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Thursday, July 21, 2016

Governing the Governor

The Supreme Court verdict in the Arunachal case leaves no doubt that the Governor is a mere figurehead

In Greek mythology, it is said that Lycurgus, the ruler of Sparta, elicited a promise from his subjects, assuring him of the immutability of his laws till he returned from an impending journey. To make his laws immutable, Lycurgus never returned. Seven justices of the Indian Supreme Court on a historic day in 1973 christened themselves as modern-day Lycurguses, seeking to create, in India’s constitutional context, an island of immutability, aptly titled the “basic structure”. Its value, much like Lycurgus’s fundamentally just laws, has been established over time. Most recently, the Supreme Court implicitly relied on it andstruck down the unilateral actions of the Governor of Arunachal Pradesh in summoning an Assembly session and sending messages to the Assembly as unconstitutional.
As in most other cases where a facet of the basic structure doctrine has been pressed into service, the ends sought to be achieved in the Arunachal Pradesh judgment were lofty — upholding the rule of law, safeguarding the power of judicial review and circumscribing the role that an unelected Governor could play in determining the future course of State politics. However, in reaching these unarguably desirable results, the judgment contains some troubling reasoning that has potential consequences for the future of government- judiciary relations in India.
The Governor’s discretion

In the lead opinion of Justice J.S. Khehar, three propositions of law are clearly laid down — first, the Governor has no power to unilaterally summon an Assembly session unless the government has, in his view, lost its majority; second, he cannot take steps relating to disqualification of the Speaker; and third, he is barred from unilaterally sending messages to the Assembly on any matter. The underlying justification for each of these is the constitutional role of the Governor as the titular head of the State executive. According to Justice Khehar, the Governor is bound by the “aid and advice” of the elected Council of Ministers as the default rule. While he has the discretion to act on his own in certain matters, those matters must be specified “by or under the Constitution”. Inviting the leader of the majority party to form a government is an example of such a matter since there is no Council on whose aid and advice the Governor can act. On the contrary, calling an Assembly session, dictating its agenda and sending messages to the House are not.
According to Justice Khehar, this understanding concords with the larger scheme of the Constitution pertaining to the role of Governors. Unelected Governors were never envisaged as wielding significant powers relating to State administration. They merely possessed the formal authority of state and could act as a safety valve in case there was a breakdown of constitutional machinery. This view is correct, albeit partially — discretion being vested in Governors was a thorny issue in discussions in the Constituent Assembly. The analogous power of the colonial Governor had created great disaffection leading to a strong sentiment to remove discretion of the Governor altogether.
However, in a seminal speech in the Constituent Assembly on July 15, 1947, Vallabhbhai Patel attempted to strike a balance. While ministerial responsibility would be the fundamental rule, the Governor could exercise his discretion in a few matters which were either widely accepted or necessary in an emergency. It is telling that summoning and dissolving Assemblies was one such matter.
Equally, it would be remiss to not point out that the same scheme of the Constitution never envisaged judicial review to correct any such actions of the Governor. In fact, Article 163 specifically provides that in determining which matters fall within the discretion of the Governor, the Governor’s decision will be final. A literal interpretation of this clause would mean that were there any doubts in the constitutional scheme as to whether a Governor could act on his own accord in relation to a matter or not, such decision would rest with the Governor as the highest constitutional authority in a State. It would not be the domain of the courts.
However, for the Supreme Court, an appeal to the scheme of the Constitution and the basic structure doctrine was sufficient to deny the Governor such discretion. This view is founded on the baseline assumption that judicial review is all-pervasive, irrespective of what the Constitution actually says. There is little doubt that such creativity in interpretation was crucial in this case to strike down the actions of the Governor as unconstitutional, which was unquestionably the right result. However, the bluntness of the tool, combined with the blitheness with which judicial review, a basic feature, was used as an interpretive tool contrary to its original intent, means that larger questions about checks and balances in the constitutional framework must be confronted.
Gubernatorial appointments

Any reference to theoretical questions pertaining to checks and balances must necessarily be seen in light of the reality of politicised gubernatorial appointments. There is a marked mismatch between the understanding of the Constitution of the Governor as the dignified head of the State executive and the regular turnover of Governors depending on the party in power at the Centre. This mismatch earlier manifested itself through regular invocations of President’s Rule in States; now that invoking such rule has become onerous owing to strict scrutiny by the Supreme Court, in Arunachal Pradesh the Governor attempted a more direct interference.
The court’s response, acutely cognisant of this history, firmly shuts the door on all such actions. It circumscribes the role of the Governor to an extent that no doubts remain that he is a mere figurehead at the apex of the State administration. While political reality demanded such an interpretation, its definitiveness means that what is lost in the process is any possibility of the Governor acting as a bulwark against abuse of power by an elected State government. The phenomenon of Speakers acting politically, not allowing a no-confidence motion to be tabled and minority governments not summoning the Assembly are not uncommon. In such situations, the Constitution envisaged a restorative power being responsibly exercised by the office of the Governor. However, the propensity of successive governments to hijack such powers for partisan ends trumped this check and balance function. The Supreme Court, by this judgment, has provided its imprimatur against any such role for the Governor in the future.
Changing nature of checks and balances

In substitution, the court has itself taken on the mantle of checking constitutional infractions by a government whenever and wherever they might occur. There are two simultaneous trends at play here — first, a circumscribing of the powers of the legislature and executive based on a careful reading of the Constitution; second, a creeping extension of judicial power based on a nebulous understanding of the basic structure coupled with an intrinsic belief about the court’s own good intentions. This interplay is not unique to this case. Variants of it are clearly visible in three of Justice Khehar’s recent and seminal constitutional law opinions — striking down the National Tax Tribunal Act for being excessively executive-centric; declaring the National Judicial Appointments Commission unconstitutional for taking away judicial primacy in appointment of judges; widening powers of contempt of court by keeping Subrata Roy incarcerated for any length of time that the court feels is necessary to secure compliance with its orders. The rigour that justifies his views on why the Constitution ought to be interpreted in a manner that keeps the executive and legislature in check is in sharp contrast to the assertions that justify judicial expansionism.
Consequences beyond the case

This dissonant understanding of the Constitution has consequences far beyond the facts of this case. First, it reinforces the truly independent nature of the Indian higher judiciary. That the court can so boldly speak truth to power, unseating Chief Ministers and turning back the clock, is testament to the respect accorded to it by the people and governments. Second, it causes a subtle shift in perception of the court from an apolitical institution to an intensely political one. This perception has little to do with the rightness or wrongness of its judgment, but is rather an inevitable by-product of a court that takes its functions of checking and balancing political organs of state very seriously. Third, it adds grist to the clamorous mill demanding greater and more meaningful accountability for judges who exercise such immense power in India’s constitutional framework. With judges using both the basic structure doctrine to strike down constitutional amendments and its facets as tools for interpretation of the Constitution, greater public knowledge on diverse aspects pertaining to their appointments, performance and functioning are going to be continually sought.
Taken together, these tectonic shifts pertaining to government-judiciary relations might ultimately be contested at a fundamental level, questioning the legitimacy of the basic structure doctrine that lies at the heart of the Supreme Court’s current expansionist avatar. If the court continues unabated in this avatar, in a modern-day retelling of Lycurgus’s myth, Lycurgus himself might attempt to return, giving his hitherto immutable laws a timely burial.
Arghya Sengupta is Research Director, Vidhi Centre for Legal Policy, a Delhi-based legal think tank. Views are personal.
Experience Near-death Without Trauma


The writings of saints and mystics through the ages provide nume rous references to regions beyond this world. They wrote of their spiritual journeys and described the incredible beauty , peace, love, and light found there. In the current scientific era, we are taught to verify information through our own experience.Other dimensions
The first question that arises is: Where are the regions of the beyond?
According to sages and those who have made this journey , mystical regions beyond are not in outer space; they are within us.
In scriptures, each religion has its own descriptions recorded of regions beyond this world. Although books on near-death experiences (NDEs) have been published only since the 1970s, people have been experiencing this phenomenon for centuries. A typical NDE involves someone undergoing clinical death due to an accident or illness. They find themselves rushing through a tunnel and emerging at the end of the tunnel into a world of light. During this time there may be a life review that passes before their eyes. Some meet a Being of Light who fills them with a love that is so fulfilling it is unlike anything they experienced on earth. Most say that they did not want to come back from that region. Since it was not their time to leave the body for good, they were suddenly sucked back into the body .
Personal experience
In his book, `Transformed by the Light', Melvin Morse, who visited me at the mission's centre in Naperville, US, spoke about the transformation people experienced when they had an NDE. These reports echo what teachers of Sant Mat or Surat Shabd Yoga have taught all along, and what we continue to teach in our mission. They teach people to experience the numerous regions beyond this world for themselves.
Once a disciple asked how he could find the spiritual realms within.
The saint responded by digging up a plant and transplanting it, saying, “My son, it is very simple. Uproot the plant from here, and replant it there.“
The perplexed student asked, “How did your replanting relate to my question about finding spiritual truth?“ The teacher explained that finding spiritual knowledge was simply a matter of taking our attention from one place and focusing it in another place.
This is what we do in meditation. We simply withdraw our attention from the world outside and focus it at a point within where we can experience spiritual regions beyond. We do not need a traumatic near-death experience.
Meditation is key
In Jyoti Meditation you can sit in a relaxed position for the longest possible time. Close your eyes and concentrate your attention at the point between and behind the two eyebrows, known as the third eye or single eye. To keep the mind still we silently repeat any name of God with which we feel comfortable.
The ultimate goal of meditation is to rise into the `Light' for a visit to the lands beyond. We can travel to inner regions on the current of Light and Sound that we connect with at the third eye. A spiritual teacher can help us connect with this Light and Sound, which is already within us. Meditation is open to all. Light and Sound is there for all. Through meditation, we glimpse into the realms beyond.

How reservations help disadvantaged-caste students get higher education

As many as 26% male and 35% female students from India’s most disadvantaged castes and tribes in 245 engineering colleges would not be there without reservation, according to a new study that says affirmative action policy in higher education works largely as intended.
However, reservations do place those who do not qualify for affirmative action at a disadvantage, said the study of 53,374 scheduled caste (SC), scheduled tribe (ST), other backward caste (OBC) and general students by researchers from the US’ Carnegie Mellon University, published in the American Economic Review.
In this, the first part of a three-part IndiaSpend series exploring disadvantaged Indian communities in higher education, a review of education data confirmed a growing tide of SC/ST students in higher education, but their numbers still lag their proportion in the general population.
The second part will explain why the government must consider restructuring OBC reservation to benefit OBC students from deprived backgrounds, as the Supreme Court has advised, with their proportion in higher-education institutes nearing their proportion in the general population. The third part will explain how Muslims lag every disadvantaged group in higher education, even SCs and STs.

Naveen Gurappu’s story: From diffidence to confidence
Naveen Gurappu, 25, an electrical engineer and doctoral student at the Indian Institute of Technology (IIT), Bombay, is an embodiment of India’s 34-year-old system of reservation for the most disadvantaged groups.
“I would never have come so far if it had not been for the scheduled caste quota and my dad,” said Gurappu, a native of Hyderabad, son of a bank clerk who himself got his job through reservation.
“My dad enrolled me in St Martin’s High School in Hyderabad, a good school, because he wanted me to study well,” said Gurappu, from a scheduled caste called the Malas. “SBI (State Bank of India) pitched in with a yearly fellowship of Rs 500 for stationary, etc. We could not afford extra tuition or the internet at home, even though I badly needed help. Dad paid for my college, coaching and books, he treated me to my first movie—I was in class 11.” The family took a bank loan, which they are repaying, to finance Gurappu’s studies at IIT, which charges SC/ST students about Rs 60,000 per annum for the engineering programme and PhD.

Naveen Gurappu, 25, electrical engineer and doctoral student at IIT Bombay, would not have made it to the Indian Institute of Technology, Gandhinagar, for a graduate engineering degree had it not been for affirmative action. As many as 26% male and 35% female scheduled caste, scheduled tribe and other backward caste students in 245 engineering colleges benefited from reservation in higher education, according to a new study of 53,374 students. (Special arrangement)

In his first year at IIT, Gurappu struggled to grasp lessons, unlike his upper-caste peers. “Still, I was better off than other disadvantaged caste students because I came from a city,” he said.
Reservation helps and motivates the disadvantaged
Affirmative action spurred students from disadvantaged castes–who still lagged upper castes–to perform better in college than in school, said the Carnegie Mellon study which compared the first-year college scores of 42,914 students with their high-school scores.
Gurappu–who struggled to cope initially at IIT Gandhinagar, where he pursued a graduate degree–agreed with that assessment. “In time, I adjusted to the IIT system and standards, and even caught up with toppers in some subjects,” he said. “With the right mindset and opportunity, any socially disadvantaged student can excel in higher education.”
Disadvantaged-caste students were more likely to choose competitive majors, such as electronics, communication and computer science, than other students.
Reservation is an equaliser, but it does not get enough SC/ST/OBC students into higher education.
“Even with the attendance gains from affirmative action, the most disadvantaged castes still attend in smaller proportions than their population shares,” Dennis Epple, co-author of the American Economic Review study and Thomas Lord University Professor of Economics at the Tepper School of Business, Carnegie Mellon University, told IndiaSpend.
“Our work also indicates why affirmative action policies generate debate,” said Epple. “We find that improved educational outcomes for disadvantaged students come at a cost to those who do not receive affirmative action.”
The bottom line: SCs/STs/OBCs benefit from reservation in higher education, but affirmative action should be carefully implemented, periodically reviewed and adjusted to deliver the best outcomes.
IndiaSpend dissected higher-education enrolment data to determine what reservation is still justified in India.
Reservation and higher education expansion boost SC, ST enrolments, but not enough
India introduced 15% and 7.5% reservations for SC and ST candidates respectively in government-aided educational institutions in 1982. Some states tweaked those percentages to factor in local demographics, which the Constitution allows. So in Tamil Nadu, 18% of higher-education is reserved for SCs, 1% for STs. In some central universities in the tribal-dominated northeast, 60% of seats are reserved for ST students.
Between 2000 and 2014, the Gross Enrolment Rate (GER) of SCs–a measure of the percentage of actual enrolments in higher education, regardless of age, in a given academic year, to the 18- to 23-year-old population eligible for higher education in that year–more than doubled while that of STs doubled.
Reservation and higher education expansion boost SC, ST enrolments, but not enough
India introduced 15% and 7.5% reservations for SC and ST candidates respectively in government-aided educational institutions in 1982. Some states tweaked those percentages to factor in local demographics, which the Constitution allows. So in Tamil Nadu, 18% of higher-education is reserved for SCs, 1% for STs. In some central universities in the tribal-dominated northeast, 60% of seats are reserved for ST students.
Between 2000 and 2014, the Gross Enrolment Rate (GER) of SCs–a measure of the percentage of actual enrolments in higher education, regardless of age, in a given academic year, to the 18- to 23-year-old population eligible for higher education in that year–more than doubled while that of STs doubled.

Reservations have had a domino effect, spurring new generations to educate themselves.
“Reservations in past decades have increased the numbers of SC/ST families with highly-educated members, who can encourage–and provide support for–younger family members to continue their education,” said professor emeritus of economics at the University of Michigan, Thomas E Weisskopf, who has argued in favour of reservations for marginalised Indian social groups in higher education.
If parity existed between the share of SCs and STs in the general population and participation in higher education, SCs would occupy a third more seats than they do now, while STs would occupy close to double the seats.
5 ways to increase SC, ST higher-education enrolments
1. Create more infrastructure: Investing in higher education by creating more colleges and universities would help drive SC and ST enrolments, said Sachidanand Sinha of the Centre for the Study of Regional Development, Jawaharlal Nehru University.
SC and ST higher-education enrolments were higher in districts with a higher College-Population Index (C-PI), a measure of the number of colleges in a district for every 100,000 people aged 18 to 23, according to Identification of Educationally Backward Districts, a 2007 study Sinha led for the University Grants Commission.
“Since disadvantaged youth tend to gravitate to government-run and missionary/CSR (corporate social responsibility)-driven institutes, India needs more of those,” he said.
Although the number of colleges and universities has expanded 248% since 2000, from11,146 to 38,813, most new institutes are privately run, which means they are not obliged to reserve seats for SC and ST candidates.
2. Extend affirmative action to private-sector institutions: To drive SC and ST enrolments in private sector institutes, they could be asked to reserve seats for applicants from economically disadvantaged families and offer scholarships, said Bhushan Patwardhan, former vice chancellor, Symbiosis International University, and professor at the Interdisciplinary School of Health Sciences, Savitribai Phule University in Pune.
3. Support students at the intermediate level: “ST and SC candidates need more support at the intermediate level. Scholarships exist for study up to class X and for graduate study but financial assistance for the intermediary expensive preparatory time is missing,” said Gurrapu.
Post-matriculation scholarships start after higher-education admission, pointed out Yagati Chinna Rao, chairperson of the Centre for the Study of Discrimination and Exclusion, School of Social Sciences, Jawaharlal Nehru University, New Delhi. “Between school-leaving and admission, students are on their own. Accommodation expenses, travel to a preparatory centre, etc. fall on the family, which most can ill afford. This is when most dalit children who manage to complete school drop out.”
4. Counsel students about opportunities: Most children from SC and ST families are unaware of many higher-education opportunities, especially where there is no one who has acquired a graduate degree or more, said Rao.
So, students need counselling to understand it benefits them to study instead of working as soon as possible and to learn about opportunities, said Gurrapu. “Students in cities hear about competitive exams very early, but those from rural backgrounds often get to know about competitive exams only when they are in +2 (10th and 11th standard, or pre-university), when it is too late to start preparing,” he said.
5. Encourage CSR initiatives in education for disadvantaged students: “Primary education for all is an objective of many NGOs, higher education for the disadvantaged is not, whereas the latter would help boost primary education too when its beneficiaries raise the next generation,” said Gurappu.
Certainly, education begets education, said Sheldon Danziger of the University of Michigan and Jane Waldfogel of the London School of Economics in Securing the Future: Investing in Children from Birth to College.
“Those who complete more education initially are more likely to seek additional education and additional training,” wrote Danziger and Waldfogel. “Education begins at home; the educational level of a child’s parents is a primary determinant of how much education that child will get and how well she and he will do in school.”
This is the first of a three-part series. Next: 1931 Data Muddies Issue Of Backward-Caste Higher-Education Quotas
(Bahri is a freelance writer and editor based in Mount Abu, Rajasthan.)
IndiaSpend welcomes feedback. Please write to respond@indiaspend.org. They reserve the right to edit responses for language and grammar.
Source: Hindustan Times, 20-07-2016

Correct treatment: How India can be a world leader in medical education

The Lok Sabha on Tuesday passed two bills aimed at putting in place a single common examination for medical and dental courses that will bring even private colleges under its ambit.
“The bill will give statutory status to the NEET. This will make the examination system fair and transparent and students won’t face multiplicity of exams. It will also stop the exploitation of students in the name of capitation fees,” health minister JP Nadda said while replying to the debate.
The National Eligibility and Entrance Test (NEET) was brought in for the first time by the Medical Council of India (MCI) in 2012 to hold a centralised examination for admissions to undergraduate and postgraduate courses in medicine. This would ensure merit-based admissions in a transparent manner and check the irregular admission processes prevalent in some of the private medical colleges.
However, NEET was set aside by the Supreme Court on petitions filed by private medical colleges. While the decision of the apex court was a setback, the court agreed to reconsider its split-decision. A few weeks ago, the court recalled its order of 2013, by which NEET had been set aside, and directed that NEET be conducted for the year 2016.
This was a welcome step. For an equal representation from states, the Government of India decided to promulgate an Ordinance, allowing the states to conduct their own medical entrance examination for the undergraduate course for this year. The Ordinance does not allow private colleges to conduct their own examinations.
NEET is urgently required in India as it will foster a sense of confidence in the admission process, and help in attracting the brightest talent to the medical profession. Moreover, students will be relieved of the burden of appearing in and paying for a number of entrance tests. However, there is criticism of NEET due to the divergence in its course content and standards. The syllabus for NEET was first based on the 10+2 level CBSE and other state boards’ course content. Issues from various quarters were examined by an expert group before finalising the course content and separate merit lists for each state were contemplated. Thus students from a particular state would compete with peers from their own state with no question of any urban-rural divide.
The ordinance does not affect NEET for postgraduate courses, which will be held in December this year. Of course, the timing of the exam could be revisited. Currently, the NEET for postgraduate courses is held at the end of the internship period. This results in students preparing for an entrance test during their internship, thereby compromising on the clinical training period. This adversely impacts the training of graduate doctors. In my view, the internship period should be properly utilised and the entrance process for postgraduate courses should include testing the students’ clinical skills.
Therefore, NEET is only the beginning. The next step should be to have a common exit examination, to ensure uniform standard of evaluation across the country. Presently the deemed or private universities conduct their own exit examinations. There have been murmurs regarding irregularities and the unfair means used in these exit examinations.
Other reform measures can include an increase in the number of postgraduate seats, adoption of a new undergraduate curriculum and adjunct faculty from basic science institutes and eminent clinicians from private hospitals. It is also necessary to review the minimum requirements required for setting up medical colleges. This would incentivise entrepreneurs whose prime interest is to create institutions of excellence providing quality education and training. Such reforms when met with the wealth of clinical material available can make India a world leader in medical education and healthcare.
KK Talwar is chairman, Department of Cardiology, Max Healthcare Institute Ltd, New Delhi and former chairman, Board of Governors, MCI
Source: Hindustan Times, 21-07-2016

Wednesday, July 20, 2016

Economic and Political Weekly: Table of Contents

Vol. 51, Issue No. 29, 16 Jul, 2016

Editorials

50 Years of EPW

H T Parekh Finance Column

Commentary

Book Reviews

Perspectives

25 Years Of Economic Liberalisation

Discussion

Current Statistics

Postscript

Letters

Appointments/Programmes/Announcements

Web Exclusives

Pradhan Mantri Kaushal Vikas Yojana gets Cabinet approval to train 60 lakh youth


Pradhan Mantri Kaushal Vikas Yojana (PMKVY) scheme has come by the central or union government. Under this scheme, various types of courses are present for all candidates and the institution owners also. This scheme is released by the P.M Narendra Modi. PKMVY 2016 Scheme Training is released for the poor candidates. The main motive to start the Pradhan Mantri Kaushal Vikas Yojana 2016 provides the education for all youth, medium category candidates.
The Scheme, completely aligned to the Common Norms as notified earlier, would move to a grant based model where the training and assessment cost would be directly reimbursed to training providers and assessment bodies in accordance with the Common Norms.
Financial support to trainees will be given in the form of travel allowance, boarding and lodging costs. Post placement support would be given directly to the beneficiaries through Direct Benefit Transfer (DBT). Disbursement of training cost to training partners will be linked to Aadhaar and biometrics for better transparency and targeting. Skill training would be done based on industry led standards aligned to the National Skill Qualification Framework (NSQF).
In view of the recommendations of the sub group of Chief Ministers on Skill Development regarding the need to address the unique skill requirements of different States, State Governments would be involved through a project based approach under the PMKVY 2016-20 with 25% of the total training targets, both financial and physical, being allocated under this stream of the Scheme. The financial amount/budget for achieving 25% of the total training targets of next phase of PMKVY would be directly allocated to the States.
Mobilisation, monitoring and post training placement of trainees will be done through Rozgar Melas (placement camps) and Kaushal Shivirs (mobilization camps). There will be special focus on placement of trainees with incentives/disincentives linked to placement as envisaged in the Common Norms. A project based approach for Non formal training for traditional jobs is also proposed. PMKVY will, in addition to catering to domestic skill needs, also focus on skill training aligned to international standards for overseas employment in Gulf countries, Europe and other overseas destinations. There will be scholarship for student undergoing training in high end job roles under the Scheme.
Source: Digital Learning

WHO report sounds alarm on ‘doctors’ in India

More than half of them don’t have any medical qualification, and in rural areas, just 18.8 per cent of allopathic doctors are qualified.

Almost one-third (31 per cent) of those who claimed to be allopathic doctors in 2001 were educated only up to the secondary school level and 57 per cent did not have any medical qualification, a recent WHO report found, ringing the alarm bells on India’s healthcare workforce.
The situation was far worse in rural India, where just 18.8 per cent of allopathic doctors had a medical qualification, the study titled ‘The Health Workforce in India’, published in June 2016, revealed.
Speaking to The Hindu, Dr. Reena Nayyar, Secretary of the Medical Council of India (MCI), said, “I don’t think this report has officially come to the MCI yet. But in general, any person practising allopathic medicine who does not have a registered medical qualification comes under quackery.”
Interestingly, female healthcare workers – 38 per cent of the total – were found to be more educated and medically qualified than their male counterparts.
For instance, among allopathic doctors, 67 per cent of females had a medical qualification compared to 38 per cent of males.
The data for each district in the country from the 2001 census were specially extracted for this study, which provided a comprehensive picture of health workers in each district.
Researchers hoped that a similar study was repeated with data from Census 2011, which was not yet available.
The study revealed that the density of all doctors — allopathic, ayurvedic, homoeopathic and unani — at the national level was 80 doctors per lakh population compared to 130 in China.
Ignoring those who don’t have a medical qualification, the number for India fell to 36 doctors per lakh population. As for nurses and midwives, India had 61 workers per lakh population compared to 96 in China. The number reduced tenfold to 6 per lakh population, if only those with a medical qualification were considered.
Health workers
The study found substantial variation in the density of health workers across States and districts. For instance, Kerala had 38.4 per cent of the country’s medically qualified nurses but constituted only 3.1 per cent of the total population. Similarly, West Bengal had 30.6 per cent of all homoeopathic doctors in the country but only 7.8% of the population. Better-off States seemed to afford more doctors plus nurses per capita, the study noted.
District-wise, the inequalities were massive. The density of allopathic doctors with any level of education in the lowest 30 districts — half of which were in north-eastern States and the other in central States — was a little over 9.4 per lakh of the population whereas, in the highest 30 districts, it was 159 per lakh of population, it said.
In the case of dentists, the situation was even worse. The national density of dentists was extremely low at 2.4 per lakh population, with 58 (of the total 593) districts having no dentists at all in 2001. In fact, 175 districts (30 per cent) had no dentists with a medical qualification.
“The proposed study would provide an extremely valuable benchmark even if only for 2001,” Montek Singh Ahluwalia, former Deputy Chairman of the Planning Commission (now NITI Aayog) noted in the preface to the report. While presenting this study to the then PM Manmohan Singh, he mentioned that all doctors did not need to have an MBBS degree.
“In the period between 2005 and 2009, there was a major expansion of both public education in medical, nursing and allied schools in most States, by as much as 500 per cent in some cases. So the situation would have changed dramatically. There was also a private expansion,” said T. Sundararaman, Dean of the School of Health Systems at the Tata Institute of Social Sciences.
Tackling quacks
There have been no attempts on the part of the government to curb quackery, said Dr. A.V. Jayakrishnan, Chairman of the Standing Committee on Anti-Quackery set up by the Indian Medical Association.
“It is a well-known fact that in many States, quacks are operating in large numbers. Laws are so weak that even if the frauds are caught, they get bail on the following day and start practising again,” he toldThe Hindu.
Source: The Hindu, 18-07-2016