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{UAH} NO PROFESSIONAL DOCTOR IN UGANDA LOVES NRM AND M7

video: https://www.youtube.com/watch?v=-5PYECXGG-s

'This video showing an altercation between a chairman LCIII and the only health care workers available to serve a large number of pregnant mothers in a HC IV in Kasanganti is extremely unfortunate. To start with, the Chairman LCIII is extremely stupid to say the least - they say leaders are appointed by God but he seems more a messenger of Lucifer - extremely poor leadership/communication skills. The doctor in-charge explains that there is only one doctor at the facility, who has to attend to clients at the maternity, the OPD and also go to Theatre to conduct surgery.

Meanwhile, due to severe shortage of health workers, both the antenatal clinic and the labour ward have to be run by one mid-wife, who has to do an entire day's shift. The midwife is attending to a mother in the second stage of labour, so the antenatal mothers have to wait (that is called 'prioritization'). Meanwhile the queue is getting very long - but the health workers are not to blame for the increasingly unresponsive health system.

The chairman insults the health workers in front of their patients, without allowing the health worker to explain. In a very stupid way of reasoning, he castigates the two health workers as to 'why they cannot ask for more health workers from the local government' (of which he is one of the political 'dick'heads). He castigates the health workers for there being no mama kits at the facility. The health workers explain that National Medical Stores last made a delivery of mama kits a year ago - how does the chairman expect them not to run out of stock? He does not even listen to the explanations. Are mama-kits designed to clone themselves whenever they reach the minimum stock levels or are health workers trained on how to clone mamakits. He asks the two health workers why there is a long line of people waiting for services and why they cannot work on them very fast. The patients clearly side with the health workers and attempt to inject sense into the chairman, telling him that he should be the one providing the drugs, the fuel for the ambulance and health workers. The chairman turns the embarrassment into a shouting match.

He continues with his stupid rant, wasting 2 hours of the health workers' and patients' time. In a cheap political stunt, he came with the cameras and fake journalists to embarrass the health workers but ended up displaying his ignorance for all to see instead. The buildings of the health centre are dilapidated, with clear evidence of poor workmanship from whoever constructed them - Is that the health workers' fault?

This unfortunate video shows whats wrong with our health system: Leadership that is not listening to the health workers, and is more bent on pointing accusing fingers. Leadership that is demotivating even the few health workers who have sacrificed their lives to work in these squalid settings amidst the increasing flight of health workers for greener pastures. I strongly doubt is this doctor and the nurse will persist longer than two years at this facility, governed by such stupidity. When you inject garbage in a system - expect garbage. You cannot expect health workers to be miracle workers. And that's the exact reason why there is a proliferation of witch-doctors advertizing fake medicine and fake pastors advertizing fake healing everyday on Bukedde under the watchful eye of the Ministry of Health.'

The high number of patients is very good indicator of some reasonable care provided at the center. The community is normally very sensitive. When service is very poor they never bother to seek care. On the other hand the politician is classical representative of the calibre of politicians we have. Politics has sunk so much that no reasonable person can venture there. Its a discipline for jobles vultures who have to survive at all cost.

The Kasangati phenomenon is may be not unique. As described above there is donor conditionally, particularly on infrastructure development and on services provided. Parallel services of course cause disharmony among the different categories of staff (project vs civil service). But if the Government cannot afford or cannot allocate enough resources for project provided services, then only donor funded project s provide the services. ART as you know is largely donor funded and has donor a lot of good for Ugandans living with HIV.... of course with a lot of benefit to the individuals, their families, their communities and the country of course.

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"War is nothing but a  continuation of political intercourse, with a mixture of other means. Man will never be free until the last king is strangled with the entrails of the last priest." 

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