A physician and public health specialist, Dr John Oommen shares insights from more than three decades of building community health among Adivasi peoples, and reflects on why we need to rethink the dominant development paradigm.
Rema NagarajanWonderful insight into community health. A must read!
If you sit in Delhi, you’re prone to ophthalmic disease called ‘capitalitis’, where you’re sitting far away & planning for the country, but don’t really see the country.
Rema NagarajanThe reality of India- "I was a part of a government seminar that studied equity in health and healthcare, and we found that survival and access to care depended largely on four factors: gender, caste or community, economic status, and lastly, location."
Rema NagarajanIncredible story! A must read for doctors. The feeling of becoming the patient and how it alters a doctor's perspective
A surgeon who has amputated thousands of limbs during his career has returned to work after having both of his legs removed.
India News: Almost all hospitals funded by the Centre – including the AIIMS, Delhi, JIPMER, Pondicherry and PGI, Chandigarh— had their outlays slashed in the 2020.
Rema NagarajanAIIMS gets 0.1% hike in allocation. Rest of the central govt hospitals see significant decrease, or an increase of under 0.5%, which doesn't even cover inflation, meaning in real terms their budgets have been cut.
Here's hoping they get more funds later
Kerala will not implement the Centre’s proposal to privatise all district hospitals in the state, said Health Minister KK Shailaja.
Rema NagarajanOne of the best health ministers in India <3 -"Many policies of Central government are against interests of the state. The state is also not getting enough funds from the Centre. Most of new schemes (by Centre) are tailor-made for the north Indian states."
The current government's complaint that it is unable to take good care of the health of the people seems to be another way of saying "we are not committed enough to this objective".
Rema Nagarajan"Today, when India is very wealthy and ostensibly self-confident, ....the state has been reduced to whimpering that it cannot handle healthcare services for its own people – while the colossally poor India of 1947 rose magnificently to the occasion ..."
Rema NagarajanLest we forget what dreams we started off with as a nation. Here is a terrific piece by @kikumbhar on what was promised in healthcare.
And now the most consistent argument of politicians, babus, including NITI Aayog, is-govt cannot do it all on its own.
Seventeen-year-old Pankaj Kumar from Bihar’s Vaishali district died waiting for a bone marrow transplant in AIIMS despite being eligible for assistanc
Rema NagarajanEligible for Ayushman Bharat (AB) AND Rashtriya Arogya Nidhi this 17-yr-old died bcos of bureaucratic apathy in health ministry. Many others died before him due to same red tape- if your name's in AB database, no help under RAN even if treatment not in AB
The government’s comprehensive Multi-Year Plan for 2018-22 details a comprehensive financial plan to fully immunise 26 million children and 30 million pregnant women with life-saving vaccines.
Rema NagarajanOutlining the funding challenges looming before the national immunisation programme. Will we find hugely increased funds needed to purchase? Will we manage to balance funding for purchase with funding for immunisation system strengthening?
As Indians challenge a new citizenship law, doctors are mobilising to organise care for people injured during protests. Anoo Bhuyan reports that many doctors also want to serve as witnesses, and deterrents, to the violence
On the cold night of 20...
Rema NagarajanHow a few good doctors came together to ensure protestors and police had access to timely medical assistance. How even the IMA had to issue a statement regarding how protestors were being denied medical treatment.
The Lucknow unit of the UP Special Task Force recovered 18 ATM cards, multiple sets of fake identity cards, 96 seals of various doctors, 4,500 letter heads of various hospitals, among other things.
Rema Nagarajan"Amit had worked for a health care company as an executive in 2014-15. Amit allegedly started taking help from doctors of private hospitals to make fake bills and used their connections to rope in other doctors for more fake bills, the police said."
Every year, tribals from Madhya Pradesh move to Gujarat in search of a livelihood. But they are returning with silicosis, a disease of the lungs caused by continuous exposure to dust, silica, cement and fine glass particles inhaled while working in...
Rema Nagarajan“Doctors say there is no cure for this disease but still, everyone continues to visit various private doctors. Some sell land and their homes, others their livestock like goats, to fund their treatment. Many have perished .....”
With lower levels of our public health system defunct, tertiary care centres are acutely burdened. Combined with malnutrition and biting cold, many of Indias babies have no chance of survival
Rema NagarajanMore than half of equipment not working. Less than half of required staff available. Yet mortality has been brought down. Imagine how hard doctors and nurses there must have worked to achieve that in a system that failed patients and staff.
India News: Exploding a common misconception in India that patients don’t need to know much about their illness or treatment, a survey done among newly diagnosed .
Rema NagarajanCommon myth-patients don’t want or can't be told of illness treatment
Survey among cancer patients, families shows- 90% of cancer patients, irrespective of religious, socio-economic background, want to know seriousness of illness, treatment, side effects
Employing an electrician or plumber in Delhi for less than Rs 17,000 a month would be illegal, but most private hospitals and nursing homes in Delhi p
Rema NagarajanBiggest pvt hospitals gang up to oppose fair wages for nurses-hire top lawyers
Supreme court to high courts uphold nurses' right to better pay
But govts wont regulate pvt hospitals to ensure nurses get even half the salary of govt nurses
The health camp in parliament was inaugurated on November 20 and goes on till December 4.
Rema NagarajanMany senior docs from top govt hospitals in Delhi like AIIMS taken off regular duties at out-patient department, and made to sit in parliament so MPs can get free health check-ups.
Why don't public facilities improve?
MPs never see or face real condition
India News: 2017-18 data points to inadequacies in coverage of under-5 children despite 90% of all deliveries now happening in institutions
Rema NagarajanFull immunisation coverage is a dismal 60% according to latest NSO survey. Ready to spend money on buying more vaccines for immunisation programme but not ready to invest in health system strengthening to ensures that those vaccines are given?
India Business News: Medical representatives have revealed widespread use of bribes, including foreign trips, microwave ovens, expensive smartphones, jewellery and even wo
Rema NagarajanHardly 10-20% doctors follow the MCI code of ethics, while the rest accept or even demand ‘incentives’ to prescribe products of a company. Pharma circumvent ethics codes by appointing doctors on advisory boards, enlisting for research projects, etc.
A video has emerged from Uttar Pradesh's Sonbhadra that shows a cook of the government's mid-day meal programme mixing a packet of one-litre milk with a bucket of water to feed some 81 students at a local school.
Rema NagarajanOne litre of milk diluted in enough water to give it to 81 students in a school in Sonbhadra district!!!! Uttar Pradesh style nutrition for children.
At least this time the administration is not denying it happened.
India News: Last year, TOI had exposed how candidates scoring single digit, zero and negative marks in the National Eligibility cum Entrance Test (NEET) got admis
Rema NagarajanThough there were less than 61,000 seats available in medical colleges in 2019, ranks of those who have got admission go down all the way up to 8.45 lakh. Even in the open category, ranks as low as 7 lakh-plus have secured admissions.