Pediatrics as a specialty of medicine has come a
long way indeed, from the time when children were treated by adult
physicians, to the current times when super specialties exist within the
field of pediatrics. Indian Academy of Pediatrics, the singular body
connecting pediatricians from all parts of the country in a common
ideological thread, has also grown in size and stature, from the time
when it was launched by 159 pediatricians, to the present time when it
boasts of membership strength of 20,300. Indian Academy of Pediatrics
will become a 50 years old ‘mature’, at the dawn of the year 2013. This
is a juncture to take stock of IAP’s youthful years of growth,
development and expansion, and to confidently march into its golden
middle age with a greater vigour, and to develop a larger sphere of
influence in matters related to child health in India.
Development of Pediatrics as a Specialty
Late Dr GK Mehrotra, Professor of Pediatrics,
Institute of Child Health, Calcutta, in his article on the role of
Institute of Child Health in the genesis of Indian Academy of
Pediatrics, wrote, "Dr K C Chaudhuri during his first visit to Vienna
in 1928 was greatly impressed by the organization of child welfare
services in socialist Vienna. This inspired him to establish an
institution for the care of children in Calcutta. In those days the word
"Pediatrics" was unknown in this part of the world." [1].
Late Dr Piloo E Bharucha, one of the founders of
Pediarics in India, wrote about the development of Pediatrics in India,
in a commemorative volume, on the occasion of the 15th International
Congress of Pediatrics, in 1977, in Delhi - "Pediatrics is a science
of life and moreover, of growing life. Child care in its true sense did
not exist 30 years ago. The first pediatricians were regarded as
upstarts, if nothing worse. Children were seen by physicians who tried
to interpolate adult medicine on to a child. Some hospitals did not have
a separate ward for children and the mortality, especially in the
younger age groups, was shocking." She added, "Pediatrics started
literally from the bottom. The resident doctors and interns had little
knowledge and even less training in Pediatrics. The nurses regarded the
children as something to be endured, and their parents as something
beyond endurance. The pediatrician had to train the resident
doctors, interns and nursing staff to care for the sick child. Child
welfare clinics had to be established and parents persuaded to make us
of them" [2]. She pictured the status of teaching in Pediatrics thus
- "Medical school curriculum of those days had only touched
Pediatrics in the most perfunctory way. Gradually a pattern of pediatric
education for medical undergraduates was established throughout the
country. The Medical Council of India enhanced the training in
Pediatrics all over the country, both for undergraduates and
postgraduates."
"Rome was not built in a day. How can child care
be brought to 300 million children, scattered over 4 million square
kilometres of a vast sub-continent?" thus wrote Dr Bharucha about
the reality facing Indian children. "With time there is nothing
Pediatricians will not be able to accomplish. Planning for a better
future is always difficult when you are inundated with the problems of
the present, but it is being done, perhaps not speedily, but surely,
very surely", she finished her writing on a happy note. Very lucidly
outlining the ‘Pediatrics’ of 35 years ago, Dr Bharucha was clearly
optimistic for the future of Pediatrics, in the face of an uphill task
of providing care for the millions of children in India, and indeed her
optimism has played out well, taking into account the current levels of
immunization and health indices in the country. However, there is much
ground to be covered and India may sadly not achieve MDG4 by 2015.
Dr PM Udani, the doyen of Pediatrics in India,
informed in his article of 1988, IAP - A saga of 25 years, published in
Indian Pediatrics, "In the mid-40’s, there were hardly 12-15
pediatricians in the country. Pediatrics made its beginning in Bombay in
1928 as the late Dr George Coelho, considered the father of pediatrics
in our country, became the superintendent of the first independent
children’s hospital, the BJ Wadia Hospital for children, in 1928. In
1948, the Department of Pediatrics was started at Nair Hospital and
Topiwala National Medical College, with Dr Shantilal Sheth as the Head
of department. At around the same time, Department of Pediatrics was
started in Patna, with Late Prof L S N Prasad as the head. In the early
50s’ MD in Pediatrics was started in Bombay and Patna. Also, in the
early 50’s Dr P N Taneja, the senior most pediatrician in Delhi, became
the first chief of pediatrics at Irwin hospital and later full time
Professor of Pediatrics at the All India Institute of Medical Sciences
in New Delhi. Dr JN Pohowalla became the Professor and Head of the
Department of Pediatrics in Indore. Diploma in Child Health (DCh) was
started in Mumbai in 1944 by BJ Wadia Children Hospital and by the
University of Bombay in 1946. MD in Pediatrics was started at many
centers in India by early fifties." [3].
The Creation of Indian Academy of Pediatrics
"The history of development of Indian academy of
Pediatrics is intertwined with the development of pediatrics in India",
wrote Dr PM Udani. He added, "IAP’s history is closely linked with
development of pediatrics at some of the centres in India, creation of
independent children’s hospitals, and emergence of pioneer and eminent
senior pediatric colleagues initially in Bombay, Calcutta, Madras, Patna
and later in Delhi, Hyderabad and in some of the other cities in the
country."
Indian Academy of Pediatrics was established in the
year 1963, with amalgamation of two organizations of pediatricians in
the country, Association of Pediatricians of India and Indian Pediatric
Society. It was registered as a society with the assistant registrar of
societies (Greater Bombay region) on 3rd of December, 1963, and as a
trust, with the Deputy Charity Commissioner, on 30th of May, 1964. The
5-member office bearers body, the 9-member executive board, and 145
ordinary members from all over the country, comprised Indian Academy of
Pediatrics in 1963-64. IAP is a pan-India organization and has a truly
secular and pan-Indian character and charter.
The individuals and events leading up to the
amalgamation are interesting. The Association of Pediatricians of
India, started in 1950 in Bombay, by Late Dr G Coelho, and seven
founder members, enlisted only pediatricians as ordinary members, and
non-pediatricians interested in pediatrics were enlisted as associate
members. Its official organ, The Indian Journal of Child Health,
was founded in 1952. The Indian Pediatric Society, which came
into existence under the leadership of Late Dr KC Choudhary, had a
number of non-pediatricians as ordinary members. Dr KC Choudhary,
founded Indian Journal of Pediatrics, which was initially
published from Calcutta in 1933 and is now published from New Delhi by
Dr IC Verma and his colleagues.
Several pediatricians in the country trained under Dr
Coelho at BJ Wadia hospital. Dr Choudhary was responsible for creation
of the Institute of Child Health in Calcutta of which he was the
first Director. A separate department of pediatrics was created in
Government General Hospital, Madras in 1946 with Prof ST Achar as the
first full time professor. He was later responsible for the creation of
a separate Institute of pediatrics and Children’s Hospital in Egmore,
Madras and was its first director. Dr Balagopal Raju was the next
Director/Professor and developed the Institute further [4].
From the late 50’s, members of both the national
bodies were attending the annual conferences of Indian Pediatric
Society as well as the Association of Pediatricians of India.
Professor Achar along with second generation of Pediatricians in Bombay,
Delhi, Calcutta, Patna and Indore acted as a cohesive force between the
two national pediatric bodies. A joint meeting of the pediatricians of
India, including members of both the Indian Pediatric Society, as well
as Association of Pediatricians of India, held in 1953 in Pune, could
not come to any definite conclusion in starting a separate annual
pediatric conference of the pediatricians of India. In 1960, in Jaipur,
during the annual conference of Indian Pediatric Society, a committee of
senior pediatricians including Dr Shantilal Sheth, Dr Harish Chandra, Dr
BD Patel and Dr PM Udani of the Association of Pediatricians of India,
and Dr Sisir Bose, Dr Kali Chatterjee, Dr SP Ghosal and other pediatric
colleagues from Indian Pediatric Society, was formed. A decision was
taken to make attempts to have one national pediatric body, and it was
considered unfair to have two national pediatric bodies in one country.
Dr Harish Chandra invited the conference of
pediatricians of India which included pediatricians belonging to both
the pediatric bodies in 1963 in Hyderabad to discuss and finalize the
liquidation of both the old bodies and create a new national body. The
pediatricians of India in the General Body Meeting decided to name the
new body, "Indian Academy of Pediatrics" so that the strings of
the Association (of Pediatricians of India) or (Indian Pediatric)
Society were not attached to it. It was also decided that the head
office of the Indian Academy of Pediatrics would be in Bombay, while
office of the new journal of the academy "Indian Pediatrics"
would be in Calcutta. In 1964, from the assets of the Association of
Pediatricians of India the new office of Indian Academy of Pediatrics
was purchased on the first floor of Kailas Darshan which is the present
office. The Association of Pediatricians of India held a meeting at the
venue of the current Central IAP office at 12 pm on 18th of April, 1967,
to resolve finally on the manner of liquidation of its assets and
winding up of accounts. The call for the meeting was given by the
General Secretary of IAP, and the liquidator of assets, Dr P M Udani
[5].
The first Memorandum of Associations of IAP was
published in the first issue of the first volume of Indian Pediatrics,
and contained four provisions (the third sub divided into 14 provisions)
and was signed by the then Executive board, comprising of Dr LSN Prasad,
President, Dr Shantilal C Sheth, General Secretary, Dr PM Udani,
Treasurer, Dr SK Bose, Editor, Dr SP Ghosal, Jt Secretary, and the
members of the Executive Board, Dr VD Arora, Dr H Chandra, Dr SP Ghosal,
Dr SS Manchanda, Dr JB Mehta, Dr MV Phadke, Dr JN Pohowalla, and Dr P
Tirumala Rao. The constitution of IAP has undergone numerous revisions
and expansions, the current consitition containing 118 provisions, and
set to undergo another revision on the Golden Jubilee year of IAP, with
the General body’s approval.
Pediatric surgeons have played an important role in
the development of the Academy, and Dr RK Gandhi, the eminent pediatric
surgeon was the secretary of the IAP in 1972-72, and its president in
1979. Dr Lata Deshmukh, another eminent pediatric surgeon, was the
secretary of the IAP for 4 years from 1982 to 1985.
The Growth and Development of Indian Academy of Pediatrics
IAP in 1964 had less than 160 members on its roll,
and by the time it was ten years old, in 1974, it had 1193 members. In
its silver jubilee year, IAP had 11831 members, 22 Honorary Fellows, 151
Fellows, 30 branches, covering Union territories, 11 States, 2 regional
branches and 17 city branches. Dr RD Potdar, Past President of IAP, in
his article of 1999, Indian Academy of Pediatrics, Yesterday, Today
and Tomorrow, wrote, "1964 to 1970 were the developing years of
the society and a nationwide consolidation took place. In 1970, IAP gave
its first recommendations to Medical Council of India for the status of
pediatrics in undergraduate education. In the same year, IAP developed
its first 2 booklets for Parent Education, on Infant Feeding, and
Immunization. In 1972, the IAP Emblem of Rosebud, with two leaves with a
stalk with staff and snakes was developed. This was inspired as a symbol
of India’s first Prime Minister Pandit Jawaharlal Nehru’s love for the
child, and incorporated the rose which always adorned his buttonhole."
[6]. By 1972, IAP was accepted by the Government of India for its
capabilities and representative status and was asked to advise on the
Child Health and Welfare contents of the 5th
Five year plan of the country. IAP emblem became a Registered Trade Mark
in 2010. While Dr KC Choudhary of Calcutta was the first member of IAP
to be elected as Fellow (FIAP) in 1978, 31 FIAPs were awarded to senior
pediatricians from all over India, who had helped Indian children
through the medium of IAP, as well in their individual capacities.
At the cusp of its Golden Jubilee year, 2013, IAP has
20,473 members, 26 state branches, 303 local branches, one Union
territory branch (Chandigarh) and an International branch (UAE). The
state branches are situated in Andhra Pradesh, Assam, Bihar,
Chhattisgarh, Delhi, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu and
Kashmir, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra,
Manipur, Meghalaya, Nagaland, Orissa, Punjab, Rajasthan, Tamil Nadu,
Tripura and Uttar Pradesh. The membership of the Academy has four
categories namely - Ordinary Members, Life Members, Associate Members,
Associate Life Members, Students Members, and Associate Foreign Members.
IAP provides for its members in the following ways - facilities to
students, scholars and institutions for study and research in pediatrics
by way of scholarships, fellowships, grants, endowments, etc prizes,
certificates, diplomas of proficiency in the science of Pediatrics, its
official journals, books, periodicals or publications on pediatrics and
allied subjects free or at subsidized cost, opportunities to its member
to participate in conferences, lectures, meetings, seminars, symposia,
workshops, continuing medical education programs, etc, opportunity to
become members of its Branches / Subspecialty Chapters / Groups / Cells
/ Committees. IAP utilizes the academic offices of the pediatric and
neonatology departments of all medical colleges in the country, to
implements its projects and policies, and there are 250 and odd Heads of
departments on IAP’s membership roll as in 2012.
In March 2011, IAP launched a scheme to benefit the
families of members who die and leave a sudden emotional and financial
void in their families. The scheme works through a well administered
system of contributions from IAP members. The Family Benefit Scheme that
operates from an IAP office at Hyderabad already has 1100 members on its
rolls, and the nominee of a dead member can receive Rs. 3 lakh as an
immediate relief payment to tide over the crises faced by them. Thus far
relief money has been paid to one family of dead member.
Publications
Late Dr KC Choudhary launched the Indian Journal
of Pediatrics, the first pediatric journal in India and probably
Asia, in October, 1933. Dr Choudhury was the editor and there was an all
India editorial board. The journal brought Indian pediatricians in
contact with the outside world. The felt need of a pediatric journal is
evident from the remarks of the late Sir Nilratan Sircar in the foreword
of the first issue of the Indian Journal of Pediatrics, "As regards
journals there are none in the subject in India. If the future of the
nation really depends upon the welfare of the child, it is necessary
that steps should at once be taken to impress upon the people and the
profession the necessity of providing for the protection and safety of
the child in every possible way. And means for this purpose cannot be
successful unless it is based on the universal source of power-
knowledge. It is high time, therefore, that a journal should be started
in Calcutta with the sole object of spreading scientific knowledge of
this all important subject. The duties of the promoters will be
extremely onerous." [7]. From 1933 to 1953 the journal was published
quarterly, and in 1954, it became a bi-monthly journal, and in 1956, a
monthly journal.
The proceedings of the First Asian Congress of
Pediatrics were compiled into an excellent book of about 500 pages
(Asian Pediatrics). The joint editors were Dr Sisir K Bose and Dr A Dey.
The Union Ministry of Health, Government of India, sanctioned a special
grant to meet part of the expenses of the publication. "Asian
Pediatrics" found its rightful place in the archives of world
pediatrics.
After the establishment of Indian Academy of
Pediatrics, its official journal, Indian Pediatrics was launched,
in 1964. In the opening editorial of Indian Pediatrics, Dr Sisir K Bose
said, "On embarking upon the new road marked by the inauguration of
the Indian Academy of Pediatrics and this Journal. Indian pediatricians
face a future full of promise and new responsibilities, though not
without its share of uncertainties. As builders of the future, let us
hope, it is the promise that will inspire all our activities. The
uncertainties we shall conquer with the new unity and sense of purpose
that we have achieved. Indian Pediatrics will be the instrument, we hope
a worthy one for the fulfilment of both these aims, a harmonious
development of the pediatric fraternity of India and the achievement of
its national mission" [8]. In 1970 the office of Indian
Pediatrics was transferred from Calcutta to Delhi.
Indian Pediatrics will complete a glorious 50
years of publication in 2013. The circulation of the print version is
nearing the 20,000 mark (estimated readership 1, 00,000 per month),
despite which, the journal has maintained its schedule of reaching its
readers in the third week of every month, without fail. In the last 6
years, manuscript submissions have increased from 750 to 1200 per annum;
an increase to the tune of more than 50%. The Impact factor of Indian
Pediatrics has increased from 0.75 in 2008, to 1.048 in 2012; a growth
of more than 40% in last 4 years. Among specialty biomedical journals,
Indian Pediatrics is No. 1 in India, and enjoys an incredible web
presence with its website www.indianpediatrics.net receiving over
1 million hits per month. Indian Pediatrics website is rated as
the topmost ranking pediatrics journal website in the world, and the
journal is now accessed by more than 2700 institutions worldwide.
Indian Pediatrics is IAP’s ornament, and IAP wears it proudly [9].
The Indian Journal of Practical Pediatrics
(IJPP) was launched in 1993 from Chennai (erstwhile Madras) by Professor
N Somu and Dr J Balasubramanian. It is a quarterly, peer reviewed
medical subscription journal, committed to practical pediatric problems
and updates in management. Mission of the journal is to update the
knowledge and skills of the practicing pediatricians and general
practitioners particularly from non-teaching institutions and rural
areas on diagnosis and management of common pediatric problems. Efforts
were made to index the journal in Index Medicus. Currently the journal
is subscribed to by 2220 life subscribers, 1361 10-years subscribers,
and 703 annual subscribers. IJPP conducts annual CMEs titled "IAP-IJPP
CME" from the year 2008 and publishes books on selected topics as "IJPP
Series". IJPP hosts a website titled as www.ijpp.in. IJPP is
growing along with IAP, and enjoys the support of the organization [10].
IAP’s bulletin, "Academy Today" was published
for the first time in 1978 and has continued its objective of developing
bonds between the pediatricians dispersed far and wide in the Indian
subcontinent. ‘Academy Today’ which was published as a quarterly
magazine to begin with, is now a bi-annual bulletin from IAP central
office at Mumbai. It contains report and pictures of central IAP
programs, as well as of its branches and chapters, and messages from the
office bearers of IAP. It mentions about the achievements of IAP
members, and advertises IAP events organized in various parts of the
country. It also conveys the ideology of IAP to members by writing about
the resolutions adopted in IAP meetings. The ‘election issue’ contains
biodata of contestants in IAP elections.
Indian Academy of Pediatrics is a prolific publisher
of books. The first "Textbook of Pediatrics with special reference to
problems of child health in developing Countries" was started in
1978 as a postgraduate textbook, and released in 1987, in 2 volumes of
the size of Nelson’s Textbook of Pediatrics with 1500 pages in each
volume. It was available to pediatricians not only in India, but in
other developing and developed countries of the world. This textbook
edited by Late Dr PM Udani was dedicated to the Indian Academy of
Pediatrics. Since then, IAP has published several books - The first
IAP Text Book of Pediatrics was published in the year 1999, of which
5,000 copies were sold out within a few days and a second edition was
planned. This was urgent and essential, because MCI had accepted the
long standing demand and IAP recommendations, to give major status to
Pediatrics, equivalent to Medicine, Surgery, Gynaecology and Obstetrics.
In the year 2013, 5th edition of the popular IAP Textbook of Pediatrics
will be released.
Down the years, IAP has published several other
popular books, i.e. Current Concepts in Pediatrics, IAP Guidebook on
Immunization, Rational Pediatric Practice, Immunity, Immunization and
Infectious Diseases, Pediatrics Drug Formulary, Immunization – A manual
for pediatricians, The Underprivileged Child, IAP Manual of Procedures,
Current Pediatrics, New Development in Pediatrics Research, Perspectives
in Pediatrics, Better Pediatrics Education, Social Pediatrics, Drug
Therapy in Pediatrics, Drug Formulary CD-ROM, IAP Specialty Series on
Pediatric Intensive Care, Pediatric Cardiology, Pediatric
Gastroenterology, Pediatric Rational Antimicrobial Practice in
Pediatrics, Pediatric Haematology & Oncology, Pediatric Infectious
Diseases, Pediatric HIV, Pediatric Nephrology, Childhood Disability – A
Paediatrician’s Perspective, Pediatric Quiz, Principles of Medical
Education, Principles of Thesis Writing, IAP Color Atlas of Pediatrics,
Textbook of Pediatric Radiology, PICU Protocols, and Textbook of
Pediatric Endocrinology. The profits from the sales of IAP books have
been earmarked for IAP’s research activities. An idea was born in some
office bearers’ minds, to publish IAP’s books through an IAP publishing
house, and that led to the creation of a National Publication House at
Gwalior and an International Publication House at Indore, in the year
2010. The National Publication House first released books published by
it, at the 49th National conference, and will release several books at
the Golden Jubilee National conference. The International Publication
House at Indore has overseen the publication of the IAP PALS and BLS
manuals, and will publish International books for IAP, in the future.
IAP created a drug formulary for pediatric conditions
that was released at the 42nd National conference at Kolkata. The
formulary is now used by over 6000 pediatricians in India and overseas.
A quarterly web update makes the document very dynamic and contemporary,
and the formulary has been updated 28 times already, as in December
2012. The hard copy edition is printed every 3 years, and now there is a
PDA version that can be downloaded on mobile phones by users anywhere in
the world. In the year 2010, IAP drug formulary was sent to all member
countries of the International Pediatric Association. The next step in
the development of IAP drug formulary is the creation of a mobile
application for various models of mobile phones [11]. The drug formulary
is indeed a bright feather in IAP’s cap.
The National Conferences
The first National Conference of Indian Academy of
Pediatrics was held in Pune in 1964, and was attended by 300 delegates.
Dr MV Phadke was the Organizing Secretary, with Dr LSN Prasad as the
first President of the Indian Academy of Pediatrics, Dr Shantilal Sheth
as the General Secretary and Dr PM Udani as the Treasurer. Dr George
Coelho, Dr KC Choudhary, and Dr ST Achar were invited to give special
guest lectures at the Pune conference. Later the term annual conference
was changed into National Conference of IAP. Soon Annual State
Conferences and zonal/regional conferences by North, South, North
eastern region, and Maharashtra region, were started all over the
country. In 1984, the Annual Conference of IAP at Mumbai (erstwhile
Bombay), registered a milestone for IAP, because for the first time, a
medical conference was held without any help from the commercial
industry. This conference initiated a serious brainstorming in the
portals of IAP on industry-professional organization relationship. This
concept evolved into the idea of protection of the child as a consumer
and became the forerunner of promotion of breastfeeding and lactation
management, which was further strengthened by Infant Milk Substitutes
Act being passed in India. The Silver Jubilee National Conference of IAP
was held at Jodhpur, Rajasthan in 1988, and was inaugurated by
Honourable, Late Dr Shankar Dayal Sharma, the then Vice President of
Indian Republic. It was a grand celebration and culminated into the
establishment of the first "National Institute of Child Health" in
Rajasthan.
IAP’s national conference is a big draw for
pediatricians from all over India, and is an instrument of motivation
for them to develop professional excellence. Today, on an average 7,000
to 8,000 delegates from various parts of the country attend ‘Pedicon’.
The national conference is usually a 4 to 6 days event, with (1)
Pre-Conference CME and Workshops (2) Inaugural Program (with FIAP award
ceremony) (3) three days of science sessions (didactic lectures, panel
discussions, debates, ask-the-expert sessions, key-pad sessions,
sub-specialty chapter symposia, Dr Shantilal Sheth Oration, plenary on
the theme of the conference, (4) Presidential address (5) Award Papers
presentation contest for selecting - (a) Dr ST Achar Endowment
Award (one) for Best Paper in "Pediatrics" (b) Dr James Flett
Endowment Award (two) for Best Papers on Preventive and Social
Pediatrics (c) Dr SS Manchanda Endowment Award (one) for Best
Paper in Neonatology and (d) Dr VB Raju Endowment Awards (two)
for the best papers on "Child Health", (6) Finals of Undergraduate and
Postgraduate Quiz in pediatrics, and (7) General Body Meeting where
ordinary members opine on decisions of Executive Board affecting
policies and programmes of IAP.
IAP organizes its National conference through various
IAP branches, and the conference is granted to a branch through a
process of ‘bidding’ whereby the bidding branches present their
attributes and organizational capabilities to the IAP executive board.
The winning branch then works in close coordination with the central IAP
office to plan and execute the conference. While the conference science
is the responsibility of Central IAP office, especially the President
elect, the CMEs and pre-conference workshops are the domain of the local
organizing team. Financial support for the event is the shared
responsibility of Central IAP office bearers, and the local organizers.
Pedicons have become bigger over the years, what with an attendance of
over 7,000 to 8,000 delegates every year, seen in the past few years.
The conference provides an opportunity for members to listen to renowned
National and International faculty and to meet up with member-friends
from all over the country.
The Golden Jubilee conference of IAP is a special
event, because for the first time ever, the faculty at the conference
have been invited, based on their merit, and based on suggestions from
IAP members from all over the country. To consolidate the democratic
process further, the policy of one session-one faculty is adopted. At
Pedicon 2013, for the first time ever, three dignitaries of National
fame consented to participate in the conference - Past President of the
Republic of India, His Excellency, Dr APJ Abdul Kalam; Honourable
Minister, Shri Kapil Sibal; and Deputy Chairperson of the Planning
Commission, Dr Montek Singh Ahluwalia. The conference will herald the
beginning of the year-long Golden Jubilee celebrations of IAP, all over
the country.
International Conferences Organized
IAP has been represented on all international
pediatric organizations like IPA, APSSEAR (APPA), and ICTP through its
eminent members and these organizations have conducted many workshops in
India since 1977, in association with various international and national
conferences. The Indian Pediatrics Society hosted the First All Asian
Congress of Pediatrics in Delhi in 1961. Dr KC Chaudhury was the
Chairman of the Organising Committee and Dr Sisir K Bose, Secretary of
the Society, was appointed Secretary-General of the Conference. The
conference was held at Vigyan Bhavan in Delhi, and the following 23
countries participated in its deliberations - Australia, Canada, Burma,
Ceylon, India, Indonesia, Iran, Ireland, Japan, Nepal, New Guinea,
Nigeria, Pakistan, Philippines, Poland, Singapore, Switzerland,
Thailand, Turkey, UAR, USA, USSR and Vietnam, with observers from other
non-Asian countries. The congress was one of the most outstanding and
successful international meetings held in India since India’s
Independence.
It was in 1965, at the 11th
International Congress of Pediatrics in Tokyo, that attempts were made
to invite the International Congress to India. However, in the meeting
of Council of Delegates of IPA in Vienna, India lost by 9 votes to
Argentina. Following this, it was almost unanimously decided at the
meeting of Council of Delegates of the IPA, in Buenos Aires, that the
1977 International Pediatric Congress would be held in New Delhi. In a
truly democratic fashion for which India is known to the world since its
independence in 1947, IAP members elected the President, Secretary
General, and the Executive Body to run this Congress in India, through a
general election. The event was extremely well organized, at Ashoka
Hotel in New Delhi, and had 2500 delegates, of which 1400 delegates were
overseas delegates. In addition to scientific publications of the meet,
a commemorative volume called, "The Child in India" was published, and
it can be called the first treatise on Social Pediatrics in India. The
international conferences organized by IAP after this meeting include,
the 8th Asian Conference of
Pediatrics (APSSEAR) in 1994, the 5th
International Conference of Tropical Pediatrics (ICTP) in 1999, the
IAP-AAP CME at Mumbai in 2000, and the APPA Vaccinology Update at Mumbai
in 2010. Since the year 2000, IAP has annually organized an IAP-AAP CME
during its National Conferences, till 2012. IAP has been granted the
opportunity to organize the 15th Asia Pacific Congress of Pediatrics in
the year 2015, at the 14th Asia Pacific Pediatric Association meeting at
Malaysia in September 2012. The congress will be held at Hyderabad, with
help from the IAP twin city branches.
The Subspecialty Chapters
In 1988, yet another milestone, of developing
Subspecialty Chapters of IAP, was achieved. Initially 9 Subspecialty
Chapters were launched for development of subspecialties in pediatrics
amongst pediatricians of India. In addition, there were nearly 12
subcommittees covering various problems and a scientific advisory
committee was established. Over the years, several subspecialty chapters
have developed, in addition to several interest groups, cells,
committees, and task forces. A chapter has membership strength equal to
or more that 2% of the membership strength of IAP, whereas a group has
membership strength equal to or more that 1% of the membership strength
of IAP. In its 50th year, IAP boasts of hosting 18 subspecialty Chapters
and 10 Interest Groups. These are - Adolescent Health Chapter, Allergy
and Applied Immunology Chapter, Cardiology Chapter, Community Pediatrics
Chapter, Computer And Medical Informatics Chapter, Gastroenterology
Chapter, Genetics Chapter, Growth and Development Chapter,
Haematology-Oncology Chapter, Infectious Diseases Chapter, Intensive
Care Chapter, Infant and Young Child Feeding Chapter, Neonatology
Chapter, Nephrology Chapter, Neurology Chapter, Nutrition Chapter,
Pediatric And Adolescent Endocrinology Chapter, And Respiratory Chapter.
The specialty Interest Groups are - Child Abuse, Neglect, and Child
Labour Group, Dermatology Group, Disability Group, Disaster Management
Group, Environment and Child Health Group, Medicolegal Group, Pediatric
Organ Transplantation Group, Pediatric Emergency Medicine and Acute Care
Group, Research in Child Health Group, and Rheumatology Group. Several
of these have their own fellowship programs and National conferences.
IAP has several committees, cells, and task forces,
and these include - IAP HOD cell, IAP website committee, IAP finance
committee, IAP committee on Immunization, IAP committee on electronic
voting, IAP committee to formulate national conference guidelines, IAP
PALS group, IAP NRP FGM steering committee, IAP committee for Golden
Jubilee celebrations, IAP Task force on allergic rhinitis and asthma,
IAP task force on prevention of obesity, and IAP Media cell. These
bodies of experts provide recommendations and guidelines for
consideration of the Executive board of IAP and for implementation by
IAP members.
Stimulation of Research
The Academy had substantial saving from the First
Asian Congress of Pediatrics, and the interest from these funds helped
to expand the research activities of the academy. In the words of Dr PN
Wahi, ICMR Director, during the 10th
Annual Conference of IAP in Indore in 1970, "The Indian Academy of
Pediatrics was the first national body in the country to stimulate and
motivate the young scientists." To stimulate research, by young
scientists, various awards were established in different fields of child
health as enumerated above. The Academy increased its scientific
activities by awarding research fellowship for training and research
work in various field of child health.
The Partner Organizations
The Indian Pediatric Society in 1950 became a founder
member of the International Pediatric Association (IPA) established in
Zurich, Switzerland. IAP is a member of several other international
organizations, which include - International Society of Tropical
Pediatrics (ISTP), American Academy of Pediatrics (AAP), Association of
Pediatric Societies of the Southeast Asian Region (APSSEAR), Asian
Society for Pediatric Infectious Disease (ASPID), and Pediatric
Association of SAARC (PAS). IAP has successfully collaborated with the
Government of India, State Governments, ICMR, UNICEF, WHO, and Bill and
Melinda Gates Foundation, for various programs and projects of National
and State level importance.
Dr PM Udani wrote in 1988, "The Academy which was
not even known, recognized or consulted on problems of child health in
earlier years, is now not only well respected but the Academy’s
representation is well received in various committees of the Government.
This is a great achievement of the Academy considering its early
history. By the time, we cross the 20th
century, our Academy’s contribution to child health will be highly
significant at the national and international level and the scientific
work done on our priority problems will be equal if not better than many
developed countries of the world."
In its silver jubilee year, IAP became an active
partner in training pediatricians in the country on Immunization
procedures with the Government of India, and WHO. This collaboration was
responsible for nationwide training of pediatricians on management of
Acute Respiratory Infections (ARIs), Child Survival and Safe Motherhood
(CSSM), Oral Rehydration Therapy (ORT), Lactation Management and Baby
Friendly Hospital Initiative (BFHI). In 1991, UNICEF joined hands with
IAP in a major nationwide program called Reorientation of Rational
Pediatric Practice (RRPP). The late 1990s saw IAP taking up Reproductive
Child Health programme (RCH) with the Government of India and WHO, and
actively participating in the primary school health examination all over
the country, for the Government of India.
IAP participated officially at WHO SE Asia Region
Polio Eradication Technical Consultative Meeting in Lucknow, and at WHO
Geneva, on Vaccine Safety. IAP is an active partner in ORS promotion
projects funded by USAID through ICICI and PATH. IAP’s participation in
Pulse Polio, AFP, RCH has been fruitful, and well documented. In 2007,
IAP collaborated with Unicef and WHO, on Under-5 Child Survival
Intervention Workshops, Child Rights & Protection Programs, Workshop on
Acceleration of Implementation of Pre-service IMNCI, Orientation
Workshops on Implemen-tation of IMNCI in Uttar Pradesh and Bihar states,
and HIV Workshops. Unicef and WHO supported IAP in posting books on
IMNCI to all members of IAP. In 2010, IAP joined hands with WHO to
prepare an Essential Medicines List for Children. This list was shared
with all members of IAP through IAP website, and was shared with the
Health ministry, Government of India. In the same year, IAP worked with
Unicef to formulate guidelines for management of severe acute
malnutrition in Indian children. The guidelines were reviewed and
refined by a committee of nutrition experts, and will be converted into
a training module for training health providers in district hospitals.
From 2008 to 2012, IAP successfully collaborated with AAP, LDSC, the
central Government, and state governments of several states, to create
training a module called Navjat Shishu Surakasha Karyakram and to
train close to 90,000 health professionals and health workers in Basic
Neonatal Resuscitation.
In its golden jubilee year, IAP is poised once again
to work closely with the Government for reduction of Under 5 mortality
and achievement of MDG4 through implementation of its Mission Uday
project, aimed at reduction of incidence and mortality of childhood
pneumonia, diarrhea, dengue, and other common infections illnesses. The
Mission Uday project will run for 3 years and aims to train
Pediatricians, general practitioners and ASHA workers in 150 high risk
districts of the country, identified by the Government. The project also
lays emphasis on disease surveillance and reporting of adverse events
following immunization. Management of severe acute malnutrition is an
important objective of IAP in 2013, and beyond.
The Programs, Projects and Policies
Over the years, IAP developed several programs
successfully and these include - (a) Participation in Polio
Eradication through active participation in planning the national
initiative and implementation of Pulse Polio Immunization (PPI),
National Immunization Days (NIDS) and Acute Flaccid Paralysis (AFP)
Surveillance; (b) RCH training to pediatricians all over India; (c)
PALS courses and now Basic Life support courses for the lay community; (d)
Promoting pediatrics as a subject to undergraduates through national
level Undergraduate Pediatric Quiz; (e) Pediatric Practitioner’s
Quiz which was replaced by Pediatric Postgraduate Quiz in the year 2007;
(f) countrywide Adolescent Care Workshops and; (g)
Celebration of World Breastfeeding Week, Oral Rehydration Solution week,
Teenage day, and Child health week by IAP branches all over the country.
IAP Neonatal resuscitation program, first golden
minute (NRP FGM), started in the year 2008, with guidance, help and
collaboration with AAP, LDSC, and pharma support has gradually developed
into the largest training program of its kind anywhere in the world. In
the year 2013, IAP will start training Pediatricians and Neonatologists
in advanced neonatal resuscitation, based on AAP’s NRP 2010 guidelines.
This will be achieved through enrolment of several tertiary neonatal
care centers in the country.
IAP has policies on many issues related to child
health. Policy on Age of Children for Pediatric Care mentions that the
purview of pediatrics commences with the fetus and continues through
newborn, infancy, preschool and school age including adolescence, up to
and including 18 years of age. Policy on Breastfeeding supports
exclusive breastfeeding of all infants (barring special conditions
warranting other modalities of nutrition) up to six months after which
soft foods should be given, while continuing breastfeeding as long as
the mother and baby are comfortable with it. Policy on Tobacco-free
Environment for Children mentions that all children must have
tobacco-free environment at home, school and all other situations.
The Administrative Structure
Indian Academy of Pediatrics is administered through
three offices -
(a) Central IAP administrative and
coordinating apex office, located at Kailas Darshan, Kennedy Bridge,
Nana Chowk, Mumbai 400 007
(b) The Journal Office of Indian
Pediatrics located at 115 /4, Ground floor, Gautam Nagar, New Delhi
- 110 049
(c) The Journal office of Indian Journal
of Practical Pediatrics located at 1A, Block-II, Krsna Apartments,
50, Halls Road, Egmore, Chennai – 600 008, Tamil Nadu, India.
In the year 2010, two additional offices were set up
-
(d) The National Publication house at
Gwalior
(e) The International Publication house at
Indore
In the year 2011, two additional offices were set up
-
(f) The IAP NRP FGM project office at
Kutch, Gandhidham
(g) The IAP FBS office at Hyderabad
An Executive Board, elected through a general
election, administers the affairs of IAP in a given year, and is the
supreme decision making body, next only to the General body of IAP.
While in 1963-64, IAP was governed by 5 office bearers and 8 executive
board members, twenty years later, in 1983, there were 7 office bearers
and 21 executive board members. In 1979, IAP had 2 Vice Presidents, but
in 1986, the executive board had only one vice president, with the
position of President elect added in 1987. The Editor of IJPP was
inducted into the IAP office bearers’ position in 1995, and the position
of Immediate Past President was added in 1996. In 1998, member of IPA
and President of ICTP were added to the list of IAP office bearers, and
in 1999, the Secretary General of ICTP was inducted as well. Member of
SC-IPA continued in IAP office bearer’s position until the year 2001.
Ten years later, in 2012, IAP executive board consist of 6 Central IAP
office bearers (President, President elect, Immediate Past President,
Vice President, Honorary Secretary General, and Honorary Treasurer), 2
Editors in Chief of IAP Journals (Indian Pediatrics and Indian Journal
of Practical Pediatrics), Jt. Secretary, who is the Organizing Secretary
of National conference, 40 elected members from 22 states of the
country, Academic Affairs Administrator, a President’s representative
from Delhi, and a representative from the Defence Forces.
IAP has held general elections to install its office
bearers and executive board since the year 1964. While elections were
conducted under the supervision of a single election office at the
central IAP office, until elections for the year 2007, the elections
officers were increased in number to three, for IAP elections for the
year 2008. The executive board of 2010 took a decision to shift the
election office to Hubli, in Karnataka, the home town of the chief
election commissioner, and IAP elections for 2012 and 2013 were
conducted from there. In its Golden Jubilee year, IAP is most likely to
introduce electronic and mobile (SMS) voting in elections.
IAP is registered as a society with the Registrar of
societies at Mumbai, and with the Charity Commissioner at Mumbai. Until
the year 2005, all affiliates of IAP, viz a viz, the
journals, chapters and branches utilized IAP’s society registration
number and PAN for their transactions, and submitted their accounts to
IAP office for amalgamation with IAP accounts. However, this process was
stopped because of various inconsistencies in submission of accounts,
through an amendment to the constitution of IAP in the year 2005, and
IAP branches and chapters were advised to register themselves as
societies with the local authorities in their state/district/city,
acquire their individual PANs and manage their own accounts. Only the
audited accounts of the two journals, and the publication houses, are
clubbed with audited accounts of Central IAP office, as these offices
use IAP’s PAN for their transactions. The accounts of the NRP office are
administered from Central IAP office.
IAP launched its website in 1999, and the exhaustive
portal provides everything from membership details to policies, projects
and programs of IAP. It provides guidelines of IAP on various subjects,
updated immunization schedule, details of IAP action plans, updates
about IAP elections, announcements and updated news about the National
conference, announcements of IAP branch and chapter conferences, minutes
of IAP AGM and SGM, growth charts, link to websites of sister
organizations and several other features. In the year 2012, a system of
online payment of membership fee, and members’ mass mailing system, were
established. IAP website is set for a major makeover in the Golden
Jubilee year.
Mission Statement of Indian Academy of Pediatrics (issued in 1999)
The Indian Academy of Pediatrics is committed to the
improvement of the health and well-being of all children. For this
purpose the Academy dedicates its efforts and resources. As members of
the Academy we shall strive for the achievement of the optimum growth,
development and health in the physical, emotional, mental, social and
spiritual realms of all children irrespective of diversities of their
backgrounds. We shall fulfil our mission through the advocacy for
Children, professional education and improvement, research, support for
pediatricians, membership Service, and education of parents and the
public.
Vision for the Future of Indian Academy of
Pediatrics, and the Children of India
Indian Academy of Pediatrics has grown in numbers and
stature in the last fifty years. However, IAP’s counsel in National
health policies for children is not yet sought by the Government to the
extent that IAP is capable of providing. One of the aims of future
office bearers of IAP should be, to expand its sphere of influence and
increase its ‘say’ in the Government health policies for children. To
achieve that status, IAP must enhance its academic credentials; make
sincere attempts to reduce its dependence on the pharmaceutical industry
to carry forward its meetings and programs, and to shift the focus of
its programs and policies from simply increasing the academic awareness
of its own members to increasing health awareness in the community. From
treating a handful of patients in their clinics, IAP members must move
out into the community and spread the message of prevention of childhood
diseases amongst the lay masses. IAP needs a re-think on its meetings
and conferences, and move away from opulence to austerity. IAP needs to
de-escalate its management from the super-specialities to community
pediatrics. IAP needs to reach out to that underprivileged child, born
to impoverished parents, in a backward and rural area of the country,
with food, vaccines, medicines and succour. IAP needs to address the
needs of the Girl-child of India; the theme of its 49th National
Conference needs to be translated into sincere action. Unless IAP
members are willing to break the boundaries of clinic and hospital based
practice, to embrace children that are dying for lack of attention, from
the administration, and the medical community alike, IAP may not achieve
the stature of an organization that truly cares for the children of the
nation, despite its swelling membership numbers. IAP needs to expand its
academic horizons, and to embrace the lay community, and to widen its
vision for the future of the children of India. IAP is a very capable
organization, it only needs to prove its once again, to its members, to
policy makers in the country, and to the children of India, and their
parents. Very aptly, the theme of IAP’s National conference in 2014 is
‘Achieving MDG4 - strategies and actions". IAP can strategize, and IAP
can indeed act; IAP is very capable of helping the Government of the
country in achieving MDG4. Amen !
Acknowledgment: The article has been prepared on
the basis of records available with Central Office, Indian Academy of
Pediatrics, Mumbai. Generous help of all staff members of IAP is
gratefully acknowledged.
Funding: None. Competing interests: None
stated.
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