What would you do if you had to carry the body of your dead child in a plastic bag for miles at an end from the hospital where he was born? I am not joking but dead serious. This happened last year to a tribal couple in a country that boats of luxury hospitals, swanky malls and the world’s richest people: India. A tribal, Ayappan’s wife Valli, near term pregnant with child, had hypertension and anaemia. The nearby tribal mission hospital referred her to the tribal speciality hospital at Kottathara 43 km away. But this hospital was crumbling and many of its facilities, like the ope­ration theatre, were closed down. So Valli was referred to the Palakkad Medical College, over three hours away by jeep. By the time they reached there, it was too late—she gave birth to a still-born male child. The hospital denied the couple an ambulance to take home their dead child. Ayappan and Valli carried their dead child in a plastic bag and took the state transport bus. They had to change four buses before they reached Kalpetti where they buried their first-born in the corner of their field. This is one the heart breaking stories that appeared in a leading magazine this week.

The article is about extreme malnutrition in the tribal belt of Pallakad district, Kerala. I urge you to take time of your busy schedule and read it with your heart. In the last six months scored of children have died in the tribal cluster of Attapady. The villages are in a pitiful state with no drainage or safe drinking water and scant food. Women are severely anemic, and children malnourished. Most of this happened after the land of the tribals was taken over by mafia in the name of setting up windmills. The tribal have no access to the forests that once were their feeding bowls, ensuring them proper nourishment. You can get the details of this horror story in the article. Some tokenism and knee jerk reactions have taken place, but everything will be back to square one. The tribals are not understood and easily marginalised in the name of development. yet with so many infants deaths the tribes are worried they might just be wiped out.

To me what is disturbing is that this is happening within the knowledge of politicians and administrators, and now the media. It supposedly has all the social hand outs that the government sets up but none of them work. The hospital is decrepit, the creches do not work and I am sure no school exists. No one is truly interested in the area as it only returns one MLA!

Is life so cheap in our country? Our these children not ours? Are they not protected by the rights enshrined in our Constitution. Have we lost our consciences forever? Will once again this terrifying story be forgotten as all others that do not concern us directly?

Try to imagine the pain and sense of helplessness and hopelessness of the mothers who see their children dying. Try to imagine the distress and anguish of tow young parents carrying their dead child in a plastic bag for miles and miles because a hospital denied them an ambulance? And if you can then will you remain silent or scream.

Following the terrible tragedy that killed 23 children in Bihar, our city went into reviewing mode with officials taking stock of the situation of midday meals in the capital city. An article published this morning in a leading newspaper details the issue. I was aghast to read that the said officials gave themselves a pat in the back saying that over the past two years no sample had been declared unfit for human consumption. What is this a joke! They were quick to add that 50% of samples collected failed the nutrition test. I am lost. The midday meal is meant to provide nutrition to children. I agree that nutrition levels need to be tested but how does the fit for consumption but come in. Why should meals meant for children be tested for their fitness for human consumption. This in nothing short of mind boggling.

Delhi’s record is abysmal. 80% of the food cooked is substandard. It is time something was done. I shudder to think how all the schemes heralded with such fanfare will perform when implemented. The answer is quite evident. Either there is a lack of will and only political drama or the whole system is so corrupt and poorly conceived that no programme can ever be well implemented. Why should be bother many would think? Well first and foremost it is our money. But that is not all. Under nourishment is something we have to look at seriously. If children are malnourished then their entire development is compromised.

As midday meals seem to be the flavour of the day following the recent death of 23 children, be are hearing a slew of horror stories from insects and lizards, to scorpions, of cooking on sceptic tanks next to stinking loos. And as the story enfolds we get more and more disturbing news about the way the midday meal programme is being implemented. And believe it or not Bihar even returned 500 crores to the centre, money meant to build kitchens and buy utensils for the midday meal scheme. The bottom line is that no one cares for children. And schemes made for children are the easiest to be hijacked.

The midday meal scheme is probably the best solution for dealing with malnutrition in children as it covers children from 0 to 14. Pregnant and lactating mothers are also meant to be covered so the critical nine months and 1000 days of good nutrition and constant monitoring should ensure no under nourished child in India. It is something we all should be proud as it is the largest school feeding programme. But sadly that is not the case. We should be given the Nobel for botching every programme meant for the poor and diverting it to bottomless pockets. How can anyone have gall to divert funds meant for the hungry and the destitute. But we have. Learn from us! You don’t believe me? Here is another proof.

A programme launched 2 days ago in this very cit, the capital of India, and meant to arrest anaemia in children by giving them iron and folic acid landed 20 of them in hospital. No wonder parents are scared!

Wonder how the new Food bill will fare. Midday meals are an intrinsic part of it!!!!

Time we woke up!

The writing is on the wall if anyone, just anyone is willing to see. We know politicians and their cronies and administrators and their lackeys will look away and go an hunt for the most implausible and far fetched explanations that no one, but they, will buy. The likes of us may utter a few concerned exclamations, maybe allot it some space in their next social event and move on. What I am referring to is the horrific death of 23 innocent children whose only fault was to have eaten their midday meal in their school, the very meal meant to provide the very nourishment they need to grow healthy and strong. Instead it too away their lives.

When we began pwhy way back in 2000, I was involved in some networking with the Delhi administration and  one of the things discussed were the midday meal. At that them a proposal was mooted, but of course rejected, of having mothers form cooperatives and cook the midday meal of the school their children go to. Needless to state that the reason it was shot down was that it did not allow space for corruption of any sort. Instead the programme was used to gratify friends and acolytes enabling them to loot abashedly. In some states this approach was selected and needless to say the children get well cooked and nourishing hot food. In some states however the ‘contract’ was awarded to big businesses who dole out supplements of sorts to replace the midday meal of creches and schools. But ‘supplements’ are supplement to something, and these children have nothing to supplement. They often depend on this hot meal to survive and hopefully thrive.

Sadly this is not the case. We are so corrupt that we do not even spare children. The midday meal looks great on paper but this not the case in reality. In the national capital the food is sub standard and barely edible. Our children are fed with grain crawling with worms, flies and even lizards. In one state, the contract was given to a liquor baron. The bottom line is that the amount of money to be made runs into thousands of crores and everyone wants a share of the pie. Nobody gives a hoot about the beneficiaries: voiceless and hapless children.

The midday meal or a clone of it is part of the new Food Security Ordinance. I cannot begin to imagine how it will work better under this new cloak. A quick glance at the series of article on the subject paints a gloomy and disturbing picture.

When we ran a small residential unit for Manu and our boarding school aspirants, we had a tight budget, but the one thing we never compromised on was food. I cannot imagine what kind of being you have to be to want to enrich yourself on food meant for children and starving people.

I do not think that the new avatar will change things for children but know that it will enrich many on the way. And no one will fight for the children. They will continue to die.

How many deaths will it take to clean our Augean stables.

It is a reality that should make us hang our heads in shame. In a country where millions go hungry every day, where 5000 kids under the age of 5 die every day of malnutrition related diseases, we allow food grain to rot every year. The latest report comes at a time when the Government has rushed its Food Security Bill through an ordinance. In Bhogola, the wheat sacks are kept in the open and are completely getting drenched in the rain. The ones that are covered with polythene sheets are also not protected as these sheets are torn at places. Rotting grain is an old issue. Multiple articles and stories have appeared in the media over the years. In spite of Supreme Court orders and a plethora of social programmes that are rammed down our throats time and again, nothing has changed. India remains a poor country with pathetic roads, no electricity, insufficient and poorly run schools and abysmal health care. An interesting article explains in its own manner the reason for this immobility. Now we have all been ‘gifted’ the Food Security Bill, a supposed panacea for all the nutrition problems of the country. Yippee!!! I wonder how a given quantity of grains to 800 million people will solve malnutrition and address the problem of undernutrition.

Breaking News. I interrupt the flow of this post to share some terribly distressing news: 20 children under the age of 10 have died after consuming the midday meal served in their school. It seems the rice had some lethal pesticide in it. It seemed it may not have been properly washed. Whatever the reason, nothing can forgive this criminal Act.

The midday meal is also an important part of the said Bill. If they cannot get their act together now, what miracle will occur to change things. Maybe one should have set one’s house in order before conjuring new plans. Malnourished children die of diseases that are preventable. Maybe we should look at this more closely rather than dole out more suspicious hand outs. It is all in the name of garnering vote banks: the ruling party brings an ordinance, the opposition will not dare oppose it in spite of its flaws as every one needs to woo the poor. There are sufficient schemes in place the intelligent and honest approach would have been to simply ensure every one of these work adequately. But that is not the way things work in our country. You need new programmes to add new avenues for corrupt people.

The new ordinance has flaws. The obvious one is that a certain amount of grain given to a person does not solve malnutrition which is the main bane of the country. This needs preventive medical care, sanitation and safe drinking water. To curb undernutrition the 9 months and 1000 first days of a child are crucial. Early malnutrition cannot be reversed.

This bill is no magic pill. It is just one more political gimmick aimed at retaining power. When will we see politicians truly willing to put their house in order?

This is in continuation of my earlier post Health a la Carte.  I had ended the post with the following words: So as per plan we shipped the husband to the hospital late in the night! Imagine my surprise when I was told that he had been given a single room! Was it an answer to my entreaties or to my prayers. I do not know. But I feel a little better knowing I beat the system. How naive I was! or should I say stupid, credulous and dupable! I really thought that prayers and entreaties could work in our world. That night I went to sleep believing that better sense had prevailed and we had gotten a room where we would just have to pay the difference between what our insurance gave and the going rate! When we had shipped the husband late at night in pouring rain,  so that we all could spend some time with him, we were reconciled to him having to share a room. So when we got the news that he had been given a single room I really believed that my stratagem had worked.

I woke up before dawn and reached the hospital. I was happy to see my husband fast a sleep in his ‘single’ room. I sat with him and we talked about things that we often are not able to at home. Some reminiscences, some plans for a morrow we still are unsure of. A sort of bucket list of twilight years. Anyway I was happy to see him in his room, though the needles and lines made me uncomfortable. Some time later my daughter came in and as we were not sure of the time he would be taken into surgery, I decided to take a short break and be back after a few hours. I had barely reached home when my daughter called to say 2 units of blood were needed and thus 2 donors. She would be one of them. I rushed back with my son in law. By that time the husband was in surgery and it was waiting time. My daughter and I decided to wait in the famous single room as we were promised that we would be contacted on the phone by the OT when it was all over.

The phone rang and we both jumped hoping to hear that the surgery was over. But the call was from the administration and asked me to come down to sign some paper. I went to the office and was given a blank sheet and asked to write that I was willing to pay the difference in the room charges. A while later another call informed me that actually I had to sign a proforma! Wonder why I was not given the ‘proforma’ before. I duly went down and was given a typed letter that stated that I would pay all the additional charges that went with a single room: surgery, anesthesia and so on. The letter was dated the previous day. I signed the letter but wrote that this was given to me at a particular time one day after the date of the letter.

I knew I had been had! The time when I was given the letter was when my husband was in surgery and there was no way I could take him away. The proforma had not been produced when admission took place on the previous night. Had they done so, we would have gone for the double room option. We were asked to deposit some money and it took a lot of patience and tact to get a figure out of these people. 50k were deposited and we were told that we would be given back any money not used. But there was a rider! if the money was under 20k we would get a cash reimbursement, and if was over 20k a cheque. Would you believe me if I told you that the reimbursable amount was 20 040! I am still waiting for the cheque.

When I thought this drama was over we were in for another surprise. Another call informed me that the three days sanctioned by my husband’s PSU had expired. Now the husband got there at 10pm on the 9th, so in my simple mind he was covered till the 12th morning. Not at all. The first day were the 2 hours from 10pm to midnight counted as one day. Though I got one day extension, we brought him home on the 11th.

I do not know what awaits us now. I know that we visit the hospital with the results, we will again have to go through a seduction game aimed at comforting and scaring us at the same time. But I am prepared for the onslaught of their well rehearsed spiel and have my answers ready. I have read and reread all I possibly could – God bless the world wide web – and will not be caught off cards. Come to think of it, I may not even take the husband!