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#lipakamatender
B.Timer
#561 Posted : Thursday, March 09, 2017 10:21:23 AM
Rank: Veteran

Joined: 5/31/2008
Posts: 1,076
Kusadikika wrote:
There are unemployed Cuban and Tanzanian Doctors ready to come and be employed in Kenyan Public Hospitals!!!

Hii ni ukweli ama ni propaganda ya Munya?


That's news right there.
My experience has been, in Tanzania they refer urgent cases for health care to Kenya, much the same way we escalate ours to South Africa or India.
Dunia ni msongamano..
alma1
#562 Posted : Thursday, March 09, 2017 10:38:01 AM
Rank: Elder

Joined: 9/19/2015
Posts: 2,871
Location: hapo
B.Timer wrote:
Kusadikika wrote:
There are unemployed Cuban and Tanzanian Doctors ready to come and be employed in Kenyan Public Hospitals!!!

Hii ni ukweli ama ni propaganda ya Munya?


That's news right there.
My experience has been, in Tanzania they refer urgent cases for health care to Kenya, much the same way we escalate ours to South Africa or India.


When all that policy makers can do is read hardwood posts and think he's serious, then we have a problem.

Kweli they think doctors are like the onions we import from Tanzania?

Thieves are not good people. Tumeelewana?

masukuma
#563 Posted : Thursday, March 09, 2017 11:25:28 AM
Rank: Elder

Joined: 10/4/2006
Posts: 13,823
Location: Nairobi
mbona watu wanatishana tishana ni kama walipata information ya unemployed Cuban, Tanzanian, Indian doctors juzi? si waitwe? uone ni wangapi watakuja? vitisho baridi! #lipaKamaTender
All Mushrooms are edible! Some Mushroom are only edible ONCE!
quicksand
#564 Posted : Thursday, March 09, 2017 11:59:55 AM
Rank: Veteran

Joined: 7/5/2010
Posts: 2,061
Location: Nairobi
masukuma wrote:

mbona watu wanatishana tishana ni kama walipata information ya unemployed Cuban, Tanzanian, Indian doctors juzi? si waitwe? uone ni wangapi watakuja? vitisho baridi! #lipaKamaTender


Yes. Tired as well of the unending back and forth. The government and county governments should stop hee haw-ing, find their collective balls and pull the trigger. One party is going to burn and my morbid curiosity wants to see which.
Anti_Burglar
#565 Posted : Thursday, March 09, 2017 1:09:06 PM
Rank: Veteran

Joined: 9/11/2015
Posts: 1,024
Tokyo wrote:
County governments should be authorised to recruit qualified doctors elsewhere. The reknown Cuban doctors are earning less than their counterparts in kenya



KMPDU has a chokehold on the collective throat of medical care in Kenya. No doctor can work in Kenya without their say-so. Those fingers must be pried open if only for the social good. That is the next logical step.
Anti_Burglar
#566 Posted : Thursday, March 09, 2017 1:16:34 PM
Rank: Veteran

Joined: 9/11/2015
Posts: 1,024
thuks wrote:
This will have a great (negative) impact on healthcare in Kenya. The government was successful in demonizing doctors. Many of those talking agree that doctors are rotten, money hungry lazy bones.
Who will want to seek help from such?
Health seeking behaviour was bad, how will it pan out after this?
I see seminars to retrain the workers on how to encourage people to go to hospitals, tenders?


You assume too much incorrectly. Not all doctors had joined this bandwagon of suffering. Not all doctors have demonized themselves. Not all agree that all doctors are rotten money hungry bones - only Ouma Oluga could be .... Many doctors are actually very likeable and humble people who talk and interact with people nicely in a down to earth fashion.

Health care in Kenya has been under those very same health professionals. It maybe superficial to think politicians manage health care. If it has been bad, the health care professionals are to be asked.

I for one have not taken this side am on because someone is against it or someone is for it. It is what I feel and know is right.
sitaki.kujulikana
#567 Posted : Thursday, March 09, 2017 1:25:17 PM
Rank: Veteran

Joined: 8/25/2012
Posts: 1,826
doctors have been out of the public hospitals for some 3 months, does it mean these institutions are closed down, ama they are still operating, because if its the latter, we seriously need to reconsider the role of doctors in our public health system.
Dahatre
#568 Posted : Thursday, March 09, 2017 1:28:02 PM
Rank: Member

Joined: 12/21/2009
Posts: 602
Anti_Burglar wrote:

The allegations of x number of doctors serving 10,000 number of Kenyans though often quoted with genuine concern but is very misguided. It doesn't help that doctors themselves repeat it often. It should be x number of medical health workers serving 10,000 Kenyans. That is according to the Kenya Health Sector Strategic Plan JULY 2013-JUNE 2017.

But it is good he crystalises a main issue as "job group".

Anyway, the different levels of health care delivery in the Kenya Essential Package for Health is as follows:

6 Tertiary hospitals

5 Secondary hospitals

4 Primary hospitals

3 Health centres, maternities, nursing homes

2 Dispensaries/clinics

1 Community: Villages/Households/Families/Individuals


Doctors start appearing in that hierarchy at around level 4. The staff at the community health workers level, dispensaries, clinics, health centers do the donkey work within the community. They include enrolled nurses, nurses, clinical officers and such. What they cannot handle is what they refer up the chain. And that is how it should be. There is no point going to say KNH to get diagnosis for Malaria when it can be done at the health center.

So what is ailing the health sectors in Kenya? What can be done? For starters, lumping money at the top of the chain in salaries and what not is absolutely not the way to go.


Calculating the number of physicians per unit population is a pretty standard way of assessing whether a country has an optimal number of doctors to serve it's population with regard to services that only doctors provide. The more accurate way is to assess each of the clinical groups separately...So number of clinical officers/nurses/community health workers etc per unit population.

The various levels of service that you describe are excellent for a universal health care system. Doctors in such a systems get paid a living wage that is not above other civil servants.

Our problem is that we are trying to introduce a half-assed for profit component into the picture and expecting some health professionals to stay at the civil servant level, while others go into the private sector. If we do this, then market forces will come into play and health professionals (including CO's and nurses) will want in on the profit pie. Furthermore, the for-profit entities will siphon off the public monies (read NHIF) that are supposed to maintain the public health sector.

We either stay with the universal health model or the fully capitalistic model. Trying to blend them cannot end well..



Dahatre
#569 Posted : Thursday, March 09, 2017 1:30:49 PM
Rank: Member

Joined: 12/21/2009
Posts: 602
Kusadikika wrote:
There are unemployed Cuban and Tanzanian Doctors ready to come and be employed in Kenyan Public Hospitals!!!

Hii ni ukweli ama ni propaganda ya Munya?


They might as well send us some politicians too...We need to reduce our wage billLaughing out loudly smile Laughing out loudly smile
Anti_Burglar
#570 Posted : Thursday, March 09, 2017 1:36:00 PM
Rank: Veteran

Joined: 9/11/2015
Posts: 1,024
I foresee a situation where if other health professionals like nurses and COs raise a demand next, they will be treated well and given what they want without much fuss. All to rub in for the KMPDU. Of course they will have learnt from KMPDU approach how not to do things. It may happen, it may not, I do not know.
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