EHS-COVID (292) Unethical health service delivery and erosion of public trust in India (2)

12 May, 2021

Very sad to read about this unethical practices especially by health workers with the escalation of death and suffering by the victims of COVID19 pandemic.

But India is not alone in witnessing this unfortunate behavior because many if not all LMICs face the same in varied degrees of severity.

The challenge for LMICs, the people and their governments: if you do not have functional strong health systems in place before disasters like COVID19 pandemic, do not expect the citizens [and] the health workers to suddenly change their bad and unethical behaviors and attitudes during the crisis.

If countries have strong men (autocratic Prime Ministers and Presidents) rather than strong institutions, before the pandemic, do not expect the strongmen to suddenly be democratic in governing the country or to become more transparent and accountable.

Dr Turvey VC alluded to the more patient friendly and centered situation in the handling of covid19 in HICs, but that is partly because they had better regulated strong health systems and personnel before the pandemic and also had more democratic Leaders. Their systems are strong and better suited to ensure that health workers are patient centered, transparent and accountable during crisis like COVID19 pandemic.

Joseph Ana.

HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.

Email: jneana AT