A large number of people of the fringe areas of Sundarban enter into the forests every year and encounter with the tigers simply for their livelihood. This study attempts to examine the extent and impact of human-animal conflicts in the Sundarban Reserve Forest (SRF) area in West Bengal, India. An intensive study of the data of the victims (both death and injury) between 1999 and 2014 reveals that, fishermen crab collector, honey collectors and woodcutters are generally victimized by the tiger attack. Pre monsoon period (April to June) and early winter period (Jan to March) are noted for the two-peak periods for casualties. Maximum casualty occurs between 8-10 am, and 2-4 pm. Jhilla (21.1%), Pirkhali (19.72 %), Chandkhali (11.72%), and Arbesi (9.35%) are the four most vulnerable forest blocks accounting more than 60 per cent occurrence of incidences. 67.24 per cent of the tiger attack victims were residents of Gosaba followed by Hingalganja (15%) and Basanti, (9.76%). The vulnerability rating puts the risk of tiger attack to 0.88 for every 10,000 residents of Gosaba block followed by 0.33 at Hingalganj Block and 0.11 at Bansanti Block. The majority of the victims (68%) were found to be males, aged between 30 and 50 years.
Access to affordable and quality medicines plays a vital role for achieving Universal Health Coverage and in reducing out-of-pocket expenditures (OOPE) for households especially in developing nations such as India. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), a Government of India initiative, aims to make low-cost and quality generic drugs and surgical equipment accessible to all segments of the population through its dedicated store outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendra (PMBJK). In this study, a pilot survey comprising 20 stores/PMBJKs and 150 citizens was undertaken in the Bengaluru Urban District, India to understand various aspects of the PMBJKs including availability of drugs, stock-outs, accessibility to stores, perception and awareness levels along with challenges faced by store owners and citizens/beneficiaries. Based on the survey results, we capture the availability of drugs for 35 medicines and consumables belonging to 12 therapeutic categories across 20 store outlets. We also provide valuable insights and interdisciplinary recommendations on several facets including adopting technology-based measures for day-to-day functioning of stores, need for in-depth supply chain analysis for ensuring availability of drugs, encouraging prescription of generic medicines, increasing awareness levels in addition to promoting grassroot-level research, surveys and feedback mechanisms. These suggestions are expected to find their utility in policy-making, strengthen the implementation of the PMBJP scheme across Bengaluru and India as well as contribute towards achieving related Sustainable Development Goals.
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