ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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High Risk without Recognition: Challenges Faced by Female Front-line Workers

An already overburdened, understaffed and under-resourced health system faced severe repercussions in the wake of the pandemic. Those at the forefront of health and nutrition service delivery at the community level are struggling due to increased work burden and low compensation received, particularly since most of them are not formally recognised as workers. In this article, we discuss the conditions of work of front-line women workers, especially accredited social health activists, anganwadi workers and their supervisors (Integrated Child Development Services supervisors, auxiliary nurse/midwife and ASHA facilitators) in the context of the COVID-19 pandemic. Based on interviews conducted with workers in Telangana and Bihar, we highlight how women front-line workers were overworked and underpaid even before the pandemic and continue to remain so even after.

COVID-19 and Women’s Labour Crisis: Reiterating an Inclusive Policy Response

The covid-19 pandemic in India has had an unequal impact on women in a number of ways. In terms of economic opportunity, it has been seen that more women lost jobs compared to men and fewer have been able to rejoin labour force. This is in the context of gendered labour markets where female labour force participation has been low and declining. This paper presents an analysis of the situation of women’s employment pre-lockdown and some indications on what the impact of Covid-19 could be, based on microstudies and other literature available. Further, the adequacy of the social protection and employment generation programmes of the government that are specifically aimed at improving female labour force participation is assessed.

 

Can Jan Dhan Yojana Achieve Financial Inclusion?

While there has been a tremendous increase in the number of bank accounts opened, the data show that the average balance in these accounts is low and a significant proportion of the accounts are inoperative. Although there was a rise in the average deposits during demonetisation, they later settled at a lower level. Further, financial inclusion means not just the opening of bank accounts but, more importantly, access to credit from formal sources. The limited data available in this regard show that after the Pradhan Mantri Jan Dhan Yojana was launched there has not been any increase in the credit–deposit ratio and the share of small loans has continued to decline. Very few people have benefited from the overdraft facility that is supposed to be provided by the accounts under the scheme. Issues of access to banking in rural areas remain.

Credibility and Portability?

Examining the Centralised Online Real-time Electronic Public Distribution System reforms introduced by the Government of Chhattisgarh to understand the processes and conditions under which such reforms strengthen accountability and affect the delivery of public services, it is found that while earlier reforms have been successful, the contribution of CORE PDS has been useful but limited. A significant finding was that technological fixes for social protection programmes are only feasible insofar as they work within the political logic of the context in question. CORE PDS reforms could not address the issues of power imbalances between shop owners and cardholders which continue to shape interactions between them. Introducing transparency, accountability and quasi-market reforms in this context offered limited possibilities in what they could achieve.

Realising Universal Maternity Entitlements

In India, most of the work women do is invisible and unrecognised because it is done outside the boundaries of the formal economy. As a result, the laws pertaining to maternity entitlements reach a very limited number of women. The National Food Security Act, 2013 was the first national-level legislation to recognise the right of all women to maternity entitlements and wage compensation. Since the passage of the act, India has been using an existing conditional cash transfer scheme, the Indira Gandhi Matritva Sahyog Yojana, to implement this entitlement. An examination of the implementation of defined maternity entitlements under the act via a conditional cash transfer, highlights the failure of such a programme to uphold the spirit of the act. Amendments to the act are necessary to ensure that the most vulnerable women are able to realise their right to maternity entitlements, wage compensation, health and nutrition.

Maternal and Child Health

The data from the Rapid Survey on Children conducted in 2013-14, released after an inexplicable delay and still in a summary fashion, show some but patchy progress between 2005-06 and 2013-14 in maternal and child health indicators. A preliminary analysis indicates that in those areas where special efforts were made, such as in increasing institutional delivery and expanding immunisation coverage, some results are seen. This calls for greater investments in health and nutrition within a more comprehensive approach.

Cash for Food--A Misplaced Idea

Direct benefi t transfers in the form of cash cannot replace the supply of food through the public distribution system. Though it is claimed otherwise, DBT does not address the problems of identifying the poor ("targeting") and DBT in place of the PDS will expose the vulnerable to additional price fluctuation. Further, if the PDS is dismantled, there will also be no need or incentive for procurement from farmers and this system too will have to be done away with, adding a new source of vulnerability to cultivators of rice and wheat.

Cost of Implementing the National Food Security Act

A number of independent estimates have been made of the cost of implementation of the National Food Security Bill, now an Act. However, these estimates are either based on wrong assumptions or work with numbers that are not in the public domain. The one thing that most of them share is an attempt to demonstrate that the costs will be unaffordable.

National Food Security Ordinance: Anything But Expensive

While critics have overblown the cost estimates of the National Food Security Ordinance, the ordinance itself is a missed opportunity. What is needed is a more comprehensive Act which incorporates measures such as procurement, storage and distribution through a decentralised, strengthened and universal public distribution system, among others and a strong grievance redressal and monitoring mechanism. 

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