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Nandita Vijay: AYUSH Practitioners Clinically Ill- Equipped

There is an indication that the Working Group of the Mahamana Declarations-2020 is concluding that Ayush practitioners are not fully equipped to be the first point of care at the Health and Wellness Centers (HWCs) of the Union government’s Ayushman Bharat programme. Well-trained Ayush practitioners could become a reliable workforce to address acute illness-related healthcare needs of people living in remote rural villages. The 2018 GOI Scheme on Health and Wellness Centres, stated Ayush practitioners, are slated to be posted as the only doctor of primary contact across the 1.5 lakh HWCs. It is here a Special Interest Group of the Mahamana Declarations examines the extent to which the Ayush practitioners are equipped and ready to handle this responsibility. Meenakshi Datta Ghosh, member Mahamana Declarations, former secretary, Government of India and Chair Vertical 4 during an interaction, wherein Dr. K K Aggarwal, Co-Chair and former president, Indian Medical Association, drew attention to what would potentially happen on a regular basis at any given HWC. “Incoming persons could require routine attention and treatment as in dengue or malaria; urgent and priority attention, as in a caesarean, or paediatric encephalitis; and emergency attention, as in a road accident, onset of a thrombotic stroke, need for immediate drainage of sepsis, and so on. At these HWCs unless there is clinical competence to perform life-saving emergency and critical care to save lives during the most important Golden Hour, we could be in for adverse outcomes,” pointed out Dr Aggarwal The Ayurveda and Siddha representatives at that meeting uniformly responded that they have no significant training to handle emergency care. They expressed a serious lack of confidence till such time as they are given comprehensive, targeted and differentiated training on lifesaving technologies and related, feasible interventions. They do not feel clinically competent to handle emergency care. They expressed that archaic curriculum across Ayush medicine has ensured inadequate exposure to a cross-section of medical conditions, which is needed to acquire clinical proficiency. This infirmity needs to be addressed upfront. It would transform their image as well as capabilities, said Ghosh. Ayush practitioners were confident that preventive and promotive medicine is their forte, and hence routine handling of maternal-infant care, and non-communicable diseases is no problem at all. Ghosh added that the changing role of the Ayush practitioner is also an issue. Today, no more than 18 per cent Ayush practitioners function from rural India, while 82 per cent are functioning from urban areas. Among these, a majority are seen to be practising allopathic medicine. At the rural HWCs, they will be called upon to implement central and state government health schemes of which they now have only a vague idea. The younger Ayush practitioners find that remuneration and living conditions in rural areas are a problem. Recently vacancies announced for Haryana and Madhya Pradesh saw a gap of Rs. 40,000/ per month between allopathy and Ayush salaries, she added. The Mahamana Declaration on Ayush is a platform with nine verticals, coming together in a Working Group once every six weeks, to take stock of the tasks covered. One Working Group meeting convened online, by Bejon Misra, advisor-consultant IMS, BHU, recently was chaired by Prof. YB Tripathi, Faculty of Ayurveda, Institute of Medical Sciences, BHU, Varanasi. The nine verticals address standard setting among the different streams of Ayush, regulatory oversight, value of bringing scientific rigor, leadership, and so on.

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Conclusion : ODR System

While the proposed ODR system seems to be a hopeful path for “boosting digital payments and enhancing the broader financial ecosystem“, the issues that may arise out of it must not be overlooked: Firstly, the links between the various modes of lodging complaints must be analyzed, improper communications between the modes and the PSOs may create distortions and thus lead to ambiguities, which may have severe consequences.

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What Kind Of Transactions Are Covered Under This System?

Although the RBI specified in its notification that the system, for the time being, is limited only to disputes and grievances arising out of failed digital transactions, including those which have not been fully completed due to reasons unrelated to the customers (technical issues) such as failure in communication links, non-availability of cash in an ATM, time-out of sessions, etc. Apart from these, the system also includes those transactions whereby the amount has not been credited to the beneficiary’s account due to a lack of adequate information or delay in the initiation of a reversal transaction.

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Supreme Court Judgement on Refund of Airline Tickets

This is to bring to your kind attention that on 1st October, 2020, the Supreme Court of India delivered a judgement containing detailed guidelines with regard to the refund of airline tickets, both domestic and international, that stood cancelled due to the pandemic and the consequential lock down. The judgement of the Apex Court came in light of various writ petitions that were clubbed together because of the similarity of cause of action. It essentially lays down that for all cancelled travel due to the lockdown, full refund should be made by the airlines to the consumers within the stipulated time and manner as mentioned therein. If the respective airline cannot make such a refund, a credit shell of the same amount shall be given to the consumers within the stipulated time that shall be transferable at the instance of the consumer. The Court also established the validity of such a credit shell. The 3 Judge Bench, consisting of Justice Ashok Bhushan, Justice R. Subhash Reddy and Justice M. R. Shah, delivered an all inclusive judgement keeping the smallest details in mind while also drawing a balance between the loss suffered by individual consumers on one hand and by the airlines on the other. The interests of both the parties were considered practically and handled with great sensitivity. Attached herewith is the original and full judgement of the Apex Court of India for more details. Click Here for Full Judgement An Aware Consumer is a Protected Consumer.

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Objective and Structure Of ODR System For Digital Payments

The goal of the system is to provide a “transparent, rule-based, system-driven, user-driven, unbiased mechanism for resolving customer disputes and grievances, with zero or minimal manual intervention.” In other words, the main objective of this system is to enable a dispute resolution system that is not only transparent and unbiased but also provides redressal for consumer grievance with minimal or zero human intervention.

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Introduction : ODR (Online Dispute Resolution) system

As rightly said by Dave Chapelle “Modern Problems requires modern solutions”. The only good outcome of the COVID-19 pandemic was that the digital economy saw a global revolution. Preventive measures such as lockdowns, social distancing, etc., which limited the scope of human interactions (all of which were a result of the pandemic), led to most forms of trade and communication being shifted online thereby increasing an individual’s dependence on such digital transactions. Each transaction involves a cost which is fulfilled in the form of digital payment. While this can be treated as a great leap forward, such a change is not devoid of certain inevitable issues.

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What is the scope of patent protection in Intellectual Property?

The Patents Act, 1970 provides patent protection in India which is compliant with Trade-Related Aspects of Intellectual Property Rights (TRIPS) and has been adopting and implementing the provisions. To obtain a patent protection in India, apart from the patentability criteria-novelty, inventive step and industrial applicability, the invention must not fall within the ambit of Section 3 and 4 of the Act. As any digital health application works on software and a computer program, Section 3(k) of the Indian Patents Act is relevant which precludes patentability of a computer program per se. Recently, the Delhi High Court has iterated that all computer programs are not barred under Section 3(k) and when such program demonstrates a ‘technical effect’ or a ‘technical contribution’, the invention would be patentable.

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What are the key issues to consider when sharing personal data and Which key regulatory requirements apply when it comes to sharing data?

The key issues in sharing personal data are primarily, but not limited to: the transparency and control of data exchange; security and privacy; and information, trust, responsibility and accountability. Such considerations can change during data sharing, particularly data protection and privacy, as this is an important concern.

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Which key regulatory requirements apply to Data Use?

The MoHFW, through the proposed DISHA, plans to set up a statutory body in the form of a national digital health authority for promoting and adopting: e-health standards; enforcing privacy and security measures for electronic health data; and regulating the storage and exchange of electronic health records. In addition, the National Digital Health Authority (NeHA) under MoHFW is a proposed authority that is intended to be responsible for the development of an integrated health information system in India. It is proposed to be a promotional, regulatory and standard-setting organisation to guide and support India’s journey with Digital Health and consequent realisation of benefits of ICT intervention in the health sector. It also spells out the proposed functions and governance mechanism of NeHA. DISHA is the legislation that seeks to formally establish NeHA and facilitate the online exchange of patient information with a view to prevent duplication of work and streamline resources.

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In terms of Data Use; What are the key issues to consider for use of personal data?

Data Privacy is a main concern in the use of personal data. In September 2013, the MoHFW notified the Electronic Health Record Standards (EHR Standards) for India. They were chosen from the best available, previously used standards applicable to international electronic health records, keeping in view their suitability to and applicability in India. Accordingly, the EHR Standards 2016 document is notified and is placed herewith for adoption in IT systems by healthcare institutions and providers across the country. The MoHFW facilitated its adoption by making available standards such as the Systematised Nomenclature of Medicine Clinical Terminology (SNOMED CT) free-for-use in India, as well as appointing the interim National Release Centre to handle the clinical terminology standard that is gaining widespread acceptance among healthcare IT stakeholder communities worldwide.

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