Health Care SYSTEM - Serving Group interest or the General Public- DFWA-U views
http://www.gsk.com/malaria/pages/malpic24kenyanpharmacy.htm
- IN reference to this article see MPs Get Sh4.7b Medical Cover
Newvision Thursday, 3rd July, 2003.
- We have noted with dismay the growing small group, interested in creating very DISCRIMINATIVE LAWS that serves their own WELFARE interest. Uganda is not for the wealthy and powerful and affiliated fiefdoms who can manipulate the law for their won benefit!
- It is completely unacceptable to the Justice Party (dfwa-u) and goes against its ideological base � SOCIAL JUSTICE FOR ALL. (see http://www.dfwa-u.tk )
- DFWA-U has for some time given views about the Medicare structures as advised by the most EXPERIENCED UGANDAN professional medical doctors located on five continents. Their proposal hinges on studies made around the world and focus mostly on Sweden and Thailand as a desired system in Uganda.
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- These studies in Medicare organisation and medicare services delivery are conclusive and enough to compare well with what is desired for the well-being of our unfortunate citizens; on the lower and lowest scale of society.
- DFWA-U armed with such empirical evidence has got no reason to doubt its medicare policy formulation and which direction medicare systems has to take in this country.
- DFWA �U in power will not honour any medical, pension or health bill that was past by parliament to BENEFIT less than 0.00001216 PERCENT OF THE POPULATION. Our ideological base is a social justice obligation without compromise.
- Therefore DFWA-U states categorically clear, from now on wards, any law past by the parliament of Uganda NOT benefiting OR IN THE INTEREST OF less than 95 percent of Uganda�s population will thus be amended, repealed or outright deleted by dfwa-u government.
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GENERAL MEDICARE
- Justice Party still feels the problem with the entire medicare sector is organisational � that is to say the entire medical care sector must with immediate effect come up with DISEASE DISTRIBUTION maps. It is a mandatory policy for the medicare system that DFWA-U proposed A WHILE AGO and must be implement henceforth.
- Special medicare facilitation for the highest ranks of the civil
servant will be redesigned and streamlined along their service to the general public and work load per week calculated in hours and per mileage cost from location of residence and proximate to medicare centre.
- The highest ranks of the civil servant MUST foot bills for their
medical care outside Uganda � where the situation requires immediate need for the country, such special facilitation must be procured and specialisation immediately created for provisions here in one of our medical centres. Mbarara, Mulago, Gulu independent hospital or the other private hospitals around the country.
- The above is in line with DFWA-U policy of attracting HUMAN RESOURCE DEVELOPMENT, transformation and technological improvement in the country. It does also add points to our socio-economic policy.
- All medical workers must be provided with housing facilities within the closest proximity of their job location � this must be a standard policy the health ministry, works and NHCC must see accomplished within a limited time frame.
- The above is presaged on the national income and expenditure per capita distribution- if we cannot bring in a lot of income in form of taxes then wages must be bracketed within what can possibly be paid BUT without worsening in the slightest terms, the workers and farmers welfare and social justice.
- The Farmers and Workers of Uganda never ever will pay again the cost of any other citizen/s of this country irrespective of status, gender, class were they themselves get lesser services.
- A mandatory fee of between Shs. 300 � 500:- for all citizens must be reinstated in all medical care centres, which money the DISTRICT ACCOUNTANTS must remit to district Uganda Revenue Offices monthly. Accounts books must likewise be remitted to the MoH monthly. This applies to PRIVATE MEDICARE CENTERS too.
- The elderly and children below 18 years of age must get free medical care irrespective of medical care facility they visit (BOTH PRIVATE AND PUBLIC). Otherwise a levy of 17% per charge fee per client in private hospitals will be enforced on private care units to cover such costs for the elderly above 60 years and children below 18 years of age.
- BOTH PRIVATE AND PUBLIC medicare units must have equally the same standards. Where the private medical units have higher standards the public care system must work to meet the standards in a gazetted period of time. MoH board with the ministry of housing, NHCC and social services must institute these standards.
- All Medicare Units and Pharmaceutical shops must get a booklets
outlining in detail the Medicare system and how it must be organised and structured plus the rules and regulations which must be followed including building exterior and interior furnishing.
- Schools, the Army and Police personnel, all factories and commercial farmers [especially flower & mining industry] (BOTH PRIVATE AND PUBLIC) must employ a university or college examined senior medical or nursing officer, to offer medical services. In case of schools; general medical attention to school going children and youth, as factories must also offer regular medical examination to their workers. (this will be become part of our labour law)
- DENTAL AND EYE medical examination for children and the elderly must be mandatory and provided at all medical care units.
- In case of schools; pre and post college schools must employ general practitioners at least one: a medical doctor or the state must finance one to do medical checks once a week in BOTH PRIVATE AND PUBLIC schools.
- All medical care Units in Uganda must have the same specification, equipment, buildings and the same general medical services.
- The above is to encourage not only SOCIAL JUSTICE but is well
engraved in our national hygienic policy and general medicare care
cover for all and also our economic status vis � vis he national tax
base.
- Any Medicare centre or unit that does not fulfil the above conditions will be STIFFLY PENALISED and the directors held accountable for the shortfall. This might call immediate dismissal, withdrawing a working licence or both.
- All Medicare centres and Pharmaceutical shops must get booklets outlining in detail the Medicare system and how it must be organised and structured plus the rules and regulations which must be followed.
PHARMACY
- Besides DFWA-U welcomes efforts that has been made at Wandegeya, Chemo-Therapeutic Laboratories as in order and in � line with the implementation of DFWA-U ideologies namely RESEARCH done by Ugandans, in Uganda and for Ugandans.
- However, the above comes short of the Pharmacologist human resource professionalisation and Pharmaceutical industrial establishment development and transformation, in regard to general medical practice in the country.
- By that we mean to imply that Uganda�s continue to buy drugs from illegitimate sources or that Ugandans do not have access to drugs at all. That is a figure well above over 80 % of Uganda�s population. The figure might be higher as per our estimates.
- DFWA-U wishes to state that in its medicare policy- there must be a standardised policy for drug distribution on a socially justified basis.
- Pharmacologist and Pharmaceutical shops BOTH PRIVATE AND PUBLIC must be located in specifically designated locations where the health medical board have suggested as suitable in either urban, town centres or located around medical care centres for quick access by patients.
- Therefore any type of medical drug sold on town streets and shops by none professionals must be outlaw forthwith for doing so amounts to committing grave harm to the citizens.
- In regard to the above, Uganda National Housing Construction
Corporation (NHCC) , the Ministry of Works and Housing and that of Health (MoH) must design and come up with policy guidelines on Pharmaceutical shops location , construction and acceptable design (structure, colour, labelling and interior furnishing fittings, design and equipment)
- The above must be applied to both PRIVATE AND PUBLIC Pharmaceutical shops.
- As of the above the civic society and law enforcing offices will have an overview and easy job in illegal drug sells as well as dealing.
Systematically there will be a decline in drug safety and
misappropriation.
- Pharmacologist and Pharmaceutical shops BOTH PRIVATE AND PUBLIC must be clearly marked and built in such a manner (i.e. refrigeration & adequate ventilation) that our people who cannot read can immediately recognises and identifies such facilities.
- Professionalism must be guaranteed in ALL Pharmaceutical shops
- all Pharmaceutical shops must all the time be manned by professional Pharmacologist or the alternative clearly identifiable in acceptable MEDICAL CLOTHING codes and name badgers for clear identification. Medical drugs are poisonous therefore should by no means be distributed or sold anyhow. AGOA
- Was the case classifies drugs as herbal a separate sections in
Pharmaceutical shops dealing in such drugs must created and well
labelled.
- The above underpins our URBAN AND TOWN PLANNING, employment and social transformation POLICY which we intend to implement with a religious zeal. Uganda has about 60 major town centres.
- Decongesting urban centres is a prerequisite to good health and
hygienic � were provisions for good health can be distributed optimally.
- DFWA-U has noted in its research that Pharmaceutical shops usually deal in ANIMAL DRUGS besides HUMAN drugs. This is completely illegal, unacceptable and thus the law must be streamlined to meet professional and medical ethical standards
Dfwa-u
End.
MPs Get Sh4.7b Medical Cover
By Felix Osike and James Odong
PARLIAMENT has approved a US$2.36m (sh4.7b) medical scheme to be administered by the International Air Ambulance (IAA).
But the scheme to be funded from Parliament�s budget, has met stiff resistance from some MPs and members of staff of Parliament who want to be paid either in cash or given the option of joining a company of their choice.
IAA�s Sales and Marketing Manager Steve Omwango said, �We feel excited to provide a health-managed scheme for Parliament.� He said other modalities were still being worked out before the agreement is signed. Dr. Ian Clarke, a Kampala medical practitioner, is the IAA proprietor.
The beneficiaries will be the MPs, Clerk to Parliament, directors and
Parliament staff, their spouses and four dependants below the age of 18
years.
Under the scheme, the MPs, the Clerk and the directors will be entitled to hospitalisation in a single room, treatment outside the country, road ambulance, air evacuation within and outside Uganda, out-patient, maternity and dental services.
Parliament will pay US$592,328 (sh1.18b) annually for four years after which the tender will be re-advertised.
Each MP, the Clerk and directors will contribute US$1,358 (sh2.7m) annually to cover the spouse and four dependants while members of staff will each pay US$850 (sh1.7m) per year to cover the same number of people.
Death benefits include casket, transportation for body and immediate family, embalmment, wreaths and preparation of grave.
The MPs� spouses and other dependants will be entitled to similar
services except treatment outside the country.
Their air evacuation outside Uganda will be vetted.
To improve the upcountry coverage of the scheme, the private wings in all public hospitals are to be contracted by IAA.
Ends
Published on: Thursday, 3rd July, 2003
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