{"id":20785,"date":"2022-10-22T12:34:22","date_gmt":"2022-10-22T12:34:22","guid":{"rendered":"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs"},"modified":"2022-10-22T14:04:14","modified_gmt":"2022-10-22T14:04:14","slug":"state-run-clinics-run-out-of-drugs","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs","title":{"rendered":"State-run clinics run out of drugs"},"content":{"rendered":"

Africa-Press – Lesotho. <\/strong><\/span>MANY state-owned and community health centres countrywide have run out of drugs, resulting in patients being forced to buy prescribed medicines from expensive private pharmacies.<\/p>\n

Some health officials have blamed the supplier of drugs, the National Drug Service Organisation (NDSO), for delaying distribution of medicines to clinics. The Ministry of Health spokesperson, \u2019Mamolise Falatsa, was not available for comment.<\/p>\n

NDSO Public Relations Officer, Bokang Ntsoeu said the institution delivers medicines to clinics on a weekly basis to the North, South, Central and Highland regions.<\/p>\n

\u201cOrders are dealt with within five working days but when there is a crisis of any illness, an emergency request is made and we have never received such from any facilities.<\/p>\n

\u201cWe were all surprised to learn about that,\u201d she said. She said the NDSO made deliveries to the central region \u201cwithout any problems\u201d this week for those that made requisitions on time.<\/p>\n

\u201cIt\u2019s not true that we delay deliveries when everything is done properly,\u201d she said, revealing that on Tuesday, a driver returned with Domiciliary Clinic drugs with the explanation that employees said they had already knocked off and there was no one to take delivery of the drugs.<\/p>\n

The lack of some drugs in the clinics has frustrated patients, some of whom are too poor to afford medicines from private pharmacies. This became evident in the case of the Maseru City Council (MCC)\u2019s two health centres that have run out of flu medications.<\/p>\n

Thamae and Khubetsoana Clinics ran out of drugs from August to early September, forcing their chemists to direct patients to private establishments in the city.<\/p>\n

This happened at a time when there was a high prevalence of flu in Maseru. The Principal Health Inspector at the MCC\u2019s Thamae Clinic, \u2019Maseitshiro Khooe, said they have since placed orders but have not received the drugs.<\/p>\n

\u201cThe challenge is communication with our supplier as often it\u2019s back and forth (thereby) delaying delivery,\u201d Khooe said.<\/p>\n

\u201cAt first, I thought it was monetary issues but that one I ruled out after approaching our finance department,\u201d she said, refusing to reveal the supplier. However, thepost has established through the Health Ministry that the supplier of drugs in all health facilities in the country is the NDSO.<\/p>\n

The NDSO was established as a non-profit organisation in 1979 to procure, store, and distribute quality medicines and medical commodities for health institutions in Lesotho.<\/p>\n

The health institutions include government hospitals and health centres, Christian Health Association of Lesotho (CHAL) facilities and private clinics and pharmacies.<\/p>\n

She said they end up sharing \u201cthe little we have\u201d with a sister clinic in Khubetsoana. She said they cannot ask their other partners to share their drug stock \u201cbecause they too are running low\u201d.<\/p>\n

\u201cWe crossed fingers hoping that we don\u2019t run out of essential drugs (for those with chronic illnesses) before receiving our consignment,\u201d she said.<\/p>\n

\u201cLimited competition or serving a lot of clinics overwhelms the supplier as other clinics complain about experiencing similar problems.<\/p>\n

\u201cWe then become victims as the market seems monopolised. I am not really sure what the reason behind the delay is,\u201d said Khooe.<\/p>\n

She said the clinics record about 80 patients, children and adults, suffering from flu weekly. She said the number of flu patients has doubled in Khubetsoana.<\/p>\n

However, she said their analysis revealed that this is not linked to Covid-19 as many people had earlier suspected. \u201cIt does not sit well with us that we don\u2019t give full services.
\n. it is beyond us and our clientele should bear with us because we want to provide quality service. \u201d<\/p>\n

\u2019Maselloane Mofosi (names changed at request) who brought her two-year-old son to Thamae Clinic when thepost visited the clinic on Monday last week said the child had been suffering from flu for two weeks.<\/p>\n

\u201cIt is the second time I brought him back here because during the first visit there was no medication,\u201d Mofosi said.<\/p>\n

\u201cWe were only given a prescription and they recommended that I buy the medicines from a private chemist,\u201d she said.<\/p>\n

\u201cI didn\u2019t buy any of the four recommended drugs because I am broke so I came back again hoping drugs were now available. I am disappointed to learn they still don\u2019t have them,\u201d said the patient.<\/p>\n

Asked why she did not go to other clinics, she said apart from Thamae being nearer to her, health workers there are \u201cfriendly\u201d. Another patient, Neo Sello, said he had been battling with flu for a week before visiting the health facility.<\/p>\n

He too was prescribed medication to buy from a private chemist. \u201cI am disappointed because I already paid to get services. I wouldn\u2019t have wasted my M20 if I knew there was no medication,\u201d Sello said, adding: \u201cI will buy the drugs from a private chemist because I don\u2019t have any other choice.<\/p>\n

\u201d<\/p>\n

Sello suggested that the clinic puts up a memo that informs flu patients of the drug shortages \u201cso that people don\u2019t waste their time and money paying for half services\u201d.<\/p>\n

Health services are paid for at the MCC clinics as opposed to other government and CHAL-owned health institutions countrywide. The CHAL spokesperson, Lebohang Liphapang, said shortage of medication is a general problem faced by their health facilities.<\/p>\n

\u201cIt has been a challenge for years. It\u2019s a general problem deriving from subvention (delay),\u201d Liphapang said.<\/p>\n

She said the major challenge is that the government gives CHAL the same amount of subvention money even though medication is getting expensive due to inflation.<\/p>\n

\u201cWe can\u2019t afford the medication and if we still get the same amount, there is no way that it will cater for all the needs of the facility\u2019s operations.<\/p>\n

Operations and drugs are already a challenge,\u201d she said. \u201cIf any medical equipment breaks down, servicing it will be a problem because we don\u2019t have that included in our budget,\u201d she said.<\/p>\n

She said at some of their clinics that have run out of flu drugs, officials employ different strategies depending on work for the clinic. \u201cSome prescribe medication for patients to buy them at a private pharmacy while others who don\u2019t have enough drugs will give out any of the available drugs.<\/p>\n

\u201d Liphapang said they signed a Memorandum of Understanding (MoU) which determines their operation with the Health Ministry more than a decade ago.<\/p>\n

\u201cIt expired a long time ago and this is hindering the smooth operations of facilities. By right it was supposed to be reviewed each and every three years to improve the partnership,\u201d she said.<\/p>\n

\u201cThe biggest challenge is that the government delays its review because it knows that the review will have financial implications on it.<\/p>\n

\u201d The NDSO does not receive funding directly from the government and must recover all its costs through a handling (mark-up) fee system. Sales of drugs and other medical equipment are ideally the sole source of revenue and income that must cover the NDSO\u2019s total expenditures.<\/p>\n

An official at the NDSO who chose to remain anonymous as she was not authorised to comment said health facilities, especially government-owned, do not receive timely information about their budget situation.<\/p>\n

As a result, they fail to submit corresponding health supplies purchase orders to the NDSO. The official blamed health centres for poor inventory management, lack of knowledge about their budgets and failure to follow procurement procedures for the scarce drug stock.<\/p>\n

For More News And Analysis About Lesotho<\/a> Follow Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Lesotho. MANY state-owned and community health centres countrywide have run out of drugs, resulting in patients being forced to buy prescribed medicines from expensive private pharmacies. Some health officials have blamed the supplier of drugs, the National Drug Service Organisation (NDSO), for delaying distribution of medicines to clinics. The Ministry of Health spokesperson, […]<\/p>\n","protected":false},"author":84,"featured_media":20784,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3],"tags":[233,246,334,245],"class_list":["post-20785","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-community","tag-africa-press","tag-africa-press-lesotho","tag-community","tag-lesotho"],"yoast_head":"\nState-run clinics run out of drugs - Lesotho<\/title>\n<meta name=\"description\" content=\"MANY state-owned and community health centres countrywide have run out of drugs, resulting in patients being forced to b ...\" \/>\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\/state-run-clinics-run-out-of-drugs\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"State-run clinics run out of drugs\" \/>\n<meta property=\"og:description\" content=\"MANY state-owned and community health centres countrywide have run out of drugs, resulting in patients being forced to b ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs\" \/>\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=\"2022-10-22T12:34:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-22T14:04:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2022\/10\/postQueueImg_6-6353f836bb935.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1660\" \/>\n\t<meta property=\"og:image:height\" content=\"1107\" \/>\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=\"6 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\/state-run-clinics-run-out-of-drugs#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"State-run clinics run out of drugs\",\"datePublished\":\"2022-10-22T12:34:22+00:00\",\"dateModified\":\"2022-10-22T14:04:14+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs\"},\"wordCount\":1247,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2022\/10\/postQueueImg_6-6353f836bb935.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-Lesotho\",\"community\",\"Lesotho\"],\"articleSection\":[\"all news\",\"community\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs\",\"url\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/state-run-clinics-run-out-of-drugs\",\"name\":\"State-run clinics run out of drugs - 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