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Swasth Report Card: Rural Areas In Rajasthan Are Still Lagging Behind In Healthcare

A lowdown on Rajasthan’s performance on health parameters and how the state over the years has surpassed the national performance across some indicators while seen a negative trend in other parameters

Swasth Report Card: Rural Areas In Rajasthan Are Still Lagging Behind In Healthcare

New Delhi: The state best known for its arid climate and Thar desert, Rajasthan has more than 75 per cent of its total population living in rural areas. Keeping the massive rural population in consideration, the state government of Rajasthan (GoR) launched two flagship schemes in 2011 – Chief Minister’s Free Medicines Scheme and Chief Minister’s Free Diagnosis Scheme, which aim to reduce health expenses of the people by providing free diagnosis and free medicines to the patients visiting government hospitals. Along with these, Bhamashah Swasthya Bima Yojna (BSBY) is the third flagship scheme being run by the state government of Rajasthan. BSBY consider woman as the head-of-the-family, and transfer all financial benefits to her, giving women the charge of deciding the expenses. With these efforts, Rajasthan has been able to improve its performance to some extent in terms of health, as reported by NITI (National Institution for Transforming India) Aayog’s annual health index that ranks states on health parameters including total fertility rate and sex ratio, healthcare facilities, and others. However, the rural Rajasthan continues to struggle to provide its people with adequate health facilities which is reflected in its performance on the important health indicators like infant mortality, malnutrition and anaemia.

Also Read: Malnutrition In India: Has This Decade Laid Down A Blueprint For A Malnutrition-Free India?

Here are the major health indicators to give a quick look at Rajasthan’s health status:

  • Rural Rajasthan’s Infant Mortality Rate Is Higher Than The Urban Areas: The infant mortality rate (IMR) in Rajasthan according to the fourth and latest National Family Health Survey (NFHS 4) is estimated at 41 deaths before the age of one year per 1,000 live births. Apart from the fact that it is at par with the national rate of 41 deaths per 1,000 births, this is approximately 37 per cent decrease from the NFHS 3 estimate of 65 deaths before the age of one year per 1,000 live births. Even after a downward trend in IMR, it is important to note that the situation of infant mortality is poor in rural areas. IMR is higher in rural areas at 44 deaths per 1,000 live births compared to urban areas which is at 31 deaths per 1,000 live births. This indicates that the state is yet to meet the healthcare demands of women in the child-bearing age and children, especially the new-borns.
IMR is higher in rural areas at 44 deaths per 1,000 live births compared to urban areas which is at 31 deaths per 1,000 live births

Infant Mortality Rate in the state has improved over the years but it is higher in rural areas at 44 deaths per 1,000 live births compared to urban areas which is at 31 deaths per 1,000 live births

    • Under-Five Mortality In Rural Rajasthan Is Almost Twice As High In As Urban Areas: At the state level, mortality among children under five years of age (U5MR) has seen a decline of 40 per cent from 85 deaths per 1,000 live births in NFHS 3 in 2005-06 to 51 deaths in NFHS 4. In terms of under-five mortality, the state is almost at par with the national rate which is 50 deaths per 1,000 live births. In rural areas, however, U5MR is almost twice that of urban areas.

      In terms of under-five mortality, the state is almost at par with the national rate which is 50 deaths per 1,000 live births

      In terms of under-five mortality, the state is almost at par with the national rate which is 50 deaths per 1,000 live births

    • Malnutrition Among Children Under Five Years Of Age, A Challenge For Rajasthan: In Rajasthan, 39 per cent of children under the age of five years are stunted or too short for their age, which indicates that they have been undernourished for some time. 23 per cent are wasted, or too thin for their height and 36.7 per cent are underweight. According to NFHS-4, children’s nutritional status measured in terms of stunting and underweight in Rajasthan has improved since NFHS-3. Stunting among children decreased from 44 per cent to 39 per cent in the 10 years between NFHS-3 and NFHS4, and the percentage of children who are underweight decreased from 40 per cent to 37 per cent. However, in the same period, wasting among children increased from 20 per cent to 23 per cent. Despite the positive changes in stunting and underweight, child malnutrition is still a major problem in Rajasthan, especially in rural areas.

      According to NFHS-4, children’s nutritional status measured in terms of stunting and underweight in Rajasthan has improved since NFHS-3

      According to NFHS-4, children’s nutritional status measured in terms of stunting and underweight in Rajasthan has improved since NFHS-3

      • Anaemia Is Widely Prevalent Among Children And Women In Rajasthan: Anaemia is a condition that is marked by low levels of haemoglobin in the blood and the deficiency of Iron is estimated to be responsible for most cases of anaemia but as per health experts, the condition can also be caused by malaria, nutritional deficiencies, infections, and genetic conditions. Anaemia is a major health problem in Rajasthan, especially among women and children. More than 60 per cent of children under the age of five in the state are anaemic with more prevalence in the rural areas (61.6 per cent) than in the urban areas (55.7 per cent).Forty-seven per cent of women in age group 15-49 in Rajasthan have anaemia.

        More than 60 per cent of children under the age of five in the state are anaemic

        More than 60 per cent of children under the age of five in Rajasthan are anaemic

    Among women also, it is found that in the sample interviewed for the survey, anaemia was high for women living the rural areas (49 per cent) than in the urban areas (40.7 per cent).

    Anaemia is a major health problem in Rajasthan, especially among women and children

    Anaemia is a major health problem in Rajasthan, especially among women and children

    • With Just A Slight Decline In Diarrhoeal Cases, Rajasthan Is Far From Tackling The Disease: The state has been able to reduce Diarrhoea cases by only 3.5 per cent in the past one year, according to the National Health Profile (NHP) 2019 report developed by the Ministry of Health and Family Welfare of the Government of India. As per the report, Diarrhoea cases in the state in 2017 were 9.71 lakh whereas in 2018 it decreased to 9.36 lakh. There has been one case of Diarrhoeal death in 2018 as reported by NHP 2019 which was same in 2017 as well. The state contributes about 7.09 per cent to the total number Diarrhoeal cases in the country which was almost 1.3 crore (1,31,94,775) in 2018.

      Diarrhoea cases in the state in 2017 were 9.71 lakh whereas in 2018 it decreased to 9.36 lakh

      Diarrhoea cases in the state in 2017 were 9.71 lakh whereas in 2018 it decreased to 9.36 lakh

Note: For the National Family Health Survey (NFHS) 4, information for Rajasthan was gathered from a sample of over 34,915 households, which covered 41,965 women, and 5,892 men. In NFHS 3,892 information was collected from households including 3,892 women and 1,471 men.

Also Read: 17 Students Hospitalised In Ajmer After Consuming Milk During Mid-Day Meal

World

24,00,62,413Cases
20,17,73,183Active
3,33,99,961Recovered
48,89,269Deaths
Coronavirus has spread to 195 countries. The total confirmed cases worldwide are 24,00,62,413 and 48,89,269 have died; 20,17,73,183 are active cases and 3,33,99,961 have recovered as on October 16, 2021 at 4:08 am.

India

3,40,53,573 15,981Cases
2,01,6322,046Active
3,33,99,961 17,861Recovered
4,51,980 166Deaths
In India, there are 3,40,53,573 confirmed cases including 4,51,980 deaths. The number of active cases is 2,01,632 and 3,33,99,961 have recovered as on October 16, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

65,88,429 2,149

33,379 222

64,15,316 1,898

1,39,734 29

Kerala

48,38,811 8,867

95,349 1,072

47,16,728 9,872

26,734 67

Karnataka

29,82,869 470

9,700 93

29,35,238 368

37,931 9

Tamil Nadu

26,84,641 1,245

15,238 213

26,33,534 1,442

35,869 16

Andhra Pradesh

20,59,708 586

6,453 135

20,38,960 712

14,295 9

Uttar Pradesh

17,10,014 6

133 2

16,86,984 8

22,897

West Bengal

15,79,463 451

7,513 63

15,52,997 506

18,953 8

Delhi

14,39,337 26

327 10

14,13,921 36

25,089

Odisha

10,34,276 467

4,817 73

10,21,180 535

8,279 5

Chhattisgarh

10,05,624 10

197 6

9,91,857 16

13,570

Rajasthan

9,54,383 1

40 2

9,45,389 3

8,954

Gujarat

8,26,258 14

212 3

8,15,960 17

10,086

Madhya Pradesh

7,92,675 6

106 5

7,82,046 11

10,523

Haryana

7,71,049 14

116 11

7,60,884 3

10,049

Bihar

7,26,021 5

46 4

7,16,314 1

9,661

Telangana

6,68,722 104

4,056 115

6,60,730 218

3,936 1

Assam

6,05,944 97

3,458 188

5,96,547 284

5,939 1

Punjab

6,01,992 21

228 6

5,85,224 25

16,540 2

Jharkhand

3,48,415 9

130 0

3,43,150 9

5,135

Uttarakhand

3,43,739 10

179 4

3,36,163 6

7,397

Jammu And Kashmir

3,30,885 51

895 40

3,25,564 91

4,426

Himachal Pradesh

2,21,203 90

1,361 26

2,16,125 114

3,717 2

Goa

1,77,410 54

648 31

1,73,423 81

3,339 4

Puducherry

1,27,296 37

611 36

1,24,836 73

1,849

Manipur

1,22,545 113

1,444 0

1,19,208 109

1,893 4

Mizoram

1,11,651 932

13,316 285

97,955 1,211

380 6

Tripura

84,299 4

102 8

83,381 12

816

Meghalaya

82,815 81

893 1

80,490 79

1,432 1

Chandigarh

65,297 2

30 2

64,447 4

820

Arunachal Pradesh

54,964 6

183 19

54,501 25

280

Sikkim

31,739 17

189 35

31,159 51

391 1

Nagaland

31,547 31

228 2

30,645 32

674 1

Ladakh

20,871 4

42 2

20,621 6

208

Dadra And Nagar Haveli

10,675

3 0

10,668

4

Lakshadweep

10,365

1 1

10,313 1

51

Andaman And Nicobar Islands

7,641 1

9 1

7,503 2

129

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