Thursday December 14, 2017
Home Life Style Health & Fitness Delhi’s crumb...

Delhi’s crumbling healthcare system: How AAP could improve it

0
82

With the crowning of Aam Aadmi Party’s government in Delhi, there is a renewed interest in public as to how the party will bring about better governance and public good. After all, the expectations are high as Delhi voters catapulted the activist party into power with whopping 67 out of 70 seats, forcing Arvind Kejriwal to admit that it was a ‘scary mandate’!

Healthcare is an integral component of the functioning of a society. Good health indices reflect the vigour and plethora of a society. Delhi is the capital of India and enjoys the status of a partial state: it is a union territory, but at the same time, has an elected legislative assembly. Thus, its administrative system is a mixed one, with some of the key portfolios lying with the Center. Spread over a tiny area of 1483 square KM, Delhi’s vast population of 1.7 crore makes it the most densely populated (population density more than 11,000 per square KM) area in India. This poses challenges in all areas, including healthcare delivery system.

In addition to a thriving private health sector, the health care services in Delhi are provided by central government and state government. Central governmental agencies like Ministry of Health and Family Welfare, ESI, CGHS (Central Government Health Scheme), and Railways operate hospitals and dispensaries. At the state level, the Health Ministry of National Capital Territory (NCT) of Delhi is a major player. The state government typically spends about 10 % of its 40 thousand crore annual budget on healthcare. It runs 39 hospitals and about 300 allopathic dispensaries. In addition, the state health department also runs mobile dispensaries, school health scheme, Centralized Accident and Trauma Services (CATS) and its AYUSH department administers Ayurveda,Unani and Homeopathic dispensaries and hospitals. The department is also responsible for executing several public health programs.

At the national level, government of India spends a measly 4 % of its budget on health. Given that, Delhi’s 10 % looks healthier, but it still leaves a lot to be desired. Given Delhi’s burgeoning population, large clusters of slums (50 lakh population), the healthcare system remains over whelmed. Visit any hospital in Delhi and you will see lack of resources, overcrowding, and lack of cleanliness. Poor political will, bureaucratic apathy and inertia have contributed to the sorry state of affairs. Many of the rural healthcare facilities are dysfunctional and aburden on the state exchequer because of the gross under- utilization.

heartbeat-163709_1280

Delhi’s crumbling health care system needs overhaul and some out of the box ideas. While, increasing budgetary spending on health will definitely help, there could be several other ways to meet the need. Affordable primary healthcare access is a major challenge for poor and middle class people in Delhi. 300 odd allopathic dispensaries and 9 Primary Urban Health Centers (PUHCs) are clearly inadequate to meet the demand.  There is an immediate need to broadenprimary health access points. Rather than opening up more dispensaries (thus, opening more avenues for leakage, corruption and inefficiency), we should look at alternative solutions. The existing government dispensaries can act as poly-clinics wherecredentialed private doctors can be allowed to come and provide healthcare at the affordable pre-determined prices or they can be reimbursed by the government on the basis of volume of patients seen. Similarly, it may be prudent to open up large numbers of government-approved primary level clinics owned/maintained and operated by independent healthcare providers. The patients can avail the health care from such avenues and the government would reimburse the bills to the doctors.

pills-384846_1280

The concept of electronic record keeping and biometrics-a common usage in western world- is non –existent in Delhi health system. An investment on this front will bring down the costs in long term and bring traction in the system.

Unfortunately, the governmental systems in India are known for poor quality of services, sluggish pace, an attitude of indifference and inefficiency. Random checks by health ministerand officials and improved oversight will surely bring more efficiency in the system.

Increasing bed capacity in Delhi hospitals is badly needed. Can we re-examinethe existing infrastructure and add more beds rather than necessarily opening up new hospitals? The private medical sector is an important asset for Indian healthcare delivery system. Delhi health ministry should have a collaborative approach towards private sector which will result in better coordination, and less malpractice. If the government acts as a facilitator, there will be an incentive for private medical sector to expand bringing down costs and better services. Similarly, since AAP claims to be a doer and believes in beefing up systems, corporate social responsibility (CSR) is one area, where a pro-active health minister can bring in a lot of money. Delhi can also be developed as a hub of medical tourism. If we reflect upon why Thailand took over us in this field, answers would be apparent!

Last but not the least; increased focus on preventive aspect of healthcare will yield better result. More spending on maternal and child health (MCH)and senior citizens is needed.

In a recent survey done by Arcadis, a Dutch design group, on most sustainable cities, Delhi comes at poor 49th out of a list of 50. The parameters like health indices, income equality, amount of green space, level of sanitation, business environment and GDP were taken into consideration into this survey.  Frankfurt and London occupy the top two spots, Chicago standing at 19th position. The road to a better Delhi is not easy, but an integrated approach will alleviate some of the problems.

 

A MKThe author is a a practicing Neonatologist in Chicago. This op-ed is an exclusive article in his series Musings from Chicago. You can reach out to him at e-mail ID: pedia333@gmail.com and on Twitter @drMunishRaizada.

Next Story

Dogfight in Aam Aadmi Party : The audio clip of Kumar Vishwas reveals the party is no longer for principles but for personal aspirations

Arvind Kejriwal's Aam Aadmi Party seems to be more engaged in dogfight rather than developmental politics. The new audio clip of Kumar Vishwas reveals discontentment within senior leaders of AAP

1
177
  • The abusive audio clip of Kumar Vishwas surfaces hinting at split in Aam Aadmi Party

  • Aam Aadmi Party which claimed to bring clean politics is no longer working on principles, its an ongoing dogfight between unsatisfied political aspirants

Just few days back, Arvind Kejriwal’s Aam Aadmi Party was slapped with Rs. 30 crores Income Tax notice. The party which claimed to revive clean politics was itself found dirty. The Income Tax notice cited that the Aam Aadmi Party had not disclosed income worth Rs 13.16 crore. According to the IT Department, the money received as donations in its bank account was not recorded in the books of accounts. Today an audio clip of Kumar Vishwas surfaced hinting at rift within the party.

Last year, Chanda Bandh Satyagraha (www.nolistnodonation.com) led by Dr. Munish Raizada was initiated against Aam Aadmi Party’s backtracking on financial transparency which gathered a huge amount of support from section of Aam Aadmi Party who were not ready to compromise on principles. But anyone who raised questions against Arvind Kejriwal’s dubious stance on donation transparency were sidelined from the party.

Aam aadmi Party Illegal Donations
Chanda Bandh Satyagrah led by Dr. Munish Kumar Raizada against dubious donations of Aam Aadmi Party

The leaked audio clip of Kumar Vishwas suggests that individual ambitions are derailing the Aam Aadmi Party, risking the public’s confidence. What issues dominate the AAP? The party members no longer seem to have any aspiration for developmental politics, they are rather engaged in dogfight for power and position. Unmet with expectations, many of the founding members of party like Yogendra Yadav are no more with the AAP today. It certainly affects prospects for party expansion. People supported AAP because it offered hope of a wider democratic platform, giving ordinary Indians a political voice. But it now seems that Aam Aadmi Party is just a bunch of opportunists trying to grab political space for their own development through corruption and dubious political donations.

Follow NewsGram on Facebook : NewsGram.com

Since its inception, Aam Aadmi Party has been indulged in all those things it promised to stood against of. AAP has failed to deliver what it promised. The list of scams by Aam Aadmi Party is endless. From Thali scam where total food bill of 80 guests amounted to Rs 11, 04,357 costing Rs 12,000 to Rs 16,000 per plate to 400 crore Delhi water tanker scam, AAP has crushed the expectations of people who were hoping for an honest political party. Arvind Kejriwal’s government spent a large chunk of taxpayer’s money for party advertisement. The advertisements were found to be in violation of the Supreme Court guidelines.Transport Minister of Delhi Gopal Rai from Aam Aadmi Party is involved in scam worth crores of rupees in Auto Rickshaw Permit scam. Sacked Delhi minister Kapil Mishra alleged that he witnessed Satyendar Jain giving Rs 2 crore in cash to the party chief Arvind Kejriwal. The list can go on, but the serious question here is the credibility of Aam Aadmi Party. The audio clip of Kumar Vishwas hints at rift within the party, this explains well why Delhi is suffering under bad governance, the key members of party are indulged in back bitching and score setting.

– by SHAURYA RITWIK, Shaurya is Sub-Editor at NewsGram and writes on Geo-politcs, Culture, Indology and Business. Twitter Handle – @shauryaritwik

Next Story

Delhi government’s liquor license scam exposed

AAP has turned Delhi into liquor den.

0
54
Delhi government's liquor license scam exposed
Arvind Kejriwaal,Delhi CM.Flickr
 • Illegal liquor licenses granted in shopping malls
 
• Swaraj India protests against illegal vends at Cross River Mall
 
• Illegal vends have turned the mall into a liquor den
 
• Liquor license scam, a perfect example of unholy collusion between AAP & BJP
 
• Arvind Kejriwal, who came to power on the promise of making Delhi addiction free, has today become the Badal of Delhi and Manish Sisodia another Majithia.
New Delhi, Nov 5: Newly formed political party, the Swaraj India has exposed a major scandal in the distribution of liquor licenses by the Delhi government. Party’s Chief National Spokesperson and Delhi State President, Anupam, said that the Delhi government is illegally distributing L10 category liquor licenses enabling dealers to open vends in shopping malls of the city.
The Delhi government offers licenses in the L-10 category to liquor vends in shopping malls of the city. Definition of shops operating from within a mall is clearly stated in the law and the rule mandates that all shops operating from within a mall should be opening up within the building only and cannot have an entrance towards the exterior side of the mall. But Delhi government and the mall management have created these liquor shops against the approved map of the mall. Every week, the Excise officials of Delhi Government are supposed to inspect liquor vends existing in the city, but not a single objection has been raised against these vends that are blatantly violating rules every single day.
And this has resulted in around a dozen liquor vends springing up in just the ground floor of the Cross River Mall. This has turned the shopping mall into a den of liquor vends leaving people living in nearby residential areas helpless. Neither the Delhi government nor the MCD and nor the Delhi police are even taking note of this broad daylight scam. “Is this not a direct sign that all the levels of the government and administration are complicit in letting this illegal trade grow?” Anupam asked.
Everyone in Delhi is well aware of how the employees of MCD don’t lose a moment to demand their share when any construction work begins anywhere. But when illegal constructions are done at such a large scale in a big mall, the MCD doesn’t even blink an eye.
Cross River mall is located in an area from where the Councillor, the MLA as well as the MP are from the BJP. The illegal license is being granted by AAP led Delhi government. It is surprising to see such a harmonious blend between the Aam Aadmi Party and BJP. Promoting liquor trade in Delhi seems to be such a profitable business for both the BJP as well as the AAP that it has brought together the two parties that are otherwise always at loggerheads. Are the black transactions involved in such liquor business the real reason why not a single question has yet been raised by anyone or any party?
Earlier in the last, the Delhi government has eased rules for granting the license to new liquor vends by reducing the minimum carpet area required from 1000 to 500 square feet. And now, in clear dereliction of rules, even vends are being run in the shopping malls.
 On Sunday, Swaraj India’s Mahila Swaraj Morcha protested against the numerous liquor vends in Cross River Mall of Delhi and demanded that the liquor shops be closed down. And in this mall in Shahdara, around a dozen liquor shops have been opened up by granting illegal licenses of the L10 category. And outside this mall, that has been turned into a den of liquor vends, a crowd of drunkards creating an atmosphere of hooliganism has become a daily affair. There has been a continuous increase in crime in the drunken state, where eve-teasing & snatching have become a regular affair.
Sarvesh Verma, President of the party’s Mahila Morcha, said that Arvind Kejriwal who rode to power on the promise of making Delhi an addiction-free city has today become the Badal of Delhi with Sisodia as another Majithia.
Anupam said that though the Delhi government’s anti-women policies will result in the promotion of alcohol addiction but Swaraj India will not let these nefarious plans succeed. The party has earlier as well launched mass agitations against the granting of liquor licenses in residential areas of Delhi, because of which the Delhi government was compelled to announce a ban on the distribution of new licenses. If the government does not immediately order an investigation into the illegal L10 vends and stop this unholy collusion, the Mahila Swaraj Morcha of Swaraj India will take this agitation ahead for the betterment of Delhi.

Next Story

Anti-Punjab Conspiracy: Apologise to Punjabis for Branding them as Drug Addicts, Demands Akali Dal to Rahul Gandhi, Arvind Kejriwal

A survey by PGIMER had revealed that drugs abuse in Punjab was just around one per cent of the 2.8 crore population in the state

0
50
Punjab
Sukhbir Singh Badal, President of Akali Dal in Punjab. Wikimedia

Chandigarh, Sep 11, 2017: Punjab’s opposition Akali Dal on Sunday said that latest findings of PGIMER survey listing drug addiction in the state at less than a per cent had yet again nailed the “anti-Punjab conspiracy” of Congress Vice President Rahul Gandhi and AAP chief Arvind Kejriwal and demanded they apologise to the people.

“The latest comprehensive survey which was carried out in all 22 districts as well as 22 villages in each district, had exposed the anti-Punjab conspiracy of Rahul Gandhi and his team as well as that of AAP leader Arvind Kejriwal,” SAD President Sukhbir Singh Badal said in a statement here.

“Both leaders and their parties should now tell Punjabis why they branded them as drug addicts and tender an unconditional apology to the people of the state.”

Claiming that the “entire conspiracy was hatched to counter the development narrative of the previous SAD-BJP government”, Badal said though the Congress had succeeded in its goal of achieving power in Punjab, it had caused incalculable damage to its people and its economy.

“Both Congress and AAP played with the lives of the youth and made them virtually unhireable. The image distortion also dented the image of Punjab and Punjabis worldwide,” he said.

Highlighting Rahul Gandhi’s “nefarious role in this sordid chapter of Punjab politics”, Badal said he was “definitely the villain-in-chief”.

“Rahul uttered an utter lie to reap political mileage for his flagging party by claiming in October 2012 at a NSUI function in Chandigarh that 70 per cent of the state’s youth were drug addicts.

“This despite the fact that he knew well that he was reading out a sample survey of drug addicts of which youth formed a big share,” he said.

“During the Punjab assembly campaign this year, he insisted he was speaking the truth and even had the gall to ask Punjabis to admit they were drug addicts. Such behaviour coming from the chosen scion of the Gandhi dynasty is shameful,” he added.

A survey done by a team of doctors and researchers of the Postgraduate Institute of Medical Education and Research had revealed that drugs abuse in Punjab was just around one per cent of the 2.8 crore population in the state.

Badal said that Aam Aadmi Party leader Kejriwal and “his gang of outsiders had also tried to doom the future of the youth by claiming 40 lakh youth were drug addicts”.

“The PGIMER report puts the entire number of addicts in the state at 2.7 lakh. Other reports, included that conducted by AIIMS, had come out with even lower figures than this,” he added.

A detailed survey by the All India Institute of Medical Sciences in Delhi had put the drug addiction at 0.84 per cent.

“The Punjab government also got a dope test conducted on 3.76 lakh youth who presented themselves for police recruitment. The test, which was conducted by the Baba Farid Health Sciences University, saw only 1.27 per cent candidates testing positive,” Badal said, citing a survey done during the Akali government last year. (IANS)