Sunday, December 20, 2020

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Raya Tripathi

Article Title

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Global Views 360

Publication Date

December 20, 2020

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Mental Health Representative Image

Mental Health Representative Image | Source: rawpixel.com via Freepik

It’s been almost a year since the Covid 19 first started spreading in Wuhan, China and spread to all parts of the world, turning into a pandemic. This has brought along with it an unusual situation for everyone around the world—people were locked up inside their homes and everything was shut. Only the doctors,  healthcare workers and other emergency service workers were working long hours, often going without proper sleep and food. Working day and night, like robots, is not natural for human beings, and therefore, has its consequences.

Mental health in India

Mental health of people is deteriorating globally, and the worst impact can be seen for the corona warriors.

Many people in India do not care about mental health and rubbish it off due to lack of awareness about the problem. They don’t consider it as a health problem just like any other illness, these are not much discussions or consultations with the experts, even when there is a clear sign of a person suffering from it. This state of affir is one of the major contributing factor for the high suicide rates in India.

The taboo associated with discussing mental health, dissuades the person who is suffering or their family members to discuss and take the help from experts as they fear that any revelation of mental health issues can tarnish their image in the society. There are still instances that people seeking professional help are labelled mentally weak or simply ‘‘mad’. Due to superstition still persisting in society, many believe mentally ill people to be 'possessed' by some evil spirit. This forces a large number of people to visit some Godmen or Exorcists to get it cured, rather than going to a professional.

This pandemic and the subsequent lockdown has exacerbated the mental stress and resulted in a spike in the instances of anxiety and depression among the population all over the world. The healthcare workers, fighting the pandemic in the frontline as Corona Warrier, are more exposed to the dangers associated with it. Although the frontline healthcare workers are now sufficiently protected from the direct impact of the virus, their deteriorating mental health still remains an unforeseen challenge.

What are the problems faced by corona warriors in India?

Healthcare workers are responding quickly and moving in vans in many places for testing the Covid patients. They are working hard to take care of everything from regular check- up to specialised testing for the ailing people. But, what about the physical and mental health of these health workers who are serving the patients with highly contagious disease, day and night, despite feeling homesick and tired.According to a report in Indian express, Dr. Kinjal Nadia, a doctor in Gujarat's Jamnagar, said, “Spending eight hours in a PPE suit is the toughest thing to do. One can’t even drink a glass of water though has to speak loudly to be heard by patients and assistants”.

There are incidents of suicide among thejunior doctors from AIIMS Delhi and RG Kar Medical College, Kolkata, which in itself describe the mental status of doctors and healthcare workers. Furthermore, around 80% of the doctors, especially younger ones, are at a very high risk of burning out due to constant pressure by the people, press and the administration to manage the extraordinary workload of testing, diagnosing, treating and curing  the patients, successfully.

In order to manage the huge influx of patients, at many places, doctors and healthcare workers are being hired temporarily, which acts as a catalyst for stress which they are already facing. This has also led to protests by the healthcare workers, including the nurses of AIIMS Patna, for making their employment permanent.

There had been a lack of PPE kits and proper protection against the virus for the healthcare professionals in many places, which increased the danger of exposing them to the virus and putting their lives in danger. There have been many incidents narrated by the doctors and the patients about dirty floors and filthy bathrooms in government hospitals of India.

A report on Firstpost mentioned about the usage of unhygienic food and dirty bed-sheets at government-run Kasturba hospital in Mumbai. An online petition against this situation had garnered over 100,000 signatures.

A news article from the New Indian Express tells that in Bengaluru, Dr. Manohar KN, with his colleagues, conducted a survey to assess the impact of COVID-19 pandemic on the mental well being of the healthcare workers. Over two thousand doctors, nurses and technical staff, aged between 20 and 65 years, participated in this survey, which was conducted in 26 states and union territories of India. This incidentally was the largest survey of its kind in the world.

The most shocking finding of the survey was that the healthcare workers were mostly in a sad mood, and the most optimistic ones (around 70%) were also becoming pessimistic. Even after wearing heavy PPE kits, masks, gloves, face shields all day long, which in itself is exhausting, they were constantly afraid of catching the virus.

Even the families of these corona warriors are worried. Many of them have succumbed to the coronavirus while saving people from it. They don’t get to meet their families while working during the pandemic, and sometimes end up never meeting again.

Are there any mental health services in India?

India, at the moment doesn’t have adequate infrastructure to diagnose and treat the people suffering with mental health issues. also there are not enough organisations or programs which can help in raising the awareness and mitigating misinformation regarding mental health issues. The availability of psychologists in India is grossly inadequate to take care of the mental health of a population of more than 130 crores.

However, the wide adoption of online meetings during the pandemic has come as a big boost to increasing the reach of online psychological counselling through video conferencing. This has enabled the patients to consult the doctors and counsellors  remotely through video links, which reduced the chances of spreading the virus. But not everyone has access to such facilities.

What is the government doing about it?

The government issued a guide in April 2020 for general medical and specialised mental health care settings to be followed during Covid 19 pandemic and also launched a helpline for mental health issues during lockdown. However, when it comes to regular mental health care, India is behind most of the countries. If a country does not even have basic health care for each and every of its citizens, how can it provide them with ‘world class' mental health services?

According to WHO, India ranks second among countries with the greatest burden of disease for mental and behavioral disorders. Most of the mental health disorders go unreported, as people never let others know about it, because in India, this becomes a matter of shame and losing their pride.

Clearly, the healthcare professionals seem tough from the outside, and fight bravely, but on the inside, they’re struggling with their own issues which need to be attended.

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February 4, 2021 5:18 PM

Anti NRC-CAA Protests: How it shattered the Stereotypes of “Voiceless Indian Muslim Women”

The anti CAA-NRC protest that erupted in December 2019 across many places in India has broken many widely stereotypes associated with Muslim women. The most common narrative of Indian Women in general and Indian Muslim Women in particualar revolves around the oft repeated claims of them being oppressed at home, discriminated in society, and confined to the household. However the widespread participation of Muslim women in the pro-constitution anti-NRC-CAA movement has broken numerous stereotypes regarding women in general and Muslim women in particular. They did not limit their role to silent bystanders; instead, they were actively involved in every dimension of these movements and demonstrated that they are not only capable of understanding complex issues, but can also orchestrate grassroot movements to oppose the oppressive and discriminatory policies introduced by the government.

Shaheen Bagh, a neighbourhood in South Delhi, became a prominent symbol for their non-violent resistance. It was the longest protest site against NRC-CAA. “I hardly ever leave my house alone. My son or husband accompanied me even to the nearby market. So I found it tough at first to be out here. But I feel compelled to protest” said Firdaus Shafiq, one of the protestors at Shaheen Bagh. What made the protests unusual was that protestors like Firdaus Shafiq were not activists they were everyday Muslim women and mostly homemakers.

Shaheen Bagh inspired women across India to stand together. Muslim women in Central Mumbai came up with ‘Mumbai Bagh’ to express their solidarity to Shaheen Bagh. Mumbai Bagh included almost four thousand women protesting. These large scale agitations encouraged women to join from different walks of life and religion to protest for the shared cause of revoking CAA and NRC.

Safoora Zargar Leading a Protest | Source: thescrbblr.in

However, all these protests have come with a price. To repress these agitations, several women have been arrested, some under the draconian Unlawful Activities Prevention Act (UAPA). Women like Safoora Zargar and Gulfisha Fatima who have become icons of dissent have been arrested under the same. Even though Safoora Zargar was given bail on humanitarian grounds since she was pregnant, Gulfisha Fatima’s petition was dismissed. What is highly unfortunate and surprising is that most of these arrests have been made when the country is going through a pandemic.

Muslim women in India have been predominantly labelled as veiled, submissive, uneducated and voiceless. Thus, their mass level involvement has come as a surprise to many Indians. These women have reclaimed their spot in the public sphere, but this is not a sudden change. On one level, their participation could be attributed to the growing anxieties among the Muslim community about NRC-CAA. Even though officially NRC is meant to act as a check against illegal immigration, there has been a growing belief that it is being used to marginalise the Muslims and strip them of their identity. Thus this fear of losing their home is one of the motivators for active participation of the Muslim women, but the origin for this high self-awareness among them also has several other reasons—one of the prominent one being the increasing rate of education among the women of the Muslim community.

The All India Survey on Higher Education (AISHE) report for 2017-2018 indicates the same. The enrolment rate in schools for Muslim girls has increased by 46%. The same survey also indicates that in the same period, 49% of Muslims that were enrolled in higher education were women. Such data suggest that anti-NRC-CAA protests acted as a portal to show the sociological changes that Muslim women were going through and that the belief that Muslim women are uneducated or illiterate is far from the truth.

Muslim women’s participation in these political movements has not only incorporated a sense of novelty to these movements but also helped women to recognise the strength within them and that they too can be the ones that lead change.  It has also challenged several social constructs of patriarchy and provided a more prominent place for women in India’s socio-political fabric.

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