An Indian nurse holds a newborn baby girl as she explains the importance of breast feeding to her mother and grandmother at a hospital in Shivpuri, central Madhya Pradesh.  Roberto Schmidt / AFP
An Indian nurse holds a newborn baby girl as she explains the importance of breast feeding to her mother and grandmother at a hospital in Shivpuri, central Madhya Pradesh. Roberto Schmidt / AFP

Push to lower India’s infant death rate



SHIVPURI // Suman Chandel, 25, lay on a bed in a clinic in remote northern India with a smile of relief on her face.

She had just given birth to her fourth child, a seemingly healthy baby boy weighing three kilograms and, having already lost two babies – to diarrhoea and dysentery – is optimistic that this time the chances of survival are good.

“I was very worried beforehand. I was having more and more problems with each delivery, but he seems fine and I’m happy,” said Ms Chandel as she breastfed her newborn.

Married at 15 and pregnant three years later, Ms Chandel’s struggles to keep her babies alive are a familiar story for millions of women battling disease, caste discrimination, powerlessness and poverty in rural India.

India has a dismal record of deaths from preventable illness. For example, it accounts for 29 per cent of global first-day deaths and 309,000 newborn deaths a year, said the non-profit group Save the Children.

But figures published in October suggest that after 15 years of booming economic growth and explosive modernisation, India may finally be turning the corner.

“There’s a long way to go and traditional practices are still there,” said Karin Hulshof, the regional director for the United Nation’s children’s fund, Unicef. “But there has been great progress, a great call to action.”

This has come with investments by the government and non-government organisations, she said.

Initiatives have focused on issues such as encouraging women to give birth in hospitals instead of at home, and increasing health centres and immunisation drives.

Education into, for example, the importance of breastfeeding, improved nutrition and using clean water for hand washing and toilets to prevent episodes of life-threatening diarrhoea, has also been a priority.

Paul Vinod, the head of paediatrics at one of India’s most prestigious teaching hospitals, said the figures spoke for themselves: infant mortality rates have dropped from 80 deaths per 1,000 live births in 1990 to 42 deaths in 2012.

Despite the improvements, India still has that high newborn deaths tally, as well as accounting for 22 per cent of the world’s deaths of children under five, according to a joint report this year from the UN, the World Health Organisation and World Bank.

Public expenditure on health remains woeful and accounts for just 1.2 per cent of gross domestic product, said Dr Vinod.

“Some developed countries spend 8 to 10 per cent,” he said. “We should be close to 3 per cent or 5 per cent. Anything less than three is poor.”

A child’s chances of survival were also skewed depending on where a family resided. The mortality rate in southern Kerala state was 12 in every 1,000, the new figures showed, but jumped to 56 in Madhya Pradesh, where Ms Chandel lives.

This postcode lottery is blamed by experts on population density and the priority state governments have placed on child health, among other reasons.

Deep cultural issues, including the powerlessness of women and accepted attitudes about their role in society, remained a huge battle.

“These girls are unable to make independent decisions about their own reproductive choices or fertility,” said Anuradha Gupta, an Indian health ministry official.

“We have a huge battle ahead to change societal attitudes and norms towards adolescents, particularly girls.”

Pale with anaemia, Radha Bagnele, 20, lay in a bed in Shivpuri District Hospital in Madhya Pradesh and listened to her mother-in-law despair about Ms Bagnele’s newborn twin daughters.

“We wanted boys, so we are not happy, we are just OK,” said Ramkunar Bagnele. “Of course she will keep trying until we get them.”

Married at 13, Radha already has two daughters and worries her husband does not earn enough as a farm labourer to feed and care for their expanding family.

“I’m worried, but we need a boy,” she said softly.

Shivpuri hospital, together with Unicef, has developed a 24/7 call centre and a fleet of 35 ambulances so that women throughout the district can reach a hospital or clinic in time for a safer delivery.

The number of infant deaths has fallen dramatically since its introduction but problems still exist.

In the hospital’s special newborn care unit, also funded by Unicef, Sunil Gautam hovered over rake-thin babies.

He pointed to a boy in an incubator born days earlier who weighed 600 grams – less than half the minimum healthy weight of a newborn.

“Eight hundred grams today!” the paediatrician said.

Asked why the 17 babies in the unit were born underweight, premature or sick, he reeled off problems that had improved steadily in the five years he had worked there.

“Poverty, illiteracy, nutrition deficiency, early marriage and no spacing between births,” he said of the circumstances of the mothers.

“Things are working, are improving. But it’s slow.”

* Agence France-Presse

THE SPECS

      

 

Engine: 1.5-litre

 

Transmission: 6-speed automatic

 

Power: 110 horsepower 

 

Torque: 147Nm 

 

Price: From Dh59,700 

 

On sale: now  

 
LAST-16 FIXTURES

Sunday, January 20
3pm: Jordan v Vietnam at Al Maktoum Stadium, Dubai
6pm: Thailand v China at Hazza bin Zayed Stadium, Al Ain
9pm: Iran v Oman at Mohamed bin Zayed Stadium, Abu Dhabi

Monday, January 21
3pm: Japan v Saudi Arabia at Sharjah Stadium
6pm: Australia v Uzbekistan at Khalifa bin Zayed Stadium, Al Ain
9pm: UAE v Kyrgyzstan at Zayed Sports City Stadium, Abu Dhabi

Tuesday, January 22
5pm: South Korea v Bahrain at Rashid Stadium, Dubai
8pm: Qatar v Iraq at Al Nahyan Stadium, Abu Dhabi

Specs

Engine: Dual-motor all-wheel-drive electric

Range: Up to 610km

Power: 905hp

Torque: 985Nm

Price: From Dh439,000

Available: Now

The smuggler

Eldarir had arrived at JFK in January 2020 with three suitcases, containing goods he valued at $300, when he was directed to a search area.
Officers found 41 gold artefacts among the bags, including amulets from a funerary set which prepared the deceased for the afterlife.
Also found was a cartouche of a Ptolemaic king on a relief that was originally part of a royal building or temple. 
The largest single group of items found in Eldarir’s cases were 400 shabtis, or figurines.

Khouli conviction

Khouli smuggled items into the US by making false declarations to customs about the country of origin and value of the items.
According to Immigration and Customs Enforcement, he provided “false provenances which stated that [two] Egyptian antiquities were part of a collection assembled by Khouli's father in Israel in the 1960s” when in fact “Khouli acquired the Egyptian antiquities from other dealers”.
He was sentenced to one year of probation, six months of home confinement and 200 hours of community service in 2012 after admitting buying and smuggling Egyptian antiquities, including coffins, funerary boats and limestone figures.

For sale

A number of other items said to come from the collection of Ezeldeen Taha Eldarir are currently or recently for sale.
Their provenance is described in near identical terms as the British Museum shabti: bought from Salahaddin Sirmali, "authenticated and appraised" by Hossen Rashed, then imported to the US in 1948.

- An Egyptian Mummy mask dating from 700BC-30BC, is on offer for £11,807 ($15,275) online by a seller in Mexico

- A coffin lid dating back to 664BC-332BC was offered for sale by a Colorado-based art dealer, with a starting price of $65,000

- A shabti that was on sale through a Chicago-based coin dealer, dating from 1567BC-1085BC, is up for $1,950

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The White Lotus: Season three

Creator: Mike White

Starring: Walton Goggins, Jason Isaacs, Natasha Rothwell

Rating: 4.5/5

COMPANY PROFILE
Name: Kumulus Water
 
Started: 2021
 
Founders: Iheb Triki and Mohamed Ali Abid
 
Based: Tunisia 
 
Sector: Water technology 
 
Number of staff: 22 
 
Investment raised: $4 million 
The specs
Engine: 2.0-litre turbo 4-cyl

Transmission: eight-speed auto

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Price: Dh169,900

On sale: now 

The specs

Engine: 3.8-litre twin-turbo flat-six

Power: 650hp at 6,750rpm

Torque: 800Nm from 2,500-4,000rpm

Transmission: 8-speed dual-clutch auto

Fuel consumption: 11.12L/100km

Price: From Dh796,600

On sale: now

Results

2.15pm: Handicap Dh80,000 1,950m

Winner: Hello, Tadhg O’Shea (jockey), Ali Rashid Al Raihi (trainer).

2.45pm: Handicap Dh90,000 1,800m

Winner: Right Flank, Pat Dobbs, Doug Watson.

3.15pm: Handicap Dh115,000 1,000m

Winner: Leading Spirit, Richard Mullen, Satish Seemar.

3.45pm: Jebel Ali Mile Group 3 Dh575,000 1,600m

Winner: Chiefdom, Royston Ffrench, Salem bin Ghadayer.

4.15pm: Handicap Dh105,000 1,400m

Winner: Ode To Autumn, Patrick Cosgrave, Satish Seemar.

4.45pm: Shadwell Farm Conditions Dh125,000 1,200m

Winner: Last Surprise, James Doyle, Simon Crisford.

5.15pm: Handicap Dh85,000 1,200m

Winner: Daltrey, Sandro Paiva, Ali Rashid Al Raihi.

'Spies in Disguise'

Director: Nick Bruno and Troy Quane

Stars: Will Smith, Tom Holland, Karen Gillan and Roshida Jones 

Rating: 4 out of 5 stars

Test

Director: S Sashikanth

Cast: Nayanthara, Siddharth, Meera Jasmine, R Madhavan

Star rating: 2/5

Quick facts on cancer
  • Cancer is the second-leading cause of death worldwide, after cardiovascular diseases 
  •  About one in five men and one in six women will develop cancer in their lifetime 
  • By 2040, global cancer cases are on track to reach 30 million 
  • 70 per cent of cancer deaths occur in low and middle-income countries 
  • This rate is expected to increase to 75 per cent by 2030 
  • At least one third of common cancers are preventable 
  • Genetic mutations play a role in 5 per cent to 10 per cent of cancers 
  • Up to 3.7 million lives could be saved annually by implementing the right health
    strategies 
  • The total annual economic cost of cancer is $1.16 trillion

   

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The biog

From: Ras Al Khaimah

Age: 50

Profession: Electronic engineer, worked with Etisalat for the past 20 years

Hobbies: 'Anything that involves exploration, hunting, fishing, mountaineering, the sea, hiking, scuba diving, and adventure sports'

Favourite quote: 'Life is so simple, enjoy it'

Results:

6.30pm: Maiden Dh165,000 2,000m - Winner: Powderhouse, Sam Hitchcott (jockey), Doug Watson (trainer)

7.05pm: Handicap Dh165,000 2,200m - Winner: Heraldic, Richard Mullen, Satish Seemar

7.40pm: Conditions Dh240,000 1,600m - Winner: Walking Thunder, Connor Beasley, Ahmed bin Harmash

8.15pm: Handicap Dh190,000 2,000m - Winner: Key Bid, Fernando Jara, Ali Rashid Al Raihe

8.50pm: The Garhoud Sprint Listed Dh265,000 1,200m - Winner: Drafted, Sam Hitchcott, Doug Watson

9.25pm: Handicap Dh170,000 1,600m - Winner: Cachao, Tadhg O’Shea, Satish Seemar

10pm: Handicap Dh190,000 1,400m - Winner: Rodaini, Connor Beasley, Ahmed bin Harmash

Our legal advisor

Ahmad El Sayed is Senior Associate at Charles Russell Speechlys, a law firm headquartered in London with offices in the UK, Europe, the Middle East and Hong Kong.

Experience: Commercial litigator who has assisted clients with overseas judgments before UAE courts. His specialties are cases related to banking, real estate, shareholder disputes, company liquidations and criminal matters as well as employment related litigation. 

Education: Sagesse University, Beirut, Lebanon, in 2005.

The bio

His favourite book - 1984 by George Orwell

His favourite quote - 'If you think education is expensive, try ignorance' by Derek Bok, Former President of Harvard

Favourite place to travel to - Peloponnese, Southern Greece

Favourite movie - The Last Emperor

Favourite personality from history - Alexander the Great

Role Model - My father, Yiannis Davos

 

 

Key facilities
  • Olympic-size swimming pool with a split bulkhead for multi-use configurations, including water polo and 50m/25m training lanes
  • Premier League-standard football pitch
  • 400m Olympic running track
  • NBA-spec basketball court with auditorium
  • 600-seat auditorium
  • Spaces for historical and cultural exploration
  • An elevated football field that doubles as a helipad
  • Specialist robotics and science laboratories
  • AR and VR-enabled learning centres
  • Disruption Lab and Research Centre for developing entrepreneurial skills
At a glance

Global events: Much of the UK’s economic woes were blamed on “increased global uncertainty”, which can be interpreted as the economic impact of the Ukraine war and the uncertainty over Donald Trump’s tariffs.

 

Growth forecasts: Cut for 2025 from 2 per cent to 1 per cent. The OBR watchdog also estimated inflation will average 3.2 per cent this year

 

Welfare: Universal credit health element cut by 50 per cent and frozen for new claimants, building on cuts to the disability and incapacity bill set out earlier this month

 

Spending cuts: Overall day-to day-spending across government cut by £6.1bn in 2029-30 

 

Tax evasion: Steps to crack down on tax evasion to raise “£6.5bn per year” for the public purse

 

Defence: New high-tech weaponry, upgrading HM Naval Base in Portsmouth

 

Housing: Housebuilding to reach its highest in 40 years, with planning reforms helping generate an extra £3.4bn for public finances

Our family matters legal consultant

Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

Company%C2%A0profile
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Shubh Mangal Saavdhan
Directed by: RS Prasanna
Starring: Ayushmann Khurrana, Bhumi Pednekar

The specs

AT4 Ultimate, as tested

Engine: 6.2-litre V8

Power: 420hp

Torque: 623Nm

Transmission: 10-speed automatic

Price: From Dh330,800 (Elevation: Dh236,400; AT4: Dh286,800; Denali: Dh345,800)

On sale: Now

The National's picks

4.35pm: Tilal Al Khalediah
5.10pm: Continous
5.45pm: Raging Torrent
6.20pm: West Acre
7pm: Flood Zone
7.40pm: Straight No Chaser
8.15pm: Romantic Warrior
8.50pm: Calandogan
9.30pm: Forever Young

Skewed figures

In the village of Mevagissey in southwest England the housing stock has doubled in the last century while the number of residents is half the historic high. The village's Neighbourhood Development Plan states that 26% of homes are holiday retreats. Prices are high, averaging around £300,000, £50,000 more than the Cornish average of £250,000. The local average wage is £15,458. 

Getting%20there
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Specs
Engine: Electric motor generating 54.2kWh (Cooper SE and Aceman SE), 64.6kW (Countryman All4 SE)
Power: 218hp (Cooper and Aceman), 313hp (Countryman)
Torque: 330Nm (Cooper and Aceman), 494Nm (Countryman)
On sale: Now
Price: From Dh158,000 (Cooper), Dh168,000 (Aceman), Dh190,000 (Countryman)
Real estate tokenisation project

Dubai launched the pilot phase of its real estate tokenisation project last month.

The initiative focuses on converting real estate assets into digital tokens recorded on blockchain technology and helps in streamlining the process of buying, selling and investing, the Dubai Land Department said.

Dubai’s real estate tokenisation market is projected to reach Dh60 billion ($16.33 billion) by 2033, representing 7 per cent of the emirate’s total property transactions, according to the DLD.