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“Well, definitely, year by year, child health in India is improving. And the Indian government and a lot of state leaders deserve credit for doing things like improving vaccination coverage,” Gates, who now heads the Bill and Melinda Gates foundation, told reporters during a conference call.
Responding to a question on his impression about the situation of health and education, Gates recollected when he and his foundation started in Bihar and UP, vaccine coverage was below 40 per cent. This he said was causing hundreds of thousands of deaths that were not necessary. While a lot of good things have happened, he said, India had been somewhat behind on malnutrition problem.
“I would say that the overall budget, the amount going from the federal and state level into health still falls short of what we think should be invested to get rid of the deaths and improve the nutrition,” Gates said. “But, overall, the trends are very positive and we have great partnerships there where we’re working all the time, particularly in the north, but also at the federal level to improve health and improve nutrition,” Gates said.
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“So, there are a lot of interesting opportunities to use that digital infrastructure both to track what’s going on say the supply chain for primary healthcare centres, or to track the workers there and using cell phones to make sure that as they step through the processes, they’re fully informed,” he said.
He said one of the big initiatives that his foundation had in India was working with the central bank to authorise digital money so that the transactional costs for even the very poor would be super low. “Then you have people like Nandan Nilekani doing things in education, like EkStep, where using the mobile phone to help even fairly young children, I see a lot of promise in that. So, the infrastructure does give us some good opportunities, Gates said.