On last Saturday 23rd November, doctors and lawyers manhandled each other at Punjab Institute of Cardiology(PIC) and afterwards a case was registered against fifteen people, including five doctors and two security guards under various sections including Section-7 ATA which is specific to only terrorist activities on the complaint of an advocate. The tragic incident initially happened when three lawyers misbehaved with a dispenser(Pharmacist) during receiving Of medicine from wrong window. The issue was almost resolved at the moment but when later on lawyers attacked PIC doctors, pharmacists and other paramedics in the form of an enraged crowd, it actually got out of control.
According to lawyers, young doctors and their companions had allegedly tortured a man. The lawyers also blocked Jail Road in protest. Then both the prestigious communities started abusing each other on particularly social and other media. Lawyers-the Protectors of law and doctors-the ‘Messiah’ Of humanity started brewing different conspiracies against each other. Both professionals basically work for the facilitation Of humans and protect basic human rights.Mistakes were made on behalf of both sides. Black sheep are everywhere. Incidents of ‘Wokla Gardi’ especially after Former Chief Justice Iftikhar Chuadhry-cum-Judiciary restoration movement and recent MTI Act ‘Doctor Gardi’ both have been the parts of Pakistan’s history. Both professionals pass through rigorous hours of work but doctors duty hours are more hecticand long which must be less. Moreover,patience could postpone the unwanted situation.
Violence in health care institutions is a common problem in the world. The common point of studies on violence against health care workers is that violence in the health field is more than other work places and it is less taken into account. In each study it is found out that verbal violence is more than physical violence. In the researches, it is found out that the groups who are most subject to violence are emergency workers or nurses. The acts of violence are more in the emergency services during evening and in the first hour of application to the health care facilities. People who use violence are mostly patients or unnecessary number of relatives of patients. In many countries of the world, policies have been developed to prevent violence in health care institutions and in some countries the ones who use violence to health workers are sentenced to prison.
A policy issued by the United Kingdom government for remonstration of physical assault on doctors, concentrates on hostility against incite and advancement of environment. Sadly, Pakistan’s government hospitals lack a system to manage such challenges seriously. Mostly violence is seen in emergency departments where patients are brought under such serious condition that saving their lives becomes unattainable. This is the main reason why young medical graduates especially girls prefer to practice their medical careers abroad as they dread the fight.
“Violence may occur when a health care worker tries to set restrains on eating, drinking or when service is refused. District level hospitals are needed to be provided with all medical facilities. The common problems interfering the capabilities of basic health units are issues with the salary structure, non-serious behavior towards designation of doctors and other staff, lack of medicines and equipment.”
Currently, Pakistan’s rampant population is living in a time of turmoil due to terrible political and economic instability. Unemployment, poverty and political agitation have created anger, frustration and impatience in the common man, resulting in greater risks of crime and violence in the country. Medical employees are immensely being targeted by violence of patients, especially in government hospitals. In Pakistan, 77% of physicians have faced both verbal and physical abuse in a survey showed recently.
Pakistan Penal Code PPC accommodates a law that government has a political or legal duty to implement. Section 153-A of the PPC ,which stated that: “By words, either spoken or written, or by signs, or by visible representations or otherwise, that promote or incite, or attempt to promote or incite, on grounds of religion, race, place of birth, residence, language, caste or community or any other grounds whatsoever, disharmony or feelings of enmity, hatred or ill-will between different religious, racial, language or regional groups or castes or communities: or commits, or incites any other person to commit, any act which is prejudicial to the maintenance of harmony between different religious, racial, language or regional groups or castes or communities or any groups of persons identifiable as such on any ground whatsoever, and which disturbs or is likely to disturb public tranquility shall be punished with imprisonment for a term which may extend to five years and with fine”.
Violence occurs when the service cannot be steady or when access is limited to operate.Panic and stress created by such conditions can lead to violence against service providers or organization. Violence may occur when a health care worker tries to set restrains on eating, drinking or when service is refused. District level hospitals are needed to be provided with all medical facilities. The common problems interfering the capabilities of basic health units are issues with the salary structure, non-serious behavior towards designation of doctors and other staff, lack of medicines and equipment.
The American College of Emergency Room Physicians has recommended interventions such as increasing the number of security officers, closed circuit television cameras with 24-hour trained observers, panic buttons, and better control of the entry into the emergency department.
The reality is acts of violence in hospitals continue to be on the rise. Bad things can happen anywhere and try to get rid of this violence by:
Firstly, establish a zero-tolerance policy against violence against staff members and visitors.
Secondly, educate and train the staff with provisions of new technologies and not just in the high risk areas like behavioral health and security but with others too. Thirdly, make it mandatory for employees to report acts of violence in a non-punitive environment through their internal incident reporting. Keep abreast of new strategies and partner with local law enforcement or having a consultant review the work site and lastly, collaborate and maintain partnerships with law enforcement agencies.
To conclude whatever be the cause of violence, the impact is grievous. Last but not the least, if these types of relentless attacks on this health-care profession is unchecked by the policy makers, political leaders, regulatory bodies and administrative authorities, then brilliant students will be scared to opt for this noble profession.