ONE of the promises which every government that comes into office in Pakistan holds out to the people is that it will end load-shedding. Deadlines are announced but not met. Waiting for uninterrupted power supply from the grid is like waiting for Godot.
The government continues to reiterate its pledge to provide sustainable, affordable and reliable electricity to the people and hopes to add 10,400 megawatts to the national grid by 2017. Will it? The circular debt keeps mounting and the promised level playing field is nowhere in sight. Heavy load-shedding continues to be the lot of the low-income areas. Continue reading “Going solar”
SINCE June, the Pakistan government has been patting itself on the back. Multidimensional poverty (MP) has fallen from 55pc to nearly 40pc in the country since 2004, we are being told. Of course it is admitted that there are districts where poverty is as high as over 90 per cent (Qila Abdullah in Balochistan) today. But in Punjab only 31pc are impoverished. Islamabad, Lahore and Karachi have an MPI (multidimensional poverty index) of 10pc. Continue reading “Why us?”
THE Pakistan Economic Survey 2015-16 reminds us of our ticking population bomb. We are told that today the country’s population stands at 195.4 million — 3.7m more than it was the previous year. We have regressed. The population growth rate stands at 1.89pc in 2016. It had dropped to 1.49pc in 1960-2003. Continue reading “Politics of numbers”
The pronounced lack of interest in the public health system in Pakistan is not difficult to explain. Public opinion in a country as stratified and uninformed as ours, is created and moulded by the so-called privileged classes, comprising those members of society who have the means to pay for private health care. Hence they are not affected by the abysmal state of health care in the public sector on which the poor depend.
The general attitude is: what is the role of the poor in our society? They are useful only for domestic labour in the homes of the rich or for menial work in public places and factories. And, of course, to vote at election time. A higher birth rate among the impoverished ensures there is never any shortage in the labour force. If they fall sick, they are easily replaced. With limited skills and training, none are really indispensable. Continue reading “A Global Conglomerate of Oppression”
THE Sino-Pakistan friendship has stood the test of time. Although the China-Pakistan Economic Corridor that has been underpinned with 51 agreements and MOUs has been generating controversy in abundance, one cannot blame the Chinese. We have the innate capacity of not doing the groundwork for any project we launch. Inevitably, it sparks a dispute.
One positive outcome of the flurry of activity that has come in the wake of the economic corridor is the move by the medical associations of the two countries to set up a ‘medical corridor’. This collaboration resulted in a joint MedCong that was held in Karachi in early January. It was attended by an impressive 40-member Chinese delegation led by Prof Keqin Rao, vice president and secretary general of the Chinese Medical Association. Continue reading “Learn from China”
THIS week the Sindh Institute of Urology and Transplantation (SIUT) is holding an international symposium to celebrate 40 years of its existence.
The logo designed for the occasion sums up its philosophy: “Every human being has the right to access healthcare irrespective of caste, colour or religious belief, free with dignity.” At SIUT you actually see this happening.
For long, it was the dream of its founder, Dr Adibul Hasan Rizvi, to create a nucleus that would evolve into an equitable and inclusive healthcare system that would be accessible to all. Continue reading “A 40-year journey”
I DISCOVERED the SIUT in the 1980’s when the private sector had begun to invade the healthcare system in Pakistan in a big way.
My quest was for an institution that could meet the health need of the masses at a time when the government was stepping back from its basic responsibility of providing citizens their fundamental right to health.
Of course the SIUT was not known by this name then. It was the Urology Department of the Civil Hospital – a public sector health institution. But even then it was so distinct from its parent body in its working and approach to issues of health and disease that one could not fail to take note. Be it its impeccable hygiene or the atmosphere of kindliness radiated by those who took care of the patients, this institution stood out for its uniqueness. Continue reading “SIUT’s philosophy: a rare creed”
THERE is still hope for Pakistan. Paradoxically, it comes from the least expected of sources: the street children. Recently, their football team returned home from Oslo proudly bearing a bronze medal from the Norway Cup, the largest international youth football tournament.
It has been a meteoric rise for Pakistan which made its debut in the Street Child Football World Cup only last year in Rio to earn third place. These youngsters have grit and have managed to confront boldly the tragedy of their broken existence. Now they are rebuilding their lives.
One can understand the magnitude of their achievement only in the context of what life can be for children in a society hostile to them. The challenges are greater for the underprivileged. Denied satisfactory facilities for education, healthcare and sports while lacking support from a happy and stable family environment many of these children take the escape route to the streets. There they live uncared for, seeking security in a group of Continue reading “Football therapy”
THE medical profession in Pakistan is in a continuing crisis. For the second time in less than 18 months, the Pakistan Medical and Dental Council has been suspended and an interim committee set up to suggest ways to restructure the Council.
At the root of the crisis is the rotten state of the PMDC. Its assigned mission, amongst others, is to safeguard the public interest by prescribing uniform minimum standards of medical education, ensuring their implementation, registering doctors and deciding cases against practitioners for “infamous conduct and professional negligence”. Continue reading “PMDC in the dock”
THE census is one of the trickiest issues in Pakistan today because of its political and economic implications. Our policymakers have found a way around the problem. They adopt an ostrich-like approach thus hoping to wish away the challenge that the 190.3 million (World Population Review) people pose.
No census has been held in Pakistan since 1998 — the preliminary housing survey that was undertaken in 2011 was aborted when it became too controversial. Now it has been reported that the census planned for 2016 and announced in March is unlikely to be held.
The government cannot be condoned for its negligence. Policymaking has to go on and some numerical guidelines always help. Despite the apathy of the official sector, demographic statistics have registered an improvement — but not enough to make an impact. Continue reading “Myths and reality”