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| Healthcare in rural JK goes to dogs | | Docs battle huge rush of patients | | Ishtiyaq Ahmad
Early Times Report
Srinagar, Mar 26: The quality of healthcare in most of the rural hospitals across J&K is very poor due to huge rush of patients.
One of the officials in the Health department told Early Times that the situation in rural health centres and district hospitals has reached a 'bleeding' point. "Go to any hospital in rural Kashmir, there is a beeline of people.
The demand and provision of services has increased over the years, but due to shortage of doctors, the quality of services is bound to suffer," said the official.
Sources said the prevailing scenario vis-à-vis availability of doctors could be gauged from the figures which reveal that the doctor-patient ratio in Jammu Kashmir is 1:1880 against the recommendations of the World Health Organization (WHO) of 1:1000.
"Most of the district hospitals have become referral hospitals, while the Government Medical Colleges and their associated hospitals have been flooded with patients from other districts and the hospitals' administration is facing extreme hardships in providing better healthcare facilities to all the patients," sources said.
They said the situation is worst in the hospitals at some district headquarters both in Jammu and Kashmir provinces and in remote areas where vacancies of doctors are around 50%.
"Every time when the issue of shortage of manpower is raised at any forum, the ball is put in the court of recruiting agencies-Public Services Commission and Jammu and Kashmir Services Selection Board. But no serious efforts were ever made to exert pressure on these recruiting agencies to expedite the recruitment process so that real objective and vision of the Health and Medical Education Department is achieved", sources remarked.
On the other hand sources said that despite several benefits, doctors don't want to go to the rural areas because of various reasons. "They don't get good facilities for their families such as education and ease of living as they get in urban cities," said a senior Health department official.
"We are trying our level best to move doctors to rural areas because these areas too require good healthcare services."
According to official data, in 2015-16, 1.2 crore out patients were examined in hospitals of rural Kashmir.
The number is twice the OPD load in rural Kashmir in 2010-11. However, there has been no substantial allocation of additional human resources to cater to this load, the official said.
One of the top officials of Health department told Early Times that the requirement for additional human resource in rural areas had been proposed to government and that they were hopeful that more posts of doctors for rural hospitals would be sanctioned. "We have support from other schemes and programs but if we want to continue delivery of healthcare and services we would definitely need more doctors," he said.
One of the doctors said that the subsequent governments have failed to fix the ailing health sector - the brunt of which is being primarily faced by the people in rural areas. "From news reports, you will come to know about fights between medicos and attendants over petty issues in the rural hospitals every third day which is an indication of the fact that doctors are not able to provide desired care to all the patients, but who cares?" said the doctor wishing anonymity.
The doctors said that the theory and practice in rural hospitals of Kashmir is this: if the doctor is female, then the place for her is the maternity ward.
"Hundreds of female doctors, whatever be their qualification and specialty, are being made to handle cases that properly need a gynecologist or obstetrician to attend to," they maintained. |
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