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Showing posts with label Doctors without borders. Show all posts
Showing posts with label Doctors without borders. Show all posts

Friday, 10 May 2024

Swaziland Newsletter No. 826 – 10 May 2024

 

Swaziland Newsletter No. 826 – 10 May 2024

News from and about Swaziland, compiled by Global Aktion, Denmark (www.globalaktion.dk) in collaboration with Swazi Media Commentary (www.swazimedia.blogspot.com), and sent to all with an interest in Swaziland - free of charge.

 

eSwatini among Africa’s worst governed nations

by Sibusiso Dlamini, eSwatini Observer, 6 May 2024

SOURCE 

Eswatini is among the top 10 worst-governed nations in Africa, according to World Economics, a respected UK-based research organisation.

The United Nations defines good governance as the process where public institutions conduct public affairs and manage public resources in a manner that promotes the rule of law and the realisation of human rights (civil, political, economic, social and cultural).

The good governance ranking, according to the organisation, is assessed through four main indexes; corruption perception, rule of law, press freedom, and political rights, with each of them given equal weight.

The comprehensive assessment of the governance dynamics expose glaring deficiencies across these benchmarks and systemic issues hindering progress and development in the country, from rampant corruption and political instability to a disregard for the rule of law.

….

Public Sector Associations who represent civil servants in various sectors said the index’s findings were believable to them as its findings was a lived experience for them, emphasising that a majority of their issues stem from bad governance.

“There are no lies to that at all because working with government exposes poor governance on a daily and it is incredibly frustrating,” said Swaziland National Association of Government Accounting Personnel (SNAGAP) Secretary, Phumzile Masilela, reacting to the Index.

“There's no transparency, no respect for workers' rights, and even the law is disregarded,” she added, emphasising the frustrations encountered within government's operations.
She complained of corruption within government and said it had planted an attitude and spirit of incompetency.

“There are people who do as they please because they are connected, and once you try to be vocal about it, you are ostracised and victimised, which is bad governance of the highest order,” she stated. Masilela also accused government of bad communication, and shone light on the fact that the country could not chart a path towards inclusive growth and development without concerted efforts towards comprehensive governance reform.

“Until we commit to that, the new era of prosperity and stability will remain nothing but a pipe dream,” she said, further speaking against the introduction of the Performance Management System (PMS) without provision of working tools.

Similarly, President of the Swaziland National Association of Teachers (SNAT), Mbongwa Dlamini, said the Index was a true reflection of the country, calling to attention the pervasive corruption in the nation and its impact on the education sector. “Nothing is transparent, from the hiring of teachers to promotions, so imagine what that does to the spirit of the professionals in the profession, let alone the learning process when educators have to teach while dispirited,” he quipped.

Dlamini warned that it is high time the government realises that bad governance has far-reaching consequences, in particular on critical sectors such as education.

To read this full report, click here

http://new.observer.org.sz/details.php?id=22423

 

Prime Minister urges workers to build own clinics, private schools and make money amid collapsed health, education system

By Bongiwe Dlamini, Swaziland News, 6 May, 2024

SOURCE 

MBABANE: Prime Minister (PM) Russell Mmiso Dlamini who attended the Workers Day Celebration at the Prince of Wales Sports Group on Wednesday [1 May 2024], did not come with a solution on how his administration will create jobs for workers but instead, he urged nurses and teachers to build their own clinics and private schools in order to make money.

This is contained in a written statement that was supposed to be delivered by the PM on Wednesday, the Prime Minister (PM)had to flee for safety after being stopped by angry workers from addressing the May Workers Day Celebration.

“On this May Day, I would like to make propositions that will transform our lives as workers. Primarily, I would like to motivate that we can be better than where we are today and our future can be brighter if we maintain the right mindset. Workers, for instance, can build their own banks that will enable us to access finance at low rates. Through these banks, we can lend even to our employers and charge them reasonable interest rates. Teachers can build private schools and make a decent living from that, just as we have other international schools in the country. Nurses can build private clinics and hospitals and make a decent living from that as well”, said the Prime Minister (PM).

The sentiments of the PM comes amid a collapsed health and education system in the midst of corruption in the public administration and royal extravagant spending.

Reached for comments by this Swaziland News on Monday afternoon Wander Mkhonza, the Secretary General of the Amalgamated Trade Union of Swaziland (ATUSWA) criticized the statement of the Prime Minister, saying privatization of basic services like health and education will not improve the wellbeing of the people.

“While we agree that workers must everyday work on improving their financial independence, we as workers do not agree with the views of Prime Minister on workers building private clinics and private schools precisely because we don't believe that privatisation basic necessities like health and education improves the general wellbeing of our people. Private institutions do not work on a mandate to improve lives but work to make profits and the detrimental of those that do not have the means. It is therefore wrong for government to suggest that workers must build businesses that would somehow replace the social responsibility of government”, said the well-known unionist.

 

Warning on syndicate harvesting body parts

By Sithembile Hlatshwayo, Times of eSwatini, 7 May 2024

SOURCE 

MBABANE: The Office of the Prevention of People Trafficking and People Smuggling has warned members of the public to be on the lookout for a syndicate harvesting human body parts and trafficking of same.

This warning follows revelations by some victims who said they survived the trap by a certain woman who had lured them after running an advert in this publication, purporting to be looking for a helper. A post was also run on the social media pages attracting attention from desperate job seekers.

Head of Secretariat- Prevention of People Trafficking and People Smuggling at the Prime Minister’s Office Nompumelelo Lukhele, urged the nation to carefully study details on adverts and social media posts regarding job opportunities. Lukhele said the location was important to get an idea of who the people offering the jobs were and where they came from. In the process, Lukhele said the job seekers should get clear particulars of the advertisers.

According to Lukhele, it was difficult for the job seekers to know who the people were, hence it was safer to avoid going to the location sent by those offering the jobs alone. She said the companion should wait until the interview was over in either the office or home, where it was taking place, in the case where helpers were being sought. The head of secretariat added that in the event the job seeker had suspicions about the offer not being authentic, they should go with their instinct and not show up.

To read more of this report, click here

http://www.times.co.sz/news/144981-warning-on-syndicate-harvesting-body-parts.html

 

‘You are loved’: A clinic for at-risk people in eSwatini

Doctors Without Borders, 2 May 2024

SOURCE 

The small but bustling town of Matsapha in Eswatini is known for its industrial businesses and textile firms. Women from across the country come here seeking employment opportunities, often in factories offering minimal pay. 

Known as a town “where the buyer meets the seller,” Matsapha is also a hub for sex work. This year, Doctors Without Borders/Médecins Sans Frontières (MSF), in collaboration with stakeholders from Eswatini's Health Ministry and community leaders, officially opened a clinic, which the local community has named “Sitsandziwe,” translating to “you are loved.”

The clinic’s scope of health coverage was informed by a 2022 MSF study on sexually transmitted infections (STIs), which identified a significant prevalence of STIs, particularly impacting people between the ages of 18 to 29.

Matsapha is also a welcoming place for the LGBTQI+ community, and has hosted events to encourage marginalized groups to seek health care.

In response to the need for an inclusive and comprehensive sexual health clinic, Sitsandziwe aims to offer effective and convenient sexual health services. The team provides all services free of charge, while ensuring a safe and private environment.

Addressing the STI burden is a long-term endeavor that involves not just medical solutions but also tackling social challenges.

“The ultimate goal of the clinic's activities is to gather data, identify challenges, and uncover opportunities for the national program, leading to policy changes. These could include the introduction of lab-based STI diagnosis and treatment, as well as hepatitis services at primary health clinics,” said Dr. Hayk Karakozian, MSF medical coordinator in the clinic.

To read more of this report, click here

https://www.doctorswithoutborders.org/latest/you-are-loved-clinic-risk-people-eswatini

 

Good Shepherd’s life-changing surgery on kids with disabilities

By Wonderboy Dlamini, eSwatini Observer, 8 May 2024

SOURCE 



Good Shepherd Catholic Hospital has recorded in its history books the first ever procedure known as gastrocnemius recession and other procedures on four children with disabilities.

The four children who were initially diagnosed with cerebral palsy and clubfoot had severe joint contractures and deformities.

The operations to lengthen and straightening the hands and feet were performed last week at the hospital's theatre by a team of doctors from the United Kingdom (UK).

The team was invited to the country by one of the hospital's volunteer surgeons, Dr Joseph Northway. 

Explaining about the procedure, Dr Alex Aarvold, a visiting surgeon, said it was all about helping children with disabilities.

“The surgeries were to help these children stand and perform tasks independently. We screened nine children, and operated on four of them,” he said.

Aarvold expressed hope to help more children when his colleagues visit the hospital in the next two months.

To read more of this report, click here

http://new.observer.org.sz/details.php?id=22425

 

Ex-Deputy Prime Minister (DPM)Themba Masuku received over R2million ANC alleged laundered corrupt monies from All Nations Bishop Bheki Lukhele

By Zweli Martin Dlamini, Swaziland News, 8 May, 2024

SOURCE 

MBABANE: Themba Masuku, the former Deputy Prime Minister(DPM) allegedly received over R2million alleged African National Congress (ANC) laundered corrupt monies from controversial Bishop Bheki Lukhele of the All Nations Church in Zion, an investigation by AmaBhungane Centre for Investigative Journalism in collaboration with the International Consortium of Investigative Journalists (ICIJ) has found.

In a report published this week and quoting a bundle of documents sourced from the Eswatini Financial Intelligence Unit (EFIU), the team of international investigative journalists found that, through his company-Lawuba Investments (Pty) Ltd, former DPM Themba Masuku, the then Shiselweni Regional Administrator (RA), sold a Farm to Bishop Lukhele at a suspicious inflated price amounting to over R2million in what was suspected to be an act of money laundering.

Referring to an article previously published by this Swaziland News, AmaBhungane quoted Bishop Lukhele having claimed that his money was legitimate.

This publication questioned the Bishop in 2019 after he was seen questionably accumulating wealth with no clear source of income.

“I can confidently confirm that my money is clean because it is received through the banks, it is traceable with all the proof. I don’t deposit money to the bank in cash except for the church offerings,” said Lukhele.

The investigative report produced under the ongoing highly effective investigative journalism project by Swazi Secrets, AmaBhungane and the International Consortium of Investigative Journalists (ICIJ)further reveals that, Judge Andreas Lukhele while practicing as a lawyer at Peter Dunseth Attorneys, was an alleged transferring attorney and a money-laundering conduit for Bishop Lukhele and former DPM Themba Masuku. 

A questionnaire was sent to the former DPM, however, he had not responded at the time of compiling this report.

To read more of this report, click here

https://swazilandnews.co.za/fundza.php?nguyiphi=6503

See also

Eswatini Financial Intelligence documents suggest that, ex-FSRA CEO Sandile Dlamini was sacrificed for government to be seen fighting corruption.

https://swazilandnews.co.za/fundza.php?nguyiphi=6504

 

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Tuesday, 26 March 2013

‘DOCTORS MUST REPORT STATE VIOLENCE’



Victims of police brutality in Swaziland cannot get treatment for their injuries in hospitals and health centres in the kingdom, unless they have written authority from the police themselves.

Medics are so scared of the consequences of helping patients without the authority of the police that injuries can go untreated.

Even non-governmental organisations that support human rights are scared to help the injured, and when they suspect that police brutality is to blame they will not make detailed examinations and give medical reports that would help to provide evidence of abuse.  

Now, Musa Hlophe, the leader of one of Swaziland’s most prominent human rights organisations, is calling for doctors to be open and honest and report police abuse.

Writing in his weekly column in the Times Sunday newspaper in Swaziland, Hlophe, the coordinator of the Swaziland Coalition for Concerned Civic Organisations (SCCCO), related the case of a group of young people who had been brutalised by police last week, after they were taken in for interrogation following incidents of criminal damage.

He wrote, ‘Some of the men were not only questioned but they also claim that they were quite severely physically threatened, beaten with an open hand and closed fists and they allegedly had their heads put inside plastic bags and were suffocated to the point of terror. 

‘All the time they were being questioned, they claim the police were continually telling them about the people who had already died in their cells when they did not cooperate.

‘They claim the police boasted that nobody could prosecute them since they would simply find the dockets and tear them up. They allegedly said they feared nobody and were above the law.’

Hlophe and SCCCO later met the men. He wrote, ‘Obviously, we needed to get the men who had been beaten some medical attention, and this is where things get interesting. At Raleigh Fitkin Memorial Hospital in Manzini, nobody was even prepared to treat them.

‘When they told the medics of the nature of their injuries and their causes, they were sent from department to department and told to wait until it became obvious that they were not going to be treated. They eventually got the message and left. The problem in Swaziland with assault injuries is that you usually need a form from the police before the Medics can treat you. 

‘The police are not going to give you a form when they are the ones who assaulted you in the first place, will they?’

‘So, in exasperation, the men came to my office and we thought we could try some of the non-governmental organisations that also give medical services. We tried both Baylor Clinic in Mbabane and Médiciens Sans Frontièrs (Doctors Without Borders) in Matsapha. 

‘We were relieved that these organisations were prepared to treat the men for their injuries but we were shocked neither of them was prepared to go any further and provide a more detailed examination, which we could use to, not only heal these men’s bodies but to protect their human rights and find for them some sort of useable, independent evidence of the abuses they had suffered.

‘We provided the MSF doctors with written advice from a colleague of ours who is an Independent Forensic Pathologist and who has expertise in dealing with exactly these sorts of cases. Our local NGO doctors flatly refused to carry out any of his suggested additional tests or examinations. They had “orders” from above.

‘We even went to a local Swazi doctor and offered to pay him but he refused: he simply did not want to get involved in any way with challenging the government in court.’

Hlophe said that NGOs in Swaziland, where King Mswati III rules as sub-Saharan Africa’s last absolute monarch, were no allowed to get involved in ‘politics’.

Hlophe wrote, ‘Now, in Swaziland, what we call “politics” is not really politics at all. In most countries ‘politics’ is the contesting for power by an organisation. 

‘Around here, any form of questioning of the government is deemed a political act. In any normal country, questioning the government is seen as an act of citizenship, not betrayal. However, questioning the government over policy is one thing, what we have here is ignoring some serious breaches of freedoms that are in the Constitution’s Bill of Rights and are attacks on the local defenders of these rights.’

He added, ‘I think the directors of these NGOs need to meet with some of us human rights defenders in the country to establish a protocol for medical examinations for victims of alleged state brutality. The government will then be placed in a position. If it wants to continue to ask for these organisations’ help in dealing with the worst HIV, AIDS and TB crises, the world has ever seen, it must allow them to report on allegations about its police officers’ abuses, beatings and strangling of suspects. 

‘If there is something or nothing, in the allegations, the doctors can, and must, say so. The people I work for want to deal with the truth, not propaganda. If the evidence of abuse is there, we need doctors to tell us so.’

He added, ‘It is not enough to heal the sick or the injured when you have an option to prevent them coming to harm.

‘To me, accurately reporting on injuries obtained as a result of human rights abuses is a valid public health intervention.’

See also

MORE POLICE TORTURE IN SWAZILAND

SWAZI STUDENT LEADER TORTURED

Monday, 12 September 2011

‘HEALTH SPENDING MUST BE PRIORITY’

Médecins Sans Frontières / Doctors Without Borders (MSF)

Press Release

7 September 2011

SOURCE http://www.msf.org.uk/articledetail.aspx?fId=Swaziland_press_release_20110907

Swaziland: health funding must be priority

The medical humanitarian organisation Médecins Sans Frontières/Doctors Without Borders (MSF) is deeply concerned about the implications of the current economic crisis in Swaziland on people living with HIV/AIDS.

To pre-empt stock ruptures, which are already affecting patients, MSF has supplied a contingency stock of antiretroviral (ARV) drugs that will serve some 18,000 AIDS patients in its project areas for at least one month.

This stock will only cover the needs of a fraction of the 70,000 patients currently on ARV treatment in Swaziland, and will not be sufficient to address the needs of those still waiting to be enrolled.

MSF calls on the government of Swaziland and the Ministry of Health to act decisively in ensuring proper management and supply of ARV drugs to the Swazi health facilities and ensure that funds are secured and reserved for supplies of ARV drugs, for laboratories, and for drugs for treating opportunistic infections.

“For all people currently on antiretroviral treatment, and for those eligible to get started on antiretroviral drugs, an uninterrupted supply of medication is crucial to the success of their treatment and thus to their survival,” says Aymeric Péguillan, head of mission for MSF in Swaziland.

Depending on a patient’s health status and the length of the treatment interruption, ARV ruptures can lead to the development of drug resistance, to a rapid decline in a patient’s health and even to death. In addition to the HIV patients who are receiving treatment, MSF is worried that those not yet on ARV drugs may also be affected by the funding gap in the general health system.

“The threat to the capacity for HIV testing and counselling is real, and laboratory services are now becoming affected, as the reagents needed for tests are in extremely short supply at the moment,” says Péguillan.

MSF, together with the Ministry of Health of Swaziland, has been providing HIV and TB care to patients in Shiselweni region since late 2007, and to patients in Manzini region since mid-2010.

By the end of June 2011, out of almost 18,000 HIV-positive people in need of treatment in Shiselweni region, 13,083 patients were on antiretroviral treatment, including more than 5,000 managed at clinic level. There are currently 4,279 patients on antiretroviral treatment in the Mankayane area, and 305 at the Matsapha industrial site clinic, both situated in Manzini region.

Sunday, 21 November 2010

SWAZILAND’S HEALTH SHORTAGE

In the week that it was announced that approximately 35 doctors and 245 nurses per day for a year would be taken away from front line health services so they can perform pointless circumcisions on men, comes news that Swaziland’s health service is in such a state that community leaders are being given basic medical training because there are not enough doctors or nurses available.


Doctors Without Borders said that nurses are taking on doctors’ roles and community leaders are receiving rudimentary medical training.

The group said a ‘dire shortage’ of health professionals prompted them to implement a plan using lesser-trained workers to treat people with HIV and AIDS.

Community workers are performing HIV tests and providing counselling in 21 health facilities in the Shiselweni region, the kingdom’s poorest and most remote region with the highest number of HIV cases.

The medical group, which is also known by its French acronym MSF, said vacancies in the health field are dire. In a report released on Wednesday (17 November 2010), they cited statistics from 2004 in which they said 44 percent of posts for doctors, 19 percent of posts for nurses and 17 per cent of nursing assistant posts were unfilled.

MSF said life expectancy in Swaziland has dropped from 60 to 31 in the past 20 years because of AIDS.

MSF reported that of the approximately 170 nurses and midwives who graduate each year, a large proportion emigrate. Staff attrition to HIV is high – at around 4% each year.


‘Currently, the Swazi health system is benefiting from an influx of skilled Zimbabwean healthcare workers. However, if the Zimbabwean economy recovers, many of these workers may repatriate. The staffing crisis is further exacerbated by absences from work due to training courses, holidays or sick leave – there is often only one nurse on duty for a catchment population of between 7,000 and 16,000.


‘In rural areas, in particular, the lack of accommodation for health workers makes recruitment and retention of staff very difficult,’ the report said.