Politics and Bureaucracy
44 small coffins and a locked file: Who is responsible for structural murder?
When two-and-a-half-year-old Nusayba from Chatmohar in Pabna passed away on March 12, her father received a call from the Intensive Care Unit (ICU) of Rajshahi Medical College Hospital exactly four days later. He was informed that a bed had been allocated for Nusayba. This ‘posthumous call’ regarding a bed for a deceased child is a significant indictment of our governance in the 21st century. The same unfortunate situation has occurred with Nahid from Terokhadia and 10-month-old Jihad from Durgapur, who have been denied access to a mechanical ventilator despite waiting endlessly. The disheartening admission from the medical team indicates that there have been 53 deaths in the past two and a half months; of these, 44 young lives were lost prematurely in the two weeks from March 10 to 24 due to insufficient intensive monitoring. The greatest irony of progress is that just a few kilometers away from where children are dying daily due to inadequate treatment, a modern specialized children's hospital with 200 beds, constructed at a cost of approximately Tk35 crore in the Ghora Chattar (Behrampur) area of the metropolis, has been fully operational since 2023. Despite having state-of-the-art facilities, including 56 intensive monitoring beds and a central oxygen system, the hospital is awaiting approval for its manpower structure (organogram) due to bureaucratic delays. This official inaction has become more significant than the lives of children today. It is particularly astonishing that the 12-bed child intensive monitoring center currently functioning in the main hospital lacks official approval; it is being operated under its own special management. Is a file concerning a manpower structure on the administrative desk of a state capable of executing large-scale projects worth thousands of crores of taka more important than the lives of 44 children?