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Public health system should wake up from slumber

The guy was just brilliant to say the least.

THE week was sombre following the death of Tatenda Pinjisi, a young and highly promising sungura artiste, who on Sunday succumbed to injuries sustained in an accident.

I fell in love with his songs way back in 2018 when he released  the chart-busting Saina.

The guy was just brilliant to say the least.

He is one person who came to my workplace and we could chat for some time as he highlighted his vision for the music industry.

May his soul rest in eternal peace.

His wife needs everyone’s support considering that she has a one-year-old son and five months ago she lost her mother.

The public health system continues to face problems that hinder health service delivery.

Many people have since lost confidence in the public health system as most infrastructure in that sector is in a state of disrepair.

There is a shortage of essential drugs as well as a demotivated workforce.

The 2007 World Health Organisation health system framework talks of six building blocks of a strong health delivery system, namely health workforce, financing, governance, information technologies, service delivery and medicines.

Health and Child Care minister Douglas Mombeshora faces an insurmountable task to put public health service on the right track.

The minister is a revered public officer, viewed as a listening someone who dedicates most of his time to duty.

Does he have enough ammunition to tackle an ailing health system alone?

Reforms are sustained, purposeful and fundamental changes that have an impact on organisational performance.

Zimbabwe trains some of the best medical personnel in the world, but health service delivery in the country is very poor.

People have asked why the public health system is faltering and the answers not even complex.

There are many contributory factors to the collapse of the public health system, some of them include corruption, maladministration and inadequate health financing, among other factors.

The biggest asset of any organisation is the human resource and failure to satisfy employees on performance management spells disaster.

Organisational performance becomes plaintive without adequate motivation.

It is not a secret that maladministration plays a significant role in the collapse of the public health system in our country.

There is a good number of office-bearers who have been working for some years, but yielding nothing.

Recruitment and selection should be based on meritocracy, not nepotism, favouritism or patronage.

The Health and Child Care ministry has many office-bearers who have been occupying opulent offices for long.

Their aim is no longer to deliver the best healthcare service, they are there for self-aggrandisement.

Positions of leadership or management should be filled by somebody with at least a management qualification.

How can someone run a central hospital without the necessary management qualifications?

Central hospitals are not performing as expected.

There are many embarrassing issues at some of our central hospitals and recently Sally Mugabe Central Hospital was in the news for not having adequate running water, drugs and sundries, among other things.

How can such a big hospital fail to stock even basic drugs, most of which cover chronic ailments like diabetes mellitus, hypertension, epilepsy, HIV and Aids, as well as arthritis?

Funding is one of the most topical issues in the country with government falling short of the Abuja Declaration of 2001, which recommends that at least 15% of the national budget to be allocated to the health sector.

We can plunge deeper into health challenges now that we have an unpredictable president in the United States, Donald Trump, who seems to be at loggerheads with everyone in the world.

If US-funded organisations like the President’s Emergency Plan for Aids Relief withdraw health funding, we may face a health catastrophe unless we increase domestic funding.

The United States Agency for International Development has already been shut down, piling more misery on the local health sector which was largely reliant on the organisation’s funding.

Corruption continues to rear its ugly head and it is a pity that about US$2 billion is suspected to be lost to this vice every year, an amount huge enough to build 50 well-furnished hospitals each year.

We all want to achieve Vision 2030 where issues of health equity, equality and universal health coverage take centre stage.

Universal health coverage is possible, but do we have the right people to be flag-carriers for Vision 2030 or we only have opportunists bent on lining their pockets?

Radical revamping of the entire system should be a priority at this juncture.

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