EDITORIALS & ARTICLES

Do doctors need a Central protection Act?

Background

  • Incident Trigger: The strike was initiated after the rape and murder of a young resident doctor at R.G. Kar Medical College and Hospital in Kolkata on August 9, 2024. The doctor’s body was discovered in the seminar room of the emergency building.
  • Protests: Following the incident, resident doctors across India began protests, demanding legal protections and safety measures while on duty.

Ground Reality

  • Constitutional Provisions: Health and law and order are State subjects, making it the responsibility of State governments or Union Territory administrations to prevent violence against healthcare workers.
  • Lack of Central Data: The Union government admitted that there is no central database for tracking fatalities of medical professionals due to violence by patients or their families.

History of Violence Against Healthcare Workers

  • Notable Incident: In 1973, Aruna Ramchandra Shanbaug, a junior nurse at King Edward Memorial Hospital in Mumbai, was sexually assaulted by a hospital sweeper, leading to her spending over 41 years in a vegetative state.
  • Ongoing Issue: Despite the long history of violence, healthcare workers still face risks, including poor lighting, inadequate security, and unsafe working conditions in many hospitals.

Current Demands of Doctors

  • Improved Security Measures: Doctors are demanding better lighting, increased security presence, and installation of properly monitored security cameras in hospitals.
  • Enhanced Safety Protocols: The Indian Medical Association (IMA) has called for:
  1. Security protocols at hospitals to be comparable to airport security.
  2. Healthcare centers to be declared safe zones with mandatory security entitlements, including CCTV installations and deployment of security personnel.
  3. Improved working conditions for resident doctors, who often work long shifts without safe spaces for rest.

Global Comparisons and Recommendations

  • United Kingdom (NHS): Enforces a zero-tolerance policy on violence against healthcare workers, supported by a dedicated security team and a comprehensive reporting system.
  • United States: Some states classify assaults on healthcare workers as felonies, acting as a strong deterrent.
  • Australia: Hospitals have introduced safety measures like security personnel, panic buttons, and mandatory de-escalation training.
  • Indian Demand: Healthcare workers in India are pushing for a similar Central protection Act and implementation of these global best practices.

Recent Government Actions

  • Ministry of Health and Family Welfare: On August 16, 2024, issued an order mandating that any violence against healthcare workers be reported through an institutional FIR within six hours.

National Medical Commission (NMC):

  1. Directed all medical colleges to develop policies for a safe work environment on their campuses.
  2. Required prompt investigation and FIR lodging for any incident of violence against medical students.
  3. Stipulated that a detailed action report on such incidents must be sent to the NMC within 48 hours.

Conclusion

  • Ongoing Struggle: The protests underscore the urgent need for better safety and security measures for healthcare workers in India.
  • Call for Reforms: While the government has taken some steps, doctors continue to demand comprehensive systemic reforms, including a Central protection Act, to prevent such incidents and ensure a safer working environment for all healthcare professionals.






POSTED ON 18-08-2024 BY ADMIN
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