This is what we must do to rescue our healthcare!


Women waiting to deliver at Mulago’s labour suite

By Bwanika Nakyesawa Luwero via UAH forum

When growing up in a medical family – I remember when Medical Doctor Samson Bbabbi Kiseeka arrived at one of the health center facility unexpectedly – it was a chaotic scene as all medical workers and support staff started running up and down whispering Dokita Kiseeka yazze (it is MD Kiseeka visiting).

Uganda Medical system can be rescued – and this is what happened 1960- 78 or ought to be done

a. Resurrect regular medical facility Inspection by the Ministry of Health Inspection Unit. These inspectors must have a list of items listed they have to look at. That form must be returned every month the an independent inspection team – i.e. Accounting General strict not MoH

b. Resurrect regular medical worker transfers. All categories of medical workers MUST not work in any single medical facility for more than one year. Ministry of health had a transport system to transfer medical workers. This too meant that all health facilities had houses for medical workers. A letter for transfer came from Kampala.

c. Outlaw patient – relative support from all healthy facilities. This implies the patient will solely be attended to by qualified medical workers only. This is the norm world over and it will also reduce on corruption where relatives have to pay for services rendered to patients in public medical facilities.

d. Private medical facilities should strictly be regulated – that is they should meet all world standards. Medical workers must work in a form of cooperatives, instead of turning the scared medical profession and facilities into money making facilities.

e. Resurrect medical equipment manufacturing and research – TAMPECO. All health facilities must order through such an entity.

f. Out-law foreign material likes clothes, bed sheets, mattress not approved, outside cooking at health facilities by the MoH from all medical facilities. That means MoH must provide patient cloth , workers uniforms, badges,food etc.

g. Turn regional hospital into teaching University hospitals

h. Lower medical staff (nurses, medical officers) salaries should be increased to a living wages. But ethic first.

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