Medical Briefcase

Medical Briefcase Health Advocacy, Health Promotion, and Health-related Consultations
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05/07/2023

PUBLIC HEALTHCARE IN KENYA

1. Majority of Kenyans die in public hospitals before their time. They die prematurely and unnecessarily.
2. Kenyan patients lack adequate information on what quality care involves. This has denied them the power to speak out.
3. Our public health institutions are neglected but also mismanaged by governments in place.
4. Poor care has become a normal part of public healthcare. Healthcare workers seem to have accepted this.

It is our opinion in Medical Briefcase that we need to change this. And we are asking for Kenyans to support us in this initiative. It is worse than we imagine.

Lets us give an example of JOOTRH. This is a referral and teaching hospital that covers the whole of the western Kenya region. It was devolved to Kisumu County.

1. Patients who come to casualty are sent to go and buy almost all the drugs required for their care in an emergency. This creates delays that may ultimately lead to death.
2. The same challenge is experienced by admitted patients. Patients can stay in the wards without any medications being given. The absence of essential emergency drugs leads to death in case these critical patients develop complications.
3. There are delays in patients being taken to theatre for life-saving operations because of lack of supplies.

The hospital even downscaled its operations. Some wards are abandoned and not functioning. The services have still remained all-time low.

Kenyans contribute a lot to healthcare. The taxation. NHIF. And the cost-sharing. All this is money to be spent on providing the best services to everyone. Every Kenyan at least buys a value-added commodity contributing to government revenue and therefore deserves quality, timely and proper healthcare.

It is our opinion that all of us have failed.

We are asking health workers to share with us testimonies on the challenges they have experienced in the institutions they work for onward transmission and lobbying.

We must have an aggressive demand for accountability and the provision of quality care from public institutions. We can negotiate about other things but not HEALTH.

We encourage both health workers and patients to share your stories on this thread or through briefcasemedical@gmail.com

This requires a complete reorganization of the whole system.

HOME BASED MEDICAL EQUIPMENTS1. Glucometers2. Blood pressure machines3. Oxygen concentrators4. Nebulizers5. Pulse Oximet...
05/07/2023

HOME BASED MEDICAL EQUIPMENTS
1. Glucometers
2. Blood pressure machines
3. Oxygen concentrators
4. Nebulizers
5. Pulse Oximeters
6. Stethoscopes
7. Ripple mattresses

Contact us: 0738403967

22/06/2023

SCENARIOS

1. A patient is admitted to the hospital due to severe pneumonia. The hospital has no intravenous antibiotics. The patient has to buy the antibiotic outside the hospital. Unfortunately, the patient has no caretaker or relative. What happens?

2. A patient comes to an emergency unit having been involved in RTA and had excessive bleeding. There is no blood and there are no intravenous fluids in the hospital. What happens?

3. A patient is brought to the ward with a stroke. He begins to convulse and choke with saliva. There is no suction machine or intravenous medication to stop the convulsion. What happens?

4. A patient is admitted and laboratory investigations show severe hyponatremia. He/she has tremors and confusion. There is no physician to guide on treatment. What happens?

Serious things happen in our hospitals. All these deaths can be avoided but are they avoided!

Add yours?

20/06/2023

HEALTH ADVOCACY

Join me, people!
If we don't do this, there will never be an improvement in our public health institutions. It is pathetic, trust me on this. Everyone must become accountable. Health workers must point out being forced to work with severe deficiencies in public hospitals. They must point out being forced to work in desperate circumstances that only create more harm. Working in this situation is actually criminal and negligent. It has been happening for long.

IT MUST STOP.
We must bite the bullet to save the situation.
Universal health coverage is a mirage if the current health systems remain in place.

20/06/2023

AILING HEALTHCARE

Public healthcare in Kenya has been left to those who have no options. Those who believe that the little they get will just be enough. Those who think that trial is better than no trial at all. This is because, despite the knowledge of the poor quality of care, there are no medications.
Our hospitals that provide inpatient care are death camps. The silence of health workers who are directly responsible is criminal. The fear to speak up is causing more harm than help. Our health workers must be given a voice and a platform to speak.

And this my people, is the platform.

07/06/2023

OUR CORE MANDATE
1. Medical consultancy
2. Health promotion
3. Health advocacy
4. Home based care and requirements

24/05/2023

It has reached such a time that Kenyans must demand for accountability not just from our leaders, but also from workers. For any improvemen...

23/05/2023

NHIF AND PUBLIC HEALTHCARE
It must be a concern to everyone how NHIF uses its money
This is citizens money and it must be used to improve public healthcare
Universal healthcare is a mirage without proper financing
Universal healthcare is a mirage without properly managed and equipped public healthcare
Quality public healthcare involves properly working health systems from human resource, supply chain and provision of require amenities and equipment’s as per needs.

MEDICAL BRIEFCASE
I have come to accept that working in public hospitals that don’t offer optimal care thus supervising and presiding over unnecessary deaths is in itself criminal. Health workers in public hospitals are therefore accomplices in this neglect from counties and national government.
This forum is a movement focused to demand for improvement in healthcare in public sector. We therefore ask health workers who believe in this to support us in all aspects by;
1. Turnout in large numbers when we call for mass action, picketing, petitions
2. Provide us with information from various public hospitals/institutions
3. Information from the public who have been disenfranchised or the services and drugs they were unable to get in public institutions
4. We intend to collect information and approach various concerned offices and demand for accountability.
5. Financial support for those who believe and are willing to support the initiative. This movement has been started by volunteers as a public watchdog on healthcare.
We will support health workers to avoid working in institutions that are not well equipped until such a time that everything has been put in order. Health workers who insist on working in those places will be criminally liable for abetting deaths.

We believe that quality public healthcare starts from the health workers.

The agencies that we must demand accountability from:
1. NHIF
2. KEMSA
3. MOH
4. COUNTY GOVERNMENTS
Our supports;
1. The public
2. Health workers
3. Private company’s/Institutions
4. Human Rights groups

23/05/2023

Our main agenda;

1. An advocacy for improved public healthcare in Kenya
2. Provision of professional health talks to various interest groups
3. Provision of health related training services

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Kisumu
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