Thursday, December 12, 2024
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Democratic engagement on health matters

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Editor,

    It seems that there is no end to the   controversies  surrounding the  ambitious initiative of the Government of Meghalaya  to set up two medical colleges  in the state .  The  site  initially selected  for the construction at Garo Hills did not meet the mandatory  requirements  and a fresh site  was  chosen  much later which  caused  delay  . The  construction  of the other  medical college at Shillong  is   delayed too   since  the shifting  of the existing  TB hospital  at Jhalupara to make way for the construction of the  college at the site is  held up . As   reported  lately  the almost completed TB hospital  building   at Umsawli  is not as per the strict specifications required for a centre treating tuberculosis and   that     the   number of beds  is well  below  the intended requirement and all these will  require  necessary rectification  which require  additional funds and more  time for completion .

       Controversies and delays apart, the intention   of the previous state government   to set up  two medical colleges  at a time, though  impressive, seems  superfluous. It is doubtful that  a state with limited resources  could sustain  both  medical colleges  and make  them   viable  enterprises in the long run  .Secondly, there  might  be  the difficulty  of    recruiting  or retaining adequate quality  faculty members  throughout  for both colleges – a situation which seems to occur     even  in    well established   government medical  colleges  in the country. Inadequate faculty members will  affect  the delivery standard.

        The  intention to establish a  medical college in the heart of  Shillong  is also contentious. For a start it involves shifting of  an  existing TB hospital which by virtue of its history and  long existence could  instead be  a heritage  site  with   proper  upkeep. The  proposed college  would  also  increase  vehicle   flow  of visitors  which will  add to the city’s  traffic congestion while it can also  strain  the  overstretched  civic amenities of the city. The  limited space available may also  hinder  the college  future expansion needs.

With controversies and delays dogging the initiative and with  the hovering apprehension of adverse  consequences of it coming short of the expectations  if  accomplished   there perhaps could be scope for review particularly if nothing specific to these college  has happened on the ground so far . No doubt  commitments or  agreements must have been  made in the process of establishing these colleges  but it might not be the first time that government  rescinds  from  such obligations if it chooses to do so  and it could be worthwhile   if  viewed from the long term  beneficial and productive  results that could  come with fresh  and judiciously planned  initiatives. The Umsawli   building can be alternatively  utilized for other  ever demanding  structures for health purposes.

       Conversely, it would  perhaps be pragmatic to get one  college up and going first  and if so  decided all  irrelevant considerations  while choosing the site  for the college  are to  be set aside. A favorable  site  is one  where  sufficient land is available  and which is   close to a highway , airport and railhead  to    facilitate flow of  students, faculties  or  visiting experts from outside also and  for facilitating  flow of inputs  for  future   construction  and expansion needs.  Subject to land availability  a  site close to Nongpoh will  have  these advantages and the existing Civil Hospital  at Nongpoh  would  justify  establishing of  the medical  college close by.

 While it could be  awkward  for one  to question  the  decision   of  those who govern us, however,    the  practice of democracy  depends on  greater use of informed public reasoning  to  play a vital  role  in the transformation of policies on issues of public importance.  In this case    “ medical  college “   relates to health  and there is nothing more important than health for human  well being and the quality of life  Therefore it perhaps  calls for a more  democratic engagements and calling out for opinions  on the contentious issues  of these proposed medical colleges and on  other touchy  matters   related to   health  care services . Silence  on these would  instead  contribute  to health remaining a protracted problem for the State of Meghalaya.                                                                                                                                                 

Yours etc.,

K L Tariang,

Via email

Selection criteria to NEHU PG Courses  

Editor, 

Every year the different departments in NEHU conduct entrance tests for getting admission into the different PG courses. Some departments conduct the admissions in a detailed manner but others just display the list of admitted students in the NEHU website without showing the details of how the students got admitted. The students who are applying for admission into different PG courses in NEHU would like to know whether the entrance test is the sole criteria for getting admission? Will the two hours of multiple choice entrance test carry more weightage than the three years of hard work?  Will the three years of hard work in the undergraduate exams go to waste? If so, then there is no point in doing well in the NEHU undergraduate exams. We suggest that if entrance test is there at all then  60-70% weightage should be given from the final UG results, 30-40% should be from the entrance test and considerations should be given for ST/SC status as well.  We suggest that every NEHU department should display the details of how every student got admitted i.e. showing the percentile scores from the final UG exam, entrance test as well as from ST status and display it on the NEHU website as done in some of the departments. 

Secondly, according to NEHU prospectus 50% of the seats should definitely go to the students who are domiciled in Meghalaya. So, this is another point that NEHU should take care of. Thirdly, if there are ST/SC students who are qualified to be in the Open category based on the UG results and entrance test, then they should not be deprived of being selected in that manner.  

Yours etc.. 

Name withheld on request

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