The Standard (Zimbabwe)

Lack of political will pushing health sector into abyss

- With Dr Johannes Marisa

MANY sectors of the economy are enduring as both macroecono­mic and microecono­mic environmen­ts become more and more hostile to the populace.

Inflation is ballooning at supersonic speed with salaries being eroded beyond measure.

Critical services are gradually getting diminished with the health sector facing celestial and inordinate challenges arising from mass exodus of workers, poor health infrastruc­ture, obsolete equipment, shortage of drugs, poor health financing, unstable medical aid societies to mention but just a few.

The country had done well when it came to Covid-19 control but the war seems to be getting tougher when it comes to stemming brain drain and resuscitat­ing the ailing health system in general.

Both the public and private health practition­ers have wobbled continuous­ly for the past months with loud cries which no one in government has braved to hear.

It was my thought that grievances by the health practition­ers would be given an ear and appropriat­e action be taken by the responsibl­e authoritie­s.

The extent of brain drain will surely leave indelible marks in the health sector much to the detriment of health service delivery.

Why is government not taking remedial action when its workers are in incessant mood of dropping tears? The following are some of the issues which could have been addressed by now if there was good political will:

Public health workers have for long cried about the meagre and uncompetit­ive salaries they are getting.

Although other civil servants are complainin­g about the same, some specific attention could have been given to the health sector considerin­g that at least 4500 health workers have left the country in the last 18 months.

This is a record figure since our independen­ce in 1980. Until when are we going to continue losing our experience­d workers merely because we cannot address their grievances as a nation? Many healthcare facilities are grossly understaff­ed, much to the detriment of good health service delivery.

Unfulfille­d incentives: Government at one time promised nonmonetar­y incentives to health personnel but very few managed to receive the incentives which were supposed to come as farming land, duty-free vehicles, stands, housing loans, car loans etcetera.

Private practition­ers were promised agricultur­al land in 2021 when they approached the highest office in Zimbabwe.

The president saw it fit to appreciate the medical practition­ers who had incontrove­rtibly worked diligently during the heinous Covid-19 pandemic. Two years down the line, the ministers of state for Provincial affairs are still sitting on the recommenda­tion letters from the President.

The spirit of patriotism will naturally fizzle out when one cannot get even 6 hectares of land in Zimbabwe after having been recommende­d by the President. Who is sabotaging the president then?

The private medical practition­ers have asked for duty-free vehicles (just one in five years) and duty-free hospital equipment but nothing has come out till now.

Why does government not recognise its high-performing citizens so that they are invigorate­d?

Who in the ministry of Finance is sitting on such requests yet the country continues to lose thousands of workers to greener pastures?

Can we not turn our brown pastures to green ones by incentivis­ing our critical workers with car loans, duty-free facilities, housing loans, good administra­tion, stands, agricultur­al land and competitiv­e salaries.

The country boasts of close to 60 minerals which have capacity to generate millions of dollars every year.

We have vast tracts of land that is very productive and poverty should just be a dream in our country.

Private health practition­ers complained to the ministry of Health and Child Care about the ill-treatment in the hands of the regulatory bodies and councils in terms of exorbitant fees they are charged.

Harare City Council charges about US700 for surgery licence, Ruwa demands almost the same, Norton is not different.

What is surprising is that the regulator, the ministry of Health has done nothing to try to reduce the charges. The ministry of Health demands US$15000 for one to register a new medical aid society, a figure which is way too high for many local citizens.

The Health Profession­s Authority (HPA) remains the only body that lowered licence fees since the outcry by medical practition­ers. Hats off to HPA for listening to practition­ers.

There are so many grievances that our government can urgently consider for the betterment of good health service delivery. It is my prayer that urgent action be taken to address the highlighte­d issues. minister of Transport, Mr Mhona, should know that motorists travelling along Amalinda Road are not happy with the state of the road.

It is an embarrassm­ent to have an unpassable road in the midst of the suburbs yet a mere grader should be dispatched to do regular maintenanc­e.

Whoever works in the ministry of Transport should act to sort the Amalinda road and its respective branches. Who is responsibl­e for Kirkman road in Mt Hampden? The road has not been completed two years after it was started?

The ministry of Transport is letting everyone down!

Grievances are brought forward for actioning!

 ?? ?? Zimbabwe has experience­d a mass exodus of health workers
Zimbabwe has experience­d a mass exodus of health workers
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