Africa-Press – Namibia. <\/strong><\/span>The Oshakati Intermediate Hospital, one of the State facilities catering to a large part of the population, is faced with a serious shortage of specialist doctors and beds.<\/p>\nThe hospital, which caters to referrals from other northern district hospitals, has only two State-employed general surgeons and<\/p>\n
two paediatrics, with a new neonatologist,<\/p>\n
who is responsible for thousands of people who are dependent on State hospitals, as they have no access to private medical schemes.<\/p>\n
The second general surgeon was added about three months ago.<\/p>\n
The ministry\u2019s 2022 healthcare workforce status report indicates a need to fill 89 more specialist posts out of the overall 230. It shows that the State has 141 specialists on their payroll. The health ministry has a total of 19 976 staff members \u2013 and of these, 81% are government-funded, while 19% are<\/p>\n
donor-funded.<\/p>\n
The World Health Organisation (WHO) stipulates a minimum doctor\/patient ratio of 1:1000<\/p>\n
It takes about two to three days or more for a patient to see a doctor.<\/p>\n
Oshakati Intermediate Hospital medical superintendent Ruben Kanime said the hospital should have at least 10 doctors for the hospital to function adequately.<\/p>\n
\u201cThe situation is so severe that when an emergency occurs, such as a surgical procedure in the theatre, which requires about three doctors to perform, the operation is left with one doctor, who is required to single-handedly attend to hordes of patients,\u201d he said.<\/p>\n
Kanime also advised the public to instead visit their nearest clinic.<\/p>\n
\u201cDespite the long waiting list in most of our departments as a result of a shortage<\/p>\n
of staff, equipment and limited infrastructural capacity, we take off our hats for those few specialists and medical officers, who, despite the unfavourable working shifts, always managed to save lives. All our emergencies get attended to,\u201d he added.<\/p>\n
The staff shortage has a detrimental effect on the public.<\/p>\n
Selma Matias from Ehafo lyaKandenge said she has been seeking doctors\u2019 attention for three days \u2013 just to be told to come back next February.<\/p>\n
\u201cI have a lump under my breast. Should I really go back home and wait for next year? she asked.<\/p>\n
Matias fears the lump might turn into something serious.<\/p>\n
A patient, who was in the long queue since 06h00, bemoaned the slow pace of treatment, adding that patients with serious ailments could die while waiting for medical help.<\/p>\n
\u201cI arrived here early in the morning with many others, but up to now none of us has seen the doctor. We were told he was coming and that we should continue waiting. Over five hours have now passed. Some people keep coming here even for days. I was referred to the hospital from a clinic,\u201d complained the patient.<\/p>\n
Employing qualified staff is a challenge.<\/p>\n
\u201cOur main issue is the difficulty in getting specialists. These are rare skills \u2013 and despite permission granted for us to recruit specialists, we managed only to have a pediatrician. We still need an internal<\/p>\n
medicine physician, obstetrician, anaesthetist, and surgeon specialists. We are headhunting them from wherever they are, especially in Africa but they are not available or they are not interested,\u201d said Ohangwena regional health director John Hango.<\/p>\n
Ward 16<\/p>\n
With growing awareness of mental health issues comes the challenge to treat those who muster the strength to seek help.<\/p>\n
The psychiatric ward of the hospital does not have enough beds to accommodate 150 inpatients, and it lacks staff to attend to patients.<\/p>\n
Around 16 000 to 17 000 patients per year require psychiatric help, and a total of 2 000 are inpatients who get admitted into the ward, while 14 000 to 15 000 are outpatients who require psychological evaluation, treatment and counselling.<\/p>\n
According to specialist psychiatrist Moges Admassu, the ward receives 70 to 80 patients per day, and there are currently 64 female and 86 male patients in psychiatric ward 16.<\/p>\n
\u201cThe ward currently only has four medical officers, four psychiatrists, 32 nurses and no social worker. We normally need eight medical officers and six psychiatrists. We use the main hospital\u2019s only four social workers and they are barely available. We do not have any occupational therapist under our department, but the hospital has \u2013 and we do not have any psychologist in the whole hospital,\u201d said Admassu.<\/p>\n
The majority of the patients, according to Admassu, are psychotic, as they are schizophrenic, schizoaffective, bipolar, struggle with alcohol-related problems and some are suicidal.<\/p>\n
\u201cWe also treat and attend to anxiety and depression outpatients,\u201d said Admassu.<\/p>\n
The psychiatric ward only has a few beds to accommodate the 150 inpatients, and those with no beds sleep on mattresses on the floor.<\/p>\n
\u201cIn 2019, we requested for new beds for the ward because the ones we have are very old, falling apart and are not functional.<\/p>\n
We still did not get those beds, and the beds we have are non-functional. After renovations, we were promised we would get new beds and the old ones would be refurbished, but until now nothing has happened,\u201d said Admassu.<\/p>\n
According to the hospital\u2019s medical superintendent, Kanime, the shortage of beds in the ward is a matter of space.<\/p>\n
\u201cEven if we get 100 more beds, we will have nowhere to put them. Yes, we did request replacements because the beds we have are old and need to be refurbished. This financial year, we want the procurement authority to give us authority to get the beds fixed,\u201d said Kanime.<\/p>\n
Kanime further said, unfortunately, it is just a ward in the hospital and not a unit.<\/p>\n
\u201cThe number of patients requiring services has increased. We made a request with the executive director of health for the psychiatric ward to be a stand-alone unit and to have our building. The request is underway,\u201d said Kanime.<\/p>\n
\u201cYes, I am aware of the shortage of medical personnel. We plan on increasing the staff. The staff establishment is old and does not respond to our current needs,\u201d added Kanime.<\/p>\n
For More News And Analysis About Namibia<\/a> Follow Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"Max Henrich Victoria Kapapanda Africa-Press – Namibia. The Oshakati Intermediate Hospital, one of the State facilities catering to a large part of the population, is faced with a serious shortage of specialist doctors and beds. The hospital, which caters to referrals from other northern district hospitals, has only two State-employed general surgeons and two paediatrics, […]<\/p>\n","protected":false},"author":84,"featured_media":49957,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3],"tags":[234,236,233],"class_list":["post-49958","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-community","tag-africa-press","tag-africa-press-namibia","tag-namibia"],"yoast_head":"\n
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