Connect with us
Advertisement

Gov’t cancels RSA referrals, saves P300 million

The Government through Ministry of Health and Wellness’s bold decision to stop referring patients to South Africa and Indian private hospitals will save government P300 million on annual bases, Minister Dr Alfred Madigele has revealed.

Madigele believes the government should take control of the referrals for specialised care and channel the resources in a strategic manner that grows both public and private sector capacity.  “We must prioritise supporting our private hospitals over external facilities. In partnership with our providers, we must devise concrete measures to curb abuse and wastage in billing for services,” he said before adding.


“We will save a lot of money. Initially we spent P300 million yearly but the contract with the middlemen who facilitated those referrals elapsed and we built our own which saved us a lot,” he said during his first ever media engagement since assuming office last year.
The reason why the government decided to scrap exporting patients to South African hospitals was due to exorbitant medical bills which bled the ministry purse and other challenges including negligence.

Government has been sending patients to these two countries for average and complicated surgeries. A whopping P 627 504 802 was spent on South African hospitals between 2014 and 2017 while the Indian hospitals gobbled P13 million from the ministry between 2015 and 2017. The decision to do away with international referrals has been on the pipeline since last year and it was catalysed by the opening of the Sir Ketumile Masire Teaching Hospital (SKMTH).

“A phased commissioning of SKMTH will reduce overdependence on South Africa for referrals, reduce costs and also institutionalize provision of super specialist services within Botswana. The hospital which is still on the first phase of commissioning and expected to open doors on the 24th of this month will offer a number of services including; paediatric oncology, internal medicine, rheumatology and endocrinology, diagnostic radiology, laboratory services and pharmacy.

These and many others that the hospital will offer upon full commissioning have been cases that gobbled millions of pula from the government. Reasons to transfer patients to the international private facilities ranged from complicated cases, lack of proper equipment and infrastructure by the hospital. Flagship hospital Princess Marina is said to be lacking capacity in the three components to do the work with diligence.

This development follows the recommendations by the Deputy Director- Patient Care, Setso Setso who advised the ministry last year. “We have the capacity to carry out most of surgeries locally. We have specialists; I don’t know why we keep on referring patients outside, because it is costly. Referrals within a country have proven to be cheap,” he said then.

On the other hand cardiology mostly interventional paediatric and cardiothoracic surgeries costs R500 000 on average, with complicated cases ranging between R800 000- R1 million. A total of 87 patients were sent for examination on these cases last year. The government after sending 99 patients spent between R120 000 and R300 000 for normal vascular surgeries, while spending R800 00- R100 000 for complicated cases. For ophthalmology diseases especially retinal detachment, corneal transplant and diabetic retinopathy among others, 342 patients sent outside, the government was spending R1 200 for consultation with R62 500 for surgery per patient.

For laser treatment (few but high cost) where 36 patients were refereed outside, the ministry splashed between R120 000 and R400 000. All these according to Setso should be done locally if the government is to be financially prudent. “We should come up with a model to sustain what we have. Let’s purchase equipment so we can do these locally. We can also call the specialists to come and do those surgeries in Botswana.

We should also go the technological way, let’s have a tele-medicine where a nurse or a doctor can just look at the screen and prescribe to you which medicines you can take. This will save congestion in some facilities or going up and down to the hospitals as doctors in your locality will be able to read from far and give patient medicines,” he said.

The idea by Setso was warmly welcomed by the Permanent Secretary in the ministry Ruth Maphorisa and convinced the minister. “We should do things differently. We should change our attitude. “Let’s make our facilities function and stop going out, it is unnecessary at times. We can have a plan for the doctors that patients normally visit to come here regularly. Further we should have more specialists as a country let them go out for further training,” she said last year.

MEDICATION AVAILABILITY

The health ministry which has been on the media for wrong reasons owing to medication shortage has risen from slumber. The ministry is in the process of installing an electronic information management system (e-Pulse) through which a better forecast in medicine requirements is expected and will strengthen inventory management. The Ministry has further upgraded the position of Central Medical Stores Manager and has placed additional manpower with requisite skills and knowledge in supply chain.

MINISTRY CONSIDERS LEGALISING ABORTION

With many backstreet abortion reported in various health facilities, the ministry has taken a decision to seriously start conversation on legalising selective terminations. “The Ministry is considering having conversation around legalising selective abortions. This is because we record a number of unsafe abortions and we will have to turn that around,” said minister Madigele.


GOVT ENGAGES TRADITIONAL HEALERS  

Madigele also added that his ministry is on track to formally approach traditional healers to assist where there is a need, especially in mysterious diseases like the mass hysteria that befell Lempu CJSS, which caused numbness and weakness of the knees.
“Health is very broad subject and we want to engage them (traditional doctors). Medicines are plant based so we need to formalize synergies especially on Non Communicable Diseases and understand cultural beliefs and I believe it will mostly benefit patients if we collaborate.”

Continue Reading

News

Greef reports Madigele to Tsogwane

20th June 2022

Gaborone Bonnignton South Member of Parliament (MP) Christian Greef has submitted a letter of complaint to party chairman Slumber Tosogwane to take stern action against former minister Dr Alfred Madigele for causing chaos in the constituency.

There has been simmering tension between the two in Gaborone Bonnignton South, where former minister Dr. Madigele is said to be busy working the ground with the intention of contesting the constituency in 2024.  Greef is said to have fallen out of favour with the party top hierarchy due to his association with the beleaguered party secretary general Mpho Balopi, something which he says is “unfounded”.  Greef told this publication that “there are some with mischievous attempts here, but I will sort them out.”

Insiders, however, reveal that it is Madigele who has been causing unrest in the constituency as he plots his comeback to parliament in 2024. This is notwithstanding the fact that Madigele has also been promised the position of secretary general, should the party faithful ratify a proposal by the party politburo to reconfigure the position.

However, Madigele does not want to count on the SG position, hence the decision to to contest the Gaborone Bonnington South constituency. There are reports that there is a spirited campaign by some party members to reject a mulled plan to have the SG being a full-time employee of the party.  This has irked Greef and has since approached the party structures for redress. “We are writing this letter to issue a complaint regarding misconduct by certain members of the BDP in our constituency.

There are several incidents where these individuals have been causing uncalled-for disruptions during party activities in Gaborone Bonnington South,” a letter penned by Greef, addressed to the regional chairperson, reads. He further added, “The group of people who are causing all these unnecessary tension in our constituency is identified and allegedly known by Madigele’s teams who is said to be campaigning for 2023 primary elections.

As the branch we witnessed the same team with similar misconduct during Bophirima Ward by election which we believe caused the party to lose the ward and continue to bring the image of the party in disrepute.” Lately, Madigele has relocated to the same constituency and that has created anxiety to Greef who is a first-time MP. Greef is concerned about how his rival was accepted in his constituency without his knowledge. If he had his wish, he would kick out Madigele from the constituency.

Greef, in another letter copied to President Dr Mokgweetsi Masisi and Chairman Slumber Tsogwane, says Madigele has brought the branch into disarray by campaigning for a parliamentary seat contrary to the party’s regulations for conduct of primary elections. “I therefore humbly appeal to you to call Dr Madigele, who is not a member of our branch, to order,” he said.  Party officials in the region are aware of the matter; some say the MP’s complaint is baseless. However, the MP, according to sources, will fight to the bitter end to ensure that his arch rival is purged out.

Continue Reading

News

Katlholo’s lawyers slap DCEC with bill in its row with DIS

20th June 2022
Tymon Katlholo

Monthe and Marumo Attorneys who are representing suspended Director General of the Directorate on Corruption and Economic Crime (DCEC) Tymon Katlholo in a legal dispute pitting him against the Directorate of Intelligence and Security (DIS) have said that they would submit a legal bill to the agency.

This was after DCEC’s acting Director General, Tshepo Pilane had written a letter to the law firm demanding that some files and documents belonging to the agency be returned.  “We refer to your letter dated 3rd June 2022 wherein you advised of termination of our mandate. In view thereof we have to file a notice of withdrawal as attorneys of record for and on behalf of the Organisation (DCEC),” Monthe Marumo Attorneys said in their letter.

The lawyers also indicated that, “the firm is in the process of finalizing your invoice and upon settlement of same, we will duly release the contents of the file, in so far as it relate to DCEC.”  Pilane had informed the law firm that, “Following the Directorate’s termination of any and/or mandate between the Director General of the Directorate on Corruption and Economic Crime (DCEC) and your law firm and/or attorney of an Associate law firm of Monthe Marumo and Company on the 3rd June 2022.”

He added that, “I do hereby request that all DCEC documents in custody be returned to the DCEC on or before 12hours today the 6th June 2022. You are also informed that none of this information shall be used by your office under any circumstances.”  Meanwhile Katlholo has told the High Court that the Directorate of Intelligence and Security was on the rampage as it continues to act with impunity.

He revealed this in an urgent application in which he seeks among others that Pilane, Deputy Director General of DCEC Priscilla Israel and the agency’s senior legal advisor Edwin Batsalwelang to be committed to jail for contempt of a court. The Court order had directed that a deputy sheriff should collect files and dockets from the DCEC office and place them into the custody of the Court.  “Consequent to the order of his Lordship, the DISS has continued on its rampage and has arrested two officers of the DCEC and detained them in a Hitler style arrangement,” said Katlholo.

He added that, quite clearly the “DISS with the assistance of the 1st to 3rd Respondents seeks to conceal all the evidence by obstructing Judicial process.”  He said his latest current application has been brought at the earliest opportunity following defiance and acts of obstruction at the instance of the respondents. Katlholo saidthe conduct of the Pilane, Israel, Batsalelwang and DIS are an aggression on the rule of law, the Constitution of Botswana and the Judiciary in general.

“The DISS clearly has every intention of continuing to defy my rights and with the due assistance of the 1st to 3rd Respondents (Pilane, Israel and Batsalelwang). To refuse an interdict, thereby allowing the perpetration of an ongoing wrong is an anathema to the principle of legality,” said Katlholo. He said, “The DISS cannot be allowed to continue acting in contravention of the law, and to fragrantly invade an act of Parliament.”

He reiterated that the files or documents or dockets remain vulnerable and there is need that they be removed from the office and placed in the custody of the Registrar. There can never be a safe place than Court, said Katlholo.  “Should the matter not be heard as urgent, the likelihood of the files concerned and the information therein dissipating or being interfered with is high and once the evidence of the concerned files has been compromised or contaminated there is no other relief in law that fix such, there is therefore no alternative remedy,” he said.

Katlholo added that, “Most importantly, any unwarranted access to the files may compromise the integrity of ongoing investigations and expose informants and whistleblowers. Once they have been compromised, no court action may restore such.”  He said it was necessary and extremely urgent that the Court steps in to protect the rule of law against the respondents, more particularly the DIS and its agents.

Continue Reading

News

US monitoring Thuso Tiego arrests

20th June 2022
Thuso Tiego

The United States through its State Department’s annual report on global religious freedoms is keeping tabs on Botswana’s decision to arrest of controversial pastor Thuso Tiego by the police.

The report was released a week ago.  Tiego was re-arrested this week by the police after he allegedly attempted to spearhead a campaign aimed at shutting down some shops that are run by foreigners. The US’ State Department report says Police arrested a pastor from the Bethel Transfiguration Church September 7 when he tried to deliver a petition to President Mokgweetsi Masisi demanding his resignation over what the pastor said was mismanagement of the COVID-19 crisis.

“The pastor, Thuso Tiego, also criticized the government for restricting religious gatherings at a time when he said that individuals turned to churches for counselling and support during the pandemic,” the report says.  It says Tiego was held overnight at a police station and released without charge.  The report cites media reports saying that several of his supporters were beaten by police when they gathered outside the station demanding Tiego’s release.

“The national police service did not announce any disciplinary action against the officers involved,” the report says adding that, “The constitution provides for freedom of religion, with certain exceptions, and protection against governmental discrimination based on creed.”
On other related issues, the report said the government continued to pursue court cases involving unregistered churches (sometimes called “fire churches”) coming into the country to “take advantage of” local citizens by demanding tithes and donations for routine services or special prayers.

“The government required pastors of some of those churches to apply for visas – even those from countries whose nationals were normally allowed visa-free entry.  The government said in June 2019 that it was reviewing the visa policy for these foreign pastors, but by year’s end had not released the results of this review or announced any changes,” the report says.   According to the report, former members of one of the most prominent unregistered churches forced to close in 2019, the Enlightened Christian Gathering, subsequently formed their own smaller, independent churches with local leadership that was ultimately registered by the government.

The report says, under the COVID-19 state of emergency that ended in September, the government limited attendance at religious services to no more than 50 persons at one time and limited services to twice a week.  The government also banned all religious gatherings during “extreme social distancing” periods.  Although the limits on religious gatherings lasted 18 months and prevented some individuals from fully practicing their faith, most religious groups did not say their freedom of religion was being restricted and stated that the extraordinary measures were necessary for public health

The report says the US Embassy officials engaged with Muslim, Buddhist, Christian, and other religious representatives to discuss religious freedom, interreligious relations, and community engagement. “Topics included government tolerance of minority religious groups, the impact of COVID-19 restrictions on religious expression, and interfaith cooperation to address community challenges,” the report says.

The report says under its broader protections of freedom of conscience, the constitution provides for freedom of thought and religion, the right to change religion or belief, and the right to manifest and propagate religion or belief in worship, teaching, practice, and observance.
It says the constitution’s provision of rights also prohibits discrimination based on creed.

The constitution permits the government to restrict these rights in the interest of protecting the rights of other persons, national defense, public safety, public order, public morality, or public health when the restrictions are deemed “reasonably justifiable in a democratic society.”   “The state of emergency imposed from March 2020 to September 2021 to prevent the spread of COVID-19, which capped the size of regular religious gatherings and meetings, was the first time the government ever exercised this provision,” the report says.

Continue Reading
Do NOT follow this link or you will be banned from the site!