The Blaming Game

It’s the ministry of Health's fault??? Who is the Ministry of Health hano naana? Is it the Minister, the PS, the managers, the directors, the nurses, doctors…. Or who are we referring to here?

I am seriously tired of complaints, complaints and complaints, which are aimed at blaming problems and challenges on other people or the system. Let me take an example of my line of work: Public Health. The public health system here in Namibia is complex.  And one would wonder why it is complex if we are only serving a population of about 2.5 million. Well, the population is about 2.5 million, but the land is just too huge leaving people spread all over 800 000 square kilometers. And worse Namibia is a resource limited country facing some serious challenges that can hinder health care provision. Those are such as lack of infrastructures, shortage of human resources etc.

Can you imagine having a Minister of Health or Permanent Secretary sitting in his office in Windhoek and is expected to solve challenges being experienced at a health facility in Zambezi region which is about 1300 Kilometers away????? Amazing right! But ideal the top officials are just supposed to provide technical assistance in decision making and other issues such as policies or rules. But that does not seem to be the case. Go to a facility and ask why certain things are happening and then you are told “it’s the minister’s fault”. And every once in a while you see the minister running from regions to regions to address challenges such as cholera outbreaks or maternal death cases. What are the directors and the managers in the so “respective regions” doing? Where are the epidemiologists who are supposed to be in control of such outbreaks of disease? Shouldn’t they be the ones running around in the regions and updating the Minister of Health??? Maybe we need to re-visit our staff establishment and ensure that regions are fully equipped with capacity which can handle the decentralized health care systems.

I am glad I had a chance to work at both levels of the health care system. And believe me each and every level in the health care system has its own challenges and reason to blame others. The lower levels such as facility level are blaming the district level. The district is blaming the regional level while the regional level is blaming the National level. And the national level is blaming the decision makers, or the lower level which in this case will be the regional level. And this blaming game is bi-directional. This leaves one to wonder who is real at fault in our health care system.

One of the most things that seem to be misused in the health care system blaming game is “shortage of staff” or lack of time. We know that shortage of staff has been there forever and is not a challenge that one can address overnight. You need to invest in educating nurses, doctors and other staffs needed in the health care system for about 10 – 20 years before you can see the change. But the question I ask people is .... “what is the little thing that you can do to address the shortage of staff?" So now you will just sit back and blame everything on shortage of staff? We need to change our mindset and move away from the blaming game to see how we can use the little we have in an efficient way and provide health care to our people. And like one of the professors from University of Namibia once told me, “time is fixed and can never change – we have 24 hours in a day- what one can do is manage your time in an efficient way”.  

I am public health worker and believe that our health care system in Namibia will change one day if we change our mindset and think positively.

I love Namibia – our land of the brave!