Wednesday September 18, 2019

National Cancer Institute at Jhajjar: PMO pushes but ministry delays?

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New Delhi: The Rs 2,035 crore National Cancer Institute (NCI), touted as one of the biggest government-run health projects in the country, has got a nudge from the Prime Minister’s Office (PMO). The project was delayed by almost a year, but the PMO directed that it should be completed before September 2017 deadline. And there lies the catch — a key minister doesn’t have the time for it.

The institute is slated to come up at Jhajjar (Haryana campus) of the All India Institute of Medical Sciences (AIIMS) at about 60 km from Delhi. It will offer tertiary care facilities other than those that are meant for cancer.

However, AIIMS sources say the delays have mainly been because of the inability to hold a meeting of the Institute Body headed by Health Minister JP Nadda to award the tender for the construction work. Such important decisions are taken by the Institute Body that is the apex decision-making panel for AIIMS. The Institute Body also chooses the governing body members. However, after the Narendra Modi government assumed power last May, the new Institute Body has not even been appointed.

After a meeting chaired by principal secretary to the Prime Minister Nripendra Misra, on July 11, 2015, a decision was taken which stated, “The project of NCI should be viewed as a flagship health institute project and the construction should be completed six months before the deadline.” IANS has seen the document.

The meeting was attended by secretary of the union health ministry, the chief secretary of the Haryana government, the AIIMS director, the joint secretary in charge of AIIMS in the health ministry, the AIIMS deputy director (Administration), the chief of the Institute Rotary Cancer Hospital (IRCH) at AIIMS.

A senior health ministry official,  revealed, “The ministry had taken a decision to grant total autonomy to the new AIIMS. Greater powers in terms of administration and financial decisions should be given to the institute bodies. That is why a decision has been taken that the contract for the campus in Jhajjar should be granted by the institute body and not by the ministry. This will give them a sense of empowerment, responsibility and help in expediting the decision making in the long run. The AIIMS Institute Body is all set to be constituted within a fortnight and the contract for the construction will be granted immediately after that by the newly-appointed body. This would make the AIIMS’ project run more efficiently in a particular time frame.”

cancer-390322_640The parliamentary standing committee on health and family welfare, on August 11, had also observed that the development of AIIMS campus-II in Jhajjar, Haryana, was an ambitious project and would require not only massive allocation of funds but also sustained monitoring.

The committee wanted health ministry to ensure that development of the project was executed within the initial estimated project costs and time-frame to avoid any time-overruns and cost escalation.

The cabinet approved the project on December 26, 2013. About 300 acres has been earmarked; out of which 32 acre has been allotted for the National Cancer Institute (NCI), which has been assigned more than 700 beds.

But the question remains whether the project will be accomplished within the targeted date. The proposed date of the start of the project was January 1, 2014, and the duration of the project was 45 months. The target date of completion is September 2017.

“The award of work for the institute block at NCI should have been completed within nine months (September, 2014) of the start of the project (January 1, 2014) and the construction should have started in October, 2014. It’s been more than year-and-a-half now, but still the award of work has not been done. How is it possible to complete the work within the stipulated time-frame,” asked an AIIMS source.

The decision to award the tender to Shapoorji Pallonji & Company Limited was taken in the standing finance committee (SFC) meeting of AIIMS on May 26, but the approval had to come from the highest decision-making bodies of AIIMS. The Institute Body has to convene to constitute the Governing Body of AIIMS. The Institute Body meeting is now likely to take place in October.

“The award of work has been stalled for four months, even if it was decided in the last SFC meeting. The Institute Body meeting which was scheduled on August 6 was cancelled by Health Minister JP Nadda. By doing so, the project is getting delayed further,” the source added.

Reacting to this, the AIIMS deputy director (Administration), V Srinivas said, “Statutory clearances from the Ministry of Environment & Forests, National Board of Wildlife, State Board of Wildlife, Haryana, and the Departments of Town & Country Planning, Fire, Irrigation, Electricity Board, PHED and Labour in the government of Haryana for the National Cancer Institute have been received. All efforts are being made to ensure timely commencement of work and adherence to prescribed timeline.”

The other institutes proposed for the Jhajjar campus are National Cardiovascular Centre, General Purpose Hospital, National Transaction and Training Centre, National Centre for Child Health, Digestive Diseases Centre, National Institute of Geriatrics, Comprehensive Rehabilitation Centre and National Institute of Nursing Research.

(Sidhartha Dutta, IANS)

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US Health Secretary Applauds Uganda’s Efforts to Control Spread of Ebola in East and Central Africa

Since June, Uganda has identified and isolated four Ebola victims who entered the country from the Democratic Republic of Congo

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FILE - Health and Human Services Secretary Alex Azar speaks with reporters after a meeting about vaping with President Donald Trump in the Oval Office of the White House in Washington, Sept. 11, 2019. VOA

U.S. Secretary for Health and Human Services Alex Azar has applauded Uganda’s efforts to control the spread of Ebola in east and central Africa; however, while the U.S. remains the primary funder of Uganda’s health care sector, the secretary did not shy away from asking the East African country to find funds to independently sustain its health care budget. US.

Since June, Uganda has identified and isolated four Ebola victims who entered the country from the Democratic Republic of Congo.

The monitoring has prevented the Ebola epidemic which has killed nearly 2,000 people in eastern Congo from crossing the border.

Secretary Azar is leading a U.S. delegation to Rwanda, the DRC and now Uganda regarding Ebola.

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Relatives of the 5-year-old boy who became Ebola’s first cross-border victim, and others, listen as village leaders and health workers educate them about Ebola, in Kirembo, Uganda, June 15, 2019. VOA

“There’s immense work that has had to be done in bolstering preparedness and response capacities. Screening those crossing the borders and responding to the discovery of cases. Uganda, particularly the Ministry of Health and Minister Aceng have risen to the occasion providing a model for the region,” said Azar.

The U.S. is a major financier of Uganda’s health sector, helping to combat AIDS, tuberculosis, malaria, Ebola and improve maternal and child health care.

In fiscal year 2018, the U.S. provided more than $511 million in health care funding.

Secretary Azar encouraged Uganda to be more self-sustaining.

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“And we have seen tremendous achievement in Uganda in terms of the building up of the public health system and health care infrastructure as a result of that partnership,” Azar said. “Now of course, overtime that needs to be more self-sustained. And that does require that Uganda invest its own resources also in the health care system.”

Ambassador Deborah Malac expressed confidence Uganda is capable of meeting its own health care needs.

“But one cannot expect that the U.S. government will be the donor of choice in this area, you know, in an open-ended future,” said Malac. “So, it really is about building its capacity and ultimately putting ourselves out of the assistance business.”

On Sunday, there were reports from Tanzania that a doctor who was studying in Uganda had died of a viral infection akin to Ebola. The Tanzanian ministry quickly came out and denied the allegations, calling them rumors.

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U.S. Secretary for Health and Human Services Alex Azar has applauded Uganda’s efforts to control the spread of Ebola in east and central Africa. Pixabay

Yonas Tegegn Woldemariam, the World Health Organization representative in Uganda, expressed concern about the situation.

“This mysterious disease has to be investigated and samples have to be tested. We couldn’t rule out any of the viral hemorrhagic fevers and the investigations will continue,” Yonas said. “And we look forward of the Tanzanian government collaborating as per the International health regulations to address this issue.”

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Countries near Congo continue to be on high alert for any new cases of Ebola, with strict adherence to control guidelines set by the WHO. (VOA)