Ministry of health of Bhutan to recover Nu 70-80 million worth of partial

The ministry of health is exploring means to recover Nu 70-80 million worth of partial, defective and non-supplied medical equipment from its two suppliers based in India.

A committee of six officials was formed after the Anti Corruption Commission (ACC) recommended the ministry to study the government of India-funded supply of medical equipment.

The committee members visited three referral hospitals, 21 district hospitals and 18 grade-I basic health units from January to March, to review the equipment, and made a presentation to the ministry on April 5.

A member of the committee said the health ministry received about Nu 300M in 2007 to buy medical equipment for the referral hospitals in Thimphu and Mongar; and ACC, after reviewing the procurement of medical equipment, recommended the ministry to study the procurement procedure, and put in place an internal control mechanism to make it transparent and accountable. “Of the Nu 300M, Nu 200M was for JDWNRH and Nu 100M was for Mongar regional hospital,” he said.

The official also said that the ministry is exploring means to make the two suppliers supply all the equipment.

Citing an example, officials said the Thimphu national referral hospital and Mongar regional referral hospital received only six operation theatre lights of the 12 ordered. The official said that the health ministry had to recover the other six OT lights. “There are defective and partial equipment supply in physiotherapy and pediatrics department also,” he said. “We have to recover that too.”

But, with the two suppliers refusing to respond to calls and messages, the ministry is planning to send a team to talk and solve the problem.

“The two suppliers were frightened after ACC arrested and detained them,” an official said, adding, “We should have first recovered the supplies and then taken appropriate action.”

The committee also pointed out that there were inefficiencies in drugs procurement and supply division. “We streamlined the whole process to make it transparent,” an official said.

BHUs and district hospitals would now maintain an equipment inventory register, a log book to record how many times a particular equipment had been used and the problems it gives.

Unlike in the past, where the ministry decided and procured medical equipment for all hospitals, the district hospitals would identify, specify and quantify the health equipment needed in the particular district hospital and BHUs. “This is a major change in the procurement system that would save a lot of government budget,” an official said.

A committee member said the finding indicated that there is inefficiency at various levels in health system, but corruption is not institutionalised. “Those who have accused the ministry of institutionalised corruption, should be able to prove it,” the committee’s chairman, Dr Ugyen Dophu, said.

He said a few individuals are corrupted and they have been charged by ACC. “A few might be caught again, but that doesn’t necessarily mean everyone in the ministry is corrupted.”

Source: Kuenselonling

Bhutan health ministry has signed a contractual agreement with India

The health ministry has signed a contractual agreement with a consortium of Bhutanese and Indian technology companies to improve healthcare service delivery by setting up a health help centre (HHC).

The HHC is an initiative, under the accelerating Bhutan’s socio-economic development program, through specific initiatives, like the healthcare helpline and emergency response system, as detailed in the performance compact signed with the prime minister in December 2009.
With the healthcare helpline, the ministry claims that patients could call a toll free number twenty-four hours a day and seven days a week to seek medication, counselling, public health information and other associated helpline. “In case of complications, a patient shall be directed to the nearest health facility adequately equipped and having capacity to attend the patient immediately,” states a press release from the ministry.

As a part of the emergency response system, patients in emergency could call a toll free 24X7 and request an ambulance at the location of the incident. The nearest ambulance would then be dispatched to the location to pick up the patient, according to the press release. “The health facility would also be intimated of the patient’s arrival, so that they are prepared to handle the case.”

Both the initiatives are to be launched by December 17.

The consortium comprise of the Regal information technology in Thimphu, Equant technology services pvt ltd and Procreate techno systems pvt ltd, both Indian companies.

Source: Kuenselonline

Bhutan showing some important progress

Although the health ministry projects that about 893 people will live with HIV/AIDS by 2013, Bhutan is showing some important progress and true commitment to reaching universal access to HIV services, according to the UN resident coordinator Claire Van der Vaeren.

The resident coordinator was reflecting on Bhutan’s response to AIDS during the launch of the United Nations secretary-general’s report on HIV/AIDS in Bangkok yesterday, where Bhutan joined nearly 30 countries from Asia to review progress and challenges, and develop key actions for the way forward in the region’s efforts to ensure universal access to HIV services for all.

“Moving forward, one of our key challenges is continued funding support of the HIV and AIDS program in Bhutan,” said the resident coordinator. “We need to explore new and innovative avenues to ensure a sustainable AIDS response to improve the lives of Bhutanese men, women and children living with HIV and those vulnerable to infection.”

A press release from the UNDP office in Bhutan stated that, in Bhutan, there has been significant progress in scaling up HIV prevention and treatment, in providing free healthcare services and, importantly, in bringing Bhutanese living with HIV into the national response.

However, universal access across HIV prevention, treatment, care and support is still not a reality in the Asia-Pacific region, including Bhutan, it stated. Across the region, one in three people does not have access to treatment; 60 percent of people living with HIV in the region do not know their HIV status; and key affected communities continue to be subjected to stigma and discrimination, punitive laws, policies and practices, which obstruct access to services.

Many countries in the region – including those with or approaching middle-income status — rely heavily on international funding for their AIDS responses.

At the regional consultation, UNAIDS Asia-Pacific regional director, Steve Kraus, said that governments must create a new form of mutual accountability –government to government – to build a unified regional AIDS response beyond national borders.

“Governments in this region have the economic means to take on greater responsibility for financing AIDS, the results of which will directly impact their continued development,” he said.

ESCAP social development division director, Nanda Krairiksh, added: “The world’s most populous region can’t afford complacency on AIDS. Political leadership with civil society and the key affected communities as the cornerstone of the response requires fresh perspectives from the ground.”

Health officials, during the mid-term review meeting of the ministry last December, said that, of the many millennium development goals that Bhutan has been lauded for keeping steady towards meeting, reversing and stopping the spread of HIV/AIDS by 2015 looked grim.

This, they said, was because, at the start of 10th Plan, the number of people detected with HIV was 140. The country’s projection is 893 HIV patients by 2013. Since the first case in 1993, the ministry has so far detected 217 cases. World Health Organisation estimates revealed Bhutan had 500 cases in 2008 alone.

Source: Kuenselonline