Kusan shekaru hudu bayan barkewar cutar ta Covid, kuma daliban kiwon lafiya har yanzu suna ƙarƙashin wasu umarni na rigakafin zalunci da tilastawa da aka taɓa ayyana. Duk da cewa ba a sami rahoton shari'ar Covid guda ɗaya da aka rubuta a harabar kwaleji a cikin shekaru huɗu da suka gabata wanda ya haifar da barkewar mummunar cuta ko kuma mutuwa daga Covid, an tilasta wa dubban ɗalibai yanke shawarar ko za su ɗauki maganin da ba sa buƙata ko kuma su yi nisa daga matakin da suka kashe dubun-dubatar daloli da sa'o'i marasa ƙima saboda manufofin tilastawa irin waɗanda ba mu taɓa gani ba. “hunturu na mutuwa” bai taɓa zuwa ba kuma ba bazara ko faɗuwar mutuwa ba, amma ɗaliban kiwon lafiya a duk faɗin ƙasar ba su da zaɓi; ɗauki sabbin alluran rigakafin Covid ko janyewa daga shirin ku kamar dai waɗannan lokutan mutuwa na iya faruwa har yanzu.
Kowane mako, saƙon imel na matsananciyar damuwa yana bama mu Akwatin sažo mai shiga. Suna daga ɗalibai da iyalai waɗanda suke a cikin kafirci. An sanar da ɗaliban cewa ba za su iya ci gaba da jujjuyawar asibiti ba tare da tabbatar da cewa sun ɗauki sabon haɓakar Covid. Yawancin waɗannan ɗaliban sun ci gaba zuwa shekaru na ƙarshe na shirye-shiryen karatun su kawai don gano cewa an hana su kammala jujjuyawar asibiti waɗanda sune matakai na ƙarshe na samun digiri.
Ƙara zagi ga rauni, a lokuta da yawa kwalejojin da suka karɓi waɗannan ɗalibai a baya sun ba su keɓewar rigakafin cutar ta Covid. A Pennsylvania, ɗalibin kiwon lafiya na iya samun keɓancewa don yin rajista don yin karatun digiri na kiwon lafiya a Jami'ar Pennsylvania ko Jami'ar Pittsburgh, amma wannan ɗalibin ba za a iya sanya shi cikin jujjuyawar asibiti a cikin Jami'ar Kiwon Lafiya ta Pennsylvania mai zaman kanta ko Cibiyar Kiwon Lafiya ta Jami'ar Pittsburgh sai dai idan sun nuna tabbacin sabunta rigakafin Covid. Kwalejin York da ke Pennsylvania ba kasafai ba ne ga wannan ka'ida, kamar yadda muka koya za su taimaka wa ɗaliban jinya su sami abokan aikin asibiti waɗanda ko dai ba sa ba da umarni ko tilasta ɗalibai su ɗauki sabbin rigakafin Covid da ba dole ba ko kuma za su karɓi keɓe.
Wane ne ainihin alhakin waɗannan ci gaba da umarni waɗanda ke barazana ga bege da mafarkin ɗaliban kiwon lafiya ba tare da hakki ba?
Amsar ba ta bayyana gaba ɗaya ba. A wannan ranar Shugaba Biden ya ba da sanarwar kawo karshen dokar ta-baci ta tarayya, Mayu 11, 2023, Cibiyoyin Kula da Medicare da Ayyukan Medicaid (CMS) sun ba da sanarwar " nan ba da jimawa ba za ta kawo karshen" wa'adin rigakafin Covid da aka tabbatar da CMS, kuma hakika ya ƙare. A ka'ida, wannan zai kawo ƙarshen duk umarnin ma'aikacin kiwon lafiya na Amurka na Covid.
Amma akwai madogara, kuma waɗancan sun haɗa da dokokin jihohi waɗanda har yanzu za su iya ba da izini ko hana wuraren kiwon lafiya umarnin cewa ma'aikata su ɗauki allurar Covid. Daliban kiwon lafiya fa? Da kyau, suna ƙarƙashin ƙa'idodin ma'aikatan kwaleji waɗanda ke kula da ɗaliban kiwon lafiya da wuraren aikin asibiti, kuma kusan duk shirye-shiryen kiwon lafiya da wuraren aikin asibiti waɗanda ke yin kwangila tare da su suna da alama suna kiyaye umarnin rigakafin Covid a wurin waɗannan ɗaliban koda kuwa waɗannan kwalejoji da rukunin asibitocin sun ba da izinin keɓancewa ga baiwa da ma'aikata.
Wani mai kula da shirin kiwon lafiya daga Kwalejin Jihar Minnesota ta Kudu maso Gabas (MCS) ya aika imel ga wani ɗalibi mai zuwa yana bayanin cewa "wasu malamai sun zaɓi kada su koyar a cikin shirye-shirye sai dai idan wannan shirin yana buƙatar alurar rigakafin Covid-19. Faculty da ke aiki a MCS an sanar da su cewa za su yi aiki tare da daliban da aka yi wa alurar riga kafi kuma canji a manufofin zai buƙaci lokaci don yanke shawara ko za su ci gaba da koyarwa don shirinmu."
Me yasa waɗannan masu gudanar da aikin suka ƙi sanar da malamansu cewa rigakafin Covid na ɗalibi bai yi komai ba don kare wannan memban daga yin kwangilar Covid wanda wataƙila sun ɗauki alluran rigakafi da yawa don kiyaye kansu? Madadin haka, suna kowtow zuwa manyan jami'o'in tsoro waɗanda za su iya barin aikin idan ba a yi wa ɗaliban alurar riga kafi ba. A cikin wasu wuraren gwaji na asibiti, waɗannan buƙatun rigakafin na Covid ba su sake yin amfani da baiwa ko ma'aikata ba, amma ɗaliban suna yin irin wannan mummunar barazanar cewa rukunin za su bar aikin kafin su ƙyale waɗannan ɗaliban su ƙi rigakafin Covid. Aikin banza ne a yi ƙoƙarin fahimtar abin.
A New Jersey, gungun daliban kiwon lafiya sun shigar da kara a gaban Kolejin Rowan da ke gundumar Burlington (Rowan) saboda kin yin la’akari da kebewar addininsu. The ƙara yayi zargin cewa a karkashin dokar New Jersey Against Wariya, Rowan "ana bukatar ya baiwa dalibai damar neman kebewar addini daga duk wani bukatu na rigakafin," kuma a ƙin yin la'akari da irin wannan keɓe, suna nuna musu wariya. Masu gabatar da kara kowannensu ya karbi imel daga Rowan yana mai cewa ba sa la'akari da keɓancewa na addini kamar yadda abokan aikinsu na asibiti ke buƙatar rigakafin Covid, amma John Coyle, babban lauya a shari'ar, ya bayyana cewa zargi abokin aikin asibiti na New Jersey "wasan harsashi ne."
Misali, ɗalibi ɗaya, Josef Bonilla, ya karɓi wurin jujjuyawar sa a Asibitin Virtua Voorhees (Virtua). A watan Yuli, Virtua ya buga a kan gidan yanar gizon su cewa za su yi la'akari da "buƙatun ma'ana" don keɓancewar addini da na likita. A cikin watan Agusta, Josef ya rubuta Virtua don tabbatar da cewa zai iya shigar da karar addini. Virtua ya amsa cewa "hakin Rowan ne ya kimanta bukatarsa na keɓance addini" kuma idan an ba su, za su girmama shi. Josef ya aika da wannan bayanin ga Rowan kuma bayan ƴan kwanaki, an cire shi daga shirinsa. Aƙalla biyu daga cikin masu ƙara sun kasance a cikin semester na ƙarshe a Rowan, bayan sun kashe dubun dubatar daloli da shekaru da yawa zuwa digirin su, kuma duka biyun sun yi watsi da su. Daliban masu shigar da kara suna fatan dawo da diyya.
A cikin gundumar Los Angeles, Ma'aikatar Kiwon Lafiyar Jama'a ta sanar da hakan aiki daga Disamba 27, 2023 duk ma'aikatan kiwon lafiya an umarce su da su ɗauki sabuntar rigakafin 2023-2024 na Covid ko sanya hannu kan wasiƙar ragewa. A ci gaba da yunƙurin tilastawa da yawa don ɗaukar sabbin alluran rigakafi, odar ta kuma bayyana cewa waɗanda ba a yi musu allurar ba “cikin haɗarin kamuwa da cutar… COVID-19 amma kuma yana iya watsa waɗannan ƙwayoyin cuta ga abokan aikinsu da marasa lafiya" – maganganun da aka dade ana tabbatar da cewa ba gaskiya ba ne. Idan ma'aikatan kiwon lafiya sun ƙi sabon rigakafin, dole ne su sanya abin rufe fuska na tsawon watanni 6 a cikin "lokacin numfashi na shekara" daga Nuwamba 1-Afrilu 30.th. Don haka, idan ma'aikatan kiwon lafiya a gundumar LA za su iya ƙi sabon rigakafin Covid, ɗalibai kuma za su iya ƙi? Ba ya bayyana cewa ɗalibai suna da wannan zaɓi.
Ta hanyar wasiku da tattaunawa tare da wasu Jami'o'in Jihar California (CSUs) da shirye-shiryen jinya na Kwalejin Al'umma ta California, an gaya wa masu aikin sa kai cewa kwalejoji su ne ƙungiyoyin da ke da alhakin kiyaye umarnin Covid a wurin ga ɗaliban kiwon lafiya.. Yawancin wuraren gwajin asibiti a California har yanzu suna da umarnin rigakafin Covid ga ɗaliban kiwon lafiya, kuma jami'o'in sun ce sun daidaita manufofinsu tare da rukunin asibitocin da ke da tsauraran umarnin ɗalibai a wurin. Wani shugaban sashen CSU ya ci gaba da cewa, "har sai kashi 100% na rukunin gidajensu na asibiti sun yi watsi da bukatar rigakafin ta Covid, har yanzu sashenmu zai bukaci hakan."
Mun kuma koyi cewa CSUs suna da ikon sanya ɗalibai a wuraren da ko dai sun ƙare wa'adin rigakafin su na Covid ko kuma ba da izinin keɓancewa, amma suna da'awar ba su da tsarin ko albarkatun da za su dace da ɗalibai zuwa wuraren da ake da su daidai idan sun ba da izinin keɓe. Me yasa za a motsa su don girmama keɓancewar kamar yadda aka yiwa yawancin malamai da ma'aikata rigakafin, kuma har yanzu suna dagewa ga imanin cewa yin allurar "yana kare masu rauni da suke yi wa hidima?" Bugu da ƙari, a cikin gundumar LA, ma'aikatan kiwon lafiya sun cancanci yin watsi da rigakafin mura tun 2013 (muddin sun bi buƙatun masking), amma ɗaliban da ke neman shiga jami'o'in da ke haɗin gwiwa tare da rukunin asibitoci a cikin gundumar LA ba a ba su zaɓin ragewa iri ɗaya ba.
A cikin gundumar Ventura, CA (Ventura), ba a buƙatar tabbacin rigakafin Covid ga ma'aikatan kiwon lafiya. A cikin ingantattun labarai, a Cibiyar Kiwon Lafiya ta Ventura County (VCMC), fom ɗin tilas wanda ɗalibai na kiwon lafiya dole ne su kammala shaidar matsayin rigakafin su ba su sake lissafin rigakafin Covid a matsayin buƙatu ba. Kodayake ana iya samun wasu shafuka masu zaman kansu a cikin Ventura waɗanda har yanzu suna buƙatar ƙwararrun ɗalibai don nuna shaidar rigakafin Covid, wannan yana nuna cewa kwalejoji a Ventura suna da zaɓi don sanya ɗalibai a cikin shirye-shiryen asibiti idan sun zaɓi ƙi rigakafin. Wancan ya ce, ɗaliban kiwon lafiya a Ventura har yanzu suna jiran haske daga shirye-shiryensu kan ko za su buƙaci keɓancewa na yau da kullun daga rigakafin Covid ko buƙatar sanya hannu kan takardar ragewa da bin ka'idoji idan sun ƙi.
Labari mai inganci; Shirye-shiryen jinya na California a Kwalejin Moorpark, CSU-Long Beach, da CSU-Northridge sun tabbatar da cewa sun sami sanarwar cewa abokan hulɗa na asibiti suna sabunta buƙatun su ta yadda wasu ba za su ƙara buƙatar shaidar rigakafin Covid ba ko ba wa ɗalibai damar sanya hannu kan wasiƙar ragewa don sabunta rigakafin Covid. A yawancin lokuta, waɗanda suka ƙi rigakafin Covid za a buƙaci su sanya abin rufe fuska na tsawon watanni 6 na lokacin mura.
Ire-iren rigakafin Covid da ake samu a halin yanzu shine na ƙarshe da aka amince da su, kuma babu wanda yake son su. Bisa lafazin Bloomberg, "Pfizer yana kokawa saboda rashin isassun mutane suna samun allurar rigakafin Covid na shekara-shekara. Matsalar ita ce masu haɓakawa ba su da tasiri sosai." Yawancin jama'a suna kin ƙarin harbin Covid, amma ɗaliban kiwon lafiya ba su da wannan alatu. Ba ya taimaka wancan Pfizer kudi shirye-shirye a kolejoji waɗanda ke da mahimmanci abokan tarayya wajen aiwatar da buƙatun wuraren wuraren aikin asibiti.
Ba wani abu ba ne na rashin tausayi da rashin ilimin kimiyya gabaɗaya cewa shirye-shiryen kiwon lafiya suna ci gaba da tilasta wa wannan ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun likitocin. Alurar rigakafin da ba su taɓa buƙata ba, wanda ba a taɓa ba su izini ba, wanda ba zai taɓa hana su rashin lafiya da mutuwa ba saboda ba su taɓa fuskantar irin wannan haɗarin ba - waɗanda Pfizer da CDC suka sani kafin koleji ɗaya ta taɓa ba da umarnin rigakafin Covid ga kowane ɗalibi.
Yawancin majiyoyin mu sun nemi a sakaya sunansu saboda ko dai sun rike lauyoyin da za su taimaka musu wajen yakar wadannan shirye-shiryen na asibiti, ko kuma daliban sun dauki hutu tare da fatan dawowa nan da shekara guda don kammala bukatunsu na karshe. Wasu ɗalibai suna neman canjawa zuwa wasu shirye-shirye, wasu kuma sun makale da ƙididdiga waɗanda ba za su canja wuri ba, suna barin su da tsadar tsadar gaske waɗanda ke da yawa a kafada.
Da fatan za a yi la'akari da ɗaukar mataki a cikin gundumar ku. Wasu daga cikin masu aikin sa kai sun sami babban ci gaba ta hanyar aika imel/kira Hukumar Kula da Sufuri ta yankinsu saboda suna kula da Daraktan Kiwon Lafiyar Jama'a kai tsaye da Daraktocin asibitocin gundumar. A California, da yawa daga cikin Masu sa ido, waɗanda ke shirin sake zaɓen, sun yi mamakin cewa ɗaliban kiwon lafiya suna fuskantar rarrabuwa kuma a wasu lokuta ƙarin buƙatu masu yawa fiye da malamai da ma'aikata a wuraren kiwon lafiyar jama'a, kuma suna shiga don taimakawa canza waɗannan manufofin.
Na yi aiki tuƙuru don ƙarfafa ɗaliban kiwon lafiya su ba da labarinsu, amma suna jin ba za su iya ba saboda suna tsoron haɗarin fallasa kansu ya yi yawa idan sun taɓa fatan kammala karatun digiri. Har zuwa lokacin kuna da ni, kuna ba da labarinsu gwargwadon iyawa ba tare da fuska, suna ba, ko matakin izgili, hukunci, da nuna wariya da suka sha don shiga cikin ayyukan kiwon lafiya. Abin baƙin ciki da cewa waɗannan sana'o'in sun kasance abin koyi na hidima ga wasu; Sana'o'in da muka amince da su don ba mu lafiya da ci gaba. Kashe mafarkin ɗaliban da ake kira don warkar da wasu shine watakila mafi diabolical na duk ajanda, kuma na fara yarda da ajanda shine ainihin menene wannan.
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Lucia Sinatra lauya ce ta kamfani mai ritaya. Bayan zama uwa, Lucia ta mai da hankalinta ga yaki da rashin adalci a makarantun jama'a a California don daliban da ke da nakasa koyo. Ta haɗu da Babu Dokokin Kwaleji don taimakawa kawo ƙarshen koleji da jami'o'in rigakafin cutar Covid da bayar da albarkatun jama'a kyauta waɗanda suka taimaka dubun dubatar ɗalibai da iyalai su yanke shawara mafi kyau game da ci gaba da ilimi.
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