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Government
insincere on health issue
Nokholo
Mhluzani
February 21, 2012
Recently the
government announced that it does not have the capacity to hire
and remunerate more than a thousand state registered nurses who
were issued with their diplomas in 2010 and 2011. This assertion
which amounts to acceptance by the government that it is abdicating
its duties has some bad taste in it especially in view of the fact
that it is premised on the spurious excuse that the government has
no resources to pay nurses. The move paves way for nurses in the
country to seek greener pastures in neighbouring countries and puts
at risk the lives of the residents who have to go to ill-equipped
and under-manned hospitals. Initially government would withhold
diplomas for nurses who completed their training arguing that they
were supposed to be bonded to Government health institutions for
at least three years.
While this is
clearly an easy exit for the government which has developed a penchant
for running away from its responsibilities (remember the teachers-
incentives), this move puts pressure on the already overburdened
patient to nurse ratio. It is also a perpetuation of the old syndrome
where patients are left to suffer because there are no nurses to
attend to them and the results have been very glaring considering
infant, child and maternal mortality rates in the country. At a
time when HIV/AIDS has depleted the health sector the government
needs to find a way of harnessing all the resources at its disposal
to develop the sector.
In its insincerity the government of Zimbabwe wants Zimbabweans
to believe that it cannot continue bonding nurses, who have played
a pivotal role in as far as reducing the health crisis is concerned,
because of lack of resources. This cannot be the case because Zimbabweans
are aware of the diamonds
being looted at Marange and the leakages that have become the
order of the day in most of Zimbabwe-s border posts. While
money is available to pay Members of Parliament, senators and councillors
who are ill-equipped for governance tasks (judging from the little
that the GNU
has done) it is tantamount to betrayal for government to claim inadequacy
of funds. More so, the Public Service Commission conducted an audit
in January 2011 which revealed that there are between 45 000 and
70 000 "ghost" workers on the government payroll. The
people who could not be traced impact heavily on the state-s
already dry coffers. The government, through the Public Service
Commission should ensure that these people are removed from the
payroll as the salaries accorded to them could benefit hospitals
that do not have adequate nursing staff.
The flimsy resources
argument fails to hold any water especially in view of the fact
that Zimbabweans are aware that police station walls across the
country are awash with advertisements of vacancy notices in the
security forces. Clearly if there are resources to continue recruiting
for the army and the police forces why should the government fail
to allocate resources to an essential sector like health.
The Zimbabwean government is indicating left and turning right in
its purported fight against the brain drain. History is replete
with statements of complaint about the brain drain and the many
steps that the government is taking to avert it. Its actions on
the nurses indicate that the brain drain argument is superficial
and a political excuse for failure to provide essential services.
The nurses will benefit countries like Botswana, South Africa and
Namibia where they will not only be appreciated but also paid handsomely.
The government invests a lot into the development of nurses-
skills but instead of making use of the nurses so that they plough
back into the nation-s coffers through tax and also assist
in improving service delivery.
The importance
that the government should attach to the revival of the health sector
cannot be over emphasised. The contribution of nurses towards achieving
that feat should not be overlooked. The expectation is that for
the government, it should be business as usual. Efforts should be
made to ensure that the money leakages in our economy are blocked
and recovered, so that resources can be channelled to essential
sectors such as health and the lives of the people of Zimbabwe improved.
In addition to that, alternative means of resourcing like public-private
partnerships should be employed to augment available funds. Otherwise
even major referral hospitals will be reduced to clinics, and ineffective
ones at that.
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