{"id":49030,"date":"2023-05-11T11:23:22","date_gmt":"2023-05-11T11:23:22","guid":{"rendered":"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities"},"modified":"2023-05-11T12:56:58","modified_gmt":"2023-05-11T12:56:58","slug":"how-endless-doctors-strikes-have-crippled-health-facilities","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities","title":{"rendered":"How endless doctors\u2019 strikes have crippled health facilities"},"content":{"rendered":"

Africa-Press – Uganda. <\/strong><\/span>The crack of yesterday\u2019s dawn found Mr Brian Mukasa, a resident of Makindye Division in Kampala City, at the corridors of Mulago National Referral Hospital surgical unit.<\/p>\n

Mr Mukasa, and other patients, who needed specialised services, were still waiting to see a doctor at 1:30 pm. The hard benches placed on the cold corridors of the unit were still fully occupied. The unit is for outpatients.<\/p>\n

\u201cI arrived here very early in the morning. But up to now, I haven\u2019t seen a doctor,\u201d Mr Mukasa said.<\/p>\n

\u201cThey have registered my name and I hope I will be handled,\u201d added.<\/p>\n

The situation was not any different from what our reporters observed at Kawempe Hospital. Ms Nancy Nalubwama, a resident of Old Kampala, said she arrived at the facility at around 7 am. She was yet to be handled at around 11 am.<\/p>\n

A caretaker of another patient at Kawempe Hospital, Ms Lydia Katusiime, said her sister was delivered normally last night at the hospital. However, she told our reporter that by 11 am, no doctor had come to check on them since Monday night.<\/p>\n

Dr Irene Asaba, a surgeon at Mulago Hospital, said specialised facilities such as Mulago and Kawempe hospitals have very few specialists to handle patients speedily.<\/p>\n

Dr Asaba said they were operating more efficiently when Senior House Officers (SHOs) hadn\u2019t gone on strike and medical interns were around.<\/p>\n

SHOs are qualified doctors who are training to become specialists. They said they went on strike on May 1 due to the government\u2019s failure to pay them for the last four to six months they have worked.<\/p>\n

\u201cWe had been bearing the burden with SHOs, but now that they are not there, we are saying enough is enough,\u201d Dr Asaba, a Medical Officer Special Grade (MOSG) alias specialist doctor, said.<\/p>\n

\u201cWe are doing, even more, this season. This is because of the complementary workforce such as SHOs and interns who are either working partially or are not deployed,\u201d the surgeon added.<\/p>\n

The SHOs and interns, according to Uganda Medical Association (UMA), carry around 60 percent of the workload in public facilities because of the few doctors employed by the government. Interns have also been waiting for deployment for the last nine months, UMA said. Interns are qualified doctors who are on hospital placement to get permanent practising licenses.<\/p>\n

Leaders of the MOSGs, during a press conference organised by UMA in Kampala yesterday, also threatened to go on strike effective. They said the government has failed to address the discrepancy in salary structure for doctors which they have been raising for over a year.<\/p>\n

The MOSG said the Shs6m difference between their pay and that of consultants is too much to swallow because they have the same qualifications and the only difference is years of experience. They want the government to increase their pay from Shs6 million to Shs11m. Consultants currently earn Shs12 million.<\/p>\n

\u201cEmergency services by SHOs and associate consultants (MOSGS) have been withdrawn,\u201d Dr Joel Kimera, a paediatrician and the leader of MOSGs, said yesterday.<\/p>\n

Dr Kimera, however, said their immediate supervisors, the consultants and senior consultants will provide the emergency services.<\/p>\n

\u201cThe only issue is that they [consultants and senior consultants] are few \u2013 around 250,\u201d he said. \u201cMedical officers will also continue working, so Ugandans can come and get emergency services. But the three carders of interns, SHOs and associate consultants will not be there,\u201d Dr Kimera warned.<\/p>\n

However, the Health ministry spokesperson, Mr Emmanuel Ainebyoona, appealed to the specialists and SHOs to prioritise patients, saying the government is handling their issues.<\/p>\n

\u201cThey [striking doctors] need to be patient because the government is resolving various complaints they have raised,\u201d he said, adding that the issues will be handled at the Cabinet level.<\/p>\n

Both Dr Kimera and Dr Herbert Luswata, the secretary general of UMA, when asked about their priority and the fate of the patients, said the strike is meant to improve the quality of services in the long run.<\/p>\n

Dr Diana Atwine, the Permanent Secretary of the Health ministry, has, however, maintained that the SHOs should continue working as the government looks for money to pay them and also deploy medical interns.<\/p>\n

Dr Chris Baryomunsi, the Information minister, said doctors should concentrate on work because the government is going to handle their issues.<\/p>\n

\u201cWe appreciate the work SHOs and interns do, money will be found to clear the arrears, it\u2019s the government\u2019s position,\u201d Dr Baryomunsi said while applauding to SHOs who are providing emergency services.<\/p>\n

The minister also said there are concerns about the capacity to continue paying the SHOs and interns.<\/p>\n

\u201cRight now, their questions around the quality of training and the ability of the government to afford to pay [allowances or salaries] for interns. These are issues that should be discussed to avoid the disruptions [in access to care] caused by the strikes,\u201d he said.<\/p>\n

However, Dr Herbert Luswata, the secretary general of UMA, while announcing the strike by MOSG, said the government has not been forthcoming about resolving issues raised by aggrieved doctors.<\/p>\n

He said each intern doctor and SHO, according to the directive from the President, are supposed to be paid an allowance of Shs2.5 million per month.<\/p>\n

Dr Luswata said this money is for their welfare as they bridge the gap in service delivery which has resulted from the low number of doctors employed by the government.<\/p>\n

\u201cThe specialists have been trying to cover this gap created by SHOs who are on strike. But the challenge we have is that the specialists who have been covering this gap are also starting their strike tonight (Tuesday night),\u201d Dr Luswata said.<\/p>\n

He warned that the strike would increase deaths in hospitals.<\/p>\n

\u201cThe situation is going to become worse. We are likely to see more people coming to the hospital and staying the whole day without anyone attending to them. But we hope those who are remaining will take care of patients so that deaths do not increase,\u201d Dr Luswata said.<\/p>\n

Treatment standards<\/b><\/p>\n

The current rate of 1 doctor to 20,000 people is below the World Health Organisation standard of 1 doctor to 1,000 people.<\/p>\n

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

Africa-Press – Uganda. The crack of yesterday\u2019s dawn found Mr Brian Mukasa, a resident of Makindye Division in Kampala City, at the corridors of Mulago National Referral Hospital surgical unit. Mr Mukasa, and other patients, who needed specialised services, were still waiting to see a doctor at 1:30 pm. The hard benches placed on the […]<\/p>\n","protected":false},"author":84,"featured_media":49029,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,6],"tags":[233,240,234],"class_list":["post-49030","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-files","tag-africa-press","tag-africa-press-uganda","tag-uganda"],"yoast_head":"\nHow endless doctors\u2019 strikes have crippled health facilities - Uganda<\/title>\n<meta name=\"description\" content=\"The crack of yesterday\u2019s dawn found Mr Brian Mukasa, a resident of Makindye Division in Kampala City, at the corridors o ...\" \/>\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\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How endless doctors\u2019 strikes have crippled health facilities\" \/>\n<meta property=\"og:description\" content=\"The crack of yesterday\u2019s dawn found Mr Brian Mukasa, a resident of Makindye Division in Kampala City, at the corridors o ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\" \/>\n<meta property=\"og:site_name\" content=\"Uganda\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-11T11:23:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-11T12:56:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/uganda\/sites\/34\/2023\/05\/postQueueImg_1683788012.61.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\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=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/uganda\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"How endless doctors\u2019 strikes have crippled health facilities\",\"datePublished\":\"2023-05-11T11:23:22+00:00\",\"dateModified\":\"2023-05-11T12:56:58+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\"},\"wordCount\":1037,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/uganda\/sites\/34\/2023\/05\/postQueueImg_1683788012.61.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-Uganda\",\"uganda\"],\"articleSection\":[\"all news\",\"files\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\",\"url\":\"https:\/\/www.africa-press.net\/uganda\/all-news\/how-endless-doctors-strikes-have-crippled-health-facilities\",\"name\":\"How endless doctors\u2019 strikes have crippled health facilities - 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