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GS Paper: GS2-13.Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.

  • Anganwadis should provide early childhood care and education

    Context

    The National Education Policy, 2020 has rightly highlighted the importance of early childhood care and education (ECCE), vital for the young child’s early cognitive, social, and emotional development.

    Need for focus on early childhood care and education (ECCE)

    • The National Family Health Survey-5 (NFHS-5) finds only 13.6 per cent of children enrolled in pre-primary schools.
    • With its overriding focus on health and nutrition, ECCE has hitherto been the weakest link of the anganwadi system.
    • Multiple administrative duties have left anganwadi workers with little time for ECCE.
    • A child’s early learning begins at birth, initially through stimulation, play, interactions, non-verbal and verbal communication.
    • Unfortunately, due to a lack of parental awareness compounded by the daily stresses of poverty, disadvantaged households are unable to provide an early learning environment.
    • The existing system at best serves the age group of 3-6 years, ignoring infants and toddlers.

    Way forward

    1] A meaningful ECCE programme in anganwadis

    • A meaningful ECCE programme in anganwadis is not only a more intelligent and cost-effective strategy but is also feasible to implement through seven concerted actions.
    • 1)Activity-based framework which reflect local context: To design and put in place a meaningful activity-based ECCE framework that recognises the ground realities with autonomy to reflect the local context and setting.
    • 2) Remove non-ICDS work: Routine tasks of anganwadi workers can be reduced and non-ICDS work, such as surveys, removed altogether.
    • 3)Extend Anganwadi time: Anganwadi hours can be extended by at least three hours by providing staff with an increase in their present remuneration, with the additional time devoted for ECCE.
    • Karnataka has already taken the lead; its anganwadis work from 9.30 am to 4 pm.
    • This will have the added benefit of serving as partial daycare, enabling poor mothers to earn a livelihood.
    • 4) Change in policy mindset: ICDS needs a change in policy mindset, both at central and state levels, by prioritising and monitoring ECCE.
    • 5) Engagement with parents: Anganwadi workers must be re-oriented to closely engage with parents, as they play a crucial role in the cognitive development of young children.
    • Responsive parenting requires both parents to play an active role in ECCE activities at home; therefore, anganwadi workers should be asked to consciously engage with fathers too.
    • Appropriate messaging and low-cost affordable teaching materials can be designed and made accessible to parents.
    • 6) Activity-based play material: ICDS must supply age-appropriate activity-based play material in adequate quantities regularly, and anganwadi workers encouraged to utilise them in a liberal manner.
    • 7) Invest in research and training: States should invest in research and training to support early childhood education, and ensure that the ECCE programme is not a downward extension of school education.

    2] Pre-primary sections in government primary schools

    • Some educationists have suggested that owing to the high workload of anganwadi workers, ECCE in anganwadis would remain a non-starter.
    • Therefore, all government primary schools should open pre-primary sections, with anganwadis limiting themselves to the 0-3 age group.
    • Challenges: It would require a massive outlay to build over a million classrooms with a million nursery teachers and helpers — even a conservative estimate would put the additional annual outlay at over Rs 30,000 crore.
    • Moreover, with child stunting levels at 35 per cent in India, would children enrolled in pre-schools would require supplementary nutrition and health monitoring.
    • This would overburden the nursery teacher.

    Conclusion

    Nearly 1.4 million anganwadis of the Integrated Child Development Services (ICDS) across India must provide ECCE for the millions of young children in low-income households.

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  • Budgeting for the education emergency

    Context

    Faced with an unprecedented education emergency, this is the time to substantially ramp up public spending on education and make it more effective.

    Low allocation for education

    • UNESCO’s 2030 framework for action suggests public education spending levels of between 4% and 6% of GDP and 15%-20% of public expenditure.
    • A recent World Bank study notes that India spent 14.1 % of its budget on education, compared to 18.5% in Vietnam and 20.6% in Indonesia, countries with similar levels of GDP.
    • But since India has a higher share of population under the age of 19 years than these countries, it should actually be allocating a greater share of the budget than these countries.
    • Public spending on education in most States in India was below that of other middle-income countries even before the pandemic.
    • Most major States spent in the range of 2.5% to 3.1% of State income on education, according to the Ministry of Education’s Analysis of Budgeted Expenditure on Education.
    • This compares with the 4.3% of GDP that lower-middle-income countries spent, as a group, between 2010-11 and 2018-19.
    •  In the 2021-22 Budget, the Central government’s allocation for the Education Department was slashed compared to the previous year, even though the size of the overall budget increased.
    • Of the major States and Delhi, eight either reduced or just about maintained their budget allocation for education departments in 2021-22 compared to 2020-21.

    Way forward

    • The vast majority of the 260 million children enrolled in preschool and school, especially in government schools, did not have meaningful structured learning opportunities during the 20 months of school closures.
    • Infusion of resources: The education system now needs not only an infusion of resources for multiple years, but also a strengthened focus on the needs of the poor and disadvantaged children.
    • What it is spent on and how effectively resources are used are important.
    • It is clear what additional resources are required for.
    • The needs include: back-to-school campaigns and re-enrolment drives; expanded nutrition programmes; reorganisation of the curriculum to help children learn language and mathematics in particular, and support their socio-emotional development, especially in early grades; additional learning materials; teacher training and ongoing support; additional education programmes and collection and analysis of data.
    • Focus on teacher training:  How does expenditure on technology compare with the amounts spent on teacher training, which represents just 0.15% of total estimated expenditure on elementary education?
    • Teachers are central to the quality of education, so why does India spend so little on teacher training?

    The opacity of education finance data in India

    • The opacity of education finance data makes it difficult to comprehend this.
    • For instance, the combined Central and State government spending on education was estimated to be 2.8% of GDP in 2018-19, according to the Economic Survey of 2020-21.
    • This figure had remained at the same level since 2014-15.
    • On the other hand, data from the Ministry of Education indicates that public spending on education had reached 4.3% of GDP in the same year, rising from 3.8% of GDP in 2011-12.
    • The difference in the figures is due to the inclusion of expenditure on education by departments other than the Education Department.
    •  Including expenditure on education by, for example, the Ministry of Tribal Affairs, the Ministry of Social Justice and Empowerment (on Anganwadis, scholarships, etc.), the Ministry of Science and Technology (for higher education) is of course legitimate.
    • However, the composition of these expenditures is not readily available.

    Conclusion

    The questions for this Budget should be clear. How much additional funds are being allocated for different levels of education by the principal departments in 2021-22? Are the funds being spent on the specific measures required to address the education emergency facing the children?

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  • National Education Alliance for Technology (NEAT) Scheme

    NEAT, first-of-its-kind government scheme, set in motion over two years ago, has finally taken shape, bringing courses offered by a group of edtech platforms within the reach of college and university students from socio-economically disadvantaged backgrounds.

    NEAT Scheme

    • The National Education Alliance for Technology (NEAT) is implemented by the All India Council for Technical Education (AICTE).
    • It aims to act as a bridge between edtech companies, academic institutions and students.
    • The initiative was taken after a Ministry of Education review noted that learning tools developed by edtech platforms that can supplement classroom teaching need to be made more accessible.
    • Accordingly, it was proposed that a portal be created where edtech platforms can be roped in to display their products after a shortlisting process.

    What are the products on display in the portal?

    • The NEAT portal has separate sections listing products for students and educational institutes respectively.
    • The companies were shortlisted by independent expert committees leaving no room for favouritism, he said.
    • Under the B2B (business to business) segment of the portal, courses are on offer for higher education institutes to purchase in bulk for their students.
    • And the B2C (business to customer) section lists courses that eligible students can browse through and choose from.
    • The courses range from accounting and finance to coding, including advanced programming languages like python.

    How to enroll into this scheme?

    • There are two different ways through which students can enroll under the scheme.
    • The basic objective of the scheme is to make students from disadvantaged backgrounds aware of the availability of such opportunities that can help them learn new skills or polish existing ones.
    • In that regard, the AICTE reached out to higher education institutes across the country, directing them to inform students about the portal and enroll them based on their needs and consent.
    • The edtech platforms have been allowed to charge fees as per their policies.

    How will it benefit students from backward communities?

    • In order to do that, the government has mandated that every shortlisted company will have to offer free coupons to the extent of 25 per cent of the total registrations for their solution through NEAT portal.
    • Through this route, the government created a bank of 12.15 lakh free coupons over the last two years.
    • And it has now started distributing those coupons among students belonging to SC/ST/OBC and EWS categories with the annual family income cap fixed at Rs 8 lakh.

    What are the courses in demand?

    • The top five courses in terms of demand are python programming, C, C++, Java programming, data science, life science and healthcare analysis, and interview preparation.

     

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  • Extinguishing the tobacco industry’s main narrative

    Context

    There is no doubt that tobacco use is highly detrimental to public health. We have to find the ways and the means to reduce the demand for tobacco among existing as well as aspiring users.

    Impact of tobacco

    • Tobacco is a product that kills more than 13 lakh Indians every year.
    • Annual burden: The annual economic burden from tobacco use is estimated to be â‚č177,340 crore which is more than 1% of India’s GDP.
    • About 27 crore people above the age of 15 years and 8.5% of school-going children in the age group 13-15 years use tobacco in some form in India.

    Are price and tax measures effective against tobacco use?

    • When tobacco products become more expensive, people either quit using them or use them less, and it incentivises many to not initiate the habit.
    • Because it hurts both revenue and profits, the tobacco industry, globally, is always devising tactics and narratives that will pre-empt any kind of tax increases on tobacco products.
    • The narrative of “increasing illicit trade” is something the tobacco industry has historically used to pre-empt potential tax increases on tobacco products in most countries around the world.
    • The story is no different in India.
    • In a recent report by the Tobacco Institute of India, it was said that the illicit cigarette volume in India has grown by 44% from 2011 to 2019 while adding that high and increasing tax rates provide a profitable opportunity for tax evasion and encourage growth in illegal trade.
    • A study published in 2018 which used a survey of empty cigarette packs collected from retail outlets across different cities in India estimated that illicit cigarettes constitute 2.7% of the market.
    • The second study published in 2020 used tax-gap analysis to estimate that the percentage of illicit cigarettes was 5.1% in 2009-10 and 6.6% in 2016-17.

    Are taxes and prices key determinants of illicit trade?

    • It is to be noted that taxes and prices are not the key determinants of illicit trade.
    • There is sufficient evidence in the literature on illicit trade in cigarettes that shows tax increases only have a minimal impact, if at all, on illicit trade.
    • There are several countries where tobacco taxes are quite high and yet have low levels of illicit trade, while there are also countries with high levels of illicit trade despite having relatively low tax rates.
    • Several factors such as the quality of tax administration, the strength of the regulatory framework, government commitment to control illicit trade, the strength of governance, social acceptance, and the presence of informal distribution networks are known to play a larger role in determining the scale and the extent of an illicit market.

    Way forward

    • WHO protocol: Eliminating all forms of illicit trade in tobacco products through a package of measures is one of the major objectives of the Protocol to Eliminate Illicit Trade in Tobacco Products under the World Health Organization’s Framework Convention on Tobacco Control.
    • The Protocol provides the tools and the measures to eliminate or minimise illicit trade which includes strong governance, establishing an international track and trace system, and securing supply chains.
    • India has already ratified the World Health Organization Protocol and it should now show leadership in implementing these measures to effectively address even the relatively lower levels of illicit trade.

    Conclusion

    There is no scientific or public health rationale not to increase tax on tobacco products for unfounded fear of increasing illicit trade.

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  • Worrying trends in nutrition indicators in NFHS-5 data

    Context

    The NFHS-5 factsheets for India and all states and Union territories are now out. At first glance, it appears to be a mixed bag — much to cheer about, but concern areas remain.

    Positives from the NFHS-5 survey

    • Change in demographic trends: For the first time since the NFHS 1992-93 survey, the sex ratio is slightly higher among the adult population.
    • Improvement in sex ratio at birth: For the first time in 15 years that the sex ratio at birth has reached 929 (it was 919 for 1,000 males in 2015-16).
    • The total fertility rate has also dropped from 2.2 per cent to a replacement rate of 2 per cent, albeit with not much change in the huge fertility divide between the high and low fertility states.
    • Improvement in literacy level of women: There has been an appreciable improvement in general literacy levels and in the percentage of women and men who have completed 10 years or more of schooling, which has reached 41 per cent and 50.2 per cent respectively.
    • Improvements in health indicators: The health sector deserves credit for achieving a significant improvement in the percentage of institutional births, antenatal care, and children’s immunisation rates.
    • There has also been a consistent drop in neonatal, infant and child mortality rates — a decrease of around 1 per cent per year for neonatal and infant mortality and a 1.6 per cent decrease per year for under five mortality rate.

    Nutrition: Area of concern

    • Increase in anaemic people: India has become a country with more anaemic people since NFHS-4 (2015-16), with anaemia rates rising significantly across age groups, ranging from children below six years, adolescent girls and boys, pregnant women, and women between 15 to 49 years.
    • Why anaemia is a concern? Adverse effects of anaemia affect all age groups — lower physical and cognitive growth and alertness among children and adolescents, and lesser capacity to learn and play, directly impacting their future potential as productive citizens.
    •  Further, anaemia among adolescent girls (59.1 per cent) advances to maternal anaemia and is a major cause of maternal and infant mortality and general morbidity and ill health in a community.
    • The detailed report will explain why a dedicated programme like Anaemia Mukt Bharat which focused on IFA consumption failed to gain impetus.
    • Slow pace of improvement in nutritional indicators: Between NFHS 4 and NFHS 5, the percentage of children below five years who are moderately underweight has reduced from 35.8 per cent to 32.1 per cent.
    • Moderately stunted children have fallen from 38.4 per cent to 35.5 per cent, moderately wasted from 21 per cent to 19.3 per cent and severely wasted have increased slightly from 7.5 per cent to 7.7 per cent.
    • Inadequate diet: The root cause for this is that the percentage of children below two years receiving an adequate diet is a mere 11.3 per cent, increasing marginally from 9.6 per cent in NFHS-4.

    Way forward

    • India’s nutrition programmes must undergo a periodic review.
    • The Integrated Child Development Services (ICDS), which is perceived as the guardian of the nation’s nutritional well-being must reassess itself and address critical intervention gaps, both conceptually and programmatically, and produce rapid outcomes.

    Conclusion

    The nutritional deficit which ought to be considered an indicator of great concern is generally ignored by policymakers and experts. Unless this is addressed, rapid improvement in nutritional indicators cannot happen.

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  • [pib] What is Nai Talim?

    The Vice President of India has said that the New Education Policy follows the ‘Nai Talim’ of Mahatma Gandhi by giving importance to the mother tongue as the medium of instruction at the school level.

    What is Nai Talim?

    • The phrase Nai Talim is a combination of two words- Nai Means ‘New’ and Talim – a Urdu word-means ‘Education’.
    • In 1937, Gandhiji introduced the concept of Nai Talim in India. It aimed to achieve Gram Swaraj (liberation of villages).
    • In short, Gandhiji dreamed to make all villages independent; and self-reliant.
    • It is an approach to the total personality development of body, mind and spirit and was based on four principles namely:
    1. Education or learning in mother tongue along with handicraft work,
    2. Work should be linked with most useful vocational needs of the locality,
    3. Learning should be linked with vocational work, and
    4. Work should be socially useful and productive needed for living.

    Gandhiji and Education

    • Gandhi’s first experiments in education began at the Tolstoy Farm ashram in South Africa.
    • It was much later, while living at Sevagram (Wardha) and in the heat of the Independence struggle, that Gandhi wrote his influential article in Harijan about education.
    • In it, he mapped out the basic pedagogy (or teaching) with focus on:
    1. Lifelong character of education,
    2. Social character and
    3. A holistic process
    • Thus, for Gandhi, education is ‘the moral development of the person’, a process that is by definition ‘lifelong’.
    • He believed the importance of role of teacher in the learning process.

     

    Try this PYQ from CSP 2020:

     

    Q. One common agreement between Gandhism and Marxism is

    (a) The final goal of a stateless society

    (b) Class struggle

    (c) Abolition of private property

    (d) Economic determinism

     

     

    [wpdiscuz-feedback id=”3i9ahv7hw9″ question=”Please leave a feedback on this” opened=”1″]Post your answers here:[/wpdiscuz-feedback]

     

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  • HC allows woman to terminate 28-week pregnancy

    The Delhi High Court has permitted a 28-week pregnant woman to undergo medical termination of pregnancy on account of substantial foetal abnormality.

    What did the HC rule?

    Ans. Termination of Pregnancy is a matter of Right

    • The High Court said the woman cannot be deprived of the freedom to take a decision to continue or not to continue with the pregnancy, due to foetal abnormalities.
    • HC ruled that reproductive choice is a dimension of personal liberty that is enshrined in Article 21 of the Constitution.
    • It stated that allowing the pregnancy to continue would have a deleterious impact on the petitioner’s mental health.
    • The petitioner cannot be deprived of the freedom to take a decision to continue or not to continue with the pregnancy in view the medical board’s opinion.

    What is the Medical Termination of Pregnancy (MTP) Act?

    • Abortion in India has been legal under various circumstances for the last 50 years with the introduction of MTP Act in 1971.
    • The Act was amended in 2003 to enable women’s accessibility to safe and legal abortion services.

    Termination of pregnancy is permitted for a broad range of conditions up to 20 weeks of gestation as detailed below:

    1. Threat to mother: When the continuation of pregnancy is a risk to the life of a pregnant woman or could cause grave injury to her physical or mental health;
    2. Child abnormalities: When there is substantial risk that the child, if born or dead would be seriously handicapped due to physical or mental abnormalities;
    3. Rape survivors: When pregnancy is caused due to rape (presumed to cause grave injury to the mental health of the woman);
    4. Failure of contraception: When pregnancy is caused due to failure of contraceptives used by a married woman or her husband (presumed to constitute grave injury to mental health of the woman).

    Conditions for abortion

    • The MTP Act specifies – (i) who can terminate a pregnancy; (ii) till when a pregnancy can be terminated; and (iii) where can a pregnancy be terminated.
    • There must be an opinion formed of a doctor, that the pregnancy would cause a risk to the life of the pregnant woman or grave injury to her physical or mental health.
    • When a pregnancy exceeds 20 weeks but not 24 weeks, termination is permissible on the opinion formed of two registered medical practitioners.

    What was the recent case?

    • In the present case, the woman has completed 28 weeks of pregnancy.
    • As the MTP Act does not permit pregnancy termination beyond 24 weeks, she approached the court.
    • Various anomalies were found in the heart of the foetus in the foetal ECG.

    Key issues

    There are differing opinions with regard to allowing abortions.

    • One opinion is that terminating a pregnancy is the choice of the pregnant woman and a part of her reproductive rights.
    • The other is that the state has an obligation to protect life, and hence should provide for the protection of the foetus.
    • Across the world, countries set varying conditions and time limits for allowing abortions, based on foetal health, and risk to the pregnant woman.

    Conclusion

    • Access to abortion facilities is limited not just by legislative barriers but also the fear of judgment from medical practitioners.
    • It is imperative that healthcare providers be sensitized towards being scientific, objective and compassionate in their approach to abortions.

    Also read

     

    Termination of Pregnancy (MTP) Amendment Bill, 2020

     

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  • Atal Ranking of Institutions on Innovation Achievements (ARIIA), 2021

    Atal Ranking of Institutions on Innovation Achievements (ARIIA) 2021 has been recently released.

    About ARIIA

    • ARIIA is an initiative of erstwhile Ministry of HRD, implemented by AICTE and Ministry’s Innovation Cell.
    • It systematically ranks all major higher educational institutions and universities in India on indicators related to “Innovation and Entrepreneurship Development” amongst students and faculties.
    • ARIIA 2020 will have six categories which also includes special category for women only higher educational institutions to encourage women and bringing gender parity in the areas of innovation and entrepreneurship.
    • The other five categories are 1) Centrally Funded Institutions 2) State-funded universities 3) State-funded autonomous institutions 4) Private/Deemed Universities and 5) Private Institutions.

    Major Indicators for consideration

    • Budget & Funding Support.
    • Infrastructure & Facilities.
    • Awareness, Promotions & support for Idea Generation & Innovation.
    • Promotion & Support for Entrepreneurship Development.
    • Innovative Learning Methods & Courses.
    • Intellectual Property Generation, Technology Transfer & Commercialization.
    • Innovation in Governance of the Institution.

    Key highlights of 2021 report

    • Seven IITs and the IISc, Bengaluru, are among the top 10 central institutions in promotion and support of innovation and entrepreneurship development.
    • The top rank has been bagged by the IIT, Madras followed by the IITs in Bombay, Delhi, Kanpur and Roorkee.
    • The IISc has bagged the sixth position in the ranking followed by the IITs in Hyderabad and Kharagpur, the NIT, Calicut.

     

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  • NITI Aayog releases fourth edition of State Health Index

    NITI Aayog has released the fourth edition of the State Health Index for 2019–20.

    State Health Index

    • The State Health Index is an annual tool to assess the performance of states and UTs. It is being compiled and published since 2017.
    • The index is part of a report commissioned by the NITI Aayog, the World Bank, and the Union Health and Family Welfare Ministry.
    • The reports aim to nudge states/UTs towards building robust health systems and improving service delivery.

    Components of the index

    • It is a weighted composite index based on 24 indicators grouped under the domains of ‘Health Outcomes’, ‘Governance and Information’, and ‘Key Inputs/Processes’.
    1. Health outcomes: It includes parameters such as neonatal mortality rate, under-5 mortality rate, and sex ratio at birth.
    2. Governance: This includes institutional deliveries, average occupancy of senior officers in key posts earmarked for health.
    3. Key inputs: It consists of the proportion of shortfall in healthcare providers to what is recommended, functional medical facilities, birth, and death registration, and tuberculosis treatment success rate.

    Performance of the states

    • For the fourth year in a row, Kerala has topped a ranking of States on health indicators. Uttar Pradesh has come in at the bottom.
    • Kerala is followed by Tamil Nadu and Telangana, which improved its ranking.

     

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  • Issues with Health Surveys in India

    This article discusses the feasibility of conducting a single comprehensive survey for collecting health-related data in India.

    Context

    • In a country perennially thirsty for reliable health data, the National Family Health Survey (NFHS) is like an oasis.
    • It has a large volume of data that is openly accessible.
    • The report of the fifth round of the NFHS was recently released. Since then, we had many articles covering different aspects (malnutrition, fertility, and domestic violence to name a few).

    What is NFHS?

    • The NFHS is a large-scale, multi-round survey conducted in a representative sample of households throughout India.
    • Three rounds of the survey have been conducted since the first survey in 1992-93.
    • Currently, the survey provides district-level information on fertility, child mortality, contraceptive practices, reproductive and child health (RCH), nutrition, and utilization and quality of selected health services.
    • The Ministry of Health has designated the International Institute for Population Sciences (IIPS) Mumbai, as the nodal agency, responsible for providing coordination and technical guidance for the survey.

    Issues with health surveys in India

    • Multiple surveys: The NFHS is not the only survey. In the last five years, there has been the National NCD Monitoring Survey (NNMS), the National Mental Health Survey (NMHS) etc.
    • Huge cost: Each survey funding for different rounds of NFHS costs upto â‚č250 crore.
    • Huge chunk of data: The size of the survey has obvious implications for data quality.
    • Different estimates: Multiple surveys also raise the problem of differing estimates, as is likely, due to sampling differences in the surveys.
    • Limited respondents: The respondents are largely women in the reproductive age group (15-49 years) with husbands included.
    • Global obligations: Some of these surveys are done to meet the global commitments on targets (NCDs, tobacco, etc.).
    • Undefined purpose The health surveys have confusing research with programme monitoring and surveillance needs. Ex. Questions on domestic violence in NFHS.

    Need of the hour

    • Alignment of purpose: There have been previous attempts to align these surveys but they have failed as different advocates have different “demands” and push for inclusion of their set of questions.
    • Regularity of surveys: NFHS is the only major survey that India has a record of doing regularly. One does not know if and when the other surveys will be repeated.

    One-stop solution

    • National health data architecture: With diverse aspects of health, there is a need to plan the public health data infrastructure for the country.
    • Budgetary outlay: We also need to ensure that these data are collected in an orderly and regular manner with appropriate budgetary allocation.
    • Purpose definition: This requires clarity of purpose and a hard-nosed approach to the issue that randomized activities.
    • National-level indicators: We have to identify a set of national-level indicators and surveys that will be done using national government funds at regular intervals.

    How should surveys be done?

    • There should be three national surveys done every three to five years in a staggered manner:
    1. NFHS focuses on Reproductive and Child Health (RCH) issues
    2. Behavioral Surveillance Survey (focusing on HIV, NCD, water sanitation and hygiene (WASH)-related and other behaviors) and
    3. Nutrition-Biological Survey (entails collection of data on blood pressure, anthropometry, blood sugar, serology, etc.)

    We need to look at alternate models and choose what suits us best.

    Way forward

    • Important public health questions can be answered by specific studies conducted by academic institutions on a research mode based on availability of funding.
    • States have to become active partners including providing financial contributions to these surveys.
    • It is also very important to ensure that the data arising from these surveys are in the public domain.

    Conclusion

    • We are ready to establish public health data architecture for our complexity of needs.
    • We have the technical capacity to do so.
    • All it requires now is the political will.

     

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