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PPC
Report on Field visits to the Midlands and Harare Provinces on the
Health Delivery System [S.C 4, 2006]
Report of
the Portfolio Committee on Health and Child Welfare
Presented to Parliament on May 23, 2006
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1.
EXECUTIVE SUMMARY
This enquiry on the health delivery system was prompted by the evidence
gathered from the Health Services Board on 1st November 2005.The
Board Chairperson, Dr. Lovemore Mbengeranwa and his team made revelations
about the country’s ailing Health delivery system.
In it’s
written and oral evidence, the Board outlined the following problems:
- Unprecedented
staff exodus and low morale for those remaining
- Ineffectiveness
of the referral system
- ill-equipped
training schools, coupled by shortage of tutors
- general shortage
and lack of equipment and skilled personnel
- poor remuneration,
lack of accommodation and other incentives for personnel in this
unique sector
- inadequate
funding for the health sector over the past few years
- shortages
of essential drugs including ARVs.
The Committee
resolved to conduct visits to some selected hospitals in order to
get an appreciation of some of the problems raised by the Board.
The findings were shocking to the Committee. The Committee found
out that the Health delivery system is collapsing. Hospitals and
training centers are seriously understaffed, the referral system
has collapsed, buildings are dilapidated, equipment is obsolete
or broken down , drugs are in short supply and erratic,. including
the life-prolonging Anti Retrovirals .
Action Aid Zimbabwe
and the Community Working Group on Health sponsored the Committee
to under take the field visits to Gweru Provincial and Shurugwi
District Hospitals in the Midlands and Harare Central and Beatrice
Road Infectious Diseases Hospital in Harare .The Committee is very
grateful to the two organizations in their support of the Committee’s
activities and their desire for an improved health delivery system
in the country.
The Committee
would like to thank the Secretary for Health and Child Welfare,
Dr. Mabiza and his team, the Midlands Provincial Medical Doctor,
Dr. Chimusoro, Harare City Medical Superintendent, Harare Hospital
Superintendent, Dr. Christopher Tapfumanei for their cooperation
and support to make the Committee’s visits successful.
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