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Little on offer for urban poor when it comes to health

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Tarannum Manjul

Posted: Feb 01, 2008 at 0017 hrs IST

Lucknow, January 31 MucH has been said about the state of health services in Uttar Pradesh - most of it is not very good. But the popular perception so far was that the urban poor are still better off than the rural poor. Now, even this idea collapses in the face of fresh findings by New Delhi’s Urban Health Research Centre (UHRC).

Not only this, the report concludes that the status of health services in urban areas is in fact, no better than in the rural areas.

Based on an analysis of the National Family Health Survey III (2007), the report reveals that while there are gaps in rural healthcare services, services made available for the urban poor are in worse condition.

The findings were presented in Lucknow at a state-level meeting on urban health issues on Tuesday by Dr Siddharth Agarwal of UHRC. Talking about the survey, Agarwal said the urban poor are a marginalised lot: “The NFHS clearly indicates that the urban poor have been left out. Various schemes on issues related to health focus primarily either on the urban or rural populace. But there is a big gap when one speaks about the urban poor, a gap which needs to be filled by specific programmes.”

The participating health department officials admitted that to ensure better health services, there was a need for convergence among government departments — the State Urban Development Authority, the health department, Integrated Child Development System — and the nno government organisations.

“In urban areas, there are several agencies working,” said J P Garg, Joint Director (Urban Health). But there are still a number of gaps, as they are not working in tandem.

In contrast, the condition in rural areas may be better, as almost all departments work in coordination with each other, he said. Moreover, there was also more focus on rural healthcare, as it is treated as a different sector altogether.

But no comprehensive plan has been implemented to tackle health-related issues as far as the urban poor are concerned. “We need a plan of action, which includes active community support and synchronisation between all departments,” Garg added.

What makes matters worse is that while programmes like the National Rural Health Mission focus extensively on rural health, there are few such for the urban poor. The meeting ended with everyone agreeing on one point — the need for convergence between government departments and NGOs. Dr Agarwal said: “Ironically, departments like health and ICDS do have schemes for the urban poor but there is no convergence between them. NGOs are also working, but the problem of identification and long-term planning seems to hit here too.” He added: “Often, medical officers will not cooperate with the health department. Convergence will certainly be helpful in looking at problems of the urban poor.”

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