Friday, August 18, 2017

Share your story on how NCDs affect you...Join

Science knows about the correlation of cancer and alcohol use since the 1980s. The International Agency for Research in Cancer (IARC), the WHO’s research body, classifies alcohol as class one carcinogen since 1988.
“Indian society is losing more than it is gaining due to alcohol”
Alcohol can also significantly drain family budgets, since costs for NCD-related health care, medicines, and costs for alcohol diverts the household’s income and resources from ensuring food and nutrition security and from basic education.
the adverse physical and mental health, social, environmental and economic consequences of NCDs affect all, particularly the poor and vulnerable populations. Nada India has been working on prevention of NCDs with a focus on alcohol and tobacco use at primary and secondary levels by using treatment readiness, peer based approach and capacity building of peer led rehabilitation centers.
How are you affected by noncommunicable diseases? Please do share your NCDs story and join the campaign by supporting my story by clicking
Nada India as a member of the Healthy India Alliance sees it as an opportunity to build partnerships for strengthening systems related to alcohol prevention, treatment and rehabilitation in India. 

NCDs affect millions of people in many different ways, from those living with cancers, heart and lung disease, and diabetes, to loved ones and health workers caring for those affected. Share your story on how NCDs affect you.

NCDs & Me website
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Wednesday, July 19, 2017

The report of WHO Mapping of Indian CSOs for Prevention and Control of NCD is now available.

The report of WHO Mapping of Indian Civil Society Organisations for Prevention and Control of Noncommunicable Diseases is now available.   Key highlights include:
Resourcing and lack of coordination are the top challenges for CSO response to NCDs in the country

  1. State level CSOs are more enthusiastic about collective action
  2. CSOs outside the health sector have interest, experience and potential to contribute to the NCD response
  3. Capacity building is the priority for younger CSOs, while those with more years of experience prefer advocacy for policy change.
  4. The report also lends insights into the specific sub streams in the CSO movement (by NCDs, risk factors and related issues) that you may find relevant to your respective areas of work. 
Healthy India Alliance ,(Nada India is governing board member ) helped to disseminate survey and gather response. 

Tuesday, July 18, 2017

State government foisted ‘criminal cases’ on women demanding closure of wine shops in residential areas...

Hundreds of women staged a hunger strike in front of the Prakasam Bhavan here on Monday demanding closure of all liquor shops on the national and State highways following the Supreme Court’s order in letter and spirit.

Leading the protest, National Federation of Indian Women State general secretary P. Durga Bhavani said it was unfortunate that the State government had issued a notification to change the nomenclature of the highways into district major roads to circumvent the court’s order passed to prevent road mishaps.

Instead of restricting liquor shops, the State government foisted ‘criminal cases’ on women demanding closure of wine shops in residential areas, she lamented.

Noting that campaigns against HIV/AIDS and smoking had paid dividends, NFIW State president V. Jayalakshmi said a similar campaign against liquor should be undertaken by the government sincerely to wean away people from the vice.

When States like Bihar and Gujarat could implement prohibition what prevented Chief Minister N. Chandrababu Naidu in implementing his poll promise of closing down all belt shops and introduce prohibition in phases, asked All India Democratic Women’s Association district secretary Munwar Sultana......

Friday, June 23, 2017

Alcohol has been kept out of the purview of GST... read more about its impact...?

According to Mr. Dev Bhushan Kalra,Chartered Accountant, author of book  “Not Everything On G.S.T Just Definitions ”, the alcohol for human consumption has been kept out of the purview of Good Services Tax due to two major reasons. First, a constitutional amendment would be needed to be made for the same. Second, it is one of the most revenue generating activity in the States. 
To understand the impact of GST on alcohol, we need to differentiate between the internal and the external factors that may drive the price of alcohol with the onset of GST. The internal factors are the supply chain and the existing laws that govern the manufacture and sale of alcohol. Since GST as on date has kept alcohol output out, hence the existing law provisions will apply. Thus no or little change would accrue as this is what is happening today (before GST).
What is interesting is that the inputs for the same are now in the purview. This is what the external factors are. Changes in the tax slab of raw materials, freight and the inadmissibility of input credits (thus leading to cascading effects of tax) may have a negative impact and push the price upward, as in GST the grunt of taxes is to be borne by the ultimate consumer. 
The general intent of the government seems to dissuade people from consumption of alcohol but a rise in the prices may not hamper the demand much. We have the history of boot-legging of alcohol as a guiding proof. The rise in prices would also be made due to the impact of state taxes, if increased, as revenue from the same would be sort of a compensation to states for forgoing existing state-based tax levies on other goods. Thus, the price of alcohol even if not directly impacted by keeping alcohol out of GST, would be impacted by various other factors that would come into play. 
Alcohol herein refers only to alcohol for human consumption, as industrial use alcohol lies within the gambit of GST. 

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Thursday, June 1, 2017

Healing process starts once you take away the alcohol & bring people together: Suneel Vatsyayan,

Healing process starts once you take away the alcohol & bring people together: Suneel Vatsyayan, Founder NADA India Foundation

Udta Bihar: Huge spike in substance abuse, alcohol bootlegging year after ban

The India Today investigation discovered Bihar might just be going the Udta Punjab way, with alcohol prohibition opening new floodgates to addiction.

Thursday, April 27, 2017

Nada India has transformed us to become SOCIAL ENTREPRENEUR...

IFIM B School Social Immersion Program @ Nada India Foundation
It was great learning experience.Learned a lot from this NGO.
This NGO has transformed us to become SOCIAL ENTREPRENEUR..
At last I am really thankful to Suneel Vatsyayan & IFIM B School, Bangalore for giving us opportunity to work with Nada India Foundation..... Mayank Kothari 

I have learned lot of things in these days.It was a great opportunity to work with these people.I have applied my theoretical knowledge in practice.I have worked with females of that village and observed how much they are unaware about their surroundings and i tried for their 
Thank you and Regards
In these 10 days volunteering with Nada India I have learnt about non-communicable diseases. It was a great learning experience . In that I was given a chance to be a social entrepreneur which lead to apply my  theoretical knowledge practically .Akshay Mehta

Suneel sir,
  I would like to thank you for the support which you gave us during the SIP days. It's been wonderful working with you and mam. You motivated us throughout the days for being social entrepreneurs which also gives us motivation and added more value towards the work and the outcome what we get. In future if we'll get another chance to work with you , I'll definitely willing to do. Thanks and regards,
Manpreet singh 

It was a great learning experience for me. I have learnt about Non Communicable Disease,as a task assign to me ( To make a business model for Bhawana group). I come to know what r the difficulties a new business are facing and what are the possible ways to come out from those difficulties.
Most important I have learnt about the people from BPL{ Below Poverty Line} living .
Rahul Kumar Ranjan
Hello sir,
It was a good insightful journey of 10 days with Nada India.I think that i got to know more about the ground realities of villages in India. I saw how there is lacking of basic amenities like water,job etc. in those areas. I will continue my journey with Nada India for the time to come. Regards,
Mehul Saraswat
Volunteering is one of the most rewarding aspects of my life. I know it makes a difference to the people I share my time. I have learned a lot during this 10 days period and have applied my practical knowledge in the project. 
Dheeraj Bhatia
Nada India 

I was a really nice experience for me where I met with new peoples and used my theoretical knowledge practically and I was happy fr the outcome.It also taught me how to work in a different community. Kiran Mishra

Monday, April 24, 2017

Reviewing the Mental Healthcare Act, 2017....

Amba Salelkar
The Mental Healthcare Act was recently notified in the Official Gazette after being passed by both th houses of Parliament. The Act seeks to change the way we treat mental health and ensure that our law is in line with the UN Convention on the Rights of Persons with Disabilities (UNCRPD). The Act is quite comprehensive and establishes new procedures and authorities for its implementation. These may take time to set up and receive the budgets that are warranted to ensure their effectiveness – which is why the impact of the law may not be immediate. Even so, we can look at the letter of the law and understand what we can look forward to and what we should be aware of.
What's good
The Act, under Chapter V ensures that all persons shall have the right to access mental healthcare and treatment from mental health services run or funded by the Government. This means that you can walk into any Government-run mental health service in your locality (or in a neighboring one, if not available in your own) and seek free treatment. The definition of treatment is quite wide and does not only refer to medication, and not only allopathic treatment. However the availability of this depends a lot on Government policy and budget allocation, so we may have to wait a while to see a range of treatments and alternatives available at all levels. These should be:
Affordable, which may depend on your income levels
Of good quality
Available in sufficient quantity
Accessible geographically, which is to say that one needn’t travel very far to access it, or schemes may have to compensate for travel expense to access it
Be available without discrimination on the basis of gender, sex, sexual orientation, religion, culture,caste, social or political beliefs, class, disability
Provided in a manner that is acceptable to persons with mental illness and their families and caregivers, keeping in mind concerns regarding dignity and confidentiality.
The law recognizes the vulnerability that persons with psychosocial disabilities face at home. If you are a person with a psychosocial disability and find yourself being forced out of your home, the Act provides that you will have access to support, including legal aid, to ensure that you have the right to live in the home. The exact procedure for such an application under Section 19 of the Act needs clarification in the Rules but will most likely be before the local Magistrate.
What’s not so good
The Act provides for two means of support to exercise capacity in deciding one’s mental health treatment:
An Advance Directive, under Chapter IIIthat you can execute regarding the treatment that you want during a mental health episode and also specifying the treatment that you do not want during a mental health episode.
A Nominated Representative under Chapter IV that you can appoint to take decisions on your behalf when a medical practitioner deems you to lack capacity to decide on your own.
Unfortunately these are not absolute. Both can be overruled if an application is made in that behalf to the Mental Healthcare Board. In addition, Advance Directives do not apply in the case of emergency treatment. You can take the following safeguards to ensure the best fulfillment of your will and preference during times of crisis:
Take the time to draw up documents on your Advance Directive and appointing your Nominated Representative. If you have a regular healthcare provider, inform them of the fact that you have an Advance Directive and a Nominated Representative.
Ensure that a self-attested copy of your Advance Directive is with your Nominated Representatives because failure to produce it allows deviation from it by mental health professionals.
Ensure that they know their rights under the Act and how to move the Mental Health Board where jurisdiction exists in case of violations.
The law still permits for involuntary institutionalization under Sections 89 and 90, if:
You have recently threatened or attempted to cause bodily harm to yourself.
You have recently behaved violently towards another person or if you have caused someone to fear bodily harm from you.
You seem to be unable to care for yourself to a degree that puts you at risk of harm to yourself.
A professional must certify that this is the least restrictive care option possible in the circumstances, and consider an Advance Directive that requires otherwise (but is not bound by it). Lastly, the admission will only be made if you are found to be ineligible to receive care and treatment as an independentpatient because you are unable to make mental health care and treatment decisions independently and need very high support from your nominated representative. This involuntary admission can be for a period of 30 days. It is only when this period is to be extended beyond the 30 days that the Board must confirm the admission.
Persons who are in long term care may be directed by the Board to have a discharge plan formulated under Section 98 – this is not a necessary step, it is optional. For persons already in long term institutional care, there is no time bound plan towards deinstitutionalization, neither is there any commitment in the Act towards that. If the conditions of the law are met, long term admissions can be granted even up to 180 days each time.
Provisions regarding addressing violation of rights in mental healthcare establishments leave the onus on the individual to report them without acknowledging the serious imbalance of power between the staff of the establishment and the person who has the label of a psychosocial disability. Persons with psychosocial disabilities are to be given the option of legal aid under Section 27, but there is no provision for support to brief the counsel.
When you are considering options for seeking treatment in a ‘mental health establishment’, the definition of the same is very wide and includes any establishments for care, treatment, convalescence and rehabilitation of persons with psychosocial disability. These require licensing under Chapter X of the Act, and anyone running an establishment that can be said to be a mental health establishment can be fined for not obtaining license under Section 107. Therefore, you may find it difficult to seek mental health treatment in shelter homes for domestic violence victims, children’s homes, senior citizen daycare, etc. which may find it easier to just avoid taking in people with psychosocial disabilities rather than seeking licensing under the Act. The Act already provides for mandatorily shifting of persons perceived to have mental illness in State-run custodial institutions to mental health establishments under Section 104.
What’s worrying
Persons with a diagnosis of mental illness are also persons with disabilities for the purpose of the Persons with Disabilities Act, 2016. The PwDA has a non obstante clause which states that the law shall be in addition to, and not in derogation of, any law for the time being in force. The Mental Healthcare Act, in Section 120,shall have overriding effect notwithstanding anything inconsistent therewith contained in any other law for the time being in force. In case of a clash between the two legislations, the Mental Healthcare Act will prevail.
The Actalso does not do away with declarations of ‘unsound mindor findings of mental illness for the purpose of divorce proceedings, etc. If you are facing legal proceedings where it is alleged that you are of unsound mind in proceedings relating to divorce, custody, etc. the concerned Court is supposed to refer all such determinations to the Board under Section 105 of the Act. This may be inconvenient as it amounts to running two parallel proceedings with respect to the same case.
          Decisions regarding continuation of deprivation of liberty for the purposes of mental health treatment are to be taken by the Mental Healthcare Board, while earlier under the 1987 Act this decision was to be taken by a Magistrate. A Magistrate is present at the local level, while the Mental Healthcare Board need not be present even at every district or even, in the case of the north eastern region of India, in every State for that matter. You or your nominated representative may find it difficult to move the Board. Persons with psychosocial disabilities may have to wait for several days within mental health establishment before the Board considers their appeals.
Even if the Board finds that a person no longer requires an order of supported admission to the Mental Health establishment, the Act provides that they may continue to remain in the mental health establishment as an independent patient and does not clarify for how long and what procedure is to be adopted to give the person an effective chance to live in the community.
Amba Salelkar is a lawyer based in Chennai, with a special interest in disability law and policy. fCourtesy

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Share your story on how NCDs affect you...Join

Share your story on how NCDs affect you. Science knows about the correlation of cancer and alcohol use since the 1980s. The International...