Bharat Rakshak

Added Later :

Some sites
Ministry of Rural Development
National Rural Employment Guarantee Act-2005
Pradhan Mantri gram Sadak Yojana
Bharat Nirman
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This thread is meant for news and discuss regarding Bharat or Rural India including development,employment and public policy etc.

Bharat or Rural India

duh !

I'm changing the name.

Rural Development-Budget Highlights

§ National Rural Employment Guarantee Act (NREGA) Allocation hiked by 144% to Rs.39,100 crore
§ Rs. 100 per day as entitlement under NREGA
§ Pilot Project to be taken up in 115 districts by converging NREGA with other schemes
§ Bharat Nirman allocation hiked by 45%
§ PM Gram Sadak Yojna hiked up by 59 per cent to Rs.12,000crore.
§ PM Grameen Adarsh Yojna on pilot basis in 100 villages with SC/ST population.

Rahul M wrote:

Bharat or Rural India

duh !

I'm changing the name.

Sir,
Bharat

p.s. I can be cryptic too !

Pradhanmantri Adarsh Gram Yojana (PMAGY) launched
Amount of Rs.100 crore is less,but at least govt has started the programme PMAGY for ultra-poor villages

Rahul M wrote:

p.s. I can be cryptic too !

Sir
Bharat development is not mysterious
Even Rural Development in India is good

Rahul M sir,
Thanks for help and guidance.

my dear jamal k malik, what do you mean by "Bharat or rural India" ??

that rural India is called Bharat ? what is urban India then ?
where did you get such a ridiculous idea ?

p.s. no need for that 'sir', please.

Rahul M wrote:my dear jamal k malik, what do you mean by "Bharat or rural India" ??

that rural India is called Bharat ? what is urban India then ?
where did you get such a ridiculous idea ?

p.s. no need for that 'sir', please.

It is not ridiculous ,it is emotional idea.
In my mind there is no rural or urban divide.
It is just indicative, Sir.
Rest it is a opinion.

Jamal good job mate in keepin us updated...

On healthcare thread it is being discussed how govt is trying to lure specialist doctors in rural area, but what is being offered is ridiculous. Recently I have been in touch with thwie web site, these days Andman and Nicobar island is offering jobs to docs in rural areas. First of all govt wants them on contract basis why not offer permanent job? Why one should go to palamu or chatra or naxalbaari risking life of family for a peroid of 1-2 years? With no law and order, infrastructure, drinking water, electricity in rural and naxal infested areas any one would think twice before going to these jobs. Govt is offering Rs 50, 000 as total package on monthly basis to post MD, sorry more than this can be earned by doing sr residency in NCT hospitals.

About budget allocation to improve healthcare in India the less said the better. Over this, idiots like Ramadoss who are only interested in cigarettes, AIIMS, MCI etc

IndraD wrote:On healthcare thread it is being discussed how govt is trying to lure specialist doctors in rural area, but what is being offered is ridiculous. Recently I have been in touch with thwie web site, these days Andman and Nicobar island is offering jobs to docs in rural areas. First of all govt wants them on contract basis why not offer permanent job? Why one should go to palamu or chatra or naxalbaari risking life of family for a peroid of 1-2 years? With no law and order, infrastructure, drinking water, electricity in rural and naxal infested areas any one would think twice before going to these jobs. Govt is offering Rs 50, 000 as total package on monthly basis to post MD, sorry more than this can be earned by doing sr residency in NCT hospitals.

About budget allocation to improve healthcare in India the less said the better. Over this, idiots like Ramadoss who are only interested in cigarettes, AIIMS, MCI etc

IndraD - I'm convinced that the MBBS and PG curriculum in India is unsuited for Rural Indian healthcare.

The Indian Medical education system only produces doctors like me who are attracted to the Western model of healthcare and either travel abroad or return (as I did) only to set up a city practice to allow golf and sultry evenings in the club.

I say this with no shame or remorse because most are like this onlee - while pretending not to be. Oh of course this model has its utility in urban "emerging, fast moving" India - but it is completely meaningless for rural areas.

The government can only build with the blocks it has. The "blocks" that it has are MBBS/MD doctors. They are unsuited for the job. We need a completely new paradigm in medical training that will include some of the most fundamental elements of public health, preventive care and maternity care of Allopathy with the ethos and cost effectiveness of indigenous systems like Ayurveda. Educated India has not yet opened its eyes wide enough and is not yet confident enough to produce such a paradigm. All doctors are Macaulayputras until they get too old to change. But if they get wise enough to change the system - it will be good for India.

I'm convinced that the MBBS and PG curriculum in India is unsuited for Rural Indian healthcare

Shivji, what about the LMP's of old, the paramedics and skilled nurses like midwives etc.. Wont more such "pipe wrench" skills at the block level be more appropriate than trying to staff far flung PHCs with daakturs? .

Also with connectivity leaping by bounds, especially road connectivity, and wireless telephones, how difficult will it be to network a cluster of villages with a fast ambulance response system that can reach the places within max 1 hr or so, from a centralized hospital for the villages , that is max 50 kms away ?

TN has a pretty decent govt ambulance system from what I hear that connects the "model" and district level PHCs with the block level ones. Daakturs can be based in the relatively large centralized facilities at district level right ?

http://www.financialexpress.com/news/gu ... se/108624/

A very good scheme for soil testing is yeilding good results.

vina wrote:

I'm convinced that the MBBS and PG curriculum in India is unsuited for Rural Indian healthcare

Shivji, what about the LMP's of old, the paramedics and skilled nurses like midwives etc.. Wont more such "pipe wrench" skills at the block level be more appropriate than trying to staff far flung PHCs with daakturs? .

Also with connectivity leaping by bounds, especially road connectivity, and wireless telephones, how difficult will it be to network a cluster of villages with a fast ambulance response system that can reach the places within max 1 hr or so, from a centralized hospital for the villages , that is max 50 kms away ?

TN has a pretty decent govt ambulance system from what I hear that connects the "model" and district level PHCs with the block level ones. Daakturs can be based in the relatively large centralized facilities at district level right ?

Maybe this should go in the healthcare thread that I rarely visit.

The old LMP type idea is good - but I feel that the curriculum should be appropriate taking modern practices into consideration.

Speaking of my own medical education and postgraduate degree - both were excellent (for me) and they made me ready to slot seamlessly into the most sophisticated environment in the West with no trouble whatsoever and pass Western exams with equal ease.

But I could never have survived in rural India. I now find myself a senior doctor and like others around me all of us are able and willing to give a bit of ourselves to the poor/rural But the kind of medicine I practice is unnecessary for the vast majority of people. And nothing has changed in terms of medical education from my days.

I believe we need an opening up of minds - with qualified paramedical personnel created taking the best out of the basic public health systems of Allopathy and combined with the Ayurveda that runs deep in the Indian psyche to create a new system of medicine - or at least a new breed of "health auxiliaries" from rural areas who are given a licence to practice and to recognize where they will need help from standard MBBS/PG degree type doctors.

Jamal, Thanks for starting the thread. We have scattered info in many threads which need to be collated. Rural Indian economy is 70% of the total. A good begining would be to get some stats on current status of development in rural India. I know rural India is different in different regions and stats would give a clearer picture.

About healthcare in rural India agree with Shiv, Western model is difficult to implement give the resources constraint in India. Can someone look at the PRC's barefoot doctors scheme or is that a scam? From glowing reports it seems to have made a difference in PRC.

Seminar India has special issue on Agrarian Distress
I think its very relevant to this thread.

More Stress on Rural Roads in Budget 2009-10

Rural Roads have been identified as one of the six components of Bharat Nirman with the goal to provide connectivity to all villages with a population of 1000 (500 in the case of hilly or tribal areas) with an all-weather road by 2009. To achieve the targets of Bharat Nirman, 1,46,185 kms of road length is proposed to be constructed by 2009. This will benefit 59,564 unconnected eligible habitations in the country. To ensure full farm to market connectivity, it is also proposed to upgrade 1,94,132 kms of the existing Associated Through Routes. A sum of approximately Rs.48,000 crore is proposed to be invested to achieve this.

This is possible to shape training of docs to suit rural places. What we need is general practitioners in rural area and not super duper specialists, then the patients can be referred to the tertiary hospital if the need be. These GPs can be MBBS plus three years of training in special GP rotations with more emphasis on obstetrics, paediatrics, general surery and medicine, if the need be patients can be referred from here onwards. Recently DNB prgrams in GP have started ut again there is need to pass exam and the examiners are obs/paeds specialists who do not understand the need of GPs. There is no need for exit and entry exams every where simply offer 3 year rotation in GP in good general hospitals and then they can be offered a salary at par with specialists in NCT. Plus those interested who have done 5 years of rural stint can be offered MD/MS seats..!! A GP with a MD (Obs) will be tremendous..!

doctors wont go to rural places, precisely for the reasons teachers wont go. similarly nurses, anms and other paramedical support. only local people, who have other reasons to stay behind, stay put. otherwise everybody leaves.

the problem is villages by design are not suited for this type of activity. their internal economy, and social life is not designed or meant to satisfy the expectations of doctors.

in a country like india there will always be manpower, but it cant be effective for the focus here.

taluk level improvements, and perhaps a mobile cadre especially for preventive medicine. they do this for child care and things like cataract etc.,

Farmers' Empowerment Project
Project seeks to reduce the suicide among poor Indian farmers.

Centre introduces 'anganwadi on demand' scheme for states
This will be the big boost to ICDS scheme.

Community Participation in Rural Water Supply
Accounts of NREGA Workers
Report on Rural Drinking Water and Sanitation
Review of NREGS

An Internet for rural India

Comat employees spent four years digitizing more than 20 million paper land records in some 20,000 villages. By 2004 the state's land records were online and accessible in 177 local government offices. But the project wasn't particularly profitable for Comat, and getting paid by the state took as long as 12 months.

So in 2006 Raghavan made Karnataka an offer it couldn't refuse. Through a public-private partnership Comat would open hundreds of centers in the state's rural areas and digitize other records -- everything from birth certificates to pension documents -- at no charge. Comat would pay the government a share of the 15-rupee fee it charged citizens for each certificate: nine rupees for land records already digitized, one rupee for certificates that it was in the process of putting online.

The government didn't need much convincing. By 2008 Comat had rolled out 800 centers, positioned so that most rural Karnatakans wouldn't have to travel more than seven miles to reach one. Each center was equipped with a computer, printer, backup power and satellite hookup. Together they now process more than 50,000 government transactions a day.

Some sites
Ministry of Rural Development
National Rural Employment Guarantee Act-2005
Pradhan Mantri gram Sadak Yojana
Bharat Nirman

thanks for those links. I've added them to the first post of this thread.

SBI launches pilot project to take banking to villages

The scheme intends to transfer the benefits of the National Rural Employment Guarantee Scheme (NREGS) to the villagers through use of smart cards and is proposed to be expanded to 19 lead districts of SBI in a phased manner, Shiva Kumar, chief general manager (CGM), SBI, Bhubaneswar circle said.

Rural Water Supply in Maharashtra
Rural Development in Bihar
Desert development program in Rajasthan

Over 5000 Village Grain Banks opened in last two years
Can some one tell me ??What are these Village Grain Banks and how these work??

32454 Villagers benefitted by Rural Business Hubs

Over 32000 villagers from 15 States have been benefitted under the Rural Business Hub Scheme run by the Ministry of Panchayati Raj. The activities undertaken by the villagers under the scheme include Jatropha Plantation, Agri Product processing, Distillation units, Wooden handicraft, Handwoven / Embroidery works, Rug making, Jaisalmeri Pattu, Areca Nut leaf Plate Manufacturing, Tamarind leaf collecting, processing and marketing, Honey Bee farming, Organic manure production, Vermi & Dairy Compost production, Compressed Bricks manufacturing etc.

What is needed is a low cost reliable diesel engine to automate most of the drudgery work in rural India. Those oil engines used to drive pumps need lots of maintenence.

Dr. Kalam wrote about such a project in his Vision 2020 being developed in Orissa. I havent heard anything about it since then.

Meanwhile links of Appropriate technology work:

1) ATS Sourcebook

2) Work on Jatropha oil extraction in Africa

3) Appropedia