The coronavirus disease (COVID-19) pandemic has quickly spread to various countries | UPSC 2021, 20 Marks

Q10. कोरोनावायरस रोग (कोविड-19) महामारी तेजी से विभिन्न देशों में फैली है। 8 मई, 2020 तक भारत में कोरोना के 56342 पॉजिटिव मामले सामने आए थे। भारत को, जिसकी जनसंख्या 1.35 बिलियन से अधिक है, जनसंख्या में कोरोनावायरस के संचरण को नियंत्रित करने में कठिनाई आई थी। इस प्रकोप से निपटने के लिए कई रणनीतियाँ आवश्यक हो गई थी। भारत के स्वास्थ्य और परिवार कल्याण मंत्रालय ने इस प्रकोप के बारे में जागरूकता बढ़ाई और कोविड-19 के प्रसार को नियंत्रित करने के लिए सभी आवश्यक कार्वाईयाँ कीं। भारत सरकार ने वायरस के संचरण को कम करने के लिए पूरे देश में 55 दिनों का लॉकडाउन लागू किया। स्कूल और कॉलेज में शिक्षण-सीखना-मूल्यांकन और प्रमाणीकरण के वैकल्पिक तरीके सामने आए। इन दिनों ऑनलाइन मोड लोकप्रिय हो गया।
भारत इस तरह के संकटपूर्ण अचानक हुए हमले के लिए तैयार नहीं था क्योंकि मानव संसाधन, धन और ऐसी स्थिति में देखभाल करने के लिए बुनियादी ढाँचे के रूप में अन्य सुविधाओं की कमी थी। इस बीमारी ने एक तरफ तो जाति, पंथ, धर्म की परवाह किए बिना किसी को नहीं बखा और दूसरी तरफ ‘अमीर-गरीब’ दोनों को भी नहीं छोड़ा। अस्पताल में बिस्तर, ऑक्सीजन सिलेंडर, एम्बुलेंस, अस्पताल-कर्मचारी और श्मशान की कमी सबसे महत्तपूर्ण पहलू थे।
आप ऐसे समय एक सार्वजनिक अस्पताल में अस्पताल प्रशासक हैं जब कोरोनावायरस ने बड़ी संख्या में लोर्गों पर हमला किया और अस्पताल में मरीजों का दिन-रात आना-जाना लगा रहता था।
(a) पूरी तरह से जानते हुए कि यह अत्यधिक संक्रामक रोग है और संसाधन तथा बुनियादी ढाँचे सीमित हैं, अपने नैदानिक और गैर-नैदानिक कर्मचारियों को रोगियों की देखभाल करने में लगाने के लिए आपके मानदंड और औचित्य क्या हैं?
(b) यदि आपका निजी अस्पताल है, तो क्या आपका औचित्य और निर्णय वैसा ही होता जैसा कि सार्वजनिक अस्पताल में?
(उत्तर 250 शब्दों में दीजिए)

Q10. The coronavirus disease (COVID-19) pandemic has quickly spread to various countries. As on May 8th, 2020 , in India 56342 positive cases of corona had been reported. India with a population of more than 1.35 billion had difficulty in controlling the transmission of coronavirus among its population. Multiple strategies became necessary to handle this outbreak. The Ministry of Health and Family Welfare of India raised awareness about this outbreak and to take all necessary actions to control the spread of COVID-19. Indian Government implemented a 55-day lockdown throughout the country to reduce the transmission of the virus. Schools and colleges had shifted to alternative mode of teaching learning-evaluation and certification. Online mode became popular during these days.

India was not prepared for a sudden onslaught of such a crisis due to limited infrastructure in terms of human resource, money and other facilities needed for taking care of this situation. This disease did not spare anybody irrespective of caste, creed, religion on the one hand and ‘have and have not’ on the other. Deficiencies in hospital beds, oxygen cylinders, ambulances, hospital staff and crematorium were the most crucial aspects.

You are a hospital administrator in a public hospital at the time when coronavirus had attacked large number of people and patients were pouring into hospital day in and day out.
(a) What are your criteria and justification for putting your clinical and non-clinical staff to attend to the patients knowing fully well that it is highly infectious disease and resources and infrastructure are limited?
(b) If yours is a private hospital, whether your justification and decision would remain same as that of a public hospital? (Answer in 250 words) 20

Answer:

Covid 19 Pandemic has adversely affected all section of the society. Health Infrastructure around the world was under immense pressure due to the extremely contagious nature of the virus. Doctors and nurses are the first line of defense. Front line workers lives are the most vulnerable due to direct and frequent contact with the covid patients. 

According to IMA, 798 doctors lost their lives during the second wave of covid 19 in India. Despite all the associated risks, doctors and other medical staffs adhered to their medical ethics and saved lives of millions of Patients. 

On frontline worker’s part, it was culmination work ethic, integrity, feeling of compassion and empathy and emotional intelligence which made them achieve what they did during 2 waves of covid 19 in India. 

(a) If I am the administrator of the hospital, I would have following criteria and Justifications for putting my clinical and non-clinical staff to attend the patient. 

  • First and foremost, I would set strong protocols, under which no one would be allowed to work within the hospital premise without wearing mask and face shield. Utmost emphasize must be given to the safety of the clinical and Non-clinical staff, especially those who are directly dealing with the covid positive patients. 
  • PPE kit must be compulsory for all the clinical and Non-clinical staff of the Hospital.
  • Within the protocol adequate emphasize must be given to frequent sanitization of the hospital premise. 
  • Under the Protocol free medical aid will be provided to any clinical or non-clinical staff and any of their family members, who gets infected by the virus. As I hospital Administration, it is my moral responsibility to ensure their good health. 
  • If it is a public hospital, I would urge the state government to provide social security to the workers of the hospital. At the same time, I would make a proposal to give incentives to the front line workers of my hospital. 
  • If any Clinical or Non-clinical staff’s demise occurs, whole cost of their children’s education must be bear by the Hospital Management. Also demise family must be given decent monetary amount for their further survival. 
  • Strict penal action will be taken against any of the family member of patients who humiliate or hurt the dignity of the Hospital staff including both clinical and Non-clinical. 
  • Under the protocol, paid leave must be provided to staff who have other alignments like high blood pressure, diabetes etc. since they are more vulnerable to the virus. 
  • Provided with all the above guidelines and rules, I will make sure that all the staff is discharging their duties in an efficient manner by adhering to their medical ethics and protocols.

 

(b) Private Hospital 

During the pandemic we have seen many private hospitals adopting unethical means by taking advantage of the situation of patient’s medical condition and charging huge amount of money from the patients’ family

This is certainly against medical ethics. Also at the times of medical emergency this is inhumane to engage in such practices.

If I am the administrator of Private hospital, I will comply all the above protocols. At the same time, I will ensure that the hospital is not engaged in the unethical practices by charging more money. 

At the same time, I will ensure that, hospital is not engaging in biased practices by giving preferences to VIPS and influential people over the actual needy patients. In simple language I will try to bring the culture of transparency in the private hospital.

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