The three-day round of talks held between commissioners of Pakistan and India heading the Permanent Indus Commission (PIC) ended on an ambiguous note in Islamabad on Sunday. Both sides refused to commit themselves to any progress having been made on the contentious issue of the construction of the Baglihar power plant by India upstream of the Chenab river in Kashmir.
The statement issued by the two commissioners said that they would report the proceedings of the talks to their respective governments which would decide whether the latest round of talks has been a success or a failure. The ambiguity once again points to the ambivalence that marks bilateral relations between Pakistan and India, where dialogue at all levels - even at a technical level - hinges on the political will of the two governments to accommodate or reject a position taken on a given issue by them.
Because of the recent spirit of guarded accommodation shown by the two countries towards one another, the PIC commissioners have refused to come out with a categorical statement as to the apparent failure of the recent round of talks.
As for the Baglihar hydroelectric plant and the dam being built to activate it, Pakistan believes the project to be in violation of the Indus Waters Treaty of 1960 which was brokered by the World Bank. India has so far rejected Pakistan's objections to the project, insisting that it would not reduce the quantity of water that flows downstream in the Chenab river into Pakistan, and over which Pakistan has exclusive rights of use as laid down in the treaty.
The Baglihar project is said to be near completion and if work is not halted, the hydroelectric plant is set be become functional later this year. This once again underscores the need for an urgent and serious round of talks on the issue at the political level. It is good to note that the Indian technical-level team members have assured their Pakistani counterparts that they would do all they can to allay Pakistan's "misgivings" regarding the project. This can serve as a good starting point for the talks to be held on the issue at the political level.
Wrong priorities
In its annual report released recently, the Pakistan Medical Association (PMA), which is the representative body of medical practitioners in the country, has shed light on some of the glaring inconsistencies seen in the health sector. The report is critical of the way doctors are currently trained. It says that the public sector medical colleges have a poor system of selection and this has a long-term adverse effect on the delivery of health services in country.
On the other hand, says the report, the government has adopted a very liberal policy of allowing private medical colleges to be set up and run. The PMA says that these institutions produce substandard doctors. It also says that while there is a huge need for medical practitioners in the country, several thousands of them remain unemployed owing to the wrong priorities and policies of the government.
The PMA also points out that a particular point of imbalance in the medical profession is that very little is being done to train paramedical staff. This has resulted in a shortage of qualified nurses with the current ratio of one nurse to eight doctors.
It is time the government adopted a more balanced and realistic approach to the selection, training and placement of medical professionals and paramedics in the country. It should formulate its policies on this after taking into account what the long-term requirements of the health sector are.
It is not good enough to keep on producing doctors when the need for nurses and other categories of paramedics is greater. Efforts also need to be made to ensure that both public and private sector medical colleges are able to maintain the required standards of teaching and training.