Tuesday, 2 June 2015

Doctors plan strike protesting small healthcare budget

Intern doctors, specialists and nurses plan to go on strike next financial year should the government reduce the healthcare budget allocation.
 
According to fresh details released in Dar es Salaam yesterday by Sikika, which monitors the Ministry of Health and Social Welfare, the government expects to table a budget of 36.2bn/- in the national assembly today.
The amount is almost half that approved by the national assembly for the ending financial year.
 
Speaking to journalists yesterday, Sikika Executive Director Irenei Kiria described the budget ‘a disaster’ for the country’s impending healthcare challenges.
 
He said Tanzania’s actual budget for essential medicine and medical supplies clocks 600bn/-, but stood at 577bn/- during the 2014/15 financial year.
“This means, the 36.2bn/- represents a deficit  of over 540.8bn/-,” he said.
Kiria said categorically the government decision would not only prevent the nation from realising the Big Results Now (BRN) strategy but affects development efforts in other sectors as well.
 
He said while the BRN initiative targets 100 percent availability of medicine and medical supplies by 2019, the plan was unrealistic.
 
“The government should substantially increase the budget allocation to ensure that availability of essential medicine and supplies improves to 80 percent according to the BRN key performance indicators,” Kiria said.
The Guardian could not verify immediately whether the government decision to cut donor dependence on development projects had back-up plans for healthcare.
 
But the statement issued to media representatives showed that a whopping 36.2bn/- will come from local sources.
 
Reports say that since 2011 government dependence on donor support for healthcare has been on a free fall. In that year, the government expected to get 73.6bn/- from donors while in 2012 it expected 46.5bn/-, the following year it expected 30bn/- and last year10.5bn/-.
 
Despite that the government has allocated 70.5bn/- last financial year of which only 23.5bn/- (about 33.3 percent) was disbursed as of April this year.
 
Yesterday Sikika said that while the budget allocation was 123.4bn/- and 80bn/- in 2011 and 2012 respectively, in the same years the performance was about 60 per cent of target.
 
“If stock outs were recorded above 50 percent when budget allocations were at historical highs, it is very likely that existence of significant stock outs in the 2015-16 financial year were budget estimates of 36.2bn/,” he said.
 
Sikika’s Head of Department of Medicine and Supplies, Alice Monyo, told reporters that it was impressed by the private sector’s commitment towards improving healthcare.
 
She said: “The private sector has always been in time. The government has to take a responsibility role.” 
 
Meanwhile, Health and Social Welfare Deputy Minister Steven Kebwe said he was not aware of the budget allocated for his ministry.
He said he was not in the office and therefore did not take part in the latest budget estimates. “I will inform you tomorrow (today) for I am now on my way from a funeral. I will be at the national assembly tomorrow,” he said and hung out.
 
Attempts to reach Health and Social Welfare minister Dr Seif Rashid bore no fruits.SOURCE: THE GUARDIAN

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