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Health
Disaster looms in Zimbabwe
Zimonline
August 07, 2004
http://www.zimonline.co.za/downloads.asp?ID=145
HARARE - The Urban
Councils Association of Zimbabwe (UCAZ) warned of a major health disaster
in Zimbabwe's towns and cities and asked central government to take over
health delivery services in cities and towns because the country's financially
paralysed municipalities can no longer cope.
Japhet Ndabeni Ncube, who is also the Executive Mayor of Zimbabwe's second
largest city of Bulawayo, said, 'We are having a problem paying salaries,
buying drugs and maintaining the buildings. We have come to a situation
where we cannot just cope. So the government should take over.'
UCAZ has already sent an SOS to the government about the potentially disastrous
health situation in urban areas. But Ndabeni Ncube said the government
was still to respond. 'They just note it down and sit on it. So we are
just left hanging but we hope it is a proposal they would take seriously
because issues concerning health are serious issues."
Local Government Minister Ignatius Chombo, who is responsible for urban
areas, said his ministry was still considering UCAZ's proposals. 'We will
see whether they are workable,' he said.
Health, sewer and water reticulation facilities in Zimbabwe's towns have
rapidly deteriorated since January this year when the government barred
municipalities from hiking rates and water tariffs.
UCAZ has accused the government of imposing the ban on rate hikes in order
to financially cripple and sabotage urban councils most of which are run
by the opposition Movement for Democratic Change. The government dismisses
the
charge saying the freeze on rates and tariffs is intended to cushion hard
pressed residents.
Municipal authorities say since the ban was imposed they have been unable
to raise cash to run the facilities which had already been in bad shape
even before the freeze on rates and tariffs.
Executive Mayor of the eastern border city of Mutare, Misheck Kagurabadza,
said: 'There is a health disaster waiting to happen. Our clinics and hospitals
are in a state of shame because we don't have funds. We can't even pay
our workforce on time, let alone find money for drugs. Where are we supposed
to get the money if we can't increase the rates?'
A doctor working for Harare city council told ZimOnline that health institutions
in the capital city were virtually unable to provide service.
'We have no antibiotics. No paracetemol, bandages and just anything we
need. We are struggling to feed the patients and we can't even afford
to replace light bulbs,' said the doctor, who spoke on condition he was
not named.
Executive Mayor of Chegutu city (about 80 kilometres west of Harare) Francis
Dhlakama said 'Councils should no longer be burdened with a national responsibility
especially at a time of diminishing revenue.'
The cash-strapped government is struggling to keep its barely equipped
state hospitals functioning. Taking over the running urban health institutions
could hasten the total collapse of Zimbabwe's health delivery system.
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