As the government has decided to provide free treatment for burn victims, burn patients and their relatives are happy. The government's decision at the initiative of the Health and Population Minister Pradeep Paudel has brought joy, but it has also raised suspicions.
Will the government do all the treatment of burns? Is treatment for all types of burns free? By what process? Free treatment only for serious patients or all patients? Will the healing process be fast or slow again? Those who have already been burned, who have to be treated for the rest of their lives, will this decision of the government cover those affected or not? How will it be fully implemented?
The treatment process for patients who have been burned in various accidents, burns, asthma, acid attacks and various types of fire-related violence or are affected due to any kind of burns is long and very expensive. There are many challenges in their treatment and rehabilitation after burns. In particular, cases of burns are more common in poor communities, because the cost of medicine and treatment is very expensive, so they have to face more financial problems. Those with more severe burns should be treated with medication for the rest of their lives. After being burned, the affected have to face various physical and mental problems. The perspective of the society is also different. One type of service and treatment is not enough for burn patients. Treatment should be done by assessing the physical, mental, economic and social conditions. From first aid to nutrition, you have to think. Some of them also have to think about dependent families.
After the government's latest decision to treat burn patients free of charge, the interest of concerned agencies has increased. However, the government has decided to provide free treatment to patients who cannot afford the treatment except for cosmetic surgery. But because the treatment of burns is expensive, it is necessary to debate how much the income earners should bear the cost. There are also different types of burns. All types of burns cannot be lumped together. The treatment process and method will be more different. Agnijanya i.e. the emotional side should be looked at a little more in the treatment of victims of acid or other violence as compared to victims of fire accidents. Another thing is that for patients who have suffered from burns once, there is no cure with just one treatment. Today is not going to heal tomorrow or even in a day or two. Where there is a burn, the wound does not heal by itself. After being burned, the psychological and social effects of the affected person should be treated. Therefore, the treatment of burns is very complicated, expensive and takes a long time. Some need lifelong treatment. Not only is the treatment of
victims free of charge, the government also needs to pay special attention to ensuring the rehabilitation of those affected who have gone through severe pain and the right to live with dignity in the society. We have held four policy dialogue programs at the national level in the presence of legislators, departmental ministers, jurists and stakeholders for appropriate legal arrangements from treatment to rehabilitation. Dozens of such advocacy programs have been held at the provincial and local levels. MPs affected by burns Chandra Bhandari, Bindabasini Kansakar and other MPs have also expressed their commitment to this after realizing the seriousness of the matter.
Burnout sufferers have many practical problems. Therefore, it seems necessary for the Ministry to have a comprehensive discussion with the organizations, people's representatives, hospitals, health workers, activists, the affected and the families of the affected, which have been working in this field for a long time. Skilled human resources, high technology hospitals are also lacking. The sooner a burn is treated, the lower the risk. Therefore, it seems necessary to arrange burn treatment centers and skilled manpower in different places outside of Kathmandu. In order to prevent such incidents from happening, the state does not seem to have taken much initiative in raising awareness about fire-related accidents at the community level. Along with immediate and long-term treatment of the affected, the government should also pay attention to rehabilitation.
– Giri is the executive director of BVS Nepal.
