Photo Caption – Dr. Bichara Sahely
BASSETERRE, ST. KITTS – The Health Ministry in St. Kitts and Nevis is in shambles and there are growing calls for the issues to be addressed.
Tuesday, the Federation’s leading internist at the J N France General Hospital, Dr. Bichara Sahely in a FaceBook blog weighed in on the issue, which has been in the public domain for several months.
“I returned to a very toxic environment with colleagues verbally arguing and insulting each other which added to worsening despondency in my psyche knowing fully-well this does not bode well for comradery and morale among the medical fraternity. This became an existential crisis for me, as not only was I in physical pain, I started to question again, for the fourth time, whether it was time to unplug from this dysfunctional civil health service and concentrate on my own physical, mental, social and spiritual health and well being, and that of my family and private patients who also suffered from the unintended consequences of my physical incapacity,” wrote Dr. Sahely, the Federation’s leading internist.
He continued: “I did not see how the work environment was going to get any better as to my knowledge and understanding I did not see any moves by those in leadership positions in the Ministry of Health or Hospital Administration trying to make our lives and capacities and abilities to provide for our patients easier or better.
Photo Caption – Hon. Eugene Hamilton and Sen. Hon. Wendy Phipps
I kept asking myself how can dysfunctional disorderly leadership at the top help create orderly functional stewardship and contribute to the growth and development of a physically, mentally, socially and spiritually healthy citizenry. Instead of catalysing a positive policy reinforcing environment of comradery and unity with discourse and engagement, all that was happening was festering of fragmentation, disunity, lack of communication and disengagement. And we are not talking about a fishmarket here, but one of the most important Ministries in any country, as the physical, mental and emotional health of the collective is the basis of any meaningful productivity in the growth and development of the country. The situation appeared hopeless and I was prepared to hand in my letter of resignation with the appropriate time notice with the reason being concern for my physical health…”
Photo Caption – Dr. Earl Asim Martin
Wednesday, former health minister Dr. Earl Asim Martin said that the administration of the health sector is at its lowest in the past 25 years and the situation has become frightening not only to those who have worked in the sector or are working in the sector, but those who have expectations of good quality healthcare at all health institutions.
Dr. Martin pointed that the main cause of what has become a dysfunctional health ministry, to the continued infighting between the two ministers – Minister of Health, Hon. Eugene Hamilton and his Minister of State with responsibility for Health, Sen. the Hon. Wendy Phipps.
“It is no fault of the healthcare providers as there are persons in the sector who are working very hard to ensure that there is good quality healthcare, but we have a junior minister who thinks that only the junior minister is in the Ministry of Health and who sees herself as the Senior Minister, acts as if she is the Prime Minister; functions as the Permanent Secretary, as the Chief Medical Officer, as the Administrative Officer, as the Principal Nursing Officer, as the Matron at the J N France General Hospital at times and also as the Medical Chief of Staff. Basically, she is carrying out all of these functions within the ministry,” said Dr. Martin during Wednesday’s edition of “Issues” on Freedom FM and Kyss FM.
Dr. Martin, a two term Minister of Health in the past St. Kitts-Nevis Labour Party Administration lamented that the Ministry of Health has lost two permanent secretaries and has had two Chief Medical Officers during the past six months.
Photo Caption – J N France General Hospital
He also pointed out that the JNF Hospital does not even have pain killers to give patients after surgery.
“Basic pain killers are not there for patients. Imagine you are coming out of surgery, under serious pain, tremendous pain, asking for pain killers and there is none. Basic medication is also in short supply. There is no insulin at the three hospitals and the clinics. In this country were diabetes is one of the most common Non-Communicable Diseases and there is no insulin on a continuous basis. Patients have to purchase from the private pharmacies,” said Dr. Martin, pointing out that while the two health ministers are fighting “patients are suffering.”
He said too that other shortcomings include the CTScan and EKG machines not functioning for months and late serving of meals to patients with those suffering from diabetes getting breakfast at 10 am or 11 am.
