Will
Manmohan-Chidambaram duo play the magic
flute?
By Sisir
Basu
So very
often the ubiquitous comrades remind the
United Progressive Alliance government to
function within the Common Minimum
Programme parameters. One constant
refrain is the understanding and efficacy
of the programme. An ensemble of
disparate dispensations has vowed to rule
and reform "with a human face".
The much-avowed human face is perforce of
the destitute, depressed and downtrodden.
It is a face Gandhiji advocated to be the
talisman, the end-all and be-all, of
governance. Plans and manifestos, prime
ministers and chief ministers and their
parties as a rule promise the moon; they
achieve but a fraction of it. Their
cadres grow; size of ministers grows; the
bureaucracy burgeons. The poor become
poorer.
India is
home to a third of the worlds
absolute poor: Some 130 million have no
access to basic healthcare; 200 million
do not get safe drinking water; 70 per
cent of the country lacks basic
sanitation. The Directive Principles of
state Policy provide for universal
education, yet one-third of the populace
is unlettered. The Constitution provides
for the education to be a birth right of
a child; yet the number of children not
in school is over 50 million. Article 301
of the Constitution provides for freedom
of trade and commerce throughout the
Indian territory, yet octroi and sales
tax constitute great barriers.
Amidst
apprehensions as much as aspirations, the
CMP unfolds a roadmap the UPA
contemplates to pursue for economic
growth and poverty alleviation. The
bottomline is that the CMP must
demonstrate there is a government that
governs, is also effective and will
deliver. Aside from the rhetoric and
platitudes for high growth and social
justice, there is this categorical
imperative of retrieving the soul of the
nation. The country bemoans its loss, the
loss of its gentleness, its values, its
idealism.
The air is
thick with despair and disenchantment.
Buffeted and with little real choice, the
electorate conveys its disgust by voting
out the incumbent, most candidates having
regularly betrayed their confidence, and
belied their promises. The dance of
democracy extracts a heavy toll: Its very
concept and values are questioned; an
ever new breed of political upstarts
descends on the scene with the trappings
and a halo of power abrogated to them. A
scramble is routinely witnessed for
loaves and fishes of office. Many of the
netas turned ministers play the Santa
Claus, and distribute largesse though at
a huge cost to the exchequer.
Disparities
really grow not only of incomes, of
living conditions, but of behaviour,
conduct, and concern. The gentle and the
modest steadily dwindle, becoming verily
an endangered species. Not that the
country does not have a large number of
men, women and children, wonderful
human-beings.
The system
is in a shambles. Behind the thin veneer
of white apparel lurks dark deep layers
of greed and graft. The criminals are no
longer condemned by the collective
consciousness.
With
impunity, cartels of exploitation grow
and prosper. Corruption is the byword,
corroding the socio-economic fabric of
society. Inferior material is used in
critical utilities which endanger lives;
collusion of engineers and supervisors
with builders and contractors extracts
its heavy price; urban agglomerations
steadily turn into a pigsty; even
hallowed heritage sites are exploited and
encroached; the ubiquity of decaying
cities signifies a sinful abdication of
basic responsibilities; public property
is mulcted, encroachments and illegal
constructions are regularised to eke
votes. Terrorists do not come from out of
the blue, that fidayeens live right
amongst us under the garb of public
servants and political leaders in
municipal offices, in collectorates, in
hospitals and health centres, among
police and municipal offices, in Customs,
excise, Central and state tax
establishments, in all spheres of public
activity, wreaking harassment to hapless
citizens.
Free
Indias first Premier and stately
stalwarts such as Sardar Patel had
enunciated clear canons of conduct by
ministers, legislators and civil
servants. Today, these golden guidelines
have been swept aside, in fact, derided.
Administrative steel-frame has become
pliant, servile, and manipulative. Misuse
of public office and public resources is
rampant.
Austerity
and probity is denounced and scoffed at.
Let there be a concerted campaign to
restore and implement the edicts of Nehru
and Patel, to avoid waste, shun misuse of
public funds, eschew ostentation and
extravagance as much as
interference in routine administration.
Austerity needs to be pursued by those in
power and position, to establish their
identity with the common folk.
Let the
Council of Ministers and senior-most
echelons in bureaucracy set an example
and scrupulously shun any five-star
hospitality. The "VIP" culture
that has spread like a virus needs to be
exorcised. None other than the President,
the Vice-President and the prime minister
be allowed to jump the queue at airports,
for example, or avoid
immigration/emigration and security
drill. Let there be an affidavit filed at
the end of the year by each PSUs
CEO that it has not expended on
hospitality, renovation, transport and
other artifacts for the administrative
ministry, ministers, bureaucrats and/or
their families.
The need
is to emphasise three Ds: Delayering,
downsizing and devolution. If anything,
this will help engender accountability
and efficiency. Important recommendations
of the Fifth Pay Commission about
reduction in strength, in wasteful
expenditure, in holidays were
mysteriously set aside, while
implementing the other facile
suggestions. The commission suggested the
complete abolition of the provision of
extension in the service rules. Let this
be followed, with no post-retirement jobs
offered to civil servants.
There need
to be a special emphasis on the
effectiveness of public service delivery
rather than the quantity of development
funding. The system is in need not so
much of additional resources, as better
policies and sound delivery mechanisms.
There is need for teachers to attend
schools and doctors to attend health
centres and provide health care, for
subsidies and public distribution system
to reach the needy and the poor, for
municipalities to clean drains and
refuse. Let there be no mockery of the
high and mighty engaged in photo sessions
with brooms in hand. Let there be no such
frolicsom tamasha. Governance is an
earnest business. There is a need to
ensure all officers and supervisors move
out where action is, inspect, to lead the
teams to do their job thoroughly.
Delivery
of services is indeed the most crucial
aspect. Countless commissions and
committees have diagnosed the disease and
prescribed reliefs and redressals. How
will yet another administrativere forms
commission help?
A crusade
needs to be launched to cultivate and
sustain the work ethos. In their
presentation to the council of ministers,
McKinsey explained that growth is mostly
about getting the people and machines
which are already there to work harder
and smarter, "to ensure that 1+1
equal 3". Much like the finance
ministers mantra for transforming
the economy by dint of "good
economics, good politics, and hard
work", their premise has been that
growth will be driven by productivity
increases rather than capital investment.
Let the broken pieces be fixed; let the
good system be restored Human capital is
the key for development, for quality of
life, for progress. The country has
unwittingly encouraged sloth, indolence,
and indifference. A vast number has been
fed on a doctrinaire paralysis of work
culture thereby destroying the very basis
of growth.
An
important instrument of effective
governance is good communications. In
fact, it is required to be a two-way
communication: Frequent personal
interface with the people at the
grassroots. Officers and supervisors, in
addition to ministers, need to be
accessible and explain the programmes and
plans in the lingo and idiom which the
people understand.
For any
government, time is short; resources are
limited. Revolution of rising
expectations would demand concentrated
attention on limited spheres of activity
at a time. The poor and the disadvantaged
need to be helped and steered on a
correct path, by example. Thirty-four per
cent of Indias population is less
than 15 years old. There is this familiar
impatience of youth for the fruits of
development to be in their grasp. They
will willingly and cheerfully march
along, and even sacrifice, if they find
the deeds of the leaders match their
words.
Restraint
in thought, word and deed, if practised
by several scores of ministers sworn in
by the President and the Governors, will
raise them in public esteem and bring
credit to government. They need to
sincerely study the job on hand with all
its complexities. Let them not fritter
away their energy, and newly garnered
goodwill, only finding faults and
denigrating the predecessors, bargaining
for bigger bungalows and portfolios, and
exhausting their energy on trivial maters
of popular interest. The tasks ahead are
daunting, and challenges onerous. Tall
promises have a knack of knocking people
down. The day of reckoning will not be
far.
India
needs creativity, resolve, diligence and
a vision. It needs to take guard afresh
and get on with a new innings, to win,
Rabindra Naths Tasher Desh has a
ray of hope to offer, a message wherein
citizens, who had lost vitality, and
their capacity to respond to the rhythm
of life, played a magic flute, whereupon
their vitality flowed back. India needs
some similar transformation. There is
hope the Manmohan-Chidambaram duo will
play the magic flute. INAV
|
 |
India
as the favourite whipping boy
By I S
Chadha
India
debated whether or not to send its
cricket squad to Bangladesh as the Indian
High Commission in Dhaka received a fax
message from a terrorist group to
"kill all players". Indian
intelligence agencies monitoring
movements of terrorist groups had briefed
New Delhi that Bangladesh had become the
hubs of south Asias Terror Inc had
quietly moved eastwards from J&K, and
had been given shelter by the Khaleda Zia
government. For Northeast terrorists
Dhaka is a safe sanctuary.
Notwithstanding repeated requests by
India the Zia government has not
co-operated to throw out terrorists
hiding in Bangladesh. Instead, Dhaka has
launched maligning campaigning against
India. Thus, there is a growing distrust
between the two neighbours. The
Bangladesh government always harps on the
theory of conspiracy by India to wipe out
a neighbour through
"desertification" of the
country or, before it can do so, to
project it to the international community
as a "failed state"? The image
of India as the big neighbourhood bully
has long been the stuff of political
campaigns in Bangladesh and Nepal.
What are
the charges? From a long and seemingly
endless list, some stand out both for
their ingenuity and for their appeal to a
section of the political opinion in
Bangladesh.
Let us
look first into the ones that aim to
mould public opinion in that country. On
top of this list is the charge that
Indias attempts to manage the
waters from 54 rivers that flow into
Bangladesh would reduce large parts of
that country into a "desert.
Buffeted by the regular cyclones that
rise in the Bay of West Bengal in the
south and the India-made
"deserts" in the north, the
country would face a real threat to its
very existence. Indias
river-linking project would thus conspire
with an unkind nature to make Bangladesh
a geographical disaster waiting to
happen.
It does
not quite help to tell the Bangladeshi
accusers that the project, conceived by
the Atal Bihari Vajpayee government, has
many critics in India or, more important,
that it may take decades to implement it
even partially.
As if the
ecological conspiracy was not enough,
India, you are told, is plotting to ruin
Bangladeshs economy by refusing to
withdraw the tariff and non-tariff
barriers on the latters exports.
Then there
is the familiar complaint about
Indias strongarm tactics to force
Dhaka to agree to export its gas to
India. All Indian complaints will be
silenced, it is said, if Bangladesh
submits to this Indian pressure. Since
Dhaka has not obliged New Delhi by doing
so, the latter has mounted a slander
campaign.
But the
darkest Indian conspiracy is to tell the
world that Bangladesh is on the verge of
becoming a failed state that harbours and
breeds terrorists, both homegrown and the
ones from Indias North-east. If the
Far Eastern Economic Review ran a cover
story two years ago, describing the
country as a "Cocoon of
Terror", the idea for it must have
been scripted in New Delhi. If Time
magazine carried a four-page article
earlier this year, calling the country a
"State of Disgrace", you know
where the plot for the article was
hatched. And, if the Time journalist was
of Indian origin, the "dark
suspicion", as one journalist
recently put it, was that it had been
written "at the behest of his
paymasters in New Delhi".
So when
Bangladeshs foreign minister, M.
Morshed Khan, made some stunning
anti-India remarks at a conference in
Dhaka in September in the presence
of the heads of several foreign missions,
including Indias he only
gave voice to the prevailing mood, at
least in the present ruling
establishment. What surprised many,
however, was the tone of Khans
remarks that bordered on threatening
India that Dhaka too would retaliate to
Indias alleged tactics.
In fact,
analysis in Dhaka suggest that there are
two distinct reasons why the Khaleda Zia
government has raised the pitch of
India-baiting so high. First, it is
indeed a retaliation to what Dhaka sees
as Indian attempts to run down the
countrys image in the international
community. Indias complaints about
the shelters and training camps of
north-eastern militants inside
Bangladesh, about infiltration of
Bangladeshis into India and above all,
the projection of Bangladesh as a new hub
of Islamic terrorists, are all seen as
part of the conspiracy to malign
and destabilize the current regime
in Dhaka. India does this, the argument
goes, because the Zia government has
persistently ignored Indias
security concerns.
One also
hears that the Indian propaganda is
actually a response to Bangladeshs
domestic politics. Since the Awami League
is believed to be Indias favourite,
the present coalition government, led by
the Bangladesh Nationalist Party, bears
the brunt of the Indian propaganda
against the country. This is an old
argument which, however, does not fully
explain the stiffening of stances between
the two countries.
But both
analysts and some sections of the common
people talk of a second reason for the
recent anti-India campaign in Bangladesh.
It is argued that this is actually an
attempt of the current regime to defend
itself against sharpening criticism both
at home and abroad. From this point of
view, this rhetoric has more to do with
the countrys internal situation
than with anything that India does or
does not.
The
reasoning follows like this. The
worsening law and order situation, the
rise of religious fundamentalism and even
attacks on and persistent threats
to the media and religious
minorities have increasingly made things
difficult for the Zia government. The
ruling alliance and the government are
desperate to divert peoples
attention from the domestic problems.
Whipping up anti-India passions is an old
ploy that the rulers are trying to use
once again.
That there
is some substance in this reasoning is
borne our by the events following the
August 21 grenade attack on Sheikh Hasina
Wajed and other Awami League leaders at a
rally in Dhaka. The tragic incident,
which killed 20 people, including the
veteran womens leader, Ivy Rehman,
and injured several hundred League
supporters, shook the government badly.
Although
there had been many deadly attacks on
political personalities and parties even
during the previous League regime, the
August 21 tragedy had altogether
different dimensions. For Bangladeshis
themselves, this was the ultimate example
of the mounting threats to political
pluralism and democracy in the country.
For the
international community, too, the
incident came as incontrovertible proof
of what it had been suspecting for quite
some time that the country was
dangerously sliding into anarchy, and
that the government is either un-willing
or unable to check the slide or, worse
still, is conniving with certain elements
responsible for this situation.
Not just
the international press but several
high-profile international organizations
have been sounding alarm bells for the
past two years. Organizations like the
Amnesty International, Reporters Sans
Frontiers and the Committee to Protect
Journalists have repeatedly complained
against growing threats to the media and
the civil society in Bangladesh. Foreign
investments in the country too dropped
dramatically over the past two years.
It is
common to hear in Dhaka the argument that
the governments shrill protests are
actually a nervous and even panicky
reaction to a situation getting out of
its control. Laying the blame for the
mess at Indias door is thus a
desperate refusal to own responsibility
for it and make amends. Such is the
atmosphere of mistrust that even the
Tatas proposal to make an
investment of $2 billion in Bangladesh
the biggest in the countrys
history has raised more suspicion
than enthusiasm.
On
balance, the argument of domestic
politics seems stronger. For the average
Bangladeshis, the so-called Indian
conspiracy is the stuff of politics. It
is the lengthening shadow of the
criminal, the extortionist and religious
bigot that they are scared of. And, they
blame their government, not India, for
it. INAV
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News
Analysis
Delhi can't compromise more
Pak delays bus
to Muzaffarabad
By B L Kak
Shoot this down.
Shoot that down. This exercise became unavoidable
as the official delegations of India and Pakistan
took up, in New Delhi, the crucial and
controversial issue of reopening the
Srinagar-Muzaffarabad road. The two-day talks,
after their conclusion, were termed as 'cordial'.
They were not friendly at all.
This was borne out
by the fact that New Delhi and Islamabad failed
to reach an agreement on the first land route
between Srinagar and Muzaffarabad. The
development can, to an extent, affect, if not
frustrate, efforts to translate into action New
Delhi's scheme of opening the Jammu-Sialkot and
Kargil-Skardu roads. The failure of the New Delhi
take came at a time when the Government of
India's strategy on Jammu and Kashmir was
officially reiterated at home and abroad.
The strategy
includes promoting interaction with people of
Pakistan. The Indian Government will work towards
opening the Jammu-Sialkot, Uri-Muzaffarabad and
Kargil-Skardu roads. And the Ministry of Home
Affairs (MHA) did make it clear: "This will
help people-to-people contacts and open up
trade". On the eve of technical talks
between India and Pakistan, Gen. Parvez Musharraf
had publicly stated that he was ready to open
"three land routes" between the two
Kashmiris to facilitate travel.
Despite this,
however, Pakistani delegation did not demonstrate
flexibility as the talks began in the Indian
capital. The technical talks concluded within
hours on the second day without even the
glimmering of a breakthrough. India was willing
to dispense with the formality of visas and
replace these with entry papers issued by the
respective High Commissions, but will not relax
its insistence on passports. Pakistan was adamant
that passports cannot be used, and that documents
issued by local authorities on both sides of the
Line of Control (LoC) should suffice.
India, on its
part, seemed convinced that Pakistan "is not
serious" about opening the land route
between Srinagar and Muzaffarabad, as the free
movement of Kashmiris would further erode its
projected status in Kashmir. The delegations of
India and Pakistan met on the bus service armed
with little more than variations of earlier
proposals that both knew would be shot down by
the other side.
India wanted
travellers from Jammu and Kashmir to PoK
(Pakistan occupied Kashmir) to carry passports,
and as a modification of its earlier stance,
entry permits instead of visas issued by the
respective High Commissions. Pakistan, on the
other hand, wanted a mode of entry that could be
taken to imply that Kashmir is a disputed
territory where Indian sovereignty is not
uncontested.
Even as India made
one significant concessions - issuance of
separate travel permits instead of regular visas
stamped on the passport - Islamabad was told in
unambiguous terms that passports will be
mandatory. At the same time, New Delhi also
conveyed to Islamabad that the Government of
India will continue to be cooperative and will
expect Pakistan to realise that any further
liberalisation of the documentation requirements
can come at a later stage.
Two factors are
quite important in this connection. In the first
place, a greater convergence between the two
countries on the status of Kashmir is called for.
Secondly, the two countries have to ensure
continuance of cooperation between them. And if
the bus service to and from Muzaffarabad was seen
as a step towards creating a mechanism of
cooperation, why has the service been held
hostage to arguments about whether Kashmir is a
disputed territory? If Pakistan's Foreign
Minister, Khurshid Mehmood Kasuri, was reported
to have said that the problem (of reopening the
land route) will be overcome with the
"necessary political will" on both
sides, little is known about Islamabad's next
move.
Why should
Islamabad except New Delhi to accept Pakistan's
proposals or viewpoint on allowing human and
vehicular traffic on the Srinagar-Muzaffarabad
road? And why should India accept
Islamabad"s proposal favouring the Cyprus
model? The proposal is seen as a slightly more
sophisticated variation of Islamabad's insistence
that travel between two Kashmirs should be
facilitated by entry permits signed by the local
authorities on either side.
The Cyprus model
was brokered by the United Nations allowing
travel from Turkey and Greece on the basis of
special entry permits. New Delhi is not to blame
for rejecting such a proposal, in view of the
fact that the situation and requirements in Jammu
and Kashmir are totally different from the one
that obtained at the time of UN brokering the
Cyprus model. Islamabad is unwilling to accept
passports and visas as travel documents on the
ground that the Line of Control is 'a temporary
line and not an international border'.
India's Minister
for External Affairs, Natwar Singh, told the Lok
Sabha, after the failure of talks on reopening
the Srinagar-Muzaffarabad road, that he hoped
that the hitches between India and Pakistan on
the proposed bus link would be solved. Natwar
Singh was not incorrect when he warned that
India-Pakistan relations were "accident
prone" and, hence required to be handled
with patience and restraint.
New Delhi, at the
same time, does not want Islamabad to be unfair
and unrealistic to expect India to compromise
mode at this juncture. India, according to Natwar
Singh, has offered as many as 72 confidence -
building measures to Pakistan. Pakistan,
according to the available indications, does not
want to take small confidence building measures
until India has veered over to its position.
Islamabad cannot
ignore or under - estimate who other factors.
First, Pakistan cannot, and should not, prevent
India from performing its role of identifying who
comes and who goes after the bus service is
allowed to be operational on the
Srinagar-Muzaffarabad road. Second, Islamabad
cannot stop India from exercising the right not
to code the sovereignty question to Pakistan.
Gen. Parvez Musharraf may continue to make
emotional statements on Kashmir. What is
required, if he really and sincerely wants the
Indo-Pakistan friendship, is his unbiased
directives to official involved in the
nitty-gritty of negotiations.
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Battle
against AIDS: Hard Task ahead
By Arvinder Kaur
As of today, 38
million are living in the world with human
immunodeficiency virus (HIV), the causative agent
of AIDS infection. More than 20 million with
HIV/AIDS have died since the first AIDS case was
identified in 1981.
India has so far
been able to maintain a relatively how HIV
prevalence rate of 0.7 per cent among the adult
population. However, with a population of one
billion in the country, even low HIV prevalence
rates translate into a large volume of infection.
About 5.1 million
people are infected with HIV in India ---- second
only to South Africa. By 2005, it is estimated
that the country will have more people infected
with HIV than any other country in the world.
Three states ---
Maharashtra, Tamil Nadu and Manipur --- account
for three-fourth of the country's estimated HIV
cases. The last few years have seen a broadening
of the epidemic across the southern and western
states of India as is evident by the sharp
increase in the number of HIV - positive cases in
Andhra Pradesh and Karnataka.
The predominant
mode of HIV transmission in India is through
heterosexual contact, the second most common mode
being injecting drug use. In the north-eastern
state of Manipur, there is a concentration of
cases among injecting drug users. In fact,
India's epidemic is made up of a number of
epidemics and the spread of the disease in India
is as diverse as the social patterns between
different regions, states and metropolitan areas,
and in some places they occur within the same
State.
The transmission
of HIV within and from the marginalised groups,
including commercial sex workers, truck drivers,
migrant labourers and the injecting drug users,
mainly drives the epidemic in India.
There seems to be
a shifting trend of the AIDS epidemic in India.
The infection is spreading rapidly to the general
population. The shifting urban - rural pattern,
however slow, is a serious point; what was
predominantly confined to urban areas is now
becoming increasingly evident in rural areas as
well, health experts say.
A UN expert has
warned that the number of HIV/AIDs cases in China
and India are reaching crisis proportions and
could threaten the world economy.
Swift action is
needed to stop the spread of HIV/AIDS in Asia,
where the number of cases is rising rapidly in
many countries, head of the U.N. AIDs program
Peter Piot said at a conference in Washington
recently.
He called for
stronger international efforts to fight AIDS in
Asia and Eastern Europe, without cutting back on
efforts in sub-Saharan Africa, where it is
already an epidemic.
China says some
840,000 of its people were infected with HIV in
2003, but experts believe the actual figure is
much higher. The World Health Organisation has
predicted that china could have 10 million AIDS
cases by 2010 unless effective measures are taken
quickly.
India has the
world's second - highest number of AIDS cases, at
an estimated 5.1 million, after South Africa.
The latest UNAIDS
report says both countries had failed to prevent
HIV infections from spreading beyond drug users
and sex workers to the general population.
However, Union
Health and Family Welfare Minister Anbumani
Ramadoss announced on the World AIDS Day that a
national awareness programme was being launched,
especially targeting the youth between 15 and 25
years of age. He said highly vulnerable states
including Assam, Bihar, Delhi, Himachal, Pradesh,
Kerala, Madhya Pradesh, Punjab, Rajasthan, West
Bengal and Orissa.
The Government was
also planning to go to international market to
procure anti-AIDS drug to guard against supply
interruption. The Union Government was also
proposing to bring in a legislation to prevent
denial of admission in educational institutions
to children affiliated with the disease. A
comprehensive bill on this and other issues was
being vetted by the law ministry and it would
soon by tabled in the Parliament.
In another
initiative, the National AIDS Control
Organisation (NACO) announced that it would start
airing a daily soap on national television
network from January next year and run special
trains across the country to spread awareness
about the disease. Exhibitions and young artists
in the trains will help spread awareness among
the rural population.
The West Bengal
Government has decided to include the topic of
AIDS in school curriculum from standard VI. The
curriculum would include role-based modules,
games and quiz to shed the taboo related with
AIDS.
Nagaland
Government has also announced that it would come
out with a detailed plan of action to deal with
various aspects of HIV/AIDS. Courses on AIDS
awareness already exist in school curricula in
Maharashtra, Andhra Pradesh and Gujarat, though
they begin from senior secondary level.
Meanwhile, the
National Commission for Women has released an
action plan on AIDS. The plan aims at removing
the fear about HIV positive cases and the social
stigma attached to it.
The action plan
includes providing free treatment to women
suffering from HIV/AIDS and promoting women
friendly reproductive and sexual health services.
India launched the
National AIDS Control Programme in 1987,
focussing on blood safety, prevention among the
high-risk population, raising awareness among the
people and improving surveillance. In 1992, the
ministry of health and family welfare set up the
National AIDS Control organisation to implement
and closely monitor the various components of the
programme.
By 1999, the
initiative succeeded in establishing a
decentralised mechanism to facilitate an
effective state-level response although variation
continued to exist in terms of commitment and
capacity among the states. While states like
Andhra Pradesh, Tamil Nadu Manipur have shown
consistent political commitment, many other
states have yet to demonstrate a strong response.
The HIV sentinel
surveillance system was started in 1994 to
monitor trends of HIV infection in specific
high-risk groups and also low-risk groups over a
period of time.
In a bid to reduce
the spread of infection more effectively and
strengthen the country's capacity to respond to
HIV/AIDs on a long-term basis, the National AIDS
Control Programme Phase II became effective from
November 1999 with greater emphasis on priority
targeted interventions for people at high-risk,
preventive interventions for general population,
institutional strengthening and involvement of
public, private and voluntary sectors.India is
one of the few countries that started the AIDS
prevention programme at a very early stage of the
epidemic. The Government gave topmost priority to
HIV as a national issue. However, the major
challenges still remain and there is need to
enhance the overall effectiveness of the
programme.
This year's theme
on World AIDS Day was women, girls, HIV and AIDS
which reflects how important is the impact of
HIV/AIDS on women and girls. Half of all the
people living with the infection are women.
Adolescent girls
are particularly vulnerable in countries like
India. There is growing evidence that new HIV
infection among adolescents is rising.
In some African
countries girls appear to have significantly
higher incidence of HIV infection than boys.
Illiteracy, poverty, ignorance, instability,
violence and poor access to the health care
system all contribute to the problem.
Health experts say
the effectiveness of the prevention strategies
initiated under National AIDS Control programme
need periodic evaluation with timely
modification. The spread of infection among women
and children also needs immediate attention.
The experience
from Africa indicates that thousands of children
have become orphaned because of the death of
their parents due to AIDS. The low status of
women with limited access to financial and
economic assets often weakens women's ability to
protect themselves and practice safer sex.
The stigma
associated with the disease and discrimination of
people living with HIV/AIDs needs effective
intervention. Ostracism by the family and the
neighbours must be looked into. The stigma among
health care workers is a serious issue and should
be properly dealt with. It is extremely important
to address human rights violations and create a
positive environment that imparts knowledge and
encourages behavioural changes.
Although funding
for prevention efforts is of utmost importance,
provision must be available for anti-retroviral
treatment of AIDS. The Government has initiated a
programme to roll out costly anti-retroviral
therapy but needs support to monitor and expand
the programme.
A strong political
commitment together with a concerted response to
fight against HIV/AIDS can check the spread of
AIDS epidemic in India.
PTI
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