{"id":20127,"date":"2022-10-02T11:49:12","date_gmt":"2022-10-02T11:49:12","guid":{"rendered":"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty"},"modified":"2022-10-02T12:12:10","modified_gmt":"2022-10-02T12:12:10","slug":"the-call-of-duty","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty","title":{"rendered":"The call of duty"},"content":{"rendered":"<p><span style=\"color: #ff6600\"><strong>Africa-Press &#8211; Lesotho. <\/strong><\/span>Growing up in Mokema, Ha-Lebakae, Dr Mahali Nt\u0161asa always wanted to do something challenging and medicine seemed a natural choice. \u201cIt is an honourable profession, it deals directly with human life.<\/p>\n<p>And I wanted to impact people personally,\u201d she said. \u201cAlso, it was a smart choice for sustainability. I am happy I chose it. I love my job. I would never want to do any of their job.<\/p>\n<p>\u201d She holds a Bachelor of Medicine and Bachelor of Surgery (MBChB) from the Walter Sisulu University, Eastern Cape, South Africa.<\/p>\n<p>Initially, she didn\u2019t want to return home after her graduating as the only lifestyle she could imagine was that of being in South Africa as a medical doctor.<\/p>\n<p>\u201cIt was disappointing to learn that I had to come back home and after our arrival we didn\u2019t have enough people training us as interns at Queen \u2019Mamohato Memorial Hospital (QMMH) as specialists were inadequate.<br \/>\n\u201cMy management of patients was quite narrowed because I didn\u2019t have enough investigations to support the diagnosis I could make,\u201d she recalled. In more advanced countries, medical personnel have plenty of resources at their disposal.<\/p>\n<p>She said this continues to be a challenge because at the district level, one is expected to be independent but at the same time there is a need for mentorship which isn\u2019t possible as there is a national shortage of doctors.<\/p>\n<p>\u201cWe are very few to support one another and some wards just have one doctor. It\u2019s not supposed to be like that, we need to be consulting each other but we are very few and burdened with a lot of work.<\/p>\n<p>\u201cIt\u2019s quite a challenge to work as a doctor in Lesotho because our health system is also burdened with a lot of challenges. It\u2019s not the easiest of jobs,\u201d said the 34-year-old who is in her eighth month as the Mafeteng District Medical Officer (DMO).<\/p>\n<p>After her internship at QMMH, she worked at Motebang hospital for two years before transferring to Nt\u0161ekhe hospital, in Mohales Hoek for a year and then joining Mafeteng government hospital as the Medical Superintendent when Covid-19 became a crisis.<\/p>\n<p>Dr Nt\u0161asa didn\u2019t have a smooth upbringing as she grew up an orphan who lost her parents as well as her grandmother who was her guardian at the time in three consecutive years.<\/p>\n<p>\u201cI come from very humble beginnings,\u201d she said. As the seventh child, she and her siblings were raised by their aunt and uncles.<\/p>\n<p>\u201cBut I grew up in different houses from my uncle, aunt and my elder sisters when they got married. A lot of people contributed to raising me. \u201d As a top student, she got a scholarship that paid her fees throughout high school.<\/p>\n<p>\u201cI only struggled with uniforms and cosmetics but food wasn\u2019t a problem since I stayed in boarding school.<\/p>\n<p>\u201d She says she became a top student throughout her lower education; primary, secondary and high school.<\/p>\n<p>\u201cI have always been book smart,\u201d she says.<\/p>\n<p>However, things quickly changed when she got to the National University of Lesotho where she was studying for a Bachelor of Science degree. \u201cI didn\u2019t do well.<\/p>\n<p>I was quite depressed because I wanted to go to Machabeng College for IB. I was sure from Form D that I wanted to study medicine. But I wasn\u2019t allowed to switch to Machabeng after attending the PESP programme at NUL for three months.<\/p>\n<p>So I stayed and I almost failed. \u201d She said she was then restricted to a single major in physical geography, quite different from what she wanted. \u201cBut because God has never forsaken me, I was admitted into MBChB.<\/p>\n<p>\u201d She completed her medical degree in six years.<\/p>\n<p>\u201cMy life has been amazing ever since, financially speaking,\u201d she says, laughing. Dr Nt\u0161asa said her main motive was to get an education and work for her bread.<\/p>\n<p>She said she joined the hospital in the middle of the chaos caused by the pandemic. Her biggest challenge was to ensure teamwork amongst doctors and all the clinical staff.<\/p>\n<p>\u201cMy reception was quite good as I was a Mosotho and the language was not a barrier.<\/p>\n<p>\u201d One challenge, she said, was that it was her first time in high office.<\/p>\n<p>\u201cEven though I had leadership qualities growing up as I was chosen to be a leader from class monitor, head prefect and the president of Lesotho Medical Students Association. But still it was nothing compared to this,\u201d she said.<\/p>\n<p>\u201cIt was a big adjustment for me to deal with issues such as assets, finances, people\u2019s management and having to deal with other people even though I was the youngest in the room outside medicine,\u201d she said.<\/p>\n<p>She said occupying the office was a challenge as the hospital was transitioning to have a quarantine facility. \u201cIt was busy and we had a lot of problems with oxygen challenges which led to needless deaths as people succumbed to Covid-19.<\/p>\n<p>\u201cHaving to deal with all that at once, including getting used to my new role in a district I didn\u2019t know anyone was a bit challenging.<\/p>\n<p>Fortunately I got all the help I needed from other role players in this fight and we did well. \u201d Dr Nts\u2019asa says infrastructure is the biggest challenge facing the Lesotho\u2019s health system.<\/p>\n<p>\u201cThe hospitals have become so small for the population we are serving \u2013 all the buildings are too small to accommodate everyone.<\/p>\n<p>\u201d She says equipment is another problem as there are no CT scans and IMR machines and people have to go to private clinics that charge over M4 000.<\/p>\n<p>\u201cNot everyone can afford that amount and it\u2019s unfortunate as we live in a country with a lot of people suffering from hypertension. It\u2019s very difficult,\u201d she lamented.<\/p>\n<p>Also, Intensive Care Unit (ICU) services are a challenge as they are only available at Queen Mamohato Memorial hospital and the capacity is small with just 10 beds.<\/p>\n<p>\u201cFortunately, the ministry is working on introducing nationwide critical cares at Mafeteng, Motebang and Berea as we now have oxygen plants at those places and clinicians, nurses and doctors are being trained.<\/p>\n<p>\u201d She says human resources are another problem.<\/p>\n<p>\u201cWe don\u2019t have doctors but it\u2019s said the establishment list is full so doctors can\u2019t be hired. We are short staffed. \u201d<\/p>\n<p>She said the hospital is only left with four Basotho doctors as the contracts of foreign doctors haven\u2019t been renewed. Of the four, one was attending a workshop and the other was off after working for 36 hours.<\/p>\n<p>\u201cIt was just horrible and this halted the outreach programme. We can no longer do that because we don\u2019t have enough doctors and it\u2019s not just a case in Mafeteng but it is a countrywide concern.<\/p>\n<p>Without doctors, the hospital might be just a clinic yet this was supposed to be a regional hospital. It should really be stocked with doctors and specialists.<\/p>\n<p>\u201d She said upgrading oneself is a challenge and people are forced to study in their own time at their own expense.<\/p>\n<p>\u201cStudy is not happening at the rate that it should be. The country lacks specialists.<\/p>\n<p>It\u2019s just a mess as to why role players don\u2019t push for Basotho to pursue their studies and specialise so that the people can get quality health services and this can only when there are specialists in all relevant fields.<br \/>\nShe says \u201cit\u2019s easy\u201d to overcome these challenges: extend hospitals, hire doctors, send doctors to school, buy the needed equipment and pay people what they are worth.<\/p>\n<p>\u201cI really don\u2019t think it\u2019s difficult to address these challenges\u2026we just have people who don\u2019t want to deal with them.<br \/>\nShe says she would like to specialise in internal medicine but \u201cmy leadership qualities overshadowed everything I was doing clinically and I was needed.<\/p>\n<p>She says since she is now into administration, she plans to take \u201cthe office route\u201d by studying public health, business administration or health care management.<\/p>\n<p>\u201cBut since I am a clinician at heart, I still believe that if an opportunity comes to specialise in internal medicine I will happily grab it. I would be the happiest person if that happened. \u201d \u201cHowever, I also realise that our ministry is lacking in several departments.<\/p>\n<p>It would be wise for me to further my studies so that if an opportunity to work at the ministry\u2019s headquarters presents itself, I will have the right qualifications.<br \/>\n\u201cMost of our bosses in the country are old and the problem is our youths are now more interested in entrepreneurship than holding positions in offices for the betterment of Lesotho,\u201d she says.<\/p>\n<p>She says for her, saving just one life was a milestone as it is something she prayed for when she was still at medical school. \u201cThe more lives I save, the more grateful I become and the more I want to save.<\/p>\n<p>If I had to change to clinical practice I would happily do but I am also happy that I have been afforded a chance to be in a big office at my age. I feel honored and privileged and it only means I can go higher from here.<\/p>\n<p>She says she has a supportive environment at home as she is married to a doctor as well. \u201cIt\u2019s very nice to have someone understanding and supportive whether clinically or administratively. It indeed makes the journey quite easy.\u201d<\/p>\n<p><strong>For More News And Analysis About <a href=\"https:\/\/www.africa-press.net\/lesotho\">Lesotho<\/a> Follow <a href=\"https:\/\/www.africa-press.net\/\">Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Africa-Press &#8211; Lesotho. Growing up in Mokema, Ha-Lebakae, Dr Mahali Nt\u0161asa always wanted to do something challenging and medicine seemed a natural choice. \u201cIt is an honourable profession, it deals directly with human life. And I wanted to impact people personally,\u201d she said. \u201cAlso, it was a smart choice for sustainability. I am happy I [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":20126,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3,8,16],"tags":[233,246,2076,245],"class_list":["post-20127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-community","category-homepage-english","category-twitter","tag-africa-press","tag-africa-press-lesotho","tag-doctor","tag-lesotho"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.1 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The call of duty - Lesotho<\/title>\n<meta name=\"description\" content=\"Growing up in Mokema, Ha-Lebakae, Dr Mahali Nt\u0161asa always wanted to do something challenging and medicine seemed a natur ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The call of duty\" \/>\n<meta property=\"og:description\" content=\"Growing up in Mokema, Ha-Lebakae, Dr Mahali Nt\u0161asa always wanted to do something challenging and medicine seemed a natur ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\" \/>\n<meta property=\"og:site_name\" content=\"Lesotho\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-02T11:49:12+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-02T12:12:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2022\/10\/postQueueImg_13-633980001ba00.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditoren\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditoren\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"The call of duty\",\"datePublished\":\"2022-10-02T11:49:12+00:00\",\"dateModified\":\"2022-10-02T12:12:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\"},\"wordCount\":1597,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2022\/10\/postQueueImg_13-633980001ba00.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-Lesotho\",\"doctor\",\"Lesotho\"],\"articleSection\":[\"all news\",\"community\",\"homepage-english\",\"twitter\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\",\"url\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/the-call-of-duty\",\"name\":\"The call of duty - 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