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Correspondent

23 August 2024 at 9:59:04 pm

Fatal Negligence

Newborns dying in a fire inside a government hospital is a devastating indictment of a system that is supposed to protect its most vulnerable patients. The Amravati District Women’s Hospital tragedy, where a blaze killed three infants, joins a long list of preventable institutional failures. Thirty-nine babies were inside the three-compartment facility when the fire erupted after a ventilator in the neonatal unit caught fire. Thirty-six were eventually rescued. Parents and eyewitnesses have...

Fatal Negligence

Newborns dying in a fire inside a government hospital is a devastating indictment of a system that is supposed to protect its most vulnerable patients. The Amravati District Women’s Hospital tragedy, where a blaze killed three infants, joins a long list of preventable institutional failures. Thirty-nine babies were inside the three-compartment facility when the fire erupted after a ventilator in the neonatal unit caught fire. Thirty-six were eventually rescued. Parents and eyewitnesses have alleged that the fire alarms did not sound and the automatic sprinklers failed to activate even as the district administration has said the hospital underwent regular fire audits and had applied for this year’s audit. An audit is meaningful only if it establishes that equipment works when lives depend on it. Maharashtra has already witnessed the deadly consequences of fire-safety failures in public hospitals. In 2021, eleven Covid-19 patients died in a fire at the Ahmednagar district hospital even though a fire audit conducted months earlier had recommended a firefighting system. The Amravati tragedy demands more than the familiar ritual of a high-level inquiry, compensation and promises of “strictest action”. The announcement of ex gratia payments cannot compensate parents who have lost a child they had barely begun to know. The investigation must establish not merely what ignited the fire, but why it was allowed to become fatal. Was the ventilator properly maintained? Were electrical and medical devices routinely inspected? Did alarms function? Were sprinklers operational? Was the NICU appropriately located and equipped for evacuation? Were staff trained and drills conducted? And most importantly, who was responsible for ensuring that every safeguard worked? There is another troubling detail: the neonatal unit was reportedly housed on the third floor, rather than at ground level, and questions have arisen over whether the unit was part of the building’s original plan. The state has built an elaborate architecture of laws and child-protection standards which seldom matches the situation on ground. Whether in government hospitals, schools or anganwadis, safety has become a box to be ticked rather than a responsibility to be lived. The most vulnerable children are consequently left dependent not on systems, but on the vigilance and heroism of individual staff members. That is an appalling way to run the childcare infrastructure of one India’s most developed states. A NICU is perhaps the worst possible place for institutional complacency: its patients are immobile, medically dependent and extraordinarily vulnerable to smoke, heat and even brief disruption of life-support equipment. The government must ensure that the Amravati deaths do not become another entry in the grim ledger of hospital tragedies followed by inquiries, outrage and forgetting. The real test will be whether the state can prevent the next newborn from dying in a hospital that was supposed to save him.

Lateral upgrade to ailing annihilation

Updated: Oct 21, 2024

Lateral upgrade to ailing annihilation

Being the first person from the private sector to be appointed as chairperson of Securities and Exchange Board of India (SEBI) as part of the government’s lateral initiative, Madhabi Puri Buch also holds the honour of being the first woman to hold the top post as capital market regulator.

But the laurels that the former private sector banker enjoyed in her earlier stint with ICICI Bank, was marred with allegations that she and her husband were having a stake in offshore entities, which were used to artificially inflate shares of Adani group companies.

Terming the allegation as `character assassination, Buch clarified that all disclosures have already been furnished and the fund in question did not invest in any securities involving the Adani group.

When it rains, it pours. This allegation was subsequently followed by Congress Party allegation that Buch had received salary and post-retirement benefits from ICICI Bank after she quit the private sector bank.

In its clarification to the stock exchanges, ICICI Bank asserted that the payments made to Buch were purely retirement benefits after her exit from the bank and they were neither salary nor employee stock options.

Prior to these allegations, Buch tenure at SEBI was all about bringing in quick reforms on operational issues by changing the format of consultation paper to bring in larger responses digitally. Being data savvy, the rationale of her decisions were democratic based on big data analysis derived from the responses received to the consultation papers.

Further she bifurcated the duties of the SEBI staff between operations and enforcement, which were done by the same persons earlier. Having worked for the private sector in the capital market domain space, Buch had a better understanding of the subject compared to officers from the administrative service in the past that reflected even in her orders as a whole-time director at SEBI before becoming the chairperson. As a whole time director at SEBI, her orders on adjudication issues were more directional to the capital market space, according to experts in the compliance space. She was also quick to revamp the old provisions of the 90s at SEBI.

Being tech and data savvy, Buch enhanced regulatory surveillance and detection of market manipulation, insider trading and fraud while also emphasizing on strengthening corporate governance by introducing stricter rules for independent directors and enhancing disclosures for related-party transactions.

To put in perspective, the annual report of the capital market regulator in the just concluded financial year revealed that the number of investigations related to insider trading jumped to 175 in 2023-24 from 85 in the preceding year while probes related to front running jumped over three times to 83 from 24 in the preceding year.

Transparency in mutual funds by implementing measures to protect retail investors along with tightening norms for initial public offers, particularly in the SME platforms were some of her other positive initiatives including confirmation of denial of any market rumours within 24 hours for the top 100 listed companies which will be extended to top 250 companies from December 1. However increased transparency and compliance with tightening regulations led to increased operational costs for the market participants and hence faced resistance from certain quarters. Born in 1966, Buch completed her primary education in Mumbai and graduated with specialization in Mathematics from Delhi and later obtained a management degree from Indian Institute of Management, Ahmedabad. In between, she got engaged to Dhawal Buch, a director at a consumer goods multinational at the age of eighteen and got married at the age of 21.

Besides ICICI Bank, Buch also worked as a lecturer at a college in England, worked at Greater Pacific Capital in Singapore and ICICI Securities as its CEO. She also worked as executive director on several private sector companies and as a consultant for New Development Bank (Brics Bank).

What now remains to be seen, is whether Buch, who survived the 26/11 terror attack when she along with her husband, was attending a meeting at Taj, be able to overcome the current ordeal. Keeping fingers crossed for the times to come.

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