LONDON: As COVID-19 strains Pakistan’s health system, tens of thousands of women doctors are sitting at home, their talents squandered in a country where millions have no access to medical care.
Many families encourage their daughters to study medicine not for a career, but to bolster their marriage prospects. The phenomenon even has a name — “doctor-brides”.
Appalled by the waste of expertise, entrepreneur Sara Saeed Khurram has set up a telemedicine platform enabling female medics to provide e-consultations from their homes to patients in rural communities.
“Half the population in Pakistan – 100 million people – never get to see a doctor in their lifetime,” Khurram, CEO of Sehat Kahani, told the Thomson Reuters Foundation.
“At the same time we have another big challenge which is very close to my heart — more than 60 percent of our doctors are women, but most don’t work.”
Sehat Kahani is among a myriad of social enterprises — businesses seeking to build a better world — that are innovating to plug health care gaps in developing countries, a task given added urgency by the COVID-19 crisis.
On Friday, G20 countries, health organizations and other experts will meet for an online summit to share lessons from the pandemic and brainstorm on how to bolster health systems.
Khurram, who has seen patient numbers increase ten-fold during the pandemic, believes her model could be replicated in other developing countries with doctor shortages.
Since launching in 2017, Sehat Kahani has established 35 rural telemedicine clinics across Pakistan where, for a small fee, a patient can see a nurse who will link them via the platform to a doctor.
The nurse is trained to carry out examinations guided by the doctor who may be sitting at home hundreds of miles away.
Patients with a smartphone can also contact a doctor directly via an app.
Khurram, herself a doctor, said the doctor-bride phenomenon, compounded by a brain-drain, meant only 90,000 of Pakistan’s 200,000 trained doctors were practicing in the country.
“A female doctor gets the best hand in marriage so everyone wants their daughter to become a doctor, but not everyone wants their daughter-in-law to work,” she said.
“Our platform opens up opportunities. Now they can suddenly create a whole virtual clinic in their home.”
DOUBLE MISSION
In neighboring India, where an escalating COVID crisis has left the health system on its knees, entrepreneur Kunaal Dudeja said the country needs about 30 million more health care professionals to support doctors and nurses.
In 2018, he co-founded Virohan Institute to train young people, many from lower income backgrounds, in dozens of paramedical roles from laboratory technicians to operating theater assistants.
“Our social mission is two-fold — to significantly improve the quality of health care in India, and to improve the lives of youth,” Dudeja said, adding that student numbers had more than doubled during the pandemic.
“We’re providing an aspirational career and helping them cross socio-economic barriers.”
After qualifying, a trainee can quadruple what they would earn in the sorts of jobs typically open to them, Dudeja said.
Most of Virohan’s 5,500 graduates are now working on the frontlines of the COVID crisis.
The start-up, which operates across five states, is looking to expand across the country and potentially to Sri Lanka.
RAPID RESPONSE
Across Asia, Africa and Latin America, many social enterprises are working at a grassroots level, using everything from rickshaws to drones to deliver medical supplies to poorer communities.
Yunus Social Business, which invests in Virohan and other social businesses tackling poverty, said the pandemic has underlined the crucial role such ventures can play in bridging health gaps.
CEO Saskia Bruysten said social enterprises were often better placed than the government to respond fast in a crisis because they already worked with the most vulnerable.
“They are just closer to where the need is biggest. They’re usually the ones that can come in first because they see the need directly,” she said.
“Often government is very far removed, a little bit in an ivory tower, and doesn’t necessarily have the infrastructure to reach that last person somewhere in a rural area.”
Bruysten described social enterprises as the “beautiful shining star” of a new type of capitalism, motivated by engendering social change rather than enriching shareholders.
Many have quickly adapted their operations during the COVID-19 crisis.
With the pandemic making travel harder, Uganda’s Kaaro Health, which runs solar-powered container clinics, is sending nurses to treat patients at home, and putting its technicians on motorbikes to collect medical samples and deliver prescriptions.
Kenyan business Solar Freeze, which has pioneered the use of solar-powered chest freezers to help farmers cut post-harvest waste, is repurposing its units to store COVID-19 vaccines and other medicines requiring cold temperatures.
It has supplied scores of freezers to rural clinics lacking electricity and to Kakuma Refugee Camp in northwest Kenya — home to 160,000 refugees from more than half a dozen countries.
Social enterprises are also collaborating with governments and businesses.
In Liberia, Last Mile Health has partnered with the government to vaccinate health workers including a network of rural community health workers created after the 2016 Ebola crisis who have been trained to spot COVID-19 symptoms.
VillageReach is using drones to speed up diagnosis of COVID-19 test samples and deliver protective medical equipment in Malawi and Democratic Republic of Congo, and will use them to fly vaccines to remote areas when immunizations get under way.
In Pakistan, Sehat Kahani’s Khurram said they had liaised with the federal government to provide free consultations to all patients during the first wave of COVID-19.
They also installed apps in hospital intensive care units treating COVID patients, allowing junior doctors to get immediate advice from critical care experts based elsewhere.
“In a pandemic, solutions like these can be crucial.” Khurram said. “This has already saved many lives.”
Drones to digital: Pakistan joins nations innovating to plug COVID health gaps
https://arab.news/zw3hs
Drones to digital: Pakistan joins nations innovating to plug COVID health gaps
- Sara Saeed Khurram has set up telemedicine platform to enable female medics to provide e-consultations to patients in Pakistani villages
- Across Asia, Africa and Latin America, social enterprises are using everything from rickshaws to drones to deliver medical supplies to the poor
US vows to be ‘steadfast partner’ after deadly attack in Pakistan’s Kurram district
- American diplomatic mission says Pakistanis deserve to live free from harm, danger and threat
- It offers condolences to victims’ families after 41 people were killed by unknown gunmen this week
KARACHI: The United States on Friday condemned a deadly attack in Pakistan’s Kurram district that killed 41 people this week, reaffirming its commitment to stand with Pakistan in ensuring the safety of its citizens against such militant attacks.
Unidentified gunmen targeted vehicles carrying Shiite community members in the Kurram district of Khyber Pakhtunkhwa province on Thursday, in one of the deadliest sectarian attacks in recent years. The assault, which also left many critically injured, occurred in a region already plagued by deadly clashes in recent months.
“The United States will remain a steadfast partner as Pakistan works to ensure the safety and security of all its citizens,” Jonathan Lalley, the spokesperson of the US diplomatic mission in Pakistan, said in a statement. “We stand in solidarity with Pakistan and the people of Khyber Pakhtunkhwa in this difficult time.”
Lalley expressed condolences to the victims’ families and called for a full recovery for the injured.
“The Pakistani people deserve to live free from harm, danger, and threat, and to feel protected and secure in their daily lives,” he added.
No group has claimed responsibility for the attack, which followed the reopening of a key highway in the region after it was closed for weeks due to sectarian violence.
Kurram, a volatile district near the Afghan border, has been a flashpoint for sectarian clashes between Sunni and Shiite communities, adding to the challenges of maintaining security in the area.
The US-Pakistan forged a counterterrorism partnership in the aftermath of the September 11, 2001, attacks, to address regional security challenges. Over the years, however, the relationship faced friction, while the US-led international forces were in Afghanistan.
Despite the tensions, both countries reaffirmed their commitment to security cooperation and counterterrorism efforts, especially in the wake of the US military withdrawal from Afghanistan in 2021.
The commitment to security partnership reflects a shared goal of combating extremism and ensuring regional stability.
Pakistan, Malaysia agree to enhance military cooperation with focus on air force training
- Malaysian air chief praises PAF’s advancements in indigenization on his first Pakistan visit
- His Pakistani counterpart reaffirms commitment to training Malaysian Air Force personnel
ISLAMABAD: Pakistan and Malaysia have agreed to deepen bilateral military cooperation, with a particular emphasis on joint training and air power collaboration, Pakistan’s military said on Friday.
The understanding was reached during a meeting between Pakistan Air Force (PAF) Chief Air Chief Marshal Zaheer Ahmed Baber Sidhu and Royal Malaysian Air Force Chief General Tan Sri Dato’ Sri Mohd Asghar Khan bin Goriman Khan at Air Headquarters in Islamabad.
“The [Pakistan] Air Chief reaffirmed his commitment to enhancing military partnership between the two Air Forces through joint training initiatives, particularly within the realm of air power,” the Inter-Services Public Relations (ISPR) said in a statement. “These initiatives will encompass provisioning of both basic and tactical level training for personnel of the Malaysian Air Force.”
The Malaysian air chief, making his first visit to Pakistan, praised the PAF’s advancements in indigenization and technological innovation. He also expressed interest in bolstering ties through enhanced collaboration in training, maintenance and operational excellence.
The meeting included discussions on defense cooperation, joint exercises and technology sharing, ISPR said, highlighting the robust defense relationship between the two nations.
During his visit, the Malaysian official toured the National Aerospace Science & Technology Park Silicon and the PAF Cyber Command, where he was briefed on Pakistan’s advanced operational capabilities.
He also lauded the innovative projects displayed at the ongoing International Defense Exhibition IDEAS-2024 in Karachi.
Earlier, the Malaysian air chief was presented with a guard of honor upon his arrival, ISPR added.
Pakistan government doubles down on preventing Imran Khan’s Nov. 24 protest
- Interior Minister Mohsin Naqvi warns no talks if Khan’s PTI proceeds with the protest
- Ex-premier’s party plans a ‘long march’ to Islamabad, seeking his release from prison
ISLAMABAD: Pakistan’s Interior Minister Mohsin Naqvi on Friday vowed to implement the Islamabad High Court’s (IHC) order, refusing to allow former prime minister Imran Khan’s Pakistan Tehreek-e-Insaf (PTI) party to stage the Nov. 24 protest in the federal capital demanding his release.
The PTI has announced a “long march” to Islamabad, primarily to pressurize the government to end Khan’s imprisoned that has lasted for over a year on what his party contends are politically motivated charges. The protest also aims to raise PTI’s voice against alleged rigging in the February 8 general elections while calling for measures to ensure judicial independence, which the party says has been undermined by the 26th constitutional amendment.
Only a day earlier, the IHC directed the government to form a committee to engage in talks with the PTI, emphasizing the need to avoid disruptions during the three-day visit of Belarusian President Aleksandr Lukashenko to discuss bilateral economic cooperation. The court expressed hope that the PTI would allow “meaningful communication” with the administration while acknowledging that the maintenance of law and order would be the government’s priority if there was no breakthrough between the two sides.
Addressing the media in Islamabad alongside the capital city’s chief commissioner and police chief, the interior minister highlighted that no rally, march or protest would be allowed in the federal capital owing to the Belarusian president’s visit to the country, as per the IHC order.
“No one will be allowed to stage a rally or protest in Islamabad in compliance with the high court order,” Naqvi said. “After the IHC order, we will implement it 100 percent at any cost. We are bound by the law to implement it.”
Regarding the IHC directions to hold talks with the PTI party leadership, the minister said he would speak to Prime Minister Shehbaz Sharif in the evening to constitute a committee “but definitely if they stage a protest, this [negotiation] will get difficult.”
Islamabad’s district magistrate has already imposed a two-month ban on the gathering of more than five people in the capital using Section 144 of the Criminal Procedure Code (CrPC), which allows the government to prohibit various forms of political assembly, gatherings, sit-ins, rallies, demonstrations and other activities for a specified period.
In response to a question about whether the government was in touch with Adiala Jail, where ex-premier Khan is currently incarcerated, Naqvi said he has no contact with anyone there.
The interior minister also highlighted that the capital city’s administration did not receive any application from the PTI to stage a protest.
He made it clear that people violating the court orders would be responsible if there was any loss of life during the Nov. 24 protest.
Naqvi also said that he agreed with the residents of Islamabad that shops, roads, businesses and mobile signals should not be shut down but noted there was no other way of dealing with such protests.
“If they want to come and protest [in Islamabad], I’ll be the one who will say that no talks should take place,” he concluded. “If they want to hold talks, they should do it in a proper manner. This is no way that on one side they protest and on the other call for talks.”
Earlier this week, Pakistan’s interior ministry had authorized the deployment of paramilitary Punjab Rangers and Frontier Corps troops in Islamabad to maintain law and order.
Pakistan’s parliament also passed a law earlier this year to regulate public gatherings in Islamabad, specifying timings for rallies and designating specific areas. The law prescribes three-year jail terms for participants in illegal assemblies and 10-year imprisonment for repeat offenders.
Army chief vows action after deadly week of militant attacks in Pakistan
- Twelve soldiers were killed on Tuesday as militants attacked a checkpost in the northwestern Bannu district
- Gunmen opened fire on vehicles carrying minority Shiite community members in KP province on Thursday, killing 41
ISLAMABAD: Pakistan Army Chief General Asim Munir vowed action against militants on Friday, following a week of deadly attacks in which dozens of civilians and security officials have been killed in the country’s northwest.
In the latest attack, gunmen opened fire on vehicles carrying members of the minority Shiite community in Pakistan’s Khyber Pakhtunkhwa province on Thursday, killing at least 41 people in one of the region’s deadliest such attacks in recent years. The assault took place in Kurram, a district where sectarian clashes have killed dozens of people in recent months. No group has claimed responsibility.
On Tuesday, ten Pakistan army soldiers and two from the paramilitary Frontier Constabulary were killed on Tuesday as militants attacked a checkpost in the northwestern Bannu district.
Pakistan’s Khyber Pakhtunkhwa (KP) province in the northwest and the remote southwestern province of Balochistan have both seen an increase in strikes by militants this year.
“He [Munir] reiterated the army’s firm resolve to dismantle hostile terrorist networks and eradicate the illegal spectrum undermining national security,” the army’s media wing said in a statement, quoting Munir as saying after he attended a security meeting in Peshawar, the provincial capital of Khyber Pakhtunkhwa.
“He assured that through synchronized and robust operations, Pakistan Army in collaboration with Law Enforcement Agencies will relentlessly hunt down the enemies of peace to ensure lasting stability and security.”
In a separate statement, the army said it had carried out three operations in Balochistan on Nov. 20-22, in which four militants had been killed.
On Tuesday, Prime Minister Shehbaz Sharif chaired a meeting of civil and military leaders who gave the go-ahead for a "comprehensive operation" against separatist insurgents in Balochistan.
Pushed by Beijing, Pakistan plans military operation against Baloch separatists — analysts
- Government has announced operation but not shared details of scale, scope, whether it will be joint effort with China
- Analysts say military solutions will not work in Balochistan, plagued by low-level separatist insurgency since decades
QUETTA: Pakistan is working out the operational details, scope and scale of a planned military operation in the insurgency-plagued southwestern Balochistan province, officials said this week, with analysts saying pressure from Beijing had convinced Islamabad it was time to take on separatist militants in a region that is home to key Chinese Belt and Road projects.
Following a string of deadly attacks that have targeted its citizens in recent months, China has pushed to join security efforts to protect them and unveiled a plan on Tuesday for joint counter-terrorism exercises in Pakistan. On the same day, Prime Minister Shehbaz Sharif chaired a meeting of civil and military leaders who gave the go-ahead for a “comprehensive operation” against separatist insurgents in Balochistan.
The statement from the prime minister’s office did not give any details of the operation, including whether it was limited to ground operations or could involve the air force, when it would be launched and in which parts of the vast, remote Balochistan province. It also did not mention if the plan would be a joint effort with Beijing and which Pakistani security agencies would take part.
“Nothing has been finalized yet because the meeting was held on Tuesday and further progress regarding the military operation will take time,” Wasim Akram, an information officer at the Ministry of Interior, told Arab News, adding that the scale of the operation and which forces would participate were details that were still being worked out.
Balochistan Government Spokesperson Shahid Rind and Special Secretary Home Department Abdul Nasir Dotani also did not share any specific details on the operation’s scope and scale.
“It was decided in the federal apex committee and it is clear it will be a comprehensive military operation,” Rind told Arab News.
Balochistan Home Secretary Shahab Ali Shah, Balochistan Chief Minister Sarfaraz Bugti, Defense Minister Khawaja Asif and Information Minister Attaullah Tarar could not be reached for comment despite several attempts.
“PRESSURE FROM CHINA”
Pakistan’s military already has a huge presence in Balochistan, which borders Afghanistan and Iran and is home to a decades-long separatist insurgency by militants fighting for a separate homeland to win a larger share of benefits from the resource-rich province. The government and military deny they are exploiting the province’s mineral wealth or ignoring its economic development.
The military has long run intelligence-based operations against insurgent groups, the most prominent being the Baloch Liberation Army (BLA), which has escalated attacks in recent months on the military and nationals from longtime ally China.
The region is home to the Gwadar Port, built by China as part of the China-Pakistan Economic Corridor (CPEC), a $65 billion investment in President Xi Jinping’s Belt and Road infrastructure initiative to expand China’s global reach.
In addition to the recent attacks, the BLA also claimed a suicide bombing last month outside the international airport in the southern port city of Karachi that killed two Chinese engineers.
“There shouldn’t be any ambiguity that Pakistan is facing internal and external pressure, mainly from China, to launch this new offensive against Baloch separatist militants,” Dr. Ayesha Siddiqa, a senior fellow at King’s College in London and a military affairs expert, told Arab News.
“There is increasing pressure from the Chinese government and they are not willing to financially assist Pakistan anymore until the security situation gets better … Pakistan has to demonstrate to the Chinese that we are doing something in Balochistan against Baloch militant groups.”
Shahzad Zulfiqar, a senior journalist who has been covering militancy in Balochistan for over two decades, concurred with Dr. Siddiqa, also pointing to reports that China was pushing Pakistan to allow its own security staff to protect thousands of Chinese citizens working in the South Asian nation.
“Though Pakistan has been taking action against militant groups involved in attacking Chinese nationals, now there is pressure from China which is asking Pakistan to work on a joint security mechanism because Chinese citizens are being targeted and are under threat,” he said.
The foreign office in Islamabad this month denied international media reports Beijing wanted its own security forces on the ground in Pakistan.
Pakistan had raised a security force to protect Chinese nationals and projects, particularly those operating under the CPEC umbrella, and “this security apparatus continues to provide security to Chinese CPEC projects inside Pakistan,” Foreign Office Spokesperson Mumtaz Zahra Baloch told reporters on Nov. 14:
“Pakistan and China have a robust dialogue and cooperation on a range of issues including counterterrorism and security of Chinese nationals in Pakistan … We will continue to work with our Chinese brothers for the safety and security of Chinese nationals, projects and institutions in Pakistan.”
“NO MILITARY SOLUTIONS”
Ethnic Baloch separatists have launched several insurgencies in Balochistan since the birth of Pakistan in 1947, including from 1948-50, 1958–60, 1962–63 and 1973–1977. An ongoing low-level insurgency began in 2003. The army has launched several military campaigns in response, including as early as 1948 in the state of Kalat and a five-year-long operation in the 70s under Prime Minister Zulfiqar Ali Bhutto.
“Many political governments have come and gone in Balochistan but the operation has continued,” Sardar Akhter Jan Mengal, head of the Balochistan National Party (BNP) and a prominent Baloch nationalist leader in the province, told Arab News.
“No one can resolve Balochistan’s political issue with military operations.”
Indeed, political leaders and independent analysts have for years urged the government to take a holistic approach to resolving Balochistan’s problems, which they say stems from decades of economic deprivation and political disenfranchisement. The province, which comprises 44 percent of Pakistan’s total land mass, is its most backward by almost all economic and social indicators.
Rich in land and mineral wealth, most parts of the region often lack even the rudiments of modern life. For instance, though home to Reko Diq, one of the world’s largest undeveloped copper and gold deposits, and the site of major Chinese investment projects, the province lacks employment opportunities and basic facilities like Internet, health and education.
Balochistan is also the least represented in Pakistan’s parliament, where legislative seats are allocated to provinces according to their population. Balochistan has a population of only 14.89 million people in a country of over 240 million and is hence allocated only 16 National Assembly seats. Punjab, with a much smaller land area but a population of 127.68 million, gets 141 seats.
Zulfiqar, the journalist, said military operations needed to be combined with social and economic development as well as “good governance” efforts to be successful.
“This will be the fifth military operation in Balochistan since 1947,” he said. “Military operations are not the only solution to bring peace and stability in Balochistan, there should be more options involved with the military operation, including dialogue and good governance.”
In fact, many fear another military operation in the province will further alienate its citizens, rights activists and political leaders, who have long accused security agencies of arbitrary arrests, extrajudicial killings and other types of rights abuses in the name of cracking down on separatists. The state denies it is involved in such activities.
“This military operation will put more fuel in the fire of hate in Balochistan rather than extinguish it,” BNP’s Mengal said.
Nawab Aslam Raisani, a provincial lawmaker and a senior political and tribal leader in the province, also warned against a military operation.
“We haven’t seen any result of the use of military force,” he said. “This new decision of the apex committee to launch a military operation in Balochistan will push the federation toward more destruction.”