Policy Buzz: Coronavirus-focus Fifth Edition

Keep up-to-date with all that is happening in welfare policy with this curated selection of news, published every fortnight. The current edition focusses on the Coronavirus pandemic in India, and the government’s efforts to stem its increase.  

 

Policy News

  • The country-wide lockdown has been extended till 31 May 2020, and guidelines are expected soon.
  • Details of the Rs 20 lakh crore Atmanirbhar Bharat Abhiyan economic package have been announced by Finance Minister Nirmala Sitharaman. They can be found here. Access our newly released Working Paper on the status of state finances to understand the package better.
  • Union Minister Nitin Gadkari announced that the government is working on an agro MSME policy that will focus on entrepreneurship development in rural, tribal, agricultural and forest areas for manufacturing products using local raw material.
  • Prime Minister’s Citizen Assistance and Relief in Emergency Situations (PM-CARES) Fund Trust has decided to allocate Rs. 3,100 crores for the pandemic response. A sum of approximately Rs. 2,000 crores will be used for the purchase of ventilators, Rs. 1,000 crores for care of migrant labourers and Rs. 100 crores to support vaccine development.
  • The Uttar Pradesh Cabinet has decided to suspend 35 of the 38 labour laws in the state for three years. The Ordinance will be sent to the Union government for its approval. Madhya Pradesh too has made changes to its labour laws.
  • Jharkhand government has announced three labour intensive programmes to add jobs in the rural economy. The three schemes have been devised to operate in convergence with the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS).

 

Health 

  • The Ministry of Health has released a revised discharge policy for mild/very mild/pre-symptomatic cases admitted to a Covid Care Facility. These patients can be discharged after 10 days of symptom onset and no fever for 3 days. There will be no need for testing prior to discharge. This is expected to cut down the need for COVID-19 testing kits. 
  • ICMR is going to conduct a community-based survey to estimate the prevalence of SARS-CoV-2 infection in Indian population. The survey will be conducted in randomly selected 69 districts from 21 states.
  • The Global Nutrition Report (GNR) 2020, released on 12th May, said that India is among the 88 countries that are likely to miss global nutrition targets by 2025. 
  • According to data released by the Registrar General of India, the national birth rate in 2018 stood at 20, and death and infant mortality rates (IMR) stood at 6.2 and 32, respectively. India’s IMR has improved very marginally from 33 per 1,000 live births in 2017 to 32 in 2018. Madhya Pradesh has the worst infant mortality rate in the country while Nagaland has the best.

 

Others

  • The World Bank has approved a USD 1 billion package for migrants and urban poor in India. Another package of USD 1 billion had been approved for health last month.
  • US Centers for Disease Control and Prevention (CDC) has announced USD 3.6 million to assist the Government of India’s response against COVID-19.
  • Madhya Pradesh has launched ‘FIR Aapke Dwar’, an initiative that will see police officials going to homes to register a First Information Report (FIR). 
  • India launched ‘Mission Sagar’ as part of the government’s outreach initiative that aims to provide food items, COVID related Medicines including HCQ Tablets and Special Ayurvedic Medicines to five Island nations—Maldives, Mauritius, Seychelles, Madagascar and Comoros—amidst the pandemic.
  • Asian Infrastructure Investment Bank (AIIB) has approved a loan of USD 500 million to support India’s efforts on COVID-19 response.
  • According to the ‘Digital in India’ report by the Internet & Mobile Association of India (IAMAI), Internet users in rural areas surpassed those in urban areas for the first time. However, the time spent on the internet is higher in urban India compared to the rural areas. 

Looking Back at the Nursing Profession in Policy and Practice

The year 2020 has been declared to be the International Year of Nurses and Midwives by the World Health Organisation (WHO). Today, 12th May, is the birth anniversary of Florence Nightingale, and is also celebrated as International Nurses Day every year (for more, visit).

Nightingale brought significant reforms in the military and civilian hospitals, and greatly influenced nursing. Between the 18th and 19th century, many nursing schools were started in different states of India mostly by mission hospitals that trained Indians as nurses. Unlike today, the nurses back then were mostly young men, and the women were taken, only in special cases, for assisting in childbirth. The progress of nursing in India though was obstructed by various factors like the caste system, illiteracy, political unrest and the weak social status of women. At the time of independence, thus, the situation was bleak and there were only a few nurses serving a population of millions.

Nurse-to-patient ratio is a challenge in India’s healthcare system, even today. As per one estimate, India has only 0.7 doctors and 1.7 nurses available per thousand population whereas the global average is 1 doctor and 2.5 nurses per thousand population. But aiming to achieve a better nurse-patient ratio is only the first step because there are issues related to the environment nurses have to work in. Being among the primary caregivers, nurses can become victims of violence for carrying out their duties (for instance see this media report on attack on medical staff, and another on a nurse’s house being stone pelted involved  in the Coronavirus pandemic response).

In almost all healthcare settings, nurses have to perform multiple duties that are not a part of their job because of which they are left with minimal time to carry out their main responsibilities. These non-nursing work tasks can be billing, record keeping, inventory, laundry, diet, physiotherapy etc., and failing to do these properly can lead to penalties like cancellation of leaves and salary deduction (for more, visit).

There have been attempts to reform the situation for nurses through policymaking.

After independence, various committees—like the Bhore Committee (1943), Shetty Committee (1954), Mudaliar Committee (1959-61), Kartar Singh Committee (1973), Srivastava Committee (1974), High Power Committee (1987)—along with the five year plans have brought a transition in the status of nursing and midwifery in India. The recommendations made by these committees have focused on staffing, infrastructure and equipment and regulations and intensification of training programmes [1]. Since then, we have also come a long way with the role of nurses in the healthcare system evolving, the shortening of hospital stays, scientific and technological advances and increasing longevity worldover [2].

Last month, the Union government brought in an ordinance amending the Epidemic Diseases Act, 1897 as per which acts of violence against medical personnel and frontline health workers is now a criminal offense.

Yet, even as such decisions are welcome, there is still a need for significant improvement in the regular working conditions of nurses.

References:

  1. National Health Policy, 2002 & 2017
  2. Benner,P., Sutphen,M., Leonard, V., & Day, L. (2010) Educating nurses: A call for radical transformation. Wiley, Danvers, MA.

Vinod is a Senior PAISA Associate at Accountability Initiative. 

 

Also read: Voice of an Auxiliary Nurse Midwife in Bihar

Inside Districts: Voice of an Auxiliary Nurse Midwife in Maharashtra

As the Coronavirus pandemic sweeps through India, districts are being tapped by the government for timely detection and reporting of cases, and prevention. Our ‘Inside Districts’ series will feature interviews of district and Block-level officials, panchayat functionaries and frontline workers to understand their challenges and best practices.

The Accountability Initiative at the Centre for Policy Research is currently operational in five Indian states. For part 14 of the series, our field staff spoke with an Auxillary Nurse Midwife (ANM) in Satara, Maharashtra.

The interview was originally conducted in Hindi on 9 April 2020, and has been translated.

 

About ANM

Auxiliary Nurse Midwife is a village-level female health worker working in the village Health Sub-centre, and is the first contact person between the community and the health services. ANMs are expected to be multi-purpose health workers playing a critical role in maternal and child health including immunisations, family planning services, and treatment of minor injuries and first aid in emergencies and disasters. As per the Rural Health Statistics 2019, there are a total of 2,34,220 ANMs across Sub-centres and Public Health Centres in the country.

 

Q: When did you first get to know about COVID-19?

ANM: I got to know about it in January via television and social media. We were also informed by our department Taluka Health Officer (THO is a Block-level official). 

Q: What are your COVID-19 related tasks?

ANM: We along with the ASHA and Anganwadi workers are identifying people who are coming from outside. For this, we are surveying the villages and sending information to the THO office. We also have to update the office regularly about the people who have been home quarantined. If someone has a fever, we need to call 108 and send them to the district hospital. 

Q: Are you encountering any challenges?

ANM: The area of my sub-centre is very large and the workers are very few in number and hence it is getting difficult. The good thing is that despite a lot of responsibilities, ASHA workers and everyone else are working efficiently.

Some part of our area also comes under urban and we are facing problems there. People are hiding information and are not cooperating with us. They don’t let us come inside their apartments. 

Q: Have you observed shortages?

ANM: We received masks for all our essential workers on 22 March from the department. 

Things are still available in my area but the prices have slightly increased. The price of mutton has increased drastically. Ration and vegetables are also expensive.

Inside Districts: Voice of an Auxiliary Nurse Midwife in Bihar

As the Coronavirus pandemic sweeps through India, districts are being tapped by the government for timely detection and reporting of cases, and prevention. Our ‘Inside Districts’ series will feature interviews of district and Block-level officials, panchayat functionaries and frontline workers to understand their challenges and best practices.

The Accountability Initiative at the Centre for Policy Research is currently operational in five Indian states. For part 13 of the series, our field staff spoke with an Auxiliary Nurse Midwife (ANM) in Supaul, Bihar.

The interview was originally conducted in Hindi on 10 April 2020, and has been translated.

 

About ANM

Auxiliary Nurse Midwife is a village-level female health worker working in the village Health Sub-centre, and is the first contact person between the community and the health services. ANMs are expected to be multi-purpose health workers playing a critical role in maternal and child health including immunisations, family planning services, and treatment of minor injuries and first aid in emergencies and disasters. As per the Rural Health Statistics 2019, there are a total of 2,34,220 ANMs across Sub-centres and Public Health Centres in the country.

 

Q: What are your COVID-19 related tasks?

ANM: We have to send the people who are coming from outside to the Primary Health Centre for check-up. We also have to send regular reports of the quarantine centres, where these people are quarantined for 14 days to the appointed doctors. We have to visit these centres every day and send pictures. We are also visiting households with ASHA workers to identify people who are coming from outside, and then ensuring that they stay in the village school for 14 days.

Q: Are you encountering any challenges?

ANM: We are supposed to visit the quarantine centres every day but the government has not provided us with any transport facility. So it is difficult to visit every day. On some days, we go with the husbands of ASHA workers. But how many days can we do this?  Sometimes, we go along with the Corona team. It is difficult to work; the government has not provided us with any vehicle.

The government always gives us work but does not provide facilities to do the work. We are also scared of getting infected. We have got the masks but we still have not received the sanitiser.

कोरोना आपदा और बिहार में शिक्षा की स्थिति

पिछले चार महीनों से COVID-19 का प्रकोप इस तरह से फैल रहा है कि लगभग पूरे विश्व के साथ हमारे देश में भी आपदा वाली स्थिति है | इस परिस्थिति में विद्यालय बंद होने के कारण बच्चों की पढ़ाई पर भी काफी प्रभाव पड़ा है और पूरी शिक्षा व्यवस्था में अनिश्चयता के बादल छा गए हैं | निजी और सरकारी विद्यालयों में ऑनलाइन पढ़ाई की पहल कर दी गयी है, लेकिन पिछड़े राज्यों में इसको लागू करना मुश्किल होगा | अगर सिर्फ बिहार को देखें तो सरकारी विद्यालयों में नामाँकित बच्चों को शिक्षा प्रदान करने के लिए राज्य सरकार को कितना प्रयास करना पड़ेगा? 

इस बीमारी कि संक्रमण-प्रक्रिया को देखते हुए लगता है कि आगे के तीन से चार महीनों तक बच्चों के लिए पहले जैसे विद्यालयों में शिक्षा मिल पाना मुश्किल होगा | बिहार सरकार ने कोरोना वायरस के प्रकोप को देखते हुए बिना वार्षिक परीक्षा दिए ही कक्षा 1 से 11 तक के विधार्थियों को अगली कक्षा के लिए प्रोन्नति दे दी है | लॉकडाउन के समय सरकार ने छात्रों के लिए जो और कदम उठाये हैं, उनमें से एक महत्वपूर्ण कोशिश है रेडियो और  दूरदर्शन के माध्यम से पठन-पाठन जारी रखना | बिहार दूरदर्शन (बिहार DD) के माध्यम से वर्ग 9 से 12 तक के बच्चों को पढ़ाने के लिए शिक्षा विभाग, बिहार शिक्षा परियोजना परिषद, UNICEF और Eckovation  (ऑनलाइन शिक्षण मंच) ने मिलके पाठ्यक्रम तैयार किया है और 20 अप्रैल से ‘ मेरा दूरदर्शन, मेरा विद्यालय’ नाम से कार्यक्रम प्रसार कर रहे हैं | बिहार शिक्षा परियोजना परिषद् द्वारा 3० अप्रैल को जारी किये गए एक  पत्र के अनुसार 4 मई से वर्ग 6 से 8 वर्ग के बच्चों के लिए भी दूरदर्शन के माध्यम से पाठ्यक्रम का प्रसार शुरू हो गया है | 

इसके साथ ही सभी शिक्षकों और बच्चों को निर्देश दिए गए हैं के वे उन्नयन मोबाइल एप्लीकेशन – जो ‘मेरा मोबाइल, मेरा विद्यालय’ नाम से जाना जाता है, अपने मोबाइल फोन पर डाउनलोड करें | शिक्षको को इस app के ज़रिये 6 से 12 वर्ग के बच्चों की पाठ्यक्रम से सम्बंधित जिज्ञासाओं का उत्तर देने का निर्देश हैं | सरकार के यह प्रयास निसंदेह सराहनीय है | परन्तु इस प्रयास को वास्तविकता में सफल बनाने में कई मौजूदा चुनौतियाँ हैं |

पहली चुनौती है सभी परिवारों को अपने बच्चों के लिए TV उपलब्ध करवाना | इंडियन रीडरशिप सर्वे (IRS) के अनुसार बिहार में सन 2017 में सिर्फ 22 प्रतिशत घरों में टेलीविज़न सेट्स थे| पिछले तीन सालों में यह आंकड़ा बढ़ा भी होगा तो भी बिहार में एक तिहाई से ज्यादा घरों में आज की तारीख में टेलीविज़न होना मुश्किल हैं | इसके अलावा बिहार में आज जो परिवार अपने बच्चों को सरकारी विद्यालय में भेजते हैं, वह अधिकतर या तो दिहाड़ी मज़दूर हैं या आर्थिक रूप से कमज़ोर वर्ग के हैं | कम आय के साथ ही इन घरों में सदस्यों की औसत संख्या बहुत अधिक है | इस हालत में जिन घरों में TV होगा भी, ज़रूरी नहीं है की बच्चे उसको समय पर या नियमित तौर पर देख पाएं | 

मोबाइल फोन की भारी व्यापकता को देखते हुए यह कहा जा सकता है के जिन घरों में TV नहीं हैं, उन्हें मोबाइल के माध्यम से पंहुचा जा सकता है | लगभग हर घर में मोबाइल होने के बावज़ूद, प्रति बच्चे को एक निश्चित अवधि के लिए रोज़ मोबाइल उपलब्ध करवाना, कम आय वाले परिवार के लिए संभव नहीं होगा | इसके साथ ही मोबाइल डाटा को नियमित रूप से रिचार्ज करवाना भी हर परिवार के लिए आसान नहीं होगा | एक मुद्दा यह भी है कि मोबाइल एप्लीकेशन द्वारा पढ़ने के लिए तकनीकी ज्ञान का होना भी ज़रूरी है, जो शायद सभी माता-पिता या बच्चों खुद के लिए संभव नहीं होगा | 

 

समग्र शिक्षा कार्यालय में अधिकारियों के साथ हमारी बातचीत से मालूम पड़ा है कि बिहार सरकार इस समय अगले कम-से-कम तीन से चार महीनों तक बच्चों को घर बैठे ही रेडियो, टीवी और मोबाइल के ज़रिये पढ़ाई से जुड़े रखने का प्लान कर रही है | पर अभी तक प्राथमिक कक्षा के बच्चे ऐसे पाठ्यक्रम से वंचित हैं  |

 

अगर अगलेमहीनों में विद्यालय खुलते भी हैं, तो क्या राज्य सरकार के पास पर्याप्त व्यवधान और बजट हैं, ताकि बच्चों में दूरी और स्वच्छता बनाए रखने में सफल हो पाए? जब यह मसला बच्चों के स्वास्थ्य से संबंधित है, तो एक छोटी सी गलती भी काफी खतरनाक साबित हो सकती है | बच्चे डेस्क पर कम से कम 1 मीटर की दूरी पर बैठे, बच्चों का भीड़ न जुटे, असेम्बली, खेल और अन्य गतिविधियाँ जो भीड़-भाड़ इक्कठा करती हैं, इत्यादि | इसके साथ ही नियमित स्वास्थ्य जांच और निरीक्षण होना भी ज़रूरी होगा | सरकार ने पिछले एक महीने के दौरान अलग-अलग समय पर शिक्षा से संबंधित दिशा निर्देश जारी किये हैं | इनमे  से कुछ निर्देश हैं स्कूल की शुरुआत और अंत में बच्चों को एक साथ इकट्ठा नहीं करना, उन्हें अनावश्यक चीज़ों को छूने से मना करना, इत्यादि | 

ऊपर बिंदु पर अगर ध्यान दिया जाए तो बिहार में सरकारी विद्यालयों के पास इस तरह की व्यवस्था के लिए कमरे, बेंच-डेस्क, पर्याप्त जगह और शिक्षक अभी पूरी तरीके से उपलब्ध नहीं हैं | शिक्षा के अधिकार अधिनियम के तहत प्रारंभिक कक्षाओं के लिए खेल के मैदान, पुस्तकालय, मध्यान-भोजन के लिए रसोई घर इत्यादि होना चाहिए | इसके साथ  ही प्राथमिक कक्षाओं में प्रति 3० बच्चों के लिए एक शिक्षक और उच्च-प्राथमिक कक्षाओं में 35 बच्चों के लिए एक शिक्षक होने चाहिए | पर इसके विपरीत, 2016-17 के आकड़ों [1] को देखा जाए तो सिर्फ 59 प्रतिशत प्राथमिक विद्यालयों और 21 प्रतिशत उच्च प्राथमिक विद्यालयों में हर एक शिक्षक पे नियम से काफी अधिक बच्चे हैं | वैसे ही, आधे से ज्यादा प्राथमिक और उच्च प्राथमिक विद्यालयों में प्रत्येक वर्ग-कक्ष के लिए शिक्षक नही हैं | ऐसे मैं बच्चों पर निगरानी कितनी रखी जा पाएगी?

आने वाले समय में विद्यालय से संबंधित संसाधनों और सुविधाओं में सुधार के साथ ही इनफार्मेशन टेक्नोलॉजी को कैसे बच्चों की पढ़ाई में ज्यादा से ज्यादा इस्तेमाल किया जाए, इसका प्लान करना बहुत ज़रूरी होगा | ऐसी परिस्थिति में सीमित संसाधनों के उपयोग को लेकर पुनर्विचार करना और उचित योजना तैयार करना राज्य सरकार के ज़िम्मे है | 

[1] U-DISE Elementary Education Report Card 2016-17

 

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दूरस्थ शिक्षण: एक अवसर या चुनौती?

जैसेजैसे COVID-19 ने अपने पैर पसारे, वैसेवैसे शिक्षण संस्थानों के दरवाज़े बंद होते चले गए। आज स्थिति ये है कि, COVID-19 महामारी के फैलाव को रोकने के लिए दुनिया भर की अधिकांश सरकारों ने शिक्षण संस्थानों को अस्थायी रूप से बंद कर दिया है। और शिक्षा के इस राष्ट्रव्यापी बंद के कारण छात्र आबादी प्रभावित हो रही है। ऐसे में ये सवाल उठना स्वाभाविक है की- क्या कोरोनावायरस दूरस्थ शिक्षण के लिए एक अवसर है? और क्या इससे ऑनलाइन शिक्षा को बढ़ावा मिलेगा?

एक तरफ जहां ऐसे समय में अधिकांश देश, शिक्षा में निरंतरता बनाए रखने के लिए डिजिटल रूप से दूरस्थ शिक्षा का उपयोग कर रहे है। वहीँ दूसरी तरफ चुनौती ये है कि, दुनिया भर में 50 प्रतिशत (826 मिलियन) छात्रों के पास घरेलू कंप्यूटर नहीं है और 43 प्रतिशत (706 मिलियन) के पास घर पर इंटरनेट नहीं है। 

ऐसे में जब हम भारत की स्थिति पर गौर करें तो, जनवरी 2020 तक देश की डिजिटल आबादी लगभग 688 मिलियन सक्रिय हो गई थी। COVID-19 संकट से पहले भी भारत में डिजिटल शिक्षा को महत्त्व दिया जा रहा था। KPMG और Google के अध्ययन अनुसार, भारत में ऑनलाइन शिक्षा बाजार, 2021 तक 9.6 मिलियन उपयोगकर्ताओं के साथ 1.96 बिलियन तक बढ़ने का अनुमान था। साथ ही, भारतीय शैक्षिक प्रौद्योगिकी (edtech) कंपनी बायजू, मार्च 2019 में, दुनिया की सबसे मूल्यवान एडटेक कंपनी थी। और यह भारत के छोटे शहरों और कस्बों में भी निरंतर अपनी पहचान बना रही थी।

उपरोक्त आंकड़ों के हिसाब से भारत के लिए दूरस्थ शिक्षण पद्धति एक अवसर के रूप में भविष्य के लिए कारगर साबित हो सकती है। लेकिन ये राह इतनी आसान भी नहीं है। सबसे बड़ी चुनौती तो ये है कि क्या हमारे शिक्षक इसके लिए तैयार है? शिक्षकों को भी दूरस्थ और ऑनलाइन शिक्षा को प्रभावी ढंग से वितरित करने के लिए प्रशिक्षण की आवश्यकता होती है। निम्नलिखित ऐसे रूझानों का अनुसरण करें तो:

शैक्षणिक संस्थानों की शिक्षण पद्धतियों में बदलाव की गति बहुत धीमी रही है। COVID-19 अपेक्षाकृत कम समय में अभिनव समाधानों की खोज के लिए शैक्षणिक संस्थानों के लिए उत्प्रेरक बन गया है। भारत में बिहार में शिक्षा परियोजना परिषद द्वारा यूनिसेफ के सहयोग से दूरदर्शन के DD बिहार चैनल पर “मेरा दूरदर्शन, मेरा विद्यालय” कार्यक्रम शुरू किया गया है। इस पहल से माध्यमिक और उच्च माध्यमिक विद्यालय के छात्रों को पाठ्य-पुस्तक आधारित शिक्षण लाभ मिलेगा। हिमाचल प्रदेश में सरकार पहली कक्षा से कॉलेज विद्यार्थियों के लिए इ-लर्निंग कार्यक्रम शुरू कर चुकी है। इसी कड़ी में महाराष्ट्र के सतारा जिले में कक्षा 1 से 8 तक के बच्चों के लिए WhatsApp के ज़रिये सभी विषयों के टेस्ट-पेपर आयोजित करवाए जा रहे है। 

ऐसा हो सकता है की  शिक्षण के लिए सार्वजनिक-निजी भागीदारी बढ़े। पिछले कुछ हफ्तों में, हमने विभिन्न हितधारकों के साथ-साथ सरकारों, प्रकाशकों, शिक्षा पेशेवरों, प्रौद्योगिकी प्रदाताओं, और दूरसंचार नेटवर्क ऑपरेटरों के गठबंधन को आकार लेते हुए देखा है, जो संकट के अस्थायी समाधान के रूप में डिजिटल प्लेटफार्मों का उपयोग करने के लिए एक साथ आ रहे हैं। विकासशील देशों में जहां शिक्षा मुख्य रूप से सरकार द्वारा प्रदान की गई है, यह भविष्य की शिक्षा के लिए एक प्रचलित और परिणामी प्रवृत्ति बन सकती है।

आखिर में प्रभावित क्षेत्रों के अधिकांश स्कूलों में शिक्षण जारी रखने के लिए स्टॉप-गैप  (सामयिक उपाय) समाधान मिल रहे हैं। लेकिन सीखने की गुणवत्ता, डिजिटल पहुंच के स्तर और डिजिटल गुणवत्ता पर बहुत अधिक निर्भर करती है। जब तक डिजिटल पहुंच की लागत और डिजिटल गुणवत्ता में वृद्धि नहीं होती है, तब तक शिक्षा की गुणवत्ता के साथ समझौता करना पड़ सकता है।

अगले ब्लॉग में मेरे सहयोगी इन अवसरों और उसके चलते चुनौतियों में से कुछ पर ध्यान केन्द्रित करेंगे बिहार के संदर्भ में

 

पूनम Accountability Initiative में सीनियर पैसा एसोसिएट के पद पर कार्यरत हैं।

पॉलिसी बझः कोरोना व्हायरस-फोकस चौथा आवृत्ती

कल्याणकारी धोरणात जे घडत आहे त्या प्रत्येक पंधरवड्यात प्रकाशित झालेल्या बातम्यांच्या निवडीसह अद्ययावत रहा. सध्याची आवृत्ती भारतातील कोरोनाव्हायरस (साथीचा रोग) सर्व देशभर (किंवा खंडभर) असलेला यावर लक्ष केंद्रित करते आणि सरकार वाढ थांबविण्यासाठी करत असलेले प्रयत्न.

 

नीति समाचार

  • लॉकडाउन 17 मे 2020 पर्यंत वाढविण्यात आला असून गृहमंत्रालयाने या कालावधीसाठी नवीन मार्गदर्शक तत्त्वे जारी केली असून येथे पाहता येईल. जिल्ह्यांना लाल, केशरी आणि हिरवा झोनमध्ये जोखमीच्या आधारे विभागले गेले आहेत. त्यानुसार निर्बंध कमी केले जातील.
  • डॉक्टर आणि आरोग्यसेवा कर्मचार्‍यांवर हल्ले करणे अयोग्य आणि अजामीनपात्र गुन्हा म्हणून सरकारने साथीच्या रोग अधिनियम, 1897 मध्ये दुरुस्ती करण्याचा अध्यादेश आणला आहे.
  • कोणतीही नवीन प्रकरणे नसल्यामुळे कोरोना व्हायरस मुक्त नोंदवले गेलेले गोवा हे पहिले राज्य आहे. केंद्र सरकारने ईशान्यकडील आठ राज्यांपैकी पाच राज्ये सिक्किम, नागालँड, अरुणाचल प्रदेश, मणिपूर आणि त्रिपुरा – कोरोनाव्हायरस-फ्री अशी जाहीर केली आहेत.

 

स्वास्थ्य

  • आरोग्य मंत्रालयाने म्हटले आहे की भारतीय वैद्यकीय संशोधन परिषदेने (ICMR) ने COVID-19 चा विहित उपचार म्हणून प्लाझ्मा थेरपीच्या वापरासाठी कोणतीही मंजुरी दिली नाही. ही केवळ सध्या शोधण्यात येणार्‍या बर्‍याच उपचारांमधे एक आहे. COVID-19 च्या उपचारात प्लाझ्मा थेरपीच्या कार्यक्षमतेचा अभ्यास करण्यासाठी ICMR ने राष्ट्रीय स्तरावरील अभ्यास सुरू केला आहे.
  • मे अखेरीस भारत मेक इन इंडिया अंतर्गत आर.टी-पी.सी.आर आणि अँटीबॉडी चाचणी किट तयार करू शकेल, असे आरोग्यमंत्री हर्षवर्धन यांनी म्हटले आहे.
  • केंद्रीय आरोग्य आणि कुटुंब कल्याण मंत्रालयाने गृह आइसोलेशनसाठी मार्गदर्शक तत्त्वे जारी केली आहेत आणि असे म्हटले आहे की अत्यंत निराश/पूर्व-लक्षणेग्रस्त रुग्णांना स्वत: च्या आइसोलेशनसाठी निवासस्थानी आवश्यक सुविधा असेल तर त्यांना घराचे पृथक्करण करण्याचा पर्याय असेल.
  • आरोग्य व कुटुंब कल्याण मंत्रालयाने COVID-19 साथीच्या प्रश्नांवर लक्ष देण्यासाठी Covid India Seva ट्विटरवरुन सुरू केली आहे. रिअल-टाइममध्ये पारदर्शक ई-गव्हर्नन्स डिलीव्हरी सक्षम करणे आणि नागरिकांच्या प्रश्नांना त्वरित उत्तर देणे हा उपक्रम आहे.

 

सरकारी वित्त

  • वित्त मंत्रालयाने केंद्र सरकारच्या कर्मचार्‍यांसाठी महागाई भत्ता (DA) आणि केंद्र सरकारच्या निवृत्तीवेतनधारकांसाठी महागाई सवलत (DR) पुढील वर्षाच्या जुलैपर्यंत वाढ थांबवाली आहे. दिल्ली सरकारनेही असाच निर्णय घेतला आहे.
  • मंत्रालयाने PM-CARES फंडात कर्मचार्‍याच्या महिन्यातील एका दिवसाच्या पगाराच्या योगदानासंदर्भात आणखी एक परिपत्रक जारी केले आहे.

Explaining Monetary Policy in the Time of COVID-19

My previous blog discussed the economics of the fiscal aspect of financing the relief effort and went into the details of what deficit financing means. 

 

The monetary side of the story and what is no longer a Milton Friedman overhang

 

Globally, the case for deficit financing through private borrowing varies vastly for different countries. In the USA for example, there is plenty of private funding that has now been pushed to savings because of the economic slowdown. This, coupled with the fact that interest rates are slumped to near zero and the real interest rate is negative, provides an opportunity for the government to go on a borrowing spree without care despite the debt to GDP ratio climbing up. Essentially there is almost no cost of borrowing this money and high debt levels may be sustained because there is no inflationary pressure. In countries like India, however, the inherently weak fiscal situation of Indian banks and actual deficit levels aside, the question of inflation remains a big challenge.

So, is there another option by which we can generate a stimulus? Well, yes.

The monetary policy response, on the other hand, is slightly different. Essentially, expanding the money supply in the economy lowers interest rates enough for crucial investments in the economy to continue; this bypasses the otherwise impairing effects of rising borrowing costs at the time of recession and a cash crunch. 

We are, however, in unusual times. Targeted relief packages are the only way one can hope to contain some of the dire costs of the engine of the economy grinding to a halt, but, more importantly, in lives being saved.

Leveraging monetary policy received a lot of attention in the 1970s during the times of United Kingdom’s Prime Minister Margaret Thatcher and President of the USA Ronald Reagan and Milton Friedman (one of Reagan’s economic advisors) is credited with bringing it to mainstream success. Monetarism, as the ubiquitous term was coined, provided a view that the supply of money, at any point in time in the economy, determines the GDP level of an economy by impacting interest rates. The influence of monetarism has been seminal for every decade facing a recession. But monetarism itself has changed drastically since the 1970s. Bigger economies have long been in a “liquidity trap” situation, in which real interest rates are sluggish and close to zero, often negative. The consequences of the risks involved with increasing the money supply in the economy have thus been disproved. Economists have long been scrambling for an explanation for this and new schools of thought have arisen to explain the rationale behind policies such as “helicopter money” and “quantitative easing”

The next question would be – how does a central bank (CB) influence interest rates? 

This is done through something called open market operations. There are several ways in which the CB can engage in some form of open market operations (OMO) [1], but what it usually does is buy security and in turn, capitalise [2] the banks. This is known as expansionary monetary policy. This adds credit to bank balance sheets that are, in turn, incentivised to give out loans. This pushes down the overall interest rate making it less costly to borrow money. How does this help at a time like the COVID-19 pandemic? Well, the economy is essentially in a freeze and no activity implies no new investments. But an expansionary policy like this mitigates some of the risk factors for the business sector to borrow right now.

The Indian monetary policy response has been to reduce the repo rate to 4.4 per cent. It also slashed the reverse repo rate to 3.75 per cent to discourage banks from parking money with the Reserve Bank of India (RBI) and encourage them to give out loans instead. On 27th March, RBI governor Shaktikant Das said that “monetary policy needs to proactively arrest any deterioration in aggregate demand, and create enabling conditions for businesses to normalise production and supply chains”[3]. 

Hey, so if the central bank can print money why does it not directly fund the government deficit instead? Because the risks to financing through money are manifold and countries that have suffered the fate of hyperinflation have often found its effects to be acute, re-setting trajectories of growth for generations later. Venezuela in South America, African country Zimbabwe and erswthile Weimar Germany have all served as fitting examples of experiments with expansionary policies that are best not repeated [4].

However, this has been the explorative policy response that governments have been toying with over the last few decades. Indeed, since an era of stagnation that has set in, in much of the developed world, central banks have been buying out huge quantities of government debt. This exercise is known as quantitative easing. Inflation has not been rising in most developed countries despite the pumping in of more liquidity. This has led economists to suspect that previously held models of money supply and prices are no longer valid, and that central banks should completely move away from inflation-targeting to nominal GDP targeting [5,6,7]. But will something similar work in India? Our inflation models are not akin to the West and the economic fabric (such as population, working age, supply and demand structures) is barely comparable. Besides, we always have a problem with runaway food and retail inflation. Remember the tomato and onion prices fiasco? [8]

Once again, however, it is important to stress that we are in uncharted territory right now.

 

Measures have been undertaken in the hope that banks will be lending loans and investors will make use of this opportunity to access capital at much lower costs.

 

Scholar Deepak Nayyar, advocates for an aggressive monetary policy stance for monetising the deficit at a time India needs to provide a stimulus package that is at least 3-5 per cent of the GDP. He says that the RBI should be buying more of Treasury bills and printing “helicopter money directly for the government to finance immediate concerns. He also advocates for higher QE by the RBI through lines of credit to keep businesses from going under.* 

The RBI, however, announced several other measures to maintain liquidity since its April 27th announcement to cut repo rates [9]. Among them, the RBI has: i) conducted Targeted Long Term Operations (TLTO) [10] with non-banking financial companies (NBFCs) to provide them access to cheaper capital for a longer period of time, ii) provide additional refinancing options to All India Financial Institutions (AIFs) that play a crucial role in providing loans to the agricultural, rural and small business sectors, and iii) increased ‘ways and means’ (WMA) limits for both the the Union and state governments to assist them in undertaking relief measures. 

These measures have been undertaken in the hope that banks will be lending loans and investors will make use of this opportunity to access capital at much lower costs. States too have been incentivised to dip into a sizable chunk of their drawing provisions with the RBI, to that are much cheaper than market loans. However, experts have said that these measures still prove insufficient and may not be enough to provide as much of a cushion as is required under the circumstances [11].

 

*Unlocking the economy: policy roadmap for India after April 14, Deepak Nayyar, 9 April, 2020, Livemint. Last accessed on: 15 April 2020. 

[1] A monetary policy exercise when the RBI buys Government Securities from the market to enhance the money supply or when it sells them to the market to reduce the money supply in the financial system.

[2] When banks are sufficiently capitalised, it means that they have enough assets that can be converted to cash to meet short-term and long-term obligations.

[3] Minutes of Monetary Policy Committee Meeting, 27 March 2020 (RBI Press Release). Last accessed on: 15 April 2020.

[4]  Explained: why poorer nations can’t just print more money and become rich (Alan Shipman, 19 December, The Conversation, reprint Business Standard). Last accessed on: 15 April 2020.

[5] Most central banks in the world try to maintain a particular level of inflation in the economy that they estimate to be sustainable with aggregate demand and supply forces. In India, both the wholesale price index (WPI) and the consumer price index (CPI) are used as measures of inflation.

[6] Nominal GDP targeting is when the central bank targets the level of growth of nominal spending in the economy.

[7] Why printing money could have stopped the Great Recession (Story interview Scott Sumner, July 8 2014, Vox). Last accessed on: 15 April 2020.

[8] Flooding in major onion producing states leads to spike in prices (9 November 2019, Jayashree Bhosale ET). Last accessed on: 15 April 2020.

[9] RBI Governor’s statement, 17 April 2020. Last accessed on: 1 May 2020.

[10] FAQs on LTOs, RBI, 22 April 2020. Last accessed on: 1 May 2020.

[11] RBI measures sufficient, not substantial; Guv doing balancing act: Experts (17 April 2020, Business Standard). Last accessed on: 1 May 2020.

 

Meghna is a Research Associate at Accountability Initiative.

To cite this blog, we suggest the following: Paul, M. (2020) Explaining Monetary Policy in the Time of COVID-19. Accountability Initiative, Centre for Policy Research. Available at: http://accountabilityindia.in/blog/explaining-monetary-policy-in-the-time-of-covid-19/.

Inside Districts: Voice of a District Project Officer in Bihar

As the Coronavirus pandemic sweeps through India, districts are being tapped by the government for timely detection and reporting of cases, and prevention. Our ‘Inside Districts’ series will feature interviews of district and Block-level officials, panchayat functionaries and frontline workers to understand their challenges and best practices.

The Accountability Initiative at the Centre for Policy Research is currently operational in five Indian states. For part 12 of the series, our field staff spoke with a District Project Officer (DPO) Excise in Bihar.

The interview was originally conducted in Hindi on 9 April 2020, and has been translated.

 

About the DPO (Excise)

The role takes care of collection of various taxes and duties prescribed by the state government on relevant products. In Bihar, they are responsible for inspection, and conducting raids in accordance with the state’s prohibition law banning the sale and purchase of liquor.

 

 

Q: What are your COVID-19 related tasks?

DPO: I have to arrange ration for the deprived communities in the district. After Holi, all the officials had a meeting with the District Magistrate, where I was asked to do an inspection of all the hospitals in the district and see what all facilities are available. 

 Q: Are you encountering any challenges?

DPO: Arranging ration for everyone in the district has become difficult because we are not receiving enough stock from the Food Corporation of India. However, this problem will be solved in a couple of days because the honourable Chief Minister has instructed to ensure that there is no shortage of ration in the district. 

It is also worrisome that the citizens are taking instructions lightly and are not following complete lockdown properly. Mock drills are being conducted among people for awareness generation, and a vehicle with a loudspeaker is also making rounds.

The focus is on how to stop Corona infections. 

Inside Districts Series: Voice of a Sarpanch in Bihar

As the Coronavirus pandemic sweeps through India, districts are being tapped by the government for timely detection and reporting of cases, and prevention. Our ‘Inside Districts’ series will feature interviews of Block-level officials, panchayat functionaries and frontline workers to understand their challenges and best practices.

The Accountability Initiative at the Centre for Policy Research is currently operational in five Indian states. For part 11 of the series, our field staff spoke with a Mukhiya (also known as Sarpanch)  in Gaya, Bihar.

The interview was originally conducted in Hindi on 10 April 2020, and has been translated.

 

Mukhiya or Sarpanch

The Mukhiya also called Sarpanch  is an elected representative and the chairperson of the Gram Panchayat, the village-level constitutional unit for local self-governance. As per the 73rd Amendment to the Constitution of India (1992), Panchayati Raj Institutions have been constituted at three levels: Gram Panchayat at the village level, Block Panchayat or Panchayat Samiti at the intermediate level, and District Panchayat or Zila Parishad at the district level. The Sarpanch along with other elected representatives at the village-level, such as Ward Panches, are elected by the Gram Sabha, which consists of all the registered voters across the Gram Panchayat. Elections must take place every five years and Sarpanch seats are reserved for Scheduled Castes, Scheduled Tribes and women in different Gram Panchayats in rotation. 

The 73rd Amendment mandates states to decentralise control over funds, functions and functionaries pertaining to 29 subjects listed in the Eleventh Schedule. State legislatures have devolved powers and responsibilities to varying levels across different states. The Sarpanch plays a key role in participatory planning, budgeting, administration and monitoring of development and poverty alleviation programmes. Sarpanches can also take the lead in addressing citizen’s grievances and implementing innovative programmes at the village level, such as the ‘Janta Information System’ for MGNREGA highlighted by us in this report.

To learn more about the status of devolution and transfer of funds from states to panchayats, read our report for the Fourteenth Finance Commission. 

 

Q: When did you first get to know about COVID-19?

Mukhiya: I got to know about it in February in a meeting conducted by the Block Development Officer (BDO).

Q: What are your COVID-19 related tasks?

Mukhiya: I read in the news that all the Mukhiyas have to get masks made in their Panchayats and also sanitise the Panchayat. For this, the government is providing monetary help to the Mukhiya. However, as of now, nothing has been done here. 

Huge isolation wards have been made in my area for people who are coming from outside.  

Q: Are you encountering any challenges?

Mukhiya: I have been asking people to stay at home but they are not listening to me. People are still gathering in the village to play cards. 

In my Panchayat, farmers are trying to sell vegetables in the morning but the police beat them up and ask them to disperse. Wheat crops are ready to be harvested but farmers are not getting labourers. 

Q: Have you observed shortages?

Mukhiya: There is a huge shortage of green vegetables. Black marketing of ration has also increased tremendously. As far as I am aware, there is no availability of masks or sanitisers. [Note: interview till April 10]