Prosperity and Poverty – 2 faces of Bengaluru

Prosperity and Poverty – 2 faces of Bengaluru

Prosperity and poverty – prosperous Karnataka State’s poor secret.   Poor access to State healthcare and drinking water are the two major woes of the State.

The economy of Karnataka State is predominantly agrarian. In the total State Domestic Product, the contribution of agriculture and allied activities is 37 per cent. 65 per cent of the work force in the State depends on agriculture. 

Features of Karnataka Economy :

Karnataka economy is largely service oriented and income from the sector contributes half the state’s GDP with the agricultural and the industrial sector contributing to nearly 25% each. The major manufacturing oriented industries in the state include: Sugar. Paper.

Karnataka statistics :

Karnataka’s per capita State income was Rs.1,83,737 in 2017-18.  This was above the per capita National Income of Rs.1,12,835. 

According to the 15th Finance Commission the State’s poverty rate is at 21%.  Karnataka State has not fared well on the healthcare front.  The reason may be the frequent transfer of officers running the health programs. 

Traditional ploughing – Karnataka

Karnataka being IT capital of India, known as the home of technology and startups it is very difficult to explain why the poverty rate is very high.  The expected poverty rate is below 20%. 

Health care access – Prosperity and poverty :

Healthcare is a casualty as the citizens comprises of poor and middle class families among the elite and rich in the State.  There are many private hospitals but  very few can afford them.  

People who are poor has to either go in search of government hospitals or an NGO run hospital.  The other option is to visit the government run hospitals at Bengaluru city. 

Travelling to these hospitals in the city is also tiresome.  The roads are congested and the distance to travel is gruesome. 

Present scenario :

There is very poor agricultural growth rate and incomplete irrigation projects dragging for years as only 33% of the State’s area was irrigated. 

Karnataka took up several projects but the net result of these projects are not reflected in the performance in agricultural sector.

In the last 6 to 7 years, agriculture is either stagnant or shrinking.  It is -0.3%. 

Per-Capita Development Expenditure :

The per capita development expenditure in Karnataka during 2014-15, 2015-16(RE) and 2016-17(BE) was Rs.13928, Rs.15591 and Rs.17413 respectively as compared to all State’s average of Rs.10437, Rs.13545 and Rs.14404.The high percentage of committed revenue expenditure to revenue receipts (78%) in 2016-17(RE) reveals that the State has limited flexibility in allocation of its resources for new schemes.

Hence the need of the hour is expenditure rationalization/ re-calibration.

Non-tax Revenue :

The ratio of non-tax revenue to total receipts has been continuously declining over the years. This is due to low recovery of costs. In many departments, the revision of user charges, fees & fines and other such non-tax receipts have not taken place for many years. Even with revision of rates and better collection mechanisms, increase in revenues from this avenue may not be large due to existing low base.

State’s Borrowings :

The State’s borrowings are more expensive than the loans advanced by the government. The recipient boards and corporations are unable to service the loans given to them by the State government in view of low recovery of cost of their services from the consumers.

The debt to GSDP ratio has gone up, while it still remains below 20%.   In future there will be pressures from all sides to spend more.  There has to be caution on how finance-through more revenues rather than more debts.

Current Fiscal Challenges and Way Forward :

Despite the State’s broad successes in its fiscal consolidation efforts, the State government faces many fiscal challenges arising from limited potential for resource mobilization relative to GSDP, rigidities in the form of committed expenditure, and weak linkages between expenditure and development outcomes.

Physiotherapy and Fitness –  : Somya Rout

Physiotherapy and Fitness – : Somya Rout

Physiotherapy  also known as physical therapy, by using mechanical force and movements (bio-mechanics or Kinesology) Manual therapy, exercise therapy, and electrotherapy, remediates impairments and promotes mobility and function. Physical therapy is used to improve a patient’s quality of life through examination, diagnosis, prognosis, physical intervention, and patient education. It is performed by  physiotherapists.

In
addition to clinical practice, other activities encompassed in the physical
therapy profession include research, education, consultation and
administration. Physiotherapy services may be provided as primary care
treatment or alongside, or in conjunction with, other medical services.

Physiotherapy – Sports :

Physiotherapists are closely involved in the care and well-being of athletes including recreational, semi-professional (paid) and professional (full-time employment) participants. This area of practice encompasses athletic injury management under 5 main categories:

  1. acute care –
    assessment and diagnosis of an initial injury;
  2. treatment –
    application of specialist advice and techniques to encourage healing;
  3. rehabilitation –
    progressive management for full return to sport;;
  4. prevention –
    identification and address of deficiencies known to directly result in, or act
    as precursors to injury, such as movement assessment.
  5. education – sharing of
    specialist knowledge to individual athletes, teams or clubs to assist in
    prevention or management of injury.

Physiotherapists
who work for professional sport teams often have a specialized sports
certification issued through their national registering organisation. Most
Physical therapists who practice in a sporting environment are also active in
collaborative sports medicine programs too.

Fitness :

To be physically fit means to be in a state of health and well-being. Physical fitness is defined as the body’s ability to function efficiently and effectively in work and leisure activities, to be healthy, to resist disease and to react to emergency situations.

A person who is fit is capable of living life
to its fullest
extent. Physical and mental fitness play very important roles
in your lives and people who are both, physically and mentally fit are less
prone to medical conditions as well.

There are four types
of fitness that are important to incorporate into your physical activity
routine:

  • Cardiovascular/aerobic
    exercise.
  • Anaerobic exercise.
  • Joint flexibility.
  • Muscular endurance and
    strength.

Physical activity or exercise can improve your
health and reduce the risk of developing several diseases like type 2 diabetes,
cancer and cardiovascular disease. Physical activity and exercise can have
immediate and long-term health benefits. Most importantly, regular activity can
improve your quality of life.

Somya Rout :

Somya is a sport physiotherapist  and has worked with Odisha Ranji Team, Indian Football team,  All India Football Federation and India U-16.

He has a previous experience of working with Sports Authority of Gujarat
and Orissa Cricket Association and at Ranji, Odisha.

He studied at Goutham College of Physiotherapy, Bengaluru and did his graduation at Stewart School, Cuttack.

He is the
co-founder of Stairs Physiotherapy and Fitness at Bengaluru.  It is a fantastic
physiotherapy & fitness centre that helps one get stronger, respect your
body better and help you achieve your goal. A space to workout, get fitter and
stronger.

Qualification and
achievements – Somya Rout :

Bachelor’s in Physiotherapy (Rajiv Gandhi
university of health sciences) Karnataka.

PG in clinical research.

Certified Manual therapist.

Certification in Sports Science (Apollo
Hospital)

Strength and conditioning (Exercise and sports
sciences International consultancy).

Member of Indian Association of
Physiotherapist

Certified Physiotherapist at Asian Football
Confederation Physiotherapy course at ASPETAR ( Qatar)

He has worked with :

Odisha Ranji Team for 3 years

Micheal Bevan (tour to Australia) 2009-2012

The Indian Football team U 16

SAFF Championship ,Gold

Asian Football Qualifiers in Kuwait.

India U19 SAFF Championship Nepal ,Runners up

Asian Championship Trophy Malaysia.

Head Physiotherapist Sports Authority of
Gujarat.

Indian Football team Indian Football team U 16 Malaysia.

Physical fitness :

Physical
fitness is a
state of health and well-being  and
more specifically, the ability to perform aspects of sports,  occupations and daily activities. Physical
fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise and sufficient rest.

Before
the industrial revolution, fitness was defined as the capacity to carry
out the day’s activities without undue fatigue. However, with automation and
changes in lifestyles physical
fitness
 is now considered a
measure of the body’s ability to function efficiently and effectively in work
and leisure activities, to be healthy, to resist hypokinetic disease and to
meet emergency situations

Rare diseases – awareness run – Bengaluru

Rare diseases –  as the name says which are rare.   A run is being organized by the Organisation for  rare Diseases India (ORDI).  This is about addressing the challenges of unfamiliar diseases.

Organisation for rare diseases India :

ORDI  is a national umbrella organization representing the collective voice of all patients with rare diseases in India.  It is been setup as a section 25 non-profit company in India. 

The vision of the NGO is to make diseases which are unfamiliar to the public as easily diagnosed and treated as common diseases like Diabetes, Hypertension , TB, AIDS etc.

History of run :

What started as an awareness walk to commemorate World Rare Disease Day in February 2016 has now grown into a significant campaign, conducted simultaneously in multiple cities and two countries – India and the USA.

Over the years, the run has expanded and in 2019 it will be conducted over February and March across 13 Indian cities – Bengaluru, Mysuru, Chennai, Kolkata, Mumbai, Jaipur, Coimbatore, Bikaner, Hyderabad, New Delhi, Ahmedabad, Thiruvananthapuram and Kochi.

Rare diseases – ‘Race for 7’ :

The NGO is conducting an awareness run in Bengaluru.  The run is to raise funds and to educate people about diseases. The event is first of its kind in the world.

The event is being held on February 24, at St.Joseph’s Indian School.  It is been given name as ‘Race for 7” symbolically to represent 7000 rare diseases with 7000 people running for 7 kms. to represent the average number of years taken to diagnose a disease.

Awareness :

Race for 7 is held in the month of February to commemorate World Rare Disease Day  which falls on the last day of February. The theme for the event 2019 is ‘Bridging health and social care’,  focusing on the need to better coordinate all aspects of care to improve the lives of people living with a rare disease.

One in every 20 Indians suffers from this illness . Almost half of whom are children, an important fact that often doesn’t get highlighted.

Besides lack of access to early intervention and treatment because of the lack of widespread awareness about this rare phenomenon, the cost of treatment where it is available is often prohibitively expensive.

The run is Uniting the world against rare diseases. 

Kidwai hospital – digitize record

Kidwai hospital to digitize records of patient records.    Digitization aims at combining and managing all aspects of a hospital’s operations such as medical, financial, administrative, legal and compliance, health records online.

Kidwai hospital

At present the patients carry hospital records, reports and scanned images in person. 

First in Karnataka – Kidwai Hospital :

Kidwai hospital has become the first government hospital in Karnataka to execute the Central government’s e-hospital project.  The first round of execution of the project started last week.

A team from Infosys Foundation is helping the doctors at Kidwai to streamline the data and also link the departments.

How it works at Kidwai Hospital?

Digitization helps in storing complete patient’s records online for the oncologists treating patients.  E-hospital Kidwai will register the patient in the hospital system at the OPD (out patient department) on entering.

A patient identification number and a patient-specific barcode will be generated.  The patient will be given a ‘health card’. At the electronic queue management centre, they will be issued a token which will tell them where to go and which doctor to see.

Procedure to be followed :

A consultant/doctor from Kidwai Hospital will scan the patient’s barcode to receive information about the patient, such as medical history, allergies, and demographic data.

After the consultation, he will then enter the diagnosis, prescription, and other tests which should be taken into the system.    After blood test the patient is direction to the lab to give the sample. 

The blood sample will then be labelled with a barcode, enabling the technician to retrieve vital information before recording the test results.

Digital healthcare at Kidwai hospital :

Digital healthcare is answer to government run hospitals.  Normally the state run hospitals will be disorganized, overcrowded and the inconsistent quality of hospital services. It is also instrumental in managing information more efficiently.

Digitization  improves connectivity within healthcare institutions.  There is better coordination between healthcare personnel and also recorded data under this system.