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An image to haunt Shahbaz Sharif

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A FEW weeks ago, someone shot a video on a smartphone of an old woman stripped of her dignity as she breathed her last, lying on a sheet spread on the cold floor of a Lahore hospital corridor as her daughter pleaded for a bed in the adjacent ward for her dying mother.

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As soon as the video made its way from social media to the TV news channels, the Punjab government sprang into action, suspended the medical superintendent and ordered an inquiry into the horrendous episode. We have yet to hear of the findings of that inquiry.

As we await the inquiry report, one Dawn reader, who has written to this columnist in the past also on an issue of public import, wanted to raise another dimension of the issue. I reproduce below the email of Dr Maryam R. Tarrar, who is an associate professor at Shalamar Medical and Dental College in Lahore:

Public-sector healthcare seems to be slipping below the radar in Punjab.
“Today I wish to write about a tragic incident, the death of an elderly lady in Jinnah Hospital Lahore corridors. She was turned away from two other hospitals of the city before she landed in JHL emergency in the early hours of the morning.

“From there she was shifted to Medical unit 1 where each bed was already occupied by two patients. She was terminally ill and had a woman relative as her attendant. She was unable to secure her shared place on a bed quickly. The on-duty medical staff tried to arrange a bed for her in vain before she breathed her last on the floor of the medical ward corridor.

“Her plight was recorded on a mobile phone and sent to a TV channel and the rest is history. An inquiry was commissioned and before its conclusion the MS [Medical Superintendent] of JHL was suspended, just a month after taking over charge.

“His only crime was heading an institution unable to cope with the increasing influx of patients and yet not being able to refuse admitting a patient. Heads of two other major teaching hospitals cleverly got away by turning away this patient from their doorstep.

“The suspended MS is the fifth head of a health facility in Punjab in as many months who has been scapegoated for the criminal neglect of the healthcare sector by successive governments. I feel that no honest and self-respecting senior medic may accept these risky assignments anymore.” (I have made minor edits for greater clarity and identified Dr Tarrar with her permission.)

This week, two other news stories lead one to believe that while the Punjab government and its key elected functionaries remain preoccupied with high-profile projects such as the Metro Bus and the various coloured commuter train lines, public-sector healthcare seems to be slipping below the radar. This would be tragic as it impacts the most vulnerable in society.

Earlier in the week, there was a story in the press about the scandalous sale of substandard ‘stents’ at extortionate prices to cardiac patients receiving treatment, including angiographies, at the cardiology department of Lahore’s Mayo Hospital.

FIA has been reportedly assigned to investigate the case where these substandard stents were being sold at some medical stores, right outside the Mayo Hospital, where patients’ attendants and carers were allegedly sent by some cardiology department staff members to buy them.

Apart from being substandard and posing more of a threat to the cardiac patients than helping them prolong and lead a better quality of life, these stents were exchanging hands in cases at 10 times the normal price. The harassed and rushed relatives were paying up not knowing the true situation.

Then, as the weekend was approaching, a news story in Dawn about Supreme Court proceedings said the court was informed that at Lahore General Hospital seven out of 17 ventilators were not working. Ventilators are considered essential life-saving equipment. This forced the staff to use ‘ambu bags’ on patients requiring intensive care.

Normally, these bags are used to manually assist a patient’s breathing while he/she is being transported to an accident/emergency department at a designated hospital. There was also mention of dysfunctional ventilators at the children’s ward ICU at the same hospital.

Admittedly, these specific instances may not be representative of the larger picture, but in case they are then an alarming situation is developing in Lahore right under Chief Minister Shahbaz Sharif’s nose and not in some remote, obscure town in the outer reaches of the province.

The chief minister has built an aura of efficiency and delivery around his own self and these instances threaten to explode this image as a myth if not addressed with the urgency it warrants. Many critics will say, if this is the state of play in the Punjab capital, what about places far from the probing eyes of journalists?

The Supreme Court has also heard in the Panama Papers petitions, seeking the disqualification of the prime minister from holding office, of the magnitude of the wealth and the sheer size of the financial transactions of the Sharif family. The sums involved are beyond the imagination of the common voter.

And the voters also know their leaders — whether it is Prime Minister Nawaz Sharif or his brother, the Punjab chief minister, or former president Asif Ali Zardari — all take plane rides out of Pakistan for treatment and even routine medical check-ups at pricey and state-of-the-art medical centres in the UK and US.

Isn’t it about time all our leaders tried to make sure, via adequate budgetary allocation and exemplary governance, that nobody else dies on the floor of a hospital corridor? If images such as the one of the dying woman don’t haunt our leaders, what will? What else will spur them into action?

The writer is a former editor of Dawn.

http://www.dawn.com/news/1309657/an-image-to-haunt-shahbaz-sharif

@Zaki @pk4user @notorious_eagle @Spring Onion @Doordie @SherDil
 
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Health & Education is a must but here in our country connection and power is a must thing to have these privilege. May Allah Bless the Marhoma Ameen
 
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Number of Hospitals in Punjab are very much low for 100m population, Khadam-e-Awla should address the root cause, suspension of officials will not solve the problems.
 
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Corruption is at the root of the issue. No department can even communicate with another department without bribing half a dozen people to move the papers along. This means that delays in funding, and concerns arent relayed to the top.

What we need is a government with an actual detailed healthcare plan, i.e committing to increase number of doctors to 1 per 1,000 people. We also need better urban planning laws so that all medical facilities aren't clustered in one particular area, and instead spread around and located based on how many people they can serve, and how fast they can respond to emergencies.

These are probably the most cost-effective solutions and should prevent doctors going abroad, and stop certain hospitals reguarly being overloaded by patients.
 
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It is the job of Hospital staff to attend people not Shahbaz Sharif , unfortunately he is not worker at hospital
 
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It is the job of Hospital staff to attend people not Shahbaz Sharif , unfortunately he is not worker at hospital
Its their responsibility to arrange beds for hospital . increase number of hospitals . same goes with thar incident.
 
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Well you know , as a minister he is responsible for approving budget and making sure the funding was approved and dispatched.

The running of the hospital where any incident happens is responsibility of the Head of the Hospital , if any case comes up or negligence happens it is he who is responsible for the overall behavior of his staff on duty

Look I am a PTI person I appreciate Imran Khan's opinion about Hospitals and eco system , trees and humanity I really strongly feel it is great policy

However , we can only fix so many things in given amount of time

Present 5 year cycle our aim is
  • Power - to fuel factories and homes, even power for hospitals
  • Infrastructure - for transportation so people can go to jobs earn living
  • Water dams - solves power and saves water for drinking
  • Security - Tackling terrorism (by our military establishment
  • Privitization - for none performing entities
Plus on regional level all provinces are building hospitals and improving things

So we can't just just blame every thing Shabaz Sharif I think we all need to be a bit fair

And I will admit 100% when I saw the story on TV I was quite sad and disppointed in our Hospital status but at same time I do understand the present government is trying their best

Some level of responsibility has to be taken by the ground level staff (Hospital Staff, Head of Hospital, Minister of Health etc )


  • You know it is not possible Humanly to solve all issues or be at all places all the time

  • I strongly feel standardization of Hospitals in Pakistan should be a great goal in upcoming years, together with initiative for Education

  • "May be the short term solution is that we have a volunteer system in country to help analyse the situation in local hospitals at local district level and figure out via private sector how regional problems can be solved by community initiative"

For example if there are lack of beds , well can't we get local carpenter and make some make shift beds by local community involvement untill proper beds arrive ? You know find solutions by own means , at local level !!

If there is shortage of staff in hospitals why can't we have volunteers who donate time to help with simple task at hospital or at clinics

The least / minimum a volunteer can do is ensure there is no one lying on floor some place in hospitals and they are being looked after by a hospital staff and notify necessary workers to urgently attend that case.

Such Volunteer groups operate in all Developed countries, all of it is run by Volunteers workers who do it help out
 
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Corruption is at the root of the issue. No department can even communicate with another department without bribing half a dozen people to move the papers along. This means that delays in funding, and concerns arent relayed to the top.

What we need is a government with an actual detailed healthcare plan, i.e committing to increase number of doctors to 1 per 1,000 people. We also need better urban planning laws so that all medical facilities aren't clustered in one particular area, and instead spread around and located based on how many people they can serve, and how fast they can respond to emergencies.

These are probably the most cost-effective solutions and should prevent doctors going abroad, and stop certain hospitals reguarly being overloaded by patients.
Plainly speaking as someone familiar with how things have been going on in Punjab since PMLN came back, your assessment is wrong.
A parent is a recently retired Dr & myself being a chartered accountant come into contact with people in the financial bureaucracy of the province. Since I'm somewhat cognizant of both aspects, let me put it in simple words,
"The bloody funds for health & education (meager as they are) get diverted on a bloody continuous basis to Khadim e Ala's pet projects. He holds the portfolio for health among others & has what amounts to a veto over Punjab's funds. Many health projects started in previous govts in rural & less developed districts are lying in shambles because funds don't get released for their completion. He bloody announces new med schools but doesn't hire the staff so professors & demo Drs in existing med schools continuously shuttle from their posting to adhoc postings in these new med schools. Same goes for hiring doctors for existing hospitals (man power shortage). The health budget for maintenance even is diverted & his bloody brilliant idea of eliminating self finance seats in public medical colleges deprived them of their own revenue stream which used to help a lot in running these hospitals. He has ruined not only Punjab financially but has also brought the public health system to the brink of collapse while the expenses for his own camp offices & plethora of CM Houses have crossed Rs 100 Billion."
Mujhay samajh nahi aati ye NLeague ko support kernay walay ya jahil hein, ya beghairat haen, ya walad ul haraam hae, ya andhay haen, ya apni behnaen Sharifo k ghar di hui haen, ya ye sub kuch kiya hua hae jo unhein ye nazar nahi aata.
 
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Plainly speaking as someone familiar with how things have been going on in Punjab since PMLN came back, your assessment is wrong.
A parent is a recently retired Dr & myself being a chartered accountant come into contact with people in the financial bureaucracy of the province. Since I'm somewhat cognizant of both aspects, let me put it in simple words,
"The bloody funds for health & education (meager as they are) get diverted on a bloody continuous basis to Khadim e Ala's pet projects. He holds the portfolio for health among others & has what amounts to a veto over Punjab's funds. Many health projects started in previous govts in rural & less developed districts are lying in shambles because funds don't get released for their completion. He bloody announces new med schools but doesn't hire the staff so professors & demo Drs in existing med schools continuously shuttle from their posting to adhoc postings in these new med schools. Same goes for hiring doctors for existing hospitals (man power shortage). The health budget for maintenance even is diverted & his bloody brilliant idea of eliminating self finance seats in public medical colleges deprived them of their own revenue stream which used to help a lot in running these hospitals. He has ruined not only Punjab financially but has also brought the public health system to the brink of collapse while the expenses for his own camp offices & plethora of CM Houses have crossed Rs 100 Billion."
Mujhay samajh nahi aati ye NLeague ko support kernay walay ya jahil hein, ya beghairat haen, ya walad ul haraam hae, ya andhay haen, ya apni behnaen Sharifo k ghar di hui haen, ya ye sub kuch kiya hua hae jo unhein ye nazar nahi aata.

Wow, I didn't realize things were this bad.:o:

thanks for your input, I sincerely hope that Punjab gets better administration or it will simply collapse due to the great number of people and lack of basic services.
 
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Our Chief Minister of Punjab is only interested in projects that provide massive kickbacks and commission.

I propose a radical idea, but there is a method to my madness. We should setup a Commission Fund for Health and Education. This fund will provide commission and kickbacks to Shahbaz Sharif if he fixes and opens schools and hospitals.

Wow, I didn't realize things were this bad.:o:

thanks for your input, I sincerely hope that Punjab gets better administration or it will simply collapse due to the great number of people and lack of basic services.

There is no such thing as Governance in Punjab. It's just simply a one man show.
 
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it is PTI who always backed Young Doctor Association Punjab for petty politics
 
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