By Pradyut Bordoloi
The continuing international pandemic has, undoubtedly, been a extreme stress check for the healthcare setup in India. The cracks and shortcomings in our public well being system have been delivered to the fore like by no means, and it is a relatively impolite wakeup name certainly. Nevertheless, as with all different elements of coverage making in India, completely different states have exhibited vastly completely different ranges of competency and success in tackling the challenges posed by the virus.
An underneath observed however relatively necessary side of the final half a 12 months has been the truth that our targeted struggle towards COVID-19 has come at the price of most making progress on most different present illnesses. For instance, Youngster immunisation charges fell by 64%, Polio Drops fell by greater than 39% and Most cancers care is acknowledged to have declined by 60%. Equally, there was a pointy decline in blood donations and collections throughout states in India owing to the lockdowns and fears of transmission of the virus; this has penalties of its personal. All of this imposes actual, human prices on our societies and our residents.
In actual fact, even my residence state of Assam has not been hit exhausting owing to the shortage of a well-equipped, useful Blood Transfusion System (BTS) and it’s one thing which wants fast consideration and motion. For instance – as per information from the NITI Aayog, 130 girls die in India for each 100,000 reside births as a result of pregnancy-related problems. On the state stage nonetheless, as Kerala has the bottom maternal mortality fee (MMR) within the nation at 46, Assam has an MMR of 237, which is almost double that of all India common. Regardless of a 50% enchancment within the final decade or so, this stays a stubbornly excessive determine. A relatively worrying blind spot in Assam’s well being techniques is the continued neglect of labourers, particularly girls working within the state’s tea gardens largely in components of higher Assam. Greater than 800 tea gardens unfold throughout as many as 23 districts of the state report a extremely disproportionate share of those maternal deaths. It’s no shock that anaemia is close to common incidence for staff there owing to poor ranges of diet.
Equally necessary side to think about on this regard is how scarcity of blood contributes to the state’s inordinately excessive MMR as properly, as Postpartum Haemorrhage (PPH) i.e. extreme bleeding after childbirth accounts for almost 30% of all maternal mortality in India. These are deaths which could be averted if a useful blood system have been to be obtainable offering well timed entry to secure blood.
Equally, be it Syphilisis, Hepatitis or HIV, numerous Indians proceed to get contaminated with Transfusion Transmitted Illnesses (TTD) yearly. Right here, once more, Assam has appreciable quantities of catching as much as do. Probably the most necessary causes behind such excessive incidence of TTD is that the speed of voluntary donation of blood in Assam stands at 47.9%, abysmally low as in comparison with the all-India common of 71.9%. It solely serves to reiterate the truth that we have to make the shift in direction of a 100% voluntary donation of blood, taking out substitute donations if we’re to efficiently take care of such problems with high quality and security throughout blood transfusion.
At current, India has world’s largest absolute scarcity of blood, with demand outstripping provide by almost 13 million models which interprets to a staggering 400%. The unlucky actuality is that this doesn’t need to be the case in any respect, given an eligible donor base of almost 512 million folks. At a state stage, the annual assortment of blood in Assam for the 12 months 2018-19 stood at 2,34,488 models. This contrasts with the precise annual want of blood within the state which stood at 2,42,000 models. If we have been to map the deficit in blood collections state-wise, it comes within the backside 5 states. Comparable is the case relating to the variety of districts with no blood banks, a worrying actuality certainly.
The pandemic has drastically worsened an already worrying state of affairs so far as blood techniques in India go. If we will undertake environment friendly blood system fashions just like the hub-and-spoke mannequin, work in direction of growing compartmentation of blood and concurrently work in direction of growing consciousness about voluntary donation of blood, these are a set of challenges which could be overcome sustainably a lot to the advantage of our communities and India’s public well being system at massive. It’s vitally necessary that we work in direction of guaranteeing the supply of secure, well timed and satisfactory blood for all Indians, extra so contemplating our latest challenges and foundering.
(The columnist is a Member of Parliament from Nagaon constituency, Assam. Views expressed are the columnist’s personal.)