Health Information Systems in India: Challenges and way forward

For the seamless functioning of health care systems and its sustainability, complete and reliable information is essential. Given India’s commitment to Universal Health Coverage (UHC), this paper authored by Dr. Shyama Nagarajan( Managing Director, SahaManthran), Dr. Shruti Tripathi (Economist, NIPFP), and  Rachna Sharma (Consultant, NIPFP) explore the current HIS of India and understands its completeness and usefulness given the inter-national standards. Article further describes various issues pertaining to data collection, definition, analysis and dissemination at national, sub-national and institutional level, where do India lag and what can be done to develop a seamless HIS for India.

Conflict-of-Interest in Anesthesiology

Conflict-of-Interest in Anesthesiology: Conflict-of-Interest (COI) is omnipresent in medical science and the field of Anesthesiology is no exception. Though COI issues are known for a century and well entrenched in healthcare, its common understanding and awareness in Anesthesiology is severely limited. In order to avoid eventuality of misconduct and legal retribution arising out of ignorance, the authors Dr. Amitabh Dutta, Sr. Consultant and Dr. Prabhat Choudhary, Consultant Anesthesia, Sir Gangaram Hospital;  have comprehensively elaborated methods to address impact of COI in Anaesthesiology  in the Yearbook of Anesthesiology-7. SahaManthran appreciates the justice done by the authors on such a complicated topic, such as COI. Dr Dutta, is also the Current Overview and Outcome Oversight (CO3) of SahaManthran.

A Conversation in Mahabharata

Karna asks Krishna – “My mother left me the moment I was born.
Is it my fault I was born an illegitimate child?

I did not get education from Dhronacharya because I was considered a non Kshatriya.
Parshuram taught me but then gave me the curse to forget everything since I was a kshatriya.
A cow was accidentally hit by my arrow & its owner cursed me for no fault of mine.
I was disgraced in Draupadi’s swayamvar.
Even Kunti finally told me the truth only to save her other sons.
Whatever I received was through Dhuryodhana’s charity. So how am I wrong in taking his side?”

Krishna replies,
“Karna, I was born in a jail.
Death was waiting for me even before my birth.
The night I was born I was separated from my birth parents.
From childhood you grew up hearing the noise of swords, chariots, horses, bow and arrows.
I got only cow herd’s shed, dung and multiple attempts on my life even before I could walk!
No army, no education.
I could hear people saying I am the reason for all their problems.
When all of you were being appreciated for your valour by your teachers, I had not even received any education.
I joined gurukula of Rishi Sandipani only at the age of 16!
You are married to a girl of your choice.
I didn’t get the girl I loved & rather ended up marrying those who wanted me or the ones I rescued from demons.
I had to move my whole community from the banks of Yamuna to far off Sea shore, to save them from Jarasandh. I was called a coward for running away.

If Dhuryodhana wins the war you will get lot of credit.
What do I get if Dharmaraja wins the war? Only the blame for the war and all related problems.

Remember one thing Karna….
Everybody has challenges in life.

Dhuryodhan also has a lot of unfairness in life and so has Yudhishthir.
But what is Right (Dharma) is known to your Mind (Conscience)….
No matter how much unfairness we got, how many times we were disgraced, how many times we were denied what was due to us, what is important is how you REACTED at that time…

Stop whining Karna.

Life’s unfairness does not give you license to walk the wrong path of अधर्म.