Nurses oppose draft bill, seek removal of some categories

Nurses oppose draft bill, seek removal of some categories

Sunitha.Rao@timesgroup.com

Bengaluru: 08.12.2020

Nurses’ associations in Karnataka have raised objections to the Centre’s draft National Nursing, Midwifery Commission (NNMC) Bill, 2020 and demanded that categories like ‘nursing assistant’, ‘midwifery associate’ and ‘home-based care personnel’ be excluded from its abmit as they are not equivalent to nurses.

December 6 was the last date to file objections to the draft legislation, and the Trained Nurses Association of India, Karnataka chapter, has sent them. Karnataka is among the states with a large number of nursing colleges; at least 50,000 nurses come out of 1,200 institutions per year.

Girijamba Devi, general secretary, Trained Nurses’ Association, Karnataka chapter, said the draft bill has led to various concerns. “A midwife is a nurse, but not a midwifery associate. Similarly, a nursing assistant can’t be called nurse. If the bill continues to have such terms, it misleads the public,” she added.

“By coining these terms, we are afraid the system may end up having cheap labourers hired as nurses. A qualified nurse who deserves a better salary package will not be recruited. This can only dilute the profession,” another nurse told TOI.

These candidates have lower qualification than current nursing levels and bring down the quality of healthcare, nurses said, adding that creating the said cadres of nursing personnel creates confusion and they must be removed. The association members also say the draft bill doesn’t mention the salary package for Indian nurses. “While we are battling in the Supreme Court for a fixed salary of Rs 20,000 in the beginning of a nurse’s career, the draft is silent over the issue. Nurses are working for less than Rs 10,000 in many places,” the nurses said.

The draft bill has seen objections from across the country, including the All India Government Nurses Federation (AIGNF). “While drafting the bill, the ministry of health and family welfare should have listened to and taken the views of all stakeholders. Nearly 95% of nurses work in clinical, public health domain and their view should not be overlooked in the process of drafting the bill. A few nursing educators can’t decide the future of the whole profession in India,” say AIGNF members.

The federation in its letter of objections mentions that the patient’s welfare and steady growth of the nursing profession are missing in the draft. Though AIGNF is a big stakeholder in the nursing profession, no member was included in the committee for drafting the bill, federation members say.

The nurses added that the proposed National Nursing and Midwifery Commission, which will have no election for its members, will be totally controlled by central government nominees. “No elected members and no representation from clinical nurses and public health nurses means no democracy,” the nurses said, adding it must have elected members.

Girijamba Devi, general secretary, Trained Nurses’ Association, Karnataka chapter, said a midwifery assistant may have done a skill-based course but should not be mistaken for a nurse, who deals with patients in the best interest of public health