The doctors said the hospital had no basic medicines, even
for primary care, while the situation was worse for patients needing
life-saving and emergency surgery, a state officials said was reflective of the
situation in major hospitals across the country.
Parirenyatwa is Zimbabwe’s largest referral hospital,
catering for major health care in the country.
In a letter addressed to the hospital’s chief executive
officer Ernest Manyawu and copied to the clinical director, the Zimbabwe
Hospital Doctors Association demanded an urgent meeting to discuss the
deteriorating situation at the institution.
In an interview, Parirenyatwa spokesperson Linos Dhire last
night confirmed to NewsDay that authorities had received the letter.
“I can confirm that we have received the letter and
authorities are meeting the doctors tomorrow to discuss the issues,” he said.
In their letter, the doctors said for the past year, the
conditions at the hospital were compromising the lives of patients and leading
to avertable loss of life.
“As healthcare practitioners, we spent innumerable years in
school training to serve our people,” the doctors said.
“However, the critical lack of consumables in our hospital
is rendering us ineffective as we can no longer deliver services required at
the tertiary hospital.”
They also noted some issues affecting their work, including
lack of sundries, broken down equipment at the laboratories and theatres, among
others.
“We often run out of and lack basic sundries which should
be available even at primary institutions. To mention a few, there have been
shortages or lack of yellow cannulas, 5ml and 10ml syringes, sterile gloves,
betadine, cotton wool strapping, catheters and urine bags,” the doctors said.
“Our U&E machine (urea and electrolytes) is always
down, the most common being no reagents, sometimes no water or it’s a
mechanical issue.”
The doctors said as a central and teaching institution,
they expected to be conducting more tests in the laboratory.
They said the main theatre was only handling emergency
cases.
“Those who do manage to go to the theatre are supposed to
buy sutures, primapore, antibiotics, catheters and sometimes urine bags,” they
said.
The hospital, the doctors said, was leaking from
everywhere, especially the “A” floor and biochemistry side of the institution
and some areas had no adequate lighting.
“Our infrastructure is old and needs serious repair. CT
(computerised tomography) scan has been down for years now. X-Ray machines
sometimes are down and one or two are working at any given time,” they said.
“Ultrasound scan (USS) patients are being booked to a date
one or more months later and interns have to negotiate if it’s urgent.
Radiotherapy machine is, either, almost always down and is down at the moment.”
The doctors said the hospital had weekly water supply
issues. They also said they were losing their belongings at the doctors’
quarters.
“Trees are falling on residential windows and roofs are
leaking. There is lack of urgency to attend to issues involving engineering
departments despite sending requests.
“Some interns without residence find it hard when they are
on call due to shortage of on-call rooms and some sleep in their cars,” they
said.
With the health sector having been deprived of funding from
Treasury, the doctors argued that public hospitals had raised their
consultation charges and pegging them in United States dollars, hence revenue
raised could cover the gap.
An X-ray is now being charged at US$33, while ECHO and
consultation have been increased to US$80 and US$15, respectively.
“Aren’t we raising our own funds to buy the basic things
already mentioned which are in short supply or unavailable?”
They added: “Most drugs are out of stock including
cafriaxone which is the most important antibiotic. Sometimes fluids are out of
stock, heparin is out of stock, even paracetamol.”
Parirenyatwa is also a teaching institution for nurses and
several other medical professionals and the doctors argued that it was
difficult for them to work in the current environment at the hospital. Newsday
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