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Zimbabwe’s senior doctors on Wednesday criticised the government for extending the Level 4 COVID-19 lockdown, calling it “unscientific” in the face of declining infections and hospitalisations.
Information, Publicity and Broadcasting Services Minister Monica Mutsvangwa, in a statement on Tuesday night, announced that the lockdown has been extended by a further two weeks.
Mutsvangwa said the decision was “necessitated by the realisation that although there has been a notable decrease in the number of COVID-19 infections and deaths, more efforts are required to contain the third wave of the pandemic.”
The Zimbabwe Senior Hospital Doctors Association, in a short statement on Wednesday, criticised the latest extension. The doctors said:
<blockquote>
Data from the ministry of health clearly shows Covid-19 infections well below the resurgence threshold.
Most Covid hospitals countrywide have significantly reduced admissions. Lockdown has achieved its aims.
If we are basing decisions on stats and science, what’s the justification for the extension?
</blockquote>
On Tuesday, the Ministry of Health and Childcare reported 319 new COVID-19 infections and 27 deaths. It also said the test positivity rate had fallen to just 4.4 per cent.
The lockdown has also hit businesses, with opening hours restricted between 8 AM and 3.30 PM.
Bars remain closed, sporting events are banned and churches have only just been allowed to re-open but only for the fully vaccinated.
A dusk to dawn curfew is also being enforced by the police.
<h4>More: <a href="https://www.zimlive.com/2021/08/25/zimbabwes-senior-doctors-fume-over-unscientific-lockdown-extension/">Zimlive</a></h4>

Pindula News

Senior Doctors Fume Over "Unscientific" Lockdown Extension

The government has gazetted amendments to the Health Services Act which ban doctors and nurses working in public health institutions from going on strike for an uninterrupted period spanning more than three days.
The amendments to the Act, which were gazetted on Friday, once passed, will also require doctors and nurses to give two days’ notice in writing before embarking on collective job action.
In addition, all health care providers will be required by law to provide care to patients in a medical emergency or needing critical or intensive care while they are on strike.
Under the proposed amendments to the Health Services Act, a worker representative who incites or organises an illegal job action could also face up to three years in jail.
Dr Maxwell Hove, who is the chief director in the Ministry of Health and Child Care, said once passed, the law will allow health care workers to strike for three days and wait for two weeks before embarking on another strike. Said Hove:
<blockquote>Healthcare workers will not be able to go on strike for more than three days and will stay at work for a minimum of two weeks before the law allows them to go on another three-day strike.
In each case no strike can go beyond three days and emergencies will also be covered during every strike.
The amendments also seek to replace the Health Services Board with an independent commission – the Health Services Commission.</blockquote>
The Commission will, among other things, create grades in the health service and fix conditions of service for doctors and nurses.
The proposed changes will designate health care workers as essential service providers as defined under the Labour Act.
The Labour Act designates any service whose interruption endangers the life, personal safety or health of the whole or any part of the public as an essential service.
Meanwhile, Zimbabwe Nurses Association (ZINA) president Enoch Dongo said there was a need for Government to consult health care professionals before enacting the amendments.
<h4>More: <a href="https://www.sundaynews.co.zw/doctors-nurses-banned-from-striking/">The Sunday News</a></h4>

Doctors, Nurses Banned From Striking

MDC Alliance president Nelson Chamisa has called on Treasury to pay the country&#8217;s public healthcare workers decent salaries, saying their current earnings are &#8220;peanuts&#8221;.
Chamisa urged Finance Minister Mthuli Ncube and Treasury permanent secretary George Guvamatanga to address frontline workers&#8217; remuneration as a matter of urgency. Said Chamisa:
<blockquote>These patriots are putting their lives at risk during this pandemic only to receive peanuts as a salary.
Please use the surplus to restore the dignity of our frontline workers and civil service as a whole.
A junior doctor earns approx ZWL$28 000 a month which is US$207 at the real market rate.
This is inclusive of a COVID-19 allowance of US$70 risk allowance at paid bank rate = ZWL$6 000. This merits urgent fixing! Pay attention to what matters.
The urgency of it dawned on me last week when a young doctor who is my relative fell ill. It struck me as to what would have become of this young life.
My heart was taken to all the frontline workers who have families that look up to them for survival.</blockquote>
Zimbabwean doctors and nurses reportedly earn less than soldiers, police officers and prison guards.
Last year, nurses were forced to apologise to the government for embarking on a strike, demanding better pay.

Chamisa: Review Frontline Workers' Salaries Urgently

Former Finance Minister Tendai Biti, who is the Harare East legislator (MDC Alliance), says the country&#8217;s key political leaders should learn lessons from their inability to travel abroad for treatment for COVID-19.
Biti said President Emmerson Mnangagwa and his ministers are now facing the consequences of running down the country&#8217;s health system, yet the effects of the pandemic could have been partially averted if they had prioritised the country&#8217;s health delivery system. <a href="https://twitter.com/NewsHawksLive/status/1352937794109399040" target="_blank" rel="noopener noreferrer">The NewsHawks</a> quote Biti as saying:
<blockquote>President Emmerson Mnangagwa, his ministers and their cronies are marooned locally, they can&#8217;t go to South Africa, Singapore and China, but they have destroyed hospitals; now facing the consequences.
They should have invested in health, but they didn&#8217;t, hence people are dying.
Some of these fatalities would have been avoided if we had a functioning healthcare system, hospitals, doctors, nurses, drugs and equipment.
We don&#8217;t have all the basics; the system is a shell. That&#8217;s why people are dying like this. We could have partially avoided this situation.</blockquote>
COVID-19 has already claimed the lives of three cabinet ministers, that is, Perrance Shiri (Agriculture), Sibusiso Moyo (Foreign Affairs) and Joel Biggie Matiza (Transport).
Manicaland Provincial Affairs and Devolution Minister Ellen Gwaradzimba and military commander, Brigadier-General Collin Moyo (Retired) also succumbed to the respiratory disease this month.

Political Elites Facing The Consequences Of Destroying Hospitals - Biti

A Zimbabwean doctor has exposed the dire state of the country&#8217;s public health system following years of neglect by authorities who prefer to fly to other countries for treatment.
The unnamed doctor said they are now tired of telling people that they will die and of seeing the death of patients who could easily be treated.
The doctor revealed that they have been looking up to the government, expecting change, but they have now realised that government officials do not care at all. The doctor said:
<blockquote>We are tired of telling patients that you are going to die, tired of patients dying when it could have been prevented. As people who were trained to care, the situation is incredibly distressing. Our morale is incredibly low – the lowest it has ever been – and so many people now just want to leave the country.
We are looking to our government for change, but the truth is they don’t care. The people in power don’t get treated in government hospitals. When they get sick, they go abroad.
They even saw the pandemic as little more than a money-making opportunity. We saw this play out in the multi-million-dollar equipment procurement scandal that led to the recent arrest of the Health Minister as well as the vindictive detention of Hopewell Chin’ono, the journalist who uncovered it.
The government then appointed Vice-President Constantine Chiwenga – a military man known for making insulting comments about doctors – as the new Health Minister.</blockquote>
Nurses embarked on a strike more than two months ago demanding a living wage and Personal Protective Equipment (PPE) considering the COVID-19 pandemic.
The government has responded by bringing in student nurses and those who had been out of work for a long time and as a result, hospital wards are overwhelmed or staffed with nurses who are either inexperienced or who haven&#8217;t received recent training.
<h4>More: <a href="https://africanarguments.org/2020/08/19/im-a-zimbabwean-doctor-the-crisis-is-even-worse-than-you-think/" target="_blank" rel="noopener noreferrer">African Arguments</a></h4>

We Are Tired Of Telling Patients They Will Die - Zimbabwean Doctor

The Zimbabwe Association of Doctors for Human Rights (ZADHR) has requested the Ministry of Health and Child Care (MoHCC) to avail information on frontline health workers who are exposed to coronavirus.
In a letter dated 21 July 2020 and addressed to MoHCC acting secretary Gibson Mhlanga, the doctors said they have noted a growing trend in health professionals who are testing positive to the coronavirus, where the majority of the cases are attributable to exposure at the workplace. The doctors wrote:
<blockquote>The Zimbabwe Association of Doctors for Human Rights (ZADHR) is a membership-based organisation that represents the interests of medical practitioners who seek to advance the right to health in Zimbabwe.
As you are aware, on the 14th of April 2020, with a Consent Order, the High Court ordered the government through the Ministry of Health and Child Care to provide all frontline health personnel at &#8220;public health facilities in the country or deployed to trace contacts exposed by infected people, are provided with personal protective equipment (PPE)&#8230;&#8221; to protect them from the deadly Coronavirus.
Despite this, we have noted a growing trend in health professionals who are testing positive to the coronavirus, where the majority of these cases are attributable to exposure in the workplace.
We have also noted that there is no priority in providing information in the Ministry&#8217;s daily updates on the number of health professionals, the bedrock of the response, who have tested positive, recovering or deceased.
AS ZADHR, we believe it is in the interest of health professionals and the public, in general, to be informed on the status of their colleagues and frontline staffers.
We also urge the Ministry to provide a brief on the numbers, region/province and status of all health professionals&#8217; who have tested positive to COVID-19 to date.
ZIMBABWE ASSOCIATION OF DOCTORS FOR HUMAN RIGHTS</blockquote>

Zimbabwe Doctors Demand To Be Informed When Health Workers Die Of COVID-19

Former Health Minister Henry Madzorera has castigated the government for allegedly pauperising doctors and nurses who are now living on handouts from ZANU PF politicians.
This comes after Deputy Defence Minister and Gokwe Central MP Victor Matemadanda bragged after donating some food hampers to doctors and nurses at Gokwe Central Hospital earlier this week.
Madzorera told NewZimbabwe.com that the ruling elites should be ashamed of themselves for impoverishing civil servants to such an extent that they live like beggars. He said:
<blockquote>A country where senior politicians spend time donating things to doctors and nurses is a dead country.
Those leaders must be ashamed of themselves when they make welfare cases out of doctors and nurses.
&#8230; We can’t have a country where doctors and nurses receive charity. What about the unemployed, the vulnerable, the sick?
What will happen to them if we divert aid to doctors and nurses who are gainfully employed, people?</blockquote>
Doctors and nurses have been engaging in repeated strike actions with some of the ending up facing the sack.
Strive Masiyiwa&#8217;s charity organisation, Higherlife Foundation has chipped in with some incentives for doctors while nurses have resorted to working two days a week.
<h4>More: <a href="https://www.newzimbabwe.com/ex-minister-blasts-govt-for-pauperising-doctors/" target="_blank" rel="noopener noreferrer">NewZimbabwe.com</a></h4>

'Matemadanda Should Be Ashamed Of Himself'

<blockquote>Following the Annual General Meeting (AGM) held on the 21st of December 2019 at ZIMA House, and a subsequent inception board meeting held on the 11th of January 2020 at the ZADHR offices, the Zimbabwe Association of Doctors for Human Rights (ZADHR) wishes to announce to the public and all stakeholders of the election of a new board to steer the work of the organization for the next three years.
The new board comprises of the following; Dr Fortune Nyamande (Chairperson), Dr Fungisai Mazhandu (Vice-Chairperson, Dr Norman Matara (Secretary), Dr Mufudzi Mushaninga (Treasurer), Dr Tendai Tsuro, Dr Artmore Chakanyuka, Dr Ratidzo Mugumbate, Mr Jeremiah Bamu (legal advisor), Dr Nyamande takes over from Dr Brighton Chizhande who served the ZADHR board with distinction and previously served as the Spokesperson of ZADHR.
It is our conviction as ZADHR that the new board will further entrench the values and pursue the mandate of the organization to ensure that the health and human rights of Zimbabweans are promoted, protected and defended.
We have no doubt that the esteemed new board of these outstanding individuals will bring new ideas for the growth of the organisation during their tenure.
As we welcome the new board and wish them the best as they work to continue serving the medical fraternity and the Zimbabwean citizens as a whole, we also take this opportunity thank Dr Chizhande and his team and wish them the best in their endeavours.</blockquote>

Zimbabwe Association of Doctors For Human Rights Elects New Board {Full Tex}

<h2>CURRENT STATE OF THE PUBLIC HEALTH SECTOR &#8211; 27/11/19</h2>
We have watched over the past few months as the situation in our hospitals continues to deteriorate. In March this year the situation in hospitals deteriorated to the point where there were no bandages, gloves and syringes available, forcing senior doctors to highlight the dire situation publicly. The Ministry of Health and Child Care assured us that the situation was due to shortcomings at hospital management level. The matter also caught the attention of His Excellency who generously availed hard-eamed taxpayers&#8217; money to buy drugs and equipment. We continued to work with the little we had, while patiently waiting for the promised equipment.
There was much fanfare and ribbon cutting, and images of warehouses full of drugs which turned out to be cartons of fluids. Out of an inventory list of 2000 items, only about 60 had been purchased. The Indian consignment was a great disappointment. The vast majority of the equipment which was released was completely unusable. This past week, technicians arrived to commission the remaining equipment. They proceeded to unveil second hand, refurbished equipment which is no longer being manufactured by the parent company (details available). The hospitals continue to be poorly stocked and remain a death trap, even with the presence of the hard-working, highly specialized workforce that Zimbabwe has.
Contrary to statements made on 26 November at the Cabinet briefing, over the past 2 months senior doctors have continued to offer emergency services at the various public sector hospitals. In response, the employer unlawfully withheld their salaries. As we speak, disciplinary letters are being handed out to senior doctors, including those who have been doing their best to save lives in the hostile public sector. The authorities are so vindictive that they went to theatre to hand a letter to a doctor who was finishing up an emergency operation. For the record, senior doctors will not be re-applying to come back to work. We do not accept that one can be dismissed for being incapacitated to come to work in an unsafe environment with nothing to use. We reiterate, we are not on strike.
It is now quite clear that the employer has no interest or intention to solve the crisis in the health sector. One cannot understand how they are failing to maximise on the skills and goodwill of the specialists at their disposal. Just in the last 2 months a Zimbabwean orthopaedic surgery student had the best results in the College of Surgeons of East, Central and Southern Africa (COSECSA) exams. A Zimbabwean physician won the prize for best student from the College of Neurologists of South Africa. General surgery trainees have been scooping the first prize in the Registrars Symposium in South Africa from 2012 to date, consecutively. These are but a few examples. Zimbabwe doctors are still shining on the world stage and can do the same locally if given the resources. The MOHCC talks of bringing in doctors to set up super-specialist units while ignoring the readily available local workforce. The idea of Public Private Partnerships in the current format is dangerous to vulnerable citizens. The employer has been paying lip service to negotiations, and nothing has come of it except dismissal of doctors.
It is important for people to fmd out why this has taken no long to be resolved as a silent genocide continues to be perpetrated upon the people of Zimbabwe. We want to thank Honourable Cde Chinotimba who did not buy the smokescreens being created by those who are supposed to be representing us, and took time to fmd out for himself what is going in the sector. We ask that Zimbabweans across all sectors take the time to really investigate what is at the heart of this ongoing crisis and why the powers that be in health are seemingly unable or unwilling to solve it.
This is not about money. People have been working for years for renumeration well below what they deserve, and in the past 2 months have been working for nothing at all. We are not receiving sponsorship to stay away from work, as some have purported. We have been raising funds amongst ourselves to support each other. We are now at a stage where, as in biblical times, Pharaoh has taken away the straw and water and is demanding the same quota of bricks. We are not slaves. We are not greedy mercenaries. We deserve proper tools of the trade, a living wage and a safe working environment. The citizens of Zimbabwe deserve a health system they can trust.
<a href="https://t792ae.c2.acecdn.net/wp-content/uploads/2019/11/doctors-1.jpg"><img decoding="async" loading="lazy" class="aligncenter size-full wp-image-140531" src="https://t792ae.c2.acecdn.net/wp-content/uploads/2019/11/doctors-1.jpg" alt="" width="848" height="1200" srcset="https://news.pindula.co.zw/wp-content/uploads/2019/11/doctors-1.jpg 848w, https://news.pindula.co.zw/wp-content/uploads/2019/11/doctors-1-212x300.jpg 212w, https://news.pindula.co.zw/wp-content/uploads/2019/11/doctors-1-724x1024.jpg 724w, https://news.pindula.co.zw/wp-content/uploads/2019/11/doctors-1-768x1087.jpg 768w, https://news.pindula.co.zw/wp-content/uploads/2019/11/doctors-1-600x849.jpg 600w" sizes="(max-width: 848px) 100vw, 848px" /></a>
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FULL STATEMENT: "Will Not Be Re-applying To Return To Work" - Senoir Doctors Tell Gov

UK Prime Minister, Boris Johnson has promised to quicken the &#8220;NHS visa&#8221; facility for overseas doctors and nurses once the Brexit deal succeeds.
Mr Johnson and the Tories party want to make it easy for medical caregivers to apply and get jobs in the United Kingdom so as to support the public health sector.
Al Jazeera reports that under the scheme, the cost of a visa for healthcare professionals would be halved from 928 pounds ($1,190) to 464 pounds ($590), while applicants would be guaranteed a decision within two weeks.
The development comes when the health sector in Zimbabwe is in a sorry state due to lack of adequate medicines and equipment.
The doctors and nurses industrial action which started on the third of September this year only exacerbated the already dire situation.
The announcement by the Conservatives is definitely music to the ears of Zimbabwean health caregivers following the dismissal of some doctors by the state for the &#8220;illegal industrial action&#8221;.
Workers and the government are failing to agree on the best way forward to address the issue after workers rejected a number of government offers which they regarded as insignificant in &#8220;this inflationary economy&#8221;.
More: <a href="https://www.aljazeera.com/news/2019/11/brexit-johnson-promises-doctors-nurses-fast-track-nhs-visa-191108122315873.html">Al Jazeera</a>

UK Prime Minister Promises "Fast Track NHS Visa" For Overseas Medical Practitioners

Luke Tamborinyoka, the spokesperson for the opposition MDC has likened the dismissal of striking doctors by the Zimbabwean government to the Biblical father in a parable by Jesus Christ who is said to have given his children stones and snakes when asked for bread and fish.
Tamborinyoka claims that workers&#8217; demands, a living wage and improved working conditions, were genuine and any caring government should not have responded in the manner the Emmerson Mnangagwa regime did. He said:
<blockquote>So they gave their sons and daughters the stone (dismissal) for their legitimate demand of bread as symbolizing a living wage. And in line with the scriptural dictum, the regime spurned legitimate demands and instead gave our doctors a snake (dismissal) when all they had asked for was better working conditions and consumables to enable them to save lives.</blockquote>
His remarks come after the government fired 77 out of 80 striking doctors after they were &#8220;found guilty of not reporting for duty for no apparent reason&#8221;.
The doctors who are demanding a sustainable salary embarked on industrial action on the 3rd of September this year and are saying they will only return to work when their demands have been addressed in a satisfactory manner.
More: <a href="https://nehandaradio.com/2019/11/08/luke-ing-the-beast-in-the-eye-those-whom-the-gods-want-to-destroy-they-first-make-mad/">Nehanda Radio</a>

"Workers Asked For Bread And Fish But Were Given Stones And Snakes" As Striking Doctors Are Fired

The government has reportedly resolved to fire striking doctors who also boycotted the disciplinary hearings that were slated to start, in that order, at Central hospitals in Harare and Bulawayo.
The Herald reports that none of the 81 doctors showed up but the hearings proceeded. The Health Services Board chairperson, Dr Paulinus Sikosana confirmed to the publication that the hearings went on adding that the outcome was confidential. Dr Sikosana said:
<blockquote>The outcomes of the hearings are confidential hence we will communicate to individuals.</blockquote>
The state-run publication further alleges that it conducted further investigations which revealed that all the doctors who were supposed to go for the hearings today were fired.
The acting secretary-general of the Zimbabwe Hospital Doctors&#8217; Association, Dr Tawanda Zvakada told the Herald that some hearings were scheduled for the 7th of November while others did not even receive the disciplinary hearing notices.
Helth caregivers have been on industrial action since the 3rd of September this year citing incapacitation and poor working conditions.
More: <a href="https://www.herald.co.zw/just-in-doctors-snub-disciplinary-hearings/">The Herald</a>

Govt Has Reportedly Fired All Doctors Who Boycotted Friday's Disciplinary Hearings

A group of doctors visited State House on Wednesday at the invitation of First Lady Auxillia Mnangagwa where they met President Emmerson Mnangagwa who reportedly promised to fully stock public health institutions with medicines and equipment, as well as look into their welfare.
The doctors&#8217; delegation was led by Dr Faith Muchemwa, who told the media after the meeting that they were very happy with the outcome of the meeting. She said:
<blockquote>She initially invited us so that she could understand what was really going on because she cared about the health of the population.
She arranged for us to meet His Excellency.
It has been a really good meeting and we were listened to.
We have been assured that most of the things that we have been requiring are actually already on their way through the Honourable Minister (Obadiah Moyo).</blockquote>
The meeting follows a demand by the Zimbabwe Hospital Doctors Association (ZHDA) earlier this week that their salaries be in US dollars.
<h4>More: <a href="https://www.herald.co.zw/president-reassures-doctors-promises-to-equip-hospitals/" target="_blank" rel="noopener noreferrer">The Herald</a></h4>

Doctors 'Satisfied' With ED's Promise To Meet Their Requests

President Emmerson Mnangagwa has warned doctors and nurses who attended to people injured during the January protests that the government is coming after them.
Mnangagwa said that the protestors worked together with civil society and some medical personnel in organising the protests. He said:
<blockquote>They told them that if anyone gets arrested, they should go to a certain place, there are lawyers waiting to defend them,
“If anyone gets hurt, they should go to a certain place, there are doctors waiting to treat them.&#8221;
We are now going after those doctors who were involved in those activities.
Those lawyers that were inciting violence, we are now going after them. So those who choose violence, we are prepared.</blockquote>
<h4>More: <a href="https://www.thestandard.co.zw/2019/02/17/mnangagwa-issues-chilling-warning/">The Standard</a></h4>

Mnangagwa Promises To Deal With Doctors And Nurses Who Treated 'ShutDownZim' Protestors

On Friday, Government granted permission for nurses and other health workers to adjust their working hours to 154 hours monthly which translates to three days a week.
In a letter addressed to Provincial Medical Officers and Chief Executive Officers, the acting Permanent Secretary in the Ministry of Health and Child Care, Dr Gibson Mhlanga, said the proposal would help health workers cope with transport challenges. According to the proposal, health workers will work a total of 77 hours in two weeks with shifts starting from 7AM up to 7PM. Said Dr Mhlanga:
<blockquote>Reference is made to minute dated December 7, 2018 where it had been suggested that the implementation of this interim arrangement was to start with nurses and extended to other categories. Heads of institutions who had not yet done so are requested to extend the interim arrangement to other categories of health workers. It is important that adherence to a minimum 154 working hours per month is maintained and in a manner that ensures continuity in service provision and adequate coverage</blockquote>
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<h4>Related:</h4>
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<h3 class="entry-title"><a href="https://news.pindula.co.zw/2019/02/03/full-text-new-working-hours-for-government-doctors-nurses/">Full Text: New Working Hours For Government Doctors, Nurses</a></h3>
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</ul>
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More: <a href="https://www.chronicle.co.zw/nurses-to-work-three-days-a-week/">Chronicle</a>

Govt Grants Nurses, Doctors Permission To Work 3 Days A Week

The government on Friday asked its hospitals and clinics to implement new working hours for all health workers. The new hours will entail fewer days but more hours per day.  The changes have been made due to transport challenges. Government, however, made the new hours optional
Below is the letter that was written to CEOs, Provincial Medical Officers and Directors by the Ministry Of Health and Child Care:
<blockquote>
Secretary for Health and Child Care
01 February 2019
To All: 
Chief Executive Officers 
Provincial Medical Officers 
Directors
PROPOSAL INTERIM FLEXIBLE WORKING HOURS FOR HEALTH WORKERS: PUBLIC HEALTH SECTOR
Reference is made to minute dated 7 December .18 with regards to the above subject matter. 
It had been suggested in the minute that the implementation of this interim arrangement was to start with nurses and extended to other categories. Heads of institutions who had not yet done so are requested to extend the interim arrangement to other categories of health workers. This will enable the health workers to cope with the current prevailing transport challenges until the environment stabilises. It is important that adherence to a minimum working 154 hours per month is maintained and in a manner that ensures continuity in service provision and adequate coverage.
Members who are not comfortable with the extended working hours will continue with the normal working hours and days.
You are further advised that members should not use the days not worked in terms of this interim framework to do locum duties. You may use the attached proposed working hours as a guide and amended to suit local conditions.
&nbsp;
Dr G. Mhlanga
Acting Secretary for Health and Child Care
Cc: 
Hon Minister of Health and Child Care: Dr—Obadlah 
Hon Deputy Minister of Health and Child Care: DJ C Mangwiro 
Executive Director, Health Service Board: Ms R R Kaseke
<h3>Proposed working hours Week</h3>
<h2 id="tablepress-32-name" class="tablepress-table-name tablepress-table-name-id-32">Week 1</h2>

<table id="tablepress-32" class="tablepress tablepress-id-32" aria-labelledby="tablepress-32-name">
<tbody>
<tr class="row-1">
	<td class="column-1">Number of Hours per day</td><td class="column-2">11</td><td rowspan="3" class="column-3">7am - 7pm</td>
</tr>
<tr class="row-2">
	<td class="column-1">Number of days</td><td class="column-2">3</td>
</tr>
<tr class="row-3">
	<td class="column-1">Total</td><td class="column-2">33</td>
</tr>
</tbody>
</table>

<h2 id="tablepress-33-name" class="tablepress-table-name tablepress-table-name-id-33">Week 2</h2>

<table id="tablepress-33" class="tablepress tablepress-id-33" aria-labelledby="tablepress-33-name">
<tbody>
<tr class="row-1">
	<td class="column-1">Number of Hours per day</td><td class="column-2">11</td><td rowspan="3" class="column-3">7am - 7pm</td>
</tr>
<tr class="row-2">
	<td class="column-1">Number of days</td><td class="column-2">4</td>
</tr>
<tr class="row-3">
	<td class="column-1">Total</td><td class="column-2">44</td>
</tr>
</tbody>
</table>

<h2 id="tablepress-34-name" class="tablepress-table-name tablepress-table-name-id-34">Summary</h2>

<table id="tablepress-34" class="tablepress tablepress-id-34" aria-labelledby="tablepress-34-name">
<tbody>
<tr class="row-1">
	<td class="column-1">Total hours in two weeks</td><td class="column-2">77</td>
</tr>
<tr class="row-2">
	<td class="column-1">Total hours in per month</td><td class="column-2">154</td>
</tr>
</tbody>
</table>
</blockquote>

Full Text: New Working Hours For Government Doctors, Nurses

In a letter addressed to public health sector administrative leaders, the government has asked that an interim measure to reduced working hours for all health workers be implemented.
The health workers, including doctors and nurses, will now work 3 days a week in an effort to curb to what is referred to as &#8216;prevailing transport challenge&#8217;.
It&#8217;s not clear what the impact will be on the delivery of health services in the country.
The letter, included below, was sent on Friday 01 February.
&nbsp;
<img decoding="async" loading="lazy" class="aligncenter size-large wp-image-76576" src="https://t792ae.c2.acecdn.net/wp-content/uploads/2019/02/Medical-Doctor-Hours-Reduced-520x1024.jpg" alt="" width="520" height="1024" srcset="https://news.pindula.co.zw/wp-content/uploads/2019/02/Medical-Doctor-Hours-Reduced-520x1024.jpg 520w, https://news.pindula.co.zw/wp-content/uploads/2019/02/Medical-Doctor-Hours-Reduced-152x300.jpg 152w, https://news.pindula.co.zw/wp-content/uploads/2019/02/Medical-Doctor-Hours-Reduced-600x1182.jpg 600w, https://news.pindula.co.zw/wp-content/uploads/2019/02/Medical-Doctor-Hours-Reduced.jpg 715w" sizes="(max-width: 520px) 100vw, 520px" />
<h2>Related:</h2>
<ul>
<li class="entry-title">
<h3><a href="https://news.pindula.co.zw/2019/02/03/those-12-hour-shifts-are-tiring-doctor-explains-new-working-hours/" rel="bookmark">“Those 12 hour shifts are tiring”, Doctor Explains New Working Hours</a></h3>
</li>
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LATEST: Doctors, Nurses To Work 3 Days A Week

The Health Services Board (HSB) has said that it does not know why<a href="https://news.pindula.co.zw/2018/05/15/govt-slashes-doctors-allowances-backtracks-on-agreement-reached-in-april/" target="_blank" rel="noopener"> the on-call allowances for doctors were slashed after being agreed on in April</a>. However, the HSB has said that it has talked to the Ministry of Finance and the allowances will be reinstated to the previously agreed figures. (HSB) chief executive Ms Ruth Kaseke said,
<blockquote>
As indicated before, we do not know what led to slashing of the on-call allowances, but we have since engaged Treasury over the issue and they have assured us that it will be rectified&#8230;Allegations that HSB had recommended the cuts to accommodate non-medical personnel are not true because the two processes are completely different.</blockquote>
More: <a href="https://www.herald.co.zw/hsb-explains-health-sector-windfall-disparities/" target="_blank" rel="noopener">Herald</a>

Doctors To Have Slashed Allowances Reinstated, We Do Not Know Why They Were Slashed: HSB

Retention allowances for doctors deployed at district hospitals have been cut by 87 percent following reduction of funding from Government’s development partners.
The doctors are now getting $88 retention allowance per month, down from $682 which was being paid since 2009 when the Health Worker Retention Scheme was launched. Responding to questions during question and answer session in the National Assembly last week on behalf of Health and Child Care Minister Dr David Parirenyatwa, Minister of Labour and Social Welfare Petronella Kagonye said Government has had to cut down the retention to funding challenges. Said Kagonye:
<blockquote>A doctor in the district is with effect from last month receiving $88,65 retention allowance from the health worker retention (Global Fund), down from $682 when the scheme started. The Health Worker Retention Scheme was set up in 2009 with the support of development partners to complement Government efforts to remunerate and retain its workers. It contributed immensely to the presence of motivated health workers at all levels of the health systems, especially doctors at district hospitals.</blockquote>
More: <a href="http://www.chronicle.co.zw/doctors-allowances-cut-by-87pc/">Chronicle</a>

Govt Reduces Doctors' Allowances By 87%

Yesterday, nurses issued the government with a notice to go on strike and join the medical doctors who have now reached two weeks since they went on strike.
The nurses, as well as other civil servants, are not happy that the government keeps postponing the meeting to discuss the 2016 Bonus payment options. The nurses also complained that they are overworked due to short staffing.
Enock Dongo, the Secretary general of the nurses association, spoke to the Daily News yesterday saying
<blockquote>This postponed meeting was itself supposed to have been held on February 20, and even that one was supposed to have been held much earlier.
Our constituency has now told us that if we do not come back with bonus dates, they will be forced to engage in industrial action and not offer their services.
Already, the nurses are overworked because they are short-staffed &#8230; and government should look into employing more nurses as they are burnt out.</blockquote>
More: <a href="https://www.dailynews.co.zw/articles/2017/02/28/nurses-issue-strike-notice">Daily News</a>
&nbsp;

Nurses threaten to join doctors on strike, serve government with notice

Today doctors in Zimbabwe have embarked on a nationwide strike after they failed to reach an agreement with the government.  The doctors have three major grievances against the government which they want to be addressed before returning to work.  According to some reports, however,  talks to end the strike are still ongoing and some doctors are at work.
Here are the reasons why the doctors went on strike and other things that you may not know about the public health system in Zimbabwe.
<ol>
<li>For one to be admitted at Government Hospital such as Parirenyatwa Hospital, Harare Hospital, etc, one needs to pay an admission deposit of between $50 and $100. However, this amount does not include drugs and things such as IV solutions (drips)</li>
<li>Hospitals do not provide essential items such as drugs, drips and cannulas. A cannula is a thin tube inserted into a vein or body cavity to administer medication, drain off fluid, or insert a surgical instrument.  If these items are needed, the patient will need to purchase them on their own or if they are lucky enough their relatives can buy for them before treatment can take place.</li>
<li>Government pharmacies at the general hospitals are usually empty or not fully stocked and most times do not have the essential drugs.</li>
<li>However, most general hospitals have private pharmacies which are always fully stocked with essential medication, although no one seems to admit that they own these pharmacies.  Doctors claim not to know the true owners of the pharmacies.</li>
<li> Public  Health system is compromised due to water cuts and erratic supplies of water to public hospitals. This compromises the general level of hygiene within the hospital, putting both patients and doctors at risk.</li>
<li>When a doctor is on call they earn $1.20 per hour. Being on call means a  doctor will be standing in to cover any emergency and this only happens during the night time shift and can last between 8 &#8211; 12 hours. Doctors are paid  $228 per month for on-call allowances, meaning per hour it comes down to $1.20.</li>
<li>A pint of blood costs $130.00  If the patient has no medical aid or cash they will not be able to be treated and sometimes may die.  This also means that a doctor has to work 108 hours on call just to be able to afford one pint of blood.</li>
<li>Doctors&#8217; first grievance: The government recently announced that it has instituted a hiring freeze on new doctors.  This means that doctors can no longer be employed by the government after two years of internship due to the fact that the government does not have money. The doctors are saying if the government is unable to hire them, then it should give the doctors open practising certificates to allow them to find employment elsewhere.</li>
<li>Doctors&#8217; second grievance: Doctors want the minimum on call allowance to be increased to  $720 per month.  This will translate to approximately $10 per hour compared to the current $1.20 per hour.</li>
<li> Doctor&#8217;s third grievance:  Doctors want the government to honour their word to subsidise their purchase of motor vehicles.  Since the government is basically broke and has no money to pay directly,  the doctors want to be granted a  tax exemption for them to bring in cars which whey will use in the course of their duties.</li>
</ol>
More: <a href="http://www.pindula.co.zw/news/2017/02/15/video-flag-presentation-state-public-health-system-doctors-strike/#.WKQ6m1V97IU">Watch a Video by ThisFlag on these issues </a>
&nbsp;

10 disturbing things you might not know about Zimbabwe's public health system and strike by doctors

<a href="http://www.pindula.co.zw/Fadzayi_Mahere" target="_blank">Fadzayi Mahere</a> and <a href="http://www.pindula.co.zw/ThisFlag_Movement_Zimbabwe" target="_blank">ThisFlag</a> interviewed a doctor at Parirenyatwa Group of Hospitals to learn more about the state of the public health system in Zimbabwe and reasons why <a href="http://www.pindula.co.zw/news/2017/02/15/doctors-reject-govt-offer-vow-go-ahead-strike-today/" target="_blank">doctors are going on a nationwide strike.</a>
Here is the video
<iframe loading="lazy" style="border: none; overflow: hidden;" src="https://www.facebook.com/plugins/video.php?href=https%3A%2F%2Fwww.facebook.com%2FThisFlag%2Fvideos%2F1849168458655693%2F&amp;show_text=0&amp;width=560" width="560" height="315" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe> 
More: <a href="https://www.facebook.com/pg/ThisFlag/videos/?ref=page_internal">ThisFlag Facebook page</a>

Video:  This Flag Presentation on state of public health system and doctors' strike

&nbsp;
The Zimbabwe Hospital Doctors Association has announced that doctors will be embarking on a nationwide strike, starting from the Wednesday the 15th of February 2017. <a href="http://www.pindula.co.zw/news/2017/01/23/government-freezes-doctors-employment-doctors-threaten-sue-unless-third-year-internship-removed/" target="_blank">ZHDA had previously threatened to sue the government  unless the last year of internship was removed.</a>  The government has instituted the a freeze on the hiring of medical doctors in spite of the very low doctor to patient ratio.
Here is their letter calling for industrial action:
<blockquote>URGENT NOTICE
TO: ZIMBABWE HOSPITAL DOCTORS ASSOCIATION MEMBERS 
10 FEBRUARY 2017
The 21-IDA was today engaged in nationwide consultations with its members across the country. As you may be aware the health sector is pregnant with a multitude of problems emanating from gross negligence and lack of will to implement logical decisions. To buttress this argument where in the world can a country declare that it can no longer employ well trained post internship doctors despite the huge investment in educating these cadres for twenty years!
The association remains puzzled with the lipstick approach by the Ministry of health to honour the agreed on call allowances with our previous leadership. It is on record that the on call allowance must have progressively been raised to $720.
Our doctors including well trained consultants still travel to work on public transport despite the earlier promise to unveil a motor vehicle duty free facility to the sector.
Our doctors who are furthering their studies have been left to the gallows of the capital hungry University and are basically donating their tiny salaries to fees. These are only but a few of the frustrating examples of how health workers have been neglected whilst on the other hand the responsible authorities swim in bread and butter as their kids are flying to school.
The late President Mandela once highlighted that freedom can never be granted by the oppressor but have to be fought for by the oppressed. In light of the recommendations gathered from the nationwide consultations and guided by the notice and petition served to the Minister of health and the Health Services Board more than two weeks ago the association wishes to announce that with effect from Wednesday 15 February,there shall be a fully fletched, nationwide industrial action. All doctors from the consultant level to our new JRMOs are advised to take heed of this call. 
The three specific demands are
1. All doctors who have completed internship must never have their contracts of employment terminated or else be given their open practicing certificates upon completion of internship. 
2. The current on call allowance be revised upwards to a minimum of $720 for the lowest paid doctor. 
3. The Health Services Board urgently implements the agreed Duty free framework for all government doctors.
The association will from time to time beginning this Monday will release daily updates of the operational strategies for this seemingly long battle and industrial action. All doctors are advised to cooperate as this historic action will prevent the ensuing cancerous destruction of our noble profession.
Yours in defence of the medical profession
ZHDA National Committee and Advisory Panel.</blockquote>
&nbsp;
&nbsp;
<img decoding="async" loading="lazy" class="alignnone size-full wp-image-13478" src="http://www.pindula.co.zw/news/wp-content/uploads/2017/02/Doctors-Strike-1-new-W.jpg" alt="" width="663" height="944" srcset="https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctors-Strike-1-new-W.jpg 663w, https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctors-Strike-1-new-W-211x300.jpg 211w, https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctors-Strike-1-new-W-600x854.jpg 600w" sizes="(max-width: 663px) 100vw, 663px" />
&nbsp;
<img decoding="async" loading="lazy" class="alignnone size-full wp-image-13479" src="http://www.pindula.co.zw/news/wp-content/uploads/2017/02/Doctor-Strike-2-W.jpg" alt="" width="652" height="871" srcset="https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctor-Strike-2-W.jpg 652w, https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctor-Strike-2-W-225x300.jpg 225w, https://news.pindula.co.zw/wp-content/uploads/2017/02/Doctor-Strike-2-W-600x802.jpg 600w" sizes="(max-width: 652px) 100vw, 652px" />
&nbsp;

Doctors going on nationwide strike on Wednesday after gvt freezes hiring new doctors

Doctors and nurses at Gwanda Provincial Hospital decided to share five tonnes of rice donated to patients by the Chinese through the Presidential Feeding Scheme programme.
The department of Social Welfare has reportedly ordered staff at the referral health centre to return the “stolen” rice so that it can be redistributed to patients who for a long time have relied on Sitshwala and cabbage while on admission. A nurse who spoke to NewZimbabwe.com on condition of anonymity said they were actually given the rice since they had not yet received their annual bonuses.
More: <a href="http://www.newzimbabwe.com/news-34406-Unpaid+doctors,+nurses+loot+patients+food/news.aspx">NewZimbabwe.com</a>

Unpaid doctors and nurses "steal" patients' rice donated by China

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