Annual Report - National Human Rights Commission

Annexure 8
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Universalization of ICDS, including strengthening of child health related services.
Guarantee of immunization, nutritional supplementation and other essential preventive
child health services. Ensuring school health services and mid-day meals.
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A comprehensive statewide policy to provide primary health services to urban areas.
Expansion of Urban Health care infrastructure, especially of health posts and of outreach
health services.
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A new scheme to provide a community health worker in every village of the state should
be launched. This should effectively involve communities, Panchayats and local
organizations.
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Regarding mental health, much greater sensitivity towards mentally unwell, institutionalized
patients; provisions for proper counseling and measures for rehabilitation and family contact.
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All coercive measures for limiting family size must be stopped immediately. The tubectomy
camp approach, which often results in poor quality operative care and violation of various
aspects of women’s rights, needs to be reviewed.
State Level Recommendations:
Recommendations for Health Services in Delhi
1. There are three over-arching issues applicable to all Public Health Institutions:
a. With Delhi being a city-state and the national capital with a historical development of
multiple local bodies there is a multiplicity of providers. The respective roles of
Government of India, Government of Delhi and the local bodies need to be clearly
spelt out and well coordinated.
b. There is a need to rationalize and integrate the functioning of the public health agencies.
The Dr. Pattanayak Committee had given its recommendations for restructuring the
health services of the Municipal Corporation of Delhi in 2001-02 but it has largely
been ignored. There is a need to consider its implementation.
c. Health personnel (including doctors) need to be in position through regular
appointments and their performance should be ensured through administrative and
community regulatory mechanisms.
2. Strengthening of Primary Level Institutions:
a. Peripheral areas lack institutional coverage; these areas require special attention and
should be expanded.
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