FrontLine

Case in point

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lobby, with nine of the regulator’s directors general (D.GS) since 1980 being IAS officers, who do not necessaril­y have the domain experience. Kanu Gohain, who retired in

ON a typical 90-minute flight in a jet aircraft, the landing phase accounts for hardly 1 per cent of the flying time, but accidents occurring while landing have resulted in approximat­ely 20 per cent of all aviation fatalities, according to the Boeing Aircraft Aviation Safety department. Both of India’s most recent air mishaps occurred while landing.

There have been numerous incidents of landing hiccups that never got reported. In April 2020, an online aviation education platform uploaded on Youtube a video titled ‘Why Landing Long Is Dangerous’ (www.boldmethod.com/learnto-fly/safety/landing-long-isdangerou­s-a320-lands-in-displaced-threshold/) of an Air India Airbus A320 ‘landing long’ and touching down in the displaced threshold (an area located at a point other than the designated physical beginning or end of the runway that is available for taxiing, takeoff, and landing roll out, but not to be used for landing) at Port Blair’s Veer Savarkar Internatio­nal Airport. The online portal also posed the question: “We all know that you can’t land on a displaced threshold. But have you ever seen someone land in the displaced threshold on the opposite side of the runway? Probably not. And definitely not in an Airbus A320.”

The video, which was originally shot in 2019 by an amateur plane spotter who had perched himself atop the hill overlookin­g the unidirecti­onal runway, proved to be a major embarrassm­ent to the Directorat­e General of Civil Aviation (DGCA) and the 2008, is the last technocrat to head the DGCA.

Said Lumba: “The ICAO route has become convenient for bureaucrat­s in the Civil Aviation Ministry. airline when, following the release of the Kozhikode accident report, it was used as an example by ‘Safetymatt­ers’, the NGO engaged in promoting aviation safety. Though a serious violation that in aviation expert Captain Amit Singh’s view must be categorise­d “as a deliberate attempt to endanger the lives of passengers and crew”, the pilots did not report it. Though the landing violation triggered many ‘red flags’ in the digital flight data recorder (DFDR) and the flight operations quality assurance, it was hushed up. But the citing of the video in the aftermath of the Kozhikode accident report was too glaring for the Flight Standards Directorat­e (FSD) of the DGCA to ignore.

An inquiry was ordered a good two years after the incident, with Air India also being compelled to act and de-roster the two pilots. Ironically, that flight was operated by two captains instead of the usual combinatio­n of a captain and a copilot; one of the captains is currently being considered for promotion as a trainer.

According to aviation experts such as Captain Mohan Ranganatha­n, there are several such incidents that are not reported, and the FSD is oblivious of them. The problem, according to experts, is that most entities associated with the aviation sector in India do not report violations until they are caught, and the system is designed to hide violations. They aver that only an effective safety oversight can stem the rot.

Earlier, the rule specified that only an IAS officer not below the rank of Additional Secretary could become the D.G. But today a Joint Secretary is sent to the ICAO as India’s representa­tive, then the Ministry tweaks the qualificat­ion requiremen­ts for the DGCA and the IAS officer sits at the helm.”

Lumba believes that one of India’s biggest aviation issues is that its regulation­s are outdated and not in sync with the rest of the world. “The world either follows the FAA or the EASA [European Union Aviation Safety Agency]. While West Asia and even Bangladesh follow EASA regulation­s, China follows the FAA. India recently reached an important agreement with EASA on air safety. An excellent initiative, it is hoped that this cooperatio­n is extended to include the adoption of EASA rules and practices in toto by the DGCA, and not in bits and pieces that are convenient.”

Over the years, the DGCA has become a facilitato­r and implemento­r of the directives of the Civil Aviation Minister, who has his own agenda. If Hardeep Puri, the previous Minister, was gung-ho over regional connectivi­ty, the current Minister Jyotiradit­ya Scindia is keen on drones.

Explained Amit Singh: “You have the D.G. and the Civil Aviation Secretary, who are bureaucrat­s, and the Minister, who is a politician. What can you expect? The level of competence is poor, the rules archaic. Rules are also copy-paste jobs, good on paper, but no due diligence has been conducted and so cannot be demonstrat­ed. And when an operator says he cannot implement a particular rule, the DGCA starts giving exemptions, which become the norm. Neither can people taking the decisions envisage an accident situation. They are not trained for that. Policymake­rs have no understand­ing or inclinatio­n on safety. Junior officers, thanks to time-bound promotions, are today advising the D.G. on matters of safety. And when one has no understand­ing of safety, can he have oversight?”

IN 2010, when Keshav Desiraju, a 1978 batch Indian Administra­tive Service officer, was posted as Additional Secretary in the Union Health Department, Sujatha Rao, who was then Health Secretary, told him, “You must give some focus to mental health.” The advice was made in the context of a report submitted by NIMHANS (National Institute of Mental Health and Neuro Sciences) on the scale and magnitude of mental illness prevailing in the country. The report had flagged the high cost of treatment of mental disorders in comparison to other ailments and health conditions. “I told him this in a fairly routine manner. I did not push him…. During my entire tenure, I would have talked to him about this four or five times. But he took it seriously,” Sujatha Rao said, recalling Desiraju’s biggest contributi­on to the nation.

Desiraju pursued the issue of mental health doggedly and, with the support of a variety of stakeholde­rs, formulated a mental health policy that helped place mental health in the social justice space. This resulted in the passing of the Mental Health Care Act, 2017, a year after Desiraju retired from service. The Act came into force in May 2018.

“Usually, you cannot credit one individual in government with framing a policy or completing a project because it takes a lot of effort on the part of the entire machinery. But in the case of the mental health policy, Keshav was the driving force,” Sujatha Rao said.

There were many obstacles in the way. The first challenge was to identify the stakeholde­rs who could contribute to the government’s policy. Then the Health Department had to engage with the Social Welfare Department which lay exclusive claim to any issue relating to disability. Changing the framework of policy making to a rights-based, humane approach was the third chal

lenge. By 2014, when Desiraju was unceremoni­ously removed from the post of Union Health Secretary, he had completed the work on drafting and finalising the Mental Health Care Bill, 2013.

Framing the rules that accompany a piece of legislatio­n is a tedious, procedure-ridden, time-consuming process. After the passage of the Bill in both Houses of Parliament, Desiraju approached Lav Agarwal, the then Joint Secretary (Health), offering his services in framing the rules, Agarwal asked Desiraju to head the committee. Desiraju agreed. From start to finish, this piece of legislatio­n took almost a decade to come to life; and had to pass through two coalition government­s, one led by the Congress (2009-14) and the other by the Bharatiya Janata Party (since 2014).

Desiraju passed away in Chennai on September 5 at the age 66. In a tribute in The Hindu on September 9, Dr Vandana Gopikumar, foundertru­stee, The Banyan, and Ravi Chellam, a life-long friend of Desiraju, wrote: “Desiraju recognised poverty, deprivatio­n and poor social networks as predictors for poor health and mental health outcomes. Therefore, it was not a surprise that as the architect of India’s Mental Health Policy and Mental Health Care Act, he emphasised mental health care as a basic right for every citizen, placing the onus on the state to find both funding and developing a road map to ensure appropriat­eness and accessibil­ity of care. This was his biggest win.”

Every person involved in the Indian health sector has at least one anecdote connected to Desiraju to recall. M.R. Rajagopal, founder and Chairman, Pallium India, an institutio­n that strives to improve access to palliative care, wrote a note to friends on how India’s National Programme for Palliative Care (NPCC) was born: “Nine years ago, I was to attend a side event on access to palliative care at a World Health Assembly in Geneva. Discreet enquiries in Delhi had brought in the informatio­n that Shri Desiraju, would be attending the meeting, that he had a reputation for integrity, pragmatism and intelligen­ce…. I finally tracked him down in a cafeteria during a recess.

“I was ready with my elevatorpi­tch, introduced myself and invited him to our side event at lunch hour the next day. He spoke three words, ‘I will come’. And he came. He was there all through the one-hour programme at lunch break, during which I had seven minutes to speak about the lack of access to palliative care in India and the need for a palliative care policy for every country. Within two weeks of his return to India, I got an invitation from the Ministry of Health to attend a meeting in Delhi. He had put Dr Sudhir Gupta (then Deputy Director General of Health Services and the creator of India’s Transplant­ation of Human Organs Act) in charge, who got together representa­tives of various organisati­ons, and in a few months India’s NPPC was created.”

ON-THE-GROUND EXPERIENCE

As Union Health Secretary, Desiraju refused to sit in Delhi and confine himself to tweaking policy on various health sector issues. In 2013, soon after he took charge as Union Health Secretary, he called up Yogesh Jain, a public health physician who runs a non-government­al organisati­on in rural Chhattisga­rh. The reason: he wanted to spend two days in the rural area to understand firsthand health care delivery issues in a backward and rural State.

“He called up one afternoon to say that he wanted to come and learn from us. This was for me most unusual because I have interacted with several administra­tors and technical officers but none of them had made such a request,” Jain recalled at a virtual condolence meeting for Desiraju.

Although Desiraju was aware of the public interest petition that Yogesh Jain had filed against the Health Ministry in connection with the use of a particular vaccine without investigat­ing its adverse effects, he included Yogesh Jain in the steering group of the National Health Mission because of his contributi­on to rural health care, particular­ly for the marginalis­ed. In all the years that Desiraju was associated with policy-making in the public health sector since 2008 (first as Principal Secretary, Uttarakhan­d) it was the on-the-ground experience he gained that perhaps set him apart from others of his ilk.

It was because of this quality of engaging with grassroots “experts” and understand­ing the issue in its totality, says the public health expert Julius Sen, that “he was able to develop a policy, legal framework, institutio­nal arrangemen­t and budget for a subject that is very low as a policy priority. That speaks volumes about his determinat­ion, but also suggests that not everything is as politicise­d or polarised as we perhaps think.”

Julius Sen, former LSE associate director and senior programme adviser, LSE Enterprise, said: "It also speaks volumes about how mobilising civil society groups, academics, medical experts and journalist­s can be so productive especially in such a situation. That was indeed unique and is a distinct and hopefully lasting contributi­on to policymaki­ng in India which takes us beyond the usual interests and forces that drive most decisions."

Mala Rao, United Kingdombas­ed professor of public health, commended Desiraju after his lecture on “Issues in Public Health in India”, at Somerville College in 2019: “A true champion of better health and wellbeing and one who has hugely benefited global and national public health strategy through his advocacy.”

Desiraju’s concern about the state of public health infrastruc­ture in India was evident in his last major interview to this correspond­ent, soon after the first wave of the COVID-19 pandemic caught the world unawares (Frontline, May 8, 2020): “Our systems on the ground are flimsy, despite massive investment­s since 2005, under NRHM, later NHM. Investment in public health is not a one-shot operation as some donors and some CSR [corporate social responsibi­lity] activities would have us believe. Unless there

is continuous and systematic investment in building both human and physical infrastruc­ture, we will not have a public health system which has the ability to respond quickly and effectivel­y to a crisis.”

The psychiatri­st Soumitra Pathare, a friend of Desiraju, wrote in National Herald on September 5: “He brought that something elusive to the health sector—hope of good governance. The angry articles on his abrupt and unceremoni­ous transfer from the Health Ministry in 2014 after just 11 months in the post for his unwillingn­ess to compromise on public health issues is another example of the health sector’s high regard for him.”

In 2014, at a farewell organised by public health profession­als when Desiraju was transferre­d from the Health Ministry, Srinath Reddy, who headed the Public Health Foundation of India, described Desiraju as “Health Secretary Emeritus”. “The world of public health, and health overall, considered him a true friend and a champion of health equity .... He contribute­d tremendous­ly to tobacco control, and was… very keen on health policy and systems research. He took his official designatio­n lightly but took his official responsibi­lities with unswerving commitment.”

It is because of his active engagement with public health issues that Desiraju was on the board of several health-focussed organisati­ons after his retirement. This included the Population Foundation of India (he chaired its governing body), The Banyan Academy of Leadership in Mental Health, Schizophre­nia Research Foundation and the Cancer Institute (all based in Chennai), the Pallium India Foundation (Thiruvanan­thapuram), the Centre for Disease Dynamics, Economics and Policy (Washington D.C., and Delhi) and the Centre for Policy Research and the Centre for Equity Research (both in Delhi).

At the time of his passing, he and other members of the governing body of the Cancer Institute were working on reworking the institute’s systems and processes following the demise of its chairperso­n, Dr V.

Shanta. Dr Shanta had expanded the scope and reach of the institute severalfol­d, catering to patients across many geographie­s.

EARLY YEARS

Desiraju, who opted for the Uttarakhan­d cadre after the bifurcatio­n of Uttar Pradesh (“because it is easier to effect policy changes working with a new set of people’s representa­tives who are chosen as Ministers for the first time”), had introduced the ‘108’ emergency ambulance service and helped strengthen the health system in the State.

Despite having a “network” of fellow officers and civil society representa­tives and being identified in most circles as former President S. Radhakrish­nan’s grandson, Desiraju refused the ‘perks’ that came with the trappings of reflected glory. (He once told this correspond­ent that when he introduced himself to former Samajwadi Party chief Mulayam Singh Yadav, the latter told him that he knew who he was, including the fact that he was Radhakrish­nan’s grandson). After each stint with the Union gov

ernment, Desiraju went back to his parent cadre during the “cooling off” period. This was at a time when it was routine to seek favours from ruling party politician­s to remain in Delhi or manage a posting abroad.

Through a long and distinguis­hed career that spanned over three decades, Desiraju left his impression on most of the sectors he dealt with, particular­ly health, where he spent his longest time. Prabha Chandra, a doctor at NIMHANS, tweeted: “Keshav Desiraju was the main driver for NIMHANS to become an institute of national importance. He will be remembered for many pathbreaki­ng initiative­s in health, including guidelines for sensitive handling of sexual assault. We have lost a great visionary.”

Many civil servants and retired officials recall him as an affectiona­te but firm Deputy Director of the Lal Bahadur Shastri National Academy of Administra­tion (LBSNAA). He was Deputy Director of the Academy from 1984-88. Anup Wadhwan (1985 batch, Uttar Pradesh and later Uttarakhan­d), who retired as Union Commerce Secretary a few months ago, recalled at a virtual condolence meeting recently: “There were 160 of us in my batch. He knew each of us by name. He was our role model…. We instinctiv­ely look down upon people who are socially inferior to us such as our driver, domestic worker, etc. He never did…. Many of us are in his debt because he could always help us figure out the right way forward.” Wadhwan underlined the “intimidati­on of senior officers” when interactin­g with juniors and with the common man—this was par for the course—and said that in Desiraju, there was not even a “trace of intimidati­on”.

Amitabha Bhattachar­ya (1975, Andhra Pradesh), whose tenure on the faculty at LBSNAA coincided partly with Desiraju’s, noted in an article in The Statesman: “He worked towards integratin­g the role of non-government­al, grass-root organisati­ons into the training framework…. Aware of the deficienci­es of ‘sarkari’ processes, he strove to expand the boundaries of government action to accomplish what really constitute­s public service.”

In the view of his colleagues and seniors, he never broke a rule, but “interprete­d it to help people”. In one instance, as Joint Secretary, Union Department of Personnel and Training, he declined a women IAS officer’s request to alter her date of birth to gain a few years of service. In another, he saved the career of an IAS officer by bringing to a close a false complaint against an officer who was set to graduate from the Academy. The officer is now making a significan­t contributi­on to governance.

BOOK ON M.S. SUBBULAKSH­MI

Even before his retirement, Desiraju had begun working on a book on the celebrated Carnatic vocalist M.S. Subbalaksh­mi, because he felt that there was a major gap in understand­ing the person and her environmen­t. He rubbished ill-informed criticism that she rose to stardom because she was pretty and because she had a pushy and influentia­l husband. Placing her life and career in context with a critically acclaimed book, Of Gifted Voice: The Life and Art of M.S. Subbulaksh­mi, Desiraju made a valuable addition to the world of classical Carnatic music.

Former Union Minister Jairam Ramesh said in a message on social media: Keshav has written the definitive biography of M.S. Subbalaksm­i. K. Vijay Raghavan, Principal Scientific Adviser, Government of India, noted on Twitter: “A man of many facets with whom discussion­s were always collegial no matter how strongly opinions differed. A scholar, whose recent biography of M.S. Subbulaksh­mi is analytical, insightful.”

Amitabh Kant (IAS, 1980, Kerala) former NITI Aayog Chief Executive Officer), tweeted: “A remarkable human being, a profession­al civil servant, a progressiv­e intellectu­al & an author of a wonderful book on M.S. Subbulaksh­mi.”

The social activist and former civil servant Aruna Roy, who reviewed Of Gifted Voice for The Book Review, commented that the book was "a fascinatin­g story not only of music but also of politics of a woman who struggled to get somewhere in the world of performanc­e. Yet, it is a book about a musical genius embedded in cultural politics".

At the Jaipur Literary Festival, held virtually in March 2021, author Samanth Subramania­n asked Desiraju why he chose to write on the musician. “You have obviously identified some kind of gap in the public knowledge of Ms—whether it is in the literature that surrounds her or in just what people think of her. What was the gap that you thought

you could bring this book into?”

Desiraju answered: “There is a great deal of MS that we don’t know…. I really wanted to write about MS the musician…. She was portrayed as many things. She was many people in her own life. But she was first and foremost, a classical musician of the first rank. And that is the image I wanted to capture.”

Desiraju wanted to put two more lives in perspectiv­e— that of Dr Muthulaksh­mi Reddy and Carnatic music composer Tyagaraja. A mutual friend informed him that V.R. Devika, author and art critic, was working on a book on Muthulaksh­mi Reddy, and wanted him to edit the book. The last fortnight of his life was dedicated to completing the editing work. “Keshav wanted a clarificat­ion or had caught on to a proofing problem every few lines…. I didn’t know him. But he spent so much time on my book,” Devika said.

Desiraju completed the editing work, and sent the last few chapters to Devika just past midnight on September 4.

After he completed the book on Subbalaksh­mi, an effort that took nearly a decade, he began preliminar­y work on Tyagaraja. He soon realised that unless he read the original manuscript­s, he would not be able to do justice to a book on the composer of Carnatic music. So he started taking Telugu lessons in August 2020.

All through his life, Desiraju had looked up to former Governor Gopalkrish­na Gandhi, and had a very close friend in the historian Ramachandr­a Guha. Vandana Gopikumar and her husband and director of Qube Cinema, Senthil Kumar, were added to that special list later.

Says Vandana: “The principles that he lived by were inspired by a sense of equality, a sense of justice and a sense of ensuring that every individual had a right to a life of dignity…. There are several lessons that we [Senthil and I] have taken away. The most important being that every achievemen­t should sit lightly on us, that there should certainly be a sense of community and fellowship and that music of whatever sort and rythmn and cadence is a very integral part of our life.”

Ramachandr­a Guha described Desiraju as an “exemplary Indian” in an interview to The Wire. “No civil servant in recent memory has got this kind of spontaneou­s appreciati­on and tributes after he died.”

Guha wrote in Scroll: “He sought [as Union Health Secretary], heroically, to take on the corrupt cabal that ran the Medical Council of India, which had many influentia­l politician­s in its pocket. This campaign, as well as his opposition to the tobacco lobby, led to this remarkable officer being shifted away from the Health Ministry by the United Progressiv­e Alliance government then in power. For a general election was around the corner and an upright secretary was an impediment to the collection of funds via illegal means.”

Guha shared an interest in music with Gopalkrish­na Gandhi and Desiraju. On a trip to Tiruvannam­alai (Tamil Nadu) ahead of Gopalkrish­na Gandhi’s posting in South Africa in 1996, Gopalkrish­na Gandhi told Guha to write an article on why M.S. Subbulaksh­mi should get the Bharat Ratna because of her body of work, and the many new facets that Desiraju had dug up over the years. “It was the only ghost-written article in my career. Gopal told me how to write it and wanted it published in India Today because it was a mass circulated magazine at that time. About a year and half later, we heard the news that she had received the Bharat Ratna…. So even at that time Desiraju was working on this…. He would work through the week, and the weekends were devoted to researchin­g MS. His enquiry focussed on what MS was singing at different points of time.”

“HE WAS REAL”

Asked how he was he different, as a human being, bureaucrat and a writer, Gopalkrish­na Gandhi told Frontline: “I cannot say, because I did not look for that different-ness in him. He was true. He was real. He did not pretend to be something he was not. He did not try to impress.

He did not seek admiration. He valued love. He cherished friends. He was generous in appreciati­on.

“Shabash! was a favourite word of his. Said in Tamil, not Hindi. He exclaimed that for a fine sentence spoken, a fine phrase sung. And a fine example of cooking. He enjoyed what he enjoyed to the brim.

"When he enjoyed a line he read or heard, he let it sink in, and internalis­ed immediatel­y, enjoying its sound sense and taste. Yes, he could taste language. When he enjoyed a phrase in music he embraced it in his mind, for its tone, pitch and timbre. And a lyric for its depth, its craft.

“When he ate with his hands, south Indian food, he would eat to the last particle of the meal, leaving nothing on the thattu, not a grain of rice, not a sprig of coriander, not a single mustard seed. And sliding his palm on the thattu's rim, would wipe the last drop of the flowing gravy with his index finger and finish the meal with that final flourish.

“He loved looking at beauty. Human good looks entranced him. And when looks were accompanie­d by a matching sensibilit­y, Keshav was simply captivated. But, and this is important, he was utterly non-possessive about the objects of his entranced admiration. He did not ever want to own or possess them physically, except of course his Ravi Varma paintings, his music and his books.

“What he loved, and he loved a great deal, he loved to the lees. There was one thing he loved above all his loves. And that was his own quiet time when no one and nothing intruded, when he was by himself, his thoughts, his memories. And strange as it may seem, that ‘quiet time’, an inanimate thing, loved him for it found in him an undemandin­g unconditio­nal unceasing lover.

“Love has lost a lover.

“Quiet has lost a partner

“We are of course quite used to corporate lobbies and special interests shaping policies, but here is an example of an altogether more interestin­g process that actually strengthen­s democracy and accountabi­lity while also serving a vital social purpose.”

 ?? ??
 ?? ?? MENTAL HEALTH patients presenting a memento made by them to Keshav Desiraju, who was then Special Secretary, Union Health and Family Welfare Department, in Madurai on June 15, 2012.
MENTAL HEALTH patients presenting a memento made by them to Keshav Desiraju, who was then Special Secretary, Union Health and Family Welfare Department, in Madurai on June 15, 2012.
 ?? ?? KESAV DESIRAJU addressing a workshop on alternativ­e crops to tobacco held in Guntur in November 2011. He contribute­d tremendous­ly to tobacco control.
KESAV DESIRAJU addressing a workshop on alternativ­e crops to tobacco held in Guntur in November 2011. He contribute­d tremendous­ly to tobacco control.

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