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School Meals and Child Death in India

Hunger

Like most, I am appalled and saddened by the death of 20+ (and rising) children in Bihar, poisoned by pesticide in their state-provided school lunch. This guardian article has a good run down on the issues that beset the program.

The fear is that attention is being diverted from what is an acute problem in many of India’s state-run or state-assisted schools. While the ruling party in the state looks for excuses, the harsh reality is that food provided to children all over the country is often substandard, and sometimes not even fit for human consumption.

Indias deadly problem with school meals | Kishwar Desai | Comment is free | guardian.co.uk.

What is missing from the analysis is the magnitude of the hunger problem India is trying to solve. It is estimated that over 40% of children are undernourished in IndiaSchool meals have large public health benefits if done right. So it is vitally important that this program work, as this Indian teacher so eloquently details in her blog post.

It’s this absence of monitoring, I believe, that’s sabotaging a scheme that’s helped bring millions of children into school. The scheme was originally envisaged as government-run, but community aided and supervised. In practice, because parents and teachers are both busy, the whole system lacks anyone to ensure hygiene and quality.

The entire post is worth a read.

India reduced its global hunger index by about 24% since 1990. But note that Bangladesh’s percent reductions have been higher. As The Week points out, the last thing you want is for parents to pull their kids out of school because their kids will get poisoned, and for this program to end because it cannot be implemented without poisoning the kids.

What is especially egregious in this case was that the children noticed something was amiss, and alerted authorities, who did not listen. India’s authoritarian school institutions do not abide any feedback from children, especially the children of low/no privilege that attend government schools. Hunger and lack of choice probably played a part as well. There’s also early evidence that the school administrator ignored warnings from the cook about the cooking oil, calling it “home made”.

In the end, like everything else in India, it comes down to institutional quality and money. For all the complaints about excessive “regulation”, programs like Food Safe in BC are designed to ensure that people working with food know how to handle food, what to avoid, and how to identify and prevent dangerous situations. It takes effective institutions to ensure that quality and safety are maintained consistently and the people involved do the right thing most of the time. India’s performance in providing reliable services for its poor is also complicated by vast state-to-state disparities in institutional quality. India’s so called growth has also been top-heavy. People living in villages and the urban poor have not been a part of India Shining (or its new incarnation Bharat Nirman).

Can regulations on food safety, quality and delivery be enforced in the absence of a good monitoring and accountability system? Can India use the money it gets from “developing” to provide better services for its people? It will take time, and hopefully, eventually tragedies like the one above will be less frequent.

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    Where the Delhi High Court’s ruling was a bold effort to give life to the promise of Indian Constitutionalism, the Supreme Court’s decision to reverse it is a deceptive attempt to use judicial restraint as a cover for its refusal to critically interrogate the social effects of legal provisions. Ignoring the lived experiences of LGBTQ people in India altogether, it argues that Section 377 merely penalizes certain acts and does not stigmatize a class of Indian society based on sexuality and gender identity. By failing to recognize the fact that the law exposes LGBTQ people to illegal extortion, harassment and persecution, and by suggesting that the rights of LGBTQ individuals are less worthy of protection because of their “miniscule proportion”, the Supreme Court has failed to perform its constitutional responsibility and betrayed the trust of the Indian people.

    http://kafila.org/2014/02/03/petitions-from-iits-against-section-377/

  • Indian Supreme Court refuses to strike down anti-homosexuality laws

    In a major setback to gay activists, the Supreme Court on Wednesday held that homosexuality or “unnatural” sex between two consenting adults under Section 377 Indian Penal Code would be an offence and this provision did not suffer from any constitutional infirmity.

    http://www.thehindu.com/news/national/homosexuality-illegal-sc/article5446939.ece?homepage=true I am appalled, disgusted and feel for the millions of Indian LGBTQ. India’s laws against homosexuality (section 377) were written by British colonizers in 1860 (pdf) and no parliament since has bothered to strike them down. They are not enforced with vigour, or at all, perhaps, but the very presence of such a law silences, intimidates and oppresses the people of India, and in fact, anyone visiting as well. The LGBTQ in India suffer from oppression and silencing for reasons that go well beyond the presence of a law, but changing laws is often the first step in societal change in India. The Delhi High Court in 2009 did the right thing (and politicians a favour) by ruling the law unconstitutional. The supreme court had other ideas, apparently. The court argues (very disingenuously) that they find nothing nothing wrong with a law that the Delhi court found violated Article 14 of India’s constitution, and that the onus is on the legislature to repeal the provision. Given the idiocy of defending laws that clearly discriminate between different types of sexual activity between consenting adults, who is to blame here?

    • The British: Thanks for imposing your morals on India, no one asked you to.
    • The Congress-led ruling coalition, which initially opposed the Delhi verdict, then supported it, then mounted a tepid defence at the supreme court (like Obama on gay marriage in the US). They had the opportunity to strike the law down legislatively in 2009, and could have used their majority to do so at any point in time, they did not.
    • Indian fundamentalists. The Christians, Muslims and Hindu fundamentalists launched a united front against the ruling and argued in court together.
    • Civic organizations like Prayas, who seem to think that sex between consenting adults has something do with protecting children.
    • The Delhi Commission for protecting children? This is a governmental organization tasked with preventing child abuse. Again, they seem to think that sex between consenting adults and abuse of children are somehow connected. Sexualized abuse of children in India is terribly common and primarily perpetrated by family members,
    • The Supreme Court in India, which by law should not always be deferential to legislative process, especially when the constitution is concerned. It is well within the court’s jurisdiction to look at laws enacted before the Indian constitution and void them if they violate the constitution. The fact that they decided in this case to pretend to “see nothing wrong” indicates that they made up their mind and found a rationalization.

    rainbowWhat next? India’s election is in 4 months, nothing will happen then. Given the congress coalition’s recent weakness, and the BJP’s resurgence, India may be looking at a right wing coalition led by the BJP coming to power. Given their close ties and identification with Hindu fundamentalism, and their social conservatism, the law is likely to stand for a while longer. It will oppress millions.

  • NaMo and me: Thoughts on the Indian election

    ModiThe Indian electoral map is now covered in a swathe of orange (my favourite colour, the irony…) and the Bharatiya Janata Party (BJP) and its leader Narendra Modi (NaMo) prepares to become the first single party majority government since 1984. Their victory was enabled by a big swing away from the ruling party, and a first past the post election system that leaves them in absolute power with less than a third of the electorate voting for them. This post is not about numbers and electoral analysis, there’s plenty of of that elsewhere.

    As a left-wing, non-religious progressive sitting far away from India, I am dismayed at the power the BJP will have to make things difficult for minorities of all kinds, non-Hindus, the GLBTQ, and more. The BJP has made noises about “simplifying” environmental clearances, which only means more mines, more coal and more displacement, especially of poor people and tribal communities. Fundamentalist acts of violence may also increase, Kafila has already compiled a number of incidents of Hindu aggression towards mosques and Muslims. This parliament will have the lowest Muslim representation in a while, with not a single Muslim BJP representative.

    Pankaj Mishra writing in the Guardian has a good summary on Modi, the BJP, its religious cadre the RSS, and more…

    Boasting of his 56-inch chest, Modi has replaced Mahatma Gandhi, the icon of non-violence, with Vivekananda, the 19th-century Hindu revivalist who was obsessed with making Indians a “manly” nation. Vivekananda’s garlanded statue or portrait is as ubiquitous in Modi’s public appearances as his dandyish pastel waistcoats. But Modi is never less convincing than when he presents himself as a humble tea-vendor, the son-of-the-soil challenger to the Congress’s haughty dynasts. His record as chief minister is predominantly distinguished by the transfer – through privatisation or outright gifts – of national resources to the country’s biggest corporations. His closest allies – India’s biggest businessmen – have accordingly enlisted their mainstream media outlets into the cult of Modi as decisive administrator; dissenting journalists have been removed or silenced

    Charming…

    So, what happened?

    India party-wise election resultsThis NDTV article is a quick and basic summary of why Modi and the BJP won. On the negative side for the congress, the atrocious corruption, a reluctant leader (5th generation placeholder of a once “great” ruling family), a prime minister who has to sit in the upper house because he can’t win elections, a country with infrastructure gaps and poverty greatly in odds with the aspirations of its people, and general disgust with the status-quo. I would have been dissatisfied with the congress as well.

    On the positive side for the BJP, their party was well organized, they had a big ground advantage with the RSS and more, Modi’s long tenure as chief minister of an outwardly successful state (Gujarat’s success predates Modi by more than 10 years, but why let facts get in the way) helped, and the cult of personality around his “decisiveness” was built by the BJP and amplified by the media. India is of course a very complex electorate which requires very different messages to the different groups. But the overall message was simple, Modi rocks!, we’ll do better, Rahul Gandhi is an idiot, and the congress is corrupt.

    What next?

    I find it hard to believe the unqualified declarations, like this one on live mint, that this is some kind of “capitalist” revolution. India has been here before. There seems to be a collective amnesia on the previous BJP-led administration that was in power between 1998-2004, made very much the same noises, albeit with a moderate face in front, Mr Vajpayee, and made a big show of development in cities, “business friendly” (code for crony capitalist) policies, nuclear chest-beating and more. All this culminated in the infamous “India shining” election of 2004, where the BJP’s triumphant march to re-election was upended thanks to the utter failure of trickle-down economics to actually better the lives of the millions without basic infrastructure and a route out of poverty. While India’s upper class celebrated victory, rural India unexpectedly returned the congress to power. The BJP would do well to remember this. They can’t ignore basic income/food support to the poor, or ignore the vast inequality, riots will break out. So, it will be a hard slog. I also don’t see any answers on how the BJP is going to transform India’s institutions to provide its people with their basic needs, because this is not about who is in power, this is about the quality of a country’s institutions (What I learned from “Why Nations Fail”).

    How do I feel?

    I have not lived in India for more than 15 years, so I have missed most of this, and when I visit, I live in a state that is generally doing well, one where regional parties dominate, and where the BJP won one out of 39 seats. I also avoid the shouty political media when I’m there. I was born into an elite-caste middle class community with much privilege. Indian politics left me cold and disgusted when I lived there, so anything I say needs to be clearly filtered as coming from one who was an outsider then, and even more so now.

    While I am disturbed, I am not sure what many other progressives dismayed by the results would have wanted instead. Yes, the conservative BJP will treat its minorities atrociously, people may die, and their so called market reforms are likely to only exacerbate India’s already unacceptable inequality. But I don’t see what alternative the voters had. The ruling party was corrupt, disorganized and bereft of vision and inspiration, the various left of centre parties fragmented, inexperienced, and generally shut out. A change was coming, and the BJP was the only party positioned to take advantage of that change. I can’t bring myself condemn the Indian electorate for going with a message of change and good governance (true or not). The gap is in the inability of progressive Indian polity to build an alternative. While the Aam Aadmi Party and Kejriwal has made progressive and populist noises recently, and even managed to win state elections in Delhi, they are young and in Kejriwal, they have a rather unpredictable leader. They were not ready, and voters can’t be expected to trust inexperience.

    Going forward, there are many routes for a left of centre progressive movement to take hold in India. The AAP, and other smaller parties would do well to look to countries like Brazil where worker and peasant movements slowly built and organized their way into power, and are still doing well by making their countries’ institutions better. India deserves a good progressive political option and one that is able to provide good governance without abetting pogroms against minorities, a low bar, but one both the BJP and the congress has so far failed to meet. I don’t know if the AAP is the answer, they performed reasonably well first time out with a 2% national vote percentage (not much, but good given the party fragmentation in India), and has room to grow as long as they can attract good people and build from the grassroots. They will have plenty of time before the next election to get better organized, more experienced and be a bigger force. And who knows, maybe the congress could reinvent itself as a centre-left Gandhi family-free party of good governance, stranger things have happened.

    Meanwhile, I hope (with little evidence) for everyone’s sake that the BJP concentrates on good governance and building institutions, and gives its chest beating and macho Hindutva glorification a rest (yes, asking a lot). The people of India voted for change and a better life, not more violence, military aggression and fighting with Pakistan. I hope that in my naiveté, I am not being blasé about the ascendance of a very dangerous administration. But I remain a strong believer in the power of the Indian electorate to stick to basics and put authoritarians in their place, not like it did not happen before.

    PS: The really nice picture of Modi tattooed (temporary I hope) is from this Jacobin magazine article on Modi,  his “neoliberal orthodoxy and violent Hindu nationalism.

  • |

    Smoking ban for N.C. Bars and Restaurants

    The bill approved Wednesday falls short of how it began: a total and sweeping ban on smoking in all public places. But the House's original bill left a wide loophole for bars, an exemption that worried restaurant owners who feared bars would steal late-night customers.

    via House approves smoking ban for N.C. – Politics – News & Observer.

    The bill (soon to become law) still contains the giant “private club” loophole I had mentioned earlier, so, 1.5 cheers. And strange exemption for cigar bars (where smoke is emitted), but not for hookah bars (where water filters quite a bit of the smoke).

    Critically, as Laura Leslie pointed out, the law will allow local health officials to go above and beyond state law. So, a floor was established, not a ceiling, which is good. They were previously forbidden to enact any smoking bans. Now Chapel Hill/Carrboro can do what it has been wanting to do for years and finally kill smoking in all public places.

  • | |

    Circumcision and AIDS – Revisited

    condom.jpg

    A post I wrote quite a while back on circumcision and AIDS remains my most commented post ever. In it (if you’re too lazy to click) I said that while research indicating a reduction in HIV infection in circumcised men was promising, there were a couple of concerns. One, that this could be a distraction from the single most effective prevention measure (no, not abstinence!), condom use. And two, that in certain cultures, especially among Hindus, this would be an absolute no no because circumcision is identified with being Muslim.

    Anyway, in a review article, the Cochrane Centre in South Africa summarizes results from a meta analysis of a number of trials indicating a 50% reduction in HIV incidence among circumcised males. At this point in time, it is clear that circumcision is effective in reducing HIV incidence among heterosexual males. Based on this, the institute encourages the widespread use of circumcision as an AIDS prevention strategy.

    So, am I still circumspect? Absolutely. I am still concerned that this research will be misinterpreted in a way that discourages condom use. In fact, the authors note that circumcised men indulged in more risky behaviour. Also, the incidence of HIV in the women these men were sleeping with increased from 9.6% to 13.8%, a 40% uptick. This increase was not statistically significant. No arguing with that, though the study was stopped early once it was clear that the men were helped, never mind the women, or reaching statistical significance in their case.

    Given that it is very unclear what the effects of circumcision are on anything other than circumcised penises, which are only one half of the equation (or less!), I don’t think it is responsible to call for widespread use of circumcision as a public health strategy for the prevention of HIV until its effects on the other parties are known. While people are aware of this issue, I don’t think the science or the cultural landscape promote the use of circumcision as a HIV prevention strategy until its proven that women are not at risk from increased HIV incidence either biologically from a yet unknown mechanism, or socially from increased risk taking.

    Men have more power in most societies to demand and receive sex on their terms. So the male centric nature of this research, and the conclusions drawn are disturbing. How irresponsible is it to encourage a public health strategy that appears to increase risk taking behaviour among men when the effects on the women are yet unknown, with only a statistically “insignificant” 40% increase in HIV incidence among women being observed?

    I am. for very good reason, still circumspect on circumcision.

    Whisky flavoured condoms courtesy bruno  girin’s photostream used under a creative commons license. Now how’s that for a turn on, whisky!

  • How to avoid hitting people with your car doors

    A cyclist was taken to hospital in Victoria this afternoon after colliding with a van door. The woman in her 20s was heading west on Pandora Avenue just past Vancouver Street about 1:15 p.m. when the driver of a white van parked on the side of the road opened his door

    Times Colonist – 12-August-2014

    Dear most of us who drive cars, and therefore have to open doors to get out of them, here are two things we can do to avoid hitting cyclists (and other people) with our car doors.

    Separated bike laneChange the system! Advocate for separated bike lanes in your city/town, especially on major roads. The current setup of curb – parked car – cyclist – moving car means the cyclist has to choose between getting swiped by moving traffic, or risk “colliding with a van door”. The City of Victoria is planning a separated bike lane for this very street. Imagine how hard driving would be if there were people walking along the road with you, and not in a separated walk lane (also known as a sidewalk). This process of building better facilities for cycling will take a few years, but it’s worth it for everyone. Cyclists are safer, pedestrians are safer because cyclists are less likely to use the sidewalk. Car drivers are safer on major roads because they will have fewer people in their way, what with all the cyclists using their fancy separated lanes, and all the car drivers looking at all those fancy cyclists saying “Hey, I can do that too!”. Tell your city to start building separated cycle tracks now.

    Door Lane

    Open the door with your right hand! Try this next time you park a car and exit. Open the car door with your right hand. As your right hand swings across your body to get the door handle, notice that you’re now facing left automatically, it’s magic. You’re no longer opening the door with your left hand while looking right to pick up your cellphone or your bag. This simple hack ensures that you always check that it’s safe to open a door, and that there are no humans (or large animals) in the door lane before you open the door. I could tell you to always check before opening the door, whichever hand you use, but who am I kidding. We have limited attention spans and we’ll forget to look that one time there’s a human in the way.

    Door picture courtesy Gary Kavanagh used under a creative commons license. Picture of bike lane is from the City of Victoria pdf I linked to.

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