Monday, March 23, 2009

HOSPITALI IMESHINDWA KUSOMA ALAMA ZA NYAKATI?

Wawaulize Marekani waliomchagua rais mwenye asili ya Kiafrika! Wameshindwa kusoma alama za nyakati!

LAWI JOEL, 21st March 2009 @ 12:00


The Shree Hindu Mandal Hospital, a private medical institution at the Dar es Salaam’s city centre, is facing an alarming flight of medical staff, threatening efficient dispensation of treatment. According to sources, the exodus of essential medical personnel at the hospital has largely been prompted by discriminatory salaries that are allegedly based on racism, in which one race group is favoured. They attribute the exodus of some of the hospital’s personnel to its discriminatory salaries that favour workers of Asian origin, triggering a labour dispute and a slowdown in services.

“We have one Asian laboratory technician here who collects up to 1.5m/- a month but knows nothing more than what we do,” said one laboratory technician who preferred anonymity. The hospital, like most private ones in the city and across the country, largely relies on the services of doctors they hire on part-time basis from public hospitals. They have a few resident staff, a plight shared by other private hospitals. In the case of the private medical institutions around Dar es Salaam, it is common to see medical personnel, mainly doctors, who are full-time employees of such public institutions such as Muhimbili National Hospital (MNH), Temeke, Mwananyamala and Amana hospitals also serving in the private institutions on their ‘spare time’.

Several medical staff at the Hindu Mandal told the 'Sunday News' earlier this week that the departure of skilled medics has left the hospital in dire need of doctors. “These days I don’t see some of the government doctors who used to work part-time here,” a doctor from a government hospital working on part-time there said. Some of the hospital’s staff attribute this state of affairs to the scramble for best doctors in the local market on the part of the institutions and rush for greener pastures in case of doctors who leave and go to other private hospitals.

“In only the last months, more than 120 workers including, some doctors, left the hospital,” said another worker. The hospital’s Administrative Officer, Mr Juma Fundi, refutes the alleged reports of the exodus, claiming that no doctors have left the hospital in the period stated. “In fact those who have left were nurses, not doctors,” Mr Fundi points out. He explains: “Not so many workers have left us in that time. The number is about nine and they were all workers in the lower cadres, not doctors. Doctors at this hospital have long service terms. Some have stayed more than six years. Take Dr Kaushick, diabetes expert, for instance, he has been here for a long time.

Then there is Dr Patel, the chief surgeon. He too has been at the hospital for more than ten years. ” Mr Fundi further argues that there are also many factors which are considered when fixing workers’ salary. “One of them is experience. Education is another. When talking about salaries’ disparity, workers seem to forget about these factors,” he argues. But a doctor from MNH on part-time work at Hindu Mandal says he would never work on a permanent basis for a private hospital run by any Asian community except under a very special engagement for which the hospital must spell out an attractive pay.

Further defending the departure of some of the medical staff from his hospital on racial basis, Mr Fundi said that even Asian specialist doctors left for other organisations. He said that charitable hospitals charged lower consultation fees in comparison with the profit-oriented ones. “Take a doctor’s consultation fee here at Hindu Mandal, for instance. We charge 3,000/- while the Aga Khan, a strictly commercial hospital, charges 20,000/-".

On why most private hospitals prefer to hire staff from government hospitals on part-time basis, a city doctor told the ‘Sunday News’ that in some specialized medical areas and equipment, only the government could afford training expenses for such personnel. He gives the example of Burhani Charitable Hospital in the city that has bought a cystoscope machine for millions of shillings but was lying idle for lack of skilled doctors to use it. And so is their incubator. “They can only wait for an expert from a government hospital because the government is able to train such experts,” the doctor explains.

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