As fate would have it, Sriviliputtur Government Hospital (in Tamil Nadu’s Ramnathapuram district) happened to be one of the first hospitals he reviewed on taking charge. An officer on Pankaj Kumar Bansal’s team drew his attention to a heavily pregnant lady, who was close to panic stricken tears on being referred out, yet again, to another government hospital for emergency obstetric care. That Sriviliputtur itself was a designated CEmONC center (Comprehensive Emergency Obstetric and Neonatal Care Center) mandated to provide every conceivable (except for the very super-specialized) care required for a pregnant mother and her neonate, and yet was incapable of handling the emergency, distressed him deeply.
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I was standing behind the Chief Minister, Nitish Kumar of Bihar, and I was amazed as he seemed to be. This young man from a village in Bihar had actually made a functioning hearing aid using electronic waste. He even designed his own Styrofoam cutter to quicken the production process. And the cost of the hearing aid is only 75 rupees ($1.20)! The cutter costs a few dollars only.
Nitish Kumar was making a tour of the Innovation Expo at the Bihar Innovation Forum (BIF). For me, Rishikesh was clearly the most amazing talent, but there were good innovations in many, many areas. Recycling groundwater for irrigation, thus slowing the depletion of scarce groundwater resources; using rice husks to generate electricity in the village; an Internet platform that allows small investors to contribute to grassroots loans; a platform to harness traditional culture to create jobs; I could go on.
The BIF is organized by Jeevika, Bihar’s flagship livelihoods program, which has empowered over a million women already and connected them to banks. I am proud to say that the World Bank is a long term supporter of both Jeevika and BIF.
Many people associate innovation in India with big cities like Bangalore and Chennai. Bihar decided seven years ago to see what innovation can come from its villages. This year they looked again, not only within Bihar but across India and found innovative rural solutions from 16 states. And it does not stop at a forum. The Chief Minister announced the same day that Jeevika will create an Innovation Center to support the grassroots innovators with handholding and technical assistance and to make sure that what works gets scaled up in many villages. This could transform the rural landscape!
The much anticipated Right to Fair Compensation and Transparency in Land Acquisition, Rehabilitation and Resettlement Act, 2013 (“the Act”) has just come into force in India on January 1st, 2014. Unlike the replaced 1894 legislation, this act addresses the rehabilitation and resettlement of those who depend on land, in addition to land owners. As emphasized in its title the new act places a greater emphasis on transparent processes at various stages: for example, through its mandatory social impact assessments, public hearings, and dispute resolution mechanisms.
The other key emphasis in the act’s title refers to a new compensatory mechanism. The new act now provides for up to two times market value, against one time in the previous act and this figure is then doubled by applying a one hundred percent “solatium” against 30% in the previous act (additional compensation). Though people get more compensation under new act, an increase in multiplier does not address the fundamental question of determining “market value” in a country where registered values under-represent land purchase price to evade high stamp duties. The challenge is exacerbated in rural areas where there are fewer land transfers, and therefore fewer registered sales deeds to use as reference points. In such situations, a valuation that is perceived to be more “fair” can be found only through consultations and dialogue, as demonstrated by two case studies from World Bank financed projects in India:
Fact #1: One in six people still defecate in the open.
Fact #2: Most of them are not entirely convinced that a toilet does any good.
Fact #3: Many of the recent toilet adopters still like to go in the open.
I don’t mean to be alarmist, but these signal a need for a shift in thinking about the complex problem of addressing behaviour change with respect to toilet adoption.
See also: Anniversary of the New Delhi Attack Reminds Us that Tackling Violence is Urgent
December 16, 2012 will in the foreseeable future be remembered as the day in which six men savagely gang raped a 23-year old female student on a bus in New Delhi. The young woman died from her injuries 13 days later. The event shocked the nation and sparked unprecedented uprisings in the Indian capital and across the country. It put the international spotlight on India and reminded us that violence against women remains a leading cause of female mortality worldwide.
Today, on the one-year anniversary of what is simply referred to as the “Delhi Rape”, we are compelled to pause and reflect. Four men were sentenced to death for the crime in September – did this bring closure? Beyond the protests and public appeals for change, has there been meaningful change in India?
Happy belated 1st World Toilet Day! The newly designated UN day embodies the enormous development challenge of providing safe toilets to all. More than 2.5 billion people still don’t have access to adequate sanitation and 1 billion defecate in the open. It brings into sharp focus the need to foster innovation and dialogue on sanitation, especially given our straggler status on the sanitation MDG. From enhancing water management to ending open defecation, the wide ambit of influencing policy and behavior change can seem daunting at times.
Why Sanitation Access Doesn’t Work Unless the Entire Village Buys In
Jitender is a four-year old boy with forward-thinking parents. Although it’s common in his village, in the Indian state of Uttar Pradesh, for most people to defecate in the open, his parents have taken the lessons of the government’s sanitation campaign to heart. They know that open defecation spreads disease—so they construct a private toilet that hygienically isolates their waste from human contact. Nonetheless, a few months later, Jitender develops persistent diarrhea. He is often dehydrated, loses weight, and becomes pale. His immune system is weakened by multiple bouts of disease, and for the next several years he struggles with recurrent illness. He has trouble keeping up with his schoolwork, and, more perniciously, even though he ate more than enough calories each day, the diarrhea eventually caused malnourishment. He remains small for his height and suffers from subtle intellectual deficits that make it difficult for him to follow the teacher’s lessons even during those periods when he does manage to attend. Because of his low marks, his family isn’t able to fulfill their dream of sending him on to university. The village takes note of Jitender’s example and concludes that improved sanitation doesn’t provide much, if any, benefit. This is a fictional story; however, similar stories are being heard every day in South Asia.