Senses Report - History

The history of the land mass currently known as Bihar is very ancient. In fact, it extends to the very dawn of human civilization. Earliest myths and legends of Hinduism the Sanatana (Eternal) Dharma - are associated with Bihar. Sita, the consort of Lord Rama, was a princess of Bihar. It was here that Prince Gautam attained enlightenment, became the Buddha- at the present Bodh Gaya- a town in central Bihar; and the great religion of Buddhism was born. It is here also that Lord Mahavira, the founder of another great religion, Jainism, was born and attained nirvana (death). The tenth and last Guru of the Sikhs, Guru Gobind Singh was born and attained the sainthood of Sikhism, that is became a Guru.

Bihar, the ancient land of Buddha, has witnessed golden period of Indian history. It is the same land where the seeds of the first republic were sown and which cultivated the first crop of democracy. Such fertile is the soil that has given birth to innumerous intellectuals, which spread the light of knowledge and wisdom not only in the country but also in the whole world. The state has its capital at Patna, which is situated on the bank of the holy river Ganga. The state as it is today has been shaped from its partition from the province of Bengal and most recently after the separation of the tribal southern region now called Jharkhand.

Bihar is located in the eastern part of the country (between 83°-30' to 88°-00' longitude). It is an entirely land–locked state, although the outlet to the sea through the port of Kolkata is not far away. Bihar lies mid-way between the humid West Bengal in the east and the sub humid Uttar Pradesh in the west which provides it with a transitional position in respect of climate, economy and culture. It is bounded by Nepal in the north and by Jharkhand in the south. The Bihar plain is divided into two unequal halves by the river Ganga that flows through the middle from west to east.

Demography

In the last decade (1991-2001), the growth of population in Bihar has increased roughly by 5 percentage points, being 28.43 percent as against 21.34 percent in 3 India. The state of Bihar now contains 8.07 percent of the country’s population according to the provisional population results.

Health

The RCH II study done in between 2002-2004 suggests that neonatal death is 63.2 per thousand. Within that the early neonatal death is 43%.

Neonatal deaths Total Rural Urban
Neonatal deaths as percentage of infant deaths 63.2 62.7 69.8
Early neonatal deaths as percentage of infant deaths 43 41.9 57.3
Neonatal mortality rate 39 39 37
Early neonatal mortality rate 27 26 30
Still birth rate 3 3 2

Both neonatal mortality as well as early neonatal mortality shows 39 and 27 respectively, which perhaps could be a resultant of poor availability of infrastructure.

PHC adequately equipped with
Infrastructure 8.9
Staff 17.4
Supply 11.4
Equipments 6.2
Training 15.5

As against the country average of 31.8, Bihar has 8.9 with staff being only 17.4, supply as 11.4 and equipments as 6.2 with this grim picture it is inevitable that the 5 maternal and child health in the State is in jeopardy. However the present government is working very hard to change the situation by bringing in new and favorable health policies. The other health indicators such as Complete Immunization coverage show only 24.4 though it is almost double the figure from 2002. However it is still very far from the national average of 47.6 with Tamil Nadu having 92.1

Immunization 2001 2002 2004
Complete immunization Total 12-23 months 10 12.8 24.4
Received ORS - - 14.2

Infant Mortality Rate Total Rural Urban
- Total Female Male Total Female Male Total Female Male
Infant mortality rate (2001) 62 68 57 63 69 57 52 56 49

The average infant mortality rate as per 2001 record shows as 62 with rural being 63 and urban as 52. The gender gap in IMR in rural is 12% as against 7% in the urban areas.

Mean age at marriage Total Rural Urban
- Total Female Male Total Female Male Total Female Male
Mean age at marriage - 17.4 21.9 - 17.1 20.4 - 18.1 22.5
Girls marriage below 18 yrs 51.4 - -
Delivery at Government Institution 5.4
Delivery at Home 76.8
Delivery by Skilled Persons 29.5
Birth order 3+ 54.4

The mean age at marriage of female show 17.4% with 51.4% of the girls getting married below 18yrs. The institutional delivery record show 5.4% only at government hospital with as high as 76.8% home delivery of which only 29.5% of the deliveries are by skilled persons according to the RCH II survey.

Education

Modern Bihar has a grossly inadequate educational infrastructure creating a huge mismatch between demand and supply. This problem is further compounded by increases in population. The craving for higher education among the general population of Bihar has led to a massive migration of the student community from the state. This has led to a "flooding" of students to seek educational opportunities in other states, such as New Delhi, Karnataka and Maharashtra even for graduation level college education.

In spite of the meager investment on education in Bihar, compared to other poorer Indian states, owing to class based reservation (of which Bihar's Pupils have been the main beneficiaries) the students have as a result done very well. Famed national institutes of learning such as IIT, IIM, NITs, AIIMS and JNU have always had a good representation from Bihar. There is also thought to be growing discontentment among students of other classes who claim however that pure merit has taken a back seat in the nation's education system as a result of giving reservation to people of backward classes. Other institutions of higher learning, and coveted positions in the government also show a greater share than the percentage of their population. A recent survey by Pratham rated the absorption of their teaching by the Bihar children better than those in other states.


Indicators Total Rural Urban
Gender gap in literacy rate (Male-Female) 26.7 27.7 17.5
Indicators Total Female Male
Dropout rate (Grade I-V) 61.6 63.1 60.7
Dropout rate (Grade I-VIII) 74.8 76.6 73.8
Gross enrolment ratio (Grade I-V) 79.87 60.49 98.24
Gross enrolment ratio (Grade I-VIII) 31.29 20.72 40.71
Literacy rate Total Rural Urban
- Total Female Male Total Female Male Total Female Male
Literacy rate (age 7+) 47 59.7 33.1 43.9 57.1 29.6 71.9 79.9 62.6
Literacy rate - 59.7 33.1 - -
Current Status of Disability
Disability Population Status Total Male Female Total Male Female Total Male Female
Total 1887611 1131526 756085 1692454 1013699 678755 195157 117827 77330
Visual 1005605 556688 448917 903016 498654 102589 58034 44555 77330

As per WHO estimate it is approximately 10% of the total population who suffer from some or other kind of disabilities. However as per the Census 2001the total disabled population in the State of Bihar is 18,87,611, which ranks as the number one in the country and approximately 3.2% of the total population. Within this the rural total is 16,92,454, which is approximately 90% of the population. The total disabled male population is 11,31,526 as against the female population of 7,56,085. Category wise the percentage of visual handicapped is 53% followed by locomotors disability, which is 27%. The speech and hearing together accounts to 11% of the disabled population whereas the intellectual handicapped accounts to 9% of the population.

Policy Statements
1. Bihar is one of the most diverse state in the country with a long-standing commitment of becoming an inclusive society where all residents, many of whom are People with Disabilities, are able to fully participate in the social, cultural, recreational, economic and political life of the state and of the nation. Inclusion is the primary social objective. All citizens should have the opportunity and right to participate without discrimination, attitudinal & environmental or service barriers in all walks of life.
2. Recognizing the rights and responsibilities, the Government of Bihar will ensure that every Person with Disability/s in Bihar achieve full emancipation and self esteem by equalization of opportunities through creation of enabling environment, so that the society is benefited from their untapped talent and contribution.
3. The Government will endeavor to promote community participation in order to generate adequate community response towards the causes of disability.
4. The Government will ensure the promotion of innovative and adaptive technology in order to create and facilitate access to social and economic rehabilitation for Persons with Disabilities.

concept of the evolving capacities of the PwDs will be the central theme. The policy document carries three key implications:

Firstly, it is a developmental concept, recognizing the extent to which Persons with Disability’s development, competence and emerging personal autonomy are enhanced through the realization of the various agreed national & international Conventions and program– it imposes obligations on States to promote and ensure these rights;

Secondly, it is an emancipatory concept denoting the rights of Persons with Disability to respect for their capacities and for the transfer of the exercise of rights from various facets of society to the Persons with Disability in accordance with their levels of competence – it imposes obligations on States to respect these rights;

The broad objectives of the Comprehensive Disability Policy Framework include:

The facilitation of the inclusion of disability rights, values and practices into government developmental strategies, planning and programs;

The development of an integrated management system for the coordination of disability planning, implementation and monitoring in the various line functions at all spheres of government;

Establishing of state and subsequent district structures such as State Integrated Disability & Rehabilitation Program that will continuously update and link strategy & policy developments with operational planning initiatives involving all role-players (DPOs, government, the private sector).

The development of capacity building strategies that will enhance Government's ability at all levels to implement recommendations contained in the Comprehensive Disability Policy Framework.

A comprehensive plan of action that will include in addition to Programme planning, a strong public education and awareness-raising program aimed at changing fundamental prejudices in society.

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