Health inequity is built into the system. Odisha's distribution of ICU beds across districts is a good way to study it, showing how districts with a majority of tribal population are ignored. Read on.
Khorda has around 5% of Odisha's population but its ICU bed share is 42.4%. Around 1433 out of total 3377 ICU beds in the state are present here. The rest of population, 95%, shares the 57.6% of bed share.
Khorda is already ranked higher than other districts when it comes to health outcomes and Human Development Index, which means since years, health of Khorda's population has been paid attention to.
According to NHFS data, the worst districts health-wise are the below. Beside them, are the number of ICU beds they have:
This means the nine MOST BACKWARD districts of Odisha don't even have 100 beds cumulatively for them. They are a population of close to one crore, 25% of entire Odisha.
These districts also have relatively more inaccessible terrain, higher burden of TB and other infectious diseases, higher malnourishment and higher burden of UNDIAGNOSED DIABETES AND HYPERTENSION("co-morbidities")
Odisha takes pride in tribal art & culture. Then why doesn't it invest more in the health & well-being of its tribal population? Why do districts with higher ST population have worse health outcomes? Because health inequity is systemic and its linked to CASTE. The apathy is real.
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Odisha Government and Odia Media keeps crying about how tribal communities aren't agreeing to getting tested or vaccinated. They very hesitant when it comes to healthcare, the state has perpetually failed them.
Every now and then a forced contraception drive is conducted on them as if their bodies, are petri-dishes which are meant for experimentation. State does nothing about the polluted water bodies they depend on, and keeps on giving away mining leases to corporates on their land.
Since ages, instead of trained gynaecologists, ANM workers and nurses have been delivering their babies which increases the risk of maternal and infant deaths. No wonder scheduled areas in Odisha have higher infant/maternal mortality rates.
Anyone who has worked in a government hospital, knows how many patients die everyday(or must spend lakhs at private hospitals) due to shortage of ICU beds at public facilities! Despite this, in last one year, public money was used to augment private hospital facilities at Odisha!
SUM and KIMS in Bhubaneswar, got two 500 bedded COVID hospitals built for them from PSU funds! Namely, sponsored by Odisha Mineral Corporation and Mahanadi Coal Fields. These two hospitals get paid by govt on per bed basis for every day, irrespective of the bed being occupied.
Few months later the money of another PSU, Indian Oil Corporation Limited, was used to augment Vikash Hospital(Bargarh's) facilities by 100 beds and SEVENTY Ventilators. All thanks to union minister Dharmendra Pradhan.
I have been consulting some Odia migrant workers currently staying in Bangalore, who have just recovered from mild cases of COVID-19. They are returning back home because despite having "recovered" ideally, they are facing significant post COVID symptoms.
They still face laboured breathing issues(oxygen remains normal so doctors keep suggesting them to get on anti-asthmatics), have palpitations every night and feel exertion on the slightest of work(especially household labour which doesn't ever end), daily headaches and insomnia.
Fourteen days of leave isn't enough for most COVID survivors as MAJORITY of them(according to studies, 83% of them) have 2 or more long COVID symptoms.
Posting some quotes from people facing post-COVID symptoms for upto 6 months after recovering (from a paper under peer review). If you are facing any cognitive dysfunction/ physical limitation after recovering from COVID, don't let anyone discredit them.
1. “mother has started to help me take the medications I’m on because I can’t remember if I’ve taken them immediately after having the bottle in my hand”
2. “was trying to fill out a mortgage application form and couldn’t remember our rent. I put £3750 a month. My partner said, no it’s £1375. So I put £13750. My partner said no, so I tried several more times - I was just guessing numbers”
Bhubaneswar is about to become the first city to achieve 100% vaccination coverage. How did this happen?
Thanks to AN UNEQUAL VACCINE ALLOCATION POLICY that favored the people of Bhubaneswar at the cost of people elsewhere in Odisha. Read on.
Unlike other states,Odisha Government restricted COVAXIN to Bhubaneswar, while vaccinating with COVISHIELD everywhere else. This meant, the 10 lakh people of Bhubaneswar Municipal Corporation area (2.5% of Odisha’s population), received 11.6% of vaccine doses. 5 times their share
Khorda was the only district which administered BOTH Covaxin and Covishield while the other 29 districts administered only Covishield. Hence, when vaccination centres across Odisha kept closing down because of shortage, Bhubaneswar was always sitting on its stock of Covaxin.