Dr Vashishtha rightly draws attention to increasing urban poverty as a
"blot on our country’s shining armor"(Indian Pediatr 2009; 46:875-876).
There, of course, are many other blots! Abysmal living conditions and lack
of basic facilities (safe water, health care, education etc) faced by the
urban poor are well-recognized, and preventable diseases, abuse and
exploitation, and antisocial activities have been on the rise in
metropolitan cities. The burgeoning immigration from rural areas of some
of the poor states to cities has put intolerable strain on their
infrastructure. Children are the worst sufferers in such adverse
conditions. Infants and young children remain abandoned and uncared for
while older children are often out of school, employed in various forms of
work or on the street.
Whereas IAP can do little about poverty and poor
governance, it can help to tackle the problems of children in urban
underprivileged communities. Basic health care and education are crucial
rights of every child and must be demanded. The parents being illiterate
and poor cannot take proper care of their children. That responsibility
must be assumed by the community, their elected representatives and the
Govt officials, who should have the onus of looking after the sanitation,
nutrition and health care and schooling of children in the underprivileged
communities (urban slums, migrant clusters on the urban periphery and
those at the construction sites). The necessary financial inputs should be
obtained and their utilization accounted for. The Right to Education
(promising free, compulsory education) is now the law of the land. It is
for the community to demand and ensure that schools are made fully
functional and every child is in school.
IAP can take up the policy issues of putting the
responsibility of child welfare on the elected officials and Govt
functionaries. Individual IAP members or groups could interact with the
local officials. A nearby slum cluster or a school could be "adopted" (or
at least visited at regular intervals), the community informed about
aspects of basic health problems and their management facilitated. A large
number of NGOs are working for various purposes. IAP members may join
hands with them and try to guide them. The enormity of the problems of
children in poor communities is often daunting. Every little contribution
helps, but a massive, concerted effort is needed to influence governmental
policies and, more importantly, to oversee implementation of various
programs.