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Mumbai's health at stake
Dhaval Desai
May 1: The World Bank-aided India Population Project - V (IPP-V) undertaken
by the Brihanmumbai Municipal Corporation (BMC) since eight years to
improve public health infrastructure in the metropolis, has incurred losses
to the tune of crores of rupees.
A substantial amount of the precious WB aid remains unutilised, imported
hospital machinery remains idle and the pulse polio and AIDS awareness
programmes show a negligible performance rates. Of a total target population
of 108 lakh under the IPP-V, only 36.27 lakh persons (33.60 per cent) were
covered over a period of eight years.
Of the 97 civil works envisaged under the programme at an estimated cost of
Rs 1.53 crore, only 53 were completed, and that too, at a cost of Rs 3.69
crore. The remaining 44 targeted works were not even started till last year,
resulting in further cost escalation by Rs 2.16 crore. Final bills for 11
completed works were not prepared and settled even after a lapse of two to
six years. The IPP-V, first planned for a period of seven years, was
initiated in October 1988 with a WB loan of Rs 43 crore. However, at the end
of the seven-year-period on March 31, 1996, the BMC decided to extend the
project by a year, as most of targeted works remained incomplete, and many
had not even started. The BMC also availed of further WB assistance-a
whopping sum of Rs 15.50 crore for the extension period. The project also
includedareas like reducing the infant mortality rate, family planning,
prevention of malaria and jaundice and eradication of polio and tuberculosis
and several municipal hospitals were planned to be equipped with wards for
premature babies and children.
Even more shocking revelations are made in the audit report on the IPP-V
(1995-96) submitted by municipal chief auditor P C Piloskar. The report,
tabled before the standing committee recently, states that due to delay in
completion of the project works, bills to the tune of Rs 59 lakhs were not
finalised upto March 31, 1996. ``The outstanding liabilities of Rs 58,56,314
will have to be incurred from BMC funds,'' the report states.Hospital
machinery imported at a cost of Rs 1.88 crore were found lying idle or
underutilised, and premature baby wards and paediatric wards were not
started till the submission of the report. Detailed account of 80 cases
amounting to Rs 1.06 crores was not submitted even after lapse of four to
six years.
On the pulse polio immunisation the report states, ``It is surprising to
point out that in spite of massive programmes, actual performance against
the annual target with regard to Polio (III) is 88 per cent and Polio (B) is
75 per cent. This shows an increase of one per cent and two per cent
respectively over the last year.''
Ironically, while the BMC has allocated Rs 14 crore for IPP-V in the budget
estimates for 1997-98, the audit report has cautioned against its
continuation with 100 per cent financial burden on the civic body. It is
suggested that the project works should be continued further by availing of
grant-in-aid from third parties.
Copyright © 1997 Indian Express Newspapers (Bombay) Ltd.
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