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hardwood
#601 Posted : Tuesday, March 14, 2017 9:54:08 AM
Rank: Elder

Joined: 7/28/2015
Posts: 9,562
Location: Rodi Kopany, Homa Bay
Anti_Burglar wrote:
Anti_Burglar wrote:
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.



I just love being right!

Lecturers call off strike, sign pay deal

Uasu secretary general Dr. Constantine Wasonga said that Uasu unity and solidarity of union members was of great value to the process of negotiating with the government saying it is an excellent example to other unions.

Meanwhile KMPDU Secretary General Dr. Ouma Oluga is still changing documents and shifting positions Medics remove private practice clause.


So lecturers agreed to take 17.5% payrise but doctors rejected a 50% payhike and are still demanding 1m. ISOKEI.
Dahatre
#602 Posted : Tuesday, March 14, 2017 10:06:02 AM
Rank: Member

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


Man! Even Dr Githinji Gitahi, Group CEO of Amref Health Africa agrees with me. Not all doctors are of the same level level as some of them of KMPDU. Many are at a higher level.

At the just concluded Africa Health Africa International Conference, Dr Gitahi noted that: “a survey by a local research firm found out that only 30 per cent of Kenyans knew of the doctors’ strike two months into the strike.”

These findings draw attention to the fact that most health needs are not met by doctors, but by middle-level heath workers and community health workers.


Hence, investment should go to the myriad mid-level health workers down there, not a few specialists up there! I cannot help but remember a certain graphic I was being fed that we will experience world class health care if only KMPDU CBA was implemented. Sad.

60% not knowing there was a strike ≠ "we don't need doctors" But agree, a poor country needs to have many more allied health workers and a strong community health system.

We should, for example-have village/estate midwives who will deliver the majority of the healthy births. Nurse midwives/CO's for the slightly riskier pregnancies. Believe me you will want a doctor if your wife/sister develops complications of pregnancy. You will also need the correct meds/equipment etc to save, her and the baby's life.
Anti_Burglar
#603 Posted : Tuesday, March 14, 2017 10:11:54 AM
Rank: Veteran

Joined: 9/11/2015
Posts: 1,024
Dahatre wrote:
Anti_Burglar wrote:
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.


Man! Even Dr Githinji Gitahi, Group CEO of Amref Health Africa agrees with me. Not all doctors are of the same level level as some of them of KMPDU. Many are at a higher level.

At the just concluded Africa Health Africa International Conference, Dr Gitahi noted that: “a survey by a local research firm found out that only 30 per cent of Kenyans knew of the doctors’ strike two months into the strike.”

These findings draw attention to the fact that most health needs are not met by doctors, but by middle-level heath workers and community health workers.


Hence, investment should go to the myriad mid-level health workers down there, not a few specialists up there! I cannot help but remember a certain graphic I was being fed that we will experience world class health care if only KMPDU CBA was implemented. Sad.

60% not knowing there was a strike ≠ "we don't need doctors" But agree, a poor country needs to have many more allied health workers and a strong community health system.

We should, for example-have village/estate midwives who will deliver the majority of the healthy births. Nurse midwives/CO's for the slightly riskier pregnancies. Believe me you will want a doctor if your wife/sister develops complications of pregnancy. You will also need the correct meds/equipment etc to save, her and the baby's life.



I totally agree with you!
Anti_Burglar
#604 Posted : Tuesday, March 14, 2017 10:20:51 AM
Rank: Veteran

Joined: 9/11/2015
Posts: 1,024
hardwood wrote:
Anti_Burglar wrote:
Anti_Burglar wrote:
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.



I just love being right!

Lecturers call off strike, sign pay deal

Uasu secretary general Dr. Constantine Wasonga said that Uasu unity and solidarity of union members was of great value to the process of negotiating with the government saying it is an excellent example to other unions.

Meanwhile KMPDU Secretary General Dr. Ouma Oluga is still changing documents and shifting positions Medics remove private practice clause.


So lecturers agreed to take 17.5% payrise but doctors rejected a 50% payhike and are still demanding 1m. ISOKEI.



I opine the ones who are not lecturer doctors, who have a bit more time on their hands and are less busy and more energetic are the ones adversarial and militant.
washiku
#605 Posted : Tuesday, March 14, 2017 10:41:59 AM
Rank: Chief

Joined: 5/9/2007
Posts: 13,095
Bigchick
#606 Posted : Tuesday, March 14, 2017 11:00:25 AM
Rank: Elder

Joined: 2/8/2013
Posts: 4,068
Location: At Large.
Rushing to beat the 10.00am deadline.

They have agreed and are now running across the road to the court to file the same for consent.

Meanwhile that research finding up there that only 30% of population are aware of the strike are quite interesting.The role of the "Super Doctors" has been redefined.
Love is beautiful and so are those who share it.With Love, Marriage is an amazing event in ones life time, the foundation of joy, happiness and success.
hardwood
#607 Posted : Tuesday, March 14, 2017 11:47:50 AM
Rank: Elder

Joined: 7/28/2015
Posts: 9,562
Location: Rodi Kopany, Homa Bay
Bigchick wrote:
Rushing to beat the 10.00am deadline.

They have agreed and are now running across the road to the court to file the same for consent.

Meanwhile that research finding up there that only 30% of population are aware of the strike are quite interesting.The role of the "Super Doctors" has been redefined.


Let them be humbled, let them be made to go on their knees and beg. Choices have consequences.
mkenyan
#608 Posted : Tuesday, March 14, 2017 2:23:38 PM
Rank: Veteran

Joined: 4/1/2009
Posts: 1,885
washiku wrote:

it is usually a good idea to check the dates of articles you read on the internet first.
hardwood
#609 Posted : Tuesday, March 14, 2017 6:48:13 PM
Rank: Elder

Joined: 7/28/2015
Posts: 9,562
Location: Rodi Kopany, Homa Bay
BREAKING: Doctors have called off strike.
Ngalaka
#610 Posted : Tuesday, March 14, 2017 6:50:49 PM
Rank: Veteran

Joined: 10/29/2008
Posts: 1,566
At long last
Isuni yilu yi maa me muyo - ni Mbisuu
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