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The health policy of India aims at an integrated approach, which is to provide accessible, affordable and equitable quality health care to the marginalised and vulnerable sections. For a heavily populated country such as India, this is an uphill task.
However, the aim of good health and well-being for all is envisaged in the sustainable development goal (SDG) 3. To quote, it envisages to “ensure healthy lives and promote well-being for all at all ages”, which provides an impetus to the policies of India to synchronise all our health targets.
The top 4 improving health indices are:
1. Doubling of life expectancy and reducing crude death rate
India is seeing Life expectancy that has doubled coupled with infant mortality and crude death rates that have reduced sharply.
Life expectancy is understood to be a statistical measure of the average time one is expected to live, based on the year of their birth, their current age and other demographic factors including sex.
The crude death rate of mortality rate, on the other hand, is a measure of the number of deaths (in general, or due to a specific cause) in a particular population, scaled to the size of that population, per unit of time. The mortality rate is typically expressed in units of deaths per 1,000 individuals per year; thus, a mortality rate of 9.5 (out of 1,000) in a population of 1,000 would mean 9.5 deaths per year in that entire population or 0.95 percent out of the total.
As per the WHO’s World Statistics Report 2016, life expectancy at birth for the year 2015 was 68.3 years in India which breaks down to 66.9 years for men and 69.9 years for women.
On the other hand, as per the ministry of health and family welfare, Government of India, the crude death rate for India worked out to be 7.31 in 2015. India has seen its decadal crude death rate decline to 8.5 in 2001-2011 from 42.6 in 1901-1911. Though the death rates have come down, the rural-urban divide still remains – the death rate was 6 in urban areas and it was 8.2 in rural areas in 2001-2011.
2. Declining total fertility rate
India’s total fertility rate (TFR) has been steadily declining and was 2.3 (rural 2.5 and urban 1.8) during 2014. Total fertility rate can be understood as the number of children who would be born per woman (or per 1,000 women) if she/they were to pass through the childbearing years bearing children according to a current schedule of age-specific fertility rates.
3. Declining infant mortality rate
Infant mortality rate (IMR) has declined to 37 per 1000 live births in 2015 from 44 in 2011. The challenge lies in addressing the huge gap between IMR in rural (41 per 1000 live births) and urban (25 per 1000 live births) areas.
Infant mortality refers to deaths of young children, typically those less than one year of age. It is measured by the infant mortality rate (IMR), which is the number of deaths of children under one year of age per 1000 live births.
4. Declining maternal mortality ratio
The maternal mortality ratio (MMR) declined from 301 maternal deaths per 100,000 live births during 2001-03 to 167 maternal deaths per 100,000 live births during 2011-13. The maternal mortality rate (MMR) may be understood to be the annual number of female deaths per 100,000 live births from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes).
There are wide regional disparities in MMR, with States like Assam, Uttar Pradesh, Rajasthan, Odisha, Madhya Pradesh and Bihar recording MMR well above all India MMR of 167. Therefore, in addition to reducing all India MMR in line with SDG 3 targets, by improving health policy and nutritional status of women, there is need to focus on States with MMR higher than the national average.
Conclusion:
Although the basic health parameters are showing an upward rise, there is a huge gap in access to quality health care in India and hence health policy may require some tweaking. There are chronic diseases that plague the population. Primary amongst these seem to be the prevalence of high levels of anaemia among women in the age group 15-49 leading to high levels of maternal mortality.
In Haryana and West Bengal more than 60 percent of women suffers from anaemia. Under the National Health Mission, Government of India has programmes to address the issue of anaemia through health policy and nutrition education to promote dietary diversification, the inclusion of iron foliate rich food as well as food items that promote iron absorption.

 

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  • Petrol in India is cheaper than in countries like Hong Kong, Germany and the UK but costlier than in China, Brazil, Japan, the US, Russia, Pakistan and Sri Lanka, a Bank of Baroda Economics Research report showed.

    Rising fuel prices in India have led to considerable debate on which government, state or central, should be lowering their taxes to keep prices under control.

    The rise in fuel prices is mainly due to the global price of crude oil (raw material for making petrol and diesel) going up. Further, a stronger dollar has added to the cost of crude oil.

    Amongst comparable countries (per capita wise), prices in India are higher than those in Vietnam, Kenya, Ukraine, Bangladesh, Nepal, Pakistan, Sri Lanka, and Venezuela. Countries that are major oil producers have much lower prices.

    In the report, the Philippines has a comparable petrol price but has a per capita income higher than India by over 50 per cent.

    Countries which have a lower per capita income like Kenya, Bangladesh, Nepal, Pakistan, and Venezuela have much lower prices of petrol and hence are impacted less than India.

    “Therefore there is still a strong case for the government to consider lowering the taxes on fuel to protect the interest of the people,” the report argued.

    India is the world’s third-biggest oil consuming and importing nation. It imports 85 per cent of its oil needs and so prices retail fuel at import parity rates.

    With the global surge in energy prices, the cost of producing petrol, diesel and other petroleum products also went up for oil companies in India.

    They raised petrol and diesel prices by Rs 10 a litre in just over a fortnight beginning March 22 but hit a pause button soon after as the move faced criticism and the opposition parties asked the government to cut taxes instead.

    India imports most of its oil from a group of countries called the ‘OPEC +’ (i.e, Iran, Iraq, Saudi Arabia, Venezuela, Kuwait, United Arab Emirates, Russia, etc), which produces 40% of the world’s crude oil.

    As they have the power to dictate fuel supply and prices, their decision of limiting the global supply reduces supply in India, thus raising prices

    The government charges about 167% tax (excise) on petrol and 129% on diesel as compared to US (20%), UK (62%), Italy and Germany (65%).

    The abominable excise duty is 2/3rd of the cost, and the base price, dealer commission and freight form the rest.

    Here is an approximate break-up (in Rs):

    a)Base Price

    39

    b)Freight

    0.34

    c) Price Charged to Dealers = (a+b)

    39.34

    d) Excise Duty

    40.17

    e) Dealer Commission

    4.68

    f) VAT

    25.35

    g) Retail Selling Price

    109.54

     

    Looked closely, much of the cost of petrol and diesel is due to higher tax rate by govt, specifically excise duty.

    So the question is why government is not reducing the prices ?

    India, being a developing country, it does require gigantic amount of funding for its infrastructure projects as well as welfare schemes.

    However, we as a society is yet to be tax-compliant. Many people evade the direct tax and that’s the reason why govt’s hands are tied. Govt. needs the money to fund various programs and at the same time it is not generating enough revenue from direct taxes.

    That’s the reason why, govt is bumping up its revenue through higher indirect taxes such as GST or excise duty as in the case of petrol and diesel.

    Direct taxes are progressive as it taxes according to an individuals’ income however indirect tax such as excise duty or GST are regressive in the sense that the poorest of the poor and richest of the rich have to pay the same amount.

    Does not matter, if you are an auto-driver or owner of a Mercedes, end of the day both pay the same price for petrol/diesel-that’s why it is regressive in nature.

    But unlike direct tax where tax evasion is rampant, indirect tax can not be evaded due to their very nature and as long as huge no of Indians keep evading direct taxes, indirect tax such as excise duty will be difficult for the govt to reduce, because it may reduce the revenue and hamper may programs of the govt.