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Archive for the tag “Chemoteherapy”

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 28th May 2013, where the funding of 325,297 Euros was deposited to the UniCredit Bank, Austria, Vienna on the 22nd 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

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Here are some of the current issues in Uganda; my quick opinion on them without organizations or order; just as my mind is adressing them; from Yiira Republic to Sipi Falls, until the Butabika Hospital and so on.

Opondo Museveni

We all know lots of things is happening as the Police Force is monitoring every movement of the Opposition and closer than ever before. The squad cars and the flying squad is more active than the government facilities in the country. There is only one brain who speaks to motion of the Don, which is Ofwono Opondo who I am soon think is a blood brother of Museveni; because they are two people, but they are argument and ideas are just the same. If not then the Don have messed with the mind of Opondo and made into his clone. Something he did not manage with Tamale Mirundi, but Mirundi is shooting at everybody like a AK47 does, and Opondo knows that. Therefore he sounds like you Don. Museveni, but let’s look at the current things that are clearly active issue after this rigged elections.

Rwenzori and Rwezori Sub-Region and the Yiira Republic it must stain the mouth of Mzee to utter those words. Yiira Republic of the proud mountain tribes of Rwenzori, eh! The one nation resurrected every time there is violence in the area. Kind of like every time Louis Suarez, Neymar or Messi scores the trio of MSN works to perfection for the Catalonian team of FC Barcelona.

FDC Besigye 05.04.2016

The newly insurgents in Kasese and Rwenzori Sub-Region have claimed to work for this Yiira Republic, that preposterous idea that have no substance. That Don Museveni even claims that Dr. Kizza Besigye have promised the locals this, is not true, even Dr. Kizza Besigye says so at once on his Facebook status. And it is not strange, when the Yiira Republic is a made up NRM needed excuse for militia works in the region. To put blame on locals instead of taking in the Police Force who has been killing royal guards of the Rwenzururu Kingdom. But that will not happen, as they are associates and close connected in some ways to the NRM Mafia.

There are some wonder of the word, there is Sipi Falls and Murchinson Falls, and ten there are the Karuma Dam who is not well-made at construction, so before opening the grand project the issue of the construction are falling apartand that happens from the get-go. That can only be seen as symbolic relic of the empty promises of the current regime. The contractors have not worked well for the state and delivered quality construction.

Karuma Dam Project

The Regime have been loose on the money as the UNRA have fired most of their staff recently as the World Bank suspended most of their budget support for their road buildings during late 2015. So there been reported that the Kampala Northern Bypass the new extension of the carriageway was set to cost $2,5m per kilometre instead it cost $9,4m shows the placement of government funds and the NRM Regime let the contractors easily eat the money without any consequence. But hey, this is not a monumental dam, where the construction is weak and not well made.

Kasangati 01.03.2016 FDC Leaves Cars

The Ugandan Government cannot help them to attack Dr. Kizza Besigye of the FDC. He is the main target first for offering the Rwenzori the Yiira Republic, which was made as a suggestion and proposal from the kingpin of Museveni. Second attack on him personally was from CP Fred Enaga of the Uganda Police Force, who claim that Besigye disobey Police Orders because of the Illegal Procession. If you read the Police Bond it was saying a “Illegal Prossession” which I am not sure what is a “Prossession”. If Besigye was in a Pros-Session like skaters usually are in the U.S. then he would skate away from the matter, something CP Fred Enaga should do. Since they have more to answer, as Besigye was illegally under house-arrest for over 40 days, when the laws of Uganda, gives it max over 40 hours! 40 hours is like 2 days in my calculation, and means that the Uganda Police Force have violated Dr. Kizza Besigye for over 38 days and CP Fred Enaga, IGP Kale Kayihura and the Don Museveni should ask for forgiveness for their hatred towards Besigye and the political party of the FDC.

Cobalt-Machine

You also have Cobalt 60 Teletherapy Machine have been down for a month at Mulago Hospital Complex at the Ugandan Cancer Institute. And there issues are the neglect and missing funds for the supposed building and procurement of the new Cancer machine for Chemotherapy and happen to be the only one in Uganda, and it has not gotten any new since 1995. There only been slight repairs while the patients are expected to be charged 30,000 shillings for going there. Still, there are no funds for getting a new machine, even if there been steady funds and a procurement already paid for. There is someone who is eating the money that was supposed to facilitate the cancer sick!

There isn’t only Dr. Jackson Orem of Mulago who is working under torn mechanical issues, even at Butabika Hospital Director David Basangwa told Parliament today that their 400m shilling machine broke down last month. But this is just scratching an itch for the ruling regime, as they recently fixed more money, but not for the health care that has dire need for it!

Kayihura Kasese Bundibugyo 24.03.2016

As recently the Uganda Police Force have been lucky for their great work of keeping Besigye under siege in Kasangati and gotten supplementary budget of 34 Billion Shillings in the 2015/2016; then there is the Ministry of Defense gotten the supplementary Budget of 253 Billion Shillings in the 2015/2016. State House because of being broke after using the funds for the Presidential Campaign and buying votes they got supplementary Budget of 21 Billion Shillings in the 2015/2016. This is not enough for the President as he has not eaten enough yet, therefore the Office of the President getting also supplementary budget of 8.6 Billion Shillings in the 2015/2016.

You also have the fight for the Speaker in the Parliament under the 10th Parliament that is for the Rebecca Kadaga and the Jacob Oulanyah works both to become Speaker and Kadaga as Incumbent feels that she is deserves to be it again. While again Hon. Sam Kuteesa says he doesn’t want the special chair and respected position there. As Hon. Kuteesa are happy to be an unopposed MP for the NRM this coming term. Certainly there will be some action between Jacob and Rebecca as they both wants the Nobel task in Parliament.

Museveni Debate16

There will be happening more of this; because the NRM can’t help not to deliver to other things than to their Executive, their paid elite and again praise the Don! On his quest through the playground and total control of the Government of Uganda and their funds; with his racketeering through the NRM and hope to be not questioned how he does use the funds or take it when he needs. Peace.

More on the Mulago Cancer Institute issues; the racketeering has new excuses!

Cobalt-Machine

This here would be spin-doctors spinning the doctors and showing the surface to the world and the expenditure of not procuring the necessary tools for the Health Care workers on the Kings Hospital of Mulago. That story seems to have legs and straight after the general election, so steady regress it is.

First Update:

Fellow Ugandans, let’s try to get facts right. The Cobalt-60 machine was bought. It is awaiting construction of the bunker(the room to house it). Earlier statements that there are no funds to purchase the machine did not come from us. What is at stake now is the construction of the bunker. You may wonder why this machine cannot be housed in the current space. This space was assessed by IAEA and found that it is not suitable to house the machine. However fundraising for another machine is a good idea. The procurement process for the bunker construction has already started. In the meantime, other machines such as HDR bracytherapy machine are under use and other services are still on going” (Uganda Cancer Institute, 10.04.2016).

Second Update:

Dr. Orem the director of Uganda Cancer Institute (UCI) has assured Ugandans that cancer treatment has not stopped but just one of the machines used in treatment of Cancer has stopped. Cancer treatment is done in combination. Cancer can be treated comprehensively. Our capacity has been deminished by a small percentage. Minister Tumwesigye says that the dead machine will only slow down treatment by 20 percent but cancer institute will be getting shs 41.billion next financial year from shs. 17bn. You dont just walk and buy the machine like a scanning machine” (Daily Monitor, 10.04.2016).

That alters the information from two days ago from the same doctor:

Cancer patients receiving radiotherapy treatment at Mulago hospital may have to wait until next year when the new cobalt 60 radiation machine will be installed, after the old one broke down three weeks ago. According to Dr Jackson Orem, the director of Cancer Institute at Mulago hospital, it may be difficult to repair the radiotherapy machine, procured in 1995, to render efficient results” (EA BIZ INFO, 08.04.2016).

From the MPS Ministry of Health Report 2013/2014:

“The Committee noted the tremendous work registered by the Uganda Cancer Institute. However, the Committee learnt that the genuine cost of cancer treatment – chemotherapy was not known to the majority of the people, including the patients, thereby creating space for unscrupulous people to cheat patients. The Committee was informed by the Director Uganda Cancer Institute that chemotherapy treatment was free of cost, except that patients were charged 30,000 for the bed per night” (MPS P: 52, August 2013).

In the Annual Health Sector Performance Report of 2012/2013 stated this:

“Remodeling existing facilities and completion of the construction and operationalization of the new cancer ward” (…)”The remodeling of TB was finalized to accommodate patients originally from the Lymphome Treatment Centre ward. Relocated and remodeling the Laboratory, the Solid Tumor Centre ward and set up a temporally kitchen. Continued with the construction of the six floors Cancer Ward and during this FY, Plumbing Electrical installation and fitting were completed” (Annual Health Sector Performance Report of 2012/2013 P: 49).

IAEA Mulago Receipt

So somebody is not telling the whole story, if not they did and then they changed to fit with the Racket of Don Museveni, which leads the Government and appoint the Health Ministry. This here saga is not over. Certainly somebody has not done their duty and their job since the machinery at Mulago Hospital Complex is not yet there, and they are using broken down machinery from 1995. 20 Years of steady service and not much upgrades takes its toll on the equipment. The worst thing is the see the spin-doctors and the words coming out; how the Doctor Jackson Orem is changing his words within 60 hours. That says something about the power of the Ministry of Health, not about his character as a doctor and a civil servant. Peace.

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