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Archive for the tag “Radiotheraphy Service”

Uganda Cancer Institute Press Release glitches in the radiotherapy machine (30.08.2018)

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It was a late birth for the New Cancer Machine at UCI, Mulago Hospital: The Saga lasted from 2013 to 2018!

Yesterday was supposed to be celebrated, but however, I can’t. Not honestly, not, no, not knowing that this process of procurement and knowledge of possible unnecessary demise of dozens of cancer patients, while waiting between March 2016 to January 2018 for possible treatment. It is insane.

Therefore, when I read crap like this yesterday, when the Machine was launched by Prime Minister Ruhakana Rugunda, I don’t celebrate:

“The Prime Minister Ruhakana Rugunda has commissioned the new radotherapy machine at the Uganda Cancer Institute Mulago. This follows the purchase of a new radiotherapy machine after the old one crushed in April 2016. According to Dr Daniel Kanyike the head of the radiotherpay department at Mulago, 80 patients are attended to per day and they suspect the number will increase after the commissioning today” (Sudhir Byaruhanga, 19.01.2018)

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. To start the procurement of a new Cobalt 60 Cancer Machine to Uganda Cancer Institute at Mulago Hospital. However, this has been lost in the story, that suddenly NRM moved swiftly in 2017 and got it ready for 2018.

It might be true that old one from 1995 – finally gave way and broke down in April 2016 before the General Election, the same fall. However, that doesn’t mean, they started procurement and facilitating the funds for a new one. They used longer time and awaited the destruction of the old one, before getting a newer model that actually worked.

They didn’t act quickly or swiftly in this affair. They moshed it together in a stew and hope to get gold, instead they are boiling bones and hope to taste the real deal. It is a mess and was a mess.

Because I still remember this:

“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).

Secondly, when NRM says April 2016, well, Dr. Orem speaks about three weeks before April, that means it broke down in March 2016. So the NRM cannot hold one piece of the story correct. Not even when it breaks down!

Therefore, the promise waited on results because of hardships to make a new space and have a new machine in where the old one was. The Uganda Cancer Institute had to wait and secure funding for a new one, even if they had already started procurement in 2013. Something they should have focused one, before making sure the old one crashed. This has clearly cost lives, since the Cancer patients have not been sent in drones in Kenya. They got some promises to Aga Khan in Kenya, but that was only for a few lucky ones. We can imagine how many cancer patients lost their ability for treatment between March 2016 and January 2018. It is insane, but also the structure and carelessness the National Resistance Movement (NRM) is known for.

So this has been a long await, which could have fixed before and was already in the making. Who knows why the authorities and the NRM didn’t fix it in advance, when they already paid partial payment in 2013. Years before it broke down. It is foolish and nonsense, when this is the only type of this machine in the whole Republic. Then, not being able to for-see its demise.

Well, NRM can think of this a propaganda victory, since no-one is questioning much and just is happy. The public shouldn’t be, because why didn’t they fix it earlier and made sure for a transition from one machine to another? Peace.

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

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!

NMS Amuria

“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.

akuh-nairobi-heart-and-cancer-centre

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).

Mulago 23.04.2014

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.

Soroti Hospital April 2016

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

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.

Uganda Cancer Institute Planned Procurement of new Radio Theraphy Machine in 2013 for Mulago Hospital; Don Museveni have taken his rackeering a bit to far!

IAEA Mulago Receipt

Uganda Cancer institute at mulago hospital has released a receipt indicating they made a procurement of the radiotherapy machine on the 28th of May 2013.

“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).

PRESS CONFERENCE TOMORROW AT THE UGANDA CANCER INSTITUTE AT 10:00AM.
please join us tomorrow for a press conference to clear the air about the Radiotherapy machine tomorrow Sunday 10th April 2016 at 10:00am at the Uganda Cancer Institute– Old Mulago (Uganda Cancer Institute, 09.04.2016). 

Let see what will happen, but surely this is public neglect from the NRM Regime who is more busy with buying a new private for the Don Museveni then having a government serving it’s people. The sadness of this state is that the Cancer patient is the loser and the families of them who needs this machine for health-recovery and treatment who can’t get to it; since the machine is broken down.

The rackeetering of the NRM Regime have gone to far, especially on a day knowningly that the NRM used to celebrate their “Double-Victory”  of the Rigged Election and the Supreme Court Verdict in favour of the Ruling Party and their Ruling Executive; who could not bother in all years of staying procure a new Cobolt 60 Teletheraphy Machine. Because that with unsettle his playground and rules as the Gangster he is. Peace.

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