Kenyan Doctors Go on Strike Over CBA Promise.

Rekebisha kichwa cha habari yako mkuu, maana Mimi nimedhani wamekataa hata offer ya Rais wa UK ya kufanya kazi United kingdom..kumbe UK inaamanisha Uhuru Kenyatta!? Now I know! But its a bit confusing.

Ila maktari its unfair and injustice kuwaacha akina Othorong'ong'o wenzenu waking'aa sharubu mahospitalini..its beyond ethics and values za Daktari.

Stop revolt now.
 
Unaielewa offer?
 
Story From a Doctor in Olkalau District Hospital Nakuru County

 
Smh Jubilee is Trash
38mn$ hawezi toa lakini mps wanajipea Exit pakage ya 100,000$ each





was a baby who stopped breathing while she carried him in her arms through the hospital, desperately trying to find an oxygen tank.

Barely out of medical school, the bright-eyed young doctor quickly learned that many of the techniques she had spent five years studying meant nothing in a world where there was neither equipment nor drugs.

Waliaula, 25, is one of thousands of Kenyan public sector doctors currently engaged in the country’s longest-ever medical strike which has dragged on for the last month and a half, demanding a tripling of salaries and better working conditions.

“When you graduate you are really excited. You are just ready to go out into the world but you get there and you realise a lot of things you were taught aren’t there,” she told AFP.

She said the three-month-old baby who died in her arms had pneumonia and was malnourished, but could easily have been saved with the right treatment. However, at the time, her hospital in the central Kenyan town of Isiolo had only two oxygen tanks.

“I think every Kenyan doctor has had to decide who gets oxygen. You are forced to play god.”



Cell phone torch surgery

Waliaula’s harrowing tales of working without even basic drugs, such as penicillin, are not isolated cases in the public sector. Meanwhile, Kenya’s private hospitals — unaffordable to much of the population — are some of the best on the continent.

This week Kenyan doctors took to Twitter in a bid to explain why they are digging their heels in while public hospitals are paralysed by the strike, and why they refused a 40-percent pay rise offer.

Under the hashtag [HASHTAG]#MyBadDoctorExperience[/HASHTAG], the medics recounted experiences of being forced to work without drugs, gloves or electricity and under severe staff shortages that left many on the verge of collapse.

One Twitter user, a doctor who gave only his first name, Anthony, told AFP he had once been in the middle of a caesarean section when the lights went out.

“The backup generator was out of fuel. We ended up using a Nokia phone flashlight (as the) torch available had expired batteries.”

At the root of the doctors’ strike is a Collective Bargaining Agreement (CBA) agreed between government and the unions in 2013.



More than money

The document promises interns, like Waliaula, will see their basic salaries increase from a minimum $346 (Dh1,350) to $1,038, while salaries of the highest level doctors will increase from a minimum $1,400 to $4,300 — with added allowances.

While the government says the document is still being fine-tuned, unions say it is a legal deal that they want implemented immediately.

“The thing people don’t realise is ... we are fighting for more than just salaries,” said Waliaula.

The CBA also promises doctors continued training, a research fund, proper equipment and support staff. It additionally caps working hours at 40 hours a week and provides for overtime.

Poor salaries and working conditions have pushed Kenyan doctors to flee the public sector or go to other countries where there are better opportunities.

“There is a huge labour deficit. It’s insane, on a weekend we will be two interns running an entire hospital. I have done a call where I didn’t sleep for 48 hours and in the middle of a C-section I started shaking. That shouldn’t happen,” said Waliaula.

Kenya’s main doctors’ union, KMPDU, says Kenya has one doctor to 17,000 patients, while the World Health Organisation recommends one to 1,000.



Wasted public money

The government has threatened to arrest union officials if they don’t return to work next week, as well as fire all striking doctors, but Waliaula said they would not budge until there was commitment to real change in the sector.

It has said its offer of a 40-percent pay rise would cost it an additional $38 million a year and was “a responsible offer in the context of its obligations to properly manage the country’s finances.”

However this argument has fallen on deaf ears.

Waliaula said she was initially opposed to the strike, until she woke up the day it started to a headline about millions of dollars that had gone missing in the country’s latest corruption scandal.

Then over Christmas, lawmakers awarded themselves each $100,000 as an exit package ahead of 2017 elections.

“It makes me so angry, there is so much money going around. How come there is money for you, but there is no money for me ?"
 
Doctors reject pay offer as jail beckons



Kenya Medical Practitioners and Dentist Union (KMPDU) assistant Secretary General Mwachonda Chibazi is cheered by members of KMPDU at Nairobi hotel, they have vowed to continue with the strike untill 2013 CBA is implemented 24/1/2017

By Graham Kajilwa | Updated Wed, January 25th 2017 at 00:00 GMT +3

Hopes to end the ongoing impasse between doctors and the Government were yesterday crushed after the medics declined an offer they were given.

The offer that Health Cabinet Secretary Cleopa Mailu said was unanimously agreed on at a meeting that started at 6am yesterday, would have seen doctors elevated to the next job group.

This was per the demands tabled by the Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) officials led by chairman Samuel Oroko.

Yesterday evening, CS Mailu, however, revealed that after meeting the union officials at 6am to discuss 'what offer could make them instruct their members to go back to work', the union listed several demands.

Among them was that the offer given by President Uhuru Kenyatta that increased their salaries by 40 per cent should stay and be made effective starting January 2017.

The medics also want a new risk allowance of Sh10,000 and a 100 per cent increment of call allowance from Sh30,000 to Sh66,000.

They also, according to the CS, demanded that since the offer elevated the lowest paid doctor to Job Group M from L, then all doctors have to go a job group higher.

"We conceded to these demands despite the fact that they have grave financial impact," said Mailu.

As for the new salary structures offered, the Government revealed that they would be taking effect as from July 1, 2017 in accordance with the guidelines provided by the Salaries and Remuneration Commission (SRC).

All the above was then drafted in a refined Collective Bargaining Agreement (CBA) which the doctors were expected to append their signature at 2pm.

"To our surprise, the doctors negated the offer and walked out in a huff. All they said is that they will be getting in touch on Friday," said Mailu.

However, the doctors' officials are expected to be sent to jail tomorrow and they have already vowed not to continue with talks if this happens.

"It is up to them to choose the right representative to come and conclude the talks. As for us, we are still willing to engage them," said Mailu.

According to the new CBA, the highest paid doctor is now entitled to a minimum of Sh481, 000 and a maximum of Sh542, 000.

Doctors reject pay offer as jail beckons
 
Mailu throws in the towel as last round of talks with doctors collapse



Striking doctors pray for officials of the Kenya Medical Practitioners and Dentists Union, ahead of a possible jail term over their prolonged strike, at Railways Club in Nairobi, January 24, 2016.

Talks between doctors and the government hit a snag on Tuesday after the Health Ministry accused the medics of not being ready to negotiate in good faith.

Cabinet Secretary Cleopa Mailu said that they had tried their best to talk with the doctors in vain even as the work boycott entered its 52nd day.

He said that the Kenya Medical Practitioners and Dentists Union officials failed to commit to an agreed position despite the struggle to reach consensus.

"When a union agrees on a position and changes it the next minute, it becomes very hard for us to negotiate," Mailu said.

"That is what we have been subjected to as a ministry and a government for the last 52 days," a visibly frustrated Mailu told the media.

He maintained that the doctors were frustrating their efforts to come up with an amicable solution to the stalemate adding that it was contrary what the party portrays to Kenyans.

"Mine is to let Kenyans know that those discussions have come to no conclusion as it is not their (KMPDU) wish to see the suffering stop," the CS said.

He said they will continue to engage with county governments to improve the services offered at faith-based hospitals as well as private clinics.

"We want to ensure Kenyans continue to receive services. We will meet with county health executives on Friday to chat the way forward," Mailu said.

It is not clear if they will meet union officials on the said date as the lot risks being jailed on Thursday, should they not strike a deal with the government.

"We are still open to negotiate with them even if they come tomorrow," the CS said.

Ahead of the Thursday 8am deadline, KMPDU officials went on their knees in prayer during a meeting at Railways Club, Nairobi.

They reiterated that they would rather go to jail than give up the fight for better healthcare.

In a ruling on Thursday, January 12, judge Hellen Wasilwa asked the doctors to end the strike in two weeks, during which she said negotiations should be taking place.

She said the medic's other option would be to spend a month in jail.

KMPDU Secretary General Ouma Oluga however refuted claims by the CS that they do not want to negotiate.

He said that the government had resorted to threats during the talks.

"The reason why we cannot come to a consensus is because the leadership of the Ministry has resolved to issuing threats instead of negotiating with us," Oluga said.

"We want to tell them we will not bow down to pressure and we are ready to go to jail," he said.

Mailu throws in the towel as last round of talks with doctors collapse
 
It's only in Kenya that...

The Doctors are on strike...
Lecturers' are on strike...
Hunger threatens millions of Kenya's as others die...

...yet voter registration is the only national emergency.
 
It's only in Kenya that...

The Doctors are on strike...
Lecturers' are on strike...
Hunger threatens millions of Kenya's as others die...

...yet voter registration is the only national emergency.
I met you on twitter yesterday Dr.Job, little did i know you are on Jamii Forum! Actually, my reply to your tweet generated a lot of debate with myy brothers here in Kasarani, Something that came out is,
1. Many agreed on the rule of law and respecting court orders
2. Many were wondering, who signed the CBA with the Doctors?
3. Why was the industrial action with Doctors made illegal by, was it labour court or industrial court? why?
Do you have any information on this?
 


Most Kenya doctors have emigrated to the west for better pay

Most kenyan Doctors now finish university in Kenya and Go to work in The UK

In the UK for example 2733 Kenyan doctors have been employed to UK public hospitals


NAIROBI
The corridors of the Kenyatta National Hospital, Kenya’s oldest hospital , and its largest teaching and referral institution, are deserted and empty. That’s because of the doctors’ strike, which has now lasted a record 52 days–and with no end in sight. The striking medical practitioners want a 300% pay rise from
their current $1,350 monthly salary and walked off the job in December after the government refused to implement a three-year-old joint collective bargaining agreement (CBA).

The doctors are not the only group of workers striking in Kenya. Last week, lecturers at public universities joined the doctors, refusing to teach over poor pay. In December, nurses also went on strike, demanding better wages and asking the government to
streamline the disparities between those working for the county and national governments. In October, pilots from Kenya Airways
delayed plans to strike if top executives from the national carrier didn’t resign. And after years of recurring protests and disruption to education, teachers in June
signed a four-year deal that will see them receive salary increments and allowances.
For disgruntled employees, striking has become the rule rather than the norm. Faced with a wilful government and
court injunctions ordering them back to work, some of the doctors have even opted to stay put and risk imprisonment. And just like in the past, the strikes have put a strain on the economy, leading to the loss of earning hours, much-needed revenue, and the loss of human lives.
Empty wards. (Reuters/Thomas Mukoya)

The protests are deepened by the corruption scandals that have bedeviled the Kenyan government. While the government insists it cannot afford to meet the doctors’ demands, an internal audit from the ministry of health last year showed more than 5 billion shillings ($5.5 million) in diverted funds . In 2015, half the proceeds from a $2.75 billion Eurobond, which marked the country’s debut in the international bond market, also went missing .
Other graft scandals have shown the purchase of $1,000 wheelbarrows , spending $4,400 on 18 custom-made condom dispensers and $85 on a ballpoint pen . And while hospitals continue to lack essential drugs and medical equipment, the country’s lawmakers continue to bag handsome salaries— among the highest in the world. Over the years, thousands of doctors and nurses have also left the country, seeking greener pastures in countries like the United Kingdom, Canada, Australia and South Africa.
“You see a lot of human suffering” in public hospitals, says Mwachonda Chibanzi, the deputy secretary general for the Kenya medical practitioners, pharmacists and dentists’ union. And it is “unfortunate,” he said, that those “advocating for rights, not just for doctors but also for the greater public” are threatened with jail. Mwachonda is one of the several leaders facing jail time today (Jan. 26) if they fail to call off the strike.
The government has also
repeatedly failed to put the CBA into effect and address the collective bargaining rights of workers and unions. This impasse has only exacerbated the problem, with president Uhuru Kenyatta’s government threatening to not only fire the doctors but also arrange plans to hire doctors from India and Cuba.
Across Africa, this lack of proactive engagement with essential emergency professionals, of not responding until people’s lives are at stake, is a major concern in labor strikes,
according to a 2012 Brookings Institution. Since the beginning of the strike, Kenya’s government has offered doctors a 40% salary increase, which they have rejected.
For now, social media has become the avenue for doctors—and those who agree or disagree with them—to express their grievances. The hashtag
[HASHTAG]#MyBadDoctorExperience[/HASHTAG] has been used to share insider stories of frustration and a decaying health system.
I had to use my bare hands to stop bleeding in a HIV positive mama due to lack of gloves instead I had to take ARV's
[HASHTAG]#MyBadDoctorExperience[/HASHTAG]
— Health Transformer (@bin_abeid) January 16, 2017
[HASHTAG]#MyBadDoctorExperience[/HASHTAG]
Having to tell a patient that a basic equipment is missing in a referral hospital but available in a nursing home
— Kimani dk (@75Kimani)
January 16, 2017
[HASHTAG]#HealthOnTrial[/HASHTAG]
pic.twitter.com/caIQe5z6MR
— kmpdu (@kmpdu)
January 25, 2017
 
If CBA is implemented then
Public Health sector will be as robust with private sector ....

Hospital equipments will be bought more machines for Chemo more supplies for hospitals since more money will be put in public such that There will not be a difference between The two sector and that The private sector cannot stomach since they will lose clients to oublic sectors

 
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