Christine,

Thank you very much for this info. Two weeks ago, I was talking to Dr. Omale 
and he told me that in Arua hospital, they are really overstretched because of 
their few numbers. There is a lot of work that the current number of doctors in 
the hospital can't match. Some of them have been transferred elsewhere, some 
have gone for further studies, others promoted like Dr. Ondoa but without 
replacements. I was able to see the fatigue on his face.

By the way, I was watching TV news last evening and one of the stories was 
court ruling against the civil society organizations who sued the government 
for not doing much to avert the maternal deaths. Any further hopes?

Ismail
-------------------------------------------------


________________________________
 From: Christine Munduru <[email protected]>
To: banduga ismail <[email protected]>; A Virtual Network for friends of West 
Nile <[email protected]> 
Sent: Tuesday, 5 June 2012, 23:06
Subject: Re: [WestNileNet] Dr. Onzivua appointed as Health Ethics trainer by 
medical council
 

Dear Ismail, unfortunately Dr. Onzivua does not seem to be in this net and he 
may not respond to you directly. I posted this here myself and let me give you 
just a little background to this appointment. I know that Dr. Onzivua had he 
necessary skills and training to get this appointment but what has prompted to 
this appointment is the pressure that has been put on government and the 
medical council about the deaths of women that have been taken to court. In 
particular, the case of Anguko Jennfier and Mercy Ayiru. Dr. Onzivua has been 
very instrumental and critcal right from hour one of Mercy's death,whatever the 
outcome of the verdicts  in the various suits will be, his contribution is 
appreciated. He stood for the truth amidst intimidation and money which would 
be  a problem to many of us though we have our various ethics in our trainings.
 
 Since these two cases got to court and media coupled with the agressive follow 
up by the people concerned, government has been under pressure from both 
international and national community.Many death cases have so far been reported 
to medical council and a number are in courts and ,medical council is 
overwhelmed. This appointment came as a way of government showing that they are 
acting, they started developing a training manual for rights-based approach to 
health care delivery at MoH and to implement this needs professionals who are 
trained in that particular area.I know health workers  have ethics in their 
training but practice has been a challenge due to various reasons. As 
government tries to sabotage the cases as it happened today, am told because am 
not in Uganda, they are busy trying to clean the house. But this will be 
effected if the pressure continues and we continue demanding for justice and 
fair treatment. I dont think it should be a
 problem to replace Dr.Onzivua in his previous work, look at Dr. Ondoa, the 
current Health minister, she worked in Arua hospital and she has moved since 
then but her appointment as a minister has never left places she worked before 
empty. People will aways climb up and will always be replaced, I am sure there 
are many pathologists to perform his previous duties and clients will not be 
left unattended to, the only thing to miss will be the honesty and truthfulness 
with which he perfomed  the duties.
 
If everybody enforced their professional ethics and conduct correctly, we would 
not need such additional training and most of the problems we have would not be 
there. My humble appeal will be, not only to think of health workers alone in 
issues of ethics and professional conduct but all of us, some of us have robbed 
the community of what belongs to them and we are happily pointing figures 
to others. we have made people die of water related diseases and concentrated 
clean water sources in our homes, we have eaten HIV/AIDS, TB and malaria money 
and made people die of these diseases, we have eaten UPE/USE money and left 
schools to collapse  etc and these are not only medics but other professions 
too and these are all ethical issues. So let us learn to be our 
brother/sister's keeper and let us love our districts and our country and do 
the right thing at the right time and in the right place, we will live 
a peaceful life.
 
Christine
 
On Sat, Jun 2, 2012 at 12:14 PM, banduga ismail <[email protected]> wrote:

Many have congratulated Dr. Onzivua for this appointment. I want to 
congratulate him as well. As alluded to by many, this is good for us because he 
is our own.
>
>
>Lets take a minute and see beyond the appointment and see the probable 
>implications. At times, its not good to speculate. But speculation is a human 
>attribute. Please forgive me for speculating in this matter. What does this 
>appointment mean to Dr.s' hands-on practice? What does it mean to his 
>patients? What does it say about the medical training of our health 
>professionals? I don't have answers to these questions myself. I am just  
>sharing my thinking. Maybe Dr. himself might want to help me understand the 
>implications of this appointment. 
>
>
>Take a second minute and assume that 60-70% of the health professionals in 
>practice in Uganda today do not practice the health ethics correctly and hence 
>the need for health ethics training. I see Dr. having a huge work to do that 
>will see him busy 24/7, traversing Uganda north, west, east, south and central 
>considering the number of health professionals and health units in the 
>country. Now that we are moving towards the East African Federation, Dr. might 
>find himself training in Tanzania, Burundi, Rwanda or South Sudan. If this 
>will be true, my guess is, it will keep Dr. out of hands-on practice. This 
>maybe bad news to his patients in the interim.
>
>
>I want to believe that all professions have what is called professional ethics 
>which constitutes the training one undertakes to become a professional in that 
>field. I am familiar with the teachers' professional ethics, commonly referred 
>to as the teachers' code of conduct because I am one.  This is one of the 
>professional course units someone training as a teacher is introduced to 
>before he/she is pronounced a teacher. However, this does not mean all 
>teachers know it by letter and live by it. What happens at the school level is 
>enforcement. That is what the head teachers, inspectors of schools and DEOs 
>ought to do. My gut feeling is that  either the health ethics is not 
>emphasized in the course of training or the supervisors are not enforcing it 
>at the respective points of practice. Assuming this is true and this training 
>has to be integrated into the curricula of medical training. Dr. may find 
>himself moving from one medical school to another, a
 call that will further keep him out of hand-on practice.
>
>
>All this is okay because there will be many more after the trainings 
>practicing according to ethics. I hope Dr. will have the resources and 
>cooperation he needs to discharge of this duty. I hope medical council, the 
>appointing authority will give him the space he needs to transfer the 
>knowledge he has to others so as to improve the health service delivery. 
>
>
>Ismail
>------------------------------
>
>
>
>________________________________
> From: Alex Adaku <[email protected]> 
>
>To: A Virtual Network for friends of West Nile <[email protected]> 
>Sent: Friday, 1 June 2012, 19:26 
>
>Subject: Re: [WestNileNet] Dr. Onzivua appointed as Health Ethics trainer by 
>medical council
>
>
>Congs. 
>
>Dr. Adaku Alex
>
>
>--- On Wed, 5/30/12, Dominic Matoni <[email protected]> wrote:
>
>
>>From: Dominic Matoni <[email protected]> 
>>
>>Subject: Re: [WestNileNet] Dr. Onzivua appointed as Health Ethics trainer by 
>>medical council
>>
>>To: "A Virtual Network for friends of West Nile" <[email protected]>
>>Date: Wednesday, May 30, 2012, 5:08 PM 
>>
>>
>>
>>Hallo Everyone,
>>Can someone provide me with e-mail and phone contacts of Dr ONZIVUA?
>>I will appreciate very much.
>>Thanks
>>Dominic Fr
>>
>>
>>2012/5/30 Christine Munduru <[email protected]>
>>
>>Thanks for correction, I think I was excited while writing and the little 
>>english jammedChristine
>>>
>>> 
>>>On Tue, May 29, 2012 at 12:48 PM, Harold Acemah <[email protected]> wrote:
>>>
>>>To All,
>>>>
>>>>Greetings from Wandi, Terego. I would like to congratulate Dr. S. Onzivua 
>>>>for his well-deserved appointment to train Ugandan Health Workers in Health 
>>>>Ethics and, I believe, Professional Conduct (not contact). I wish him every 
>>>>success.
>>>>
>>>>Harold E. Acemah
>>>>AMBASSADOR (Rtd) 
>>>>
>>>>
>>>>
>>>>On Tue, May 29, 2012 at 12:06 PM, Robert Ejiku <[email protected]> 
>>>>wrote:
>>>>
>>>>Congs to our great Dr., Onzivua. 
>>>>>Ejiku
>>>>>
>>>>> 
>>>>>On Fri, May 25, 2012 at 3:47 PM, Christine Munduru <[email protected]> 
>>>>>wrote:
>>>>>
>>>>>Dear all,
>>>>>>Due to the campaign we had on maternal deaths, our own brother Dr. 
>>>>>>Onzivua who has been fighting together with us has been appointed to 
>>>>>>train the health workers all over Uganda on health ethics and 
>>>>>>professional contact by medical council.
>>>>>> 
>>>>>>Some thing to be happy about 
>>>>>>Christine
>>>>>>
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>>>>>
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>>
>>
>>-- 
>>
>>Matoni Bileo Dominic 
>>Casa Betania
>>Via Antonio Zanoni, 44
>>00134 Roma, Italia
>>università: www.upra.org/bioetica
>>E-mail: [email protected]
>>Italia Cell:+393313958375
>>skype: aduduamoi
>>
>>
>>-----Inline Attachment Follows----- 
>>
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