Healthcare policy of a political party

I was on  a call with a leading political party to discuss the Universal Health Coverage and i raised the following points for them to attend ;

1. Defining the UHC – We need to first define , what is Universal Health Coverage .
2. Focusing on execution – increasing the absorptive capacity on healthcare system – Even 1 % of GDP allocated to healthcare is not being used properly . How will we use 3 % ?
3.  Ideating the UHC model – whether it should be pay for use ( except for BPL ) ? Anything free will be worse than what we have today
4. Using technology including telemedicine and mHealth
5. PPP for healthcare outcomes and delivery

Hopefully , this party will be taking care of these points as well . This is the third political party that has sought my views on its Health Policy

Rajendra Pratap Gupta

http://www.indianhealthcareblog.com


Implementing strategies focusing on Child Health through Ministry of Human Resource Development

DMAI                                   

Rajendra Pratap Gupta

                                                                                                                                                                                                                                                                                                                                            President & Board Member

February 13, 2013.

Dr. M.M. Pallam Raju

Union Minister for Human Resource Development

Government of India

Shastri Bhawan, C- Wing, Dr.Rajendra Prasad road.

New Delhi- 110001

 

Subject: Implementing strategies focusing on Child Health through Ministry of Human Resource Development

 

Dear Dr.Raju,

 

I am sure this finds you doing well.

 

This note is a follow up on my earlier communications on including health education in school / college curriculum.  Please refer

following  communications;

 

  1. Communication regarding Child Health dated 11th Feb,11 http://dmai.org.in/sites/default/files/Unhealthy_Promotions_MOHFW.pdf
  2. Communication dated July 11, 2011 on the UN High level summit for Heads of States. http://dmai.org.in/sites/default/files/Note%20to%20PMO%20for%20UN%20Summit%20on%20NCD’s%20%20September’11.pdf
  3. Communication dated 8th August 2011 regarding, Right to Preventive Care & child health . http://dmai.org.in/sites/default/files/Right%20to%20Preventive%20Care.pdf
  4. Communication to Shri Kapil Sibal, Former HRD Minister, for including health in the school curriculum. http://dmai.org.in/sites/default/files/Healthcare%20in%20School%20Curriculam.pdf
  5. Communication dated October 10th, 2012 to Shri Ghulam Nabi Azad, Union Minister of Health & Family Welfare on ‘Pre-emptive care’           focused on child health. http://dmai.org.in/Pre-emptive-Care-A-new-model-of-care.pdf
  6. My address at the United Nations, on why we need to focus on Child Health? http://www.youtube.com/watch?v=qCTKC4ndjsc

 

Implementing strategies to ensure good heath among children would require collaborative working between the

Ministry of Human Resource Development along with Ministry of Health & Family Welfare & the Ministry of

Women & Child Development & the Ministry of IT & Communications . We have been following this issue very

closely, and have sent numerous proposals and met up with various officials from time to time.

 

The following, if not yet implemented, would be a good step to promote child health ;

 

1. Start a chapter on hygiene & oral care from class 1 onwards

2. Create animated pictures and videos for children’s health that could be multilingual, and can be screened        nationally in classes or using mobile health as a medium to disseminate the audio visuals .

3. Have a chapter and subject called ‘Essentials of health’ , which is exam based

4. Define child health and check-up guidelines on the lines of vaccination charts till the age of 15 years. This can

be done by the Ministry of Health & Family Welfare and incorporated in the school curriculum.

5. Child obesity is a serious issue, and this can be addressed by giving right knowledge about ‘Calorie exchanges’. Since parents teach the children, they will also get educated on the same and impact the family’s health. This must be added in school curriculum from class 3 onwards

6. Work outs or Yoga / mediation must be introduced in all schools

  1. All schools must have ideal height / weight / age charts in all classes, and every 6 months these must be reported in the half-yearly and annual report card. The same way as attendance, neatness , punctuality etc. are reported in class report cards at the PTMs (Parents Teachers meetings)
  2. It would be a great move if we start giving out 3 %marks or give a grading of A, B or C ( A for being fit for standards , B for borderline & needs improvement  & C for being much below the child health metrics ), for various health indicators like dental hygiene, height and weight (BMI – Body Mass Index ), hemoglobin, Vitamin B & D etc.
  3. Each school / college should have a full-time doctor / health educator
  4. Junk foods & associated calorific intake needs adequate attention in school level awareness campaigns
  5. Children do not realize the importance of having adequate quantity of water, and since, in school, they are sometimes restricted to go to toilets, it is high time that the guidelines are issued to all schools for adequate water consumption & availability of drinking water & toilets in school (It might sound trivial, but it is very

Important).

 

Hope this issue will be given the highest priority and attended at the highest level. We will be raising this issue in parliament though members of Parliament from different political parties

 

For this generation, we are already too late, but we must ensure that the next generation is a healthy one.

 

In hope of the needful

 

Rajendra Pratap Gupta

 

 

 

 

CC:

Shri. Ghulam Nabi Azad, Union Minister for Health & Family Welfare.

Shri Kapil Sibal, Minister for Communications & IT

Smt.Krishna Tirath, Minister of state (I/C) for Women & Child Development

Dr.Syeda Hameed, Member, Planning Commission, GOI.

Shri. T.K.A. Nair, Advisor to the Prime Minister.

Shri Keshav Desiraju, Health Secretary, GOI.

Shri Ashok Thakur, Secretary, Min. of HRD.

Shri Prem Narain, Secretary, Min. for Women & Child Development.

Dr.Jagdish Prasad, DGHS, MOHFW

Dr.K.Srinath Reddy, President, PHFI.


Address at the United Nations

Rajendra Pratap Gupta spoke at the United Nations General Assembly Hall on the issue of NCDs ( Chronic Diseases). This was for the Heads of State Summit on NCDs.


UN post the MDG’s – Roundtable dated 13th Februrary , 2013

Yesterday, i participated in the meeting of what the United Nations must do to the MDG’s ( millenium Development Goals ) post 2015 , when the MDG’s comes to an end in terms of the timeline .

I have suggested that ‘ without sustainable livelihoods for a family’ , MDG’s could never be achieved , so this must come at the forefront .

Access to ICT’s should be made a MDG

Improving life expectancy makes sense seeing the infant mortality and maternal mortality

Further , the MDG’s related to health be ‘clubbed’ and the definition be expanded to provide access to ‘ Preventive health’ as a MDG

Multi-skilling along with education needs to be put than the universal primary education as a MDG

Also, private sector needs to be involved in conceptualization , planning and execution . I further added , that , if the private sector was involved as a partner in MNAREGA and MRHM , things would have been different

Charity is as deep as profits …… time to work as a TEAM ( PPP), else ‘laudable’ goals will become ‘laughable’

Rajendra Pratap Gupta

http://www.indianhealthcareblog.com


TELEMEDICINE: A solution to the burgeoning healthcare needs to bridge the demand supply gap of patients and healthcare professionals

 

TELEMEDICINE: A solution to the burgeoning healthcare needs to bridge the demand supply gap of patients and healthcare professionals

By: Sanjeeb Kumar Samal

Recently I had been to villages remote to Bhubaneswar, the capital of Odisha to conduct health camps free of cost under the Corporate Social Responsibility (CSR) scheme of our company. We moved with a team of general practitioners and with medicines. The dates were announced in advance in order to get a good attendance. Normally 100 to 500 patients turned up in each of the health camp. Some familiar patterns of disease prevalence were observed among the patients who attended the health camps. Aged persons with complaints of knee pain would be common phenomena in all the health camps. In one of the camps I was surprised by one observation. The measure of blood pressure of some female patients showed very high value, which to me was unlikely. On seeking a reason for that the doctors told me that the village folks take lot of water dipped rice with high salt in their diet (in eastern part of India intake of watered rice is common by the poor section of populace)  and the salt is causing the elevated blood pressure.  The doctors accompanying used say that lot of patients will be found malaria positive in the health camps considering the environmental conditions of our venues, but so was not the case. I wish this had a correlation with the ongoing National Vector Borne Disease Control Programme (NVBDCP) under National Rural Health Mission (NRHM) which has given clear cut guidelines and tools to eradicate vector borne diseases like malaria, dengue, filariasis and kala-azar. It was a pleasure to see that the pathology technicians in our team would bring along rapid test kit lots from public hospital to detect the vector borne diseases.

I used to think that non communicable diseases (NCDs) are absent in the rural areas in comparison to urban areas. But, the observation I had in that health camp and interaction with doctors did change my perception. The NCDs of cancer, cardiovascular diseases and diabetes have found their ways into rural heartlands due to urbanization, tobacco consumption, alcohol consumption and physical inactivity. An epidemiological transition is taking place in the rural areas as well. In fact the Government of India has taken cognizance of the fact and has recently launched the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in the year 2010.

It’s well known that the NCDs are fast grappling the urban Indian population and simultaneously undeniable that the NCD monster is steadily raising its head in the rural mass as well. This calls for deployment of specialists in the rural areas treat the rising numbers of NCD patients.

The Government led initiatives are slow and usually takes too long time in addressing the disease prevalence and very likely that the status quo will continue in the future. If the Year-2011 reports are any indicator of how things are placed in current scenario, the following table elucidates, out of 19,236 specialist posts 12,301 are in shortfall in the 4,809 total CHCs (Community Health Centre: Secondary health care centers for rural population) of our country

Table: Requirement Vs. Deployment of specialist doctors in CHCs

States

Total CHCs functioning

Required (4 specialists per CHC)

Sanctioned

In Position

Vacant (sanctioned-in position)

Shortfall (required- in position)

Himachal Pradesh

76

304

NA

9

NA

295

Bihar

70

280

280

151

129

129

Assam

108

432

NA

216

NA

216

Orissa

377

1,508

812

438

374

1,070

Uttar Pradesh

515

2,060

2,060

1,894

166

166

Chhattisgarh

148

592

592

82

510

510

Jharkhand

188

752

124

66

58

686

Rajasthan

376

1504

1068

569

499

935

Madhya Pradesh

333

1,332

778

227

551

1,105

Uttarakhand

55

220

210

78

132

142

All India

4,809

19,236

9,831

6,935

3,880

12,301

 

 

 

 

 

 

 

 

 

Source: http://www.indiaspend.com/sectors/rural-india-faces-60-shortage-of-doctors

There are seemingly two options to combat the menace.  One is to increase the postings  of medical/paramedical professionals and second is to apply Information & Communication Technology (ICT) to bridge the distance between the doctor and patient in the existing set up.

Telemedicine is considered as the next game changer in healthcare by leveraging electronic & telecommunication advancement to connect the patients and doctors separated by distance. Treatments is possible over video calls, conferencing calls from consultation to tertiary treatments in mental health, dermatology etc. Telemedicine will also be useful in seeking second opinion and providing continued medical education to health care professionals.

Source: ISRO Site

With innovations in the logistics associated around the telemedicine system, issues like lack of awareness, non –affordability, distance from the healthcare centre and fear of falling into the trap of moneymaking private hospitals, which prevent the villagers from seeking quality healthcare can effectively be addressed.

Telemedicine is in a much nascent stage in India. Organizations such as ISRO, SPGIMR Lucknow , PGIMER Chandigarh , Govt. Medical Colleges of Orissa,  Apollo Telemedicine Network Foundation, Telemedicine Society of India and some private tertiary care organizations are taking pioneering steps in promoting telemedicine. Suitable policies by the Government and entry of entrepreneurs will make Telemedicine an acceptable medium of providing healthcare services to larger and underprivileged section of the society.

About the author: Sanjeeb Kumar Samal, an engineer by profession, a healthcare enthusiast and an aspiring healthcare entrepreneur. The author can be reached sk_samal@yahoo.com


Auditing of the unused budgetary allocations for Healthcare sector

DMAI

Rajendra Pratap Gupta

President & Board member

 

December 27th, 2012

Dr. Murli Manohar Joshi

Chairman

Public Accounts Committee

6, Raisina road, New Delhi 110001

 

Ref: Auditing of the unused budgetary allocations for Healthcare sector

Dear Dr. Joshi,

Greetings from the Disease Management Association of India (DMAI).

This has reference to the meeting at your residence on 25th December 2012, and the discussions that we had on the Public Accounts Committee report on NRHM  (PAC NO. 1939). I have gone through the PAC report submitted by your good self to the Parliament. I wish to draw attention to the following references in your report;

Page 9: Mission Steering Group (MSG) was required to periodically monitor progress of the mission and to meet twice a year.  Audit scrutiny revealed that MSG met only four times in four years instead of 8 times as per the laid guidelines.

The delegation of powers to the MSG and EPC (Empowered Programme Committee) was subject to the condition that a progress report regarding NRHM, also indicating deviation from the financial norms and modifications in ongoing schemes, would be placed before the cabinet on an annual basis. However, during the past four years, the Mission had submitted a progress report to the Cabinet only once in August 2008 (as per the PAC report).

Page 12: Public Private Partnerships (PPP) in RCH services is not up to the expected levels

Page 18: Regarding composition & functioning of the VHSC (Village Health & Sanitation Committee)

Secretary Health’s statement,

“To be very honest with you, we have got a survey done recently by the Institute of Population Sciences, and yesterday they gave us a presentation. It is not a very happy picture on the village health societies. In many of them, people did not know if they existed; they did not know who the members are; they did not know if they are functioning; that was the finding of the planning Commission’s mid-term review also, when they had gone round the country and seen… that is VHND. There is certainly a vision in the NRHM when it was designed. That has not been fructified……….

“ Our experience with Panchayat raj is not good. They also complained about it. Half of the fund is not spent because he is the co-signatory – either he is not living in the village or if he is, he harasses her and why should she sign? The entire Panchayat raj system, with due respect, has not really worked; the ideal is one thing, but practically it is not; those who take interest, have got excellent experience, but those who are not interested, it is not good. It is very difficult for these people; it has not worked out well”.

Page 19:  Health Secretary’s response on, “how the ministry ensures that the disbursal of funds by the state health societies to VHSCs is monitored”?

“This is a huge task for the states. They are finding it very difficult to keep a track of so many small accounts. But we have given them accountant at every block level. In a block there will be some 100 VHSCs. He should have been able to get these accounts and see what they have spent on and do the auditing. We will have to streamline it further and get them to do the auditing. But we suspect about Rs.100-200 Crore lying unspent. That is our present assessment”

Page 20: Table 3 highlights the gap between the funds released and expenditure.

Page 23: Point 55, “ However, the Ministry have clarified that actual utilization of the funds allocated shall depend upon a number of factors in particular the absorptive capacity of the system. In fact, one of the argument put forward by many is that while the actual allocation in the Eleventh Plan was lower than the original plan allocation, the actual expenditure has still been lower i.e. the system has not been able to utilize the curtailed outlay”

Page 28: “It may be observed that rural households account for around 55 % of the total out of pocket expenditure within the country”

Page 31: Audit examination revealed that 71 PHCs (11 per cent) in 15 states were functioning without an allopathic doctor. In 518 PHCs (86 per cent) of 28 States / UTs, an AYUSH doctor had never been appointed. 69 test checked PHCs were functioning without an allopathic doctor or an AYUSH doctor. This meant that population residing in their sphere of coverage had no doctor available at all in the public domain. In Andhra Pradesh, Haryana, Himachal Pradesh, Kerala, Madhya Pradesh, Mizoram, Punjab, Sikkim, Tripura and Lakshadweep, none of the test checked centres had an AYUSH doctor.

Page 33: “As per norms, Specialists are appointed only at CHCs level and not at PHCs level. As per the data available in Bulletin on Rural Health Statistics in India (Updated up to March 09), a total of 5789 specialists are in a position at CHCs across the country, as against the sanctioned posts of 9028 specialists…………”

Dr. Joshi, as discussed during our meeting, it is imperative that the PAC / CAG, or any competent independent regulator, starts the audit of unspent funds allocated for each social sector so that the benefit of the plan reaches the targeted population. As DMAI, we would be interested in pursuing this issue further with the concerned authorities. Also, a clear and enabling policy framework is required, so that the bureaucrats can take decisions without fear on fund allocation utilization, and the absorptive capacity of the system increases to 100 %.

I have been visiting the rural sub-centres and have been gathering first hand information about the impact of NRHM. This communiqué is marked to the PMO and MOHFW for information. Will meet you shortly with more details

Thanks for your continued support

Best wishes for a great year ahead, & tons of good wishes for your birthday, in advance. Wish you good health & long life.

With best regards

Rajendra Pratap Gupta

CC:  Dr.Manmohan Singh, Prime Minister,

Shri Ghulam Nabi Azad, MOHFW

Dr.Syeda Hameed, Member, Planning Commission

Secretary – MOHFW

DGHS

President , PHFI


DMAI wants PAC to start auditing unspent govt funds for healthcare

DMAI wants PAC to start auditing unspent govt funds for healthcare

Suja Nair Shirodkar, Mumbai
Monday, December 31, 2012, 08:00 Hrs  [IST]
 

The Disease Management Association of India (DMAI) has urged the Public Accounts Committee (PAC), set up for the auditing of government expenditures to various sectors, to seriously consider auditing of unspent funds to the healthcare sector. In a representation made to Dr Murali Manohar Joshi, chairman of PAC, the association stressed it is essential to bring in accountability and transparency on why the funds that have been allocated for the use in various sectors go unused in spite of the requirement.

DMAI stressed that it has been observed time and again that a huge chunk of the allocated funds go back to the government exchequer, because the officials handling the responsibility was not able to use it appropriately. This they fear is because the officials who handle the charge either does not understand the need of the sector or they remain carefree since they are not questioned.

Rajendra Pratap Gupta, president, DMAI, pointed out that in healthcare sector which requires a major financial thrust from the government for various programmes, it has been noticed that a most of the funds assigned are either not released on time or are at times not released for the benefit of the sector. “There is already a huge hue and cry over the lack of insufficient funds kept aside for the healthcare sector. To make matters worse even from that funds allocated for the upliftment of the sector, a huge share goes without being spent, unused back to the government. We feel that this is because the administers do not feel answerable to the money unspent, since as of now they are only accountable for the expenditure made by the government.”

Gupta further added that for better administrative purpose and to ensure effective and timely use of the allocated funds to development purpose it is essential to start questioning the officials on unused government money. PAC which consist of selected members from the parliament, was constituted by the parliament for the auditing the expenditure of the government. However the DMAI stressed that along with getting the accountability of all the expenditure there is also an urgent need to get reasons on why the government have been lacking behind in spending money on much needed plans when the money was already sidelined for the same under the budgetary plan.

After the meeting with the chairman of PAC it was agreed upon by both the parties that there is a need to address this issues at the earliest. It is understood that following the meeting Dr Joshi has asked DMAI to submit a detailed data on all the unused funds in the healthcare sector compared to its requirement based on which they will be taking the required action.

DMAI informed that they have already started the work on this matter and will soon be sending the data to the government with updated data for their perusal.

http://pharmabiz.com/NewsDetails.aspx?aid=72938&sid=1

 

Pre-emptive care – A new model of care

Image

Rajendra Pratap Gupta

President & Member

Board of Directors

Shri Ghulam Nabi Azad

Union Minister of Health & Family Welfare                                                                                                                                                                                                                                                                               October 10th, 2012

Government of India.

Nirman Bhawan, New Delhi – 110108.

Reference: Empowering people , ‘Pre-emptive care’ model & update on the Government Industry Dialogue

Dear Shri Azad ji,

Hope this finds you doing good.

I attended a workshop for health ministers of NDA two days ago . During the workshop , we also visited a village in Gadhchiroli ( A naxalite area in Maharashtra ).  Here, I came across a 7th class failed lady who has been delivering healthcare information and advice in the village for many years on mother and child health, and out of the past five years , the village has been ‘Child death free’ for four years .

This service of the 7th class failed lady makes me believe that time has come to move from, ‘Health for All’ to ‘All for Health’ and under this ,

  • Move to a system for self care
  • We must come out with a healthcare booklet for all the citizens in regional languages
  • Give generic names with prices for medicines ( OTC – Over the country or non-prescription pharma or non-pharma products ) , for common seasonal and acute ailments
  • Also, the Government must make this booklet available to all the citizens on its website & as an application in Android / Nokia and other phone operating systems. It is time to empower people to take to primary and preventive care . Healthcare indications with OTC products application must be made mandatory in all languages for cell phones sold in India . May be, MOCIT ( Ministry of Communications & IT ) can take the lead in doing this .

More than 3 years back , I had written in the document titled ‘Healthcare  reforms agenda’ (http://www.dmai.org.in/Healthcare_Reforms_Agenda.pdf ) , about ‘mass screenings’ for people,  and I am glad that your ministry has accepted it , and has already done over 10 million screenings in the past 10 months , which is really commendable .  Now , it is time for India to move from ‘Preventive’ care to ‘Pre-emptive’ care ( till now, I haven’t heard this word used for health ! ).

‘Pre-emptive healthcare’ ( Before teen age ) ,  starts before the age ( late twenties ), when ‘Preventive care’ starts . It would include ;

  • Starting with health screening for children when they turn the age of 10  . Earlier the better !  So that children grow up healthy .
  • The screenings will include obesity , blood pressure and diabetes screenings, every 6 months . These checks would not cost more than Rs. 10 a year , but can help in making India the healthiest nation !
  • Also, major healthcare problems arise due to deficiency of vitamins A, D & B & Omega 3. We must recommend guidelines for all children to undergo tests for deficiency of these vitamins and Omega 3, and also tie up with national level labs for offering these tests at rates mutually agreed by the Government . I understand that currently , it is difficult to have a test for Omega 3 in India, even if one needs to get it done !
  • Also, dental examination and eye check – ups must be made mandatory from the age of 6 years

We should, therefore, focus on drafting the child health guidelines and ensure that these become the basic requirement for school admissions and thus, are enforced nationally.

Lastly , on the Government Industry Dialogue (GID) for Healthcare that was organized by the Disease Management Association of India (DMAI) . I understand that you could not attend due to your pre-occupation, but I did receive the note conveying your good wishes for this initiative. This dialogue was a massive success with 60 CEO’s from the Healthcare sector companies attending the dialogue and was addressed by ;

  • Dr.Sam Pitroda , Advisor to the Prime-Minister
  • Shri Keshav Desiraju, Spl. Secretary , MOHFW
  • Dr.Ashok Kumar – representing the DGHS , Dr.Jagdish Prasad
  • Shri. Anil Swarup, Addl. Secretary, Ministry of Labour & Employment
  • Dr.K.Srinath Reddy, President , PHFI & Chairman, High Level Expert Group on Universal Coverage
  • Dr.Prathap C. Reddy, Chairman, Apollo Hospitals Group;
  • Besides CEO’s & Managing Directors of leadings healthcare corporations

Besides , the dialogue was well attended by the media . Details of the deliberations are available on http://governmentindustrydialogue.org

This dialogue showed the keenness from both the sides ( Industry & the Government ) to work shoulder to shoulder to address the key healthcare challenges facing the nation .

Three areas of cooperation have emerged; i.e. adoption of districts under mass screening programs , companies willing to work on secondary prevention program in addition to the mass screening program , IT & mHealth companies willing to provide innovative solutions for managing chronic diseases and program evaluation tools, training front line health workers & Rural health . It would be good if the MOHFW now moves to focused meetings under the Government Industry Dialogue to decide the scope of collaboration specific to each program. I am sure that this will lead to more effective implementation of existing programs . I look forward to your guidance on the same.

Over the next couple of weeks, I will be attending meetings in USA – ‘International Wellness and Chronic Care Symposium’,  and in Manila – ‘The Asia Pacific Leadership & Policy Dialogue’, hosted by WHO and the World Economic Forum for digital health . Will update you on the developments

With best regards ,

Rajendra Pratap Gupta

CC.

Dr.Manmohan Singh, Prime Minster, Govt. of India.

Dr.Sam Pitroda ,Advisor to the Prime Minister of India .

Shri Keshav Desiraju, Special Secretary, Health & Family Welfare, GOI.

Shri Anil Swarup, Addl Secretary, Ministry of Labour & Employment , GOI

Dr.K.Srinaty Reddy, President , PHFI & Chairman, HLEG- Universal Coverage

Dr.Jagdish Prasad, DGHS, Min. of Health & Family Welfare, GOI.


Recommendations made yesterday to the Union Ministry of Health on Child Health

 

 
1. Start a chapter on Hygiene & oral care from class 3 onwards 
2. Must create animated pictures and video’s for children’s health that could be multilingual and can be screened nationally in classes 
3. Have a chapter and subject called ‘Essentials of health’ which is exam based 
4. Define child health and check up guidelines on the lines of vaccination charts till the age of 15 year 
5. Child obesity is a serious issue and this can be addressed by giving right knowledge about ‘Calorie exchanges’ . Since parents teach the children , they will also get educated on the same and impact the family’s health
6. Work outs and Yoga / mediation  must be introduced in all schools 
7. All schools must have ideal height / weight / age charts in all classes and this must be used every 6 months measuring these indices , and reported in the half yearly and annual report card. The same way as other marks and habits are reported in class report cards at the PTA 
8. Children do not realise the importance of having adequate quantity of water , and since in school they are some times restricted to go to toilets , it is high time that the guidelines are issued to all schools for water consumption in school and at home 
9. Junk foods needs adequate attention in school level awareness campaigns 

 


DMAI organises industry government meet

DMAI organises industry government meet.