How fresh ambulances worth Rs 10 cr decayed in Omar’s, Mufti’s Govt
Director
Health Kashmir procured 125 ambulances out of NRHM funds but these were left unutilised
for 14 months even as patients died on way and hospitals craved for vehicles
Ahmed Ali Fayyaz
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SRINAGAR, Jun 30: Hours
before Chief Minister Mufti Mohammad Sayeed’s maiden visit to Budgam’s Aga Syed
Yousuf Memorial District Hospital on June 10, security barricades kept a part
of the district headquarters out of bounds for ordinary civilians. A poor
couple from Bugchhulla village carried a 9-month-old baby for treatment. Entry
was denied by Police and security columns towards the hospital. Some Good
Samaritans tried to call an ambulance but they were told ‘we have none’. By the
time, CM concluded his visit, the infant was dead. Drivers at the hospital
collected an amount of Rs 800 by donation and sent the body by a hired Tata
Sumo back to the mother’s parental home at Nengarpora, Khansahab.
There are 8 drivers but
only three ambulances at Budgam’s District Hospital (DH). A well-equipped
Mobile Medical Unit [JK01K-4881], which the drivers wrongly call ‘critical care
ambulance’, has been lying defunct on the premises ever since one each of such
was procured under the initiative of then Health Minister Sham Lal Sharma in
2009-10 for all district hospitals. Its ECG and other equipment have
disappeared. “It hasn’t been utilised and has become non-functional over the
years”, says Dr G.M. Dar who was brought in recently---first as MS and then as
Chief Medical Officer (CMO).
Out of the three ‘workable’
ambulances, the best one [Eeco JK04B-8226] has been reserved by the new MS Dr
Gazala Tabbasum for her personal use. She travels by it daily from and back to
her Pirbagh residence.
In CMO’s own residential
block of Soibug, there are four drivers and no ambulance. A dilapidated van
runs as ambulance for Sub District Hospital [SDH] Soibug and its ancillary
Public Health Centres [PHCs] of Wadwan and Wahabpora.
For Budgam district’s one
DH, 9 SDHs, 40 PHCs, 30 ante-PHCs and 141 Sub Centres, there are total of 51
ambulances. Drivers, patients and attendants---even doctors
off-the-record---insist that the requirement is over 100. However, Dr Dar
maintained that the district had a shortfall of 19 ambulances.
This is just a sample. All
other districts in Kashmir have the same story: somewhere only drivers,
somewhere only ambulances, somewhere neither. With the Medical Officers, CMOs
and Medical Superintendents crying for ambulances, nobody moved in the three
successive regimes of Omar Abdullah, Governor N.N. Vohra and Mufti Mohammad
Sayeed in the last around two years. “Neither Sham Lal Sharma (former Health
Minister) nor Saleem-ur-Rehman (who has been unceremoniously removed by Mufti’s
government earlier this month and replaced by Dr Sumir Matoo) felt accountable
to anybody. Ex-CM’s Political Secretary Tanvir Sadiq had to make a hundred
calls to secure one ambulance for an area in Srinagar”, said an insider.
Well placed official
sources in Health & Medical Education Department revealed to STATE TIMES
that in 2013-14, Government of India-funded National Rural Health Mission
(NRHM) provided an amount of Rs 15.30 cr to Directorates of Health Services in
Kashmir and Jammu for total replacement of the old Eicher ambulances by the
upgraded Force Traveller [FT]. It was decided to procure 125 FT ambulances
[(9+D) 3350 mm wheel base with cold start device upto minus 8 degree Celsius)
for Kashmir and 75 for Jammu.
After a process by the
facilitator State Motor Garage (SMG), supply order was placed with Force Motors
Ltd which sent the requisitioned consignments through its Jammu-based dealer
Republic Motors. On May 29, 2014, Director SMG, G A Sofi, informed DHS Kashmir
and Jammu to lift the ordered supplies. At the rate of Rs 7,65,439 each
vehicle, payment of Rs 15,30,87800 was released for procurement of the 200
Force Traveller ambulances through SMG.
Even as all the 75 ambulances
for Jammu division were lifted on time and distributed among different
hospitals, DHS Kashmir did not respondent to Director SMG’s May 29, 2014,
communication for several months. A high level committee headed by
Commissioner-Secretary Health and Medical Education, which had a number of
senior officials as members, failed to act.
The SMG officials revealed
that the ambulances for Kashmir started arriving in earlier this year and these
were parked at different places---Provincial Medical Store Barzullah, State
Health Transport Organisation (SHTO) Bemina, Kashmir Nursing Home Sonwar etc.
As the Medical Officers kept begging for the vehicles, the ambulances kept
decaying under the vagaries of weather. Though the warranty stands for three
years, officials revealed that failure to maintain a schedule of preliminary operation
and servicing renders the warranty void.
The first movement was
witnessed last week only when the SHTO authorities decided to shift the idle
ambulance fleets due to the fresh flood threat to safer places, including PHC
Ompora Budgam, where STATE TIMES captured 10 of them on camera on Tuesday. Last
fortnight over 50 of these were found decaying at Barzulla.
Sources said it was only
after Saleem-ur-Rehman’s attachment that the process of distributing the
decaying brand new ambulances started.
The incumbent DHS Kashmir,
Dr Sumir Matoo, said that the ambulances were currently being supplied to
different hospitals. He said that he would be able to speak on this subject
only after Wednesday’s district development board meeting. Sources insisted
that just 10 to 20 ambulances had been distributed in June.
Deputy Director
Headquarters at DHS Kashmir Dr Abdul Kareem, who is also holding the charge of
SHTO, said: “The Honourable Minister and Director had to take a call. It was
their responsibility to provide the fleet to the needy hospitals. My role was
limited to obeying their orders”. He admitted that over 100 brand new
ambulances were left unnecessarily unutilized for about a year and were not
supplied to the requisitioning units. Asked why, Dr Kareem said: “First there
were floods, then elections and Moral Code of Conduct, then change of regime,
then transfer of Director”.
Official sources dismissed
all these reasons as “lame excuses”. They said that in any other Indian State,
Police would be forced to file criminal cases against the delinquent officials
whose carelessness and non-accountability made hundreds of patients die before
reaching hospital for want of an ambulance.
Mission Director NRHM Dr
Yashpal Sharma told STATE TIMES that “according to my information” all these
ambulances had been provided to the hospitals except 25 each in Kashmir and
Jammu which had been kept for “upgradation to critical care ambulances”. When
Dr Kareem’s admission was pointed out to him, Dr Sharma said, “Then the
Director Health has provided wrong information to the administrative
Secretary”. H&ME sources asserted that it was a known practice in the
department that the senior officers and Minister incharge keep a reserve of the
vehicles and ambulances. “They keep it for obliging certain Ministers, MLAs and
MPs. It helps builds up their PR and helps them remain in the good books of the
powers that be”, said a senior officer.
[To be continued tomorrow]
END