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Indian receives Women Deliver Awards Grants to Young Leaders

The India Saga Saga |

An India Jasmine George has been chosen as recipient of Women Deliver seed grant of US Dollars 5,000 to support six-month projects aimed at advancing girls and women’s health, rights and well-being in their communities. Jasmine is one of the 20 recipients who have been awarded the seed grants globally. Like the first 10 seed grants from 2014, the current projects focus on a variety of sexual and reproductive health and rights advocacy areas.

Jasmine George will creatd six audio podcasts that will inform young people about sexual and reproductive health and empower them to access these services while Annah Sango’s seed grant will go to improving the overall health and dignity of young women living with HIV in Zimbabwe by providing the necessary skills and information to which they often lack access. “With half the population in the world under the age of 30, the voices and choices of young people is absolutely crucial for people and planet,” says Katja Iversen, Chief Executive Officer and President of Women Deliver. “With the new Women Deliver seed grants, 20 inspiring young leaders from 15 countries can catalyze action and improve the lives of thousands of girls and women in their communities.”

The 20 grants are part of the Women Deliver Young Leaders programme, which provides opportunities for youth advocates to build and strengthen their capacity and skills and finds platforms for them to share their voices and experiences. The grants are funded by Johnson & Johnson, a founding partner of the Women Deliver Young Leaders Program and long supporter of youth advocacy. “Johnson & Johnson believes the future is in the hands of our youth. They are powerful voices and agents of change for their own needs, transforming policy, programs, cultural norms and their communities for the better,” said Lauren Moore, Vice President, Corporate Citizenship, Johnson & Johnson which is supporting this programme.

As a leading global advocate for girls’ and women’s health, rights and wellbeing, Women Deliver brings together diverse voices and interests to drive progress, particularly in maternal, sexual, and reproductive health and rights. It builds capacity, shares solutions, and forges partnerships, together creating coalitions, communication, and actions that spark political commitment and investment in girls and women. Women Deliver believes that when the world invests in girls and women, everybody wins.”

Brexit and Breaking EU

The India Saga Saga |

After the Second World War, Europe was devastated, the UK tired and drained and the USA remained the only dominating global power, militarily and economically. The foresighted American leadership wanted to safeguard the possibility of any future war in Europe and intensify its control over it. Therefore, it decided to integrate and develop Europe and European Common Market (EEC), the present European Commission (EC) came to exit.

EU, a political-economic union, began functioning with six countries in 1957. It swelled to 28, concerting almost the whole of Europe an integrated single market governed by a uniform system of laws applicable on all member countries. It ensured free movement of people without passport control. Foreigners could also move freely in the EU (excepting a few countries) with Scheme visa. Goods, services, and capital were also allowed without restrictions within the EU. This expansion of market and free movement boosted development in the member countries.

EU was doing well till Euro was introduced as the common currency by 19 of the 28 member-countries (known as Eurozone). Till then, the Eurozone countries were growing at two per cent growth rate. However, from 1999-2015, the post-Euro period, the growth rate fell to 1.3 per cent and the unemployment rate went up to over 10 per cent and 25 and 21.6 percent in Greece and Spain respectively. In non-Eurozone countries it was only five per cent.

Euro made Europe depressed because of inadequate competitiveness and fiscal austerity in weaker countries. Stronger nations like Germany and the Netherlands developed faster and became more competitive compared to the rest of the Eurozone, building large export surpluses. They lived off domestic demand created in other Eurozone countries, leading to inadequate economic performance of the EU and the rest of Europe, including the UK. The depressed Eurozone caused deflationary effect not only in Europe but also across the globe.

No doubt, Euro-zone was a self-inflicted wound but other factors also contributed significantly to its illness. First, the creation of wide-ranging regulations and meddling in business in the name of conformity caused poor growth in EU by killing competition and diversity between European countries that had made Europe globally dominant.

Secondly, the fiscal-ineptitude resulted in spending common funds on less-productive programmes. For example, farmers forming just 5.4 per cent of EU’s population and contributing only 1.6 per cent to EU’s GDP received 47 per cent of the EU’s overall budget through Common Agricultural Policy (CAP) hand-outs. So a minority of unimportant and inefficient workers got more than €58 billion in subsidies. Eighty per cent of it went to only 25 farmers (landed gentry, mega-farms and large-scale agro-industrial conglomerates). Thus, EU’s limited funds were handled inadequately.

Thirdly, EU ignored basic growth factors like investment, simpler and lower rates of taxation, infrastructure and education and suppressed competition between different European nations. EU leadership and bureaucracy largely concentrated on integration that bestowed greater power on them.

Finally, the European debt crisis following the U.S. subprime mortgage crisis, triggered by insolvent American homeowners who defaulted on their mortgages aggravated the problem. World-over banks with investments linked to those mortgages started losing money. Lehman Brothers collapsed and the scared banks and investors, globally, stopped lending to each other fearing going bust. European banks had invested heavily in the American mortgage market and were hit hard. Governments in many EU countries like Germany, France, the UK, Ireland, Denmark, the Netherlands and Belgium tried to save their banks. But the cost proved very high. In Ireland, it almost bankrupted the government until fellow EU countries stepped in with financial assistance.

The problem began to affect governments as Europe slipped into recession in 2009. Markets went in panic worrying that some countries may be unable to rescue troubled banks, and so investors began to look more closely at governments’ finances. Greece was the first country to come under scrutiny because of its falling economy and public debt almost twice the size of the economy. Governments that were regularly borrowing large amounts to finance their budgets, accumulating massive debts suddenly found no one to lend to them. Thus a banking crisis became a sovereign debt crisis.

Today EU is desperate because of its own ruinous contradictions and spectacular failures. Its creators promised to bring peace and prosperity, but their grandiose folly fuelled only debt, despair and disintegration. It is in trouble because the complex, cumbersome and expensive federalism that lacks any kind of local democratic legitimacy. People are asking why one cannot offer a job to a talented local and have to advertise?

EU is breaking because it has become elite-driven. The idea of free movement of people was gracious, but it mattered little to that majority who never travelled beyond their city. The arrogant and engorged bureaucracy with intrusive regulatory power with no accountability caused more frustration. Arrogance, stubbornness and complacency were the response of Brussels to David Cameron who went to renegotiate Britain’s relationship with the EU. He only wanted a modest package of reforms, but unbending EU leaders declined to agree to even a minor change in migrants’ rights to claim welfare. The way he and Nigel Farage were humiliated at Brussels after Brexit vote shows utmost arrogance.

Brexit can be the beginning of EU falling apart as it denies national and local freedom to operate. It has vertically divided societies between the university-educated versus the unqualified, of town versus country, of the middle-class versus the working-class, of young versus old. The electoral victories of nationalist and populist parties in Britain, France, Austria, Denmark, and the Netherlands reveal the chronic dissatisfaction with the E.U. Brussels seems to be losing touch with ordinary citizens across EU. A Pew Research survey found that only 38 per cent, six points lower than in Britain, people favour EU in France. In weak economies like Italy and Greece, citizens were furious over German-imposed austerity. In Eastern Europe nationalists blame EU for imposing values like gay marriage.

Sluggish growth, high unemployment, painful austerity measures, and risky bailouts have worsened the situation. EU’s intrusions into national sovereignty, like its increased control over national budgets, the Fiscal Compact Treaty binding nations to fiscal discipline, and moves to create a banking union with a common supervisor and mechanism for dissolving failed banks may deepen trouble. Despite EU leaders’ optimism the economic problems in EU are continuing. Growth is still very low and unemployment high. Problems in Greece are continuing; in fact, it may face another crisis when the Government tries to reform its unaffordable pensions system. Portugal and Spain are also heading in the same direction. The continuing refugee calamity is threatening the social fabric of Europe and local societies are refusing to accept Islamic refugees. Anti-immigration and anti-EU movements like the Front National in France, the Dutch Party for Free and the Swedish Democrats are gaining strength. This fury may worsen if Islamist terror attacks increase.

EU should learn from ASEAN whose success is by adopting a culture of ‘musyawarah and mufakat’ (consultation and consensus in Indonesian). The approach of high degree of discreteness, informality, pragmatism, expediency, consensus building, and non-confrontational bargaining styles, and not EU’s adversarial posturing and legalistic decision-making procedures has stability to the 27 country region. By organising more than 1,000 meetings a year it has developed thousands of invisible formal networks in the region. Its policy of non-intervention in one another’s domestic affairs has resulted in peace, progress and prosperity in the region.

If the arc of Brexit is to be checked, the EU leadership has to give more autonomy to member countries. History proves that too much centralisation causes breakdown, sooner or later. That is the reason dictatorships fall. The Soviet system also broke down because of too much of centralisation. For EU to survive Brussels will have to listen to the agitated people.

Dr. Halan,a commentator on politico-economic affairs, is the former Resident Editor of Financial Express and past Member of Press Council of India

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Smriti Irani shifted from HRD to Textiles,Javadekar elevated and replaces her. 19 New Ministers of State inducted in the Modi Cabinet.

The India Saga Saga |

“Modi”” alt=””Modi”” />In a major reshuffle of his Cabinet, Prime Minister Narendra Modi on Tuesday night shifted high-profile and controversial Human Resource Development Minister Smriti Irani to Textile Ministry and entrusted the newly-elevated Cabinet Minister Prakash Javadekar with the charge of Education Ministry. With an eye on elections in U.P., Uttarakhand and Gujarat,  Mr. Modi inducted 19 new Ministers of State in his Cabinet, mostly dalit and OBC leaders from these States to give adequate representation to them at the Centre. With the induction of three new ministers, U.P. now has 16 ministers in the Union Cabinet. First time MP and Apna Dal leader Anupriya Patel, belonging to Kurmi community, was given Health and Family Welfare portfolio.Political analysts feel that Smriti Irani whose handling of dalit student Rohith Vemula’s suicide in Hyderabad and JNU students’ agitation in the national Capital came in for criticism was given a less important department like Textiles with a view to allow her more time to concentrate on U.P. Speculation is rife that she could be the BJP’s face in 2017 assembly polls in the most populous State of the country. She has also made a number of visits to Amethi Lok Sabha constituency of Congress Vice President Rahul Gandhi to whom she had lost in 2014 polls.Though Mr. Modi did not make big ticket changes in the portfolios of senior ministers, he relieved Finance Minister Arun Jaitley of his additional charge of Information and Broadcasting ministry and entrusted experienced hands of  M. Venkaiah Naidu to handle it.Similarly, Union Law and Justice Minister Sadanand Gowda whose lacklustre peformance left much to be desired lost his ministry to Ravi Shankar Prasad who was initially given this ministry in 2014. Himself a senior lawyer, Mr. Prasad retains his charge of Information Technology and Electronics ministry. Mr. Gowda was shifted to Programme Implementation and Statistics ministry.Senior journalist and party spokesperson M. J. Akbar will be the junior minister in External Affairs Ministry where General (Retd) V K Singh handles Overseas Affairs. Both of them will work under External Affairs Minister Sushma Swaraj. Piyush Goel will be heading four ministries independently — Power, Coal, Mines, and New and Renewable Energy.Mr. Javadekar who was on a visit to Germany was called back and was the only Minister of State with independent charge of Environment Ministry to have been elevated to the Cabinet rank in Tuesday’s expansion of the Union Cabinet. His place was taken by new Minister Anil Dave in Paryavaran Bhawan. Vijay Goel, a senior BJP leader from Delhi who represents Rajasthan in Rajya Sabha, will look after Sports Ministry after vacancy occurred there due to Sarbanand Sonowal taking over as Assam Chief Minister.Minister of State for Finance Jayant Sinha was shifted to Civil Aviation Ministry and Mr. Jaitley now gets two new deputies in the North Block — Arjun Meghwal from Rajasthan and Santosh Gangwar from U.P.The Prime Minister also dropped five Ministers of State. They are Sanwar Lal Jat, Nihalchand, Ram Shankar Katheria, Mansukh Bhai Vasva and Mohanlal Kundaria.With this expansion after two years  of taking over reigns at the Centre, Mr. Modi’s cabinet strength goes up to 78 ministers, including 27 Cabinet rank ministers.”

India to continue discussions with China to convince it of its credentials of joining NSG

The India Saga Saga |

“Even as China continues to vehemently oppose India’s membership to the elite 48-nation Nuclear Suppliers Group (NSG), New Delhi plans to continue discussions with Beijing to convince it about India’s credentials of joining the group.   External Affairs Ministry’s official spokesperson Vikas Swarup said that there  was no question of starting discussions in the matter afresh with China as the process was continuing bilaterally at various levels. “We never stopped our discussions with China at any level. We will continue discussions till we convince it of our credentials of joining NSG,” he said. The spokesperson said that India has independent relationship with the U.S. as well as China.  However, the spokesperson,without naming China, admitted that there was only one country which had raised procedural hurdles to India’s bid to gain membership of NSG. Some other countries had raised processes related issues but they were not opposed to India’s candidature to the group. “It is just that they have a different solution as to how India should enter the group,” he said.  The spokesperson said that PM Modi too, in a recent interview, said that India’s objective was to enlarge areas of convergence and reduce the areas of divergence. India has continued to impress upon China that both the countries would have to take accommodate each other’s concerns, interests and priorities. Referring to India’s MTCR membership, he said that it is expected to facilitate high technology tie-ups with Indian industry and ease access to high-tech items for our space and defence programmes. While membership of the regime would not automatically entail any preferential treatment from other MTCR partners, it would create the grounds for realignment of India in the export control policy framework of other MTCR partners.  Responding to a question, External Affairs Ministry official spokesperson Vikas Swarup said that India’s space and defence R&D facilities were removed from the U.S. Entities List when the U.S recognized India as a MTCR-adherent. 
“Membership of MTCR will not pose any restrictions on our national security programmes. Further, India has formal space cooperation with 35 countries including several MTCR Partners even prior to joining the MTCR. In the coming days, India can be expected to play an even bigger role as a provider of space applications to the global community,” he said. India’s engagement with the MTCR goes back to 1994 based on a common interest in contributing to international non-proliferation efforts related to weapons of mass destruction (WMD) delivery systems.  “We announced our intention to adhere to the Guidelines and control list of the MTCR in July 2005 as part of the Civil Nuclear Initiative. We conveyed our formal adherence to the Guidelines and control list in September 2008. In November 2010, India expressed its interest in joining the export control regimes including MTCR. Following a period of enhanced engagement with the regime and its members, India applied for membership in June 2015. India’s formal accession to the MTCR has taken place on June 27,” the spokesperson said.”

Swu’s death ushersin uncertainty in Naga peace process

The India Saga Saga |

The death of Chairman of the Nationalist Socialist Council of Nagalim, Isak-Muivah (NSCN-IM) Isak Chishi Swu, who was President of the organisation’s government of the People’s Republic of Nagaland (GPRN), on June 28 in the national capital has thrown up inevitable uncertainties about the ongoing peace negotiations with the Union government since 1997. 

The question is will it affect the peace process adversely? At the same time there are ample indications from both sides that the talks should continue and concluded successfully. However, the succession process can affect the group’s support base. Swu was 87 and had been ailing for more than a year and his condition was steadily deteriorating. 

It was to fulfil Swu’s wish that Prime Minister Narendra Modi’s government signed a framework agreement on August 3 last year with the NSCN-IM’s other tall leader Thuingaleng Muivah. The agreement was signed in the presence of PM Modi, who described it as historic, and Home Minister Rajnath Singh at the former’s official residence.  

However, the critical “”Framework Agreement”” has not been taken forward and finalised leading to settlement of political issues so far which means Swu’s wish has only been fulfilled partially. 

When Swu died he was one of the few veterans left that began the Naga struggle under the banner of the Naga National Council (NNC) under the charismatic leadership of A Z Phizo in the 1950s. 

Swu along with Muivah and S S Khaplang of the undivided NSCN in 1980 rejected the Shillong Accord of 1975. The NNC agreed to lay down arms to begin the negotiations for peaceful reconciliation. Khaplang was the Naga from Myanmar who split the NSCN into two factions in 1988. One was led by Swu and Muivah and the other by Khaplang, the NSCN (K). 

Muivah was indeed the political and strategic brain in the NSCN (IM) with Swu providing the moral support. In the aftermath of the Dalai Lama’s arrival in this country and the Sino-Indian war of 1962, the Chinese welcomed the Nagas and other Northeast rebels with open arms. Muivah had led the first batch of Naga fighters to Yunnan in 1966-67. Swu had followed suit. 

What is important is that a lot will depend on who replaces Swu as the NSCN (IM) chairman. The name doing the rounds is that of vice president Khole Konyak who in 2011 formed the NSCN (Unification) and then last year changed his mind and joined the NSCN (IM). 

As is only to be expected the negotiators from New Delhi want to steer clear of the Naga rebel factions from Myanmar and reach an understanding with the NSCN (IM). This is particularly so because the NSCN (IM) also wants all other factions kept out of the peace agreement. Even as the Prime Minister has described the Naga issue as a legacy of the British, the NSCN (IM) is one of the largest insurgent outfits in the country’s Northeast. 

The mourning period for Swu is to last till July 4. He will be interred in his home village of Chishilimi in Nagaland which is the home district of Swu’s Sema tribe. Besides Naga’s homeland in Myanmar, people throughout Nagalim (Greater Nagaland) in much of Manipur as well areas in Arunachal Pradesh and Assam there has been a spontaneous outpouring of grief following Swu’s death. 

At the memorial service for Swu his family made a highly significant gesture. One of his sons said now that his father was no more, they looked up to Muivah as a father figure and guidance. Importantly, all Naga factions including the NSCN led by Khaplang have firmly backed Naga nationalism for a future of unity and peace for the Nagas. 

A lot of work remains to be done with Muivah in the vanguard. He is 82 years old. There are no short cuts and there will have to be some give and take. Nevertheless, lets wait and see how this pans out.

(T R Ramachandran is a senior journalist and commentator. The views are personal.)”

Green shoots of recovery on horizon for Indian industry

The India Saga Saga |

“The green shoots of recovery in the economy now really seem to be on the horizon. Even though India’s growth rate is considered very high by global standards – 7.4 per cent – the fact is, that many sectors are still growing at a glacially slow pace. For instance, manufacturing which has been traditionally a labour intensivesegment has been moving at a minuscule rate despite the overall growth being so high. Similarly, exports have been plummeting downwards for the last 17 months.There are some indications, however, that this phase may finally be over and output may be picking up again. And these indicators are several sets of new data.These include the Nikkei India Purchasing Managers Index (PMI), a Reserve Bank of India study on corporate performance and even the mixed signals from thelatest car sales index. The first of course is the PMI which shows that manufacturing rose to a three month high in June on the back of new domestic and export orders. It came to 51.7 in June from 50.7 in May. The 50 point mark separates contraction from expansion. This is the sixth month in a row that it is above the 50 point mark. In December last year, it had fallen below 50 but since then it has consistently been higher, indicating that there is sustained expansion in the area of manufacturing.The author of the report says the domestic market continues to be the main driver of growth as the Indian economic upturn provides a steady stream of new business. New foreign orders also rose in June but lackluster global demand remains a problem for Indian manufacturers, it was stated. Significantly, on the export side, new orders increased in June, offsetting the decline seen in May, the first in 32 months.The second set of data that is providing some hope for industrial revival is an RBI study on corporate performance. It goes to the extent of saying that privatecorporate sector has “signaled a turnaround”and recorded positive sales in the fourth quarter of 2015-16 (January to March). This is after a decline for four successive quarters earlier. It says operating profit growth continued to improve over all sectors during this period as a result of higher sales growth and dip in rawmaterial prices. Aggregate sales rose by 2.3 per cent after having contracted in the previous four quarters. Sales improved for the manufacturing and IT sectors but moderated for other non- IT services. Net profit grew by 16.4 per cent as against 15.9 per cent in the previous quarter.And finally even the car sales index is good news even though it appears to show a decline in sales in June. This dip is actually due to problems in the productiondelays at Maruti, and not a fall in real demand.Virtually all other manufacturers recorded a rise in sales except for Honda which has been hit by the shift to petrolvariant models. Maruti had to slow down output due to a fire in its component supplier, Subros. It has not reduced production owing to a fall in demand for itsvehicles which still have a buoyant response in the market. All other market players including Hyundai, Mahindra, Toyota and Tatas recorded a significantincrease in output during the month.POSITIVE OUTLOOKBesides, the outlook is positive due to hopes of a bountiful monsoon and the implementation of the seventh Pay Commission for government employees. The question is, are these indicators really green shoots of growth or will they just wither away in the months to come. The fact is, that with the prospect of widespread rainfall during this monsoon, it looks as if demand is set to rise especially in rural areas. This in turn will bring about a more sustained revival in the manufacturing sector which is truly the driver of the economy even though services now accounts for the biggest chunk of GDP. Even so, one will have to wait and watch for another month to be really sure that the recovery is on track.(Sushma Ramachandran is a senior journalist and distinguished commentator specialising in economic affairs and business.)

Down Under attracting more& more Indians

The India Saga Saga |

“India is becoming one of the fastest growing markets for Australian tourism and visitors. The Australian High Commission in New Delhi has granted a record 150,000 Visitor visas during the 2015-16 program year.Australia’s High Commissioner to India, Harinder Sidhu, said, “It is a landmark achievement. This is the first time ever that we have reached the 150,000-mark in visitor visa approvals in India for a year.”“One hundred fifty thousand visitor visas is a sign of the growth of the relations between our two countries. I welcome it as a positive milestone. The achievement underlines the fast expanding links between Australia and India.” Ã¢Â€ÂœMore and more Indians are travelling to Australia for business, tourism and to study in our universities, as well as visit family,” Ms Sidhu said. At a function celebrating the 150 000th visa, the High Commissioner congratulated the visa recipient Mrinal Dutt and his wife, Kanika. Ms Sidhu presented a prize to them.  They will get to climb the iconic Sydney Harbour Bridge and have received a boomerang to remind them of their Australian adventures.There were a record 233,000 arrivals from India during 2015, a growth of 19%, which represents the highest growth in the past seven years. India’s ranking improved from 11th to 8th largest inbound tourists destination for Australia.By 2020, Indian tourist arrivals are expected to be around 300,000. Tourism Australia expects India to feature in the top five inbound markets for Australia by 2025.”

WHO, governments and health agencies commit to improve health security

The India Saga Saga |

The World Health Organization (WHO), governments, financial institutions, development partners, and health agencies from across the world have committed to accelerate strengthening and implementation of capacities required to cope with disease outbreaks and other health emergencies. A significant threat to global health security is the number of national health systems that are weak, fragmented and under-funded. Only about one third of countries in the world have the ability to assess, detect and respond to public health emergencies. Ebola, Zika, yellow fever and other recent outbreaks have exposed these weaknesses at national, regional and international levels.

Renewed commitment to health system strengthening in-line with the International Health Regulations (2005) is needed, especially in vulnerable countries. The true power of health systems is their ability to deliver timely, quality health services to those in need in a comprehensive way and on an adequate scale. These systems are especially important during emergencies, when access to quality essential health services can be severely compromised, participants at a three day meeting  on ‘Advancing Global Health Security: From Commitments to Actions’, . The meeting brought together 250 participants from 52 countries representing 28 different organizations.

The meeting highlighted the critical importance of flexible preparedness planning, community strengthening and engagement, information sharing, strengthening of intersectoral collaboration of national and international partnerships, and the critical role that governments and technical partners play in financing and implementing them. Investing in these systems requires strong ownership and supportive leadership at the highest levels.
The meeting in Bali is the second high-level WHO meeting to advance global health security. The first meeting took place in Cape Town, South Africa in July 2015. Since then, considerable preparedness strengthening activities have taken place and been implemented, especially in vulnerable countries.“Fortifying health security in today’s world must be a key priority of governments, multilateral agencies, development banks, and non-government organizations the world over. What matters most is maintaining the momentum and turning that into real, tangible results,” Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region said at the end of the meeting. Speaking at the opening of the event, Dr Matshidiso Moeti, WHO Regional Director for Africa, said “the bedrock of outbreak and emergency preparedness and response is a functioning, resilient national health system – with the financing, human resources, infrastructure, information and supply management systems capable of detecting and responding to public health events.

A significant advancement since the Cape Town meeting is the WHO joint external evaluation (JEE) process, which is one of four components of the new WHO IHR Monitoring and Evaluation Framework. The WHO JEE process helps to identify strengths and weaknesses in national health systems and in other sectors which play a key role in health emergency preparedness and response.The results of the WHO JEE is shared publicly and will support the country and its partners in developing a national action plan linked to the national budget and planning cycles, anchored in the health system and supporting its implementation in the country.The JEE process reflects the underlying principles of the strategic framework for emergency preparedness that was fine-tuned at the Bali meeting,  including  transparency, accountability, multisectorality, partnership, sustainability, and alignment. Key to the Bali framework is the building of robust health systems in order to achieve universal health coverage (UHC) by methods that are efficient, country-focused, transparent and accountable, and strengthening and maintaining the effectiveness of global health security as a global public good.WHO has also created an open-access web platform called the Strategic Partnership Portal (SPP) to help identify country needs, gaps and partner activities to ensure resources are used more efficiently, without duplication. Training on how to use the SPP, mandated by WHO Member States and supported by health partners, has been rolled out in several high-risk countries in Africa, with planned expansion to other WHO Regions in 2016.”

Lakhs of children have drug-resistant TB: The Lancet

The India Saga Saga |

A latest study has estimated that at least 67 million children are infected by Mycobacterium tuberculosis with 850,000 developing active disease. Of these children, two million were estimated to be infected with multi drug-resistant (MDR)-tuberculosis strains, leading to 25,000 cases of MDR-TB disease requiring expensive and toxic treatment, according to  a new study by The Lancet Infectious Diseases.

TB in children is increasingly being recognised as a significant public health problem, and an important element of the total global burden of the disease. Improved estimates of the rates of drug resistance in children are important because paediatric tuberculosis can be more difficult to diagnose, more challenging to test for drug sensitivity, and more likely to cause extra-pulmonary infection.

Africa and South East Asia have the highest numbers of children with TB, but the WHO Eastern Mediterranean region, Europe and Western Pacific region also contribute substantially to the burden of drug-resistant tuberculosis because of their much higher proportions of resistance, the study says. Far more drug-resistant tuberculosis occurs in children than is diagnosed, and there is a large pool of drug-resistant infection. This finding has implications for approaches to empirical treatment and preventive therapy in some regions of the world.

After infection with Mycobacterium tuberculosis, children are at an increased risk of progression to tuberculosis disease; a condition that can be challenging to diagnose. New estimation approaches for children have highlighted the gap between incidence and notifications of M tuberculosis, and suggest there are more cases of isoniazid-resistant and multidrug-resistant (MDR) disease than are identified. No work has yet quantified the burden of drug-resistant infection, or accounted for other types of drug resistance or sampling uncertainty.

The researchers combined a mathematical model of tuberculosis in children with an analysis of drug-resistance patterns to produce country-level, regional, and global estimates of drug-resistant infection and disease. They then determined drug resistance using data from the Global Project on Antituberculosis Drug Resistance Surveillance at WHO, from surveys and surveillance reported between 1988 and 2014 and combined 1000 sampled proportions for each country to estimate the proportions of tuberculosis cases at a country level with isoniazid monoresistance, rifampicin monoresistance, multidrug resistance (MDR), fluoroquinolone-resistant multidrug resistance, second-line injectable-resistant multidrug resistance, and extensive multidrug resistance with resistance to both a fluoroquinolone and a second-line injectable (XDR).

The innovative modelling and statistical analysis was  carried out by researchers from the University of Sheffield, Imperial College London, and the World Health Organisation. Peter Dodd, an infectious disease epidemiologist from the University’s School of Health and Related Research (ScHARR), said: “Our report shows far more drug-resistant TB occurs in children than is diagnosed, and there is a large pool of drug-resistant infection. If they are not identified as having drug-resistant TB, children are unlikely to receive appropriate and effective treatment.

“After infection with Mycobacterium tuberculosis, young children are at particularly high risk of progressing to tuberculosis disease. “They are also more likely to develop more severe forms of disease such as TB meningitis and disseminated TB.”
The report, published in The Lancet Infectious Diseases, concludes that the identified cases of drug-resistant TB in children are the tip of the iceberg, and there is a large unmet need for diagnosis, drug-susceptibility testing, and appropriate treatment.”

Britain at the crossroads after having decided to quit the EU

The India Saga Saga |

Rare as it may seem Britain is at the crossroads. It was like a political Tsunami that stunned the United Kingdom when the referendum favoured a clean break with the 28-member European Union. It was bewildering as this was not the result a wide cross section of the electorate desired but now had to confront it headlong. There is widespread uncertainty about what is going to happen next in the short to medium term. 

Ireland wants to overturn the result. There was anger at the European Union headquarters wanting the UK to pack bags and quit as early as possible rather than dragging its feet. They wanted to begin the process as early as last Tuesday, June 28, even though the charter of the EU stipulates the process of a clean break with the EU takes at least two years to materialise. 

Expectedly, British Prime Minister David Cameron immediately put in his papers as it was no longer possible for him to take the country forward. His replacement after six years in office is expected to take place as early as September-October. 

Some other smaller European countries are also contemplating getting out of the EU. In all this confusion, nearly three million signed a fresh memorandum seeking another referendum on the subject which was rejected by Cameron. 

The markets in this country have shrugged off the impact of Brexit results. Though the market fell sharply during intra day trading last Friday, June 24, both  have since recovered from those lows as the Rupee cumulatively shed only 70 paise. This reflects a vastly improved domestic macro economic stability. 

What happens outside is beyond any country’s control. Policy makers must stick to domestic fiscal prudence. Reminiscent of Asia in 1947, politicians in Europe in 2016 not in control of things are being assailed by forces they have unleashed and are unable to control. What is staring people in the face is that they do not know what the future holds. Anger between the two camps of “”leave and stay”” is at boiling point. 

England will need a new scapegoat. A racial element has been noticed in the voting like “”Britain for Brits”” which holds dangerous portends. Despite murmurs Scotland and Ireland have their own agendas and voted to stay in the EU because thats the logical step for freedom. However, the world at large might not be able to fully insulate itself from the aftermath of June 23 shocker even if the margin of victory was barely four per cent.

The EU finds itself in troubled waters  after decades of European integration. Cameron’s decision to go in for a referendum may turn out to be an  electoral blunder though he himself voted to remain in the EU. 

Be that as it may the outgoing Prime Minister has become his own victim. Even though Indian companies which have seen England as a springboard to Europe are somewhat circumspect at this juncture.  

In a highly integrated world with interdependent economic security systems in place, especially in Europe, walking out of EU would entail costs for both the leavers and the 27 countries that remain behind after UK’s departure. As the fifth largest economy in the world with a seat in the Security Council, the UK wields much influence, though Germany being the strongest was the undoubted power in the EU. 

The UK has to negotiate its exit under Article 50 of the Lisbon treaty. The Pound suffered its biggest one day fall in history against the Dollar to hit levels last seen three decades back in 1985. The “”out”” is being widely seen to be directed at the British voters fear of the immigrants. The voices of pluralism and tolerance have suffered a setback. It will give a definite fillip to right wing political leaders and outfits in Europe and beyond. 

For its part the EU will emerge economically and politically weakened with the departure of its most free market proponent and a member wielding the UNSC veto. In one go the block will lose around a sixth of its total economic output. Britain would largely have been better off staying in the EU. Its heft is limited and diminishing. As the largest single market in the world, it had a lot more clout in trade negotiations. There are apprehensions of Britain becoming irrelevant as a small economy with no big competitive advantage. 

It is unclear at this stage what sort of relationship Britain will seek to negotiate with the EU once it has left. However, the young generation wants to remain with the EU but it was not to be. Therefore, it is not entirely inconceivable for the UK to become part of the European Union once again. 

(T R Ramachandran is a senior journalist and commentator. The Views expressed are personal.)”