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Delhi's Air Quality Index Crisis: Women Bear the Brunt

A look at how Delhi's air quality index crisis disproportionately affects women's health and lifestyle. This crisis has escalated to a point where the daily lives and well-being of women in Delhi are under severe threat.

By Nitya Choubey
New Update

"Mahilao ke exercise ka samay 1 p.m. se 4 p.m. hai." (The time for women to exercise is from 1 p.m. to 4 pm.)

This statement is displayed on a drenched green-colored signboard, visible to Prof. Teena, a faculty member of Urban Affairs at Ambedkar University. Unexpected drizzling on November 27 in Delhi cleared the skies and improved visibility. The board is mounted on the fence of a triangular public park near New Delhi Railway Station, a park that was earlier frequented by women from various classes, until a Delhi government advisory circulated, asking residents to remain indoors.

Delhi recorded the season's highest AQI of 468 on November 3, which falls under the 'severe' category. On November 26, Delhi's Air Quality Index was still 389, under the 'very poor' category. A healthy AQI is anything below 50. The November pollution in the city further reduced the presence of women in public parks, who would cluster together for evening walks and yoga sessions. Like any other metropolis in the country, Delhi provides its male citizens better access to public places and health infrastructure. Pollution adds to this gender disparity in the city's public spaces.

"On one hand, I consider getting an air purifier instead of coughing and visiting the clinic monthly. On the other, I will not have any air purifier when I step out for lectures. I cannot always be indoors," said Prof. Teena. After the usual November smog began covering Delhi's cityscape, sales of air purifiers ramped up. Many families, like that of the professor, do not mind spending 20,000 for good air. However, not all 78 lakh women living in the city are dealing with Delhi's air quality index crisis the same way.

Delhi’s Air Quality Index Crisis: The Homeless 

One of the most vulnerable groups to pollution are the 16,000 homeless, roughly 10,000 of whom are women. During winters, a larger number of homeless take to the Delhi Urban Shelter Improvement Board’s (DUSIB) Rain Baseras. Fifteen rescue teams work from 8 p.m. to 4 a.m. across the capital to get homeless people to one of the 196 designated shelter homes, The Millennium Post reports. But sometimes, the homeless person herself avoids these shelters in fear of brawls, sexual assault, theft, or diseases. Sleeping outside on footpaths and bypasses, the shelter-less get exposed to the pollution all night.

Noori Bibi is a 51-year-old Bengali migrant. She has been touring Delhi’s Mandi House to pick empty Bisleri bottles from community parks and public dumping yards for 28 years now. On nights when she does not find space to sleep inside her semi-pakka shed with the rest of the family, she volunteers to sleep near her workspace. Night shelters are an option for her, which she voluntarily decides not to take.

“Regardless of what day it is, we have to go out. When most parts of the city were shut around Diwali because of pollution, I roamed the city. If I don’t go out, I will die of hunger rather than from pollution,” she told me.

This section of Delhi, which remains outdoors for existence, understands the harms of rising pollution but has developed ignorance towards it. In the absence of any option but to inhale toxins, females like Noori Bibi subdue the risk they face themselves. Healthcare is sometimes not accessible, other times not affordable.

To fill this gap in Delhi’s healthcare, 533 Aam Aadmi Mohalla Clinics were set up for free-of-cost healthcare and diagnostic tests by the AAP Government. These Mohalla Clinics were designed to serve a smaller location with better accessibility. In 2015, Kejriwal promised to build 1,000 such clinics by 2020. This year in August, he inaugurated 5 new clinics to reach the total count of only 650.

The population of the city is more than 3.2 crores, and 15% of them cannot even afford their family’s daily meal. The current number of clinics is substantially lower than required to actually provide affordable healthcare to those below the poverty line alone. As per current numbers, one little ‘Mohalla’ clinic is meant to cater to 35 thousand BPL (Below Poverty Line) persons. The nearest clinic to Noori Bibi’s place of residence is approximately 10 kilometers away, at Lajpat Nagar, of which she knows nothing.

To avoid an influx of patients and overburden, doctors at the clinic avoid visits. Health Minister Saurabh Bharadwaj in September 2023 suspended 7 Mohalla Clinic doctors and 27 staff members for altering attendance records. The Probe this year investigated Mohalla clinics across Delhi to find many locked during normal working hours.

Since its launch in 2015, Mohalla Clinics has been a flagship health program of the AAP government. But the city stands in need of more clinics and doctors. Mohalla Clinics also require special doctors to look for respiratory diseases because of pollution.

Effects of pollution include burning sensation in the eye, dry coughing, thinning hair, acne, breathlessness, heavy chest, and reduction in immunity and anxiety. Its impact on the body is more on those who remain outside for work. Workers at construction sites, dumping yards, chai stalls, and the homeless are thus affected by the rising pollution more. Their ignorance towards the harms of pollution is because they have no other choice.

Mohalla Clinics can be that choice for many if the program manages to become something more than an election gimmick.

Pollution Used as Click Bait

Pregnant women, the elderly, and children are most adversely affected by pollution. Research from abroad and within India indicates the possibility of harm to prenatal health of the baby when exposed to toxins like Sulphur Monoxide and suspended PM 2.5. After the start of November, national media began to report widely on the depreciation in sperm count and fertility due to pollution.

Dr. Deepti Goyal, a natural birth