Warnings Expose Deep Cracks in Health Machinery

#sagar wAtch #health #commissioner

Sagar Watch News/ At the divisional health review meeting, the commissioner’s stern directives highlighted deep systemic gaps rather than achievements. 

The warning of “strict action” for failure to ensure 100 percent registration of pregnant women itself exposed weak ground-level monitoring and poor data tracking. Repeated emphasis on sickle cell screening, monthly reviews, and ambulance monitoring pointed to long-standing non-compliance. 

Gaps in inter-departmental coordination, inconsistent follow-up of malnourished children, irregular committee meetings, and the need to threaten salary stoppages underscored accountability failures and an overstretched, reactive health system struggling to deliver basic maternal and child care.

Despite repeated instructions from Divisional Commissioner Anil Suchari for 100 percent registration of pregnant women and strict monitoring to reduce maternal and infant deaths, the review meeting itself exposed serious loopholes in the health system. 

The need for warnings of salary stoppage reflects chronic non-compliance, weak field supervision, and poor accountability of health staff.

Incomplete registration of pregnant women, irregular medical tests, and inconsistent sickle cell screening point to gaps at the grassroots level. Distribution of iron supplements and follow-up of high-risk pregnancies remain uneven, especially in rural areas. 

The emphasis on repeated monitoring of ANMs, ASHA workers, and block medical officers highlights long-standing deficiencies in performance tracking and data reliability.

The directive to establish a control room for 108 ambulance services also underlines delays, poor response time, and lack of real-time monitoring in emergency services. 

Similarly, persistent malnutrition among children, despite existing nutrition programs, indicates weak inter-departmental coordination and ineffective follow-up mechanisms.

Overall, the meeting revealed that policy directives are strong, but implementation remains fragile due to poor supervision, delayed action, and limited accountability at multiple levels of the health administration.

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