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Health system and Ebola control

By EDITH MUTURI | 29 Nov, 2016

Ebola control interventions that were meant to break all the transmission chains, promote research and strengthen health system could have left the health system weaker. Being in one of the three worst hit countries for almost 2 years now, I have seen the MOHS leave all their responsibilities to the NGOs and UN agencies to run the health system. this means for health officers to supervise and support the health facilities they have to be paid perdiems regardless of being in the government pay roll, for the health suppy chain to run health supplies must be purchased, transported and distributed by NGOs and the government logistics sits back and signs documents. The funding for all the NGOs have eventually drained off and the MOH still waits for more support. what becomes of the health service delivery? what happens to already poor maternal child health indicators? I think it's time for united nations and NGOs to do a postmortem on Ebola response and it's effects to the health system, come up with strategy to mitigate future disasters and define the role of every actor in public health emegencies.

Replies

 

maiyo Adams Replied at 12:45 AM, 30 Nov 2016

It is of dependency and expectation of respective department within MOH that jeopardizes the system. Am sure the very MOH has instilled firm and feasible strategies which not implemented because of bureaucracies and greed form the occupants within the departments

Danny Gotto Replied at 2:21 AM, 30 Nov 2016

Although I agree with the dependency syndrome I also know that these
countries economies were decimated by the epidemic. Most people either died
lost loved one and businesses collapse. This means governments have no
enough money whatsoever to support themselves to meet the challenge. This
has been exacerbated by the INGOs who without building capacity have simply
fazed out hurriedly.

In my opinion, these governments still need support and anyone who can do
so is most welcome.

Harold Campos Replied at 11:37 AM, 30 Nov 2016

Most NOG and UN agencies work in capacity building simultaniusly but sometimes MoH organization is ver y weak and this is an "oportunity" to do things directly.
But it is the worst to do! MoH must be supported bu this organizations, this is real oportunity to improve weaks things and strethenging MoH areas. To be come in the building of an Health system with capacity and in a rectorial roll to keep the actions behind the ebola of whatever emergency or epidemia which appear in the country.

Junior Bazile Replied at 2:47 AM, 1 Dec 2016

Because of the weak health systems in Africa, the governments are always happy to rely on NGO to help them runs their programs or they sometimes just prefer the NGO to literally run the programs for them. With the Ebola epidemic, what happened was a bunch of NGOs wanted to go and help. They went, did fundraising and got money to implement projects. Then the MOHs saw that and said, so they have the money, they also have the man power, hence let them help us because we need help. Now that the funding is almost gone, it's still hard for the governments to understand that the NGO cannot continue providing the same level of help that they were providing before.

I believe that with clear communication between government representatives and NGO representatives better understanding can take place but that has to really be done in a clear and transparent way. There should not be false promises by the NGOs in an effort to keep cordial relationships with the government officials. Most of the times, when NGOs really want to help implement projects in a region in a country, those NGOs representatives tend to make all type of effort to "please" the government officials so that approvals come more quickly, and government support to NGOs implementation can be gotten more smoothly. When that is done, the government officials become like spoiled and are always expecting some things from the NGOs.

It is my hope that the government officials will finally one day understand that it is their responsibility to establish the backbone of the health system in their countries. That cannot be the responsibility of NGOs. NGOs are there to support and help but the government is the one to determine what type of help is needed, how much of that help is needed and where it is needed.
Best,

Bazile

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