TODAY -

E-Pao! Opinions - Sick State Health care system

Sick State Health care system
By: Abe Irengbam*



A terminal illness seems to afflict the health services of our state. To get a grasp of the reality of the situation we need to know some hard facts.

First, the Jawaharlal Nehru Hospital that should be the premier hospital of the state is in a dismal state. Dark, primeval cave like corridors and wards, defunct CT scan, X-rays, non-operational operation theatres and a labour room that can hardly conduct even normal deliveries. Nonchalant doctors, nurses and hospital staff and non-availability of even lifesaving essential drugs add to this atmosphere of utter neglect.

Secondly, ever wondered if JN hospital were in such a dismal state how would be the state of affairs in the remote and not so remote peripheral areas. Non-existent doctors and staff in the Primary Health centers and Community health centers and vice versa, doctors and staff posted in non existent PHCs and sub-centers in the middle of nowhere seems to be the norm of the day. Need I add that here too, X-rays and essential drugs are conspicuous by their absence.

Thirdly, why do we always have to wait for a catastrophe to occur and then take some remedial measures? The National Malaria Eradication Programme (NMEP) to control malaria is in a mess in our state. For years we have not seen the regular spray of DDT even in the most endemic regions of our state like Jiribam, Moreh, Tamenglong district etc. This year, like every year, news of malarial outbreaks that may even be fit to be termed epidemics was reported from places like Moreh and Tamenglong with a number of deaths.

But what has the authorities done? Maybe theyíve sent a medical team, collect a few blood slides, distribute the mandatory chloroquine Tablets, sprayed a few houses with DDT and finally make a report for their own convenience. One question worth asking here is, has the state malaria officer or the NMEP in-charge visited these places and made a spot inquiry? Isnít it time that we do something worthwhile instead of celebrating countless malaria weeks in the air conditioned comforts of their offices and wasting precious govt. funds?

Fourthly, regarding the recent Bishenpur outbreak, why has it taken so long for the state govt. to give a definite reason for the deaths of so many people? If the deaths were due to Japanese Encephalitis as the honbíle minister stated on the floor of the on-going assembly, what steps has been taken to fight this fatal disease? Has there been definite confirmation of Japanese Encephalitis? If yes, then, is there a plan for vaccination? What about testing and elimination of the natural amplifiers of the disease, the pigs of the locality, not so long ago thousands of pigs were slaughtered and incinerated in south east Asia to control the spread of this disease.

Fifth, HIV and AIDS have truly put our state on the world map. Million of rupees and dollars have been pumped into this state to fight this disease. The reality is there has been only lip service; we have long past passed the stage of shouting about how HIV and AIDS spreads. Donít you think we need to do something more than sponsoring some relativeís music concert/ beauty contest? MACS must do something concrete like providing at least a part of the medication or provide a subsidy on such medication and investigations like CD4 count, viral load etc. to the real sufferers that, People living with HIV and AIDS (PLWHAs).

Sixth, RIMS; oh that hallowed institution! This is a super-speciality hospital in name only, where we donít even have a cardiologist or where even a bump of the head is labeled as head injury and referred to the lone neurosurgeon in the state at JN hospital. Even though RIMS is outside the purview of the state health services the govt. can at least put it in a certain semblance of order.

It is shuddering to think that next time you visit this super speciality hospital (sic) you could be operated on by a novice MBBS with no previous experience in surgery, or your labour could be conducted by a novice posing as a obstetrician or worse still by one of the many trainee nurses. The less said about the emergency services the better, no traumatologist, no emergency OT, specialist on call usually simple MBBS elevated to registrars, no resuscitation apparatus even the basic Ambu bag and laryngoscope, no cardio version apparatus, the list goes on.

This can happen only at RIMS as the authorities there has flouted all MCI rules in trying to accommodate their kith and kin or simply to increase their bulging bank balances or acquire more real estate. No wonder cases of gross negligence, malpractice or simple pure incompetence will rise and lead to huge lawsuits under COPRA.

Seventh, everybody knows that Imphal and the other main towns are thriving with private medical clinics and diagnostic centers. It is no secret that most of the doctors practicing in such clinics are all govt. employed. Some time ago the health minister gave a threat of taking action against such errant doctors, this threat seems rather hollow as the state is not giving the rightful Non practicing allowance (NPA) and they probably are legally on the right side. Why not give them what is rightfully theirs and then contemplate action again the errant doctors?

Eighth, the recent fiasco about the MBBS entrance could have been avoided if the govt. had some foresight. It has presented the govt. in poor light, as it seemed to be weak kneed by buckling down to some vested organisationís threats. The govt. should also look to increase the number of this stateís nominees for MD/MS in RIMS proportionate to the number of nominees in the first year. Why should we get the same number of seats as Nagaland which sends about 14-15 students compared to our 30-35 students? If this happens then we can at least fill in the glut of specialists at the peripheral areas, which I am coming to later.

Ninth, Medical specialists, in neighbouring Mizoram there are specialist posted at least in all the district headquarters and routine/emergency operations like appendicectomy and caesarean section are performed at such places. Compare this scenario with our state, the number of specialists must be no less but seemed to be concentrated in the few square kilometers of the Imphal valley. The govt. should formulate a transfer policy for sending specialist to at least the district headquarters and also provide facilities for them accordingly as for example, what would be the use of a surgeon at Chandel if we could not provide him a basic operation theatre?

Tenth, why do we have to spend precious money and drain this already cash starved state by going for treatment outside the state to even a run down clinic in Gauhati, forget about the Apolloís and AIIMS. This is due to the lack of earnest will of the health care providers inclusive of the policy makers, true there is a dearth of facilities but blaming everything on it is just a lame excuse. Ever wondered what the Downtown clinic at Gauhati has that RIMS does not; itís the will albeit at a price!

I could go on and on, but with this few hard fact and some suggestions. I would like to draw the attention of the people of Manipur to the problems afflicting our state in every sphere and goad our leaders to do something for this beleaguered state.

Thanks,

Abe Irengbam
Imphal


* The writer can be reached at abe_123@rediffmail.com


* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Meira Rally on Patriots' Day #2 :: Gallery
  • ... All The Flowers Gone? #2 :: Gallery
  • Shri Shri Govindaji Temple #1 :: 360 ° View
  • My Japanlan memoir after 4 score yrs
  • Traffic jam and 13th August
  • Manipur District Demand :: Articles / Photos
  • The Law is Mightier Than The Pen
  • Let the law decide
  • ...health insurance scheme for scribes
  • Absurd 1 Village, 1 Denomination decree
  • Singcha Wuya Won (flower) #3:: Gallery
  • Sunday Cup Football @Lamshang :: Gallery
  • Gurmayum Robert wins gold at World Event
  • Loktak Project & corporate unaccountability
  • Supremacy Of The Party :: NPF
  • Binding the wound: The district row
  • Admission Notice - AiTC, Imphal
  • Inner Line Permit (ILP) Demand : Timeline
  • 'Sexuality & Internet' at Digital Summit
  • Zeliang welcomed support from NPF Minority
  • NSU site and undue communal overtones
  • Tripartite Talk: GOI/GOM/UNC :: Gallery
  • Governor's Cup Fencing :: Gallery
  • 13 Aug @Kangla & BT Park :: Gallery
  • Bruce Dickinson: "son-rise" of Iron Maiden
  • Biren should learn from Mamata Banerjee
  • The globe is in your fist
  • AR I-Day festivities with Myanmar army
  • AR celebrates 71st Independence day
  • Unconstitutionality of TR Government
  • Stadium upgrade for I-League
  • NE film festival in Delhi from Aug 18
  • Myanmarese advised to follow traffic rules
  • The human torch and AFSPA
  • The real taste of Independence Day
  • Mission XI football @ Andro :: Gallery
  • Krishna Janma @ Mahabali :: Gallery
  • Blood Donation for 13 August:: Gallery
  • Mahabali Temple , Imphal :: 360 ° View
  • Graphic & plastic arts of Zeliangrong #3
  • Silence :: Poem
  • Sport Univ: Promises kept but corruption?
  • Job requirements at SKY Hospital
  • Jobs @ National Informatics Centre (NIC)
  • I-Day Celebration at BJP State Office
  • Celebrations amid militant boycott call
  • 3 Manipur terrorists arrested in Delhi
  • NSCN/GPRN condemns raid
  • NSCN-K signing hinges on cross-border..
  • Meira Rally on Patriots' Day #1 :: Gallery
  • Patriots' Day @ Kolkata :: Gallery
  • 26th NAMA Convention Report, Houston, TX
  • Forming Plurals in Manipuri Language
  • Mammography and frequently ask question
  • Indo-Naga Talks 2017 :: News Timeline
  • NPF Office Bearers reaffirm support
  • DAN Co-ordination Meeting Resolutions
  • India and China: From rivalry to enmity
  • For better tomorrows
  • Security forces round up NSCN (IM) cadres
  • Survey 'finds' jumbos in Manipur
  • Kirti Chakra for brave major
  • President medal for IPS officer- Robin Hibu
  • 13 August @Hicham Yaichampat :: Gallery
  • Achingliu, Haokhulan, Hiyaichenbi: eMing
  • Patriots' Day @ Hojai, Assam :: Gallery
  • Protest: malpractices of MPSC :: Gallery
  • On MPSC scam & people defending it
  • 126th Patriots' Day observed in Delhi
  • 126th Patriots' Day observed in Hojai
  • Lajong U-12 to represent India in BRICS
  • Learn something from 2015 experience
  • The district creation headache
  • State Thang-Ta Competition :: Gallery
  • Search operation [Aug 12] :: Gallery
  • 13 August Patriots' Day : Read all about it
  • Thangal General : The Patriot
  • Proxy examination and Wrong politics
  • Women should not live in fear ....
  • Summer Thoughts :: Poem
  • NPF Youth serve Ultimatum to Rio
  • A slap on the face of Christianity
  • U-Morok @ Shirarakhong :: Gallery
  • Dangers of 'Trial by Media' & the MPSC
  • Is Culture of insensible activism taking root
  • Meiteilon never been Tibeto-Burman
  • Mechanized threshing of foodgrains #2
  • ZSUB Foundation Day, Fresher's Meeting
  • Sadar Hills District Demand: News Timeline
  • Breaking the barrier
  • Natural Body Building #3 :: Gallery
  • National Handloom Day @ GHY :: Gallery
  • Chirom Indira shine in hearts of NE Weavers
  • Investigate killings as ordered by SC
  • MSTC CMD met with CM of Manipur
  • Conspiracy behind the toppling game
  • Armed groups attack..a human right abuse
  • Drawing Competition at Khengjoi, Chandel
  • Govt firm on protecting indigenous people
  • Suspension of Operation term extended
  • Rs 100 cr allotted to study NE floods
  • Save the indigenous people cry : Valley..
  • A matter need to ponder
  • Earthen wares of Ningthemcha Karong
  • Indigenous Wrestling @ SPT #2 :: Gallery
  • Awunching Biodiversity Park #3 :: 360 ° View
  • XXVIII State Thang-Ta Competition 2017
  • India's HLPF review of SDGs & Manipur
  • Robotics as career options
  • International Day of Indigenous People
  • Rejoinder Issued By Shurhozelie Liezietsu
  • Hard facts of political crisis (Nagaland)
  • Viewing through one's community
  • Darkening shadows of doubt
  • Ziumi village, Maram Landscape:: Gallery
  • Inter School Handball Tournament :: Gallery
  • The Proud Bamboo Tree :: Folk Tale
  • Populated Attitudes :: Poem
  • Marijuana, Mahadev and Maneka
  • Notice for MSc Biochemistry Admissions
  • The Killing Fields :: News Timeline
  • Assam edition of NE India Fashion Week
  • Being different from Cong Govt
  • Cracking down on fraudulence
  • Hanuba-hanubi paan thaba :: Funga Wari
  • ... All The Flowers Gone? #1 :: Gallery
  • Need to bust racket running inside MPSC
  • Will PM Modi betray Assam in No ST, no rest
  • State Level Essay Writing Competition
  • RIST Condolence Function at MU
  • When we stumble and fall
  • Customer Care Executive @ basicP, Imphal
  • Petition for Disqualification of 10 MLAs
  • Cracking down on fraudulence
  • Rape of small newspaper
  • Landscape of Ukhrul District #2:: Gallery
  • Jhulon Nupi Pala Phamsak :: Gallery
  • TR is CM by technicality sans Legality
  • One Day in Heaven :: Poem
  • Libraries Vs Google: Are we heading there
  • ..for electrical distribution rearrangement
  • Lessons to learn from CCpur: public hygiene
  • Angaoba Film Scenes #1 :: eRang
  • Eyek Tamba :: Learn Manipuri script
  • The dawn of cricket in Manipur
  • Lumbini Leikolda Shat-houba Leirang
  • Workshop on MU Reservations held
  • Job posting at C-DAC Silchar
  • Lafikul murdered to stir communal tension
  • Wayward rules of law
  • Indigenous Wrestling @ SPT #1 :: Gallery
  • Tourist Watch Tower, Khongjom #4 :: 360 °
  • Admission for B.Ed at Manipur University
  • The Evening Blues :: Poem
  • A village called Nbena :: Book Review
  • Employment Generating Hands on Skill
  • Unnatural death of Sainik School student
  • Condemns killing of KNO/KNLF leader
  • AR conducts Pre Recruitment Training
  • Makeshift sheds at Lamphel
  • For a clean future generation
  • Mr Maipak Body Building #2:: Gallery
  • CM referring to ST Comm is ultra vires
  • VIP culture out, VVVIP culture in
  • Be an unchained raindrop :: Poem
  • Holistic education : Trends & challenges
  • Jobs - Going Officers Pamjei
  • Providing Various Health Benefit Plans
  • larification to Tokheho's recollections
  • SoO groups in the news for wrong reasons
  • Confession
  • Nongbrang, bank of Thoubal River :: Gallery
  • Pukpha Fest @Tamenglong :: Gallery
  • Binalakshmi Nepram at UN, NYC : 1 Aug
  • Free Computer Course by KEN @ Imphal
  • Where is the justice in mob justice
  • Ishu : Feature Film in Assamese :: Review
  • Flood: State efforts are too little too late
  • Crisis within NPF unfortunate : KG Kenye
  • decision-making body of NPF resolve: 2 Aug
  • NPF Legislature Party Statement : 2 Aug
  • ..honoring martyrs by raising Tri-colour
  • ..strong Opposition: Cong MLA striving hard
  • Battle Of Khongjom & Manipuris in 1891 #3
  • Khongjom War Memorial #2 :: 360 ° View
  • Oops! They've Done It Again!
  • Photography: Career through lenses
  • Mega Marathon Manipur : Download Form
  • Chemical Ecology: Info for college/Univs
  • Jobs - Nursing Aides in Singapore
  • NPF responds to MLAs' demand
  • Overlooking one's own Cabinet decision
  • Potential of our state
  • Drinking joints in a dry State : Liquor tragedy
  • Landscape of Manipur #7: Wallpaper
  • Singcha Wayawon opening #2:: Gallery
  • Meetei bears more tribal characters ...
  • The slumbering Beauty :: Poem
  • Selected to Global Shapers Imphal Hub
  • NPF Legislature Party Meeting on 31st July
  • Indo Myanmar Post Level Meeting at Onzia
  • Notice: Employment Exchange Imphal East
  • The unintended windfall
  • Hepatitis C is upto 95 pc curable
  • Sit-in-Demand : ST Demand Committee
  • Police na maheiroi singda kahenba..
  • Manung Kangjeibung, Kangla :: 360 ° View
  • My visit to Shri Lanka #4
  • 1st Mao Market day @Nagamapal:: Gallery
  • ILP : Students protest [27 July] :: Gallery
  • Shwedagon Pagoda in Yangon #2 :: Gallery
  • Nomination for State Journalist Awards
  • Rare historical stone inscription #1
  • Singcha Wayawon opening #1:: Gallery
  • Huidrom Kirankr- Fellowhsip for Thang-Ta
  • Ethoi Oinam (Actress) #2 :: eRang Photos
  • Echum Lairembi, Khurkhul #3:: Gallery
  • Tapta :: Funga Wari
  • Nungbi Khullen, Ukhrul #1 :: Gallery
  • NH-102 (Maram road) landslide :: Gallery
  • Featured Photo for 2017 #3 :: Gallery
  • Landslide at Jiribam Highway #2 :: Gallery
  • Tribute to Sapam Robinhood #2 :: Gallery
  • Lai Khong Chingba @Thangjing #4
  • Manipur Sangai Festival 2016 #5 : Ooba
  • SPONSORED ADS