[Ration Cards, Poshahar Yojana, Ayushman Bharat, Kanya Utthan Yojana,
Pradhan Mantri Matru Vandana Yojana, Mukhyamantri Chikitsa Sahayata Kosh,
Swachh Bharat, Nal Jal Yojana, Midday Meal, Pradhan Mantri Awas Yojana.

Countless schemes.

Nett effect: Deaths of more than 150 (malnourished) children.
Ref.: <
https://timesofindia.indiatimes.com/india/medical-care-a-basic-right-150-kids-dying-unacceptable-sc/articleshow/69934994.cms
>.]

https://indianexpress.com/article/india/muzaffarour-aes-deaths-bihar-government-schemes-health-ministry-nitish-kumar-5798010/?fbclid=IwAR2S1rnmqKmN-pPCe6gCHC8Euh0uP3QIvvzFT7VNa0P0BgWPhxFJQ0lLCdI

At Ground Zero of AES, govt schemes have little impact
With the Supreme Court Monday seeking a report on the outbreak, The Indian
Express spoke to 12 families of AES victims in this arc, all of them from
SC and EBC communities, and found none of them even had a toilet at home.

Written by Santosh Singh | Muzaffarpur, Vaishali |

Updated: June 25, 2019 6:48:00 am

After Bihar, Encephalitis hits Bengal: 3 cases from three districts

The only benefit they get from the government is the 5 kg of rice or wheat
for each member and kerosene at subsidized rate through ration cards.
(Photo by Ritesh Shukla )
* Rajesh Manjhi, from Harvanshpur village in Vaishali, lost his
seven-year-old daughter to AES a fortnight ago. Manjhi, with just a ration
card to show for the government’s role in his life, has now moved to
Lalganj, about 10 km away, with his five children, to escape the shadow of
disease.

* Raj Kishor Ram, who lost his four-year-old son to AES a fortnight ago,
lives in a thatched house in Muzaffarpur’s Jagarnathpur Dok village. Again,
his only link to the government is a ration card.

IT’S A common thread running through the stories of patients and families
in Muzaffarpur and Vaishali, the Ground Zero of the latest AES outbreak in
Bihar that has led to 130 deaths so far — their lives have largely been
untouched by state and central schemes, from health and nutrition to
sanitation and social welfare. With the Supreme Court Monday seeking a
report on the outbreak, The Indian Express spoke to 12 families of AES
victims in this arc, all of them from SC and EBC communities, and found
none of them even had a toilet at home.

[Video: AES and Litchi]

Most of them said the only benefit they get from the government is the 5 kg
of rice or wheat for each member and kerosene at subsidised rate through
ration cards. Some said they have received Ayushman Bharat health cards
that entitle them to cashless medical care in government or private
hospitals for up to Rs 5 lakh. But then, they said, no one has told them
how to use the cards.

Bihar’s AES crisis: ‘Heat, humidity, malnutrition make Muzaffarpur
susceptible’

When contacted, Bihar Health Minister Mangal Pandey said: “We are
coordinating with the Social Welfare Department on the progress of schemes.
But our top priority now is to boost health services in Muzaffarpur.” Bihar
Chief Secretary Deepak Kumar has ordered a socio-economic survey of over
650 AES-affected families to address malnutrition and sanitation.

On the ground, meanwhile, the disconnect is obvious. Consider this:

RATION CARDS: Most of the 12 families have ration cards. A yellow card
holder under the Antyodaya Anna Yojana, a central scheme to provide
subsidised food to the poorest, gets a fixed 35 kg of grain at 5 kg per
person. “We were told by some families that we miss out on buying ration
during a month, the scheme would lapse. So many of us have not utilised it.
Besides, the dealers do not give us any additional grain,” says Chaturi
Sahni of Harvanshpur village in Vaishali.

Muzaffarpur: Children showing symptoms of Acute Encephalitis Syndrome (AES)
being treated at a hospital in Muzaffarpur (PTI)

POSHAHAR YOJANA: Experts say malnutrition and dip in sugar levels are key
reasons for the spread of AES. And according to the 2015-16 National Family
Health Survey 4 (NFHS-4) report, 48 per cent children below five in Bihar
were found to be affected by stunted growth. But under the Integrated Child
Development Scheme (ICDS), a child between three and six is given free
meals: khichri (Monday), pulao (Tuesday), khichri and milk (Wednesday),
halwa (Thursday), rasiya and egg (Friday), and khichri (Saturday). Besides,
mothers with children below three get to take home ration of 3 kg rice, 1.5
kg lentils and pulses, and 500 gm soyabean.

Read | Acute Crisis: PHCs with airconditioned AES wards, but where are the
doctors?

However, AES-affected families from Saraiya in Muzaffarpur said that what
they actually get is far lesser. Raj Kishor Ram said his children get only
khichri and pulao at anganwadis, never milk and egg. AES-hit families in
Kanti and Bhagwanpur blocks, in Vaishali, also said that they get only
khichri under the scheme.

AYUSHMAN BHARAT: An employee at the Saraiya Community Health Centre said
that of about 3.8 lakh people in the block, only 28,000 have got Ayushman
Bharat cards. At Harvanshpur in Vaishali, some residents showed envelopes
with the cards still inside. They said they had not used the cards because
they are still waiting for someone to explain what it means. Employees at
the health centres in Mushahari and Kanti said the scheme is “picking up
but there is a great need to make people aware about how to use the cards”.

More than 100 children have died in the district due to the disease. (PTI
Photo)

KANYA UTTHAN YOJANA: Under this state scheme, mothers of girl children who
have turned two and have completed the vaccination schedule, get a one-time
payment of Rs 2,000. But several of the 12 families in the AES-affected
area had not heard about the scheme. “There are about 700 houses in this
village of Manjhis. I have not heard of anyone benefitting from this
scheme. Most of us have never been to school and do not know about many of
the government schemes,” said Chandrashekhar Manjhi of Harvanshpur.

PRADHAN MANTRI MATRU VANDANA YOJANA: Under this central scheme, a pregnant
woman gets Rs 6,000 for tests, delivery and subsequent vaccination of
children. “There are some beneficiaries, but there is little awareness
about it,” said a health worker in Harvanshpur. In Saraiya and Kanti, too,
several residents are not aware of this scheme. “It is the job of
government representatives to tell people about such schemes,” said Anita
Devi of Mirzapur village in Kanti who lost her three-year-old son to AES.

MUKHYAMANTRI CHIKITSA SAHAYATA KOSH: The state government has earmarked a
fixed fund for BPL families to help treat critical diseases, with or
without surgery, within and outside Bihar: Rs 60,000 for cancer with
surgery, and Rs 20,000 without surgery; Rs 35,000-Rs 90,000 for heart
ailments; Rs 1,50,000 for serious kidney ailments and Rs 15,000-Rs 25,000
for brain tumour surgeries; and, for other ailments. But no one in the SC
and EBC settlements of Saraiya, Kanti, Mushahari and Bhagwanpur knows about
this benefit.

One of many children admitted at SK Medical College, Muzaffarpur. (Express
photo by Santosh Singh)

SWACHH BHARAT: The Bihar government has promised to make the state Open
Defecation Free (ODF) by October, with help from the Centre, but there are
complaints of bribes of up to Rs 2,000 being demanded by local officials.
“The worst part is that we have to construct the toilet first and then seek
reimbursement. Had we been able to make a toilet on our own, what is the
need for government help?” said Devi from Mirzapur.

NAL JAL YOJANA: Devi, however, proudly displays the plastic tap in front of
her house. Most of her neighbours have it, too. “It runs only two times a
day, but we are getting clean drinking water,” said Devi, who also praised
Bihar Chief Minister for the “good electricity supply”. But residents of
Narayan Bheriyahi and Harvanshpur said the scheme has not reached them. In
the Mahadalit village of Jagarnathpur Dok, the scheme is yet to reach the
50 homes.

MIDDAY MEAL: The one bright spot amid the despair among the AES-hit
families is the midday meal scheme, which is being run in 75,000 schools
catering to 2.5 crore children. “We have complaints about the quality of
food but then, you cannot get a better meal for Rs 5 in these parts,” said
Birendra Sahni of Sivuri Bihanbara village in Saraiya.

PRADHAN MANTRI AWAS YOJANA: None of 12 AES families has benefitted from
this central housing scheme — they live either in thatched houses or those
made of mud and brick with thatched roofs. In Harvanshpur, Chandrashekhar
Manjhi pointed to the houses of some neighbours that were constructed under
the scheme years ago. All of them had plaster peeling off from the ceiling.
-- 
Peace Is Doable

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