Showing posts with label Health issues. Show all posts
Showing posts with label Health issues. Show all posts

Thursday, February 20, 2020

Neo-colonialism & the South Fly

Martyn Namarong

By MARTYN NAMORONG - PNG Attitude

PORT MORESBY - Recent media reports have highlighted the problems faced by Daru in terms of its ailing infrastructure and the chronic shortages of almost everything that could make urban life liveable.
Daru is a stone’s throw away from the first world existence of Australia yet a million miles away from access to reliable safe clean drinking water, decent sanitation and healthcare. Port Moresby doesn’t know Daru although it pretends to call it the capital of its Western Province. What Port Moresby knows about its neo-colonial territory of Western Province is the giant Ok Tedi copper mine which is Papua New Guinea’s main foreign exchange earner.
To understand what is wrong with South Fly is to first look at the big picture before delving down into the minutiae of the problems faced by this district.
THE BIG PICTURE
South Fly District is carved out of mainland PNG by the Fly River which runs from the northwest PNG-Indonesia border towards the south east into the Coral Sea. It has a land mass of over 31,000 square kilometers, enough to fit in the highlands provinces of Simbu, Eastern Highlands, Western Highlands and Jiwaka and still have a lot of breathing space.
The district’s enormous size presents a logistical nightmare when trying to deliver basic government services to people scattered over such a large area. This is further compounded by the fact that, like every other district in PNG, it only receives around K10 million each year from the national government. Imagine trying to deliver goods and services to the provinces of Simbu, Eastern Highlands, Western Highlands and Jiwaka with only K10 million.
Its problems are also structural. Some of these issues are unique to the district and are the outcomes of broader historical processes that have produced present realities. When PNG gained independence in 1975, the preamble to its constitution declared the nation’s self-affirmation on the global stage. However, in its subsequent sections, the constitution also gave effect to the instruments and institutions of colonisation.
In effect the PNG constitution is a bit of an oxymoron in that it declares a PNG identity and then goes on to suppress that by empowering the tools of colonial power. The consequence of this constitutional contradiction is that colonisation in PNG now has a Melanesian face with the neo-colonial powers being in Waigani and the colonies at the periphery.
Thus, for the people of South Fly, those along the borders of Indonesia and Australia had their fate sealed by Port Moresby, Canberra and Jakarta. Take for example the ‘treaty villages’ along the Torres Strait which have been deprived of any commercial gains from fisheries thanks to the Torres Straits Treaty. Although one would assume the border villages would be far more developed given their proximity to larger and more advanced economies, they are amongst the most poorest and disadvantaged in the district.
Recent work done by Professor Mark Moran and his team from the University of Queensland show that the level of poverty in these areas is comparable to that of sub-Saharan Africa.
As Professor Moran and his team noted:
“The close pre-colonial relationships between people in the South Fly and Torres Strait Islands, which typically fostered mutual benefits for both parties, were transformed when PNG gained independence in 1975. Since then, the benefits coming to Torres Strait Islanders along with their Australian citizenship have steadily increased, lifting their living standards.
“Meanwhile, the situation in the South Fly has deteriorated: the people have received limited support from the PNG Government and environmental damage due to irresponsible mining practices has damaged the marine environment on which they depend.
“[The] asymmetries on the PNG side of the border have deepened further as the management of the Torres Strait Treaty has gradually hardened.”
Other structural problems are not unique to the people of South Fly. Waigani’s negative relationship with the periphery is well documented with the Bougainville civil war being the most infamous.
The growing calls for autonomy from the periphery reflect the level of mistrust felt by the margins of their neo-colonial masters in Waigani.
Take for instance the idiosyncrasies of the Waigani imposed administration. Provinces, districts, local level governments (LLGs) and wards exist merely as decorative shells giving a perception of administrative power and control by the regions.
Many ‘provincial’ sectors of administration are actually controlled from Port Moresby with neither the local political leaders nor administrators in charge. And so the ‘Provincial’ Police Commander is accountable to Konedobu, and the ‘District’ Finance Manager reports to the Finance Department in Waigani.
In Waigani’s language these are ‘national functions’ operating at the provincial or district level. The use of the terms ‘provincial’ or ‘district’ refer to geographic descriptions of the roles as opposed to any form of local political or administrative autonomy.
And so a major development challenge faced not just by South Fly but other regions of PNG is that the political and administrative heads of provinces, districts and LLGs are rather impotent when dealing with officers who are accountable to Waigani and not the local authorities.
How do these local generals command their soldiers when the soldiers receive marching orders from Waigani?
The battle against entropy in the provinces and districts is lost even before the war has begun because of the command structure. Thus entropy has won, is winning and will continue to win unless generals and soldiers are under one command structure.
What I am saying is nothing new. It was recognised at the dawn of PNG’s independence and has continued to be articulated by various parties in various forms.
Unfortunately, the viceroys of the new empire which was inherited from our colonial masters in 1975 remain stubborn in their grasp of power and privilege.
Thus when a Member for South Fly receives the K10 million district service improvement grant with all the strings Waigani has attached, it is dispensed according to Waigani’s guidelines to implementing officers who are ultimately accountable to Waigani.
The local member of parliament acts like a postmaster for Waigani. If one is to understand some of the unconventional behaviour of some MPs one must understand the power play and potential political suicide that faces them.
THE SMALL PICTURE
And with this we segue into the small picture for the people of South Fly.
Ask anyone on Daru Island what is wrong with service delivery and the two things they mention are lack of political leadership and a corrupt public service.
But, as I have noted earlier, whilst these two concerns are genuine, the problems are larger than that.
Both the political leadership and civil service face the unenviable task of delivering goods and services to a scattered population over a large geographical area with very limited resources.
The local MP, the police commander and education and health advisors simply do not have the capacity to deliver to the entire electorate. Yet they are expected to perform miracles. And when they fail they are accused of being corrupt.
Funds from Waigani also are notoriously late or never sent - and guess who gets blamed for the lack of service?
But on the occasion that funds do arrive, the administrative idiosyncrasies discussed earlier kick into place thus there is lack of accountability at the local level.
South Fly District is only as accountable as Waigani holds it to account. Even Daru has not much control over Daru as, in many cases, Daru reports to Waigani.
On Daru Island it’s always the next person who is the problem.
Everyone seems blindsided by their own self-righteousness. And so, as individuals fail to reflect on their own personal weakness and correct them, the process of growth and improvement fails to happen.
On my first trip down to Daru, I met a couple of District Development Authority board members who kept blaming the public servants for many of the issues in the district.
But as I looked through some of the decisions I wondered if the DDA board was not playing its role. Many of the board members I spoke to didn’t fully understand their roles and responsibilities.
I asked them, “Do you know that you are in charge of looking after the yam house that belongs to the people of South Fly?”
“Do you know that the rats cannot eat the yams unless you give approvals at the DDA board meetings?”
“How can you blame the rats for eating from the yams from the yam house when you gave approval to the rats to get hold of the yams at the first place?”
You can imagine how the board members performed at subsequent board meetings.
GOING FORWARD
There needs to be a lot of individual reflection and soul searching on Daru Island with more empathy for the next person on the island.
Everyone needs to examine their own strengths and weaknesses and to see the goodness in others that can be leveraged to move the district forward.
The people of South Fly need to recognise the systems and structures that have been imposed on them since 1975 and organise themselves better to be able to make the systems work for them.
Go to this link for more: https://www.pngattitude.com/2020/02/neo-colonialism-the-south-fly.html

Thursday, December 19, 2019

Cabinet approves K300mil for hospitals



By PETER WARI - The National
THREE new hospitals to cost K300 million each will be built in Hela, Southern Highlands and West New Britain, Health Minister Jelta Wong says.
He said Cabinet had approved the projects.
Other provinces will be looking into later.
Wong accompanied Prime Minister James Marape and others to open projects in Tari, Hela, yesterday.
He said, although Hela was known for law and order issues, the unity of partners such as the Oil Search Foundation, Santos, the Tari-Pori development authority, Hela government and the Australian government through the incentive fund had seen new projects realised to benefit patients and health workers.
“The improvement and construction of infrastructures are taking place because of like-minded and God-fearing people working together to serve the people,” he said.
“The opening of the 28-room nursing quarters, mess hall for patients, X-ray and pathology unit and four houses for doctors are the beginning of many things to come.”
Wong commended the provincial health authority headed by chief executive Dr James Kintwa “for the wise and prudent management to put up such infrastructures”.
Oil Search Ltd chief executive officers and Hela health authority chairman Peter Botten said the support from partners such as Australia had improved health services in the province.
The PNG Incentive Funds gave K10 million for the development at the hospital.

PM opens nurses’ quarters, hospital kitchen during visit

PRIME Minister James Marape visited his Tari-Pori electorate in Hela yesterday to open several projects at the provincial hospital in Tari.
They were funded by the PNG Incentive Fund for K10 million through the PNG-Australia partnership programme.
Marape thanked the PNG Incentive Fund for the construction of a nurses’ quarters, plus the hospital kitchen and messing facilities.
The other projects was the hospital’s X-ray and pathology laboratories.
Marape said the partnership between the government of Australia, Oil Search Foundation and Oil Search “is a testament to the commitment to serving the people of Tari-Pori and the country as a whole”.
He said it would boost the morale of the hospital staff.
Marape said he wanted nurses and doctors to attend training sessions too.
He said the Government planned to bring better health services to the rural areas.


Hela health authority chief executive Dr James Kintwa (from left), Marape, Hela Governor Philip Undialu, Davis, Oil Search Ltd chief executive Peter Botten, Oil Search Foundation chief executive Stephanie Campbell and Wong opening the 28-room nurses’ quarters. – Nationalpics by PETER WARI

Go to this link for more: https://www.thenational.com.pg/cabinet-approves-k300mil-for-hospitals/

Thursday, October 10, 2019

Warning issued on African swine fever virus

Image result for pigs in papua new guinea

Posted on The National

PAPUA New Guinea has declared a “red alert” on the African swine fever virus – a deadly disease affecting pigs.
Australia declared a “hyper-vigilance” on the same.
A statement from the Agriculture Quarantine and Inspection Authority said if the virus hit PNG, it would decimate the pig population with detrimental effects on people who eat pork. A red alert means a lookout for suspected pork products from virus-infected countries, 100 per cent quarantine checks at wharves and airports, a ban on new import licences, applications of all available quarantine laws and increase public awareness.
Naqia raised the red light after confirming that Timor Leste reported the virus on Sep 27.
“Timor Leste shares a land border with Indonesia and since this is within the same geographical region as PNG the chances of the virus entering our shores are real,” said Naqia managing director Joel Alu.
“The confirmation of the disease in Timor Leste and direct flights between the Philippine cities of Cebu and Manila and Port Moresby now raises our alert to red.
“The Philippines also reported the virus this year.
“A more intense awareness and enhanced biosecurity protocols will be implemented at our borders.
“Naqia has begun instituting precautionary measures at our borders and have being raising awareness on the disease in swine, pork, and pork products.

Go to this link for more: https://www.thenational.com.pg/warning-issued-on-african-swine-fever-virus/

Wednesday, September 25, 2019

Health budget in air



Posted on The National

TREASURY Minister Ian Ling-Stuckey says the Asian Development Bank (ADB)’s K320 million in budget support for Papua New Guinea (PNG)’s health sector that is due in November is in limbo.
“This is solely due to (Peter) O’Neill regime’s record of economic mismanagement. The regime’s so-called free healthcare policy and massive cuts to the health sector since 2015 are now threatening a delay in the release of the ADB funds for a cheap yet well-designed health policy reform assistance.
“This is just another part of the disgraceful mess left by the O’Neill regime that we are discovering in our due diligence check of his cooked books,” Ling-Stuckey said in a statement yesterday.
He said on almost all health indicators, PNG ranked in the bottom few of the 43 countries in the Asia-Pacific region.
“This must be turned around. The ADB has been an extremely valuable partner for PNG. It has been supporting development in our country even before our Independence.
“It has taken on difficult tasks that others feared. It has stuck with us through good times and bad. 2019 was the second year of a major programme of health sector reform totalling just over K1 billion from 2018 to 2020.
“This was a policy-based loan. PNG gets budget support if it meets certain health and budget reform conditions. All required health reforms had been undertaken.
“However, the extraordinary economic mismanagement of the O’Neill regime means we have not met the required standards for budget policy,” he added.
Ling-Stuckey said there was a very important meeting last Thursday between senior visiting ADB staff and the Prime Minister, National Planning and Monitoring Minister and State Enterprises Minister.
“We need to expose the truth and propose sensible solutions. This includes actions in a planned Supplementary Budget so that PNG starts to live within its means again.
“We will continue to work closely with the ADB to restore confidence and build on the ADB’s valuable work in PNG. We have, thus, discussed options for ADB’s support for State-Owned Enterprises (SOEs).
“(State Enterprises) Minister (Sasindran) Muthuvel has been leading these negotiations and is building a good reform agenda for our SOEs to deliver better services and to provide some of the key enablers of growth, such as reliable power supplies and cheaper, faster communication systems,” he added.
In an immediate response, O’Neill claims Ling-Stuckey is playing politics with the economy and attacking his former Government’s eight years of policies and programmes that current premier, James Marape, was a member.
He said: “What he (Ling-Stuckey) has to appreciate is that the policies of the O’Neill Government are the same policies as the Marape Government.
“Marape was then the Finance Minister with Patrick Pruaitch as Treasurer. They evolved with my Government after the 2012 General Election.
“Our record has seen continuous and uninterrupted growth despite challenging conditions. This has been observed and commended by many international organisations like the World Bank and the International Monetary Fund.
“Our credit ratings had been stable and economic fundamentals were solid and sound.
“That is our record and we are proud of that,” he added.
“Members of Parliament know that the O’Neill Government, with James Marape, delivered the most sensible approach to economic development and overcoming the challenges we face in the domestic and international economy.
“We all know that the new Treasurer brings with him a huge questionable experience of managing New Ireland Province that sadly led to bankruptcy when he was Governor through his famous Lemus Structure.
“If the Treasurer thinks that what he calls the O’Neill solutions are not working, then now is his time to offer credible alternatives, not just issue press statements.
“Managing the government of the nation is as complex as it is common sense, and the Treasurer needs to draw on both if he is to do his job properly.
“Name calling is below the high office of the Treasurer, so for the good of this nation I hope he can focus on the future,” he added.

Go to this link for more: https://www.thenational.com.pg/health-budget-in-air/

K500,000 for Hela Privincial Health Authority Doctors Incentives

Image may contain: 9 people, people smiling, people standing and outdoor

By Amos Libe

Today a cheque presentation of K500,000 was made to the Hela Privincial Health Authority (HPHA) as doctors incentives by Hela Governor Hon. Philip Aja Undialu on behalf of the Hela Provincial Government (HPG). This was from a commitment he made early on in the year.

Getting in qualified and experienced health professionals has been one of the major challenges of the HPHA in the past couple of years. Hela is seen by many as a challenging place to work. Hence, this funding support will go a long way in retaining as well as recruiting new qualified and experienced, specialist medicial professionals to take up specialised roles in the HPHA.

The Hela Provincial Government under the Political leadership of Governor Undialu as well as Provincial Administrator William Bando have continuously supported the HPHA. In the recent past they also gave a K1million funding support early last year. This funds have been used in many of the capital works programs currently happening within the Tari Hospital premises. This includes changing the face of the hospital with the new Accident and Emergency building being erected in front.

On behalf of the HPHA board and administration under Dr. James Kintwa , I would like to extend my appreciation to Governor Undialu, all the Hela Assembly members and the HPG for this timely support. We appreciate your efforts to maintaining a healthy and commited working relationship between HPG and HPHA. We also look forward to your continued support in the future.

Health is everyone's business and the HPG has shown commitment to this cause. This is appreciated by all stakeholders. Especially the people to which we owe and who deserve nothing less.

Tuesday, September 24, 2019

Kase asked to step aside, allow probe



By REBECCA KUKU - The National
HEALTH secretary Pascoe Kase, pictured, has been asked to vacate his office so an investigation can be done into the department to ascertain issues raised by the National Doctors Association, Prime Minister James Marape says.
Marape said Kase was asked to step aside and take some time off to allow a committee to investigate.
He said when he met with the National Doctors Association (NDA) to receive its petition, they agreed that he appoint one investigator, the health minister would appoint one and NDA would appoint one.
“I appointed one, Health Minister Elias Kapavore appointed one and NDA delayed for a week and finally appointed one a week ago,” he said.
“So we will now ask the secretary to step aside for a week, vacate his office and take time off as investigations are carried out.
“My Government will never compromise the health of our people so we are sending in these investigators to ascertain the issues and matters that were raised.”
Marape said if the investigations found that there were some individuals in the department who needed to respond to some of the issues discovered, then they would deal with them.
The NDA presented a nine-point petition to Marape on Aug 27 that included:
  • A need for new leadership, and secretary to be replaced;
  • solutions sought for ongoing pharmaceutical crisis;
  • seeking reasons for the delay (two years) in the formulation of the Radiation Bill for cancer services; NDA recommended immediate lifting of suspension of senior officers who were wrongly penalised, as they were crucially required to develop Regulations of the Radiation Safety & Control Act 2018.
  • stopping the recently-created illegal department restructure which was single-handedly done by Kase with input only from some so-called foreign “advisers and consultants” with vested interests;
  • reviewing of PHA boards, medical and pharmacy boards, National Health board and other policy-making and regulatory bodies;
  • reviewing of existing laws that compromise health service delivery, (for example, pending amendments, pending new Bills such as the Health Practitioners Bill, formulation of Regulations (for example, the Regulations for Radiation Safety & Control Act 2018;
  • full funding and implementation of National Health Services Standards rollout, which is the blue print of the National Health Plan 2011-2020;
  • non-implementation of some existing NDA awards based on an MoA 2014-2017 (Health Insurance Premium outstanding payments, Medical Academics backdate and new remuneration package, home ownership scheme; and,
  • Addressing the shortage of doctors by strategising immediate term solutions


Friday, September 6, 2019

Kylemed pharmaceutical lab invests US$25mil for laboratory



By GYNNIE KERO - The National

PRIME Minister James Marape says the country will soon be able to manufacture its own pharmaceutical medicines and supply neighbouring nations.
He made the comment following a recent ground-breaking ceremony for a US$25 million (K84mil) pharmaceutical lab to be built outside Port Moresby.
Marape welcomed the investment by Kylemed Pharmaceutical Laboratories PNG Ltd who had chosen to involve the local community in the ceremony.
Kylemed is a pharmaceutical group of companies producing a wide range of medicines trusted in the Philippines.
The prime minister thanked the firm, saying it was a timely response “on the current situation where the issue on fake medicine was rampant.”
“Your confidence in my Government and to the country is very much appreciated,” Marape said in a statement.
“Papua New Guinea welcomes legitimate foreign direct investments.
The Government will work with you as long as you abide by the set regulations and standards. We would like you to be our long-term business partners that contributes to the economy of our country.
“I appreciate your US$25 million initial investment.
“My Government will look into tax incentives for companies of a certain capital.
“There has been an outcry by the medical community on lack of medicines and medical supply. We have good, professional medical practitioners but unfortunately they cannot properly deliver to the community.
“Healthcare is a citizen’s basic right and together with my Government, we will continue to bridge with institutions and organisations that have their heart for my people,” he said. “Be rest assured that programmes to change and improve lives in our community will have my 100 per cent support.”

Go to this link for more: https://www.thenational.com.pg/kylemed-pharmaceutical-lab-invests-us25mil-for-laboratory/

Friday, August 23, 2019

Kase to be given time to respond



By REBECCA KUKU - The National

THE Cabinet will give health secretary Pascoe Kase, pictured, time to respond to issues raised in a petition submitted by the National Doctor’s Association (NDA) yesterday.
“The Prime Minister (James Marape) and I will meet with Kase to discuss some of the points,” Health and HIV/AIDS Minister Elias Kapavore said.
“We will give him time to respond, and we will also have in place an independent team to investigate some of the concerns raised in the petition.”
The details of the issues were not revealed to the media.
The petition is related to the controversial awarding of two contracts worth K100 million to Borneo Pacific Pharmaceutical Limited (BPPL) for the procurement and supply of medical kits and antibiotics for Papua New Guinea this year.
Following the announcement of the contract awards by Kase on Aug 14, the NDA questioned the Government’s rationale of awarding contracts to the private sector for the supply of medical kits and medicine.
“Why can’t the Government set up its own department to procure medical kits and medicine directly, either, from the World Health Organisation (WHO) recommended agents, like the International Dispensary Association (IDA) or equivalent, or directly from manufacturers in Asia, Australia, the US or Europe?
“Generic medicines procured this way will be cheaper and effective,” NDA secretary and chief of emergency medicine Dr Sam Yockopua had lamented.
The NDA also demanded that Kase be replaced and the contracts be suspended.
Kapavore told The National that he was present with the prime minister at the presentation of the nine point-point petition by NDA.
“I wish to thank NDA for their presentation that now place us in the picture with analyses from their view on health, both at governance and clinical settings.
“Delivering health services remains and will continue to be a challenge for the Government.
“Many interventions for improvement, supported by our development partners are acknowledged.”


Go to this link for more; https://www.thenational.com.pg/kase-to-be-given-time-to-respond/

Wednesday, August 21, 2019

Procurement system under review



Posted on The National

THE Health Department is doing its best to bring in quality medicines, says Health and HIV/AIDS Minister Elias Kapavore, pictured.
He said a major development partner, Asian Development Bank, was in the department to support and develop the department’s medical supply procurement and management system.
The minister said the procurement and distribution system was under review to ensure it efficiently delivered good quality medicines and medical supplies.
Kapavore made the statement in response to a front-page article in The National yesterday and said there were many challenges.
“Recently, there have been many incorrect and misleading information to the public and social media by an executive of the National Doctors Association (NDA),” he claimed.
“Such articles will only create unnecessary panic amongst the general public and must be corrected to assure our people that the Government, through the Department of Health, is working hard to ensure that basic and quality lifesaving medicines are available.
“I call on the NDA executives to exercise caution in its releases of information that they are not authorised to release.”
Kapavore said the National Executive Council recently approved two contracts for the supply of health centre and aid post kits and also for the supply of antibiotic drugs.
“Medical kits for health centres and aid posts are being packed in Port Moresby and will be transported to seven ports in the country before the end of August.
“For the antibiotics, it will be months before they are in the country. In the meantime, the department will procure emergency orders while awaiting the big orders to arrive.”
“Because of the delays in tender and all other processes outside the Health Department’s control, we will experience some shortages from time to time. But we will manage.”
Kapavore appealed to the NDA to not frustrate the procurement processes as any further delay to the already prolonged delays encountered, would cause critical medicine shortages.
“There are established legal processes for checks and balance that must be used to address any concerns,” he said
“These tenders went through a thorough screening process, through technical and financial evaluation committees, to ensure safety concerns are addressed.
“Under the Medicines and Cosmetics Act 1999, it is a legal requirement for any company dealing with pharmaceuticals in PNG to have a valid licence to import, wholesale and/or retail pharmaceuticals in the country.
“These licences are issued by the Pharmacy Board of PNG after specific requirements have been met and licences must be renewed annually.
“The Government is committed to improving the delivery of health services to our people and access to good quality medical supplies is a fundamental component of that commitment,” he said.

Go to this link for more: https://www.thenational.com.pg/procurement-system-under-review/

Tuesday, August 20, 2019

Drug row



By REBECCA KUKU - The National 

THE National Doctors’ Association (NDA) and the Government, specifically the National Health Department (NHD), appear to be heading for a “bruising showdown” over the country’s controversial procurement and supply of medicines (pharmaceutical drugs).
Despite the pro-government National Health Board’s (NHB) call to doctors to support and work with health secretary Pascoe Kase, the NDA is going ahead with its decision to submit its demands to the Government for the immediate change of the health secretary and the suspension of the two contracts, worth more than K100 million, awarded to Borneo Pacific Pharmaceutical Ltd (BPPL).
The NDA has indicated that it had 10 valid points for their demands, and that doctors would walk off their jobs if the Government did not act within a week after the submission of their demands.
NHB of Papua New Guinea deputy chairman Dr Mathias Sapuri called on doctors to support the health secretary and the NHD by offering appropriate technical advice and solutions as state employees.
“Health is a highly decentralised sector and was also highly complex and large. Therefore, its systems are set to ensure that health services are provided to all citizens of this nation,” he said.
“The role of the NHD is to develop policies, set standards, provide technical advice and monitor health services in the country. It is the responsibility of the provincial health authorities and public hospitals to deliver health services to our people.”
Sapuri said health sector employees, including the health unions, should not challenge the health secretary but to work with his management and offer advice, provide alternatives and work amicably with the department to efficiently and effectively address health challenges.
“The NHB is concerned with the ill-informed social media statements made by NDA, especially with regards to administration and management matters. “The matters raised by NDA are administrative and management in nature, and have clear and established processes to address.
“The NHB is of the view that the NDA interfered into management decisions and must stop creating unnecessary anxiety and panic,” he said.
“It is not the role of the NDA to disrupt and undermine legitimate management decisions. We are disappointed with the way certain professional people are conducting themselves under the good name of the NDA.”
Sapuri also said NHB wanted the NDA executives and the health department management to hold roundtables for the exchange of views and to find common grounds to move forward. “We must stop this nonsense because while you continue to argue in the media and make a mockery of yourselves, people continue to suffer from the vital services we are ethically obligated to deliver,” he said.
“NHB also views that Kase and his management have done so much to address the ever-growing challenges and it is only a matter of months that we will begin to see all these major system reviews and reforms bearing tangible outcomes.”
However, NDA secretary and chief of emergency medicine Dr Sam Yockopua told The National there had never been any such a board as the NHB.
“There has never been any meeting for the last five years even though they are supposed to meet 24 times a year.
“Kase is the chairman and the board has not been functioning. Much of the chaos and dilemma seen at the health department are directly due to this. And this is one of the 10 reasons why we want the secretary to be changed,” he said.
Yockopua said NDA would go ahead with its strike and would be presenting their demands to Prime Minister James Marape this week for the immediate removal of Kase.
Marape is away in Indagen for the 100th anniversary celebration of the establishment of the first Lutheran Mission in Morobe, and is expected to return to Port Moresby tomorrow.

Go to this link for more: https://www.thenational.com.pg/drug-row

Monday, August 19, 2019

Better drug deal sought



By Rebecca Kuku - The National

PRIME Minister James Marape says the Government is reviewing and looking into alternative ways to improve its procurement and supply of medicines (pharmaceutical drugs) for the people.
“And we will be talking to donor partners, including Australia, on how best to procure and supply medicines in the country,” he told The National on Friday.
Marape was responding to The National’s front-paged report on Friday titled “Doctors: Stop drug contracts”.
The report quoted the National Doctor’s Association (NDA) questioning the Government’s rationale of awarding contracts to the private sector for the supply of medical kits and medicine.
“Why can’t the Government set up its own department to procure medical kits and medicine directly, either, from the World Health Organisation (WHO) recommended agents, like the International Dispensary Association (IDA) or equivalent, or directly from manufacturers in Asia, Australia, the US or Europe?
“Generic medicines procured this way will be cheaper and effective,” NDA secretary and chief of emergency medicine Dr Sam Yockopua lamented.
Marape said the two contracts, worth more than K100 million, awarded to Borneo Pacific Pharmaceutical Ltd (BPPL) to supply medical kits and antibiotics, as announced by Health secretary Pascoe Kase on Wednesday, was only for one year to ensure the country did not face shortages of medicine.
“It is only for a year and the contracts have already been signed,” he said.
In December, 2013 Australia withdrew its funding for a A$38 million (K87 million) project to Papua New Guinea’s health centres due to concerns on the way contracts for the supply and distribution of medicines and pharmaceutical drugs were awarded.
Meanwhile, Yockopua said the NDA would be presenting their demands to the Government tomorrow for the immediate change of the health secretary and the suspension of the two contracts awarded to Borneo Pacific Pharmaceutical Ltd.
Yockopua said that doctors would walk off their jobs if their demands were not met in seven days.
“We have 10 valid points on why we want the secretary to be changed, shortages of medicine and a review and revamp on the procurement and supply of medicines and pharmaceutical drugs,” he added.

Go to this link for more: https://www.thenational.com.pg/better-drug-deal-sought/

Friday, August 16, 2019

Decision to bring in Cuban doctors to be reviewed



Posted on The National

HEALTH and HIV/AIDS Minister Elias Kapavore, pictured, says he will be reviewing the decision to bring Cuban doctors into the country because there is a shortage.
Kapavore said the doctor-patient ratio in the country had dropped further down to 1:22,000.
“The decision to bring in Cuban doctors was made before my time, so I will have to check the information again,” he said.
“I don’t know the details surrounding the Cuban doctors project but I will review it and if it is good for the country, then I will consider it.”
Kapavore said in the meantime, he was looking at sending a team to Divine Word University to look at their medical school curriculum.
“The University of Papua New Guineas medical faculty produces 50 students per year, but we should be able to double this number by 2021 when we have some more students graduating from Divine Word University.
“Because currently I understand that there is a huge shortage of doctors. I also know that there are some doctors still jobless due to delay in registration, so I am now setting up a deployment unit to keep track of all graduating doctors so that they can be fitted into the public health system.”
Kapavore said bringing in doctors from overseas was an option he would be looking at as the country’s population was growing rapidly.

Go to this link for more: https://www.thenational.com.pg/decision-to-bring-in-cuban-doctors-to-be-reviewed/

Certified firms to import drugs



By LULU MARK - The National 

ONLY certified companies will import medicines that are approved by the new PNG Medicine Marketing Authorisation System (MMAS), Health secretary Pascoe Kase, pictured, says.
The launching of MMAS which would strengthen the pharmaceutical regulatory system of the country was witnessed by Kase, World Health Organisation country representative Dr Luo Dapeng and medicine importers in Port Moresby yesterday.
Kase said all the laws that were made to manage medicines were outdated and despite the system being in place for years, it was not effective. Hence, it was reviewed to ensure PNG was on par with the world.
He said according to the law, all medicines brought into the country must meet all the standards.
Kase said with the system, the department would ensure that only medicines of assured safety, efficacy and quality would enter the country by certified importers.
Pharmaceutical companies, he said, came with a lot of experience from overseas to do their business but there were regulatory mechanisms within the country to protect the people and what was brought which they had to comply with.
Kase said despite the lack of infrastructure to test and guarantee the safety and quality of medicines, technical collaboration organisations such as WHO had ensured that everything that were allowed into the country were compliant with standards.
“Medicines are very important products that must be taken care of from manufacturing all the way to where it is going to be used,” he said.
“The Health Department has been working hard over the years to ensure that mechanisms are in place to protect the strength and quality of the medicine at all times.”
Kase said the WHO regional office had made a resolution to enforce and implement a medicine regulation system and PNG was one of the first to be part of it.
The Health Department acting executive manager of medical standards division Dr Duncan Dobunaba said before all medicines were ordered they had to be approved.
The Health secretary urged all the importers to start applying for their certificates. He congratulated Sesago Health Care Ltd on getting the first MMAS certificate.
He said they were looking to all the pharmacy service providers to participate which included City Pharmacy, Borneo Pharmacy, Chemcare, Johnston Pharmaceuticals Trade Link, Tropicana, RSCPA PNG, PNG Medical Suppliers, Pacific Asia Medical Pharmaceuticals, and others.
“If you are importing medicines the law requires you to register,” he said.
He said the registration of medical equipment was something they have to look into because it was required by the law be certified in order to import.


Go to this link for more: https://www.thenational.com.pg/certified-firms-to-import-drugs/

Doctors: Stop drug contracts



By REBECCA KUKU - The National

THE National Doctor’s Association (NDA) has questioned the Government’s rationale of awarding contracts to the private sector for the supply of medical kits and medicine.
“Why can’t the Government set up its own department to procure medical kits and medicine directly, either, from the World Health Organisation (WHO)-certified suppliers, like the International Dispensary Association (IDA) or equivalent, or directly from manufacturers in Asia, Australia, the US or Europe?
“Generic medicines procured this way will be cheaper and effective,” NDA secretary and chief of emergency medicine Dr Sam Yockopua lamented to The National yesterday.
“The Government could have just established its own procurement department or unit comprising officials and experts from the National Department of Health (NDOH), Planning, Finance, Medical School, Port Moresby General Hospital, Medical Board, Pharmacy Board.
“They can then create an Information Communications Technology (ICT)-backed system that is fully funded and utilised in the Area Medical Store (AMS) supply system,” he added.
Yockopua was commenting on The National’s front page report that Borneo Pacific Pharmaceutical Ltd (BPPL) has secured two one-year contracts worth more than K100 million to supply medical kits and antibiotics.
Health secretary Pascoe Kase announced yesterday that the National Executive Council (NEC) approved the recommendation by the NDOH to award the contracts to BPPL.
The contract for medical kits is worth K65.3 million and the other for antibiotics is K43.5 million.
Yockopua said: “The medicine testing laboratory that was purportedly set up by NDOH check medicines supplied is no longer functioning.
“So we don’t know what the private sector suppliers are bringing in to us. We have seen medicines that are close to expiry dates.
“We have also seen medicines that did not work, so some may even be fake medicines and that is why NDA has been urging the Government to review or stop the current procurement system of tendering out supply of medicines to the private sector,” he said, adding that people must now be prepared to suffer further.

Go to this link for more: https://www.thenational.com.pg/doctors-stop-drug-contracts/

Thursday, August 15, 2019

Medicines secured



By REBECCA KUKU - The National

BORNEO Pacific Pharmaceutical Ltd has been awarded Government contracts to supply medical kits and antibiotics valued at more than K100 million.
Health secretary Pascoe Kase, pictured, said the National Executive Council approved the recommendation by the Health Department which saw Borneo Pacific win the medical kits supply from three other bidders and antibiotics from 14.
He said the two one-year contracts were handed to Governor-General Bob Dadae only on Tuesday and he thanked him for signing them promptly at Government House yesterday.
“The country is crying out for medicines and his fast action would ensure that medicine supplies would soon reach the people,” Kase said.
“In two weeks’ time, the medicines will be handed over to the Health Department and we will then distribute the supplies through our four logistics companies.”
One contract worth K65,271,000 is for the supply of medical kits and the other, valued at K43,465,000, is for antibiotics.
Borneo Pacific chairman Sir Martin Poh said he was aware of talks about the quality of the medical supplies.
“There have been talks about the medicine supplies not being up to standard, but it’s just rumours. Borneo Pacific Pharmaceutical is the only ISO certified health distributor in the country,” he said.
“We have the capacity and the qualification to procure and supply, and get our supplies from various countries. All the medicines are tested for quality at a WHO-certified testing facility and comes with a proof of quality test.
“We are Papua New Guinea citizens and the company is 100 per cent nationally owned. Our heart is with the people and we want to ensure that people have medicines.
“So we procure and supply with our own money, and the Government pays us later. In fact, the Government still has outstanding payments from 2018 but, like I said, we are Papua New Guineans and want to ensure that our people have medicines. We are willing to procure and supply using our own funds and give the Government time to pay us later when they are ready.”
The contracts were tendered last February for the procurement and supply of the 100% Medical Kits and the antibiotics.

Go to this link for more: https://www.thenational.com.pg/medicines-secured/

‘Company met key requirements’



Posted on The National

HEALTH and HIV and AIDS Minister Elias Kapavore, pictured, says Borneo Pacific Pharmaceutical was awarded the contract for the procurement and supply of the medicines because it was the only qualified company that bided with the lowest amount.
Kapavore told The National that despite the rumours about the quality of medicines and materials supplied by the company, he had come to see that the company was not only qualified but had the capacity to procure and supply.
“Like everybody else, I asked the same questions about Borneo Pacific Pharmaceutical but going through the documents and seeing how they met the key requirements and also how they were qualified and had the capacity to procure and supply, I brought the submission to the National Executive Council (NEC),” he said.
“And after it was initially rejected, I had to bring it in a second time for it to be finally approved but I can honestly tell you that many ministers were against it.
“So yes, we are listening to the concerns raised but these are all just rumours and allegations,” he said.
Kapavore said that all medicine and pharmaceutical drugs were checked at World Health Organisation (WHO) certified testing facilities.
“The contract was put on tender in February of 2018 under former Minister Sir Puka Temu, and for 18 months the department had made sure the company met the requirements before recommending it to National Executive Council for approval.”
“The packing, labelling and quality checks are all done before the supplies are imported; we even test the samples.”
Kapavore said the vetting process and monitoring process involved professionals from the department and relevant state agencies.
“Borneo Pacific Pharmaceutical satisfied and met all the requirements and complied with, no evidence of any poor performance so the contracts were awarded to them,” he said.
Kapavore also said that the contract was only for one year and was awarded because the country was in need of medicines and Borneo Pacific Pharmaceutical was the only company that had the capacity to supply the needed efficiently and at a reasonable cost.

Go to this link for more: https://www.thenational.com.pg/company-met-key-requirements/

Wednesday, August 14, 2019

Hela health authority appoints board, staff given uniforms



Posted on The National

THE Hela health authority (PHA) now has a new board that was sworn in yesterday at the Tari Provincial Hospital.
The event coincided with the presentation of new uniforms to its staff and the signing of contracts with eight churches that provided health services which the PHA would fund for their administrative work.
Ten members were sworn in including provincial administrator William Bando, who is the ex-officio.
They were sworn in by Hela district court clerk Simon Wai.
Oil Search Ltd chief executive officer Peter Botten was reappointed chairman of the PHA while Rev Olene Yawa, representing churches, was also reappointed the deputy chairman.
The other members are Janet Koriame representing women, Euralia Tagobe (local community), Amos Libe (business), Peter Curtain (business), Tonny
Kende (local community), Thomas Hengepe (district services)
and Pascoe Kase (Health Department).
Botten said Hela was not like it is today three years ago since the launch and appointment of first board and through their work with churches, health workers and other partners, healthcare in the province had improved.
“I’m happy to be reappointed by the national and provincial governments,” Botten said.
The confirmation and signing of the reappointment and appointment of other officers were done last month and yesterday the board was declared.
Botten welcomed new board members Tonny Kende and Thomas Hengepe and acknowledged retiring members Yawas Komiapu and Hetra Hekele.
Botton said despite the ongoing security situation and other challenges in Hela, he was confident the authority would continue to serve the people and improve healthcare.

Go to this link for more: https://www.thenational.com.pg/hela-health-authority-appoints-board-staff-given-uniforms/

Esteemed Dr Sam Yockopua will quit if health boss not sacked

Image result for Dr Sam Yockopua
NEWS DESK | FM100 / PNG Today
PORT MORESBY – One of Papua New Guinea’s most senior doctors is ready to resign from his job if the government and health department do not respond to a petition to sack the health secretary.
The chief emergency physician at Port Moresby General Hospital and secretary of the National Doctors Association, Dr Sam Yockopua, said he will be the first doctor to resign.
Dr Yockopua said doctors have had enough of ignorance from the senior executive management in the health department who have failed to address PNG’s deteriorating health system and services.
“I will be the first highly trained medical specialist to resign if they won’t respond to our petition to remove the Health Secretary within a seven days ultimatum starting next Tuesday,” he said.
Dr Yockopua the petition for the immediate removal of the health secretary as well as other senior executive managers in the health sector on Monday at 4:30pm.
The frustrated doctor announced his intention following updates from his team that Port Moresby General Hospitals and other public hospitals around the country had no iodine, no crepe bandages, no orthopaedic padding, no gauze bandages and no other medicines.
He said this information came from his team on the ground trying to save lives under painstaking difficult conditions.
Dr Yockopua called on the government to sack the health secretary who he said ‘does not know his job’.

Thursday, August 1, 2019

Big news for heart patients



By LULU MARK - The National
PEOPLE who have heart ailments can be treated here at a much lesser cost than having it done overseas – thanks to a new Catheterisation Laboratory opened in Port Moresby yesterday.
The facility which will enable the diagnosis and treatment of heart diseases was opened at the Port Moresby General Hospital by Prime Minister James Marape.
He was accompanied by former prime minister Grand Chief Sir Michael Somare and Health and HIV-Aids Minister Elias Kapavore.
Marape said it was a milestone achievement for the hospital and the country, and the Government would ensure specialist health care was established and strengthened in the country’s hospitals.
He said the Government would stay focused to ensure that better and modern health care was available to everyone.

Cardiothoracic ward nurses dressed in traditional Milne Bay attire welcoming Prime Minister James Marape.

Apart from congenital heart problems, heart diseases are caused mainly by lifestyle choices, he said.
“Lifestyle diseases are here to stay.
“The propensity and yearning of human beings is different.
“Some have yearning towards things that are unhealthy. And that is part of life in the modern world.”
He thanked hospital board chairman Sir Theophilus Constantinou for paying for the machine.
Hospital’s acting chief executive officer Dr Paki Molumi said the shipment and installation of the machine and its associated equipment, plus the construction of the laboratory facility cost more than K2.5 million.
Cardiothoracic surgeon and surgery coordinator Dr Noah Tapaua said the new laboratory marked a new era in medicine in the country.
He said equipment dedicated to cardiac treatment occupied a whole floor, making the management of cases easier.
He said it normally cost patients to go overseas for cardiac surgery and treatment around K300,000.
He estimates that the maximum cost of doing everything here will be around K20,000. And that is mainly because medicines and consumables are expensive.
The new laboratory will enable doctors to diagnose, open blockage in the coronaries, do stenting, do closed-heart patches for congenital heart diseases and conduct open heart operations.
He also thanked the Operation Open Heart team who had been coming in the past 25 years to conduct heart surgeries and train local doctors and nurses.
In total, the team treated 1145 with heart diseases.
“We now have a full team,” he said.
“We have a cardiothoracic anesthetic surgeon (himself), an adult and pediatric cardiologist, intervention cardiologist, two cardiac surgical perfusionists and about 31 nurses on the ground.”
Go to this link for more: https://www.thenational.com.pg/big-news-for-heart-patients/

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