Urgent need for reform in Nepal’s medical education

The Lancet, Volume 388, No. 10061, p2739–2740, 3 December 2016
Authors: Bipin Adhikari, Shiva Raj Mishra
“Nepal is a low-income nation with a population of nearly 26·5 million. The doctor–patient ratio is 0·17 per 1000 population—substantially less than the WHO recommendation of 2·3 doctors per 1000 population. Nepal has seen a burgeoning of medical institutes in the past 10 years. However, this rapid surge in the number of medical colleges—with increases in fees and corruption involved in student admissions—has not aided undergraduate and postgraduate medical training, deteriorating the quality of medical education. The financial motives involved in these private medical colleges have further incurred political meddling, often resulting in disproportionate and unregulated licensing and affiliation to such colleges, which are not instructed to establish themselves in rural areas.”
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Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal

BMC Medical Ethics 2016 17:68
Authors: Samaj Adhikari, Kumar Paudel, Arja R. Aro, Tara Ballav Adhikari, Bipin Adhikari, Shiva Raj Mishra
“Healthcare ethics is neglected in clinical practice in LMICs (Low and Middle Income Countries) such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.”
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India’s anti-sex-selection law faces new challenges

The Lancet, Volume 388 , Issue 10055 , p1971
Author: Dinesh C Sharma
“The Indian Government is facing criticism over the implementation of its 1994 law banning the use of ultrasound machines to establish the sex of fetuses—a law enacted to stop parents selectively terminating girls. While health advocates feel that government agencies have been lax in enforcing the law, some medical professionals say that legal provisions are being misused to harass doctors and that over-regulation is hampering use of ultrasound in general.”
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Failed surrogate conceptions: social and ethical aspects of preconception disruptions during commercial surrogacy in India

Philosophy, Ethics, and Humanities in Medicine 2016 11:9
Authors: Sayani Mitra, Silke Schicktanz
“During a commercial surrogacy arrangement, the event of embryo transfer can be seen as the formal starting point of the arrangement. However, it is common for surrogates to undergo a failed attempt at pregnancy conception or missed conception after an embryo transfer. This paper attempts to argue that such failed attempts can be understood as a loss. It aims to reconstruct the experiences of loss and grief of the surrogates and the intended parents as a consequence of their collective failure to conceive a surrogate pregnancy.”
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China touts reforms, vows to battle corruption in organ donation system

Reuters, 17 October 2016
Author: Michael Martina
“China has zero tolerance for non-voluntary organ transplants and is fighting corruption in its fledgling donor system, an official who has led reform said on Monday, as Beijing seeks to leave behind an era of controversial organ harvesting.”
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China’s recent two-child policy unlikely to lead to short-term population boom, according to new predictions

EurekAlert, 13 October 2016
Source: The Lancet
“China’s recently introduced universal two-child policy is predicted to have a relatively small effect on population growth, with a likely peak of 1.45 billion in 2029. The authors say that two-child policy will likely to lead to a reduction in the number of abortions of unapproved pregnancies, virtual elimination of the problem of unregistered children, and a more balanced sex ratio, but warn that the effect on the shrinking workforce and rapid population ageing may not be felt for two decades.”
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Philippines set to roll out tough no-smoking law

Reuters, 12 October 2016
Authors: Kanupriya Kapoor, Enrico Dela Cruz
“Philippine President Rodrigo Duterte is set to sign a regulation this month banning smoking in public across Southeast Asia’s second-most populous country, rolling out among the toughest anti-tobacco laws in the region.”
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