Healthy India
September 06, 2018
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“The healthcare initiatives of the Government of India will have a positive impact on 50 crore Indians. It is essential to ensure that we free the poor of India from the clutches of poverty due to which they cannot afford healthcare.”
- PM Narendra Modi

Every Indian deserves affordable and accessible, high quality healthcare. Considering healthcare as one of the key factors in building an inclusive society, PM Narendra Modi’s government has taken many steps for a Healthy India.

Health of Mothers and Children

Pradhan Mantri Surakshit Matritva Abhiyan provides assured, comprehensive and quality antenatal care, free of cost, to all pregnant women on 9th of every month. For ensuring good health of mother and child, more than 1.3 crore antenatal check-ups conducted at over 13,078 health facilities. Further, more than 80.63 lakh pregnant women have been immunized. During screening, more than 6.5 lakh high risk pregnancies were identified.

Pradhan Mantri Matru Vandana Yojana facilitates montary incentive to the pregnant and lactating mother, which enables her to take adequate rest before and after delivery of the firstchild. More than 50 lakh pregnant women are expected to benefit every year with cash incentive of Rs 6,000.
Childhood years are foundational in deciding health of an individual. MissionIndradhanush aims to cover all those children by 2020 who are either unvaccinated, or are partially vaccinated against seven vaccine preventable diseases which include diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B.

Mission Indradhanush completed four phases covering 528 districts wherein 81.78 lakh pregnant women immunized and 3.19 crore children vaccinated. Inactivated Polio Vaccine (IPV), which is more effective than oral vaccine, was introduced in Nov 2015.Around 4 crore doses have been administered to children. Rotavirus Vaccine was launched in March 2016 and nearly 1.5 crore doses have been administered to children. Measles Rubella (MR) vaccination campaign launched in Feb 2017 has covered around 8 crore children. Pneumococcal Conjugate Vaccine (PCV) was launched in May 2017 under which around 15 lakh doses have been administered to children.

Preventive Healthcare

Lifestyle diseases are emerging as a significant health challenge in a rapidly changing world.Under the active leadership of the PM Narendra Modi, Yoga has become a Jan Andolanleading to multiple health benefits for the masses across the world. Since 2015, every year June 21 has been observed as International Yoga Day and has been seeing wide interest and participation across the globe.

In a concerted effort to eradicate malnutrition, POSHAN Abhiyan was launched by PM Narendra Modi’s government. It is first of its kind initiative launched to tackle malnutrition through multimodal interventions. It seeks to reduce malnutrition through convergence, use of technology & a targeted approach.

Affordable and quality healthcare

Ensuring affordable and quality healthcare, 1084 essential medicines, including lifesaving drugs, were brought under price control regime after May 2014, giving the consumer total benefit of nearly Rs. 10,000 crores.

As for Pradhan Mantri Bharatiya Janaushadhi Kendras, more than 3,000 outlets are functional across India, resulting in savings of over 50%. AMRIT (Affordable Medicines and Reliable Implants for Treatment) pharmacies provide drugs for cancer and cardiovascular diseases along with cardiac implants at a 60 to 90 per cent discount on prevailing market rates.

Due to PM Narendra Modi’s government, prices of cardiac stents and knee implants have reduced by 50-70%. It gives a huge financial relief to patients.
Pradhan Mantri National Dialysis Programme launched in 2016 offers free dialysis services for poor and subsidized services to all patients under National Health Mission. Under this programme,nearly 2.5 lakh patients have availed the service and nearly25 lakh dialysis session held so far. There are 497 dialysis operational units/centres and 3330 total operational dialysis machines.

Ayushman Bharat

Higher out of pocket expenditure on health carepushes millions of Indians into the poverty trap. There is a large capacity within the public and private sectors for delivery of health services. Ayushman Bharat is envisaged to provide comprehensive, affordable and quality healthcare leveraging on strengths of public and private health sector.It will be world’s largest health insurance initiative which seeks to provide comprehensive health coverage up to Rs. 5 lakh per family per year to around 50 crore people. It is proposed that 1.5 lakh Sub Centres and Primary Health Care centres to be transformed as Health & Wellness Centre (HWCs) across India to provide Comprehensive Primary Healthcare Services.

A huge boost is being given to health infrastructure across the country:
• 20 New Super Speciality AIIMS–like hospitals are being set up
• Total 92 Medical Collegeshave been set up in last four years, which resulted in an increase of 15,354 MBBS seats
• 73 Government Medical Colleges are being upgraded
• Since July 2014, 1675 hospital beds were added in the six functional AIIMS
• 2 new AIIMS announced for Jharkhand and Gujarat in 2017-18.
• Total 12,646 PG Seats (Broad & Super Specialty Course) have been added in last four years.

Policies and laws

National Health Policy was formulated in 2017, after a gap of 15 years. It addresses current & emerging challenges based on changing socio-economic & epidemiological landscapes.

Mental health, previously a much-ignored area, has also assumed importance under the NDA government led by PM Narendra Modi. Mental Healthcare Act, 2017 adopts a rights-based statutory framework for mental health in India and strengthens equality and equity in provision of mental healthcare services to protect the rights of people with mental health problems.

Disease Elimination

Tuberculosis (TB) is an infectious disease. India accounts for one-fourth of the global incidence of TB cases. The Sustainable Development Goals have set the target of ending the TB epidemicby 2030. Intensifying the efforts to eliminate TB in India ahead of global targets, treatment for drug sensitive TB is being provided through 4 lakh DOT centres under the government of PM Narendra Modi. The government has also taken up house to house screening of TB symptoms covering 5.5 crore population under Active Case Finding.As TB affects the nutrition and income of the patient because of the restrained mobility, DBT of Rs. 500 monthly nutritional support has been provided for the duration of the treatment.

Action plans to eliminate Leprosy by 2018, Measles by 2020 and TB by 2025 are beingimplemented. India has validated elimination of maternal & neo-natal tetanus in May 2015, before the global target of December 2015.

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Infrastructure and connectivity act as arteries for development and growth of any nation. It is evident that infrastructure development has been given priority by the NDA government under PM Narendra Modi. For fulfilling the dream of New India, the NDA government is focussing on development of railways, roadways, waterways, aviation or affordable housing.

Railways

The Indian rail network is one of the largest railway networks in the world. The pace of track renewal, elimination of unmanned level crossings and commissioning of broad gauge lines has significantly improved during NDA government under PM Modi.

Railways recorded its best-ever safety record with less than 100 accidents in a year in 2017-18. Data reveals that 118 railway accidents were recorded in 2013-14 which have declined to 73 in 2017-18. 5,469 unmanned level crossings have been eliminated, with average pace of elimination at 20% more than that of 2009-14. All unmanned level crossings on broad gauge routes targeted to be eliminated by 2020 for better safety.

Bringing railways development on track, there is a 50% increase in track renewal, from 2,926 km during 2013-14 to 4,405 km during 2017-18. Broad gauge commissioned during 4 years of NDA government under PM Modi (9,528 km) is much greater than that commissioned during 2009-14 (7,600 km).

For the first time Northeast India is fully integrated with the rest of India with the entire network converted to broad gauge. It brought Meghalaya, Tripura and Mizoram on the rail map of India after 70 years of independence!

For developing New India, we need advanced technology too. The bullet train, planned from Mumbai to Ahmedabad, will reduce travel time from about 8 hrs to 2 hrs.

 

Aviation

Rapid progress is happening in civil aviation sector too. Promising affordable air travel under UDAN (Ude Desh ka Aam Nagrik), 25 operational airports have been added in just 4 years, as opposed to 75 airports between Independence and 2014. Regional air connectivity to unserved and underserved airports at subsidised fare of Rs 2,500 per hour has helped to fulfil dream of many Indians to travel by air. Thus, for the first time more people travelled in airplanes than in AC trains.

With passenger traffic growth in the range of 18-20% in the past three years, India has emerged as the world’s third largest aviation market. Number of domestic air passengers crossed 100 million in 2017.

 

Shipping

India is also taking rapid strides in the shipping sector under PM Narendra Modi’s government. Accelerating port-led development, the turn around time at major ports have been reduced by a third, from 94 hrs in 2013-14 to 64 hrs in 2017-18.

Consider the cargo traffic at major ports. It declined from 570.32 MT in 2010-11 to 545.79 MT in 2012-13. However, under the NDA government it improved to 679.367 MT during 2017-18, a whopping increase of more than 100 MT!

Inland waterways significantly reduce the transportation costs and boost the economy apart from reducing carbon foot print. 106 national waterways were added in the last 4 years compared to 5 national waterways in the last 30 years.

Road development

Expansion of highways with multi-modal integration has been taken up under transformative project Bharat Mala Pariyojana. National highway network expanded from 92,851 km in 2013-14 to 1,20,543 km in 2017-18.

Setu Bharatam project for safer roads, with total outlay of Rs. 20,800 crores, envisages building of railway overbridges or under passes to make all National Highways free of railway level crossings.

The pace of road construction has almost doubled. Speed of highways construction was 12 km per day during 2013-14 which stood at 27 km per day as of 2017-18.

 

Development of India’s longest ever tunnel, Chenani-Nashri, in Jammu as well as India’s longest bridge, Dhola-Sadiya, for enhanced connectivity to Arunachal Pradesh are testimony to the commitment to take development to hitherto untapped regions. Building of bridges over Narmada at Bharuch and Chambal at Kota have also improved road connectivity in the regions.

Roads act as catalysts for rural development. Considering its importance, almost 1.69 lakh kms of rural roads have been built in 4 years. Average speed of road construction improved from 69 km per day in 2013-14 to 134 km per day in 2017-18. Presently, rural road connectivity is more than 82%, as against 56% in 2014, making villages become a part of India’s development trajectory.

Tourism has immense potential for employment generation. To enhance pilgrimage experience along with a boost to the tourism sector, Char Dham Mahamarg Vikas Pariyojana was launched. It seeks to make journey safer, faster and more convenient. It entails development of around 900 km of national highways at an approximate cost of Rs 12,000 crore.

With boost to the infrastructure, more movement of freight takes place and adds strength to the economy. Due to efforts of the NDA government, highest ever freight loading (1,160 MT) was recorded in the year 2017-18.

Urban transformation

For urban transformation through Smart Cities, around 100 urban centres have been chosen to ensure improved quality of living, sustained urban planning and development. Various development projects in these cities will positively impact almost 10 crore Indians. These projects will cost Rs. 2,01,979 crores.

Around 1 crore affordable houses have been built under the Pradhan Mantri Awas Yojana in both rural and urban areas. To benefit the middle and neo middle classes, housing loans up to Rs 9 lakh and Rs 12 lakh are eligible for interest subvention of 4% and 3%.