The rate of increase in size and numbers of all these institutions are only match by the rate of decline in our health status. So, are this institution design to improve our health status?
My assessment is that these institution were not designed in the first place based on sound philosophy of health but are merely accidental inheritance and poorly copied organizations that did not benefit from thorough assessment of their role in our lives.
Why would FMOH be responsible for management of tertiary hospitals for example? the FMoH does not have a better financial system/capacity compared to this institutions, it does not have better managers neither does it have better technical competence? so, what is the advantage of having this institutions finances, board appointments, other procurements run from far away Abuja? And what is the business of FMoH providing services anyway? who are these services meant for and why? There is no where the targets of these hospitals have been defined and there is no system in place to know if these targets are been served. will have to stop here and continue later
Doc Sir,
ReplyDeleteyour post is wonderful. The gospel truth for people who can see beyond their nose is, the more you look, the less you see. I may not be a core technical person health-wise, but from my distant appraisal as a layman,much more need to be done to get our health system back on track.
Bala Abubakar(ACE)
Thanks
DeleteSadiq, don't you think there are better ways than re-starting from the scratch?
ReplyDeleteDo we have the right in the right places to come up with a new improved system?
What about further decentralization? Don't you think that could improve the sector effectiveness?
Thanks Nisser for leaving a comment. The frames of reference that currently drive our actions in the health sector is fundamentally flawed. There is scope for decentralisation but first of all the underlying values that our systems are built upon have to be addressed.
Deleteyes,re-starting could not be the best of options.What about further decentralizations????
ReplyDeleteDo we have the adequate HR pool (especially in the North) to effect quality decentralizations??The ans. is No.Cant we then look down at the policy issues and try to integrate for a start.From PHC to 2ndry uptill the tertiary no connections at all (more of a stand alone picture) coupled wit institutional corruptions the situation is really bad.
Absolutely
DeleteIntellingence failure led to 9/11 in US in 2001.The failure of all the agencies and deparments charged with the security and defence of the homeland and ward off threats from outside, to work as a team and share information led to a chink in the US defence network.
ReplyDeleteHealth is an integreted business, and all the staleholders must synergize and collaborate to ensure setted objectives are accomplished timely and completely.The determinant of health is not pharmceutical but social health primarily is not built of medicine but on the circumstances in which we live.
The MDGs to me is the milestone to a sustainable healthcare, because it brings on board all the sectors that are critical for an effective, affordable and sustainable health for all.If we can achieve all the targets of the MDGs, we will be very close to a health society.
The way to sustainable health is a concerted, integrated and holistic approach.
Yes, there is no us and them in the health system. we are all in this mess together and it is killing us fast.
Delete