IN THE HIGH COURT OF BOMBAY
R. M. Lodha and S. A. Bobde,JJ.
SUO MOTU WRIT PETITION ON THE REPORTS PUBLISHED IN VARIOUS MARA THI NEWSPAPERS ABOUT THE UNTIMELY DEATH OF MANY CHILDREN DUE TO MALNUTRITION WITHIN TWO MONTHS IN DHULE AND NANDURBAR DISTRICT - Petitioner
vs.
STATE OF MAHARASHTRA and others Respondents
Advocate Appeared
For respondent-State: Mrs. lyoti S. Pawar. Additional
Government Pleader, with P. M. Patil, Assistant Government Plead
CONSTITUTION OF INDIA, 1950 - Articles 21 and 47 Large number of infant deaths and child deaths in the tribal as well as nontribal areas of State of Maharashtra Malnutrition is the major contributory factor for such deaths Directions to State Government issued. After considering recommendations of Dr. Abhay Bang Committee, following directions issued : (i) The State Government shall make functional additional 12,684 Anganwadi Centres as per the Government of India guidelines. Failure to do so shall expose the Principal Secretary, Women and Child Development Department, Mantralaya, Mumbai, to an action under the Contempt of Courts Act, 1971. (ii) State Government shall ensure that by 30th September, 2011, the infant mortality rate due to malnutrition is brought down to almost nil in tribal as well as non-tribal areas. (iii) The State Government shall identify malnutritio n free villages and maternal death and child death free villages and felicitate such villages. The State Government shall give responsibility and funds to Gram Panchayats and self-help groups. (iv ) The State Government shall involve the local Gram Panchayats, self-help groups and non-Government organisations for control of child deaths and malnutrition. (v) Adequate incentives shall be given to officers and workers who have contributed in controlling child deaths and malnutrition and in prevention of child mortality. (vi) To provide more facilities, adequate medicines and kits to Anganwadis which may help in eradicating malnutrition deaths. (vii) Tribal Gram Sabha may be involved where tribal areas are concerned, for the development programme planning. (viii) The Female Pada volunteers must be suitably trained for management of common childhood problems and also for home-based neonatal care. (ix) For emergency referral of pregnant women, transport should be made available. (x) As per infant mortality rate and severe malnutrition, high risk areas should be identified and these areas should be provided with additional budget and requisite resources. (xi) The State Government shall issue instructions to the Collectors of 15 tribal districts to spend minimum of two days in a month in the tribal villages of the district where there is high rate of infant mortality and severity of malnutrition. (xii) The Chief Secretary shall ensure that every single rupee allocated to the various schemes for the purposes of combating child mortality and malnutrition, is used for such purposes timely and percolates down to the needy. (xiii) The State Government shall ensure the availability of the Doctors and the emergency obstetrics Centres.
R. M. LODHA, J. :- In continuation of various affidavits filed on be of the State Government and the directions issued by this Court from time to time, further affidavit has been filed on behalf of the State Government by Raju Manohar Jotkar, Assistant Director of Health Services on September 2006.
2. It is apparent from the affidavit dated September 20, 2006 that the Government has failed to combat child deaths within the State, tribal as well non-tribal areas. In 15 tribal districts of the State, in the year 2003-04, the c mortality was 8,321 while in the years 2004-05 and 2005-06, it was 8,003 7,700, respectively. That means, there is only a marginal decrease in child d despite the claim of the State Government that various welfare schemes h been launched in the tribal districts. The statement annexed with the affidavit also revealing and saddens us. It appears that the child death of one to six year of age has been on increase over the years except the marginal decrease last year It leads us to infer that either the welfare schemes framed by the S Government are not being implemented properly as it should be or that s schemes have failed to have any impact. Is it not slur on the society that after more than eight years and five decades of independence, the State is hay large number of child deaths due to malnutrition as a major contributory fact In almost all the affidavits filed on behalf of the State Government, from time to time, the statement has been made that the State Government is doing its best
to combat the child that the child deaths and that the welfare schemes are being implemented, but figuures that have come on record belie the claim of the State Government.
3. On 12-12-2003, the State Government constituted Child Mortality Evaluation Committee under the chairmanship of Dr. Abhay Bang. The committee comprised of 13 other members and has submitted two reports. The report dealt with improving registration of the infant deaths and the child , in the tribal areas and in the second report measures to be taken for, infant mortality, child mortality, maternal mortality and child malnutrition in bal districts of the State have been recommended. In the affidavits filed by State Government from time to time, the recommendations made by Dr. Abhay Bang Committee and the actions taken in that regard have been mentioned. The facts and figures of the infant and child mortality that have come record show that the steps taken by the State Government so far are not adequate and much more effective steps need to be taken.
4. We may also notice here the affidavit filed on 4-10-2005 by one Pranali veen Chitnis, Under Secretary in the office of the Secretary, Women and child Development Department wherein the statement has been made that the additional sanctioned 12,684 Anganwadi Centres will be made functional by June 2006.
5, To our specific query to the Additional Government Pleader as to whether the sanctioned additional 12,684 Anganwadi Centres have become functional, the Additional Government Pleader submitted that according to the functions given by Dr. Prakash Doke, about 80% of the said additional Aganwadi Centres have come into operation; all the additional 12,684 Anganwadi Centres have not become functional.
6. It needs no emphasis by us that by such large number of child deaths; nutrition being major contributory factor, there is wholesome violation of which 21 of the Constitution of India by the State Government. The salutary directive given in Article 47 of the Constitution of India that the State shall Government the raising of the level of nutrition and the standard of living of its people the improvement of public health as among its primary duties appears to be distant dream in tribal areas. If the thousands of children die every year in the of Maharashtra, more particularly in tribal areas; malnutrition being major contributory factor, the only inference that can be drawn is that the State governmen
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