One of the most populated countries in the world, India has been facing problems with regard to well-being of its citizens while sustaining their developmental needs. The need for better health facilities, and developing antidotes for new kinds of pathogens and viruses have made the task more challenging. The respective governments, pharma companies, and testing labs are trying to develop safe trial mechanisms and developing safeguards for protecting the lives of vulnerable sections of society. Within India, the community health programme involves the non-governmental sector, healthcare professionals, economics aspects and social interaction through people and voluntary workers. While the health ecosystem exists, the problem has been finance, support and critical knowledge repository. India did well to address issues such as polio vaccination and creating community awareness for regular medication against tuberculosis. There is a mounting impact of chronic diseases in economic and social sectors, need for quality health services in the wake of changing demographics, and increasing life expectancy have made matters more complex.
In terms of understanding the requirements for building better resilient and health-conscious societies, it is important that the vaccines, lifesaving drugs, and medicines should be developed with certain generalised regulations which can improve the health of the society and address problems faced by people living across regions. While India is a subcontinent comprising of all geographical features, it is also a cauldron of different ethnic communities, and physical features which provides exceptional opportunities for testing and developing medicines which can cater to different physical and pathological profiles of people. Within India, one can find people with different levels of immunity. As the eating and food habits have been different, there is higher incidence of diabetes, hyper tension and cardio diseases in a cross-section of people. It has also been seen that people who are above 40-70 years of age have been more vulnerable to pandemics, and other communicable diseases. A sizeable mortality profile of people suggests that.
In this context it becomes very important that medicines which should be developed should have a better shelf life and give results which can be corroborated with testing facility, with a cross-section of people. The results have usually varied with regard to people with different eating habits and also nutrition factor. Pandemics such as COVID-19 have brought to the fore that India has better resistance mechanisms which has helped in relatively less mortality rate when these people have been infected with COVID-19. The duration of sickness because of COVID -19 has varied from five days to more than three weeks. In such certain times, it has been found that because of lack of any effective medicine or any sure shot diagnostic mechanisms the treatment has prolonged and the recovery has been slow. In terms of legal and other regulatory mechanisms, it has been found that most of the clinical trials which are done in India enroll the vulnerable and poor people and human trials are conducted. There is a grey area of medical compensation and addressing post-tests complications from legal point of view.
For India it has become imperative to develop projects and conduct feasibility studies through government mechanisms rather than through medical companies. While projects have been undertaken to study different kind of diseases that school children and adults will be facing in the next two decades, it has been found that most of the complications will be related to teeth, eyesight, anxiety and mental well-being. However, in the case of pandemics and community health programmes it has been encouraging signs that initiatives such as creating awareness with regard to AIDS, mental well-being, depression and anxiety disorders have been fruitful and rewarding with institutionalising counselling and telephone helplines. Most of the programs have been done and supported by NGOs as well as a few voluntary organisations.
The projects and programmes which can be initiated in India should address core issues. Firstly, the incidence of non-curable diseases, depression, immunity disorders, other issues related to community transmission, and the development of proper safeguards and awareness with regard to pandemics and life-threatening diseases. Secondly, the COVID-19 has opened a Pandora’s box with regard to the incidence of diseases which impact community, and thereby also affect government health budget. Lastly, it is necessary that India will have to create medical soldiers and inform voluntary workers so that the community transmission and community health well-being should be addressed on a priority level.
As the COVID vaccine is in different trial stages, many countries are looking for testing facility in India and also conduct human trials, as legal structure in medicinal trials is still in infancy. India needs to address the issue of IPR on developing vaccines and medical history should be addressed jointly as it has been found that many western countries have been purchasing medical history of the patients living in developing Asia, providing vaccines through great testing mechanisms and subsequently using copyright laws to deny cheap medicines to the larger community.
In this regard it is important that India should conduct research on immunity vectors of its population and develop generic drugs which can help in protecting communities from most transmissions. It is also pertinent to note that in terms of the temperature variance across India it provides unique testing opportunities in different conditions. However, there is a need for a holistic approach and therefore it is important that training and sensitisation of the personnel working in this field is of paramount importance. Initiatives related to preventive and therapeutic services is critical. Also, looking for quick alternatives would save the lives of personnel.
Just like any emergency, there is a need for rapid action medical force which can provide immediate assistance and better cognitive abilities track critical illnesses and the reasons thereof. It has been seen in the case of midwifery and associated postnatal diseases that it has worked wonders with a better equipped and knowledgeable person existing in each society for better assistance and awareness.
The critical importance of voluntary workers is that with sufficient technical assistance (which might come from government and state units) gives them confidence and also strengthens their application of knowledge for better informed public health practices and policies. Technical assistance and quick action through centralised control centre has to create the first line of defence in case of a pandemic.
The institutes which have been working in this field are Public Health Foundation of India, Indian Institutes of Public Health and All India Institute of Hygiene & Public Health, which have been disseminating information through online workshops, seminars, and social media. They have created affiliates and sister agencies working in the field all across India. Networking of public health institutions in medical education need to address issues such as environmental health and countering new kind of diseases which are dominating.
This clearly highlights the fact there is a need for understanding pandemics, developing awareness among communities about public health, and stress on hygienic environment, conducting long term research on emerging diseases and promoting research in tropical medicine.
India need to allocate separate fund for public health initiatives and promote exchange of medical workers with third world countries for better understanding the nuances of medical and health research. In fact, in most of the think tank meetings, public health and awareness is not listed as topics whenever Track II dialogues are held. There is also a need for better practices in public health, education, and developing health demonstration projects, barefoot nurses and doctors, strengthening an eco-system of education, training, and scholarship. Developing traditional medicine and making it easily accessible should be the bulwark against diseases. Restructuring Community Medicine/ Preventive and Social Medicine colleges which impart this kind of education in developing countries is required as the number is relatively less. Across developing world scholarship in community medicine and hospital administration is low and needs structural financial support. The data collection and diagnostics apparatus need micro management to create better response chain. COVID-19 has provided the reason for public health to be taken as a national initiative.
Afghanistan: the US and NATO withdrawal and future prospects
On April 14, the United States of America announced that it would withdraw all its troops stationed in Afghanistan from May 1 to September 11, 2021. On the same day, NATO also said it would coordinate with the White House military to initiate the withdrawal.
The year 2021 marks the 20th anniversary of the outbreak of war in Afghanistan, a conflict that has actually been going on since the Soviet invasion of that unfortunate country on December 24, 1979.
What are the plans of NATO and the United States? How will the situation in Afghanistan change in the future?
Regarding the US announcement of the deadline for troop withdrawal, Afghan President Ashraf Ghani has said that the Afghan government respects the US government’s decision to withdraw its troops by the agreed date.
According to the Associated Press, there were 2,500 US troops in Afghanistan before May 1, far below the peak of over 110,000 in 2011.
According to the websites of the Financial Times and theDeutsche Welle, some ten thousand soldiers from the 36 NATO Member States and other US allies are currently stationed in Afghanistan, including as many as 895 Italian soldiers, as well as 1,300 Germans, 750 Brits, 619 Romanians, 600 Turks, etc.
President Trump’s previous Administration signed a peace agreement with the Taliban in Afghanistan in February 2020, setting May 1, 2021 as the deadline for NATO to begin withdrawing from that country. The Washington Post reported that after the current US government issued the withdrawal statement, the Taliban immediately said that if the United States violated the peace agreement and did not withdraw its troops in Afghanistan, the situation would get worse and one of the parties to the agreement would take responsibility for it.
This year is the twentieth since the United States started the war in Afghanistan after the terrorist attacks of September 11, 2001. The war in Afghanistan is the United States’ longest overseas war, and has killed over 2,300 US soldiers and wounded some 20,000 people, at a cost of over 1 trillion US dollars.
Although the United States and its allies attacked the Taliban and al-Qaeda, the situation in Afghanistan has been turbulent for a long time, with over a hundred thousand Afghan civilian casualties in the fighting.
According to The New York Times, both Parties’ members of the US Congress have differing views on the consequences of withdrawal. According to the newspaper, Republicans and some Democrats believe that the troop withdrawal will encourage the Taliban insurgency, while others believe it is necessary to put an end to this indefinite war.
But what considerations can be made for the US and NATO withdrawal from Afghanistan?
It is well known that the purpose of the United States in taking the war to Afghanistan was a very heavy measure of retaliation against al-Qaeda, which had organised the terrorist attacks of September 11, and against the Taliban regime that protected the top leaders of that terrorist organisation. Although al-Qaeda has not been destroyed, it is unlikely to create similar problems. The United States has achieved its strategic goals and is no longer involved in East Asia’s tactics and strategy.
The interests of NATO (considering its individual Member States) in Afghanistan are fewer than those of the United States. As a military alliance with the United States, the achievement of US strategic goals means that NATO’s equal strategic goals have also been achieved. Hence, rather than continuing to run the risk of confronting the Taliban and al-Qaeda after US military withdrawals, NATO is more willing to remove the “political burden” as soon as possible.
While announcing the terms of the withdrawal, the White House has stated that the threat of extremist organisations such as Somalia’s al-Shabaab and ISIS is spreading globally and it is therefore meaningless to concentrate forces in Afghanistan, with a steady expansion of its military cycle. At the same time, however, the White House has stated that after withdrawal, diplomatic and counter-terrorism mechanisms will be reorganised in Afghanistan to face security challenges. Hence, from the US perspective, there is currently a greater terrorist threat than al-Qaeda and the Taliban.
The prospectsfor advancing the Indo-Pacific regional strategy to oppose China also means that it would be counterproductive for the United States to remain in Afghanistan any longer. Even after the troop withdrawal, there will be insecurity in Afghanistan. That being the case, however, the United States will still find ways and means to support the Afghan regime and the armed forces of the Kabul government.
The Washington Post has also reported statements by a Pentagon official who has stressed that Afghanistan is a landlocked country: consequently, once US and NATO forces withdraw, one of the biggest challenges will be how to effectively monitor and combat extremist organisations and resist threats to US security: at that distance it will be even more difficult without sea landings.
According to Reuters, the CIA predicts that the possibility of a further US-Afghan peace deal is little and has warned that once the United States and its allies withdraw, it will be difficult to stop the Taliban.
The Afghan government forces currently control Kabul and other large cities, but the Taliban are present in more than half of the country’s territory and rural areas. In the future, the possibility of a Taliban counter-offensive cannot be ruled out.
Great Britain’s The Guardian has commented that the years of war have generally made Afghans feel a strong sense of insecurity and the withdrawal of troops will not bring much comfort to the local population. According to the London-based newspaper, for the United States this is yet another war that cannot be won.
According to experts, there are two extreme possibilities in the future situation in Afghanistan. The excellent situation is the one in which the less extremist wing of the Taliban mediates so that, once the United States withdraws, the Taliban can gradually move from being an extremist organisation to being an internal administrative one and then negotiate with the legitimate government supported by the United Nations: this would mean a long-term peace after forty-two years of war.
Under extremely unfavourable circumstances, instead, the Afghan government forces would overestimate their military strength and intend to continue the war alone against their traditional opponents, at which point peace negotiations between the two sides would break down.
This would mean falling again into a prolonged civil war and into eternal war.
Bhashan Char Relocation: Bangladesh’s Effort Appreciated by UN
Bhashan Char, situated in the district of Noakhali, is one of the 75 islands of Bangladesh. To ease the pressure on the digested camps in Cox’s Bazar and to maintain law and order, Bangladesh has relocated about 18,500 Rohingya refugees from the overcrowded camps to the island since December last year. The Rohingya relocation plan to Bhashan Char aligns with the Bangladesh government’s all-encompassing efforts towards repatriation. The initial plan was to relocate 100,000 of the more than a million refugees from the clogged camps to the island. From the onset of the relocation process, the UN and some other human rights organizations criticized the decision pointing to remoteness and sustainability. UNHCR showed their concern over the island’s susceptibility to seasonal storm and flood. They proposed for a “technical assessment” of the Bhashan Char facilities.
An 18-member UN delegation visited Bhashan Char Island on March 17 this year to have a first-hand assessment of the housing facility for the Rohingya forcibly displaced Myanmar Nationals (FDMNs). Shortly after the UN’s visit, a team with 10 diplomats including heads of missions of embassies and delegations from Turkey, the EU, US, UK, France, Germany, Japan, Australia, Canada and the Netherlands also went to the island on April 3 to appraise the facilities. All the members of the technical team opined that they are ‘satisfied’ with the facilities in Bhashan Char. The experts of the UN told, they will hand over a 10-page report of their annotations and they have already submitted a two-page abridgment. On April 16, they released the two-page synopsis after a month of the visit. After the three-day study of Bhashan Char by the UN delegates, they recommended the Bangladesh government to continue the relocation process to the island in a ‘phased manner’. The team twigged three points – education for Rohingya children, increasing heights of the embankments and better communication system. The Foreign Minister of Bangladesh A. K. Abdul Momen concerted to take the necessary measures to create a safe and secure environment for the Rohingya refugees until the repatriation takes place. The relocation is not the solution of the Rohingya crisis rather the over emphasis of the relocation and facilities inside Bangladesh is protracting the crisis and distracting the attention from the broader emphasis on the repatriation to Myanmar.
The UNHCR and other concerned parties should plan for a long run repatriation process. Repatriation is the only durable solution, not the relocation of the Rohingya refugees. For the time being, resettlement under the Asrayan-3 project is an ease for the FDMNs but in the long run the Rohingya crisis is going to turn as a tremendous threat for regional peace and stability. Besides, resentment in the host community in Bangladesh due to the scarce resources may emerge as a critical security and socio-economic concern for Bangladesh. It is not new that the Rohingyas are repatriated in Myanmar during the Military rule. Around 20,000 Rohingya refugees were repatriated to Myanmar in the 2000s. The focus of the world community should be creating favourable conditions for the Rohingyas to return safely regardless who is in the power seat of Myanmar-civilian or military government. The UN should largely focus on repatriating the Rohingya refugees in a “phased manner”, let alone deciding their concern in the camps and the Bhashan Char. After the praiseworthy relocation plan, they should now concentrate on implementing speedy and durable repatriation. Proactive initiatives are essential from all walks for a safe and dignified return of the FDMNs. To be specific, the relocation is a part of the repatriation, not the solution of the problem.
Afghan peace options
President Biden’s decision to withdraw unconditionally all foreign forces from Afghanistan by September 11, 2021 will leave behind an uncertain and genuine security concerns that ramifications will be born by Afghanistan as well as the region.
The Taliban seems least interested in peace talks with the Afghan government and appear determined to take control of the entire afghan government territory by force during post-withdrawal of American forces. Short of the total surrender, Afghan government has no possible influence to force the Taliban to prefer talks over violence. Resultantly, the apprehensions that Afghanistan could plunge into another civil war runs very high.
The consequences of yet another civil war will be deadly for Afghanistan and the whole region as well. Among the neighboring countries of Afghanistan, Pakistan will bear the severe burnt of an escalation of violence in particular. A civil war or possible Taliban takeover will surely upsurge and reinvigorate the Islamic militancy in Pakistan, thus threatening to lose the hard won gains made against militancy over the past decade.
The afghan and Pakistani Taliban, nevertheless, are the two sides of the same coin. Coming back to power of the Taliban in Afghanistan is surely emboldened and revives Pakistani Taliban and other militant outfits. Moreover, spread of violence not only reduce all chances of repatriation of refugees but possibly increase the inflow of refugees from Afghanistan to Pakistan.
Furthermore, worsening of the security situation in Afghanistan will jeopardize the prospects of trade, foreign investment and economic development initiatives such as china-Pakistan economic corridor. The chances of Gawadar and Karachi port to become a transit trade route for the region and link the energy rich region of central asia will become bleak until a sustainable peace and stability is achieved in Afghanistan.
It is against this background that the successful end of the intra-afghan talk is highly required for Pakistan, for its own sake. Officially, Islamabad stated policy is to ensure the afghan-led and afghan-owned peace solution of the afghan conflict. It helped in bringing the Taliban on the negotiation table, which finally resulted in the signing of the Doha deal between US and Taliban. Further, Pakistan has time and again pressurized the Taliban to resume the dialogue. Moreover, Islamabad holds that, unlike in the past when it wanted a friendly regime in Kabul, it aims to develop a friendly and diplomatic relation whoever is on the power in Kabul.
Notwithstanding the stated policy and position of the Islamabad, the afghan government and the many in the US remains dubious of Pakistan’s commitment. Against these concerns, Islamabad categorically stated that it does not have complete control over the Taliban.
The success of the peace process will require coordination and cooperation among the all regional actors and the US and afghan government. Pakistan’s role is of an immense significance because of its past relation with the Taliban. There is no denying of the fact that Pakistan has not complete control over the Taliban. Despite, it has more leverage than the other actors in the region.
The Islamabad’s willingness to use its influence over the Taliban is her real test in the achievement of peace process. However, Pakistan has successfully used its leverage and brought the Taliban on negotiations table. Although, history is the testimony of the fact that mere cajoling won’t dissuade the Taliban from unleashing violence.
The prospects of intra-afghan talks will develop in success when the cajoling strategy is backed up by with credible threats of crackdown which may involve denial of safe heaven to militant leaders and their families, stopping medical treatment, and disruption of finance etc. on the other hand, strong arm tactics fail to bring the Taliban to the table, then Pakistan should make sure that its territory is not used to carry out attacks in Afghanistan.
The afghan peace process has an opportunity for Pakistan to bury its hatchets with Afghanistan and start its diplomatic journey with a new vigor. While Kabul every time attach its failure with the Pakistan and shun away from its responsibility of providing peace to people of Afghanistan, it has a fair point about our pro Taliban afghan policy. Now that the US is leaving Afghanistan, it is high time that Pakistan bring forth a shift in its Afghanistan policy. Sustainable peace in Pakistan, especially Balochistan and ex-fata region is unlikely to achieve without Pakistan contributing to peace in Afghanistan.
Why the West Want to Stop Iran Becoming a Nuclear Power?
Iran is a regional powerhouse in the Middle East only rivals Saudi Arabia, Egypt and Turkey. The rivalry between Saudi...
Debunking Magical realism through Marquez’s “A Very Old Man with Enormous Wings”
There are few names in the Latin American literature, which it comes to famous novels and short stories, Columbian writer...
Why Congress should be rough on Chris Miller at his testimony on Wednesday
FBI director Chris Wray’s weak congressional testimony in March left most of the Capitol attack questions unanswered and most of...
Nigeria- Ghana Trade War: Where to from here
Several months after a series of bilateral talks between the Nigerian government and authorities in Ghana aimed toward addressing the...
Biden’s shift from neo-liberal economic model
Mercantilism; which was the ‘Hall of Fame’ from 15th-18th Century had emerged from the decaying of feudal economic system in...
The billion-dollars closer to disaster: China’s influence in Montenegro
Montenegro is building its first-ever motorway. Due to a huge loan scandal, it’s now become the country’s highway to hell....
Afghanistan: the US and NATO withdrawal and future prospects
On April 14, the United States of America announced that it would withdraw all its troops stationed in Afghanistan from...
Defense3 days ago
5th Generation Warfare: A reality or Controversy?
Economy3 days ago
Eastern Balkans Economic update: Romania’s and North Macedonia’s new data for 2020
South Asia3 days ago
Political Lessons from Kerala: People’s Response to the Communist Welfare System
Eastern Europe2 days ago
Russia-Ukraine War Alert: What’s Behind It and What Lies Ahead?
Economy2 days ago
The European Green Deal: Risks and Opportunities for the EU and Russia
Africa2 days ago
H.E. President John Mahama Appointed As AU High Representative for Somalia
Russia2 days ago
Steering Russia-US Relations Away from Diplomatic Expulsion Rocks
South Asia2 days ago
Pakistani Fanatics and their Foreign Policy Overtures