Sunday, September 23, 2007

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Friday, May 11, 2007

Hospital Acquired Infection-SAT Issue

HOSPITAL ACQUIRED INFECTIONWednesday, May 09, 2007 08:00 IST P A FrancisDeaths of over 40 infants at the Sree Avittam Thirunal Hospital in Thiruvananthapuram in Kerala last week due to hospital acquired infection is a stern warning to the state government about the deteriorating state of affairs of its public hospitals. Perhaps the hygienic conditions may not be far different in most of the other public hospitals in rest of the country. But, a tragedy of this dimension is indeed serious and should not have happened in a span of one month on account of the failure of the hospital administration. The instant public protest over the deaths has initially shaken the state government to make some routine announcements and action plans. A five member expert team has been appointed to inquire into the deaths by the state government. And a sum of Rs 1 crore has been sanctioned to renovate the facilities so as to ensure proper hygiene standards. The health minister has admitted that the hospital building was old and needed major renovation in key departments. Nothing much should be expected out of these public relation announcements of the state government. It is pointless to adopt infection control measures only in SAT Hospital as announced by the state government. It should work on a permanent infection control plan for the entire hospital sector in the state and implement it with some amount of effectiveness to avert such tragedies in future. Healthcare sector in India, particularly functioning of hospitals and nursing homes, is virtually unregulated. No specific set of rules or regulations exist in the country to supervise or monitor the activities of these institutions. That is precisely the reason why avoidable tragedies take place in hospital premises like the one which has happened at SAT Hospital. It is a fact that operation theatres, ICUs and general wards in most of the public and private hospitals are in a deplorable state. Neither the central government nor state health authorities have cared to lay down any specific standards or rules for these life saving departments in hospitals. Some of the corporate and trust hospitals, however, may have their own ultra modern OTs, ICUs and wards but they are not many. Growing instances of hospital acquired infection deaths in the country is a result of this long drawn neglect by the hospital administrations. What is, therefore, required is enactment of a comprehensive legislation covering all aspects of the hospital administration in the country and making hospital managements accountable for their shortcomings. It is unfortunate that the Union health ministry has failed to address this complex issue for such a long time. As there are no rules for governing the healthcare establishments, the state governments also do not have any enforcement machinery. Whatever regulatory functions are being carried out by various departments of the state governments. This should not be allowed anymore.

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Friday, May 11, 2007
Features
INTERVIEW
Pharma People
KGPA against qualification based promotion to the post of SVO.Friday, May 11, 2007 08:00 IST Vivek Narayanan, ChennaiThe Kerala Health Minister's move to provide reservation for B Pharm graduates to get promoted to the post of Kerala District Store Verification Officers (SVO) is being strongly opposed by the Kerala Government Pharmacists Association (KGPA). This decision could affect the promotional possibilities of officers already in service for the past many years in the government sector. The issue is an off shoot of a case filed by a lady in the High Court two months back demanding a special reservation for B Pharm qualified people for promotion to the post of SVO. As the decision in this issue rests in the hands of the State Health Ministry, the High Court has ordered to stop inducting people for the post of SVO till the government takes a decision in this issue. The Kerala Health Minister has allegedly been putting some pressure on the Department on Health Services (DHS) to initiate the move of earmarking a certain percentage of posts for appointment by promotion from degree holders to the category of district SVO. Such a system is not prevalent in any department of the Kerala Health Sector, said Kerala Government Pharmacists association general secretary KC Ajith Kumar. If the decision is taken in favour of the lady, then it might encourage the government servants in other sectors in health services like doctors and other ministerial staff etc to demand similar qualification based promotion to higher posts. This would eventually lead to turmoil, said Ajith. "There are Pharmacists having B.Pharm qualification. Whereas the basic qualification prescribed for appointment to the post of Pharmacist is a two year Diploma in Pharmacy. So now if the people with Degrees are posted as SVO's then the others who have 35 years of service in the pharmacy segment will be left in lurch. And slowly this kind of demands will spread into other departments too. For instance, doctors with higher qualifications will start demanding promotion to the post of Director DHS," said president of KGPA, Hareesh Chandran Nair. Sources said, that the post of a SVO was given for one who had been a store superintendent and one who knows the in and out of store checking. This post according to them was not the one into which one could get promoted just based on a person's qualification as experienced hands were required to conduct verifications in the pharmaceutical stores in the State. Moreover even the order given to the senior store superintendents while they get transferred to the post of SVO is "Transferred and Posted as Store Verification Officer" and there was no mention of the word "Promotion" in it. "There are a lot of political interests involved in this issue. That is why the minister is showing so much interest in this matter. There are other health associations affiliated to the Minister's party, but the minister is not proposing to introduce such initiatives there. This brings out the political clout the lady is using to win her demands," said another government source.

KGPA against qualification based promotion to the post of SVO.Friday, May 11, 2007 08:00 IST Vivek Narayanan, Chennai

Thursday, May 10, 2007

AICTE relaxes norms to start M.Pharm course in pharmacy colleges

All India Council of Technical Education (AICTE) has decided to relax the norms for starting M.Pharm course in the pharmacy colleges in a bid to ease the problem of acute shortage of qualified pharmacy teachers in the more than 660 pharma colleges in the country.As per the decision, any pharmacy college that has completed 4 years of academic existence can start the M.Pharm course. Earlier, AICTE used to give its nod to start M.Pharm course to those colleges which have completed at least two batches of B.Pharm courses. Now, the colleges whose first batch of B.Pharm is in the final year can start the M.Pharm course. The decision will have immediate effect and all the colleges which have completed 4 years can introduce M.Pharma in their colleges in the coming academic year itself. The decision to relax the norms in this regard was taken at a high level AICTE meeting held recently in Delhi under the chairmanship of AICTE chairman. The decision will have a positive impact on the quality of pharmacy education in the country as the availability of qualified faculty will improve considerably in a couple of years. During the last some years, there were reports of several pharmacy colleges in the country, especially the private colleges that have mushroomed during the last some years, working without qualified faculty. Due to the acute shortage of qualified teachers, the colleges were left with no option but to appoint unqualified faculty members. Ineffective inspection of pharmacy colleges by AICTE came quite convenient for the managements. Taking advantage of this laxity of AICTE in inspecting the private pharmacy colleges, the managements used to fill up their vacancies for teachers with incompetent staff who used to be present in the colleges only at the time of AICTE inspection, giving a severe blow to the standard of education. The shortage of qualified teachers for pharmacy colleges has arisen mainly on account of a sudden increase in the number of pharmacy colleges in the country. The minimum number of teachers required in a pharmacy college is 16 and a large number of the current 660 colleges have come up during the last five years and many more are in the pipeline.