Government: No private pharmacies near public hospitals

Government: No private pharmacies near public hospitals

Kifyatu

JF-Expert Member
Joined
Oct 12, 2010
Posts
3,382
Reaction score
3,220
The Health and Social Welfare ministry yesterday announced a number of measures, including putting up government pharmacies within hospital premises and removing private drugstores operating from near the facilities.

The measures are being taken hardly a week after President John Magufuli directed that relevant authorities should take steps to improve healthcare in public facilities.

Addressing journalists in Dar es Salaam during his visit to the Ocean Road Cancer Institute, Permanent Secretary in the Ministry of Health and Social Welfare Dr Donald Mmbando said lack of medicines in public hospitals is one of the pressing challenges the ministry has to tackle.

The remedy, he said, is to plug the loopholes for corruption, namely the numerous pharmacies found adjacent to almost all health facilities in the country, which will be replaced by government-run ones within health facility premises.

But he cautioned that it will not be a forceful demolition of structures housing such business or violent throwing out of drugs from the shelves.

"We will engage owners of such businesses in talks, we will make them understand why the government does not want to see such businesses near public hospitals," he said.

It is a common practice for health workers namely doctors and nurses to direct patients to the specific pharmacies where they (patients) should go and purchase the prescribed medicines. Various government officials have been quoted admitting the public fear that most of the drugs sold in such private facilities are swindles from public hospitals, he said.

According to Mmbando, the establishment of those public pharmacies in the hospitals will to a great extent reduce the problem if not bury it away.

"Vulnerable people are the ones who suffer the most because they cannot afford to buy the medicines in private pharmacies due to the cost … I hope this will help a lot as the medicines will be sold at affordable prices," he said.

In another step, Dr Mmbando said that there are four digital X-ray machines and 17 ultrasound machines that have already arrived and they are on clearing process at the Dar es Salaam port.

One X-ray and ultra sound machine will go to MNH and
others will be distributed to other public hospitals, he said.

He said that the government will buy a new CT-Scan and a Magnetic Resonance Imaging (MRI) for Muhimbili Orthopaedic Institute (MOI) so as to reduce congestion of patients at the hospital.

The PS also added that the government has entered into partnership with The Netherlands government to avail all important medical equipment to health facilities.

Worthy euro24m, the programme will include purchasing of MRI, CT-Scans, X-rays, ultrasound machines and other equipment.

He said the equipment will help facilitate medical services at Bugando Hospital, MNH and many other hospitals in the country.

"It is vivid that, now the problem which patients in the country have been facing would come to an end as plans to get new machines are in place to cater for the big number of patients who call at the hospitals to receive treatment," he added.

He also directed the Medical Stores Department (MSD) to ensure that it sets aside a big stock of cancer medicines.

Asked about what the dept owes the government, Dr Mmbando said that up to June this year, the debt had reached 110bn/-. But the government paid 42bn/- and the remaining amount was 68bn/-, promising that the government is struggling to clears it all.

"I am sure that we are going to clear the problem soon but I call upon MSD to continue serving the public without fear," Dr Mmbando said.

Recently, President Magufuli dissolved the Muhimbili National Hospital (MNH) health board for poor service provision, failure to maintain equipment and general poor hygiene of the facility.

The president appointed Prof Lawrence Mseru, the Acting Executive Director effective today. He takes over from Dr Hussein Kidanto who has been transferred to the Ministry headquarters.

He had earlier been informed that the hospital's basic medical equipment such as MRI and CT- Scans were broken down two months before.

He ordered the hospital management to ensure that all essential medical equipment are fixed and function to expectation.

"It is not fair for the national hospital to miss such services while the same are available in private hospitals," he said.

President Magufuli gave a two-week ultimatum within which the hospital's management is to replace or mend all broken down equipment.

Source:
The Guardian
 
I read with apprehension these news in today's THE GUARDIAN paper (Home).

Is this going against the spirit of free entrepreneurship? Isn't the government stifling private businesses by doing this?

The govt. can strengthen their pharmacies withing government hospitals BUT let private pharmacies operate freely anywhere - my opinion.

Even though you remove private pharmacies in the vicinity of public hospitals and locate them say within 5 km radius of these hospitals, if corrupt govt. employees wish to steal pharmaceuticals and stock them in private pharmacies this can still be done unless the govt. is vigilant.

Let private pharmacies operate anywhere and they will die a natural death (close) if patients can get all their medicine needs from govt. pharmacies within govt. hospitals.

Your comments please.

Free entrepreneurship on whose expense. Actually I was waiting for this decision. We can not allow oops I mean the government can not allow these few individuals to make maximum profit from the vulnerable. Well done.
 
Free entrepreneurship on whose expense. Actually I was waiting for this decision. We can not allow oops I mean the government can not allow these few individuals to make maximum profit from the vulnerable. Well done.

So, do you mean we close all private pharmacies in the country?

If that is the decision we take as a country, I am down with it. But let us not preach that we encourage individual entrepreneurship while we stifle others.

I hate corruption especially when a doctor in a public hospital prescribes medicine for you and directs you to buy it from his/her private pharmacy across the street. Normally this is because the hospital pharmacy has no medicine (often stolen by unscrupulous employees and stocked in private pharmacies).

How do we solve this problem? This is my question.

I don't think closing pharmacies in the vicinity of public hospitals is the answer.

We either close all private pharmacies in the country (not a good idea) OR have a tight accounting and audit controls in these govt. pharmacies.

Please tell me where I am wrong.
 
So, do you mean we close all private pharmacies in the country?

If that is the decision we take as a country, I am down with it. But let us not preach that we encourage individual entrepreneurship while we stifle others.

I hate corruption especially when a doctor in a public hospital prescribes medicine for you and directs you to buy it from his/her private pharmacy across the street. Normally this is because the hospital pharmacy has no medicine (often stolen by unscrupulous employees and stocked in private pharmacies).

How do we solve this problem? This is my question.

I don't think closing pharmacies in the vicinity of public hospitals is the answer.

We either close all private pharmacies in the country (not a good idea) OR have a tight accounting and audit controls in these govt. pharmacies.

Please tell me where I am wrong.

We are thinking on the same page. I haven't seen the full text of the Government decision but this will be made public in the near future. We need to be vigilant and make bold decisions in order to provide for tax payers who deserve more than what is provided at the moment. So far the decisions are encouraging.
 

We are thinking on the same page. I haven't seen the full text of the Government decision but this will be made public in the near future. We need to be vigilant and make bold decisions in order to provide for tax payers who deserve more than what is provided at the moment. So far the decisions are encouraging.

Concur.
 
Its clear there is conflict of interest how com a hospital's pharmcst to own a private pharmacy near the hospital obvious there is threat to integrity
 
So, do you mean we close all private pharmacies in the country?

If that is the decision we take as a country, I am down with it. But let us not preach that we encourage individual entrepreneurship while we stifle others.

I hate corruption especially when a doctor in a public hospital prescribes medicine for you and directs you to buy it from his/her private pharmacy across the street. Normally this is because the hospital pharmacy has no medicine (often stolen by unscrupulous employees and stocked in private pharmacies).

How do we solve this problem? This is my question.

I don't think closing pharmacies in the vicinity of public hospitals is the answer.

We either close all private pharmacies in the country (not a good idea) OR have a tight accounting and audit controls in these govt. pharmacies.

Please tell me where I am wrong.

Auditing and tight control means will only provide assurance to proper usage of public msd medicines but what about the quality of services? The proper means of dealing with the problem is to come up with tight code of ethics which will prevent doctors,pharmacst, to own private hospital& pharmacies
 
Auditing and tight control means will only provide assurance to proper usage of public msd medicines but what about the quality of services? The proper means of dealing with the problem is to come up with tight code of ethics which will prevent doctors,pharmacst, to own private hospital& pharmacies

Maybe this could work. However, what if the doctors/pharmacists use their relatives to open these pharmacies?

But how come private pharmacies sell msd medicines? Aren't they uniquely marked?

Another problem could be that, if the private pharmacies comply and set up shops far from the hospitals still the doctors could play the same game only this time the patient/relative has to walk miles to buy medicine.

This is a serious problem.
 
The Health and Social Welfare ministry yesterday announced a number of measures, including putting up government pharmacies within hospital premises and removing private drugstores operating from near the facilities.

I think the government has very good intention on doing this, I don't think it is a war against entrepreneurship, there is no point of championing entrepreneurship at the expense of human life.

I believe this is first good step towards affordable healthcare.

The second even most crucial step will be to ensure all gov hospitals are well stocked with medicines.

It will be a matter of months before wananchi declare another resounding victory and milestone on the race towards affordable healthcare for all.
 
I think the government has very good intention on doing this, I don't think it is a war against entrepreneurship, there is no point of championing entrepreneurship at the expense of human life.

I believe this is first good step towards affordable healthcare.

The second even most crucial step will be to ensure all gov hospitals are well stocked with medicines.

It will be a matter of months before wananchi declare another resounding victory and milestone on the race towards affordable healthcare for all.

I hope you are right. However, short of closing all private pharmacies in the country, I don't see how this strategy would stop unscrupulous hospital employees from stealing drugs out of govt. pharmacies and stock them in their private pharmacies far away from the hospital vicinity.

I've yet to hear a govt. strategy that will stop these thieving employees from doing what has been so lucrative to them so far. Closing pharmacies in the vicinity of hospitals is just cosmetics - my opinion.
 
I hope you are right. However, short of closing all private pharmacies in the country, I don't see how this strategy would stop unscrupulous hospital employees from stealing drugs out of govt. pharmacies and stock them in their private pharmacies far away from the hospital vicinity.

I've yet to hear a govt. strategy that will stop these thieving employees from doing what has been so lucrative to them so far. Closing pharmacies in the vicinity of hospitals is just cosmetics - my opinion.

I believe this is good first step, as the time goes there will be other tactics, but its important gov has done this because you want to send the message to these opportunists that they are not wanted. Secondly, you want to cause a degree of uncertainty in their business by changing regulations from time to time, to the point they give up and vanish.

In regards to staff stealing drugs that is something which has to be dealt with inside hospitals. By introducing extra measures to make hard for staff to have free access or put medical professions who are disciplinarians in areas where its easier to steal drugs.
 
The Health and Social Welfare ministry yesterday announced a number of measures, including putting up government pharmacies within hospital premises and removing private drugstores operating from near the facilities.

The measures are being taken hardly a week after President John Magufuli directed that relevant authorities should take steps to improve healthcare in public facilities.

Addressing journalists in Dar es Salaam during his visit to the Ocean Road Cancer Institute, Permanent Secretary in the Ministry of Health and Social Welfare Dr Donald Mmbando said lack of medicines in public hospitals is one of the pressing challenges the ministry has to tackle.

The remedy, he said, is to plug the loopholes for corruption, namely the numerous pharmacies found adjacent to almost all health facilities in the country, which will be replaced by government-run ones within health facility premises.

But he cautioned that it will not be a forceful demolition of structures housing such business or violent throwing out of drugs from the shelves.

?We will engage owners of such businesses in talks, we will make them understand why the government does not want to see such businesses near public hospitals,? he said.

It is a common practice for health workers namely doctors and nurses to direct patients to the specific pharmacies where they (patients) should go and purchase the prescribed medicines. Various government officials have been quoted admitting the public fear that most of the drugs sold in such private facilities are swindles from public hospitals, he said.

According to Mmbando, the establishment of those public pharmacies in the hospitals will to a great extent reduce the problem if not bury it away.

?Vulnerable people are the ones who suffer the most because they cannot afford to buy the medicines in private pharmacies due to the cost ? I hope this will help a lot as the medicines will be sold at affordable prices,? he said.

In another step, Dr Mmbando said that there are four digital X-ray machines and 17 ultrasound machines that have already arrived and they are on clearing process at the Dar es Salaam port.

One X-ray and ultra sound machine will go to MNH and
others will be distributed to other public hospitals, he said.

He said that the government will buy a new CT-Scan and a Magnetic Resonance Imaging (MRI) for Muhimbili Orthopaedic Institute (MOI) so as to reduce congestion of patients at the hospital.

The PS also added that the government has entered into partnership with The Netherlands government to avail all important medical equipment to health facilities.

Worthy euro24m, the programme will include purchasing of MRI, CT-Scans, X-rays, ultrasound machines and other equipment.

He said the equipment will help facilitate medical services at Bugando Hospital, MNH and many other hospitals in the country.

?It is vivid that, now the problem which patients in the country have been facing would come to an end as plans to get new machines are in place to cater for the big number of patients who call at the hospitals to receive treatment,? he added.

He also directed the Medical Stores Department (MSD) to ensure that it sets aside a big stock of cancer medicines.

Asked about what the dept owes the government, Dr Mmbando said that up to June this year, the debt had reached 110bn/-. But the government paid 42bn/- and the remaining amount was 68bn/-, promising that the government is struggling to clears it all.

?I am sure that we are going to clear the problem soon but I call upon MSD to continue serving the public without fear,? Dr Mmbando said.

Recently, President Magufuli dissolved the Muhimbili National Hospital (MNH) health board for poor service provision, failure to maintain equipment and general poor hygiene of the facility.

The president appointed Prof Lawrence Mseru, the Acting Executive Director effective today. He takes over from Dr Hussein Kidanto who has been transferred to the Ministry headquarters.

He had earlier been informed that the hospital?s basic medical equipment such as MRI and CT- Scans were broken down two months before.

He ordered the hospital management to ensure that all essential medical equipment are fixed and function to expectation.

?It is not fair for the national hospital to miss such services while the same are available in private hospitals,? he said.

President Magufuli gave a two-week ultimatum within which the hospital?s management is to replace or mend all broken down equipment.

Source:
The Guardian

Asante rais wangu magufuli
 
I believe this is good first step, as the time goes there will be other tactics, but its important gov has done this because you want to send the message to these opportunists that they are not wanted. Secondly, you want to cause a degree of uncertainty in their business by changing regulations from time to time, to the point they give up and vanish.

In regards to staff stealing drugs that is something which has to be dealt with inside hospitals. By introducing extra measures to make hard for staff to have free access or put medical professions who are disciplinarians in areas where its easier to steal drugs.

Agree.
 
Back
Top Bottom