Mr. President got it awfully wrong. If health was a direction West, he looked East and walked on whistling.
I will start by painting the picture with a few allegories.
We have a rugby team that is doing excellent, and a football team that is drab, would Mr Friday- The rugby coach turn around the fortunes of Harambee stars? I don’t know, you tell me.
In most opinions, the country’s Justice system is broken, very few are able to get justice timely and consistently. Would you opine that Mr Titus Naikuni would be able to fix this docket? Isn’t he a manager? And shouldn’t managers have the capabilities of ‘fixing’. Superpowers.
Dear friends, it is true that there is such a thing as a ‘health system’. It is also irrefutable that systems, by their superficial definitions need ‘management’. Such extrapolation implies, for the system to be better managed, you should get the best manager- any manager. Try that in Healthcare and you will realize just how flat wrong you are. We have tried this before, haven’t we?
First, the basic health system is built between a doctor and a patient. It is about how the two interact to achieve a mutually acceptable end. Most of the times, this means good health for the patient and some motivation for the doctor, though not always.
What is critical to understand is that, delivery of Health veers greatly away from the mainstream systems. Its socialistic unlike most of our systems which are capitalistic. The very end motivation thus, is not revenue collection but an upside trend in mortality reversal. I would be damned to employ someone I have to define the basics of what the various mortalities are and what they mean. Put them down and expalin it like I would to a 6 year old how the mortalities have trended over the years, yet again EXPECT him to come up with innovations on how to reverse these trends.
Why are we experimenting yet again? Why not try this in the Justice department? Or maybe get a career bishop/theologian to head it? Wouldn’t he be of ‘more justice and unmatchable morality?’
As we continue with the most disappointing trends in how our mothers die, will we cling to the argument that we need just any manager? Apparently to increase revenue you might argue, ha!
Ask the KNH Lesiyampe how he has managed to collect more revenue from the National Hospital yet our mortalities still rise with each penny collected, yet the number of basic essential machines remain static. Argue on as we die, win the argument, and close the cover to your coffin, softly, do not band it.
I would forgive my boss if he did not understand the contents of the ‘Maputo call for action’ or the OECD criteris for funding AIA, but I should nto forgive him if he has to learn the intricates of ‘ The Abuja Declaration’ ‘The Alma Ata’ and the good concepts of achieving universal healthcare from day one of office. I must not forgive him.
Even if we are looking for ‘the manager’ shouldn’t the knowledge of Health Systems be an added advantage?
I suspect, yet again our sun has been killed. It cannot be this dark and its daytime. LET US PRAY.
#In medicine we use the pen to sign death notifications, it signifies the lowest limit of our endevours.