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Report on The STATE of HEALTH of MUMBAI July 2013

Report on The STATE of HEALTH of MUMBAI July 2013. Supported by. FORD FOUNDATION. MADHU MEHTA FOUNDATION. First the Good News. Malaria. From a high in 2010-11 of one in every 158 person suffering with Malaria i n 2012-13 it was brought down to one in every 567. Data as per RTI

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Report on The STATE of HEALTH of MUMBAI July 2013

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  1. Report onThe STATE of HEALTH of MUMBAIJuly 2013 Supported by FORD FOUNDATION MADHU MEHTA FOUNDATION

  2. First the Good News

  3. Malaria From a high in 2010-11 of one in every 158 person suffering with Malaria in 2012-13 it was brought down to one in every 567. • Data as per RTI • Population taken as per census 2011 the population taken is 1,24,32,830

  4. But other diseases/ailments are threatening … • Dengue • At least one in 2,555 people in Mumbai had dengue during 2012-13 • Tuberculosis • In the past 5 years, at least 40,000 people in Mumbai have died of TB • Cholera • In the past three years (2009-2011) 8 people died of cholera in Mumbai. In 2012-13 alone, cholera took 9 lives • are all on the rise…

  5. Dengue (as per RTI data) One in every 18230 persons had dengue in 2008-09. Every year it has been dipping and now last year in 2012-13 one out of every 2555 person had dengue. • Data as per RTI • Population taken as per census 2011 the population taken is 1,24,32,830

  6. Tuberculosis (as per RTI data) One in every 341 persons had tuberculosis in 2012-13. Mortality due to Tuberculosis is one in every five cases in 2012-13. In the last five years (2008-09) 39,531 people have died in Mumbai due to TB. • Data as per RTI • Population taken as per census 2011 the population taken is 1,24,32,830

  7. Cholera (as per RTI data) Compared to 129,509 cases in 2008-09 one in every 62,792 person had cholera in 2012-13. Mortality rate was one in 7 cases in 2008-09. It improved to one in 62 in 2009-10. But has now again dipped to one in every 22 in 2012-13. • Data as per RTI • Population taken as per census 2011 the population taken is 1,24,32,830

  8. Medical facilities used by citizens 31% of Mumbaikars use only government dispensary/hospital facilities. Even in lower economic strata usage of Private & Charitable facilities is high [SEC D (65%), SEC E (46%)]. Data as per Praja’s citizen survey 2013

  9. Estimated % of annual income spent on hospital/medical costs The households spending more than 6% of annual income on hospital/medical costs are maximum in lower socio-economic strata i.e. in SEC E (59%) followed by SEC C (56%), SEC D (54%), SEC B (54%) and are least in SEC A (53%). Data as per Praja’s citizen survey 2013

  10. Estimated cases per 1000 households The top most strata of socio-economic class (SEC A) had more cases per 1000 households of Malaria, Dengue, Diabetes; while for cancer SEC B had more cases per 1000 households. Data as per Praja’s citizen survey 2013

  11. Ward-wise break up of diseases/ailments in 2012-13

  12. Deliberations by Councillors and MLAs of Mumbai

  13. Deliberations on healthby Councillors during March’12 to March’13 • 34 elected (councillors) members of the Public Health have asked only 56 questions on health in 16 meetings. • 11 of them have not asked a single question. • In various committee (GBM, Ward, etc.) meetings a total of 200 questions were raised on health by 227 councillors. • 138 out of 227 have not raised a single issue on health.

  14. Deliberations on health by 32 (excluding 4 ministers) MLAs during Budget’12, Monsoon’12 & Winter’12 sessions • Total of 780 questions were raised of which 446 were related to Mumbai or to Schemes/Policies on health, rest were related to other parts of the state not having direct implication to health policies, programmes, schemes in Mumbai. • MLAs, BaldevKhosa and Milind Kamble have not asked a single question, while Annie Shekhar, ChandrakantHandore and Kripashankar Singh have asked only a single question on health.

  15. Inferences … • If the government had access to information from the non-government sector healthcare practitioners • Private and Charitable Clinics/Dispensaries • Private and Charitable Hospitals • Private Pathological Laboratories • Government will be able to collect more robust and rich data across the city and across demographics • Which would enable the government to create more meaningful, effective and efficient health programme, scheme and policy

  16. What needs to be done • Public Health Surveillance (Health Information System) needs to be immediately augmented • Government must establish through legislative process a mechanism to regularly collect health data from private and charitable health facilities • Government needs to focus on primary healthcare and extend its reach and efficiency to cater towards fulfilling needs of lowest strata of socio-economic (SEC E) households • Tailor-made health awareness campaigns need to be designed to reach different socio-economic classes for greater impact

  17. THANK YOU Questions

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