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Human Development in India - NCAER

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villages <strong>in</strong> a global world 191Table 12.7Per cent of Sample Villages with Different Types of Medical FacilitiesAny Any Type of Govt Facility Type of Private FacilityGovern- Private Sub- Primary Commu- Govern- Private Private Private Private Private Privatement Facility centre Health nity ment Doctor Doctor Hospital Chemist Mater- DaiFacility Centre Health Maternity Tra<strong>in</strong>ed Untrai- nity (mid-wife)Centre Centre ned HomeAll <strong>India</strong>* 52 52 43 16 3 4 23 41 5 22 2 54Jammu and Kashmir 50 30 45 10 5 0 5 0 15 0 25Himachal Pradesh 54 35 27 25 2 2 17 30 0 8 0 56Punjab/Chandigarh 56 75 49 11 3 5 33 23 3 46 2 87Haryana 56 85 44 11 0 0 16 64 5 13 3 85Uttar Pradesh 38 67 36 9 1 1 23 50 3 26 2 55Uttarkhand 15 50 10 0 5 10 30 66 0 25 0 55Bihar 49 51 43 10 0 0 16 50 7 30 5 75Jharkhand 39 54 35 8 0 0 31 46 0 12 0 46Rajasthan 60 43 48 13 5 7 15 31 3 15 5 68Madhya Pradesh 38 34 34 6 2 2 13 33 1 10 2 65Chhatishgarh 22 31 16 10 0 0 0 31 2 4 0 76West Bengal 49 77 44 11 3 3 17 29 9 23 0 65Orissa 57 30 46 13 7 6 13 68 0 17 1 32Assam 34 45 24 11 0 0 8 23 0 42 0 13North-East 67 15 45 30 9 3 12 45 0 15 0 30Gujarat, Daman, Dadra 29 65 26 4 0 1 50 9 3 7 0 79Maharashtra/Goa 50 50 45 15 2 3 42 53 5 30 4 80Andhra Pradesh 65 71 59 13 4 7 18 19 11 32 7 56Karnataka 61 40 51 23 2 3 23 68 1 7 1 20Kerala 80 72 70 66 16 3 57 14 39 70 7 15Tamil Nadu/Pondicherry 77 37 60 29 0 18 31 30 14 31 5 8Notes:*Tables present unweighted summary from village questionnaires. These data are nationwide but not nationally representative.Source: IHDS 2004–5 data.organizations by provid<strong>in</strong>g direct and <strong>in</strong>direct support tothem. In some cases, these voluntary groups work directlywith government agencies and help <strong>in</strong> implement<strong>in</strong>g governmentprogrammes. In others, they receive f<strong>in</strong>ancial aidfrom the state. Other organizations have chosen not to beco-opted by the state and, <strong>in</strong>stead, operate <strong>in</strong>dependently,sometimes as pressure groups work<strong>in</strong>g to ensure effectivegovernance.The IHDS collected <strong>in</strong>formation about the existence ofa variety of programmes <strong>in</strong> sample villages. It is importantto note that because the key <strong>in</strong>formants were often villagefunctionaries, there is a potential for the overstatement ofvarious programmes. Nonetheless, Table 12.8 provides an<strong>in</strong>terest<strong>in</strong>g portrait of the presence of self-help groups, governmentprogrammes, and NGOs.To the extent that villages are able to promote their owndevelopment through the use of self-help groups and nongovernmentalbodies, they may be able to substitute for, orsupplement formal government programmes.The success of states is often evidenced <strong>in</strong> the implementationof programmes. Even when there are programmessponsored by the central government, the success rate andcoverage of the programmes vary widely by state. Overall,the southern states stand out <strong>in</strong> coverage and implementationof government programmes.However, the IHDS also suggests an <strong>in</strong>terest<strong>in</strong>g puzzle.<strong>Development</strong> discourse is suffused with an implicit orexplicit assumption that when a state fails to reach certa<strong>in</strong>areas or populations, the NGO sector has the ability to fillthe vacuum. However, <strong>in</strong> the IHDS villages, the presence of

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