PETITION CALLING FOR GOVERNMENT TO URGENTLY PROVIDE DRUGS AND OTHER MEDICAL SUPPLIES TO KAMUZU...

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    To: The Speaker of the National Assembly

    Cc: Chair, Parliamentary committee for Health

    Cc: Minister of Health

    Cc: Minister of Finance

    From: Members of Staff, Kamuzu Central Hospital

    Date: 29 October, 2013

    PETITION CALLING FOR GOVERNMENT TO URGENTLY

    PROVIDE DRUGS AND OTHER MEDICAL SUPPLIES TOKAMUZU CENTRAL HOSPITAL

    We, the undersigned, call for URGENT action by the State

    Legislature and the government of Malawi to rescue Kamuzu

    Central Hospital from its current crisis. Currently patients are

    not being served effectively and efficiently because of lack of

    basic drugs and medical supplies. This has led to unnecessary

    suffering of patients and preventable deaths of Malawians.

    There are no diagnostic facilities at the hospital. For example,

    at the radiology department they have not been able to do x-

    ray radiographs for more than a months running forcing

    clinicians to blindly treat patients with conditions like fractures

    or send them away to private radiographers. The laboratory has

    not been able to do full blood counts among other important

    investigations for more than 6 months running because the old

    machine is broken down and there are no reagents. This is an

    impossible situation for any hospital let alone a central hospital.

    There has been no theatre supplies such as sutures, bandages,

    face masks etc forcing the referral hospital to cancel elective

    surgeries and only conduct emergency procedures. This has

    left patients languishing on the wards waiting to find space on

    the theatre list while their disease conditions worsen.

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    Other support services such as the Central Sterile Supply

    Department (CSSD) has not been able to efficiently provide

    sterilizing services due to lack of chemicals and persistent

    break down of the old machines. There has been a

    longstanding lack of cleaning materials such as mops, soap and

    disinfectants, a situation that has put patients and health

    workers at risk.

    The pharmacy has not been able to consistently stock supplies

    such as bandages, sutures, medicines, gauze, and gloves a

    situation that has forced health workers to improvise by using

    plastic papers when handling patient with wounds.

    Patients are being sent away to buy their own drugs at private

    pharmacies because there are no drugs at the hospitals

    pharmacy. As most of these drugs are expensive most patients

    default treatment and end up complicating and dying. Simple

    drugs like brufen and crucial antibiotics are not available,

    patients turn to cry to and even insult the helpless health

    worker at the bedside. What has made the situation worse for

    the health worker is the fact that ministry of health has been

    heard on media telling the nation that the situation has

    normalised at the hospital when that is not the case.

    At the moment, Kamuzu Central Hospital has one running utility

    vehicle which also has a fault. There has been inadequate fuel

    supply which has worsened the problem.

    There has been an endemic scarcity of stationary for writing

    patient case files and for day to day running of the hospital.This has forced doctors and nurses to write on wrappers and

    even on cartons.

    The mortuary has not been spared from the crisis, due to the

    apparent increased mortality there has been inadequate space

    at the referral hospitals morgue whose air condition and coolers

    are not working exposing workers to appalling smell as the

    bodies decompose. The incinerator at the facility is not working,

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    human and other wastes are being unsafely disposed causing

    pollution and posing a hazard to workers and patients.

    Compounding this problem is the inadequate funding that the

    hospital is currently receiving from the government. Despitedevaluation and the free floating of the currency, the central

    hospitals budget has been cut to less than 30 million kwacha

    compared to 80100 million which was given three years ago.

    This is an insult to the managers and health workers, a sign of

    lack of responsibility for the poor Malawian on governments

    part.

    We urge the government;

    1) To provide basic medical supplies and drugs to Kamuzu

    Central Hospital to serve patients effectively and

    efficiently. Kamuzu Central Hospital is not there to providemeals and accommodation to patients but healthcare. We

    took oath to save lives! We are here to work, give us

    materials to work with.

    2) To increase ORT budget for normal running of the Central

    Hospital. The current 26 million kwacha the hospital is

    receiving is not enough for a central hospital. Three years

    ago, the hospital was getting 80-100 million kwacha per

    month, 26 million kwacha today is nothing.

    3) STOP Henry Chimbali from giving false information to the

    public. Kamuzu Central hospital has its own spokesperson

    that is trusted to give accurate information about the

    hospital.

    4) To provide health care workers with adequate personal

    protective equipment such as face masks, aprons, boots,

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    gloves etc. as is stipulated in the healthcare workers Bill of

    Rights.

    5) To send top government officials and politicians to

    Kamuzu Central Hospital instead of flying them to SouthAfrica, India or other countries for simple ailments which

    can be treated here. Why not improve the local hospitals

    so that every Malawian can be treated here, equally?

    Amathawa chani kuno?

    6) On the Cash-Gate scandal, to bring all the culprits to

    book. To confisticate all the stolen property and the

    millions of kwachas recovered to purchase medical

    supplies and drugs.

    7) We want Central Hospitals to be semi-autonomous. We

    need hospital reforms now! We want decentralization now!

    8) we are calling on the State President, Dr Joyce Banda to

    cancel her planned presiding over of the opening of the

    dialysis unit at Kamuzu Central Hospital and the launch of

    the masters program in Obstetrics and Gynaecology atKamuzu Central Hospital and to instead divert the funds to

    solving challenges currently facing the hospital.

    9) To start acting on the petition within 48 hours otherwise

    the services will not continue to be provided at the

    hospital starting from Monday the 4th of November 2013