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Nature’s fury spares none: Both animals and humans continue to suffer in Assam-Bihar floods

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The heavy rains this monsoon have cost dear in several places in India. After the deluge in Mumbai it is Bihar and Assam now. The death toll has reached 97 in both the states. Meghalaya, Mizoram and Arunachal Pradesh have not been spared wither. Lakhs of people have been affected by these floods that have rendered them homeless.

The rivers Brahmaputra and Jinjiram are overflowing while roads, bridges, houses have all been destroyed by the torrential rains. The wild life parks in Assam have also been badly affected and the animals have moved towards highlands.

The wildlife trust has rescued many animals from drowning. A tiger found it’s way to a house and nestled on the bed where it is seen resting after being tranquilized by the vet of the Wildlife trust. Their tweet has caught everyone’s attention and is doing rounds on the social media.

The administrations in these states have sent rescue boats and provided relief camps for the people where they are being provided medical help and other requirements.

However there is still much that needs to be done but according to many people on the social media the situation of Assam and Bihar especially has not been given its due attention.

Many people have tweeted and posted messages on the social media expressing sympathy and pain at the plight of the people but few have come forward to help; while many have been asking why is there no help to Assam? When Kerala was flooded Assam had provided relief fund.

Sprinter Hima Das, who hails from Dhing town in Assam state has appealed for help from corporates and also for funds from the CM relief fund.

Hindi film actor Akshay kumar has donated 2 crores for both the kaziranga park and the people of Assam, while other actors have shared their grief and urged their fans to support the refugees.

Popular front of India cadres have personally gone to the people to reach out and distribute food and water.

Here are a few places where you can donate for both Assam and Bihar:

1. Uday foundation in New Delhi
https://www.udayfoundation.org/donate-for-assam-and-bihar-flood-relief-2019/

2. Goonj Foundation, Delhi
https://goonj.org/assam-bihar-floods/

3. For those living out of India : Global giving foundation:
https://www.globalgiving.org/projects/floods-in-assam-and-bihar-2019/donate/

4. Chief Minister’s relief fund for respective states.

You can make online donation from credit and debit card networks like Visa, Mastercard, American Express and RuPay or Net Banking (50+ Options), Payment Wallet, UPI or NEFT/RTGS/IMPS.

And those living in Delhi can even donate clothes, utensils, toiletaries, medicines and other things.

Courtesy: Two Circle

Writers express support for S Raghunandana

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Acclaimed Kannada theatre artist, playwright and poet S Raghunandana has refused to accept the Sangeet Natak Akademi award conferred on him. The awards for 2018 were announced on 17 July. In a statement released after the announcement of the awards, Raghunandana cited the rampant mob lynchings and “violence in the name of God and religion” and held the “powers-that-be” directly or indirectly responsible. 


Image courtesy Youtube screen grab / Muraleedhara Upadhya

“The Sangeet Natak Akademi is an autonomous institution and has been, on the whole, upholding its principles of autonomy throughout the years,” said the Bangalore-based playwright. Raghunandana says that his refusal to accept the award is not a protest, but comes out of despair, “a helpless inability to accept the award”.

His statement describes the hounding, persecution and charges of sedition people like Kanhaiya Kumar ⁠— someone who could shape the future of the country for the better — have faced. “Others – intellectuals and social activists – are facing trial under UAPA. Most of them have not even got bail and are spending time in prison. These are people who have always stood up for the most exploited and downtrodden of our country and everywhere else. They have argued on behalf of the exploited in the courts, have written books and articles about their suffering, have guided them to fight non-violently, have always followed the tenets prescribed by the Constitution of India, and have upheld its spirit and values. They have waged their righteous struggle with not a thought for themselves. Yet they are in prison.”

He holds the “rulers” responsible and says that they have throttled “the voices of these conscientious intellectuals and activists” who speak up for the poor and the powerless. “I cannot, as a theatre artist, poet and playwright, accept this award when such injustice is being done to these dharmamargis in my country, in the name of my country.”

In 2015, writers and intellectuals from across the country returned their awards in protest against the growing intolerance in the country, after the murder of MM Kalburgi and the lynching of Mohammed Akhlaq. Writer Nayantara Sahgal was one of the first to return her Sahitya Akademi Award. Speaking to the Indian Cultural Forum, Sahgal said, “Every Indian of conscience will salute Raghunandana and support his powerful statement refusing the Sangeet Natak Akademi award in circumstances where hatred is being spread over India, horrors such as mob lynching are being freely enacted before our eyes, and dedicated activists who have spent lifetimes serving the poor and powerless are being criminalised.”

Hindi poet Mangalesh Dabral, who also returned his Akademi award in 2015, said: “I thank and greet Raghunandana for joining the group — ‘gang’, according to the Sangh Parivaar — of writers, filmmakers and theatre persons who had returned their State awards in protest against the fast increasing intolerance, violence and utter disdain for intellectuals in our society, tacitly supported or even engineered by the ruling dispensations in various states and at the centre. The most recent instance of this is the filing of FIR against ten young poets from Assam who have expressed their anguish over the arbitrary implementation of National Register of Citizenship. I can very well understand the pain Raghunandana might have felt and stand in solidarity with him.”

Theatre artist Maya Krishna Rao said: “After the first wave of some of us artists and writers who, in 2015, returned their Akademi awards, it is heartening to see the spirit being carried forward of holding to account a sectarian and divisive dispensation. News of Raghunandan’s refusal to accept the Sangeet Natak Akademi award this year will raise the morale of all of us who believe that artists should stand together with those who resist the forces that foster hate crimes and promote divisiveness in society. Raghunandan’s act is proof that dissent is alive and will not be crushed.”

Writers K Satchidanandan, Keki Daruwalla, Ganesh Devy, Ashok Vajpeyi, Nayantara Sahgal and Githa Hariharan, issued a statement on behalf of the Indian Writers Forum:


 Since 2015, writers and artists have protested against the culture of intolerance and hatred promoted by the present rulers of India. This tide of protest continues. In the most recent act of protest, theatre artist Raghunandana has refused to accept the Sangeet Natak Akademi Award. His open letter to the Akademi describes the acts of violence, abuse and vengeance that he is protesting against: lynchings by gaurakshaks; the abuse of dalits, Muslims and women; the vicious propaganda against intellectuals and the hounding of activists; and the further erosion of educational and public institutions since the general elections of 2019. 

We salute theatre artist Raghunandana and express our solidarity with his decision. We also call on more writers and artists to protest against the hate politics ruining our democratic polity and challenging our constitutional rights.

Indian Writers Forum 

Courtesy: Indian Cultural Forum

Overburdened Docs, Ill-equipped Hospitals: Chronic Disorder Continues to Grip Public Health

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“Even in the biggest government hospitals, you will see 3-4 patients sharing one bed in the general wards. And if this is the situation here, who knows what is going on in other parts of the country?”

public health india
 

In the out-patient department (OPD) of a central government hospital in the national capital, queues start forming from as early as 6 am in front of the registration counter that opens about two and a half hours later. When the counter opens, the patients are handed computer-generated tokens that lead them to more queues in front of the glass windows before they’re assigned a doctor. This waiting period, however, does not end here. After being handed over a piece of paper with the name of the hospital on the letterhead – that will by the end of the day become their prescription – the patients disperse to navigate their way across different floors of the building to find the doctors. 

Though the building is newly constructed, its shiny exterior fails to eclipse the situation inside where hundreds of patients wait cramped in dimly-lit halls outside the rooms assigned to their doctors. On a busy day, which is almost every day at this hospital, a patient who had joined the queue at six in the morning would have spent about six hours navigating a labyrinth before they can finally get a consultation. And this patient will be fortunate if they are not prescribed any tests, because for that, the waiting period can be anywhere between 4 to 12 weeks.

If this is the situation in a hospital in the capital with state-of-the-art infrastructure and facilities, it makes one wonder what could the condition be in the other parts of the country. The government hospitals are the fundamental bricks of the tertiary healthcare. The failing primary and secondary healthcare system in both rural and urban areas of the country push the public-funded healthcare-dependent patients towards the hospitals for even the most basic health problems – ones that can be taken care of in dispensaries, sub-centres, primary health centres (PHCs), and community health centres (CHCs). This leads to overburdening of the government hospitals which are already underequipped.

Following a question raised in Lok Sabha about the shortage of the doctors in government hospitals on June 21, 2019, the Minister of State for Health and Family Welfare Ashwini Kumar Choubey said in a written answer: “Shortage of doctors including specialist doctors and other paramedical staff in public health facilities particularly in rural areas of the country varies from State to State depending upon State’s/UT’s policies and context..”

Interestingly, Choubey has answered along the same lines every time he has been questioned about the National Health Mission (NHM) or National Rural Health Mission (NRHM) – saying that the implementation of the scheme is under the jurisdiction of the states and UTs. This might lead one to the conclusion that the Centre is not too keen on bearing the responsibility for the maintenance of the public-funded healthcare system in the country.

According to the Statistical Yearbook India 2018, published by the Ministry of Statistics and Programme Implementation, the total number of government hospitals in India is 14,379. The reference period for this number is December 31, 2014 to December 31, 2017. However, the National Health Profile (NHP) 2018, released by the Central Bureau of Health Intelligence says that the number of government hospitals is 23,582 for a similar reference period. This is also the number that has been quoted time and again by several ministers since the release of NHP.

However, there is one small problem with the data presented by the NHP – an easy-to-miss footnote under the table informs the reader that for 15 states and one union territory, the number of PHCs have been included in the number of hospitals in the state. This makes one wonder, why are the health centres that form the backbone of primary healthcare system being counted by the government as hospitals?
As per the data presented in the Statistical Yearbook, in the 14,379 government hospitals across the country, the total number of beds is 6,34,879. For the same reference period, the number of government allopathic doctors is 1,13,328. 
 

Average population per govt. hospital105065
Average population per govt. hospital bed1809.8
Average population per govt. allopathic doctor9085.9
 

Projected population is taken from Report of the Technical Group on Population Projections May 2006, National Commission on Population, Registrar General of India

According to Jan Swasthya Abhiyan, a movement working to achieve the goal of ‘health for all’, even though these numbers look quite alright, they do not paint a clear picture of the public-funded healthcare system in the country. There is a saturation of doctors in the urban and more accessible areas of the country, while most posts in the hospitals in the rural and remote areas remain vacant. Choubey had said in Lok Sabha: “The State-wise details of the number of posts of doctors lying vacant in the country is not maintained centrally.”

However, one can infer from the data given in the Statistical Yearbook 2018 that while in certain states, the amount of population per government hospital bed and the amount of population per government allopathic doctor is above average, in a huge number of states, the numbers are not even close to the average. 

In 14 out of the 29 states across the country and one UT, the population per government hospital bed is more than the average. The situation is the worst in Bihar, where one bed serves 8645.31 people, which is 377.69% more than the average across the country. Bihar is followed by Andhra Pradesh, Uttar Pradesh, Haryana, and Jharkhand.
 

StatePopulation per
  govt. hospital bed
Bihar8645.3
Andhra Pradesh3818.9
Uttar Pradesh3694.5
Haryana3660.9
Jharkhand3078.9

The states with smaller populations and union territories are doing better in this area, and among the bigger states, Arunachal Pradesh, Himachal Pradesh, and Kerala are doing well when compared to other states, with each bed serving 573.71, 758.24, and 938.77 people, respectively. Delhi also ranks quite high on the list, with one hospital bed available for every 824 people. 

The same is the case for the availability of doctors. While the number of people being served by each doctor is way better than the average for some states, the scarcity in other states shrouds that. In 15 out of the 29 states and one UT, the population per government allopathic doctor is more than the country’s average. Bihar is again the worst performer, followed by Uttar Pradesh, Jharkhand, Madhya Pradesh, and Andhra Pradesh. In Bihar, the population served by one government allopathic doctor is 29057.05, which is 219.8% more than the average across the country.
 

StatePopulation per
  govt. allopathic doctor
Bihar29,057.05
Uttar Pradesh20,594.10
Jharkhand18,518.13
Madhya Pradesh18,466.07
Andhra Pradesh17,278.26

Once again, the situation is better in the smaller states and union territories. Among the larger states, Arunachal Pradesh, Himachal, and Kerala again lie higher up on the list, with population per doctor being 3174.64, 4713.91, and 6809.89 respectively. The national capital ranks second on the list, with one government doctor available for every 2202.83.

However, this data still does not give us a clear picture of the conditions in the government hospitals across the country. A doctor working in one of the biggest central government hospitals in the capital told NewsClick on the condition of anonymity, “In private hospitals, they keep the patients admitted for as long as they can, to maximise their earnings. In our hospitals, we are forced to send the patients as soon as their lives are out of danger, so that the beds can be given to more patients. Even in the biggest government hospitals, you will see 3-4 patients sharing one bed in the general wards. And if this is the situation here, who knows what is going on in other parts of the country?”

Courtesy: News Click