Home / Blog / After Nishwa’s Death – Govt focusing on medical ethics?

After Nishwa’s Death – Govt focusing on medical ethics?

By Dr. Zeeshan Khan

The Hippocratic Oath requires a new physician to swear, by a number of healing gods, to uphold specific ethical standards. These include the principles of medical confidentiality and non-maleficence.

“I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sounds of mind and body as well as the infirm”. A statement, which certainly encompasses the rights of a patient in critical condition fighting for his or her life.

Minor girl Nishwa, who was administered a wrong injection at Karachi’s Darul Sehat Hospital, has passed away and hospital is fined five lac only. Accused Sobia had filled the injections which had no labelling and gave it to male nurse Agha Moeez.On April 14, a nine-month-old girl had paralysed allegedly after being administered ‘wrong injection’ by ‘untrained nursing staff’ at Darul Sehat Hospital situated in Karachi’s Gulistan-e-Jauhar area. Nishwa’s father Qaiser Ali told media that Police threatened him to back out also.

Provincial government and state could even plan to send Nishwa abroad for treatment but nothing was done. Ali (Nishwa’s father) said that he would approach every forum to seek justice for his daughter so that others did not fall prey to such practices.

There is no working regulatory framework that governs the health sector in Pakistan. Where markets are incomplete (no doctors for the old) and have large information asymmetries (where it is not clear if what is being prescribed is in the patient’s best interest), regulation becomes very important. Otherwise, the temptation to take patients for a ride becomes too much. Even if some doctors and hospitals do not indulge in unethical or illegal practices, it becomes impossible to differentiate between these and the less scrupulous ones. Word of mouth is not enough to make clear distinctions.

But there is more to it than that. When each specialist is visited, they order a panel of tests to be done before they will even start talking of treatment.

Hospitalisation is sometimes the only option left if you want a team of doctors to examine the patient holistically but even that is not easy. Getting admitted into a private hospital is costly and even there you are placed under the care of a particular doctor. It may not be easy to get other specialists to come and visit.

More importantly, even if they do, they still diagnose and prescribe in isolation. There is no primary doctor who coordinates with other specialists or looks at issues of medicinal interactions, the effects of one treatment on another, and so on. It comes down to the patient himself/herself or to the family of the patient to coordinate between doctors. But they have no way of knowing medicinal or treatment interactions.

There are too many cases in Pakistan that one hears of where mistakes have been made by doctors and care providers like more about the lack of an effective regulatory structure that should have been created for this sector.

Our Judicial institutions must also be quick to dispense justice which will allow for a remedy against malpractice. Usually hospitals have strong internal peer group-based quality audit systems.

The strength of each of the checks including governments, usually local governments, imposing strong external quality assurance audits on hospitals, medical practices and doctors, strict licensing requirements as well. Medical profession also has membership requirements, standards, checks and balances, can vary across societies. Nonetheless, almost all checks and regulatory structures are in place in most societies.

In some places we even have insurance companies and other intermediaries coming in on behalf of the patients. We have none of these in Pakistan. It is no wonder medical markets are lucrative in Pakistan but provide, on the whole, terrible service to the people.

A medical research study in US has shown that 30% of all deaths in US happen because of a medical mistake or negligence somewhere during patient lives. The most important thing is not the doctor. It is to have a very well funded, well organized and very centralized form of health care. Oath does not improve health care. It is the system that does (eg. see Scandinavian health models). In Pakistan a junior doctor in public sector works like a donkey. Realize condition of hospitals, no better than doctors themselves, being under equipped and under stuffed in addition to being over burdened.

Being a developing country, Pakistan has always struggled with health issues. This also makes us stand at 122nd position out of 190 countries in a report by World Health Organization (WHO). There is need to increase the health budget. In such circumstances, the current number of government hospitals and doctors are not enough to cater the large population while the private hospitals are out of reach for any lower or middle class patient.

Pakistan is ranked 149th out of 179 countries in 2015 on the Maternal Mortality Ratio Index. New healthcare blueprint needs increased funding, efficient cross-sector linkages. According to UNICEF, despite significant improvements over the past two decades, Pakistan ranks towards the bottom among other countries when it comes to infant and neonatal mortality.

There is need to keep democratic institutions strong. The three tier approach should be switched with a four tier approach, with the 4th pillar being preventive healthcare. This is a very wide branch but if launched, could do wonders in our Healthcare system. Furthermore, there should be strict penalties for wrong doings. A procedure for proper investigation for such cases should be set and punishment should be applied accordingly. Moreover, every person of medical field must have defined duties whether he is a doctor, Pharmacist or any other paramedical staff. PMDC and DRAP must awake from slumber. SOPs must be followed so that cases like ismat can also be prevented.

The writer of this article is a medical doctor at CMH by profession ,a content writer, freelance writer, certified trainer and Poet. He can be reached at

Email: dr.zeeshan.alias.ghazikhan@gmail.com

Comment Using Facebook

Check Also

21 lessons for the 21st century-Book review

‘A wise old man was asked what he learnt about the meaning of life; ‘Well,’ …


  1. Major thanks for the article.Much thanks again. Will read on…

  2. Say, you got a nice blog.Thanks Again. Really Great.

  3. Thanks for your marvelous posting! I actually enjoyed reading it, you happen to be a great author. I will be sure to bookmark your blog and definitely will come back later on. I want to encourage you to definitely continue your great writing, have a nice holiday weekend!|

  4. Hi, I do think this is a great site. I stumbledupon it 😉 I’m going to revisit yet again since i have book-marked it. Money and freedom is the best way to change, may you be rich and continue to help other people.|

  5. WONDERFUL Post.thanks for share..more wait .. …

  6. whoah this weblog is excellent i like reading your posts. Stay up the good work! You recognize, lots of individuals are looking round for this information, you could aid them greatly. |

  7. Simply wanna remark that you have a very decent internet site, I like the design and style it actually stands out.

  8. Just desire to say your article is as astonishing. The clearness in your post is simply excellent and i can assume you are an expert on this subject. Well with your permission let me to grab your feed to keep up to date with forthcoming post. Thanks a million and please keep up the rewarding work.

  9. Hiya very nice web site!! Guy .. Beautiful .. Wonderful .. I will bookmark your blog and take the feeds additionally…I am glad to search out so many useful info here within the put up, we need work out extra techniques on this regard, thanks for sharing. . . . . .

  10. Really Appreciate this blog post, is there any way I can receive an email sent to me every time you write a new article?

  11. I am genuinely glad to glance at this weblog posts which consists of plenty of helpful data, thanks for providing these kinds of statistics.

  12. As I website possessor I believe the content matter here is rattling great , appreciate it for your efforts. You should keep it up forever! Good Luck.

  13. Wow, this article is good, my sister is analyzing such things, therefore I am going to let know her.|

  14. This is the right blog for anyone who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I actually would want…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, just great!

  15. Some times its a pain in the ass to read what website owners wrote but this internet site is real user genial! .

  16. It’s very straightforward to find out any topic on web as compared to textbooks, as I found this post at this site.|

  17. I love it when people come together and share opinions, great blog, keep it up.

  18. Hi there! I could have sworn I’ve been to this web site before but after browsing through some of the articles I realized it’s new to me. Regardless, I’m definitely pleased I found it and I’ll be bookmarking it and checking back regularly!|

  19. Howdy! This is kind of off topic but I need some help from an established blog. Is it very difficult to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about creating my own but I’m not sure where to start. Do you have any tips or suggestions? Cheers|

  20. This is really interesting, You’re an excessively skilled blogger. I’ve joined your rss feed and stay up for seeking extra of your excellent post. Additionally, I’ve shared your web site in my social networks|

  21. It’s perfect time to make a few plans for the long run and it is time to be happy. I have read this post and if I may I wish to counsel you some fascinating things or advice. Perhaps you can write subsequent articles referring to this article. I desire to read even more things approximately it!

  22. Way cool! Some extremely valid points! I appreciate you penning this post and the rest of the website is also really good.|

  23. I like this web site very much so much superb information.

  24. Needed to write you the little word to be able to say thanks yet again just for the spectacular techniques you’ve documented on this page. It is certainly shockingly generous of people like you to allow openly precisely what numerous people would have marketed as an electronic book to earn some bucks for their own end, chiefly since you might well have tried it in case you decided. These principles additionally worked to become easy way to recognize that some people have similar eagerness much like my very own to see a great deal more in terms of this condition. I am sure there are thousands of more enjoyable occasions in the future for many who read carefully your blog post.

  25. I’ve been absent for a while, but now I remember why I used to love this web site. Thank you, I will try and check back more frequently. How frequently you update your site?

  26. is cbd legal in washington dc

    5jNhvT I’а†ve read several just right stuff here. Certainly price bookmarking for revisiting. I wonder how a lot effort you set to create such a fantastic informative web site.

  27. It¦s actually a great and useful piece of information. I¦m glad that you just shared this helpful information with us. Please keep us up to date like this. Thank you for sharing.

  28. Real clear web site, regards for this post.

  29. Hi there, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam feedback? If so how do you stop it, any plugin or anything you can suggest? I get so much lately it’s driving me crazy so any assistance is very much appreciated.

  30. I love your blog.. very nice colors & theme. Did you create this website yourself? Plz reply back as I’m looking to create my own blog and would like to know wheere u got this from. thanks

  31. It’s the best time to make some plans for the future and it’s time to be happy. I’ve read this post and if I could I wish to suggest you few interesting things or suggestions. Perhaps you can write next articles referring to this article. I want to read more things about it!

  32. Definitely believe that which you stated. Your favorite justification seemed to be on the internet the easiest thing to be aware of. I say to you, I certainly get annoyed while people consider worries that they plainly don’t know about. You managed to hit the nail upon the top and defined out the whole thing without having side-effects , people can take a signal. Will likely be back to get more. Thanks

  33. I’m extremely impressed with your writing skills as well as with the layout on your blog. Is this a paid theme or did you modify it yourself? Anyway keep up the nice quality writing, it is rare to see a great blog like this one these days..

  34. Pretty! This was a really wonderful post. Thank you for your provided information.

  35. Greetings! Very helpful advice on this article! It is the little changes that make the biggest changes. Thanks a lot for sharing!

  36. Hmm it looks like your website ate my first comment (it was super long) so I guess I’ll just sum it up what I had written and say, I’m thoroughly enjoying your blog. I too am an aspiring blog blogger but I’m still new to the whole thing. Do you have any tips and hints for inexperienced blog writers? I’d certainly appreciate it.

  37. Throughout the great design of things you actually receive a B+ for effort. Where you misplaced everybody ended up being in your details. You know, as the maxim goes, details make or break the argument.. And it couldn’t be much more correct here. Having said that, permit me inform you what did give good results. Your article (parts of it) is incredibly engaging which is possibly why I am taking an effort to comment. I do not really make it a regular habit of doing that. 2nd, despite the fact that I can easily see a jumps in reasoning you make, I am definitely not convinced of exactly how you appear to connect the points that produce the actual conclusion. For now I shall yield to your point but trust in the near future you connect your facts much better.

  38. I was examining some of your blog posts on this website and I conceive this website is really instructive! Retain posting.

  39. An fascinating discussion is worth comment. I believe that it is best to write more on this topic, it won’t be a taboo topic however typically persons are not sufficient to speak on such topics. To the next. Cheers

  40. Thanks for your personal marvelous posting! I seriously enjoyed reading it, you might be a great author.I will always bookmark your blog and will come back later in life. I want to encourage that you continue your great job, have a nice day!

  41. I’d must examine with you here. Which is not one thing I usually do! I enjoy studying a publish that will make folks think. Additionally, thanks for allowing me to comment!

  42. Keep up the good piece of work, I read few articles on this web site and I conceive that your weblog is very interesting and contains sets of wonderful information.

  43. Fantastic website. Lots of helpful information here. I?¦m sending it to a few friends ans additionally sharing in delicious. And naturally, thanks to your effort!

  44. An impressive share, I just given this onto a colleague who was doing a little analysis on this. And he in fact bought me breakfast because I found it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I feel strongly about it and love reading more on this topic. If possible, as you become expertise, would you mind updating your blog with more details? It is highly helpful for me. Big thumb up for this blog post!

  45. I discovered your blog site on google and check a few of your early posts. Continue to keep up the very good operate. I just additional up your RSS feed to my MSN News Reader. Seeking forward to reading more from you later on!…

  46. I’ve read some just right stuff here. Definitely price bookmarking for revisiting. I surprise how so much attempt you place to create this sort of great informative web site.

  47. Thank you for sharing with us, I think this website really stands out : D.

  48. My brother recommended I might like this blog. He was entirely right. This post truly made my day. You can not imagine just how much time I had spent for this info! Thanks!

  49. Nice post. I was checking continuously this blog and I’m impressed! Very useful info particularly the last part 🙂 I care for such info much. I was looking for this certain info for a very long time. Thank you and good luck.

  50. I just could not depart your web site prior to suggesting that I extremely enjoyed the standard information a person provide for your visitors? Is gonna be back often to check up on new posts

Leave a Reply to How Fashion is changing day by day Cancel reply

Your email address will not be published.