Cor­po­ra­ti­za­tion of JDWNRH to sus­tain the pool of spe­cial­ists: MoH

Bhutan Times - - Home - Lhakpa Tsh­er­ing

Reput­ing the re­cent me­dia re­ports and con­cerns raised by op­po­si­tion, the Health Min­istry says the govern­ment de­ci­sion to change the sta­tus of Na­tional Re­fer­ral Hospi­tal into cor­po­ra­tion is to sus­tain the pool of spe­cial­ists.

How­ever, Jigme Dorji Wangchuck Na­tional Re­fer­ral Hospi­tal (JDWNRH) will con­tinue to func­tion as an or­ga­ni­za­tion with a pre­dom­i­nant so­cial man­date un­der the man­age­ment of an in­de­pen­dent board. It is an al­ter­na­tive mech­a­nism which was for re­view be­fore con­sid­er­ing ac­tual im­ple­men­ta­tion.

Ac­cord­ing to a press re­lease is­sued on 1 Septem­ber, the govern­ment’s move to make Jigme Dorji Wangchuck Na­tional Re­fer­ral Hospi­tal (JDWNRH) a cor­po­ra­tion is to en­hance the qual­ity of ser­vices and im­prove fi­nan­cial ben­e­fits of the hospi­tal work­force.

The ini­tia­tive was aimed at bring­ing bet­ter ac­count­abil­ity, ef­fi­ciency and ef­fec­tive­ness in delivery of health ser­vices, which are the key el­e­ments of a ro­bust health sys­tem.

The govern­ment ex­pects to pro­vide a plat­form for ad­dress­ing the cur­rent is­sue of Spe­cial­ist re­ten­tion and im­prove the over­all qual­ity of health ser­vices. It states that, “The govern­ment is aware that cor­po­ra­ti­za­tion in­volves ex­po­sure to mar­ket pres­sures and forces.”

The prin­ci­ple of the health sys­tem in Bhutan is based on the pro­vi­sion of Ar­ti­cle 9 (21) of the Con­sti­tu­tion, which man- dates the state to pro­vide free ac­cess to ba­sic pub­lic health ser­vices both in mod­ern and tra­di­tional medicines.

The govern­ment claims that it stands fully guided by the sacred pro­vi­sions en­shrined in the Con­sti­tu­tion with re­gard to ful­fill­ing the man­dates of the health sec­tor, at all times. It states, “The govern­ment holds the con­sti­tu­tion sacro­sanct and en­sures that all de­ci­sions re­spect­fully com­ply with the sacred state po­lices and that the rule of law is al­ways re­spected.”

JDWNRH will con­tinue to pro­vide free med­i­cal ser­vices to all cit­i­zens based on the prin­ci­ples of eq­uity and fair­ness. It states that the he ini­tia­tive doesn’t in­tend to pave way for pri­va­ti­za­tion of the pub­lic health fa­cil­i­ties and ser­vices. “It is not meant to en­cour­age com­mer­cial­iza­tion of the ser­vices or to levy charges to pa­tients di­rectly for the ba­sic pub­lic health ser­vices.”

The govern­ment con­sid­ers the well­be­ing of the cit­i­zens and en­sures those cit­i­zens are not de­prived of avail­ing free ba­sic pub­lic health ser­vices. “No pa­tients will have to bear the bur­den of need­ing to pay the cost for avail­ing ba­sic pub­lic health ser­vices.”

The govern­ment rec­og­nized that the ex­ist­ing mea­sures are in­ad­e­quate and does not pro­vide flex­i­bil­ity to the man­age­ment of the na­tional re­fer­ral hospi­tal to in­no­vate means to im­prove per­for­mance and ad­dress is­sues re­lat­ing to hu­man re­sources. “Given the chang­ing land­scape of health ser­vice delivery and emerg­ing needs, it is im­per­a­tive for the health sys­tem to adapt and proac­tively man­age these tran­si­tions.”

The op­po­si­tion re­cently in its press re­lease claimed that cor­po­ra­ti­za­tion is not the right ap­proach to re­tain spe­cial­ists nor is it right for the govern­ment to blame the Royal Civil Ser­vice Com­mis­sion (RCSC) and the Pay Com­mis­sion as be­ing hin­drances to en­hanc­ing the pay and al­lowances of the spe­cial­ists. The Health Min­istry says this should not be in­ter­preted as in­ef­fi­cien­cies on the part of the RCSC and the pay Com­mis­sion.

Health Min­is­ter Tandin Wangchuk in­structed the health sec­re­tary and the pres­i­dents of the na­tional re­fer­ral hospi­tal and the Kh­e­sar Gyalpo Univer­sity of Med­i­cal Sciences of Bhutan (KGUMS) to form a high-level com­mit­tee to de­lib­er­ate on the pro­posal to make the na­tional re­fer­ral hospi­tal a cor­po­ra­tion.

Newspapers in English

Newspapers from Bhutan

© PressReader. All rights reserved.