TODAY -
Women's health care scenario in Manipur
- Part 2 -
JC Sanasam *
Mother and child bear the pain of lack of primary health care in hill areas in December 2010 :: Pix - TSE
"There is a need to renovate the line of approach to the planning of providing health to the population of Manipur as a whole."
As components of Child Survival and Safe Motherhood (CSSM) program for mothers actions taken up are:
- Immunisation against tetanus for pregnant mothers
- Prevention and treatment of anaemia (lack of haemoglobin, the oxygen carrier in blood)
- Proper antenatal (pregnancy period before delivery) care
- Early detection of maternal complications and referral to appropriate centres
- Aseptic deliveries of mothers by trained personnel
- Promotion of institutional deliveries
- Adequate and proper management and treatment of obstetric emergencies
- Spacing of child birth, so on and so forth
Among other common hazardous complications of pregnancy mention can be made of pre-ecclempsia, ecclempsia, placenta praevia, molar pregnancy etc. The extreme of age groups, high parity (frequent pregnancies with large number of children), short birth intervals and high incidence of teenage pregnancies in young tender mothers with subsequent septic abortions are also hazardous factors so far as the maternal mortality is concerned in Manipur (especially in villages and slum like areas).
The Maternal and Child Health (MCH) has become more of a health care program for children only not for mothers anymore.
The other common disorders in women of Manipur are cancer of cervix (the neck area of the uterus near its opening into the vagina), cancer of the breast, osteoporosis (rarefaction of bone tissue), leucorrhoea (white discharge), diabetes, cardiovascular and cerebrovascular disorders in the old age etc.
Measures for their management are available in the various health centres ranging from the primary to the referral health centres or hospitals and institutions according to the simple early presentation and late or advanced complications.
There is a need to renovate the line of approach to the planning of providing health to the population of Manipur as a whole. The priorities should be:
- A good road to the health centre and connectivity of the villages to it
- Twenty four hour availability of electricity (power supply) in all areas of human habitat
- Supply of adequate drinking water
Even the status of women will spontaneously be well respected. Everybody in the government, administration, various departments and public should see that these three areas are fulfilled as a priority.
Other things to be looked into regarding the health sector are:
- A well planned scheme and policy in the transfer and posting of doctors, nurses or any personnel related to health, in the far rural, hill and interior areas. It is well known that some doctors are posted in areas where there are no buildings for the purpose not to speak of availability of a living quarter. Many a time such a doctor has to coax the village chief to provide some part of the latter's house as the health centre building. And such doctors remain a decade even, posted there uncared, unknown and totally isolated whereas some of their own doctor friends have never been posted in an outstation in their lives.
- A special decentralization of financial power to these doctors posted in remote areas
- A special allowance of a reasonable amount to these doctors during their posting in such areas
- Provision for special vacation or leave for a reasonable period to such doctors
- Improvement of health education and awareness among the population
* JC Sanasam wrote this article for Hueiyen Lanpao (English Edition) as part of "JCB Digs" column
This article was posted on September 12, 2012.
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