Re: Mumbai: J.J Hospital staff demands bribe from HIV+ve patients

[Guest guest]

Re: Mumbai: J.J Hospital staff demands bribe from HIV+ve patients

/message/12441

This is a very serious issue and we have asked MDACS to get it investigated

urgently

 

Dr B.B.Rewari

  MD,FRCP, FICP,FIACM,FIMSA

Sr.Physician,Dr RML Hospital &

National Programme Officer (ART)

National AIDS Control Organisation,

6th Floor, Chandralok Building,

36, Janpath, New Delhi-110001

Tel; 011-23731954, 43509999(O)

Mobile ; 91-9811267610

Fax : 011-23731954,23731746

..

[Guest guest]

Dear AIDS INDIA,

Re: /message/12441

Thanks to Roma Jana for the information. We need people like Roma to come out

and raise these issues.

Vaishali, the PA of Dr. Alka Deshpande is not giving these ART Medicines form

her pocket or from their family fund this is of Government, Allotted for ART

users so how can she collect bribe she should be punished for this.

I know many a times this sort of statement hurts many individual and NGOs.

Recently, I heard one of the SACS senior official is making such statement that

" I Have Given it to you to do the work for the community "

Who is this official to make such statement " I Have Given you the ART " !

No this is not from their personal or family fund this purely Government

provided to the community and NGOs are the implementing agency.

Thanks to Dr. B B Rewari for the orders to conduct the enquiry but this is very

serious.

But i don't know whether it is only in JJ Hospital or in any other hospital is

practicing the same in our country there should be a process to avoid these sort

of practice and statements.

In Solidarity

P.

e-mail: ipachaindia@...

[Guest guest]

Dear Forum,

Re: /message/12441

There are two issues here.

The absence of MO in a center with such a large patient load is something to be

looked into. Getting and keeping an MO for ART center is not a very easy task.In

a country where the number of doctors are much less than optimum this can be

expected, But if it is happening even in the reputed institutions of big

cities. I think NACO should look into the reasons very seriously.

In my opinions the reason are many.

As far as Young graduates are considered:

There is very little exposure to to clinical HIV during the training and the

peer pressure is to get into PG course not to join social service.

The renumeration given is not attractive even for small towns when compared to

the peers. As the work in ART demands lot of learning and physical and mental

involvement of 24 hrs, young graduates will not be able to prepare for PG

entrance exam when they are working in ART centers.

There is no provision for appointing new graduates doing compulsory rural

service in ART centers .Also working in ART does not provide them any advantage

in the future --either in Post graduate selection

or government service.

Also recently the rumors on Integration and possible permanent appointments

also raised some confusions regarding the sustainability of the post.

As far as the senior doctors are concerned , the job of ART MO is

least attractive . Many senior doctors also will find difficult to adjust with

the work culture and environment it demands.

I can prolong the list further to include local factors

and administrative bottle necks.

I Just wanted to say that while investigating this symptom we should not forget

to address the disease and its cause.

Dr Ajith

Thrissur

--

Dr Ajithkumar.K

Asst Professor In Dermatology and Venereology

Medical college Chest Hospital

MG Kav,Trichur, Kerala ,India

Ph 04872333322 (res)

9447226012

e-mail: <ajisudha@...>

[Guest guest]

Dear FORUM,

Re: /message/12441

Why are we surprised about the situation in JJ Hospital? Or for that matter, Dr

Rewari's response? Both are equally ordinary.

Why do we expect that ART centres will function any better than the rest of the

public health delivery system?

 

Is it not common that medical officers are not posted in time? Is it not common

that bribes are expected in these places? It is only in this sense that HIV is

well and truly mainstreamed. No national or state level planning is required for

this.

 

The well-established system of corruption takes this in its stride. Further, 

Given that HIV+ persons being denied treatment is still not unusual, I guess

those in need of treatment must feel grateful for what they get. Isn't this that

PA to HOD (ART), Vaishali was referring to?

Why we expect any better response from NACO? Should we not be glad that NACO has

responded promptly - even if it is the standard one-liner? 

It is sad that JJ Hospital does not have an ART officer since a month. But

should we be surprised?

 

Even the country does not have a full time ART officer.

 

Going by his signature at the bottom of his email, BB Rewari is first the

Sr.Physician, Dr RML Hospital & next the National Programme Officer (ART) at

NACO. Is it another case of double posting?

Sundar

e-mail: <dheenabandhu@...>

 

[Guest guest]

Dear All,

/message/12441

A specially thanks to Roma Jana for rising such issue.

It's realy need to counselling or take proper action on staff of JJ Hospital

which working at 2nd Line ART section.

The attitude of the ART staff frightens PLHAs. PLHA always fear that he/she

refuse them 2nd line ART by JJ Hospitals staff then it will be not good for

his/her economical condition. Due to such condition very few cases are publicaly

presented.

I agree with statment that its need to check that whether it is only at

JJ Hospital or in any other hospital is practicing the same.

Such attitude is ruining the Right to Health.

Manoj Waghmare

PLHA Forum Maharashtra.

e-mail: <waghmare.manoj@...>

[Guest guest]

Dear All,

Re: Mumbai: J.J Hospital staff demands bribe from HIV+ve patients

/message/12443

There is no doubt that we must constantly raise serious matters relating to the

quality of healthcare and access at ART centres. We should now wait to see the

outcome of the enquiry that NACO has ordered very promptly.

Vis-à-vis the issue of an ART officer in NACO, I believe there is a

medical/technical team and in fact Dr. Rewari is full time in-charge of ART

treatment centres.

Hope the problem sorts itself out quickly and PLHIVs are able to once again

access treatment at the ART centre in JJ without harassment.

Leena Menghaney & Shailly Gupta

Medecins Sans Frontieres

Campaign for Access to Essential Medicines

C 236 Defence Colony, New Delhi, India

Tel: +91 11 46573731, +91 11 46573730

leenamenghaney@...

accessindia@...

[Guest guest]

Dear Dr B.B.Rewari

Re: /message/12443

Ref to mail that you wrote 'We are committed to provide quality services to

PLHIV, what quality?

According to Vaishali, ART JJ Hospital mail on thedate 24th January, 2011, that

Unfortunately ART centre has 12000 patients, but the staff sanctioned is

prescribed only for 2000 pts it means 4 times more and without training.

A burnout staff and untrained staff will not provide quality services.

Even after Supreme Court directive providing Universal access to second line ART

is only in four sites (Cities). HIV high prevalent state PLHIV are discriminate

with this second line ART services, just because their state are poor and do not

have the infrastructure, and also due to someone in Delhi wanted to analysis

data for further expansion.

Are they going to analysis how many PLHIV are dying on those high prevalent

states, due to lack of financial resources, how many

PLHIV and their relative from the Village gone to those cities, get lost, and

had a hard time due to langue and city environment?

It high time that we treat every individual equally, not only the PLHIV or Most

At Risk Groups but also the service providers, especially the PE, ORW and

Counselors.

After Government pay revision the uneducated, unskilled fourth grade

staff (Sweeper, peon, etc) are well compensated, therefore I request you to do

the same for your services providers so that they also turn provide quality

service.

Abou Mere

e-mail: <abou_mere@...>

[Guest guest]

Dear Dr. Rewari and the Forum,

Re: /message/12461

There are 3 medical officers working in the ART Center im RIMS General Hospital,

Kadapa of Andhra Pradesh while the cases on treatment are less than 2000.

This is the second time this information is given.It seems it has not comre to

your attention. let it be corrected

get what you are due for..............

Gorla Reddy

E-mail: <drnagireddyart@...>