Skip to main content

CIC advisory to Health Ministry to publish list of designated COVID facilities


By Venkatesh Nayak*
Even as I draft this despatch, States and Union Territories (UTs) which are reporting very high numbers of COVID-19 infections are allegedly running out of beds for infected people who need urgent medical attention. The media is reporting case after case of ailing individuals breathing their last waiting for admission to a designated COVID treatment hospital. The family of the deceased allege, the hospitals refuse admission, whereas the hospitals counter them claiming, the patient was found dead on arrival or that they did not admit the patient because the infection was not detected by their own testing centre. There are media reports of COVID designated hospitals refusing treatment for non-COVID ailments resulting in the death of the patient. Similarly, there are other reports of deaths caused by the novel Corona virus because the patient was taken to a hospital that was not officially designated as a COVID treatment centre. Amidst all of this confusion, India was recently elected to head the Executive Board of the World Health Organisation.
Is accurate and updated information about every COVID hospital and treatment centre designated across the country accessible to everybody in the public domain at the click of a button? Unfortunately, the answer is a deafening “NO”.
In one of its orders released Friday (05 June, 2020) , the Central Information Commission (CIC) has issued an advisory to the Union Ministry of Health and Family Welfare (MoHFW) to fill this information gap in the battle to combat COVID-19 by proactively compiling and publishing a list of all COVID treatment facilities designated across the country.
Click here to read the CIC’s order.

Background

During the Lockdown 1.0 announced by the government in March 2020, I did not file any RTI application. I took this decision because I did not want to impose an additional burden on an already embattled administration. However, when the country entered into Lockdown 2.0, it became apparent that governments were sliding back to the age of sharing information on a “need to know” basis which characterised independent India’s governance until 12th October 2005 when The Right to Information Act (RTI Act) came into force.
After learning from media reports and friends that COVID infected people were having difficulties finding the locations of the designated COVID hospitals, I rummaged through MOHFW’s website and its newly set up COVID resource page for a consolidated list of such hospitals. There was none that I could find.

The RTI Intervention

Perturbed by this absence of information about designated COVID hospitals and treatment centres on the webpage of MoHFW, I filed my first RTI application during Lockdown 2.0. On 17th April, 2020, I submitted a formal request through the RTI Online Facility asking MoHFW for the following information:
“1) The district-wise number of hospitals and healthcare facilities called by any other name, designated as COVID-19 treatment centres as on date;
2) The postal addresses and telephone numbers of the hospitals and healthcare facilities referred to above;
3) The criteria applied for determining whether or not a hospital or a healthcare facility should be designated as a COVID- 19 treatment centre;
4) The district-wise names of hospitals and health care facilities whose designation as COVID-19 treatment centres has been withdrawn as on date; and
5) The reasons for withdrawing the designation of every hospital and health care facility referred to at para no. 4 above.”
As all the information described above directly concerns the life and liberty of individuals across the country, I requested MoHFW to publicise the information within 48 hours of receipt of this request by uploading the same on their official website under Section 4(1) of the RTI Act with intimation of the relevant URL(s) to me by email. Click here to read the RTI application.

MoHFW, DGHS and ICMR play football with the RTI application

I waited in vain for a week for MoHFW’s reply. Instead of sending a substantial reply, MoHFW’s Central Public Information Officer (CPIO) transferred the RTI application to the Directorate General of Health Services (DGHS) and the Indian Council for Medical Research (ICMR). Neither public authority sent me any reply subsequently. Meanwhile the COVID-19 infection rate was rising steadily. Click here to read more.
Click here to read the complaint submitted to the CIC.

Additional submissions made to the CIC

Multiple CPIOs replied after the complaint was submitted to the CIC. On 20th May, 2020, I sent an additional submission to the CIC updating them about the developments in my case along with the replies received from the public authorities named immediately above. Click here to read my additional submission.
I put forth the following points: That my RTI application was being transferred from one public authority to another without providing substantial information. Click here to read more.

CIC’s Advisory to MoHFW

The CIC conducted the hearing on 1st June, 2020 through a whatsapp call. Five CPIOs representing all the Respondent Public Authorities including the hospitals to which my RTI application was transferred were also present. All of them denied that their units had a comprehensive list of hospitals and treatment centres designated for the purpose of treating COVID-19 infected patients. They pleaded ignorance about the source of information that the two Union Ministers mentioned in their write-up and meetings. Expressing its displeasure at this state of affairs, the CIC advised MoHFW as follows:
“…the Commission advises the Secretary, M/o H&FW to designate an officer of an appropriate seniority as a Nodal Officer to examine the matter and suo motu disclose the information sought in the RTI application on the website of the Public Authority within a period of 15 days from the date of receipt of this order in the larger public interest.”
In support of its advisory the CIC reasoned as follows:
“Having heard all the parties and on perusal of the available records, the Commission at the outset was appalled to learn that basic information pertaining to the District Wise Designated COVID treatment centres could not be provided to the information seeker by any of the Respondents. As per the provisions of the RTI Act, 2005, the CPIO acts as the pivot for enforcing the implementation of the RTI Act, 2005 and it is their responsibility to facilitate flow of information instead of simply shifting the onus of disclosing the same to other Public Authority/ officials. In the present instance none of the Respondent disclosed the information or made an effort to assist the information seeker in obtaining the information on a very sensitive matter which certainly pertains to the interest of the public at large…”
Click here to read more.
To what extent the MoHFW will comply with this advisory will be closely watched in the coming weeks.

Random survey of COVID-related websites of States and UTs

Meanwhile, after receiving the CIC’s decision, I randomly surveyed COVID-related websites and webpages of 21 State Governments and the administration of two UTs (23 out of 36 jurisdictions) across India’s geographical regions to locate COVID hospital-related information. My preliminary findings are given below:
Northern India
The Government of the National Capital of Delhi’s (GNCTD) web portal leads to a list – “dashboard style.” Very useful information about hospital-wise availability of beds is updated here every day. But having lived in Delhi for more than three decades, even I could not quite figure out which hospitals were being referred to by abbreviations such as- “SGRH City”, “DCBH” or “HAHC” included in this list without Googling them. This list does not mention their addresses or telephone numbers. Next I looked up the website of the Health Department of Punjab. Click here to read more.
Western India
Rajasthan’s Health Department website provides district-wise information and available facilities but without daily updates or postal addresses and telephone numbers. Click here to read more.
Central India
Chhattisgarh Government’s Health Department website displays names of the designated COVID hospitals with details of available facilities but no contact details or status updates are provided. Click here to read more.
Eastern India
Bihar’s dedicated COVID webpage only has district-wise helpline numbers. I could not find a list of COVID hospitals on this page or on the website of the Health Department or that of the Bihar Health Society. Click here to read more.
Northeastern India
Next I looked up Assam’s Health Department. The website of their National Health Mission programme has district-wise lists of COVID dedicated hospitals and treatment centres. Click here to read more.
Southern India
Next I looked up the dedicated COVID webpage of the Health Department of my home State of Karnataka. District-wise details of designated hospitals and various categories of treatment centres have been displayed along with postal addresses and contact numbers and number of beds, but without status updates. Click here to read more.

End Note

Much like with my RTI intervention regarding data collected about migrant workers stranded across the country, I did not ask for copies of official records. One person accessing such information is of little use to others. Instead I sought proactive disclosure of information in this case also, so that every interested person may access it sitting at home or in office. During lockdowns proactive information disclosure works to everybody’s best interests. However, given the fact that RTI is a deemed fundamental right it is important for all States and UTs to ensure access to information in a uniform manner. Some States like Karnataka and Gujarat are much more advanced than others as they proactively disclose even mobile phone numbers of the designated COVID healthcare facilities. Telangana has used Google Mapping effectively to help people find their way to such facilities with the help of their smartphones. Other surveyed States and UTs are parsimonious with the quantity and quality of information they display on their websites. MP performs much worse than most other States surveyed here, as does J&K. There is an urgent need to develop templates for information disclosure for use across the country so that comprehensive information is made available to people in a uniform manner. I hope MoHFW’s compliance with the CIC’s latest directive will be a step in that direction.

*Programme Head, Access to Information Programme, Commonwealth Human Rights Initiative, New Delhi

Comments

TRENDING

Crucial to revisit roots, embrace core Hindu principles: love, compassion, harmony

A note on religious leaders'  Satya Dharam Samvad in Haridwar: *** In a groundbreaking gathering, more than 25 religious leaders including Swamis, Acharyas, Pujaris, Gurus, and Sadhvis from all over India convened to discuss the tenets of Hinduism on September 16th, 2023, in Haridwar, to discuss and discern the current trajectory of Hinduism. This brand new initiative, the Satya Dharam Samvad, was inspired to organize its first assembly in response to the December 2021 Dharma Sansad, where hate speech and calls for violence against the Muslim community contravened the essential principles of Hinduism. Religion is being used to incite riots among Hindus, Muslims, Christians, Buddhists, Jains, etc. In the face of such hatred, Swami Raghavendra felt that something meaningful should be done in the present climate. 

Commodification of road accident deaths: The hidden health hazard of motonormativity

By Chandra Vikash*  Jahnavi Kandula, an Indian student from Andhra Pradesh, studying in America was killed in a road accident by a police motor car in January 2023. Now, 8 months after the accident, a bodycam video of Daniel Orderer, who is the vice president of the Seattle Police Officers Guild, has gone viral on social media. He was laughing at her death and saying that “she was 26 years old, anyway… she had limited value… just give her $11,000 (ie Rs 9.13 lakh)”.

Telengana peasant uprising 1946-51: Path breaking period in Communist movement

By Harsh Thakor  Telengana armed struggle from 1946-51 was path breaking period in the Indian Communist Movement, enabling it to reject the Russian insurrectionist path and emulate the Chinese model. The intensity of the movement escalated people’s democratic power to a scale unparalleled in Indian history. It literally dawned a new era. Revolutionary zeal climbed heights rarely traversed in semi-colonies. The death defying spirit which the comrades displayed in giving a blow to the Nizam ruler of Hyderabad and the Razakar landlords will be written forever in the red letters of history. Tragically it was crushed by the Congress party led by Nehru, who mercilessly ordered the army to swoop on the rebellion, with the Communist Party of India adopting a compromising position. It was ample proof of how Nehru and the Congress party collaborated with the feudal landlord class.

Inside Indian energy-mining giant Vedanta's campaign to weaken environmental rules

By Akshay Deshmane  It was 2021 and the COVID-19 pandemic was ripping through India, crippling the country’s health system and bringing the economy to a standstill. But for Anil Agarwal, chairman of the energy and mining giant Vedanta Resources Ltd, the crisis presented an opportunity.

Job opportunity in unexplored territory... to bulldoze hurdles on way to Akhand Aryavart

By Abdul Puncharwala*  Baba and Mama the Jai-Veeru Jodi of Shuddh desi politics bring an excellent opportunity of employment to all the bright matriculate drop-outs busy with their Insta and YouTube reels. Keep your phones aside for a moment and read this advert carefully. It is going to change your life forever.

Abrogation of Art 370: Increasing alienation, relentless repression, simmering conflict

One year after the abrogation by the Central Government of Art. 370 in Kashmir, what is the situation in the Valley. Have the promises of peace, normalcy and development been realised? What is the current status in the Valley? Here is a detailed note by the People’s Union for Civil Liberties , “Jammu & Kashmir: One Year after Abrogation of Art. 370: Increasing Alienation, Relentless Repression, Simmering Conflict”:

Regretful: Kapil Dev retired not leaving Indian cricket with integrity he upheld

By Harsh Thakor  Kapil Dev scaled heights as an entertainer and a player upholding the spirit of the game almost unparalleled in his era. In his time he was cricket’s ultimate mascot of sportsmanship On his day Kapil could dazzle in all departments to turn the tempo of game in the manner of a Tsunami breaking in. He radiated r energy, at a level rarely scaled in his era on a cricket field. Few ever blended aggression with artistry so comprehenisively. Although fast medium, he could be as daunting with the ball as the very best, with his crafty outswinger, offcutter, slower ball and ball that kicked from a good length. Inspite of bowling on docile tracks on the subcontinent, Kapil had 434 scalps, with virtually no assistance. I can never forget how he obtained pace and movement on flat pancakes, trapping the great Vivian Richards in Front or getting Geoff Boycott or Zaheer Abbas caught behind. No paceman carried the workload of his team’s bowling attack on his shoulders in his eras muc

Informal efforts to help children of remote Bundelkhand village unable to go to school

By Bharat Dogra  Rajaram Ka Purva is a remote rural hamlet in Banda district of Uttar Pradesh inhabited by the poorest of the poor. Almost none of the children in this hamlet are able to go to school. The reasons relate to poverty, distance of the nearest school as well as the unsafe path to school.

Understanding universe, time, space: A crucial, unresolved question before humanity

By Prof Sudhanshu Tripathi*  A crucial question before humanity, still unresolved, is to comprehend the true nature and expanse of Time and Space in Universe. If both are indeed limitless, there is no question then to go beyond them. Because both Time and Space are indeed the two key determinants in this mundane world which define the very expanse of the life period of all living organisms and non-living entities and their relative spatial area producing mental and extra-mental consciousness. 

2024 elections in India: An agenda for justice, peace, democracy and environment

By Bharat Dogra  As debates leading up to 2024 union elections in India preceded by some important state assembly become intense, it is not enough to talk about election alignments among various political parties and their seat adjustments; the questions relating to the most important priorities and a future agenda based on justice, equality, peace, environment protection and democracy must get the most importance.