Thursday January 23, 2020

Most stillborn cases witnessed in India

0
//

Nagapura(Karnataka): India has the world’s most stillborn babies. A large number of mothers suffer this unfortunate fate. All the love, hopes and dreams they create in the nine months span are shattered when their baby is born dead.

Her pale, yellow eyes stood out against her dusky skin, and the grief was visible on the face of the young woman from a tribe of traditional honey gatherers living on the edge of south Karnataka’s Nagarhole National Park.

Shanta (she uses only one name) recounted how her baby, a boy, was born dead. When she felt labour pains, she travelled by autorickshaw 20 km to the nearest district hospital at Hunsur, where they told her the baby had died in her womb, two days ago. Shanta –in her mid-20s – was diagnosed with gestational diabetes, a condition that endangers the baby if the mother is not diagnosed and treated.

Such deaths are common in Nagapura, whose women report more than 50 deaths over a decade, although there are no records. A bony woman called Ambika, also in her mid-20s, saw her baby born dead – a stillbirth in medical parlance – as a midwife and her mother-in-law attended to her.

When Bhavna Niranjankumar, a doctor with Mysore’s Public Health Research Institute of India (PHRII), an NGO, asked Ambika why she didn’t go to the hospital for the delivery, she replied, “It happened very quickly.”

Ambika and Shanta are Jenu Korubas (literally, honey shepherds). Like Ambika, most women of the tribe give birth at home. Their dead-at-birth babies are part of the 592,000 stillborns in India, the largest of any country in 2015, according to research published last month by the Lancet a global medical journal.

A stillbirth is a “baby born with no signs of life at or after 28 weeks’ gestation”, according to the World Health Organisation.

Worldwide, the rate of stillbirths decreased to 18.4 per 1,000 births in 2015 from 24.7 in 2000. In India, the stillbirth rate fell from 33.3 to 23 over the same period, the same as Uganda, Ghana and Mozambique, all poorer countries.

The global average annual rate of reduction of stillbirths at two percent is slower than either maternal (three percent) or post-neonatal mortality of children younger than five years (4.5 percent). In India too, the annual rate of reduction for maternal (5.7 percent) and neo-natal mortality (4.6 percent) was better than that of stillbirths (2.4 percent)

Among the risk factors. lack of timely and quality antenatal monitoring and care; non-communicable diseases, such as hypertension and diabetes; nutritional factors, such as maternal anemia; biomedical factors, such as congenital abnormalities, infections, and lifestyle; environmental factors, such as drinking and smoking; and social determinants, including poverty, transportation and general living conditions.

Disadvantaged women are twice at risk of having stillbirths, the Lancet study said, a factor evident in Nagapura and across India.

Among the reasons that make Jenu Koruba women shy away from organised healthcare is – they complained – the discrimination they feel at health clinics, both government and NGO. They are made to wait for hours, and physicians often refuse to touch them, they said.

“When I went to the district hospital for the 20-week scan, no one attended to me,” Shanta told IndiaSpend. “I waited for more than two hours, no one called me and so I came back without getting a scan.”

For a people without public transportation, travelling to a hospital 20 km away is not easy, and to make the journey, they rely on husbands, who are often away at work in the neighbouring hill district of Kodagu, where they work as daily wage labourers on coffee plantations.

Most people in Nagapura are illiterate, unaware of health needs – yet, Shanta made the journey to Hunsur – and many of them, having earlier lived inside forests, rely on traditional medicine.

Over the last few years, NGOS, such as PHRII, and government workers have run health camps for pregnant and post-natal women and infants, handing out information on maternal and child health and have encouraged tribal women to be regularly checked at primary health centres. They don’t come, though, and when they do, the discrimination does not help.

The women are also highly anaemic, said Niranjankumar, but they do not take the iron supplements given to them. Asked why the women smiled sheepishly. Doctors speculate they are not used to taking tablets.

Stillbirths are reducing across India, but there are still too many.

States that pay attention to maternal health reduce chances of stillbirths

The “Every Newborn Action Plan”, explained in the Lancet study, aims to bring the global stillbirth rate to 12 or lower per 1,000 births by 2030 (India in 2014 adopted the India Newborn Action Plan with the aim to reach a single-digit stillbirth target). That will require empowered women, better healthcare and progress checks.

The dividends are obvious.

Indian states that focused on maternal healthcare also had healthier children, IndiaSpend recently reported. Programmes such as the Janani Suraksha Yojana (JSY), launched in 2005 to ensure safe motherhood, successfully offer cash incentives to encourage institutional deliveries, the rate of which–to all deliveries–increased from 56.7 percent in 2006-07 to 78.5 percent in 2010-11, according to government data.

Karnataka had 94 percent institutional deliveries according to data released recently by the National Family Health Survey. Uttarakhand and Meghalaya were the worst, with 61 percent and 58.4 percent respectively. The rest were home deliveries, most without trained-health-worker supervision and possibly in unhygienic conditions. The reported reasons for home delivery were a convenience, fear of stitches, unavailability of transportation and the inability to afford hospitals.

JSY beneficiaries, since it launched a decade ago, increased from 0.74 million to 10.4 million in 2014-15. But this government review revealed that only 15 percent of JSY institutions were equipped to deal with institutional delivered.(IANS)(image-robynanne.wordpress.com)

Next Story

Canon India Ramps Up Efforts To Grab Healthcare Imaging, Security Market

On the camera front, India offers great opportunities in segments like wedding, wildlife, sports and media

0
Canon India also showcased EOS-1D X Mark III - the flagship product from the Canon EOS range, featuring latest advancements and innovations in digital imaging technology. Wikimedia Commons

After cementing its position across four key business verticals — camera, home printers, office printers and commercial printing solutions — Canon India is now ramping up its effort to top the growing healthcare imaging and security surveillance market in the country, a top company official said here on Wednesday.

After grabbing a substantial share in the Indian market in the professional printing segment which has been among the fastest growing verticals for Canon in India, the company now eyes diagnostic imaging market which is witnessing a tremendous growth with new super-specialty hospitals and diagnostic centres being opened at a fast pace, including in the tier II and II towns.

“In 2020, our key focus areas will be medical and security verticals in India. There have been a strong demand in the field of diagnostic imaging like MRIs, CT scans and X rays in the recent past which, we think, is an important segment for us in this country going forward,” Kazutada Kobayashi, President and CEO, Canon India, told IANS.

Although India will be the youngest country in the world by 2020 with a median age of 29 years, the number of elderly people is likely to increase significantly after that, according to the “State of Elderly in India” report.

By 2021, the elderly population will reach 143 million.

Canon
After cementing its position across four key business verticals — camera, home printers, office printers and commercial printing solutions — Canon India is now ramping up its effort to tap the growing healthcare imaging and security surveillance market in the country. Wikimedia Commons

According to market research firm Mordor Intelligence, the increase in life expectancy over the years has resulted in an increase in the population of the elderly. Hence, the growing geriatric population is expected to augment the demand for diagnostic imaging equipment.

The global medical imaging market was approximately $34 billion in 2018 and is expected to generate around $48.6 billion by 2025, according to Zion Market Research, and the of a huge patient pool and rise in the number of hospitals and diagnostic centres in India, Japan and China are anticipated to fuel the medical imaging market in the Asia Pacific.

“Today, if you go to a hospital and take a picture of your chest, that needs to be printed on a film. We propose to print that on a paper. This is my economical and environmental-friendly vision,” said a beaming Kobayashi on the sidelines of the launch of its flagship camera EOS-1D X Mark III.

According to him, security is another big area to focus on.

“Security surveillance camera systems have come of age and at Canon, we are aiming to make a revolution in this area soon,” said the executive.

Canon’s business in India is divided between business-to-consumer (B2C) and business-to-business (B2B) verticals.

The B2C category includes camera and home printers while B2B includes commercial printers and sales to corporates and MSMEs.

Canon India also showcased EOS-1D X Mark III – the flagship product from the Canon EOS range, featuring latest advancements and innovations in digital imaging technology.

“On the camera front, India offers great opportunities in segments like wedding, wildlife, sports and media. One great observation is that the demand for high-end cameras is also coming from smaller Indian towns and we are excited about this,” said C. Sukumaran, Director, Consumer Systems Products and Imaging Communication Products, Canon India.

Priced at Rs 575,995 (taxes included) for the body, including 512GB CF Express Card and Reader, the EOS-1D X Mark III will be available mid-February onwards at select retail outlets across the country.

The EOS-1D X Mark III offers an unmatched continuous shooting speed up to 16fps with viewfinder shooting. It houses a newly developed 20.1MP Full Frame CMOS sensor.

canon
After grabbing a substantial share in the Indian market in the professional printing segment which has been among the fastest growing verticals for Canon in India, the company now eyes diagnostic imaging market which is witnessing a tremendous growth with new super-specialty hospitals and diagnostic centres being opened at a fast pace, including in the tier II and II towns. Wikimedia Commons

“The newly developed algorithms in the camera enable not just eye detect and face detect autofocus but also head detect autofocus. This allows highly precise autofocus and tracking even in challenging conditions and with multiple and rapidly moving subjects,” informed Sukumaran.

ALSO READ: Huawei Reveals Full List of Devices in Global Market Eligible To Have EMUI 10

According to Kobayashi, the high-end camera will further enable the company promote the photography culture in India.

“Our latest offering will cater to the growing list of professional photographers in India and open up newer possibilities in the imaging space,” he added. (IANS)