remains the responsibility of the governments in power and yet in spite of all efforts by the governments and its different agencies; the masses are facing gross inadiquacies in almost all these importent spheres of life. These inadiquacies and shortages need to be addressed on warfooting and for that besides the governmental efforts, cooperation/ contribution and efforts form the non governmental organisations and its members become important. The task of nation building is an hillarious one where every citizen must play his/her part and every one must cotribute as per his or her capacity.
The following scenario, critical situations, and gross inadiquacies in different importent spheres of life particularly in our country calls for an urgent need for non governmental efforts so that the poor, needy, deprived and the weaker sections of the society get relief and let not them suffer adversely from these inadiquacies, shortcomings or gaps left over after the governmetal efforts:-
POVERTY: NO MORE A DESTINY :-
India is a rich counry inhabited by poor people. Notwithstanding numerous programmes, schemes and poicy formulations initiated by the government for alleviation of poverty, the story of the poor people remains almost the same and the gap between the rich and the poor goes on increasing. The Indian position in the global hunger index as it rankes111th out of the 125 countries, per capita income and the general standard of living has been disappointing when compared with the countries not so resourceful as ours. With the current poverty line which is 1059.42 Rupees per month in rural areas and 1286 indian Rupees per month in urban areas, the general standard of living can be very well imagined. About 80 crores of india population are dependent upon the 5 kg grains disributed by the Government.
The NON-GOVERNMENTAL Efforts in the form of relief to the poor are ,hence , urgently warrented on a large scale.
EDUCATION FOR ALL: NO MORE DELAY :-
The education system of india as a whole is not upto the mark. The Government is not doing enough to improve the education system. There are many private schools in india which are providing good quality education but the fees of these schools are very high. So only rich people can afford to send their children to these schools . Many public schools in india are not provided with good quality education. The government is not doing anything to improve the condition of these schools. The educational intitutions run by the Govt. particularly for the school education are not only deficient and grossly inadiquate but has also been detriorating day by day in quantity as well as in quality. The elementary aducation remains beyond the reach not only to the street children but also to the children of the families of the hitherto deprived as they are unable to pay for the ever rising cost of eduction in the private institutions. The number of the out-of-school children in India for the age group of 6 to 17 years is estimated to 25 million in 2020. Most out-of-school children are located in rural areas, and the girls are more likelier to be out-of-school than boys. Further, it is revealed that children from the scheduled castes and scheduled tribes communities are more likly to remain out-of-school, which may be because of poverty, gender discrimination, child labour, inaccessibility of schools and disability. “About 50% of india’s children have no access to quality education after Primary school,” Mr.Khan, who was aslo member of the G.Sudhir Commitee, said and pointed out that 90% do not have access to postgraduate courses. The Gross Enrolment Ratio (GER) for higher education in india in india is 26.30%. GER is the percentage of people aged 18-26 who are enrolled in heigher education institutions. it is also a fact that the socio-economic conditions of the underpriviledged are such that several members of the family live in a single room, without properaccess to utilities. Therfore, education is not easy for them.
The NON-GOVERNMENTAL Efforts in order to help educate the masses and to awaken the masses, hence, are urgently required on a large scale.
SOCIETY MUST BE HEALTHY AND DESEASE FREE :-
India’s health system remains inadequate in terms of availability and distribution of infrastructure and the health workforce. India has approximately 1.4 beds per 1,000 populations, lower than several comparable countries (Finance Commission, 2020) such as China (at 4 per 1,000), the United Kingdom (UK) and Sri Lanka (at 3 per 1,000) and Thailand and Brazil (at 2 per 1,000) (Finance Commission, 2020). The distribution of these beds is skewed, across states and across public and private, with 60% in the private sector. States such as Karnataka have almost 4 beds per 1,000 people while Bihar, Orissa, Jharkhand, Chhattisgarh and several others have less than 1 bed.
The gaps in the health workforce are similarly large with the doctor to population ratio at 1:1,511 as against the World Health Organisation (WHO) norm of 1:1,000, with considerable distribution skews across urban and rural areas. Health outcomes are not the only matter of concern.
Financial risk related to health expenditures is another aspect needing attention. Indian citizens incur large and often catastrophic out-of-pocket expenditure for health-related expenses (estimated at 62% of total health expenditure), increasing their economic vulnerability. It is estimated that such expenses push about 60 million people into poverty each year (Finance Commission, 2020). While total health expenditure on health in India is around 3.5% of GDP, public expenditure has remained low at about 1.3% of GDP, despite recommendations of the High Level Expert Group on Universal Health Coverage (HLEG) and the National Health Policy (NHP) 2017, to increase public health allocations to 2.5% of GDP. Though the NHP had stated that States should spend 8% of their budget on health by 2020, it is currently (December 2021) at 5.18% on an average, with large variations across states ranging from 4.10 to 9.06%
A recent Indian government self-assessment reveals that most public health facilities, including district hospitals and primary centers, fall short of essential standards. Only 20% meet benchmarks for infrastructure and resources, with 42% scoring below 50%. This highlights urgent reforms needed to enhance healthcare nationwide.
According to data published on the Indian Public Health Standards (IPHS) dashboard, only approximately 20% of the assessed facilities achieved a score of 80% or higher, meeting the required benchmarks for infrastructure, human resources, drugs, diagnostics, and equipment. This indicates a significant shortfall in meeting basic healthcare standards across the majority of public health facilities in India.
HEALTH STATUS IN INDIA CHALLENGES AND OPPORTUNITIES :-
Table 2: Comparison of India with Other Countries in Key Health Outcomes, 2019
Source: 15th Finance Commission Report Volume I, 2020
While national averages on certain indicators convey significant progress, they belie the sub-national variance where some states are well behind desired outcomes. Similarly, variance across urban and rural areas, and across gender and caste, highlight continuing inequities:
An estimated one-third of India’s population resided in urban areas in 2018, and is expected to grow to 877 million by 2050 (World Bank, 2019; UN Population Division, 2018). The urban poor often lag behind their rural counterparts on health indicators: anaemia is prevalent amongst 62.7% of urban children as opposed to 59.5% of rural poor children; full immunisation amongst children aged 12–23 months is 57.7% for the urban poor as compared to 61.3% for the rural population.
Women’s access to primary healthcare is inadequate due to multiple reasons, including a lack of empowerment and financial barriers: 63% of married women cannot take decisions related to their own health, and only 57% of women in urban areas can freely visit a health facility alone (IIPS, 2021). Further, limited availability of female doctors (17% of doctors) hinders women from seeking care (Rao, Bhatnagar, & Berman, 2012).
Existing evidence suggests that India has been going through an epidemiological transition , with an increase in the proportion of disease burden and mortality attributable to NCDs. Along with family health, managing the communicable disease burden remains an unfinished task, and the increasing burden of NCDs has further expanded the remit of what needs attention. Non communicable diseases are now the leading cause of death in the country, contributing to 65% of total deaths. Demographic transitions and changing lifestyles have contributed to a rise in NCDs (cardiovascular diseases, respiratory diseases, and diabetes in the main), resulting in about four million deaths annually (Arokiasamy, 2018).
The NON-GOVERNMENTAL Efforts in order to SAVE LIFE OF THE PEOPLE OF OUR COUNTRY, ARE NEEDED AT THE EARLIEST
AGRICULTURE: NO MRE SUICIDES
The performance of agriculture and allied sector continues to be critical for India’s growth story as it ensures food security to about 1.3 billion people, engages more than 60% of the workforce and makes a contribution of about 17% to the country’s Gross Value Added (GVA). The sector, however, encounters a complex and often contradictory dynamics as evident in increasing agricultural production and a persistent agrarian distress in different parts of the country. Major issues responsible for this situation continue to be increasing soil fatigue, low productivity, frequent climatic variations, fragmentation of land holdings and inadequate marketing and other supporting infrastructure.
INDUSTRIALISATION: WORK FOR EVERY
STATUS OF UNEMPLOMENT………..
TECHNOLOGICAL BACKWARDNESS:
ROLE OF MODERN TECHNOLOGY IN EVERY FIELD……
FIGHT AGAINST CLIMATE CHANGE HAS TO BE FOUGHT BY EVERY ONE WITHOUT EXCEPTION.