Wednesday 1 July 2020

ENSURE MARGINALIZED POPULATION CAN ACCESS HEALTH CARE WITHOUT DISCRIMINATION By- Rahul Kumar Roy


The globe is witnessing a ‘‘once-in-a-century pandemic’’, i.e novel coronavirus or COVID-19. We are living in a decade of COVID 19, a decade which will never be forgotten in the coming years. The current numbers of people affected by this virus is approx 8 million, the casualties are 4 lac and the death toll is rising at an exponential rate. This pandemic has created a situation that we never dreamt of. Casualties in such a huge amount brings a lot of responsibilities on the shoulders of people working in the fields of science, research and medicine. Medical and research fraternity all around the globe is continuously working for the effective development of the COVID vaccine but it is yet to be discovered. The government has made several plans, implemented lockdown, 3 times and has even asked for maintaining social distancing[1]. The main motive behind implementing a countrywide lockdown was to somehow control the spread of this contagious disease but, there is no inkling which can give us a hope that the spread can be controlled! Medical staff all over the world lying on the frontline are putting their lives at risk every single day and are under constraint to work overtime while striving to save those affected with the virus. This deadly virus has drastically changed the meaning of what life meant to us, what the healthcare system, the doctors, nurses and the medical staff meant to us. The police at the same place are striving with their health on duty and off-duty too; lockdown brings a lump of responsibility on their shoulders for effective implementation of govt. orders. During this pandemic, several corona warriors have sacrificed their lives for their country.
Talking about how this lockdown has affected the marginalized group is way beyond our thinking. This lockdown has intersected with their existing vulnerabilities[2]. In a diverse country like India, we have a wide range of population falling under the ambit of marginalized or vulnerable. People who belong to the category of SCs, STs, women in tribal areas, disabled class, migrant groups and aged people fall under this category. They are excluded from the society based on their economic, social, and political status. Many people are residing in slums, where families survive in small rooms and share public toilets, maintaining social distancing is almost impossible to execute. They generally earn their livelihood by working in sanitation contracts, as a sweeper, or work in a hospital in disposing medical waste. This brings with itself a huge risk of getting infected by the prevailing virus. Since they are marginalised, it becomes impossible for them to avail proper medical facilities. We all know about the sky touching fees in private hospitals, they are being exploited based on their income, they are denied access to treatment just because they can't afford the treatment offered by private hospitals, the only options that they are left with is to head towards government-aided hospitals. But, the conditions of these government hospitals are way worse than we can imagine, all the beds are already occupied by the symptomatic corona patients making it very difficult to get admitted for treatment. This excruciating condition of hospitals raises several questions on India's healthcare facilities. This has caused several risks for those women who are pregnant and are on the verge of delivery because most of the hospitals have either become COVID hotspot or have issues related to adequate transport facilities. India already stands in second place when it comes to maternal mortality death, the number of maternal mortality in tribal areas of Rajasthan is way more than death in the state as a whole. In rural tribal areas, women are widely affected with malnutrition, they face unequal access to health services, lack of sanitation, hygienic accommodation, safe drinking water they all contribute to their risk of getting affected more frequently. 
We all know that the spread of the coronavirus has started to gain mind-boggling rise after the event of Tablighi jamaat at Hazrat Nizamuddin[3]. It was after this illegal gathering, the corona gained its pace in destroying humanity. The motive of this article is not to hurt anyone's religious sentiments but, it is acclaimed by several activists and news experts that this event acted as a vector in the spread of corona. The event further created several myths about the Muslim community, which resulted in a change of behaviour of people towards this community. The result that came was that wherever they used to go, local clinics and medicos started denying them with the basic health treatment, giving the reason that they may have attended the religious gathering at Nizamuddin. 
In the current situation, the government must ensure that marginalized people living in slums are provided with adequate healthcare facilities. The biases in providing healthcare to those who are marginalized must be removed. They must be provided with the basic amenities for their survival. In this time of hardship, we all have to stand together to fight against this pandemic. In the end, I would like to conclude by stating a quote of Roy.T.Bennett –‘‘challenges and adversity are meant to help you know who you are. Storms hit your weakness, but unlock your true strength’’ 


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