Kenya health sector in crisis as doctors strike

Kenya is facing a health crisis as doctors in public facilities demand better working conditions, implementation of the Collective Bargaining Agreement (CBA), posting of medical interns, and medical cover. Patients are left in a dehumanizing state, with hospitals and doctors demanding cash before treatment. Doctors have given a seven-day ultimatum to the government to suspend the mandatory use of the Electronic Tax Invoice Management System (eTIMS) in the sector or face a nationwide strike. The Kenya Medical Practitioners and Dentists Union (KMPDU) has been in a back-and-forth relationship with the government, with doctors not attending to emergency and critical services in all public hospitals. Major hospitals, including Kenyatta National Hospital (KNH), have stopped admitting patients for elective surgeries and even admission in the wards. Pumwani Maternity Hospital, one of Kenya’s leading facilities for maternity admissions, has stopped taking in pregnant women who are now forced to seek services elsewhere. KMPDU Secretary-General Davji Atellah said they will not be taken back on what they rightfully fought for, and the strike will continue until all their demands are met. KMPDU Deputy Secretary-General Dennis Miskellah hopes that the government will engage with the unions and address the issues raised by KMPDU, including implementation of the CBA, salary delays, employment of doctors, posting of interns, postgraduate training, and promotion of doctors.

(source: Kenya Media)

Gender inequality, root of global crisis in health

A World Health Organization report, “Fair Share for Health and Care: Gender and the Undervaluation of Health and Care Work,” highlights the negative impact of gender inequality in health and care work on women, health systems, and health outcomes. The report states that investment in health systems has led to a cycle of unpaid health and care work, lowering women’s participation in paid labor markets, harming women’s economic empowerment, and hampering gender equality. Women comprise 67% of the paid global health and care workforce and an estimated 76% of all unpaid care activities.

The report highlights that low pay and demanding working conditions are common in the health and care sector, negatively impacting wages, working conditions, productivity, and the economic footprint of the sector. With stagnation in progress towards universal health coverage (UHC), 4.5 billion people lack full coverage of essential health services, and women may take on even more unpaid care work.

The report calls upon leaders, policymakers, and employers to take action for a fair share of health and care. Policy levers to better value health and care work include improving working conditions for all forms of health and care work, especially for highly feminized occupations, and including women more equitably in the paid labor workforce. Other policy levers include enhanced conditions of work and wages, ensuring equal pay for work of equal value, addressing the gender gap in care, supporting quality care work, and upholding the rights and well-being of caregivers.

Investments in health and care systems not only accelerate progress on UHC but also redistribute unpaid health and care work. When women participate in paid health and care employment, they are economically empowered, and health outcomes improve.

Source: NAN

Fighting Pandemic and Strengthening Health Care in East Africa

The EU-IGAD COVID-19 Response Programme, funded by the European Union with 60 million euros, provided significant support to seven countries in the IGAD region during the pandemic. The regional response was managed by UNOPS and implemented by IGAD, GIZ, IOM, TradeMark East Africa, UNICEF, and UNOPS. The program delivered 460 activities in 55 locations from June 2020 to December 2023, including delivering critical medical supplies and equipment, enhancing IGAD’s capacity to coordinate national responses, increasing access to health and water, sanitation, and hygiene (WASH) services, mitigating gender-based violence, improving community engagement, ensuring safe borders and supply chains for trade, and promoting digital solutions to monitor the pandemic. The program reached 6,822,433 people through various activities, exceeding its target by 52.7%.

The project evolved from an emergency response project in 2020 to include development activities as the pandemic subsided. The project required a multidisciplinary approach to account for the complexities of social and health thematic areas and their interrelationships with different sectors. The vital support of the program included the procurement and delivery of 8.6 million pieces of personal protective equipment, 208,977 COVID-19 test kits, 64,724 WASH and hygiene kits, 22 ambulances, 14 PCR machines, eight field vehicles, and seven mobile laboratory trucks.

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A New Chapter in Healthcare Research: HeSMA’s Leap Forward with Vanderbilt University

Today marks a new dawn for healthcare research as the Health Systems Management Association (HeSMA) proudly unveils a ground-breaking partnership with Vanderbilt University. This alliance brings forth the acquisition of an innovative Research Electronic Data Capture (REDCap) system, a beacon of hope and progress in the realm of data management.

Imagine a world where researchers are equipped with the tools to transform lives and communities. That’s the world HeSMA envisions with REDCap. It’s more than just a system; it’s a promise of a brighter future, where every piece of data helps to weave the fabric of better healthcare outcomes.

REDCap’s arrival at HESMA is a testament to our unwavering commitment to excellence. It’s a tool that will empower researchers to reach new heights, ensuring that every study, every number, and every discovery is handled with the utmost care and precision.

Fredrick Kimemia, CEO of HeSMA, shares this excitement: “Our journey with Vanderbilt University is a step towards a future where technology and healthcare walk hand in hand. REDCap is not just a milestone for us; it’s a milestone for every life that will be touched by the research it supports.”

As we embark on this inspiring journey, we invite you to join us. Together, we can unlock the potential of data-driven research and create a healthier world for all.

HeSMA secretariat