THE SMART NEWS SOURCE | Feb 10 2010 01:31 | LAST UPDATED Feb 10 2010 01:31 |
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South Africa's public hospitals are in a bleak state with failing equipment, a lack of basic consumables and dwindling numbers of doctors, Parliament heard on Wednesday. Professor Bongani Mayozi, the head of internal medicine at the University of Cape Town, told the portfolio committee on health it was taking up to three days for patients to get a bed in a public hospital. "It takes about 24 hours a day for us to put 50% of people into a bed," he said. "These people are sitting on a chair or lying on a trolley. They are very sick. They need to be admitted. Some people wait up to three days to get into a bed. "We regard this situation as completely unacceptable. Something that you would not wish on your mother or father." Mayozi said surgical lists in many centres had been cut, equipment had not been renewed and there had been an overall decrease in tertiary level beds. The capacity to train new doctors had also been severely diminished. "When you go to war you need troops. You can't fight a war without soldiers." South Africa is producing 0,58 doctors per 1 000 people, he said. Brazil and Mexico, with a similar gross domestic product per capita, are producing nearly two doctors per 1 000. "As a result of this, South Africa's infant mortality rate is a lot higher than it should be and more people are dying from infectious diseases," he said. Mayozi said the situation had arisen due to an "increasing demand" with "diminishing resources". "When one looks at the reasons for the lack of progress, they are not difficult to find. They are related to under-investment to our public health sector over the past 15 years." Andries Stulting, the acting head of the school of medicine at the University of the Free State, said the province's healthcare situation is in a dire position. "There is a collapse of systems in the Free State. TB, HIV, primary healthcare, hospital services, training platforms, research, you name it, we are declining. "We can't do elective surgery anymore [such as] patients with hernias and cataracts. They don't seem to be emergencies, so we cannot operate. People go blind and people can't do their work. "We don't have basic things like eye pads, eye shields, medications ... or should we keep quiet because we can be reprimanded? "I hope I can give you some good news, but at the moment there is none." -- Sapa TOPICS IN THIS ARTICLE
Comments
John Smith on October 21, 2009, 3:35 pm
It's a crying shame! And to think that the Govt. still wants to put a NHI in place. It's not going to work, the system will fail, because they do not have competent people as managers.
In North West Province, patients are dying in the waiting rooms, nurses and admin staff are taking tea breaks, and just do not care.
Marie-Louise Lever on October 21, 2009, 4:19 pm
Goverment must build four new medical universities in Limpopo,North West, Mpumalanga and Northern Cape if it is serious about adressing the shortage of health profesionals. We are able to build new soccer stadiums so there is no accuse not to build these new universities. For how should we complain about the same problem year after year. The population is increasing every year but the number of new doctors that are trained every year to treat this increasing number of people is the same because no new medical schools are build. Wakeup, start building know, before the situation get worse.
Lebo Maduna on October 21, 2009, 4:20 pm
And the ANC really thinks we are all going to join the NHI with a smile on our faces? I think not.
L H on October 21, 2009, 4:27 pm
How is this a new revelation, the South African health care system has been failing for years now and no one in government seems to care all that much. They are all on medical aid and the rest of the poor souls in this country are left to suffer. I think the first thing we need to do is take all PM and NEC members off medical aid and lets see how quickly they start working to fix the declining health care system.
Thuli Mnyandu on October 21, 2009, 4:54 pm
My goodness! You mean our ministers and parliamentarians have not been aware of how dire the situation is all this time? When are we going to see action? I'm tired of these never ending task teams and fact finding missions and reports to parliament, it's time our government stopped talking and ''listening'' but started delivering full stop.
Miss CB on October 21, 2009, 5:31 pm
For sure with things how they are in the actual health care system,we will never go anywhere with a National Health care system.This health system must be fix.Starting with the administrators,managers,get more staff and pay them well,provide the medicines and equipment needed.
Is high time that we get the people that can fix the system,without corruption and high bonuses with no performance. The over 44 million that ministers had misuse in getting German car could had been use to pay better salaries to doctors and nurses.All the money wasted in CEO bonuses,like ESKOM,SABC AND ALL THE OTHERS COULD HAD BEEN USE FOR EQUIPMENT.All the money in ineffective trips and fancy hotels could had been use for medicines. That is why we most oppose the NHI.
olga wueen on October 21, 2009, 5:38 pm
Why should I give up my privately funded healthcare, for a failed public system? Why should I trust the government with more of my money, when they spend it merrily on fancy vehicles and 5 star hotel stays?
Sinudeity @gmail.com on October 21, 2009, 6:01 pm
People who know what needs to be done in the Health Sector are usually on the asking side of the table.Eg. Doctors striking to request attention from less-competent & less-qualified Public Health Administrators. If a Manager of a Hospital / Public Health System is somebody who didn't even do Maths at High-school / University then that manager is doing MBA (i.e. Management By Assumptions).
The Public Sector should set the same standards as the (top) Private Sector Companies when it comes to competency specifications - any private sector Professional or Manager has a relevant Honors Degree as a minimum rqrmnt (& not in Polotical Science please) before managing anybody, let alone leading an institution with technological equipments & complex logistical systems to match practicing professionals on the ward-floors. There should be at least two courses @University Medical Schools dealing with Medical Logistics (e.g. Engineering Logistics for an Industrial environment), & Health Facilities Management being the other - then Medical Practitioners like GP, Surgeons, Pharmacists should be able to have a Career Progression Route that channels them to Management & Public Health Administration Level. Whilst others take a more technical "Specialist" route as currently is the case for almost all. There should also be a set of standards & codes outlining minimum requirements for Public (& Private) Health Hospitals and clinics (like Industry Standards used in the Engineering & Built Environment Sector) - these are legally enforceable under the OSHAct. Is there no minimum requirements & Industry Standards for the Medical Environment? This practice of superimposing Social Scientists to run/dictate/advice/consult & mess-up everything everywhere is not-on etáll!
Z B on October 21, 2009, 7:25 pm
GOOD QUESTIONZ ..
Sinudeity @gmail.com ! Do you really X-prct the answerz (rhetoric ques?)?Don't think so...coz all the ansaz R ol ova da place...! Denials 4rm the African National Confusion has costed this country a lot...... We R million inchez towardz Zim.....Waag N kyk, as long as the current ANConfusion is on [abused]power! Yes! Yes! Yes!
GONONDER OMKHULU on October 21, 2009, 7:31 pm
ANC and leaders in SA - YOU REAP WHAT YOU SOW. Your time is going back to the days of poverty and donkeys. You just cant leave the public funds alone, you have to steal and pillage everything you lay your hands on. You're a bunch of total and complete idiots. You need to re-skill by skill and not by colour of the skin. The maboere weren't so bad after all, but a lot of them have now left SA for UK, NZ, Oz et al - so suffer in it you miscreants of humanity.
Derek Nykamp on October 21, 2009, 7:31 pm
Under apartheid, health care for ALL state patients, whether black white and brindled, was infinitely better. Under the inept ANC regime the entire show has descended into one more vast shambles.
Jon Low on October 21, 2009, 7:56 pm
And they think they can run a NHI? It would be a case of all of us forced to use that diabolical service while they fly off overseas for treatment. Like all the African dictators. Either coming here or Europe for treatment.
Tiger Lily on October 21, 2009, 8:31 pm
Why don't they try and convince BMW and Hilton to contribute money to the ministry of health in repayment of favours and maximum profits?
fred sevillano on October 21, 2009, 11:39 pm
This is sad, truly sad
That we have so much talent and yet we develop it for other countries, why, is it that Africa is the milk cow of the world, and yet Africa is to stubborn to kick the buck over, we just allow, and allow, and allow.
No Political Connection on October 22, 2009, 12:25 am
It's about time the ANC changed the names of all the general hospitals to some Africanist name that they can make up. That will fix things.
Jason Whitehead on October 22, 2009, 3:06 am
Again I see individuals like PSA and 2Boy never leave comments on blatent ANC failings like this. They would rather rant about UFS, name changes, or similar, where the masses are not affected. Good Health care is like having good drinking water. Pity the ANC turned SA's into a toilet bowl.
Pasta Bag on October 22, 2009, 5:18 am
i think 2boy got booted after taking his insults to far yesterday.
but rest assured, someone will be along shortly to a: blame apartheid b: mutter some mumbo jumbo about all south africans benefitting from healthcare and not just white supremacists, or facists (losing track what the popular term is now, could even be counter revolutionaries) c: call Prof Mayozi a coconut/white lover/sell out who is no better than Jansen d: bring up Zille, botox and Western Cape delivery issues e: accuse MG of poor journalism and all the commentators of being racist
Ian mcintosh on October 22, 2009, 6:56 am
It makes sense that the systenm is under pressure because it was designed to cater for only 2 million people...................
Proudly_South African Proudly_South African on October 22, 2009, 7:20 am
Proudly_South African Proudly
And now, after 15 years , the system can only cater 1.5 million, of which 20% will probably get aids and 10% will die (assuming that 10% is babies). Fellow commentators, the NHI is a good idea but once again it will be implemented by the illiterate. So the result of the NHI will not uplift the state institutions, but Africanize the private health institutions. The same incompetent treatment for all. Just wonder who’ll get the NHI catering, security, communications and construction tenders.
moloko moloko on October 22, 2009, 8:12 am
And it took them up to now to realise this?
Fed up on October 22, 2009, 10:37 am
It makes sense that the systenm is under pressure because it was designed to cater for only 2 million people...................
----------- And the few million that have now ripped off the nation under the Bold and Blatant Enrichment (BEE) and Affirmative Accumulation (AA)schemes don't give a shit about you or me eiher so nothing will get built. If any of them shed a tear over this it will be from the smoke of their fancy cigars and it will probably fall into their blue label on the rocks. I mean, bro, you mean in 15 years they couldn't build hospitals or power stations instead of buying swedish planes, german frigates, french submarines, etc? Did I forget german cars and fancy hotel trips and 2000 km daily motoring? Contrary to what you may think, millions of all walks of life acknowledge the past together but please don't talk shit about the cock ups of the past if you are not going to do anything to rectify them. You can't turn the clock back no matter what but you can rectify problems if the will is there. I don't mind paying taxes to build hospitals but I have an issue with major theft, multi-million salaries while my power gets cut, expensive farcical criminal trials, expensive military equipment left to rot, police that will kill my girlfriend because the cannot read a number palte, do you want me to carry on? I tell you, I don't give a shit anymore. From now on, only I count and I'm looking after me only.
fred sevillano on October 22, 2009, 2:33 pm
Just what happened since 1994 when the current government took over fully functioning and efficient hospitals? I remember in 1993 being in an accident and breaking my arm and being taken to Barra where it was x-rayed and set. Unlike today no long lines of people waiting for medical attention, no shortage of staff and medical supplies and all the beds equipped with bed linen. What happened since then? I know that our population increased but that alone can not explain the deterioration in the health services across the board. Education and Health Care should have priority over pointless spending like our arms deal and I am not talking about the rusting subs but rather the proposed Airbus 400 deal – 47 Billion can buy a lot of medical supplies and school books and by the way just what and whom do we need to defend against? Invading job seekers from Zimbabwe? And those misguided souls in power who talk about NHI where do you go to when you need medical care? A state hospital? Somehow I don’t think so.
Obed Memela on October 22, 2009, 6:00 pm
The solution to rectify the health care problem is quite simple, just force all the Ministers to make use of Government hospitals and no queue jumping either. Anyone want to guess how quick conditions will improve? By the way when last did Blade Nzimande go to a Government hospital for medical assistance?
Chris Nell on October 22, 2009, 6:56 pm
The only way to resolve this type of service delivery problem is to force the powers-that-be to engage with it. How? By forcing all MP's and govt employees to use Public Services. They are protecting' themselves from the results of their mismanagement by using private services. If they had to use the services they are responsible for, there is no way that they would allow things to get so bad. By living in ivory towers they are positioned to ignore the realities of their failures. This applies to education and policing too.
Ruth Longridge on October 22, 2009, 7:00 pm
Obed, I am impressed dude. I appreciate your honesty. That is exactly right. What has happenned in the last 15 years that has turned the best state facilities in Africa into a complete and utter mess. It's dangerous to get sick and go to hospital. You could die. You metioned linen on the beds. Well our brothers walked out the front door with the linen on thier backs. I mean that literally. And anyway, the article says, and I quote, Parliament hears of poor state.... well that's complete bullshit. They are all too fast asleep in parliamnet to hear jack. And I mean that literally as well.
Apocalypse Now on November 20, 2009, 10:27 pm
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The fruits of these "success" stories are for all to see; BMWs' Mercedes Benzs', Range Rovers.
Folks, this is Africa!