Wednesday, March 25, 2020

COVID-19: A CLARION CALL FOR WORLD LEADERS TO UNITE FOR THE SURVIVAL OF MANKIND

While the anxiety, panic, disruption of normal life, turbulence and chaos caused by the virus in sociological, psychological, physical health and economic terms has been unprecedented, it has opened many windows of opportunity too.

Coronavirus pandemic is likely to emerge as a watershed moment in the history of planet earth. It can either mark the end of a beginning or beginning of a new phenomenon in terms of human survival, depending upon how it is perceived and treated and what lesson human population draws from this outbreak. COVID-19, the short-form of Coronavirus Disease (2019) hit the globe with a bang emerging from Wuhan, the Central Chinese province of Hubei, in December 2019 and has since spread in more than 190 countries. The outbreak was recognized as a pandemic by the World Health Organization (WHO) on 11 March, 2020 and has so far affected more than 5 lakh people, resulting in more than 19,000 deaths and more than 110,000 recoveries. COVID-19 has so far had drastic health-related, sociological, economic, cultural and humanistic fall-outs in countries where the pandemic has spread.

In absence of a definite treatment modality like a vaccine, all across the world governments have been using the strategies of containment, mitigation and suppression against the disease recommending self-quarantine of the entire populations living in affected areas. Many countries including India have announced complete countrywide lock-down never ever witnessed in the history before. Many stock markets have taken a nosedive and tumbled to an all time low levels hitting the world economies very hard. It is hard to guess how long world will take to overcome the economic slump caused by the pandemic. While the anxiety, panic, disruption of normal life, turbulence and chaos caused by the virus in sociological, psychological, physical health and economic terms has been unprecedented, it has opened many windows of opportunity too.

One such window of opportunity has been that it has united the whole world on one issue of healthcare. Humankind has woken up to the hard realities of human survival and significance of universal healthcare in times to come. People and nations across the world could be seen collaborating, sharing resources, propagating solutions and promoting awareness related to the coronavirus disease. Whole world appears to have been united by this notorious virus. A time has come for the governments and political leaders all across the world to learn some hard lessons and take cues from the COVID-19 pandemic that has united humanity on just one issue of health. It is time for all of them to shun all regional, religious, sectarian, caste-based, creed-based, colour-based, hate-based, racist politics and join hands together to focus on some of the most intriguing global issues like ensuring universal health and education, tackling climate change, maintaining global peace, ensuring international security, poverty alleviation, overcoming food grain scarcity, curbing depletion of water resources; conservation of biodiversity, forests, environment and ecology; disaster prevention, mitigation and relief; disarmament of all nuclear nations, contributing towards strengthening national economies, dissolving international borders, abolishing dictatorships, promoting democracies and collaborating for a sustainable mutual progress, growth and development.

Let the COVID-19 be the game-changer and transformer of all equations on the surface of planet earth. This time entire planet earth seems to be sick and retreating at present. Let it recuperate and emerge as a much more powerful, mature, resurgent and resilient planet so that it sustains human life for a very long time to come. Let the world after COVID-19 be a different world altogether. Let COVID-19 dissolve our big fat egos and let us work for the betterment of humanity transcending our territorial boundaries and jurisdictions. This is the best gift and lesson that we can give to our progeny. Many existential threats are looming large on the human race and gaining momentum with each passing year in the twenty first century, some of whom include catastrophic climate change and collapse of ecosystems, artificial super-intelligence and the rise of robots, alarming threat of a nuclear warfare, threat of super-volcanic eruptions and devastating earthquakes, impacts of huge asteroids hitting hard upon the earth, biological and chemical warfare, pandemics, anti-microbial resistance and the emergence of incurable diseases. This is doubly aggravated by the threat of man-made disasters like manufactured weaponized, bio-engineered, bio-hazardous super-viruses and bacteria, nuclear terrorism, cyber crime, forest fires, satellite junk and outer-space warfare, water wars clubbed with alarming environmental break-down caused by a spike in carbon emissions, rapid melting of arctic ice, steady rise of global temperatures, erratic and extreme storms assailing coastlines etc. Only a strong, collective, pooled and united effort at the global level could help us find solutions to these emerging threats to the existence of mankind on the face of earth. 

There is dire need for a “Multinational Task Force for the Survival of Human Beings” at the global level where best minds and talents all across the world belonging to diverse streams of science, engineering, technology, humanities, sociology, commerce, economics, healthcare, management, psychology, earth science, agriculture and law could converge and sit across to draw a roadmap and action plan for tackling these potential threats and thereby effectively paving way for the survival of mankind. This task force may determine the level of existential threat posed by all these potential dangers, rate them on a scale of ten in terms of their severity and thereby prioritize their handling and management in an effective and fool-proof manner. Recommendations of the task force must be binding and mandatory to follow by all countries of the world. They should be made to sign a "Memorandum of Understanding" to honour and implement the recommendations and decisions of the task force in letter and spirit. Countries must also pledge to extend full support, cooperation besides necessary assistance in terms of finances, manpower, territory, machinery and other logistics required for the implementation of the agenda and action plan presented by the task force as and when required.

Coming back to COVID-19, it needs to be mentioned that COVID-19 has revitalized the scientific temper among the people at large who keenly studied each and every detail about the virus as well as the disease and on the basis of knowledge gained took commensurate steps for their own protection from the disease. Mosques, churches, synagogues, temples all around the world including  Masjid Al-Haram at Mecca, KSA, Vatican City, Golden Temple at Amritsar, Vaishno Devi temple at Jammu and the renowned Hindu temple at Tirupati have been locked down for the time being and the worshipers are seeking remedies in medical science rather than spirituality for protection from the disease. This has substantially rekindled the subdued scientific temper among the masses and promoted their inquisitiveness about the etiology, pathogenesis, signs and symptoms, diagnosis and treatment of the corona virus disease. This inquisitiveness and scientific temper needs to be harnessed and promoted further.

COVID has in more than many respects left a lot of room for the humankind to survive. Imagine if it had been water-borne, food-borne or air-borne, even locking ourselves up inside our homes would not have been safe and sufficient to survive. We would not have been in a position even to fearlessly eat food, breathe air or drink water as we are doing at present. Only thing it calls for is to abolish or minimize human and social contact which is not that impossible than not being able to freely eat food, breathe air or drink water. Food articles merely need to be washed and cooked thoroughly before consuming them. So let us take advantage of this window of opportunity and continue to stay home for our own survival. Alongside social isolation and home-quarantining, vigorous testing aimed at case tracking and clinical course detection of the disease has to go hand in hand for any tangible results to be achieved in terms of its control. All these measures will definitely help in flattening the curve of COVID-19 pandemic.

Saturday, March 14, 2020

Towards a drug-abuse free society in J&K: Need for a multi-dimensional approach

Unfortunately in many societies drug dependence is still not recognized as a health problem and many people suffering from it are stigmatized and have no access to treatment and rehabilitation. The notion that drug dependence is a “self-acquired affliction”, has contributed to stigma and discrimination associated with drug dependence. However, scientific evidence indicates that the development of the disease is a result of a complex multi-factorial interaction between repeated exposure to drugs, and biological and environmental factors. Attempts to treat and prevent drug use through tough penal sanctions alone for drug users have failed because they do not take into account the neurological changes drug dependence has on motivation pathways in the brain1. Nevertheless stringent regulatory controls must go hand in hand with preventive and rehabilitation measures. Fine-tuning and strict enforcement of laws relating to narcotic drugs and psychotropic substances needs to be ensured to secure the society from the evils of drug abuse.

Major causative factors of drug abuse

Drug dependence is not something that is incurable. It is a preventable and treatable disease, and effective prevention and treatment interventions are very much possible. Best results are achieved when a comprehensive multidisciplinary approach that includes diversified pharmacological and psychosocial interventions is adopted. Children and adolescents who suffer from neglect, abuse, household dysfunction, exposure to violence and instability are at particular risk of substance abuse2. In Kashmir valley major causes of drug abuse have been linked to long standing conflict and frequent phases of unrest, large scale unemployment and illiteracy, stressful social life, educational and family stress, lack of sports amenities and entertainment avenues, easy availability of scheduled prescription products over-the-counter, select areas turning out to be hot pockets of illicit drug use, lack of effective enforcement mechanism and government control over substance abuse, mushroom growth of licensed drug stores and large scale corruption and growing immorality in the society.

Based on the approach that drug abuse is a psycho-socio-medical problem that can be handled through community-based interventions, a multi-pronged strategy needs to be adopted to curb the menace that should simultaneously include measures towards prevention and control as well as towards treatment and rehabilitation. Policies need to be formulated that simultaneously address supply and demand side of drug addiction control. Such measures lay emphasis upon creating awareness and educating people about ill effects of drug abuse, dealing with addicts compassionately through a programme of motivation, counselling, treatment, follow-up and social reintegration and by imparting drug abuse prevention and rehabilitation training to volunteers with a view to build up a strong cadre of drug abuse control operators. Educating students, faculty and staff about the risks of drug abuse should be the foundation of all prevention efforts and this should include an enhanced interaction with the parents too3.

Family and teachers’ support

Supportive families are essential to raising socially, mentally and physically healthy and well-adjusted children and preventing later adolescent problems. Factors such as a lack of security, trust and warmth in parent-child relationships, a lack of structure in family life and inappropriate discipline practices and insufficient limit-setting can render children at greater risk of problematic behaviours and subsequent substance abuse and mental health disorders4. Therefore family skills training programmes have been found to be effective in preventing many of these risky behaviours, including substance abuse. There is need to adopt innovative approaches to keep the drug threat at bay. Parents and other family members of the victims in particular have a very significant role to play in identifying potential abusers, developing a supportive and caring environment within the family, counseling and educating the abusers about the ill-effects of drug abuse, helping the abusers to return back to the normal life and get rid of the substances of abuse, in rehabilitating them and boosting their morale and confidence to start afresh as a normal human being free from all habits of drug abuse.

Other than parents young adults spend most of their time with their teachers thus making them as one of the important parties in curbing this menace of drug abuse. Teachers can be of great help in detecting, identifying, counseling, hand-holding, supporting, encouraging, rehabilitating, remedying, mainstreaming and managing the drug abusers. Regular awareness and counseling programmes through outdoor camps, open air theatres, dramas, painting competitions, video displays, street plays etc need to be conducted by every school and college across the state against drug abuse in order to acquaint the students with the dangers and consequences of such addiction. Awareness about ill effects of drug abuse must be incorporated into the curriculum at all levels of education. Teachers too need to be acquainted well with the signs and symptoms of potential drug addiction.

Measures to be taken by educational institutions

Even CCTV cameras may be installed in vulnerable and addiction-prone educational institutions to monitor sale and abuse of drugs within and outside the premises. Each and every educational institute must have a full-time position available for a counselor who could either be a qualified psychiatrist or a trained clinical psychologist, who should be entrusted with the job of undertaking student counseling from department to department on regular, door-delivery basis and address their stress management or drug de-addiction needs. Every educational institution must have a nodal officer and a teachers’ committee to prevent and control drug abuse in the campus and also to facilitate counseling sessions and awareness programmes. As a pre-condition of receiving funds or any other form of financial assistance under any federal program, an institution of higher education must certify that it has adopted and implemented a programme to prevent the unlawful possession, use or distribution of illicit drugs and alcohol by students and employees.

Govt. through its information and broadcasting wing must secure slots for drug awareness campaigns in the middle of most popular and widely viewed television programmes. Popular television serials based on stories and scripts related to drug addiction and its consequences must also be relayed from local as well as national channels. Drug de-addiction centres must be established at all district headquarters with sufficient trained staff and bed strength besides a full-fledged drug de-addiction and rehabilitation centre at the divisional level. Each school and college must procure a drug-addiction detection kit that comes at an affordable price for regular detection of drug abusers. This will act as a strong deterrent too. Similar kits can be used by the police for truck drivers and drivers of public transport vehicles. A drug testing programme can be an effective way to discourage experimentation and stop drug use before it begins5. Regular health check up and screening camps must be held within college and university premises. Student surveys to receive complaints from the surrounding community must be encouraged and the importance of campus environments including physical, social, cultural and regulatory atmosphere in influencing student attitudes and actions needs to be taken into account.

Measures to be taken by the government

State government needs to take several steps towards controlling the menace of drug addiction. Its approach has to be bi-pronged addressing supply side (that includes enforcement activities) as well as the demand side (that includes rehabilitation and de-addiction measures). On the analogy of National Policy on Narcotic Drugs and Psychotropic Substances formulated in January, 2012, it must come out with a comprehensive, focused and goal-oriented policy against drug addiction and chalk out a robust and time-bound action plan at division, district and block levels. Measures towards prevention and control of drug abuse within educational institutions must be incorporated into the new education policy of the government with sufficient budgetary allocations for executing such measures in a time bound manner. Drug de-addiction policy6 recently announced by the J&K government must be implemented in letter and spirit. Further this policy must be constantly monitored for its effectiveness and regularly revisited, reviewed and revised for making necessary amendments in the same with a view to make it a fool-proof, highly effective, focused, productive and goal-oriented policy.

An effective coordination and collaboration between various govt. agencies and multiple stake-holders needs to be fostered. A coordinated response of government and non-governmental organizations can be achieved through government funding support to voluntary organisations for setting up/maintenance of counselling and awareness centres, deaddiction-cum-rehabilitation centres, de-addiction camps and for preventive awareness programmes, workplace prevention programme and training of service providers. Drug sale licences must not be made free for all. Particularly licences to stock and sell schedule X drugs and psychotropic substances must be restricted to a few chosen chemists with an unblemished track record. Sale and purchase records of such drugs must be checked continuously and severe penalties must be imposed upon the defaulters. Drug control department needs to conduct regular market checks and ensure sale of prescription drugs only against the prescriptions of registered medical practitioners. OTC sale of prescription drugs must be stopped.

Government needs to strengthen its intelligence apparatus for improving collection, collation, analysis and dissemination of operational intelligence regarding illicit drugs. There must be a reward policy for giving information about drug trafficking or abuse.  Inter-state cooperation and coordination in operational intelligence, investigations and legal assistance needs to be improved too. A nodal office of Narcotics Control Bureau must be established in Kashmir division too and in accordance with its guidelines local government has to constitute an anti-narcotics task force headed by an IG level police officer besides a multi-disciplinary coordination committee under the chairmanship of Chief Secretary level officer for regular interaction with central and state agencies. This will make J&K eligible to receive grant-in-aid from NCB for infrastructure development in narcotics control7. Surveillance and enforcement at entry/import points and land borders of the region needs to be made more stringent and foolproof besides identification and eradication of illicit cultivation as well as wild growth of cannabis and opium poppy.

Social interventions

Constitution of block and district level monitoring and vigilance committees with active participation of police, traffic police, medical health officers, school and college teachers, principals, religious preachers, housing societies, mohalla committees, drug control and excise officials can go a long way in not only creating awareness and preventing abuse but also in identifying magnitude of the problem in each locality and motivating the abusers towards the rehabilitation. Social engineering is also of crucial importance in preventing drug addiction. Perpetual sermons through religious preachers during weekly religious congregations, mass prayers and gatherings can have a durable impact in discouraging drug abuse. Prohibition of drugs abuse by all religions needs to be propagated and disseminated constantly to curb the menace. Religious beliefs have a strong influence upon individuals and therefore religious sermons by the respective heads can be highly effective in controlling the problem. Govt. action plan must begin with identification of vulnerable areas that are prone and sensitive to drug trafficking and illicit use and therefore require focused attention and strategic action. Vulnerable pockets need to taken up on priority for preaching by religious scholars and community outreach activities through social help groups, volunteers, NSS and NCC cadets.

Focusing more on the supply side

Having discussed various aspects and directions of a multi-dimensional approach towards curbing the menace of drug abuse and evolving a drug-abuse free society in J&K, it needs to be mentioned that law enforcement is without any doubt the most important and crucial aspect of the same. Unless supply of substances of abuse is not reduced to a very large extent, no amount of hard work on the demand front is going to bear much fruit. Police and excise departments of J&K need to tackle the supply and availability of all kind of substances of abuse on a war-footing basis and they need to clamp-down upon traffickers and suppliers with a heavy hand. There should be zero tolerance for any violation of the provisions of the Narcotic Drugs and Psychotropic Substances Act. Deterrent punishments and penalties need to be awarded by the courts to all the convicts of drug abuse. Narcotics and psychotropic substances should be treated just like illegal weapons owing to their disastrous health hazards. Overcoming the menace of drug abuse must be accorded same priority and preference as that of maintaining law and order in the region. Fear of law should send shivers down the spines of drug traffickers. Only when the region is cleared of all kinds of the substances of abuse on a sustained basis, can the demand side activities mentioned above prove to be useful in curbing this menace.

Curricular innovation in higher education

There is need to renovate and restructure higher education curriculum so as to meet the global challenges in terms of quality and relevance

Our higher educational system has not gone through substantial reforms and changes vis-à-vis curriculum innovation over the past several years. We continue to offer same post-graduate programmes in Science, Arts, Commerce, Social Science and Education faculties since decades with little innovations although their internal review and updation is carried out from time to time. Consequently our curriculum is lacking in dynamism and flexibility and we are failing to offer new programmes in tune with changing times and global trends. On the contrary, multidisciplinary campuses of private universities that are coming up across India are offering most innovative and modern courses to students and we are terribly lagging behind in keeping pace with them. Rigidity and paralysis of our course curriculum, improper selection, organization, implementation and evaluation of curriculum content and its little relevance to the needs of our society are some of the problems associated with our higher education system. For any meaningful advancement to be made in our education system a mid and long-term strategic orientation of our curriculum needs to be undertaken and some time-bound goals need to be fixed to achieve the desired results.

A core committee of experts from diverse fields needs to be framed that will assume the responsibility of identification, design, restructuring and renovation of the curriculum offered at college and university level in a manner to make our courses learner-centered, problem-based and research-driven. Curriculum renovation that is realistic and student-centered, that is quick in rejuvenating and revitalizing hope and passion for acquisition of broad-based knowledge that is worthwhile in a learner should be the focus of our higher education structure. Methodology that will aid self discovery and problem-solving ability which allows learners the opportunity for creativity should be entrenched in our curriculum. Quality and relevance are the two main features that curriculum development in our University system needs at present. At the same time changes and innovations of our higher education system must involve the emergence of elastic curricula models and educational policies which emphasize interdisciplinary courses, open-ended systems, inter-generational and inter-professional relationships and sustainability.

Lack of initiative, innovation, skills, independent constructive mindset and creative ideals characterize today’s system of our higher education. We need to shift from a system that encourages memorization in learning processes and theoretical explanation to areas that need practical illustration. Our present system favours cognitive development above other domains of education. Therefore need of the hour is to keep pace with brisk technological advancements in teaching learning process. There is need to modify conventional teaching methodologies and introduce recent advances in technology into the teaching-learning process.  We must switch over from chalk and talk to more interactive modes of teaching and learning by making use of audio-visual aids, e-contents, databases, e-learning objects etc. We should not lag behind in adopting the latest technology in every sphere of our education system, be it in teaching, devising syllabi, evaluation methods, certification and automation.

The role of a teacher in our education should change from knowledge disseminator to knowledge creator. At University level as well as college level, innovation and greater diversification of our subjects is the need of the hour. For ages same courses are being offered by our colleges and universities with little scope for newer specializations and upcoming programmes. Therefore we need to offer more specializations in all existing subjects and faculties and introduce new subjects wherever not available at present, so that a broader choice is made available to the students and they emerge as specialists in one specific area rather than ending up being generalists.

There is need to start new courses like industrial production, biomedical technology, nanotechnology, fashion technology, microprocessor technology, embedded systems, nuclear science technology, hotel management, microbiology, polymer chemistry, textile chemistry, hydro-chemistry, petrochemistry, electro-chemistry, chemistry of natural products, astrophysics, geophysics, nuclear physics, optical physics, particle physics, economic botany, phytochemistry, phytomedicine, phytopathology, entomology, paleontology, rural and urban management, hospital management, investment management, education management, enterprise management, entrepreneurship development, business law, e-commerce, corporate tax planning, consumer protection, rural finance and credit, advertising, international business, agricultural marketing, genetics, microbiology, cell biology, molecular biology, biophysics and structural biology, immunology, biostatistics, radiation biology, virology, privatization and deregulation, environmental economics, political economy, public policy and regulation, resource economics, visual communications, travel and tourism, interior design etc to name a few.

National Knowledge Commission in its report for the period 2006-2009 has also stated that innovation is a key driver of growth based on knowledge inputs and to ensure quality, it has called for reform of existing universities to ensure frequent curricular revisions, introduction of course credit systems, enhancing reliance on internal assessment, encouraging research, and reforming governance of institutions. The need for a paradigm shift from theoretical certification to a practical application of knowledge necessary for skill development and self employment should be the cardinal objectives of our education. Emphasis should be on the changing needs of the society through reliance on the understanding and application of new pedagogies and emerging technologies.

(Author is a senior faculty at the Dept. of Pharmaceutical Sciences, University of Kashmir and can be reached at ishaqgeer@gmail.com)

Making Universal Health Coverage a reality in Jammu and Kashmir

(It is time to evolve a social security system wherein every citizen could have access to the essential healthcare services they need without any risk of financial ruin or impoverishment)

Entire world of a middle class man gets shattered into shreds and pieces once he or his close kin is diagnosed of a serious affliction like some rare form of cancer, chronic kidney failure or tuberculosis and he is left with no other choice but to pull out all his lifetime savings or sell some of his valuable assets like land or jewelry to bear spine-breaking expenses to the tune of several hundreds of thousands of rupees, on account of his dreadful disease. Even upper middle class people find it catastrophic and devastating to pay the hefty medical bills after getting themselves treated at the corporate hospitals outside the valley.  Therefore health is not just about diagnosing ailments, making hospital admissions and providing treatments, it is an issue of social justice, social solidarity and social security too. Getting good health care is not a privilege, it is considered to be a fundamental human right. A just, humane and civilized society must be able to provide basic health access to all its citizens irrespective of their social status or paying capacity.

Universal health coverage (UHC) is the aspiration that all people obtain the health services they need without having to pay all costs out-of-pocket and without suffering any financial hardships paying for them. Universal Health Coverage implies that all people have access, without any discrimination, to the needed promotive, preventive, curative, palliative and rehabilitative basic health services and essential, safe, affordable, effective and quality medicines, while ensuring that the use of these services does not expose the users to financial hardships, with a special emphasis on the poor, vulnerable and marginalized segments of the population. UHC ensures that the out-of-pocket expenditures by patients on their healthcare are minimized and they are covered by adequate health insurance covers by the government for which citizens have to pay a very little amount on annual basis. It is a social security scheme in essence.

Globally, about 150 million people suffer financial catastrophe annually while 100 million are pushed below the poverty line. Only one in five people in the world has broad-based social security protection that also includes cover for lost wages in the event of illness, and more than half the world’s population lacks any type of formal social protection, according to the International Labour Organization. Due to out-of-pocket spending of their income on medicines and healthcare services, about 3.2 percent of India’s population is pushed below the poverty line every year, as per published reports. When poor households lack access to affordable medicines, they have to forego treatment, sell precious assets, or make difficult choices between paying for medicines and other basic necessities like food, clothing and children’s education.

Promoting and protecting health is essential for human welfare as well as sustained economic and social development. This has been recognized almost 40 years ago by the Alma-Ata Declaration signatories, who noted that ‘Health for All’ would contribute both to a better quality of life as also to global peace and security. Recognizing this, member states of the World Health Organization (WHO) committed in 2005 to develop their health financing systems so that all people have access to services and do not suffer financial catastrophes paying for them. WHO celebrates December 12th every year as the International Universal Health Coverage Day and has published three annual world health reports in the years 2003, 2010 and 2013 on the theme of Universal Health Coverage. However UHC cannot be achieved, except for a small minority of the population, without a well-functioning health financing system that determines whether people can afford to use health services whenever they need them. Government alone cannot bear all the expenditures on account of health insurance cover of its people. Households, employers, insurance companies, NGOs and individuals need to contribute their bit through minimal payroll taxes for this purpose. If all the affluent people make small contributions annually, that can pave way for social security of all particularly the poor.

The path to universal coverage involves important policy choices and inevitable trade-offs. All funds for health and medical care need to be pooled at one place for this purpose. The way those pooled funds – which can come from a variety of sources, such as general government budgets, compulsory insurance contributions (payroll taxes), and household or employer prepayments for voluntary health insurance - are organized, used and allocated, influences greatly the direction and progress of reforms towards universal coverage. Pooled funds can be used to extend coverage to those individuals who previously were not covered, to services that previously were not covered or to reduce the out-of-pocket payments needed for each service. These dimensions of coverage reflect a set of policy choices about benefits and their rationing that are among the critical decisions facing countries in their reform of health financing systems towards UHC.

The health sector in Jammu and Kashmir is beset by many challenges in spite of the considerable progress it has made of late in terms of extension, service coverage and augmentation of manpower. A combination of weak institutional capacity, limited access to modern equipment and infrastructure and shortage of healthcare personnel has limited the effectiveness of health service delivery in J&K. The healthcare system in J&K is primarily run by the local government while private sector plays only a minor role in health service delivery and the non-governmental sector is largely absent. Compared to the doctor-patient ratio of 1:2000 in India, as against WHO recommendation of 1:1000, J&K has one allopathic doctor for 3866 people, as per Central Board of Health Intelligence, New Delhi. However, with the establishment of five new medical colleges and two AIIMS in J&K this scenario is likely to improve in future.

For J&K to achieve Universal Health Coverage for its 125 lakh population we need to cross three major milestones viz., raising sufficient resources for health; removing financial risks and barriers to access; promoting efficiency and eliminating waste. To get closer to universal coverage, the J&K govt. would need to extend coverage to more people, offer more services, and/or pay a greater part of the cost. In J&K allocations for healthcare and medicines are scattered and fragmented between two directorates of health services, two government medical colleges, two government dental colleges, directorate of ISM, two super-speciality hospitals. All these funds need to be pooled and utilized centrally for increasing efficiency and conserving the available resources. However contingency grants for meeting emergent needs need to be kept available at the hospital/medical college level too for seamless availability of medicines.

WHO recommends centralized procurement and decentralized distribution of medicines and devices for which we need adequate funding, trained manpower, modern infrastructure laced with MIS, state-of-art warehousing, dedicated transportation, modern storage and distribution facilities at all district headquarters of J&K. J&K Medical Supplies Corporation Ltd has been assigned these responsibilities in the region over the past few years. Though healthcare schemes sponsored by the union government like Swasth Bharat Abhiyan, Ayushman Bharat, Arogya Nidhi, Pradhan Mantri Swastha Bhima Yogna and their inter-linked schemes like JSY, JSSK, RBSK, RBSY etc have brought considerable relief to a sizable section of the population living below the poverty line in J&K, majority of the population still remains uncovered by any health insurance schemes that is significantly hampering our progress towards Universal Health Coverage. Furthermore govt. of J&K has opened a chain of Jan Aushadhi and AMRUT drug stores across the length and breadth of J&K, where cheap yet standard quality generic medicines are made available to the patients, there is a lot more than needs to be done since their existing number is not yet proportional rather nowhere near to the actual need.

In view of considerable gains made in the healthcare sector in the recent past this author is contemplating to undertake a study in J&K state in order to analyze the situation on ground vis-a-vis availability, financial accessibility, geographical accessibility, affordability and acceptability of healthcare services particularly essential medicines at public health facilities of Jammu and Kashmir with an aim to identify the gaps, barriers, prospects and challenges towards adopting and implementing universal health coverage. Subsequently a comprehensive policy framework covering all relevant aspects concerning UHC including health service delivery, health workforce, health information systems, access to essential medicines, health systems financing, leadership and governance shall be developed that shall lay a roadmap for future policy direction of the J&K government towards implementing Universal Health Coverage scheme here. This study will provide the necessary impetus and direction for making UHC a reality in J&K in near future.

(Author teaches at the Dept. of Pharmaceutical Sciences, University of Kashmir and can be reached at ishaqgeer@gmail.com)

A decade of pharmacy practice education and research at Kashmir University – An appraisal

Department of Pharmaceutical Sciences, University of Kashmir is the only educational institution in the entire Jammu and Kashmir that has been offering an under-graduate degree programme in Pharmacy over the past thirty five years. In 2009 post-graduate degree programmes in five different specializations of Pharmaceutical Sciences including Pharmacy Practice were started after getting necessary approval from the University Grants Commission, New Delhi for offering the same as an innovative programme. Masters degree programme in Pharmacy Practice was aimed at orienting the pharmacy education in J&K towards hospital and clinical pharmacy, enhancing competency and clinical skills of pharmacy graduates and capacity building of pharmacists for making them an integral part of the health care team who could assist in providing optimal evidence-based care to the patients.

A decade of education and research in this specialization has been completed last year at the University of Kashmir. It has been quite a rewarding and exciting journey over the past ten years for the faculty as well as students of this programme. This write-up is an attempt to apprise the common masses about the aims, objectives, progress and outcome of this programme with a view to reinvigorate ourselves for another lap with greater resolve, commitment and conviction so as to make qualified and trained workforce available for the healthcare system who could assist in delivering better pharmaceutical care services to the patients of the valley in times to come. This programme is essentially aimed at carving a niche for the qualified pharmacists of J&K and establishing them as an inherent part of the healthcare team that so far comprised of only doctors and nurses.

Overall goal of professional Clinical Pharmacy services is to optimize the therapeutic outcome management and decrease the burden of five D’s viz, death, disease, disability, discomfort and dissatisfaction among patients. Clinical, economic and humanistic outcomes will also shift towards the positive side as a result of these integrated and seamless healthcare services rendered by a trained pharmacy practitioner. Post-graduate programme in Pharmacy Practice is being offered over the past ten years with these very objectives. The course includes mandatory practical internship training for one year in a hospital besides a year-long research work in hospital, clinical or community pharmacy that culminates with compilation and submission of a research dissertation. Two year rigorous training of clinical pharmacists fully gears up the trainees to accept full responsibility of the patient’s medication management and suggest modifications, if required in his drug regimen.

While the aim of pharmacy practice education has been to create a qualified and trained workforce that is well-equipped to address pharmaceutical care, patient counseling and other clinical pharmacy needs of the patients visiting out-patient and in-patient departments of our government hospitals, objectives of the pharmacy practice research have been to assess adverse drug reaction monitoring, pharmacovigilance and pharmaceutical care services; evaluate access to essential medicines that includes their availability, affordability and acceptability; evaluation of drug utilization and prescribing practices; estimation of economic burden of the treatment of various chronic ailments like diabetes, PCOS, hypertension, cancer etc; assessment of hospital pharmacy and medicines management services at our government health centres. In spite of some difficulties faced in running the programme smoothly, Department of Pharmaceutical Sciences has been relentlessly marching ahead over the past ten years towards establishment of Clinical Pharmacy Practice as a full-fledged and well recognized profession in J&K.

Post-graduates in Pharmacy Practice who have passed out from the University of Kashmir have worked on 15 different research projects. All the three core areas of Pharmacy Practice viz., hospital, community and clinical pharmacy practice have been addressed while formulating the research design in this programme. Care has been taken to accord top priority to the most intriguing issues facing patient care in the region and the outcome of research has so far been not only interesting and encouraging but thought-provoking too. Research findings of these projects have been published in peer-reviewed, national and international journals of repute thereby presenting a snapshot of the overall drug use and prescribing patterns among Kashmiri population and revealing the gross situation of availability, affordability, effectiveness and safety of essential medicines in various districts of the valley. All these studies were the first of their kind in this region that could be of great help in devising policies and setting achievable targets in ensuring availability and affordability of safe, effective and good quality medicines all across Jammu and Kashmir. For instance one of the doctoral research studies was undertaken to design and develop a medicines management policy framework for tertiary care hospitals that lays out a scientific and systematically organized framework for selection, quantification, demand estimation, procurement, distribution and use of medicines in tertiary care hospitals which if adopted and implemented well can help ensure availability of quality medicines in sufficient quantities throughout the year and prevent drug shortages in our tertiary care hospitals.

Professional Clinical Pharmacy services offered by trained personnel holding post-graduate degrees in Pharmacy Practice can help a great deal in identifying potential and actual drug-related problems; addressing needs and resolving actual drug related problems; preventing potential drug-related problems and optimizing patient therapy outcomes.  It is a practice in which the pharmacy practitioner assures that all of a patient's drug therapy is used appropriately for each medical condition; the most effective drug therapy available is used; the safest drug therapy possible is used, and the patient is able and willing to take the medication as intended. Patients in our part of the world have not been able to avail such professional pharmaceutical care services so far as a result of which there is large scale dissatisfaction and disillusionment among them since they largely remain uninformed about various lab investigations conducted upon them and about the necessity for various drug therapies prescribed. As a result of the patient overload of physicians and some other reasons, they are not in a position to offer detailed counseling, patient education and drug information services on individual basis to all their patients. Therefore it is for the trained pharmacy practitioners to step in and fill the void by offering such services with a view to achieve definite therapeutic outcomes that improve a patient’s quality of life.

In spite of this modest attempt by the Department, Clinical Pharmacy Practice on the whole is in its infancy in Jammu and Kashmir and the concept of Pharmaceutical Care is completely new to most of the physicians, nurses and even pharmacists presently working at the government health facilities. Overall scenario in relation to professional pharmacy services in Jammu and Kashmir is very dismal where we have mostly unqualified people working as pharmacists in retail pharmacies and dispensing medicines to patients without any technical know-how about the same and without providing any basic information to the patients about the use and possible side-effects of medicines. In government sector too, pharmacies within hospitals, primary health centres and sub-centres are manned by Medical Assistants who have not undergone any formal training as required under norms, specifically in pharmacy. We don’t have any positions available for pharmacy graduates and post-graduates at any level in our government sector at present. Consequently the services of qualified pharmacists remain completely unutilized in J&K, depriving patients of precious information about the use of drugs.

In order to keep pace with fast changing times and global trends, trained and qualified pharmacy practitioners should be a part and parcel of the medical team during ward rounds and their assistance must be sought in prescribing best possible drug therapy to the patients. Every major hospital in J&K needs to have a full-fledged Department of Pharmacy Practice with adequate infrastructure, manpower, equipments and funding. Government of Jammu and Kashmir needs to adopt Pharmacy Practice Regulations of 2015 that are in vogue throughout the country at present. If J&K fails to adopt and implement these regulations even after five years of their promulgation in the country, we shall be failing our patients and depriving them of life-saving pharmaceutical care and clinical pharmacy services. Further since all these prepositions are already well stipulated in the approved drug policy of J&K, government needs to start working in that direction in its right earnest.


(Author is teacher in-charge of the M.Pharm. Pharmacy Practice Programme being offered by the Department of Pharmaceutical Sciences, University of Kashmir)

MEASURES TO BOOST BIOMEDICAL RESEARCH IN J&K

Kashmir valley has been an abode of knowledge and wisdom since times immemorial. Our doctors, engineers, technocrats and scientists have brought laurels and left an indelible impression worldwide by dint of their strong academic credentials and noteworthy achievements in their respective fields. Medical and healthcare scenario in Jammu and Kashmir is changing gradually and steadily. Even though considerable gains have been made over years in improving our healthcare sector, several new health issues are fast gaining momentum because of an increase in different types of ailments due to sedentary lifestyle, food adulteration, environmental pollution, agricultural contamination by use of chemicals fertilizers and pesticides, altered socio-cultural practices and food habits etc.

Though our healthcare indicators are fast improving, much more needs to be done to rejuvenate them as our healthcare needs are enormous and dynamic and a number of challenges exist as a result of the emergence of new diseases of contemporary times. There is need for reassessment of the bio-medical science and research sector of J&K followed by brainstorming deliberations on the challenges emerging out of the fast-changing scenario. In this very context, there is need to develop strategies for enhancing research and promoting research quality particularly in biomedical sciences within Jammu and Kashmir.  A goal-oriented and focused blue-print needs to be developed to achieve highest possible standards in research and keep pace with changing global trends. Top ten strategies for enhancing research in Jammu and Kashmir are listed as under:

1.      Funding for Research

One of the most important requirements for research is adequate funds. We need to explore possibilities of funding for our research at regional, national and international level through public institutions, private industries, NGOs as well as through opportunities for public-private partnership. National level funding agencies like ICMR, DBT, DST, UGC, ICAR, MHRD, SERB in addition to funding opportunities from the industry, academia and NGOs need to be tapped to their fullest. However in certain cases funding from national public and private agencies might not suffice, in which case international funding agencies like WHO, WTO, World Bank, UNITAID, UNO etc need to be approached for grants.

2.      Infrastructure for Research

We need to develop our research infrastructure for enhancing our research and improving our research quality drastically. This can be made possible by identifying and establishing research institutes and research centres within those institutes that are capable of undertaking high quality research. Besides adequate, trained manpower, these centres need to be fully equipped with sophisticated instruments required to undertake high-end research, databases that are required to undertake systematic literature reviews, meta-analyses etc, access to medical literature through Scopus, Sciencedirect, Pubmed, Medline etc.

3.      Manpower for Research

Apart from money it is the manpower that makes a mere go. Adequate, qualified, trained, well-oriented and duly specialized manpower is needed in sufficient numbers to run the research centres and carry out research in identified thrust areas. For developing such manpower courses related to research methodology need to be incorporated into the UG and PG curriculum at college as well as university level so as to develop a research culture and harness a research temperament among our students and scholars. Even at school level curriculum should be inquisitive enough to promote creativity and innovative thinking among ours students who in later course of their life could emerge as ace researchers. Specialized training needs to be imparted to the selected manpower on need-basis depending upon the prioritized thrust areas of research identified by the experts.

4.      Policies for Research

We need comprehensive, goal-oriented and focused research policies at institutional level, regional/state level as well as national level for enhancing research and promoting research quality in tune with fast changing global trends. Such policies should be contextual and need-based and address the most intriguing problems faced by our society. As envisaged in the National Education Policy, 2019 we need to develop research universities and autonomous colleges for carrying our intensive research on thrust areas identified by the experts. Such policies should be evidence-based and practiced and implemented in a time-bound manner.

5.      Incentives for Research

While good research needs to be encouraged through appropriate incentivization, making its use in appointments and promotions of teachers is debatable since introduction of API (Academic Performance Indicators) based assessment of teachers by the University Grants Commission in 2010 has come under severe criticism since it led to mechanization of research output and led teachers towards a rat race of accumulating API points in pursuance to their promotions. Quality of research must receive priority over quantity of research under all circumstances and journal metrics like impact factor that is actually used to assess the quality of a journal is being criticized by many Nobel Laureates like for its use in the assessment of teachers and their quality of research. Research must be evaluated by the peers and experts in the field rather than by journal metrics like impact factor and citation index. Further it needs to be debated whether research output should be used for providing financial incentives to teachers, awarding fellowships and giving recognition to them in their academics or it must be reserved only for the quality of new knowledge added to the existing body of literature.

6.      Collaborative Research

In epistemological terms, the concept of inter-disciplinarity may be regarded as a form of cooperation between various disciplines, which contribute to the achievement of a common end and which, through their association, further the emergence and advancement of new knowledge. Based on the degree of integration of disciplines in research, it is considered that the quality of inter-disciplinarity depends on the degree of influence exerted by the respective disciplines in the cooperative process. If one discipline is dominant, quality is poor. If the influence is balanced, quality is high. For instance trans-disciplinarity is a state of complete balance of influence between all relevant participating disciplines at the highest possible level of co-ordination.

Depending upon the balance of influence between different participating disciplines, collaborative interdisciplinary research can be further classified into cross-disciplinary, pluri-disciplinary and multi-disciplinary research. Multi-disciplinarity is considered to be the least developed form of interdisciplinarity. Collaborative research needs to take into account these different levels of interdisciplinary involvement and collaboration between different participating disciplines for the sake of clear definition of their respective roles. However it goes without saying that carrying out interdisciplinary research is the need of the hour since knowledge cannot be compartmentalized and confined to disciplines. All such boundaries need to be dissolved and knowledge needs to be liberated from all such confines and made freely available to all those who seek it.

7.      Contextual, Need-based Research

Addressing needs of the society through contextual research is the need of the hour. In developed nations, universities organize research fairs and establish research shops that allow community members to visit them and register their research problems based on which research projects are prepared and research undertaken to find solutions to their actual problems. Similarly timely and regular communication of research output to the masses is equally important for greater transparency of our research activities. Research institutions must consider these best practices apart from establishing entrepreneurship and innovation cells within their research centres so as to harness the spirit of entrepreneurship through research.

8.      Translational Research

Merely carrying out research is of no use unless the evidence generated out of scientific inquiry is translated into policy and the policy is practiced and implemented to resolve day-to-day issues on the ground. It is generally observed that the evidence generated through our research hardly translates into policy and whatever little translates into policy is hardly implemented in actual practice which makes the whole exercise fruitless and results into confining of research dissertations onto the shelves of our libraries. There is need for greater coordination between researchers and policy-makers for incorporating research findings and recommendations into our administrative policies. Researchers need to be made part and parcel of policy-making for better productivity, effectiveness and robustness of the government policies.

9.      Integrity in Research

Maintaining integrity in research is of paramount importance and therefore young researchers need to be imparted adequate education about related issues like plagiarism, duplication, gift and ghost authorship, salami publications, outsourced publishing etc at an appropriate level of their training. It is hard to achieve quality in research unless awareness about the importance of integrity, transparency and accountability is promoted and incorporated as an inherent component of the research. Problem of predatory journals that has alarmingly surfaced over the past few years needs to be countered and controlled in its right earnest. Any cases of malpractices in research need to be dealt with severely to set an effective deterrent.

10.  Ethics in Research

Just like integrity, ethics in research is a high priority area for maintaining quality and high standards in research. Prime importance needs to be accorded to the issues like confidentiality, privacy, non-malfeasance, beneficence, autonomy and justice without which no credible and substantive research is ever possible. Awareness about these components needs to be created from the very beginning of research and Institutional Ethics Committees need to be vigilant, proactive about any such malpractices in research and therefore be strict in ensuring full compliance with ethics in research. Unless integrity and ethics are maintained in research, no substantial gains can be made in achieving high standards of quality in research.

Half–baked regulations of UGC


University Grants Commission (UGC) was formally established in 1956 as a statutory body of the Government of India through UGC Act of 1956 for the purpose of disbursing grants to the universities and colleges besides determining, promoting and maintaining standards of teaching, examination and research in the institutions of higher learning. Higher education institutions adopt UGC regulations and implement them in letter and spirit with a pre-conceived notion that the regulations have been framed by the most veteran experts in the field at the topmost level after threadbare discussions and after taking a kaleidoscopic view of the various segments of teaching and research community that are likely to be affected in a positive or negative manner by the regulations.

To a very large extent these regulations serve their intended purpose and achieve their desired objectives well but in a huge number of cases these regulations have proved to be counter-productive bringing a sense of dismay, frustration and dissuasion to those affected by their ill-effects. Negative effects are produced as a result of ambiguities and vagueness of many such regulations that many a times leads to misinterpretation and misunderstanding of regulations and teachers working in colleges and universities have to bear the brunt of those disparities and discrepancies whose career is impacted adversely and irreversibly under such circumstances. New UGC Regulations were promulgated first in the year 2010 that were amended in the year 2013 followed by two more amendments in the year 2016 within a short span of two months. These regulations were then replaced by the UGC Regulations 2018 that are currently in vogue. Four amendments in quick succession between 2010 and 2016 put a whole lot of careers of the university teachers in jeopardy as a result of fast-changing regulations and requirements for their career growth and progression.

UGC Regulations so far

UGC Regulations of 2010 introduced for the first time Academic Performance Indicator (API)based scoring of teachers’ performance in teaching, research, publications and extension activities. While at the very outset, performance based assessment system (PBAS) introduced in these regulations was largely hailed as a step in the right direction towards enhancing standards of quality and promoting excellence in higher education, a large number of teachers working in higher education institutions got adversely affected by several half-baked, vague and ambiguous provisions introduced in these regulations.

One such provision pertained to the eligibility of Assistant Professors for the open posts of Associate Professors and the counting of period of Ph.D. research as teaching experience, that read, “the period of time taken by candidates to acquire M.Phil. and/or Ph.D. degree shall not be considered as teaching/research experience to be claimed for appointment to the teaching positions”. This very clause adversely affected the prospects of promotion of a large number of Assistant Professors all across India whose plea was that “the period of time taken by the candidates to acquire M.Phil. and/or Ph.D. degree” should imply the period when an in-service teacher working on substantive basis in a university was on study leave for pursuing his research degree and not the period when he was actively teaching in his parent department while simultaneously pursuing his M.Phil. and/or Ph.D.

This plea of the affected lot in spite of being genuine was outrightly rejected by the authorities at the helm of affairs back then but was eventually endorsed by the UGC and directions were passed on to the university authorities not to deduce active teaching period from the total experience gained by teachers while applying for the open posts of Associate Professors. However it took them almost three years of spine breaking, disheartening and frustrating struggle moving from door to door, table to table, one official to the other, explaining their grievance to them and seeking a just redressal of the same. In the mean time selection process continued unabated and many a teachers suffered set backs since they were declared ineligible and were not called for interviews for these posts. Damage caused to them was irreversible that could not be undone even by the UGC clarification later. Now even the leave period availed for obtaining Ph.D. is being considered by the UGC as active service for the sake of promotions of teachers.

Similarly second amendment of UGC Regulations brought out in 2013 that included capping provision created a lot of confusion as a result of their misinterpretation by the Universities. Then the fourth amendment brought out in 2016 led to a lengthy and cumbersome process of counting the teaching, extra-curricular and research activities on hourly basis. Many teachers working in universities did not even apply for their promotions owing to these exhaustive, spine-breaking and time consuming requirements under which each and every activity had to be substantiated by documentary evidence. Whether the faculty had attended some meeting or seminar anywhere, supervised some examination, delivered some extension lecture or simply appeared in a television or radio programme, they were supposed to produce documentary evidence for claiming API score against the same. 

API score based performance assessment

When Performance-linked Assessment System (PBAS) based on API scores was announced by the UGC in 2010, it was hailed by all academic circles as a concrete measure to arrest decline in the academic standards of higher education to some extent and infuse some semblance of accountability in measuring teaching and research performance of teachers quantitatively. However today it is widely believed that the PBAS based on API scores has done more harm than good to both teaching and research, because of which it should have been scrapped much earlier. The quantification of teachers’ performance using such stringent criteria had pushed teachers into a ‘rat race’ for gathering points for the sake of recruitment and promotion, and had forced them to mechanically turn into score building machines rather than concentrating on their basic responsibilities towards teaching and students. This scheme had prioritized quantity over quality of teaching and research activities. 

The pressure of accumulating cut-off points within specified time frames had led to some sort of commercialization and mechanization of both teaching and research. This system by no means promoted any free and critical thinking among teachers. Consequently it had led to the proliferation of several unhealthy and unfair practices like publishing substandard research,spurious publications, publication in paid journals, splitting one publication into two or more to get more points (salami publications), publishing books online on fast-track basis with sleazy publishers, outsourcing paper and book writing activities, to mention only a few, which in turn had led to an overall degradation in quality standards of higher education. 

Moreover there are stark discrepancies in API based assessment system too. While it envisaged to accord points for publishing papers in journals, presenting papers in conferences, publishing books or book chapters and completing research projects, there was no allocation in category-III of PBAS for undertaking peer review of papers and books by teachers, for attending a conference or seminar without presenting a paper, for being a co-author in a paper that is presented in some conference, for chairing or co-chairing a scientific session during scientific meetings, for attending expert committee meetings or evaluating research projects submitted to funding agencies. These vital academic activities had been completing ignored while fixing API scores.

While calculating the API for joint publications by multiple authors under the previous scheme, of the total score allotted to the relevant category of publication by the concerned teacher, the first/principal author and the corresponding author were supposed to equally share 60% of the total points and the remaining40% were to be shared equally by all other authors. In case a paper had three authors and it carried a total of 10 points, as per this regulation 3 points each would go to the first and second author and the remaining 4 points would go to the third author who neither happens to be the main researcher nor his supervisor but has contributed in some way in that research. Such irrational distribution of scores made a mockery of this entire system and reflected the myopic vision of the people who had designed and developed it.

Thus API based PBAS had sought to promote a score-hunting attitude among teachers. It promoted mechanization rather than creativity. Teachers working in colleges and universities all across India were feeling stressed and subdued on account of flaws in UGC regulations particularly API based PBAS since these flaws were posing a serious threat to their academic progress and were demoralizing them besides leading to unhealthy competition in educational institutions. Ultimately realizing its follies when UGC brought out new Regulations in the year 2018, API score was replaced by research score for performance assessment of teachers. This system now allows scoring of only research activities with only grades being awarded to teaching and extra-curricular activities. However the damage done in the interim by API based performance assessment can perhaps never be undone. In the second part of this write-up we would discuss UGC Journal List and Journal Impact Factors besides service length required for the promotions of college and university teachers as well as their reliability and validity in promoting research.

Journal Impact Factors

Another faux pas of the UGC Regulations has been the introduction of Impact Factors as means of evaluation of research activities of teachers. Impact factors were basically designed to assess the quality of a scientific journal by calculating the number of times the articles published in that particular journal were referenced or cited by others. Over the years it has been misused instead to assess the quality of the academicians. The impact factor is a flawed quantitative parameter as it is dependent on the number of times a paper is cited. A highly cited paper will push up the impact factor of a journal. No wonder journals that exclusively publish review articles rather than original research papers have much higher impact factors than other journals simply because they attract more number of citations. Many Nobel Laureates like Joseph Goldstein (1985), Peter Doherty (1996), Paul Nurse (2001) and Bruce Beutler (2011) have contested that impact factor is not the right measure to assess the quality of research of scientists since it is the research that counts, not the journal. They have urged that the research must go back to where it belongs i.e., the peers and experts in the field. Quality of research can best be judged by them alone.

There is another side to it. Take for instance a researcher who is working in a resource poor, under-developed setting where scientific, industrial, technological, economical or developmental concepts, processes and procedures that are outdated and sometimes even obsolete to the rest of the developed world, are still as good as innovations given their backwardness and slow pace of development. If such a researcher introduces such concepts at such a place with an aim of harnessing development, streamlining policies and procedures and organizing management activities, in different spheres, his work will hardly ever get published in a high impact international journal given the redundancy and lack of novelty of his concepts in rest of the developed world even though his research and extension work might bring radical changes locally much to the benefit and respite of millions of people inhabiting there. 

Further, the number of citations a research paper will get is dependent upon its life span that increases with an increase in the number of years after its publication. Thus, a far more reliable way to appropriately evaluate a research paper is through peer review by well-known experts in the field who can assess its standards. Let the research assessment go back to where it originally belongs, that is in the hands of peers and experts in that field. Further the API and Research Score, Impact Factor and other Journal Metrics have reinforced the policy of publish or perish reiterating the notion that only good research is publishable research whereas fact of the matter is that research quality has essentially to be judged by the quality of new knowledge that it generates and not by journal metrics or the like. Today perceived publishing value of the research topic and the extent to which results of the study will be cited around the world is subduing and overtaking the fundamental role and responsibilities of a researcher which is to raise pertinent questions, arrive at reliable answers, generate new and innovative ideas, solutions, perspectives that significantly enhance the prevailing knowledge base and lead to the creation of new knowledge.

The backlash against the journal impact factors is not restricted to India alone. It has led to the Declaration on Research Assessment (DORA) which was signed by members of the scientific community during the annual meeting of the American Society for Cell Biology on May 16, 2013. Specifically, the signatories have recommended that the journal impact factor should not be used as a measure of scientific success in funding, appointment and promotion consideration. Instead they recommend that the research should be evaluated on its own merits. Therefore there is need to promote independent, balanced, and objective approach to the research problems with transparency and use of appropriate methodology rather than worrying too much about journal metrics like citation index.

UGC Journal Lists

In the year 2016 UGC came out with its own list of almost 50,000 journals that were to be considered for awarding API score to research publications of the faculty members. Initially the list contained only journals included in Scopus, Web of Science and Indian Citation Index. The list was later expanded to include recommendations from the academic community and the universities were allowed to upload their recommendations, based on specified filtering criteria, on the UGC portal twice in 2017.The UGC-approved List of Journals is considered for recruitment, promotion and career advancement not only in universities and colleges but also other institutions of higher education in India. As such, it is the responsibility of UGC to curate its list of approved journals and to ensure that it contains only high-quality journals. However a study published in Current Science reported that over 88 percent of the journals listed by UGC in its approved list were themselves dubious. Ever since API scores were made mandatory, there has been a mushroom growth of hitherto unknown journals that are always on a prowl to persuade academicians to publish substandard research on payment basis to fetch them the required API scores. As per Patwardhan et al, more than 8,000 predatory journals churn out more than 400,000 items a year, and India contributes more than one-third of the articles in such predatory publications. These predatory journals turned to be a big challenge for the UGC which eventually revised the list removing more than 4000 journals and framing a CARE (Consortium for Academic and Research Ethics) Reference List of Quality Journals. 

However this never-ending process of updating the UGC list lead to another set of distressing problems for the teachers. The fact that a journal listed in the UGC Approved list at one point of time could be removed from the list anytime led to confusion and uncertainty. People who got themselves published in journals figuring in the list at one point of time suddenly found themselves at loggerheads once the journal was removed from the list thus making the list hardly reliable. Instead of investing so much time, money, manpower and energy in preparing and updating these ever-changing and lengthy lists it would have been a whole lot easier and wiser for the UGC to simply notify the databases like Scopus, Sciencedirect, Pubmed, Medline, Web of Science, Science Citation Index etc instead of listing the journals. Any changes in the databases made by their publishers would have got automatically incorporated in the journals too. This is what Medical Council of India followed for considering research papers of the medical fraternity in their promotions. Further the procedure followed by UGC was not devoid of any prospects of getting commercialized and sabotaged by the publishing houses. One wonders why this simply idea did not struck the high and mighty sitting in the offices of UGC.

Service length for promotion of College and University teachers

There is huge disparity and discrepancy in the service length as well as the salary packages as a teacher moves from Assistant Professor cadre to Associate Professor and then to Professor cadre. Lot of injustice is meted out to the junior cadre with a hike of just 1000 rupees from stage 1 to 2and from stage 2 to 3 followed by a quantum leap of around 50 to 100% hike in the salary from stage 3 to 4 depending upon the service length of the aspirant. Till stage 3 salary gap is too narrow and beyond that it is too wide. Opposite of this is true in case of service length. Career advancement scheme that is presently in vogue encompasses 12+3 formula as per which it takes around 12 to 16 years to move from Assistant Professor to the designation of an Associate Professor but only three years thereafter to become a Professor, which is totally inequitable, irrational and unjust. There is need to end this discriminative scheme and switchover to the more rational 9+6 formula or even better 9+3 scheme. This will bring some uniformity and remove discrimination and disparity in the scheme. Zeal, enthusiasm and motivation of an Assistant Professor gets dimmed by this unreasonable promotion system and it not only breeds inertia but corruption too. 

Anomaly and Revisit Committees

By incorporating API score based assessment and its capping, entire brunt was borne by the Assistant Professor for whom it became even more difficult even after 14 years to dream of becoming an Associate Professor since the parameters were very stringent that were only made worse by their misinterpretation.University Grants Commission itself realized various flaws in their regulations after itreceived a flood of representations and complaints from teachers, researchers, colleges,universities, associations from across India since a very large number of teachers were gettingadversely affected by them and their promotions were getting stuck for years together. Many times UGC had to frame anomaly committees and revisit committees to examine theanomalies brought into its notice and revise the regulations. 

After a lot of reluctance UGC brought out a new set of Regulations in the year 2018 that are much more flexible and prudent than the earlier regulations even though the research scores allotted to many research activities are comparatively lesser than provided in the earlier regulations. After allowing lot of damages to the research quality by way of API score based assessment finally UGC has scrapped this flawed system and replaced it by a Research Score based criteria which is expected to bring some relief to the teachers working in higher education institutions though it cannot be expected to undo the damages that it has done to the quality standards of teaching and research in the country over the past decade.

Further it needs to be clarified that no sane person can ever be against incorporation of quantitative or qualitative measures for assessing the performance of teachers but they need to be flexible, rational and just rather than stringent,impracticable, irrational and unjust. Standards that not only demoralize the teaching community but lead to unhealthy competition, infighting, dissuasion and dissidence among them cannot be termed as just and reasonable. In this manner desired objectives of the UGC regulations cannot be achieved and these regulations will prove to be counter-productive.