For months, people in Indian-administered Jammu and Kashmir have struggled during a debilitating security lockdown. With phone lines cut and internet access heavily limited, the lockdown in Kashmir is the longest in recorded history. While the lockdown has heavily impacted all aspects of society, healthcare in Kashmir has taken a particularly significant hit.
The Conflict in Kashmir
Located at the intersection of some of the highest mountain ranges in the world, Kashmir is a region unlike any other. Often termed as “paradise on Earth,” the region’s picturesque landscapes and critical geopolitical location have made it a coveted jewel for powers vying in the region. For the past 80 years, India, Pakistan and China have clashed over the region, with each side claiming different swaths of the territory. With a majority-Muslim population, Kashmir has witnessed a popular resistance movement since 1989, which aims to achieve independence or unification with Pakistan.
However, in 2019, India announced a new approach toward Kashmir, implementing a set of draconian laws and procedures in the Indian-administered portion of the region. Under these laws, the territory lost its constitutional “special status.” The Indian government also reorganized its administrative divisions.
Critically, the territory is now in a crippling lockdown, including a stringent curfew, restrictions on movement and a blackout of all communications. The Indian government has arrested thousands of civilians and local politicians and shut out foreign media from the region. Indian-administered Kashmir, with a population of more than 12 million people, has struggled to deal with the effects of this clampdown.
Healthcare in Kashmir Under Lockdown
The lockdown has particularly affected healthcare in Kashmir. Less than three weeks after the start of the lockdown, pharmacies in the region began to report dire shortages of essential drugs. With stocks running low on anti-diabetics, anti-depressants and cardio-vascular medications, Kashmiris must travel miles in search of these essential medicines. Drugstores in the capital city of Srinagar have only filled half of all requested prescriptions.
Much of the problem arises from the communications blackout. With phone lines cut, stores cannot effectively communicate with dealers and medication suppliers. This makes their stocks vulnerable and the Kashmiris reliant on these medications even more so.
However, the problem with healthcare in Kashmir under lockdown exceeds medicine shortages. In 2019, the Lancet, a leading medical journal, declared that the lockdown puts patients at serious medical risk. With public transport halted and vehicles restricted, people in need of medical attention too often cannot obtain the care they need.
The lockdown has not spared mental health services in the region either. Doctors Without Borders (MSF) had maintained counseling centers in Kashmir since 2001, but closed their facilities with the start of the lockdown. Given the decades of traumatic conflict that have afflicted Kashmir, residents in the region rely on these mental health services.
As the world reels from COVID-19, Kashmir has also felt its effects. In the early months of 2020, the region saw the easing of several restrictions, including access to 2G internet. However, following Kashmir’s first case of COVID-19 in March 2020, restrictions returned with full force. In the following months, newspapers operating in the region have reported a shortage of hospital beds and dwindling supplies of oxygen and ventilators. Given the already fragile state of healthcare in Kashmir, COVID-19 has only aggravated conditions in the region.
Improvements in Healthcare in Kashmir
Although healthcare conditions in Kashmir remain heavily impacted by the ongoing lockdown, local and international actors have made several improvements. One development is medical treatment and consultations through phone calls and mobile applications. The novel approach hopes to provide a degree of healthcare access to Kashmiris while adhering to the lockdown guidelines. An estimated 630,000 families are eligible for the program.
In August 2020, a year after the start of the lockdown, the Indian government laid forth 10 fields of focus for Kashmir. This included the growth of the health sector as a top priority. In the same report, officials also declared progress in implementing the Swachh Bharat Mission in Kashmir, part of a national campaign to end open defecation and improve sanitation practices. The government also claimed to have distributed 1.2 million health cards to school-aged children in the region, providing access to much-needed health services. The cards come with up-to-date vaccination records as well as required biannual checkups.
While the military lockdown continues to exact a harsh toll on the people of Kashmir and its fragile healthcare system, the steps above have helped improve access and treatment in the region. If all goes well, India’s lockdown of Kashmir may soon end. With it would come an increase in the health and welfare of the Kashmiri people.
– Shayaan Subzwari
Photo: Wikimedia Commons