Monday, December 28, 2015

Fact-Finding Report on “Horrible Condition of Leprosy Home and Hospital” in Odisha

Fact-Finding Report on “Horrible Condition of Leprosy Home and Hospital” located at Hatibari under Jujumara Block of Sambalpur district

Introduction
Having heard about deplorable situation of Leprosy Home and Hospital  and starving condition of leprosy patients  residing in Hatibari Leprosy Colony of Sambalpur district managed by Hind Kustha Nibarana Sangh, shortly called H.K.N.S., a 3-member Fact-finding Team of Right to Food Campaign, Odisha ( Sri Pradip Pradhan, Sri Sachikant Pradhan and Sri Sanjay Sahu )  had visited  Leprosy Colony  on 20.12.15 to ascertain the fact and explore the possibility of intervention of the team to ameliorate the condition of  the patients.

Hatibari Leprosy Home and Hospital was established in 1950 under the able leadership of Dr. Izac Santara, a dedicated philanthropist and Padmashree- awardee. This institution is very famous in the state for its dedicated service to the leprosy patients. Leprosy patients are not only provided free treatment but also rehabilitated in the colony. Because due to social stigma and ostracism, the leprosy patients who once admitted, continue to stay there till their death.  This institution is spread over 560 acres of vast track of forest and agricultural land. There are around 10 big ponds and a number of fruit bearing trees and agricultural land used for paddy cultivation. Earlier, it was managed successfully by Dr. Izac Santara, founder of the Institution which was later on taken over by the State Govt. and Hind Kustha Nibarana Sangh, a state-level Voluntary Organisation chaired by Hon’ble Governor, Odisha.

Visit of the Team
On 20.12.15, the Team reached in Hatibari   at 12 noon and stayed upto 4.30 AM and   made a glance of the location of leprosy colony, hospital, residence of the patients etc. The Team interacted with the following leprosy patients  to understand their condition, food security situation, management of kitchen, type of food served, health service delivered to them etc.  and heard their grievances, apathy and acrimonious  attitude  of the administration. The Team also met lone 30-years in-service employee Sri Prafulla Ku. Dev, physiotherapist in Leprosy Hospital  who was available to respond the query of the Team.
  
1.      Laxman Sah
2.      Suman Sahala
3.      Purandhar Seth
4.      Pakhuda Padhan
5.      Nayan Padhan
6.      Chhalu Padhan
7.      Lalit Padhan
8.      Hamara Padhan    
9.      Tankadhar Adabar
10.  Parvati Senapati
11.  Dayalu Gudia

Hatibari has allotment of 450 beds for leprosy patients managed by H.K.N.S. and 20 beds managed by Govt. Presently, total no. of 160 patients are staying in Hatibari. On query about such a less number of patients staying in the Home and Hospital, they said that due to lack of proper treatment and facilities, a good number of patients have left Hatibari. It was observed that most of the patients are old and staying there since last 20 to 30 years without any contact with their original family members. They stay here completely isolated from the family and their relatives who hardly come to visit them.  The physical condition of the older patients was found very precarious.  The room allotted to them are found dirty, dark and half-broken. Most of the Leprosy affected persons are staying in dark room without electricity. The Team visited a home of woman leprosy patients. This Home is a big dark Hall with electricity connection. There are two small bulbs which hardly gives light to the room. The Team came across a new 20-bedded hospital which was inaugurated by Sri Rohit Pujari, local MLA is housed by twenty woman leprosy patients. They complained of not being provided proper treatment and ulcer of their body is not being properly dressed by the dresser. There is one ANM and two staff nurse appointed in the hospital but they hardly remain present.

On query about management of Hospital,  the patients and inmates said that there was  no doctor   or supervisor appointed in Hospital since last few years. The post is lying vacant. Nobody from Govt. side has been posted in Hatibari to manage it. There is also no attendant appointed to look after the patients.  As reported by the patients, Cotton and Bandage is not available as per requirement of the Hospital. Dressing of ulcer is not being done regularly. It was found that many patients are using their dresses to cover up ulcer which gives very bad smell. Due to lack of proper treatment, the health condition of the patients is deteriorating day by day.   

The Team was informed that three number of patients named Laxman Sa, Suman Sahala, Purandhar Seth were not provided  food  since April 2015, as they were unable to collect wood required for preparation of food for the patients. Then, the Team members got anxious to know more about management of kitchen in Hospital.  The Team visited the kitchen and found very terrible arrangements. Neither the cook nor any Manager has been appointed for preparation of food. On query about suppliers of materials, they said that they had not seen the supplier supplying rice, grocery and vegetables. The patients are collecting wood and preparing food for them.  They have been asked by authority to collect wood, as allocation of Rs. 50.00 per patient per day is insufficient for preparation of food. As there is no Manager to look after kitchen, the groupism has been developed among them in due course of time and few of them are dictating everything and taking decision on their wish and fancies. As the patients are unable to collect wood due to their physical deformity, they are denied food. It was found that many inmates are practising beggary and surviving on alms. The patients are provided   only rice, dal and hardly vegetable curry except chicken provided twice in a month.

 On return from Hatibari, the Team met Prafulla Kumar Dev, Physiotherapist, the lone staff who was found for interaction and enlightened the Team about mismanagement and precarious condition of the patients in Hospital. He said that there was no supervisor in Home ad Hospital since last 15 years. The post of Doctor is lying vacant for few years. There is one dresser named Bipin Biswal appointed for dressing of 160 patients.  The Hospital is completely in mess and left managed by nobody. During my career, I have been disgusted and disillusioned here.

Problem Analysis
1.                  Leprosy is a dreaded disease in India. A Leprosy-affected patient requires constant treatment to get cure. The Leprosy-affected people are seen ostracised by the people in the society. Keeping it in view, the philanthropist Organsations  came forward to render their voluntary services  to the people suffering from leprosy by providing them free shelter, food and treatment.  Dr. Izac Santara, eminent Social Worker set up  Hatibari Leprosy colony  for free treatment and rehabilitation of the patients. Once upon a time, this Institution was very famous for rendering best service to the affected people and rehabilitating them. In due course of time, its sanctity has deteriorated a lot after it is taken over by Govt. Due to mismanagement, carelessness, corruption, lackadaisical attitude, this Home and Hospital has been reduced to Jungle Raj and chaotic atmosphere reigns there.
2.                  As reported by the patients, there is no manager appointed by the Govt. to look after this Home and Hospital spread over 540 acres of land.  The post of Doctor and Attendant is lying vacant for several years.

3.                   Dressing of Ulcer is the most important part of treatment of Leprosy patients.  But one Dresser Bipin Biswal has been appointed for dressing of Ulcer of 160 patients. It is also complained that Sri Biswal never comes regularly to the Hospital. Due to this problem,   the ulcer of the patients is not being dressed regularly and properly and remained out of cure. 

4.                  It was also complained that Cotton Gauze and bandage is not being supplied sufficiently to the requirement of Hatibari Hospital for which treatment is not being done properly.  It was found that the woman patients have tied their saree   around ulcer of the body.

5.                  Kitchen is completely in mess. Nobody is there to manage it.  No cook has been appointed to prepare food The patients are managing kitchen, cooking food, collecting wood  on their own without any accountability. They also do not know the name of the supplier who supplies rice, dal and vegetables. It was found that a Contractor has been appointed by the Govt. to supply the same. As per the RTI information, there is allocation of Rs.50/- for food per patient per day. As reported by the patients, the meal provided to them is only rice and dal and to some extend little vegetables. It was observed that lack of proper management of kitchen has led monopoly of few people to manage the same on their whims and fancies  and rise of groupism among them which is very dangerious trend  in a Hospital.

6.                  The Team found that three patients named Laxman Sa, Suman Sahala, Purandhar Seth were not provided food since April 2015, as they were unable to collect wood required for preparation of food for the patients.

7.                  The Homes allotted patients in different location are found in wretched condition. Most of the houses are half-broken and unusable. The condition of woman patients is very precarious.

8.                  No medical staff  and H.K.N.S. Staff is residing  in the campus.  Nobody is there to take care of the patients, if someone becomes serious and requires immediate hospitalisation.

9.                  It is alleged that the patients suffering from other disease like fever, cough, dysentery  etc.  medicine is not provided  properly.

Recommendation of the Team
1.      Releasing  the gravity of the situation and deplorable condition of the patients, the Team strongly recommends to State Govt. to  enquire into the mismanagement of Hatibari Home and Hospital and take necessary action against the Officials and staff of H.K.N.S. responsible for it.

2.      The vacant posy of Doctor, attendant and other post  should be filled up immediately on war footing way.
3.      A dedicated Manager should be appointed  for management of Home and Hospital at Hatibari.

4.      A  Manager  and required number of cooks should be appointed to look after the kitchen at Hatibari.

5.       A sum of Rs. 100.00 to be allotted per patient per day  for food of the patients.

6.      Sufficient Dresser should be appointed  and  necessary instruction should be issued to them to stay  in campus. Sufficient cotton gauze , bandage should be allotted for treatment of patients. If there is any corruption in supply of cotton gauze, necessary enquiry must be conducted and action to be taken accordingly.

7.      The patients who are denied food should be supplied meal as early as possible.

8.      Sufficient medicine should be supplied  to the Hospital for treatment of patients. 

Signature of Members of Fact-finding Team


Pradip Pradhan                                                                     Sachikant Pradhan
State Convener                                                          Member, Right to Food Campaign, Odisha
Right to Food Campaign, Odisha                             M- 9439487471
Plot No-D-27, Maitree Vihar
Post-Rail Vihar, Bhubaneswar-23
Odisha, M-9937843482 


Sanjay Sahu
Social Activist

M- 8658416694

Thursday, December 24, 2015

Only 600 crores available under NREGA with Govt. of Odisha

An amount of only 600 crores available with State Govt. under NREGA to provide 200 man-days to 60 lakh Job holders in Odisha during the period 2015-16 ( upto March 2016)
  
 Releasing   drought package to fight out terrible drought situation in Odisha,  Sri Nabin Patnaik, Chief Minister has  declared  to provide 200 mandays of work to each family of Job Card holder under NREGA  in the state. RTI Application was submitted to the PIO, Department of Panchayat Raj seeking information about availability of fund for NREGA with State Govt.  The PIO has stated that out of total budget of Rs. 147176.02 lakhs (Rs.1471.76 crores) earmarked for the period 2015-16, Rs.89238.32 lakhs ( Rs. 892.38 crores)  has been spent as on 17.10.2015. It means the availability of amount to provide work to NREGA worker upto March, 2016 is Rs. 57937.07 lakhs (Rs. 579.37crores)

 Now the question is raised how  the State Govt. will provide 200 man-days to 60 lakhs Job card holders with just limited amount of around 600 crores rupees.

 The details of budget required to provide 60 lakh Job Card holders for 200 days in the state

 Total registered Job card holder in Odisha
60 lakhs
Total Man-days to be provided to Job Card holders  declared by Govt.
200 days
Minimum Wage rate per day
Rs.174.00
Total Amount required to provide 200 man-days to 60 lakh Job Card holders at the rate Rs.174.00 per day
20,880 crores rupees

Pradip  Pradhan
M-9937843482

Date- 24.12.15

An amount of Rs.45 Crores spent for E-policing in Odisha

An amount of Rs.45 Crores spent for E-policing in Odisha


With much fanfare,  the  Chief Minister of Odisha  inaugurated E-policing in Odisha in October 2015 declaring  that hence the people  will  find opportunity to file  complaint/FIR  on-line to get their cases registered  in police station.  RTI Application was submitted to the Department of Home, Govt. of Odisha seeking information about details of decision taken with regard to E-policing in Odisha including copy of the file noting, total fund sanctioned and expenditure made, the name of the agency given the responsibility for developing portal et.  The PIO, office of Ofisha Police State Crime Records Bureau, Bhubaneswar supplied the information on 17.12.15 which is as follows.

A.      No file noting on decision taken about E-policing in Odisha is available  in this office as Crime and criminal Tracking Network & System (CCTNS) project is a Central Government sponsored Mission Mode Project under the National E-Governance Plan which aims to fully modernise  the police organisation in the country. CCTNS aims at creating a comprehensive and integrated system for enhancing the efficiency and effectiveness of policing through adopting of principle of e-governance and creating of a nationwide networking infrastructure for evolution of IT enabled state-of-art tracking system around “investigation of crime and detection of criminal”. Though this project, the police will maintain all its crime and criminal date in online system. The CCTNS is an effort to modernise the police force giving priority to information gathering and its dissemination through police organisations and units across the country. CCTNS would bring a paradigm change in the way investigation of cases is monitored.  

B.      The State Crime Records Bureau (SCRB), Odisha  Bhubaneswar has been designated  as the Nodal-cum-implementation agency in Odisha. A multi-tier governance structure  has been put in place at state level to ensure  appropriate direction  and monitoring at all levels. CCTNS will cover 579 police stations, 166 Higher Police offices, office of Commissionerate police, Crime Branch, EOW, STF, State Intelligence Organisations, State Police Organisations, State police headquarters of Odisha. Necessary hardware and software are being provided at these locations  & State Data centre  has been established at Odisha Computer Application Centre   ( OCAC) to host  the CCTNS application. All these locations are connected by providing appropriate BSNL connectivity for data transfer and sharing of information among various stake-holders. Digitalisation of case records and other records of the police stations  for the last 10 years is in progress.  

C.      Total amount of  Rs.49,76,15,000.00  fund  has been approved  for Odisha CCTNS project by the Central Government  out of which  the Central Govt. has sanctioned  Rs. 35,36,36,000.00  and  state Govt. has allocated  Rs. 10,08,21,091.00.

D.     Rs. 30,29,59,028.00  from Central fund allotment  has been made expenditure for the project work  including developing portal  for the same  under CCTNS project by the State Govt.  Rs. 10,08,21,091.00  from State Fund allotment  has been made  expenditure for the project work towards other critical components  under CCTNS project.  

E.      M/S NIIT Technologies Private Limited  as system integrator (SI)  has been given responsibility for implementation of CCTNS project through the bid process  vide the contract signed  on 12.7.2012 with a value of Rs.42,71,00,000.00  for a period of 48 months for the work.

F.       M/S Deloitte Touch Tohmatsu India Private Limited  being empanelled stakeholder  as selected  by the Ministry of Home Affairs  (MHA)  to act as State Project Management Unit (SPMU)  of the CCTNS  project, Odisha vide contract signed on 6.10.12. with a value of Rs. 3,63,38,980.00 for a period of 36 months.

G.     Bharat Sanchar Nigam Limited ( BSNL), India being signed Memorandum of Agreement ( MOA)  by the Ministry of Home Affairs ( MHA) . BSNL, Odisha circle , Bhubaneswar has been give the responsibility  of connectivity ( broadband)  vide the service level agreement  signed on 2.1.2012  for CCTNS project with a value of Rs. 4,40,98,604.00 for 48 months for the said work.

H.     Details of State Govt. fund allocation and expenditure  as on 30.10.15   

Component
Allotment (in Rs.)
Expenditure made (in Rs.)
Balance ( in Rs.)
All surrendered
Table & Chair
46,09,330
46,08,930
400
MS office License
1,60,48,000
1,60,07,294
40,706
Data Digitization
39,64,000
NIL
39,64,000
Higher office
9,84,000
6,00,788
3,83,212
EMS
1,83,71,000
1,32,99,660
50,71,340
UPS
60,80,000
50,84,960
9,95,040
Cisco Switch
4,62,000
48,800
4,13,200
Networking
2,72,16,000
27,01,959
2,45,14,041
Solar power
6,57,23,700
5,84,68,700
72,55,000
Total
14,34,58,030
10,08,21,091
4,26,36,939

I.        Details of Central fund allocation and expenditure  as on 30.10.15
 Component
Allotment
Expenditure
Balance
SPMC
93,75,000
93,75,000
OO
CB (Training)
54,48,000
54,48,000
OO
SI/SPMU
29,52,09,000
24,26,72,589
5,25,36,411
Network
97,04,000
97,04,000
00
Interest earned
1,84,10,174.85
18,59,439 ( for audit, SPMU, SMS-NIC_
1,65,50,735
Others


2,50,000
Total
35,36,36,000
30,10,99,589
6,93,37,146

Pradip Pradhan
M-9937843482

Date- 24.12.15