbanocrats (Trust), Reg. No. 30559/2013 patli.urbanocrats @PatliUrban

[email protected] www.patliurbanocrats.org Disclaimer: The organization is not responsible about any article published in e-magazine. The articles are personal view of the writer. This is an information based e-magazine published & circulated by Patli Urbanocrats (Trust).

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Rural Empowerment from eye of New

Generation

Manjeeta Punit

Rural Empowerment & innovative Social enterprises

Manoj Pathak

RURAL India : Government, NGOs &

People

Arpit Garg

The Rural India and its economy: before and during British

Imperialism

Shivangi Singh

Why is a girl of 25 thinking about turning 60!

Shikha Kumari

Rural Empowerment & Role of Administration

Ankita Vats

Importance of Health Care Education In Rural India

Vivek Kumar

Please send your feedback to our email: [email protected]



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Greetings to the readers of Patliavadana from team of Patli Urbanocrats! We hope the 1st edition which is based on Women

Empowerment, is liked by you. Patliavadana is a social initiative, an oath from

which we can bring the possible changes! In oppose of a proverb of Hindi, a single chickpea is working to break the clay pot, we are not waiting for any one to come with us, a crowd is gathered with us. If Dasrath Manjhi has awaited for a crowd, then his work may be turned as his dream. At one side where India has celebrated its Independence Day in last month, another side we have come to you with our 2nd edition on Rural Empowerment. After all, there is an uncountable role of our farmers in our independence as well as our progress.

Villages are calling, coz we need to grow to eat

And yes, we are the citizen of new India and we know to ask for our share. Now, we know that farmers are

doing suicide, we know that the poor farmers are leaving the villages to earn their bread. Now, we know to create new fronts, to make a small thing bigger, to create a mountain and everything. With the help of Social Development, Social Media with our own efforts sometimes we became the role model of people by showing our extended help to poor. But here question arises, do these imaginary drives are really doing something? Everyday we all are used to say that farmers have committed suicide; government is doing nothing. Because we all have became educated. In us, some really comes out to help them. Some gives 15-15 thousands, some 50-50 thousands of rupees to these farmers. Some started working for their country and became famous overnight and got appreciation. And yes, that spirit behind the work is good, and in the culture of India, Those who Give are called as God. But direction is wrong.

Lets, think over it: 1. The cause behind the suicide of Farmers is not only lack of facility but also the lack of knowledge.

2. The maximum effort to educate the farmers went wasted continuously and we are one who know to abuse

system only.

3. If in country people are dying out of starvation after our literacy and development then we are the one

who is responsible behind.

4. We dont want to work in farm only because we are Educated

5. We wanted to get aside after donating some money and we say we can do only this one, and we have

done so.

6. The coming generation will be laced with a mark sheet of 90% and at another side at home there will

be condition of starvation. We can have lakhs of rupees in our hand but we wont have food to eat.

7. We are making them more dependent and more cripple by providing them money.

Its sad that our Farmers dont give their time on study, and educated dont want to do farming;

Even farmers dont want that their children should also work in agriculture.

After all, what to do?

In this technical age, the level of education we are getting, we can use that in agriculture; despite of

helping/giving formal education to farmers; we need to jump into agriculture and after that we can make

our farmers learn about technical advancement rather than giving formal education; at that point our country,

our motherland, our farmers can get benefitted of our high education and at the end we will also get benefitted.

Thanks !

Editorial



Rural Empowerment from eye of New Generation - Manjeeta Puneet

Not everyone is lucky to have a good childhood, not everyone is capable of getting the luxurious life.

Remember, When it rains, the birds find its shelter but eagle flies above the sky what does it mean??

Okay I'll explain it to you, it means that the problem is same for both but the attitude to handle it makes a

difference. In the same way, there are a number of people who are still waiting for their one time meal there

are a number of students who don't even know what does a school mean?

And how does it look alike. I know it is unbelievable but true.

My dear friends there is a totally different world of Rural Area these people are not crazy for smartphones,

they are crazy about water and they are crazy for colleges, about schools and lots of needs.

I know even you will be amazed after reading our article ,guys there are millions of youth who come to town

from village for employment but only few of them gets employment. Unfortunately rest of them suffers a lot

for a small term job also.

It seems they have freed themselves from the cramping controls of traditional institutions of rural life, and

those who were employed, they have to face many problems such as adjustments, language, manners, and in

one word it means "sophisticated, and finally they also leave their job. The situation is so horrible and if we

want to make a difference then we should start it from ourselves.

Guys I will tell you story regarding this, One day a professor called his students and asked them to hold a

glass in hand now he filled water in the glass. He asked them, Are you all right? They nodded their head the

professor asked them to not move their glass until he asks. 15 minutes passed, after that all of the students left

that glass .The professor asked why did you all leave the glass they said that keeping the glass straighten for

several minutes is painful and even it was getting heavier the professor said dear if you can't hold on a glass

for some minutes they why do you carry your problems and worries so long. So my friend if we feel

something is wrong then we should change it.

At last I must say, a knife is a common object if it is in hand of a criminal then it can take many lives but if it

is in hand of a doctor then it can save many lives so it totally depends on you that how you use it..

Friends if we will take a step forward then it is for sure that we will make a difference and none of the people

will have to leave rural area and go to urban cities.

(The writer is a student from Pat-

na. Her keen interest is to work

for society in future through the

different organization)



Rural Empowerment & Innovative Social enterprises - Manoj Pathak

India is a country of villages and 70% of Indian population lives in rural areas. However, the living conditions

of farmers in rural areas are not up to the mark. Fortunately over the past few decades government and also

the public have started to focus on improving the conditions of villages.

There are few important factors on to which the empowerment depends and energy is definitely a major

factor. Availability of electricity would help sustain farming and non-farming activities. It is of immense

importance that we connect our rural areas with grid electricity. However, at present most of the villages do

not have 24x7 power supply which compels them to resort to alternative sources of energy like burning of

wood etc. to meet their daily energy requirement. But few villages have smartly adopted means to harness

solar energy for their basic requirements like to run television sets, to lighten their homes, and also to operate

small pump house to run their water requirement for irrigation. Though solar energy plays an important role,

but off grid / Grid connected electricity is a major part for the rural empowerment, and the next important step

towards the empowerment of rural India should be promotion of Clean Cooking solution in the villages

which is the need of the hour.

These ambitious grassroots initiatives assume significance in light of the growing demand for clean and

affordable cooking energy that is elementary to the quality of life as well as for ensuring socio-economic

development. Without access to affordable energy, it will be impossible to eradicate extreme poverty and

hunger, achieve universal primary education, promote gender equality and empower women or even reduce

child mortality and improve maternal health. Around the world nearly three billion people use biomass for

cooking purposes. Cooking on inefficient and polluting cook stoves causes severe health problems for mil-

lions of women in India. Collecting fuel puts women and children at risk and limits education opportunities.

Cooking on open fire including lot of smoke with under developed cook stoves is the distress as a global

health problem which demands our urgent attention if we really discussing about empowerment. Indian rural

livelihoods need an innovative project which provides improved cook stoves and economic opportunities to

thousands of women in rural areas.

For a complete rural empowerment it is important to have more initiatives including more social enterprise

and an active participation of local educated youth, local bodies in sync with development agencies. This

would ultimately yield extraordinary result in this regard.

(The writer is a innovator and working for its unique system of

thrash reprocessing; www.cleanindiatech.com )



RURAL India: Government, NGOs & People - Arpit Garg

On 15th August 2015, we graciously celebrated our

69th year of independence. The tremendous amount of

achievement and progress which we have made in the

past decades in every field be it science & technology,

defense, infrastructure or medicine is extremely

laudable. As the World Bank quotes, Over the past six

and a half decades India has transformed itself through

agricultural revolution from being dependent on grain

imports to becoming one of the major food exporters in

the world.

In the last quarter of the year 2014, we replaced China as the fastest growing economy of the world. Now,

before you jump onto the conclusion about the bright future of our economy and us utilizing the maximum

potential of our resources, let us look at the other side of the story. The current GDP of India stands at $2.308

trillion and makes it 7th largest nominal GDP of the world. However, it is noteworthy to see that the

contribution of the rural sector of India is not as per the expectations. Rural India houses around 69% of the

total population while it merely contributes to about 32% in the Indian GDP.

Agreed, due to technological limitations, unemployment, and poor infrastructure we cannot expect rural India

to contribute in par with the urban India. But, it is certainly a thing to worry about for a country which is

poised to become the largest economy of the world in a few years. If we shed some light on the present condi-

tion at the state level, we see that Maharashtra and Uttar Pradesh houses the highest urban population in terms

of percentage share with 13.5% and 11.8% respectively and are also tagged as the highest percentage

contributors in the economy of the country at about 14.1% and 8.46% of the Indian GDP respectively. If we

compare this situation with states like Bihar or Punjab, we see that for these two states, they have one of the

highest percentage of rural population in India, but are contributing very less to the GDP of our country. Bihar

houses about 11.1% of the total rural population of India but it lags behind the contribution in the Indian GDP

which is at present about 3.72% only. But, the situation isnt as gloomy as it looks. Slowly and steadily things

are picking up and we are now on the right track to bring the contribution from rural India at par with the ur-

ban population.



Things are rapidly changing and with the present speed of rural empowerment, it is safer to assume that we

may soon see a rapid rise in the development of rural population and make them an important contributor in

the Indian economy.

There are a lot of Rural Empowerment programs currently happening all over India that are taking care of lots

of areas of development like Education, Health and Medicine and providing employment to people belonging

to rural background. For instance, in Bihar there is an organization called SEEKHO India started by a

University of Pennsylvania graduate Zubin Sharma. They have provided free education to over 4000 people

since 2013 through local people. They have trained local people to become teachers and provide elementary

education to the people from all the age groups.

With this education, people may find some form of employment at local shops or can help their children to

learn. Another good instance of Rural Empowerment in Bihar can be seen from the initiatives of project

JEEVIKA started by the Government of Bihar which is also supported by World Bank. Their objective is to

enhance the income of the people through sustainable methods and livelihoods and provide social protection

including food security and help rural poor to bring in a more effective voice for their concerns. The project

covers a large base of 500,000 families of more than 4000 villages which is really commendable. The project

links people with several initiatives in the areas of agriculture, dairy products and micro financing for the

poor. Government has signed MOUs with the banks for opening of the bank accounts for the rural poor and

providing them with the credit they need. The project also covers a very important aspect of cleanliness. This

project trains people on constructing toilets in their homes and maintaining cleanliness around. There are

volunteers too assigned for this task! With the kind of initiatives happening around India and especially Bihar,

we can surely say that soon we may see rural population contributing a lot to the economy. We can see from

the statistics that it has started to give positive results. Bihar has been ranked consistently as number one state

in terms of annual percentage GDP growth since 2010. With a lot of several others initiatives and projects

coming up, we are positive for the growth of rural population in the years to come.

(The writer is a mechanical engineer working in multinational IT-company in Gurgaon. During college time, he was associated with Juvenile care, an NGO working for the devel-opment of underprivileged children. )



The Rural India & Its economy: Before & During British Imperialism

- Shivangi Singh

In the pre-British period India had a self sufficient village economy based on agriculture. The traditional

Indian economy was characterised by small family units of peasants and artisans. A small family farm was

predominant and land was yet not a commodity that was freely bought and sold. Farmers raised crops that

they needed for their use and shared them with artisans in return of their manufactured goods. Agriculture

produce was enough for the farmer and the non-agricultural section of the village. At times when the

favourable climatic conditions led to a surplus produce then it was stored for future use which would help

during famine. As Indian economy was self sufficient India did not indulge in foreign imports on large scale.

In pre-colonial era India had a favourable balance of trade which is an excess of export over import. Reason

for this favourable trade was the excellence of Indian products and its huge demand in the foreign markets.

Colonization disrupted the Indian economy. After the conquest of Bengal by the East India Company the

economic and political conditions started deteriorating which gradually spread throughout the nation. Though

Indian exports to British markets went up from 1.5 million pounds in 1750-51 to 5.8 million pounds in

1797-98 it did not benefit the local manufacturers. Using its political power Company forced the weavers of

Bengal to sell their products at cheaper prices and at times even at a loss. Moreover many of them were

compelled to work for Company at low wages and forbidden to work for Indian merchants thus British

eliminated its Indian competition. At the same time Indian textiles had to pay heavy duties on entering

England as the British products could not compete with the cheaper and better Indian goods.

Furthermore, introduction of Zamindari and Ryotwari systems reduced the status of peasants greatly and

made them mere tenants on the lands owned by the big landlords and the British. The exorbitant land revenue

demand of the East Indian Company worsened the condition of the peasants for instance in Madras the

Government claim was fixed as high as 45 to 55 % of gross production of the ryots. Failure of payment of the

revenue was treated harshly and the land was auctioned. Fear of losing land often compelled peasants to take

loans on high interest rates from the money-lenders and pay the revenue which further added to their misery.

The British conquest gradually drained India of its resources and weakened the Indian economy which is

appropriately remarked by John Sullivan, president of the Board of Revenue, Madras Our system acts very

much like a sponge, drawing up all the good things from the bank of Ganges and squeezing them down to the

banks of Thames. (The writer is professional working in a MNC in Bengaluru )



Why is a girl of 25 thinking about turning 60!

- Shikha Kumari

I am a 25 year old girl born and bought up in a joint family in India. I have witnessed my grandparents getting

old. I have not only been the granddaughter of my own grandparents but all the elderly in my locality. I use to

think that old age is the most fun stage of life cycle. They do not have to go to school, did as they pleased, no

one said anything to them. They always had their family to look after themselves in case of need. They were a

group of almost same cohort who enjoyed each-others company. They taught us (all the children in our

locality), helped in our homework, took decisions for family, they were a kind of doctors who provide natural

solution for common illness like cough, cold etc.

but gradually my notion of this fun stage of life

started changing as they started getting ill, then

diagnosed with chronic illness, started forgetting

things, being stubborn. They were no longer

needed to help us with our home work as most of

the things were in English and to be honest we

thought that now they are not able to help us and

would repeat the same thing again and again.

Decision making power was transferred to their

sons. They do not find anything fruitful to do and

some of them do not want to do anything at all, they said all the time we have worked now our time is to take

rest and enjoy life. Slowly the familial support started to reduce. The reasons were sons getting separated,

marriage of daughters, and migration of children in search of better education and earning condition, working

of females in the family. They were in trap of health concern, vulnerability and uncertainty. There were less

enjoyment and more loneliness. They did not save any money thinking their family and surroundings are their

treasure. They still pass time in each-others company, worrying for their families, still telling stories of their

young age, being to some extent satisfied with their lives but trying to find out what is still missing, what are

the things they should have done. This is not only a case of a small town but more or less the whole India.

According to census 2011, now we have more than 100 million members of this silver generation with us and

their number is only increase. A recent data according to census 2011 that around 15 million elderly live all

alone in India, that is around 4% of the total elderly population and around 9.8% of elderly live in a household

of 2 person at or above the age of 60 years.[1] Aging is a natural and normal phenomenon since the existence

of the mankind and it should not be considered as a burden.



They did everything for their sons, daughters, grandchildren, society and community then why at this stage

they have been called a tsunami on society? What went wrong and how we can mend it? Why are we not able

to provide all the elderly, food, a safe and comfortable living arrangement, some part-time job to feel capable

and their due recognition? I feel these questions needs to be answered for a healthy, happy and satisfied aging

population.

May be its a human tendency to be obsessed with the negative but everything has a silver lining. And this

silver generation is the reservoir of knowledge, wisdom, and experience; still make important contribution to

the society and family. They are not only consumers; they not only buy product and services, but also a pro-

vider who brings inspiration, ethics, and leadership to the society. They preserve and pass on values, culture,

tradition, and legacy to their next generations. Lighter task of household and shops falls to their hands; they

are effective supervisors by virtue of their life experiences. Their roles does not end here, in our society we

believe even after their death, they protect us. Our elders do want to stay mentally sharp, physically fit and

financially secure. They do not need our money, what they need is our time, talk to their children, grandchil-

dren, have a defined role, have a status and place for them themselves. They want to feel that they are needed

in their childrens lives, they want us to hear them out, laugh and cry with them, make them feel they are still

valued and deeply cared for. This would be the best gift we can give to grand parent or any elderly. Slowly

but surely they feel happy about themselves.

We can make this dream true by integrating aging into all aspect of development, take their experience in pol-

icy making decisions, reforming existing policy, pension schemes and laws, stopping corruption, making sure

the resources must go in the hands of needy. Stressing on preventive healthcare and making healthcare

affordable to them, setting up geriatric wards in hospitals and imparting needed training to the doctors and

staff. Provide a social security net for them, empowering them for economic security through various pension

schemes. Provide them part- time work opportunity to earn, some of them lack motivation for participating in

activities beyond recreation and entertainment but they just need a push, a confidence that they can still do.

For poor elderly subsidies in food, clothing, shelter, medical facilities should be there. More old age home

and residential old age colony should be set up with trained and supportive staffs, tackling and stopping elder

abuse with firmness. Encouraging sons to take care of their parents, and making parents aware that there is no

difference in son and a daughter, they can stay with their daughters also, inculcating values and respect in

children from a very young age and encouraging youngers to spend some time with elderly. Those elderly

who are living alone at home and their children send them money to fulfill their needs and arrange a house

help to take care of their needs, should be made aware that economic support cannot substitute emotional

support. (contd)



There is a difference in going to a doctor alone pocket full of money and going with a family member. Of

course treatment will cost money and if they are not capable, government, NGOs and trusts should provide

for them. Making elderly feel that becoming old is not all about loss, infirmity, loss of hair etc. but is about

being mature and child at heart, enjoy their leisure time doing what they missed in the race of economy and

fast moving life. They can still do what they have wanted to do, they have spent their life for their family,

their children but now are the time only for themselves and they are free to spend it as they like. They have

more options now than a decade before; we just need to make them aware of it. According to a UN report,

India has the largest young population in the world[2] after few years (coming 30 to 40 years) this youngest

population will turn into the older one. On paper we have some laws and policies directed for the elderly but

these are mostly on paper. If want to see a bright future for our elderly, we need to work for it starting from

now. Changes has to be made at the grass-root level. Its time India has to think about its elderly social securi-

ty more seriously. Villages and town in India are changing itself in the city model, the bonds between people

are decreasing day by day. Gone are the days when elderly were taken care by the locality, now everyone is

busy in their own lives. They are left on the streets fending for themselves. We need to set up some 3 digits

helpline numbers with round the clock facility to help them. Societies model are prevalent in the cities, so

every society needs to have a phone number especially for the elderly, where they can call at the time of need.

As mentioned above, a large number of elderly are living alone or with their spouse in such colonies. Special

attention on food, recreational activities, safety, transportation etc. must be paid to assist them in their social,

psychological, home, health and security adjustments.

Organized sector, with the consent of the workers can also deduct some amount for their old-age health. For

example- a pool can be set up that collect an amount for their health expenditure in old age. When they need

money for healthcare in old age, the bill can be paid by those pools directly instead of the arrangement in

which they have to pay themselves at the time of need and the money is reimbursed later. it would be made

mandatory that no elderly can transfer all his/her property while being alive, they must be bound to have min-

imum of 20 or 30 or the more percentage of their property on their own name. yes, we do need such kinds of

laws too because in our tradition, parents give everything to their children hoping they would take care of

them but due to various reasons children do not do so. Due to the social stigma and lack of awareness they

live on the street but do not claim maintenance under the Maintenance and welfare of parents and senior citi-

zen Act 2007. National Policy on Senior Citizens 2011, focus on promoting bonding of generations and multi-

generational support by incorporating relevant educational material in school curriculum and promoting value

education,[3] but its still on the papers, if something concrete is not done in this regard then that day is not far

when we also have to enact laws like visit your parents law, this is a law in china. [4] (contd)



Healthy, successful and satisfactory aging is a journey that needs some planning. So, people must be made

aware of it like they should be told how to plan their income effectively, maintain healthy and close relation-

ship with their family members and relatives, and impart good values to their Youngers. We should not only

do something for elderly but also for those, who are going to be 60+. I am thinking about what would it be

like turning 60 and I find that with positive changes it will be dignified, fun-filled and full of life, free to do

things that always wanted to do and now have the time to do them. I want this to be same for everyone and

there is no magic wand, So, with government and society, each one of us has to start planning and working

from today for I, we and all of us of today and tomorrows elderly!!!

[1] http://timesofindia.indiatimes.com/india/15-million-elderly-Indians-live-all-alone census/articleshow/43948392.cms retrieved

on 31/08/2015 at 1:02 am

[2] http://articles.economictimes.indiatimes.com/2014-11-18/news/56221890_1_demographic-dividend-youth-population-

osotimehin retrieved on 31/08/2015 at 1:26 am

[3] National Policy on Senior Citizens 2011 retrieved from http://socialjustice.nic.in/pdf/dnpsc.pdf on 25/08/2015 at 5:53 pm

[4] http://edition.cnn.com/2013/07/02/world/asia/china-elderly-law/ retrieved on 31/08/2015 at 1:57 am

(The writer is researcher, currently pursuing Ph.D. in area of Social Gerontology )



RURAL EMPOWERMENT & ROLE of Administration - Ankita Vats

When Fred W Riggs first attempted to analyze the administrative system of developing countries then he

termed least developed countries as Agraria societies which would later develop and become Industria

societies. This shows the irony of pre-conceived notion of development because countries which were not

active industrially in the past have now become third world countries in spite of their immense natural

resources.

A normal observation would lead us to a

conclusion that development of a country has

more to do with utilization of resources than

with its presence. An island country like Japan

can compete with several developed nations

only due to proper planning and development of

its resources. Thus proper planning is effective

only when mapped with efforts of empowered

nationals.

Africa is known as one of the richest parts of

the world when it comes to natural resources, yet the first thoughts that cross our minds for this rich continent

is of citizens living in dearth of amenities and reeling under gross violation of human rights. It has earned a

name of Dark Continent but not without a reason. The applicability of empowerment stands explained.

India is a developing nation where majority of the population is involved in agricultural activities. But

imagine a nation like India that still lacks proper roads and bridges earns its 58 percent of GDP from service

sector. Certainly these services are not of terrestrial nature. They are majorly outsourced. A generation of

skilled individuals sacrifices a healthy life in pursuit of better standard of living. Is this really necessary?

Skills of these individuals could have been used to cater to its parent nation and would have led to equitable

distribution of resources. When an agriculture scientist returns to his village instead of pursuing masters from

a foreign university he then not only helps solve the ground level problems but also instills sense of

confidence in farmers. According to me this is the real rural empowerment.

But when the highly educated section of our society fail to realize and contribute to the villages then the

various yojnas of the government like Kisan channel, Kisan Call centre, Adarsh Gram yojana and lastly

Panchayati Raj institutions also fail to empower our rural areas satisfactorily.

(contd)



Initiative is required not only from the administration but also from the citizens who need to take the

lead before our villages meet the same fate as of the African.

Empowering the rural section of our country is not optional but is the need of the hour. Gandhiji, fa-

ther of our nation, dreamt of self reliant villages because he saw them as the foundation of a strong

and progressive nation. He dreamt of an India with inclusive approach towards economic well being.

Unfortunately the journey of rural empowerment has certainly hit a roadblock but it needs to be recti-

fied not only by government but by the public too.

We need to move towards a society which is though heterogeneous in systems, practices and view-

point but is multi-functional by serving not only one nation but also the world at large. No wonder

this is the concept of a Developed Society framed by Riggs in his final model.

(The writer is an engineer from BIT Mesra, Patna Ex. She is currently working in a nation-alized bank in Bengaluru.)

Sponsored advt.



Importance Of Health Care Education In Rural India - Vivek Kumar & Cheena Singh

One of the biggest challenges for the health care ministry of India is rural health care. About more than 70%

of population lives in rural areas and they have low level of health facilities and high mortality rates.

Health care is a right of every person whether they are rich or poor

but in India due to lack of infrastructure, dearth of qualified

medical functionaries and non-availability of basic medical

facilities, less than half of the population is actually able to exercise

this right.

In India majority of people belong to rural areas where the

condition of medical facilities is deplorable. There is a need of new

practice & procedure to ensure that quality and timely health care reaches to the deprived corners of Indian

villages. Even though many policies and programs are run by the Government of India but there is always a

question whether those policies and programs are really implemented or not.

In rural India where the number of primary health care (PHCs) is limited, 8% dont have availability of

medical professionals & medical staff, 39% PHCs dont have lab technicians and 18% PHCs dont even

have pharmacist.

As per the World health Organizations latest report on maternal mortality, India is in the top five countries

with the highest rates of deaths. A major portion of rural India faces very poor maternity care. Due to low

quality of health care services, majority of rural people turn to local private health sector as their first choice.

92% of health care visits are to private providers of which 70% belongs to urban population. Besides being

unreliable for the illiterate it is also unaffordable by low income rural folks.

It was hoped that telemedicine technology would bring higher level services to the population at an affordable

cost. Unfortunately, in spite of the hype surrounding the promise of telemedicine, there was no cost effective

technology platform available at the time. High capital cost, poor connectivity, delayed development of

service delivery protocols and non-availability of doctors on demand were the significant barriers. Further,

from an overall service delivery perspective, it was not very clear which conditions needed to be treated at the

village level and which were appropriate to be addressed at the hub. Therefore telemedicine technology failed

to be of much help in the rural India.

(The writers are BDS students from a Medical College of Meerut, U.P.)



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patliavadana : edition 2 rural empowerment

Government & Nonprofit