The State of Health service delivery and financing: CSO perspectives (17.03.2019)

The Saga of the New Cancer Machine of Mulago was not a two-year scheme!

Let’s be honest and clear, the story of the Cobalt 60 Teletherapy Machine from the mid-90s, who was not sufficient and had not been changed within time. Was not a two-year long waiting period of nostalgia, it was mismanagement with the cost of lives and devastation. Any government caring about lives, would have planned and made sure of funding for a new one, long ahead, especially considering the last one was bought in the mid-1990s. This is the true acts of maladministration and misuse of state reserves. That is evident, and also that the Ministry of Health, who only had one these, couldn’t make sure the procurement went softly and made sure the facilities could be fixed in time to put in a new machine. Even if it matters of lives and people’s serious treatment.

Only two year?

“After almost two agonising years of waiting, cancer patients will breathe a sigh of relief after the new radiotherapy machine arrived into the country this week. It was shipped from Czech Republic through Mombasa port with guidance of the International Atomic Energy Agency (IAEA), a United Nations body that regulates use of nuclear and atomic energy. Purchased at 642,000 euros (more than Shs2.7b) by both government and IAEA, the machine replaces the old cobalt 60 radiotherapy machine, which broke down beyond repair on March 27, 2016, leaving about 2,000 patients without proper treatment and some people died in the process” (Ainebyoona, 2017).

What about 2013:

Because I have a letter dated back to IAEA from Dr. Byahagaba from 28^th May 2013, where the funding of 325,297 Euros was deposited to the UniCredit Bank, Austria, Vienna on the 22^nd May 2013. This was funding for the purchase of Cobalt 60 Teletheraphy Machine. Therefore, the Daily Monitor or the Mulago Health Care Complex has given som wrong information.

If not the final instalment for the purchase of the machine has come in the aftermath, which is a significant sum of monies, since it is 315,000 Euros that has appeared and made sure the buying of the machine finally appeared.

This sort of acts should not let it go easily, that a state with millions of lives, that are in-charge of making sure their citizens are healthy. Only has one Cancer Machine and that one has been out of function for two years, and it took about at-least 4 years, since 2013 to be able to purchase the equipment and use it for the public benefit. Clearly, the National Resistance Movement (NRM). Isn’t worried about losing their citizens or making sure the health is in check. Surely, the do not worry, since the President sends his own kin abroad to give birth. He knows the meagre state of the facilities of where he has resided and run. He eats the reserves and leaves scraps behind. The evidence in the 4 years in the making of the Cancer Machine. It is good it is there, but the time and effort is mediocre at best. Nearly depleted and destructive, as the concern of the cancer wasn’t even there. Peace.

Reference:

Ainebyoona, Mmanuel – ‘New Cancer Machine finally arrives into the Country’ (12.08.2017) link: http://www.monitor.co.ug/News/National/Sigh-of-relief-as-Shs2-7b-cancer-machine-arrives/688334-4054904-vf8309/index.html

Szlavik represents a Shady Company of Men: Polishing the image of Nkurunziza and Museveni!

Joseph Szlavik and his lobby firm in Washington D.C. are using his close-connected network in the Senate and the House, to trade secrets and interference of knowledge from not so favorable sources. The Scribe Strategies and Advisors are have certainly no scruples in their dealings. As the vast funding from Republic’s and their leadership. Proves that he can bought by anyone who opens their check-book. There is no story he cannot open and abuse, to make sure that his company earns fortunes.

Therefore, be aware that certain connected journalists has been touched by this lobbyist like the Sioban O’Grady, who has had interviews interconnected on several occasions during the last year. As well as Kevin Kelley in Daily Nation, who has been used as tools for the agenda of the Lobbying firm.

Promotes the cause of CNDD-FDD:

This lobbying company has a long history in Burundi, as they have wanted to retain the company as far back on 12 December 2005, when Minister of External Relations and International Cooperation Antoinette Batungbwira wrote a credible praise and wanted to extend their work together.

The government of Burundi, had the funds and the ability to push their agenda in Washington D.C. during the 2015-2016 as their noble lobbyist Joseph Szlavik, signed his earnings to the proper American authorities. On 10^th November 2015, the CNDD-FDD paid the lobbyist $ 59,980.00, as he was also paid on the 5^th February 2016 $ 60,000.00 and on 25^th April 2016 $ 92,230.00. Also, his fees continued as on the 8^th August 2016 got $ 90,000.00 and 19^th December 2016 the total salary $ 60,000.00.

The lobbyist has during the 2 year period earned astonishing $ 362,000.00!

The CNDD-FDD could afford to pay a man to spread their message and play after their tune in the congress and senate! This shows the power of the monies, as the lobbyist himself explained his position and what he did to earn this amount of money: “Registrant (Scribe Strategies & Advisors) counseled and advised the Government of Burundi on U.S. Policy and informed congressional and executive branch officials and staff and non-governmental organizations (NGOs) on development in Burundi, and promoted relations between the United States and Burundi. Registrant provided public relations support and strategies to the Government of Burundi” (13.04.2017 – NSD/FARA Registration Unit).

“Registrant (Scribe Strategies & Advisors) arranged for Foreign Minister Alain Nyamitwe to speak at the Atlantic Council on June 22, 2015 and on the VOA’s “Straight Talk Africa” on June 23, 2015, and Newsmax TV on June 24, 2015, about recent political developments in Burundi; arranged for presidential spokesman Willy Nyamitwe to speak to the Atlantic Council on January 22, 2016, and on the VOA’s “Straight Talk Africa” on January 20, 2016, and on France24 TV on January 21, 2016, all of the topic of the recent developments in Burundi” (03.03.2016 – NSD/FARA Registration Unit).

Promote the cause of the NRM:

The Government of Uganda and their Foreign Affairs has used the same man to pursuit their agenda in Washington D.C. as they paid the man on the 5^th May 2016 $ 62,500.00. In 2015 they also paid him well for the help of spreading the message of Foreign Minster Kuteesa on the 24^th June 2015 paid $ 55,200.00, also $ 69,800.00 on 7^th August 2015 and on 9^th December 2015 $ 64,535.11. The Government of Uganda totally paid the amount $ 250,000.00 to the lobbyist over 2 years!

“Registrant (Scribe Strategies & Advisors) arranged for Foreign Minister Sam Kuteesa to appear on Voice of America program. “Straight Talk Africa” September 16, 2015; the topic was Kutesa’s tenure as President of the United States General Assembly; also arranged for Kutesa to speak at the Atlantic Council on September 15, 2015, on the same topic” (03.03.2016 – NSD/FARA Registration Unit).

That the company uses their reach and their messages as back in day, in 2015, when Scribe Strategies and Advisors, they used Kevin J. Kelley to write a piece in the Daily Nation:

“Mr Szlavik noted that his firm did have a contract about 10 years ago to lobby for Uganda in the US. In accordance with that deal, Mr Szlavik explained, Scribe sought to persuade the Bush administration to list the Lord’s Resistance Army and the Alliance of Democratic Forces as terrorist organisations. The US does designate the LRA and ADF in that way” (…) “Earlier this year, Mr Szlavik added, he discussed with Uganda’s ambassador in Washington the possibility of Scribe again doing lobbying work for Uganda in the United States. But no agreement has been made, Mr Szlavik said. “There’s no contract, no numbers, no payment,” he declared” (Kelley, 2015).

There should be discussion and counsel going on as just a brief month after the interview and article in the Daily Nation, the company earned about $ 60,000 paid by the Ugandan government. So the company knew all about it in 2015, but wanted to spin the news and their role.

The Company was more upfront about their role in spinning the news for Burundi, as the Scribe Lobbying firm in 2015, addressed matters close to the heart of government of Burundi and again, they used their fellow journalist in the Daily Nation:

“The allegations by Joseph Szlavik, head of Scribe Strategies & Advisors, followed reports of fighting between government troops and an unidentified armed group near Burundi’s border with Rwanda” (…) “Mr Szlavik noted in an interview with the Nation that the Burundian leader’s right to run for re-election had been affirmed in May by the country’s Constitutional Court” (…) “Western powers call for respect for the rule of law, and this was the ruling by the Constitutional Court of Burundi,” Mr Szlavik said” (Kelley, 2015).

So Szlavik, the man paid by the Government was clearly knowingly keeping it cool with Burundian authorities, not only spreading their agenda, but also their motives to keep power. Using the tools of legislation and not addressing the grievances of the people demonstrating at the time. Therefore, showing that the ones feeding him was more important than actual justice. That they also, this used the fellow friend in the Daily Nation, show’s how systematic the Scribe Strategies and Advisors work in the East African region.

This is just a quick look into the matter and not really digging deep into the polishing tricks of the company and their employees, as their staff and connections into the House and Senate in the United States was massive. The role to play and their reasoning as the paychecks from CNDD-FDD and NRM comes, they easily comply with the methods and needs from Bujumbura and Kampala. With no care of the implications and ramifications to the innocent in Burundi nor Uganda. Certainly, this is blood-money and I hope they are cursed. Peace.

Reference:

Kelley, Kevin J. – ‘US lobbying firm denies Uganda is currently a client’ (01.04.2015) link:http://www.africareview.com/news/US-lobbying-firm-denies-Uganda-is-currently-a-client/979180-2672786-3ti6at/index.html

Kelley, Kevin J. – ‘Burundi claims Rwanda aiding rebels’ (13.07.2015)

Kenya: LFA condemns shooting of Mrs. Kuki Gallmann in Laikipia, urges swift restoration of law and order (23.04.2017)

Steady Regress of Health Care in Uganda; Only 20 gets to Aga Khan in Nairobi not 400 cancer Patients; also other issues in the decaying health care!

“There is lots of tear gas in every police station but there is no medicine in the hospitals. Trust me, I am a mother. I will heal this country with love” — Maureen Kyalya Waluube

As the weeks goes the mitigated reports of the down-fall of the common-health care and the depleted systems from the Government have made and controlled for 30 years. The torn and crossed fingers and the light-speed of embezzlement of funds come forwards as the most recent ones is just more disgusting.

There been reports of 400 out of 17,000 was supposed to be lucky cancer-patience’s. Now this was been said during the week:

“  A statement sent to The Observer on Tuesday April 19 read “The Aga Khan University Hospital in Nairobi (AKUH-Nairobi) announced today that it will work with the Government of Uganda to provide as many as 400 cancer patients with free treatment in response to the breakdown of Uganda’s only radiotherapy machine” (…)”But now Dr Orem says the offer can at best may cover no more than 20 cancer patients. “The offer of the treatment of Aga Khan is confirmed but the clarification is that they are offering 400 fractions or dosages of radiotherapy not 400 patients to be treated. What that means is that; one patient may take more cycles or may take more fractions of treatment. So that means in all fewer than 400 will be treated. I think that needed to be clarified. Only average maybe about five or six [doses per patient]. What usually happens is that the doctor calculates of the amount of dosage of radiation that a patient needs. It may be above 30 then you divide that in what we call fractions or sessions the patient should have”, Orem says” (URN, 21.04.2016).

So instead of having the surplus 16,600 who the country doesn’t have the potential to send to the Radiotherapy treatment they might need. Now it is down to 16,980. That 16,980 that is sad number if they only takes 20 people. 20 people, then it is the ones that closest connected to the NRM regime and the rest are on their merry. This is just an insult from the Government of Uganda and also their partner in Aga Khan who even during the pre-election period got more land in Uganda! Disrespectful!

Well, there is more disgrace from the Ugandan Government and their health-care units. As Remmy Bhati of NBS TV Uganda writes: “Apparently, this is Mulago National Referral Hospital in a total black out. Iam here attending to my special patient. Power has been off for close to 3 hours. No candles, no generator, no Solar. Patients are receiving treatment on torches. In this period of a black out, three patients have breathed their last because machines couldn’t work without power. The on duty nurses on a night shift have tried their best to save the patients but in vain. Watching people die because of Electricity is very hurting” (Remmy Bhati, 22.04.2016).

The situation is dire as there been Power outage for the last 4 days at Mulago hospital, the old Kings Hospital of Mulago. This was the proud hospital, that doesn’t even have a radiotherapy machine and doesn’t even have electricity to ordinary function of the hospital. It is just sad to write it and bleak state of affairs. This is not steady progress. This is steady regress. And it is actually worse.

At the Soroti Referal Hospital have not had power for a week. Because of that there are no surgery happening at the hospital and that is sad enough. With the knowledge of similar actions and loss of electricity in Mulago and the same conditions, but longer at Soroti says it a systematic failure.

One doctor serves 15,000 patients. In Arua Referral Hospital there are only 4 doctors! That is also a visible sign of the maladministration and lack of funding of that hospital. 4 doctors! That you have two hospitals without electricity and one with nearly enough or few doctors is nearly an ordinary building not a hospital. Since at a hospital you should get treatment and healing of sickness and diseases! Peace.

Reference:

URN – ‘Aga Khan hospital may treat just 20 cancer patients not 400′ (21.04.2016) link: http://www.observer.ug/news-headlines/43793-aga-khan-hospital-may-treat-only-20-cancer-patients-not-400

The Anti-Gay bill will only resurface in Parliament when the NRM-Regime needs to cover-up all their other neglected issues.

Let me ride on the Western Hemisphere for it’s care for the LGBT people in Uganda while letting all kind of other oppressive behaviour happen without any cost or any repercussion. I am sorry to all you western government officials that support the LGBT case. They are all people equal under God. Just as you and me. I have nothing against the LGBT cause or that the LGBT men and woman deserves to screw they want to screw. But distinguish that from the matter at hand. I will discuss the real Equal freedom and justice; that means a governing system that is for Besigye or Mwenda; not just for Mwenda and Opondo, but not for Turinawe.

So let me address you clearly as the National Resistance Movement and their ruling regime under President Museveni have become more and more draconian. The rules of law have lesser value as the regime is more inherent corrupted with the arms, tear-gas and anti-riot Police then actual democratic values. So when you have a system where the Militarized Police Force, Militarized Politics and Army Programs into the Civil Society then the guns are controlling all parts of arenas that the society should lead. So that the Western Hemisphere and international community turns a blind eye to that proves the double standard.

That there is an problem with “the Prohibition of Promotion of Unnatural Sexual Practices Bill” – 29th October 2014”. Certainly it must be because the United States can have states like Virgina and such with equally astonishing laws, but not duplicated the heat or massive creations of unlawful bashing. So there are issues with these laws as the LGBT is in this narrative a minority in Uganda. A minority of many, but why complain and make issues with that one minority when the general population is oppressed by a militarized regime? Is that because the NRA of USA is so powerful that a gun-loving president (Former NRA turned NRM) in Africa is cool and flashing AK-47 in Rwenzori is amazing, but him creating bad laws against a minority is overboard.

That a country of 39 million citizens had one Cobalt 60 Teletheraphy Machine at Uganda Cancer Institute (UCI) broke down at Mulaga Hospital Kampala two weeks ago or so. While there about 17,000 Cancer sick that need treatment, but there none for them in the country. The international world isn’t doing much. Instead the rich Aga Khan and his Aga Khan Hospital offers 400 patients treatment in Nairobi, Kenya, so there are no opportunity in Uganda. That does not create a stir, which is another minority of people who are sick and in dire need of treatment. That is the same country that has mismanaged international funding to the health care through the Global Funds has been squandered away. The same health care system has X-Ray Machine broken down in Butabika Hospital and other meagre resources and machines at Hospitals that are decaying around the country. So it is okay that President Museveni and the NRM neglect the sick and dying.

The same with up-country Primary Schools where the walls are thin and rain-water flows in and the bricks are shredded. Where the payments of teachers are always late and underfunded as the rate has not gone up for years even with the steady levels of the neglect while the donor-funding and programs towards schools since UPE launch that was ushered in 1996. But the now steady report of dwindling county schools and the standard of facilities seem to be planned. As it is district by district, not a one place issue and more broad issue amongst the country. This is just an issue that matters for the kid’s education and their platform for their future. But the Western media and the Western donors will not put this on blast.

That the Police Force is so involved into politics embedded in the ways that they follows the oppositions, close down their consultations meetings and rallies. The Police Force follows and tag’s the opposition leaders. The Police Force detains opposition members and stop opposition celebrations even when the opposition complies with draconian laws of the state. That is not an issue that creates havoc. This oppressive behaviour from the Police Force towards the Opposition can happen without any clear questions or stop of funding them from abroad.

So the issues are bigger then the “Anti-Gay” bill as the nation is built around the President and his elite. This happens while the rest of people might get detained without questions and without charges. Therefore I feel it is wrong that the international organizations and international media focus alone on this issue. As that is a drop in the sea. The Corruption, the bribes, the embezzlement and the ruin of government institutions should be more in focus and sustain a healthy living for the citizens. The framework of the lawful society is far away. With the current Police State and the current arrest of democracy is more haste to fix.

To reinstate the issue of the bill from 2014 is to deflect the grand issues and the mortality of the current affairs. The ways that people are muffled and silenced in general should be more worrying. The way the army and Police are used as strict tools of oppression and the Parliament writing off more and more money to them instead of being representatives of the citizens. That is where the focus should be. Especially since the donor-funding is 20% of the direct donor budget funding of Government of Uganda. That the NRM will spend on the State House, the farm of the President, new Private Plane and cars, not on the services of government that is expected.

So if the Parliament of Uganda under Rebecca Kadaga puts this up again, then it’s in a way to put all the issues to the side. To give space for the NRM to work with that in silence as the bill will create havoc, but give way for all the activity of the government. So you have been warned of the non-sense and should look at the major issues that make a difference for all of society, not just a minority. Peace.