The Ministry of Health media agency published a response on the Hawlati newspaper (number 557) to my article on the same newspaper (number 555) which I wrote under the title of “Information schizophrenia of the Ministry of Health”. The response is a tirade of defamation and accusation of myself and is otherwise devoid of useful information to what we already know.
The ministry and its employees, including the minster himself, should be well aware that it is the legitimate right of any citizen of this region to monitor and criticize the ministry over its actions and inactions. This is not only a basic human right, but - especially the MOH concerned - a national obligation. The level of apprehension at the MOH for such a direct criticism is not surprising, given the failure of the dysfunctional last parliament in monitoring and holding government ministries accountable to their duties. It is therefore understandable that a citizen poking at MOH strategies towards the swine-flu threat should arouse such a shock. The time has come for officials to abandon their marble castles and succumb to public inquiry, and to acknowledge that our people are conscious enough to ask and inquire.
The MOH-media relations have palm-read their conclusion of myself not being a doctor, seemingly oblivious to the fact that when health is concerned anyone can question, even a lay person. It seems from this gesture that ordinary people are more conscious of personal health and its requirements than the minister himself. Indeed their retort is very much reminiscent of a haughty doctor dismissing a patient’s question by claiming “am I the doctor or you?”, and ultimately denying the patient the right for information. This policy used by the ministry to defame and belittle those who question, is a rotten totalitarian strategy that is doomed to failure.
In this respect one wouldn’t need to be medically certified to conclude that the Minister’s declarations on the government electronic pages that “we have the capacity to put 500,000 patients under medical observation” – is at best a murky statement that needs further clarification. These people accuse me of ignorance while themselves indulging in the mistake of equating medical care with the administration of Tamiflu®, and still expecting us to sheepishly acquiesce. Moreover, they acknowledge while accusing me of ignorance - that no system can properly put such a number of patients at observation – all the while turning a blind eye to the same misinformation given by their minister. May we ask further how many epidemiologists and infectious disease people have been consulted about this (swine flu) or other common transmissible disease in Kurdistan?
In another part of the retort they talk about “a proper, meticulous and open policy of the MOH” towards the problem – may we ask what policy? What policy does the MOH have towards cholera, child and maternal death during labour, female genital mutilation and mental health – let alone swine flu? What the ministry does is totally divorced from health policy and planning. Instead, the ministry and its head are not different from any other government cleric working in the office and ignoring the field – being preoccupied with signatures and routines and paperwork while ignorant of healthcare in Kurdistan. If this the policy adopted by the MOH then I guarantee you that it is nothing but a recipe for a public health disaster. It is imperative that the ministry reviews its policies and amend its strategies. From my expertise as a health policymaker – without schooling others – I suggest to the parliament and KRG that this ministry is no longer useful and it demands change. The MOH should be chiseled into a Ministry for Public Health, while abandoning the routine works (like administrative jobs, human resources etc) to the local Departments of Health (DOH).
An MOH still using technology from the mid-Twentieth century, with a computer spotted only in the print room – can hardly be expected to adequately face the current – urgent and demanding - health issues. I am surprised at the MOH-media relations having failed to establish an effective website or e-mail service yet having the nerve to brazenly boast an “open and meticulous policy”. They accuse us for being ill-read and ignorant of their “good achievements” while not acknowledging that much of these would have been impossible without the aid/supervision from the WHO, UNICEF and other NGO’s and organizations. You might accuse as of schooling you if we were to ask again how is health policy made without data, and in which domain have the MOH used meticulous data collection and analysis? Your claim that health systems in developed countries have stopped collecting data on infected cases is another misinformation from your media aimed at eluding the people and stifling public inquiry. Health specialists and ordinary people alike are thirsty for data and numbers, and if you can’t do the job properly yourself then it is no shame to request aid from NGO’s as you are so used to.
I would also like to ask about the stock of medications provided, and how it is distributed? Whether the PCR-technology that is claimed by the MOH is indeed used or not? What is the plan for those elderly “Hajjajs” who will come back soon? Will they all be tested? Has a database been established by the ministry of cases who were confirmed positive and improved/deceased, including demographics? These are a dozen of other questions are awaiting a response, and we will not go silent until we get a proper one.
Our humanitarian instinct and national responsibility demands a clearer and more effective approach from the MOH towards the health problems of our region. Furthermore, the MOH should be willing to acknowledge and instructively answer any question or inquiry from myself or any other member of the public.
Friday, September 25, 2009
Monday, September 21, 2009
Grow Up Kurdistan!!!
Just a while ago, politicians in Kurdistan we responding to the courageous few voices of criticism through the claim that we are still going through the infancy stage of our nation building. That characterization had a lot of truth to it, however, it says more about what we are going through now. After 18 years of self-governance, it is time to admit that we are "suffering" from the adolescence stage of our growth and development.
I mean, take a look around you and will sense the truth of this diagnosis. There is a lot of hormone running around, creating more buzz and foolishness than what you expect from a teenager. We just went through a very teaching lesson of parliamentary and presidential elections that were tainted by black headed comedons of the acnes of irregularities. Our politicians wanted it all regardless of how to get it. Just like a teenager who wants the latest model of cars, laptops and mobile phones regardless of how to pay for it. And guess what, just like a spoiled adolescent, some of our politicians got it all the way they think its right. And on top of it, those who won engaged in a binge of celebrations, while those who lost started a temper tantrum. And exactly like a teenager who refuses that she is wrong, those who lost, started not only complaining but also accusing others for their own failures and shortcomings. So the "logical" move was to start firing and moving of teachers, soldiers and others. Doesn't that look exactly like a teenager who crushed her car and blames her parents and siblings for it?
We are suffering now from all the personality and physiological disorders and abnormalities coming up with the surge of resources "Hormones" of our adolescence. At this stage of our development, we don't have too many choices; we can continue being Schizoid and disregard the rule of law and be violent to the rights of others or we can grow to be respectful and mature adults. It is time to look around for the superego that we are so victimizing at the expense of our political ego. In this whole mess, the Id is using its most primitive defense of denial. Some deny that they just failed and their policies don't work anymore. It would be easier to resort to the superego of family, school and society in general for solutions
.
I mean, take a look around you and will sense the truth of this diagnosis. There is a lot of hormone running around, creating more buzz and foolishness than what you expect from a teenager. We just went through a very teaching lesson of parliamentary and presidential elections that were tainted by black headed comedons of the acnes of irregularities. Our politicians wanted it all regardless of how to get it. Just like a teenager who wants the latest model of cars, laptops and mobile phones regardless of how to pay for it. And guess what, just like a spoiled adolescent, some of our politicians got it all the way they think its right. And on top of it, those who won engaged in a binge of celebrations, while those who lost started a temper tantrum. And exactly like a teenager who refuses that she is wrong, those who lost, started not only complaining but also accusing others for their own failures and shortcomings. So the "logical" move was to start firing and moving of teachers, soldiers and others. Doesn't that look exactly like a teenager who crushed her car and blames her parents and siblings for it?
We are suffering now from all the personality and physiological disorders and abnormalities coming up with the surge of resources "Hormones" of our adolescence. At this stage of our development, we don't have too many choices; we can continue being Schizoid and disregard the rule of law and be violent to the rights of others or we can grow to be respectful and mature adults. It is time to look around for the superego that we are so victimizing at the expense of our political ego. In this whole mess, the Id is using its most primitive defense of denial. Some deny that they just failed and their policies don't work anymore. It would be easier to resort to the superego of family, school and society in general for solutions
.
Friday, September 18, 2009
What the Previous Minister of Health Can Do?
The minister of health of Kurdistan Regional Government (KRG), complained in a recent media appearance in Hawlati newspaper of "corruption" and "Limits on his Power". He attributed his unwillingness to continue serving as the Minister of Health in the new KRG cabinet to those two main reasons.
The minister hit the bull's eyes when he identified corruption as one of the main ailments that is crippling our health care system in Kurdistan. This problem is rooted into the minute structures of public health care services. During my one year tenure, directing a health care center in a suburb of Erbil City, only 20% of our employees were actually working in the center. The remaining was just appearing to get their salaries or their wages were taken to their homes for them. Most of those "Masked Employees" were family members of prominent governmental officials who the administration staff at my center were seeking favor to them by employing their family members without necessary the latter having anything to do with health care. This is just one example of the crippling effects of corruption on the financing, quality and administration of the health care services in the KRG. Working as a Minister of Health, Dr. Abdulrahman needs to stay a fervent advocate to fight corruption in the health care sector even if after he leaves the Ministry. He doesn’t necessary has to serve in a higher position, as many are proposing for him, to be able to advocate on behalf of the Kurdish people, on the contrary, he may even be more effective, working at a grass root level given his experience in the health care system. However, this proposed move in part of the Minister would be unthinkable given the trend of the overall political system in the KRG, where the system is modified to accommodate the desires of its bureaucrats. The opposite should be done; the official of KRG should accommodate the needs and necessities of the system.
As right as the Minister was with regard to diagnosing corruption, which shouldn’t have taken him so long to get, he was wrong with the limits on his power as a reason for him to quit. The Minister should understand that we are a Federal Region, and one of the main characteristics of Federalism is decentralization. When The Minister refers to limits on his power, he obviously means the Directorates of Health in Erbil and Dohuk that are under the political control of Kurdistan Democratic Party, the rival of his own party; Patriotic Union of Kurdistan (PUK). Regardless of political rivalry and its influence on health care services, the ability of the Directorates of Health to gain some independence from the power of the Ministry of Health could serve well the prospect of decentralization in the KRG.
When it comes to routine administrative procedures, the Directorates of health in the KRG should be given more autonomy and greater power. The Ministry of Health doesn’t need to get involved in every detail of procedural and administrative issues that can be easily implemented by the directorates. This would help achieve two goals; the Ministry of Health will be more dedicated to health promotion and disease prevention at the regional level, and the directorates will be more responsive to the needs of their respective governorates.
While it is a personal choice to quit or continue working in a governmental position, we would like to see the Minister continue serving possibly in a lower position, may be the director of one of the directorates of health. This would provide him a better opportunity to apply the knowledge and skills he acquired during his tenure in the Ministry of Health.
The minister hit the bull's eyes when he identified corruption as one of the main ailments that is crippling our health care system in Kurdistan. This problem is rooted into the minute structures of public health care services. During my one year tenure, directing a health care center in a suburb of Erbil City, only 20% of our employees were actually working in the center. The remaining was just appearing to get their salaries or their wages were taken to their homes for them. Most of those "Masked Employees" were family members of prominent governmental officials who the administration staff at my center were seeking favor to them by employing their family members without necessary the latter having anything to do with health care. This is just one example of the crippling effects of corruption on the financing, quality and administration of the health care services in the KRG. Working as a Minister of Health, Dr. Abdulrahman needs to stay a fervent advocate to fight corruption in the health care sector even if after he leaves the Ministry. He doesn’t necessary has to serve in a higher position, as many are proposing for him, to be able to advocate on behalf of the Kurdish people, on the contrary, he may even be more effective, working at a grass root level given his experience in the health care system. However, this proposed move in part of the Minister would be unthinkable given the trend of the overall political system in the KRG, where the system is modified to accommodate the desires of its bureaucrats. The opposite should be done; the official of KRG should accommodate the needs and necessities of the system.
As right as the Minister was with regard to diagnosing corruption, which shouldn’t have taken him so long to get, he was wrong with the limits on his power as a reason for him to quit. The Minister should understand that we are a Federal Region, and one of the main characteristics of Federalism is decentralization. When The Minister refers to limits on his power, he obviously means the Directorates of Health in Erbil and Dohuk that are under the political control of Kurdistan Democratic Party, the rival of his own party; Patriotic Union of Kurdistan (PUK). Regardless of political rivalry and its influence on health care services, the ability of the Directorates of Health to gain some independence from the power of the Ministry of Health could serve well the prospect of decentralization in the KRG.
When it comes to routine administrative procedures, the Directorates of health in the KRG should be given more autonomy and greater power. The Ministry of Health doesn’t need to get involved in every detail of procedural and administrative issues that can be easily implemented by the directorates. This would help achieve two goals; the Ministry of Health will be more dedicated to health promotion and disease prevention at the regional level, and the directorates will be more responsive to the needs of their respective governorates.
While it is a personal choice to quit or continue working in a governmental position, we would like to see the Minister continue serving possibly in a lower position, may be the director of one of the directorates of health. This would provide him a better opportunity to apply the knowledge and skills he acquired during his tenure in the Ministry of Health.
Donate Infrastructure!!
Some of the rich countries of the world announced today, September 18, 2009 their willingness to donate vaccine supplies for H1N1 virus to the developing world. While this announcement deserve applaud and brings to the attention the seriousness of the pandemic as a public health emergency of international concern, it also calls for a closer look at the developing-developed countries relationships when it comes to public health.
It is well known that health is an important component of the security and stability of any state. Without a special attention to the health and wellbeing of individuals and populations, political and economic efforts to establish stable democracy can prove fruitless and futile. This should be a lesson learned from the military involvement of the United States with Iraq. The US helped establish a democracy in the heart of the middle east, but it failed for understandable reason to establish the infrastructure necessary for an enduring and responsive health care system. That would come to no surprise given the difficult struggle the US is engaged in to reform its own health care system.
If it is true that helping to achieve stability at the expense of democracy is futile in politics, it is also so in the health care sector. It is useless to through money at the health problems of the east without engaging in a deliberate and long term effort to reform the health care system so that it would be more responsive to the health needs of our populations and individuals.
It goes without a question that it is of utmost importance to help us combat swine flu at this critical moment. However, what after this epidemic passes. Does the developed world has the capacity and the political will to help us with every single danger we may face, even if that danger would have international ramifications? Isn't it more wise and sustainable to help our countries and nations building an infrastructure that would be flexible and responsive to a wide range of public health emergencies?
Its time for the developed world to rise to the expectations set forth for it in the millennium developing goals. It is also time for the developing countries to wisely use the help we get from the former. We need to know our priorities, which include but not limited to having a robust surveillance system that allows sound policy making, build a solid infrastructure that help prevent disease rather than consume precious resources in treating them, and engage in a genuine and open national debate on health care reforms in our countries
.
It is well known that health is an important component of the security and stability of any state. Without a special attention to the health and wellbeing of individuals and populations, political and economic efforts to establish stable democracy can prove fruitless and futile. This should be a lesson learned from the military involvement of the United States with Iraq. The US helped establish a democracy in the heart of the middle east, but it failed for understandable reason to establish the infrastructure necessary for an enduring and responsive health care system. That would come to no surprise given the difficult struggle the US is engaged in to reform its own health care system.
If it is true that helping to achieve stability at the expense of democracy is futile in politics, it is also so in the health care sector. It is useless to through money at the health problems of the east without engaging in a deliberate and long term effort to reform the health care system so that it would be more responsive to the health needs of our populations and individuals.
It goes without a question that it is of utmost importance to help us combat swine flu at this critical moment. However, what after this epidemic passes. Does the developed world has the capacity and the political will to help us with every single danger we may face, even if that danger would have international ramifications? Isn't it more wise and sustainable to help our countries and nations building an infrastructure that would be flexible and responsive to a wide range of public health emergencies?
Its time for the developed world to rise to the expectations set forth for it in the millennium developing goals. It is also time for the developing countries to wisely use the help we get from the former. We need to know our priorities, which include but not limited to having a robust surveillance system that allows sound policy making, build a solid infrastructure that help prevent disease rather than consume precious resources in treating them, and engage in a genuine and open national debate on health care reforms in our countries
.
Tuesday, September 8, 2009
A Ministry for Public Health!
During a few hours visit to the Ministry of Health of Kurdistan Regional Government, I was introduced to a crippling problem that plagues the work of the ministry and prevent it from fulfilling its mandates effectively. While I was waiting for a paper of mine to be signed by the Minister, a poor family with a 7 month kid who had bilateral phocomelia (Absent Arms above the elbow) was waiting to see him and beg for help for their toddler. My paper was signed and many others were as well while the heartbroken family couldn't have the chance to meet the busy minister and went back empty handed to the misery of abandonment.
The Ministry of Health has been extremely busy with a host of bureaucratic procedures that have no direct impact on health outcomes of Kurdistan Region. The Minister himself and his staff are engaged with activities that can be done by any directorate of health in Kurdistan, while they neglected the more urgent priorities of preventing illness and promoting health.
Throughout its 16 plus years of service, the Ministry of Health failed to accomplish the very basic tasks of any Ministry of health. It couldn't establish a robust surveillance system that could be endowed with the human and technological capacities to collect, analyze and utilize data about the indicators of health in Kurdistan. We still are ignorant about the incidence and prevalence of a range of crippling health conditions in Kurdistan. We don't know how many cases of Cholera do exist each year, how many infant die, how many mothers pass away during labor and what is the expected life expectancy at birth.
Furthermore, the Ministry of Health neglected a host of determinants of health that are extremely crucial for the well being and health of individuals and populations. The only part of the definition of health that the ministry paying attention to is physical health. It completely neglected the other social and mental aspects of health. The ministry failed to have at least a task force for mental health in Kurdistan, this if we forget talking about a mental health act that is so important given the disastrous mental health consequences of the suffering of the Kurdish people.
To partly fix all these disastrous plaguing of the Mini sty and the health care system in general, the Ministry of Health has to change. As part of the decentralization policies that should characterize every federal state, the Ministry of Health needs to be decentralized as well. It should give up doing some of the works that any administrative institution can do. For example employing doctors, medical staff and other health care related personnel can be done by the Directorates of Health. This would mean that even the name of the Ministry change to the Ministry of Public Health.
The new Kurdistan Parliament and Kurdistan Regional Government has to take this matter seriously. Time is long overdue to overhaul the Ministry of Health and look for more effective and efficient alternatives to the immensely disastrous status qua of the current Ministry.
The Ministry of Health has been extremely busy with a host of bureaucratic procedures that have no direct impact on health outcomes of Kurdistan Region. The Minister himself and his staff are engaged with activities that can be done by any directorate of health in Kurdistan, while they neglected the more urgent priorities of preventing illness and promoting health.
Throughout its 16 plus years of service, the Ministry of Health failed to accomplish the very basic tasks of any Ministry of health. It couldn't establish a robust surveillance system that could be endowed with the human and technological capacities to collect, analyze and utilize data about the indicators of health in Kurdistan. We still are ignorant about the incidence and prevalence of a range of crippling health conditions in Kurdistan. We don't know how many cases of Cholera do exist each year, how many infant die, how many mothers pass away during labor and what is the expected life expectancy at birth.
Furthermore, the Ministry of Health neglected a host of determinants of health that are extremely crucial for the well being and health of individuals and populations. The only part of the definition of health that the ministry paying attention to is physical health. It completely neglected the other social and mental aspects of health. The ministry failed to have at least a task force for mental health in Kurdistan, this if we forget talking about a mental health act that is so important given the disastrous mental health consequences of the suffering of the Kurdish people.
To partly fix all these disastrous plaguing of the Mini sty and the health care system in general, the Ministry of Health has to change. As part of the decentralization policies that should characterize every federal state, the Ministry of Health needs to be decentralized as well. It should give up doing some of the works that any administrative institution can do. For example employing doctors, medical staff and other health care related personnel can be done by the Directorates of Health. This would mean that even the name of the Ministry change to the Ministry of Public Health.
The new Kurdistan Parliament and Kurdistan Regional Government has to take this matter seriously. Time is long overdue to overhaul the Ministry of Health and look for more effective and efficient alternatives to the immensely disastrous status qua of the current Ministry.
Wednesday, September 2, 2009
شیزوفرینای ئاخاوتنی وهزارهتی تهندروستی / له هاوڵاتیهوه
وهزیری تهندروستی ههرێمی کوردستان لهم ماوهی ڕابووردوودا به چهند ڕاگهیاندنێکی لهیهک دوور و ناڕوون قسهی لهسهر ئهنفلهونزای بهراز له میدیاکاندا دهرکهوت. چهند ههفتهیهک پێش ئێستا جهنابی وهزیر ڕایگهیاند که ئهنفلوهنزای بهراز مهترسیهکی زۆر گهوهره لهسهر خهڵکی کوردستان دروست ئهکات و ڕهنگه له کۆتایی هاوین و سهرهتای پایز، ههزارهها کهس تووشی نهخۆشێکه بن له کوردستاندا. لهم چهند ڕۆژهی ڕابووردووش، د.زریان له ڕێی پێگهی ئیلیکترۆنی حکۆمهتی ههرێمهوه پێمان ئهڵێت که "هیچ حاڵهتێکی تر له کۆردستان تۆمارنهکراوه" و وهزیری بهڕێز ئهڵێت ”لهتواناماندا ههیه 500 ههزار كهس كهدووچاری نهخۆشیهكه بێت بیانخهینه ژێر چاودێریهوه".
دیاره پێشکهشکردنی زانیاری تۆکمه و وورد لهسهر پێشهاته تهندروستیهکانی کوردستان یهکێکه له ههره گرنگترین بهرپرسیارێتیهکانی وهزارهتی تهندروستی. ئهم ئهرکهی وهزارهت ئهگهر له کاتی ئاساییدا زۆر پێویست بێت ئهوا بۆ کاتێکی وهکو ئێستا که ههڕهشهی ئهنفلهونزای بهراز ڕووی تێکردووین زۆر گرنگتر و ههستیارتره. لێرهدا جێگای دهستخۆشیه که جهنابی وهزیر له ڕێی دهرکهوتنه میدیایهکانیهوه کۆمهڵانی خهڵک له پێشهاته تهندروستیهکانی کوردستان ئاگادار ئهکاتهوه. بهڵام، ڕهنگه به تهنها دهرچوون له میدیاکان و قسه کردن لهسهر بابهتهکه بهس نهبێت بۆ ڕووبهڕووبوونهوهی ئاوهها مهترسیهک له سهر سهلامهتی و تهندروستی خهڵک. وهزارهتی تهندروستی پێویسته کاری جدی بکات بۆ خۆپاراستن له بڵاوبوونهوه و تهشهنهکردنی درمهکه، چونکه ئێستا قسهکردن له سهر بهرگری کردن له هاتنه ژوورهوهی ڤایرۆسهکه بۆ کوردستان، کارێکی بێمانیه، چۆنکه ههموومان ئهزانین خهڵکمان ههیه تووشبوون.
وهزارهتی تهندروستی له ڕێی جهنابی وهزیرهوه له دوو کاتی جیاوازدا، دوو ووتاری جیاوازمان پێ ڕائهگهیهنێت که به تهواوهتی پێویست بوو جێگۆڕکێ ئهو دوو شێوازی ئاخاوتنه بکرایه. له سهرهتای سهرههڵدانی پهتاکه له جیهان و ناوچهکهدا، وهزیری تهندروستی به تۆنێکی ترسناکئامێزیهوه هاته سهر میدیکان که له تۆقاندن زیاتر هیچ مهبهستێکی تری نهپێکا. ئهمه له کاتیكا کرا که له کوردستان هیچ نهخۆشێکی ئهنفلهونزا وجوودی نهبوو. لهو کاتهدا که مهترسی بڵاوبوونهوهی نهخۆشێکه کهم بوو، ئهکرا له جیاتی ترساندنی خهڵک، ههنگاوی پراکتیکی و سوودبهخش ئهنجامبدرایه که ئهگهرهکانی هاتنه ناوهوهی نهخۆشێکه بۆ کوردستان کهم بکاتهوه. ئهوهی که وهزارهت وهک ههنگاوێکی زۆر گهوهرهی خۆ پاراستنی پێفرۆشتنێوه گرتنی پلهی گهرمی ئهوانه بووکه له دهرهوه دێنهوه، له کاتێکا که وهزارهتی تهندروستی یا ئهنزانێ و خۆی گێل ئهکات و یا نازانی که زیاتر له 50% ئهوانهی که تووشی پهتاکه دێن هیچ بهرزبوونهوهیکی پلهی گهرمییان نیه. ئهوهی لهو کاتدا ئهکرا بکرایه و ئێستاش ههر زووهو ئهتوانین بیکهین، هێنانی فهحسی پێشکهوتوونی PCRه که تهنها تاقیکردنهوهیه بۆ دهستنیشانکردنی سهرههڵدانی پهتاکه. ئایه وهزارهت ئهتوانێت پێمان بڵێت ئایه ئهم فهحسهی ههیه یا نا، ئهگهر نیهتی چۆن ئهزانێت له کوردستاندا وهک جهنابی وهزیر ئهڵێت "هیچ حاڵهتێكی تر له ههرێمی كوردستان تۆمار نهكراوه". بۆیه ئهبوایه وهزارهتی تهندروستی پێش ترساندنی خهڵک دهستی بدایته کاری جدی و پلانڕێژبۆکراو بۆ رووبهرووبوونهوهی پهتاکه.
ئیستاش که پهتاکه له کوردستان و عیراق بڵاوبووهتوه و تهنانهت کهسێکیش له نهجهف بههۆی نهخۆشێکهوه مردووه، جهنابی وهزیر به یاسای عوزر له قهباحهت خراپتره، مامهڵه لهگهڵ ئهگهری تهشهنهکردنی ئهم مهترسیه تهندروستیهی که ڕووی له وڵاتهکهمان کردووه. وهزارهتی تهندروستی نهیتوانیهوه بچووکترین زانیاریمان لهسهر ئهنفلونزای بهراز پێببخشێت. ئهوهی لهسهر پهتاکهی ئهزانین تهنها له میدیا جیهانی و پێگه ئیلکترونێکانهوه بهدهستمان ئهگات و ئهو زانیاریانهش زیاتر له سهر وڵاتانی جیهان و دهرووبهره. تهنانهت وهزارهتی تهندروستی عیراقیش زۆر له وهزارهتهکهی خۆمان چالاکتربوو بۆ گهیاندنی زانیاری له ڕێی کۆنگرهی ڕۆژنامهوانیهوه. وهزێری بهڕێزیش بۆ پاساوهی ئهم کهمترخهمهی وهزارهتهکهی له کۆکردنهوهی داتا و ژماره سهبارهت به نهخۆشێکه پێمان ئهڵێت، " لهههرێمی كوردستان کهمترین كهس دووچاری ئهم پهتایه هاتووه، چونكه لهوڵاتان ڕێژهكهی هێنده بهرز بووه لهتوانای ژماردندا نهماوه، ههر بۆیهش ژماردنی حاڵهتهكان لهزۆرێك وڵاتان ڕاگیراون، بههۆی ئهوهی ئێستا زۆرێك لهتووشبووانی پهتایهكه لهماڵهوه چارهسهریان بۆ دهكرێت".. خۆی ئهم پارهگرافه تهنها له سهرلێشهواندنی خهڵک زیاتر هیچ ئهنجامگیریهک بهدهستهوه نادات. ئاخر جهنابی وهزیر، "کهمترین کهس" مانای چیه، کهمترین یهک کهسه دووه یا سهده؟ ئهوهی که وهزیر ئهڵێت که له وڵاتاندا له بهر ئهوهی گوایه پهتاکه زۆر بڵاوبووهتهوه و ژمارهی ئهو خهڵکانهی تووشی بوون ئهوهنه زۆرن که چیتر ناکرێت بژمێردرێن، له خۆڵکردنه چاوی خهڵک زیاتر ناکرێت هیچی تری ناو بنێن. یهکێک له ئهرکه ههره سهرهتایهکانی ههر وهزارهتێکی تهندروستی، کۆکردنهوه و بهکارهێنانی داتایه، جهنابی وهزیر وهک ئهوهی بڵێت ئێمه به تهنها نهمانتوانیوه داتا و زانیاری کۆبکهینهوه بهڵکو وڵاته پێشکهوتووهکانی دونێاش له کۆکردنهوهی زانیاره کهمترخهمیان ههیه. بهڕاستی کاراساته ئهم جۆره ووتاره له کهسێکی شارهزای بواری پزیشکی بیکات که کاتێکی زۆری تهمهنی له دهرهوه بردبێته سهر و بزانێت که له وڵاته پێشکهوتووهکاندا، هێچ شتێک بێداتا ناکرێت و تووژینهوهی زانستی و ئهنجامدانی پرۆژه و پرۆگرامی تهندروستی بێ داتا هێچ مانایهکیان نابێت و هیچ ئهنجامێک ناپێکن.
له بهشیکی تری لێدوانهکهیدا، وهزیر ئهڵێت که وهزارهتهکهی "بهههموو شێوهیهك ئامادهكاریان كردووه بۆ ڕووبهڕوو بوونهوهی... لهتوانایاندا ههیه 500 ههزار كهس كهدووچاری نهخۆشیهكه بێت بخهنه ژێر چاودێریهوه". دیسانهوه ئهمهی که وهزیر ئهڵیت له قسهیهکی سهرپێی زیاتر هیچ مهبهستێک و زانیاریهک نابهخشێ. ئهکرێت جهنابی وهزیر پێمان بڵێت، مهبهستی چیه له "ههموو شێوهیهک"، ئایا مهبهستی ئهوهیه که ئێستا له کوردستان، قهڕوێله و شوێنی تایبهت ههیه بۆ خهواندنی ئهو نهخۆشانهی که خۆانهخۆاسته به ژمارهیهکی زۆر تووشی نهخۆشێکه ئهبن، ئهکرێت پێمان بڵێت له کوردستان چهند ڤاکسینمان ههیه بۆ بهرگریکردن له بڵابوونهوهی نهخۆشێکه، یا چهند دهرمانمان ههیه بۆ چارهسهری پهتاکه ئهگهر به ئهندازهیهیکی فراوان بڵاوبووهوه؟
تهنها ژمارهیهک که له ئاخاوتنهکی وهزیری بهڕێز هاتووه، ژماره 500 ههزاره، ئایا ئهم ژمارهیه لهسهر چ بنهمایهک دهستنیشانکراوه؟ ژمارهی قهڕوێله، پزیشک یا دهرمان و ڤاکسین؟ دیسانهوه ئهو ووشهی بهڕیزیان له ڕهستهکهدا بهکاریهێناوه، مهترسیمان زیاتر ئهکات بهوهی که پێمان ئهڵێت وهزیر هیچ پلانێکی نیه بۆ ڕووبهڕووبوونهوه و چارهسهری پهتاکه. ئهوهی که جهنابی وهزێر باسی ئهکات به وهی که له توانا ههیه که ئهو ژماره نهخۆشه بخهنه "ژێرچاودێری" هوه بۆ کهسانێک ئهشێت که نهخۆشیهکی مهترسیداری وایان ههبێت که ئهگهری چاکبوونهوهیان کهم بێت. چاودێری پزیشکی ئهکریت مانای ئهوه بێت که تهنها پاڵهپهستۆ و پلهی گهرما و نهبزی نهخۆش پێورێ و هیچی تر. ئهگهر ئهمهی دوای ڕاست بێت کهواته وهزارهت ئهتوانێ چ شتێکی زیاتر پێشکهش به کۆمهڵانی خهڵک بکات لهوهی که نهخۆشخانه و بنکه تهندروستیهکانی کوردستان حاڵی حازر ئهیکهن.
ههر هاوڵاتیهکی ئهم ههرێمه مافی خۆیهتی که بزانی وهزارهتی تهندروستی جگه له ترساندنی خهڵک چ تری پێیه بۆ ڕووبهڕووبوونهوهی ئهنفلهونزای بهراز. مافی خۆمانه که بزانین، ئایا وهزارهتی تهندروستی چهندێک ڤاکسین و دهرمان و قهڕوێڵهی ههیه بۆ بهگریگرتن و چارهسهرکردنی پهتاکه. وهزیری تهندروستی بهڕیز، تکایه وهڵامی ووردترمان له جهنابتان ئهوێت.
*ماستهر له سیاسهتی تهندروستی
دیاره پێشکهشکردنی زانیاری تۆکمه و وورد لهسهر پێشهاته تهندروستیهکانی کوردستان یهکێکه له ههره گرنگترین بهرپرسیارێتیهکانی وهزارهتی تهندروستی. ئهم ئهرکهی وهزارهت ئهگهر له کاتی ئاساییدا زۆر پێویست بێت ئهوا بۆ کاتێکی وهکو ئێستا که ههڕهشهی ئهنفلهونزای بهراز ڕووی تێکردووین زۆر گرنگتر و ههستیارتره. لێرهدا جێگای دهستخۆشیه که جهنابی وهزیر له ڕێی دهرکهوتنه میدیایهکانیهوه کۆمهڵانی خهڵک له پێشهاته تهندروستیهکانی کوردستان ئاگادار ئهکاتهوه. بهڵام، ڕهنگه به تهنها دهرچوون له میدیاکان و قسه کردن لهسهر بابهتهکه بهس نهبێت بۆ ڕووبهڕووبوونهوهی ئاوهها مهترسیهک له سهر سهلامهتی و تهندروستی خهڵک. وهزارهتی تهندروستی پێویسته کاری جدی بکات بۆ خۆپاراستن له بڵاوبوونهوه و تهشهنهکردنی درمهکه، چونکه ئێستا قسهکردن له سهر بهرگری کردن له هاتنه ژوورهوهی ڤایرۆسهکه بۆ کوردستان، کارێکی بێمانیه، چۆنکه ههموومان ئهزانین خهڵکمان ههیه تووشبوون.
وهزارهتی تهندروستی له ڕێی جهنابی وهزیرهوه له دوو کاتی جیاوازدا، دوو ووتاری جیاوازمان پێ ڕائهگهیهنێت که به تهواوهتی پێویست بوو جێگۆڕکێ ئهو دوو شێوازی ئاخاوتنه بکرایه. له سهرهتای سهرههڵدانی پهتاکه له جیهان و ناوچهکهدا، وهزیری تهندروستی به تۆنێکی ترسناکئامێزیهوه هاته سهر میدیکان که له تۆقاندن زیاتر هیچ مهبهستێکی تری نهپێکا. ئهمه له کاتیكا کرا که له کوردستان هیچ نهخۆشێکی ئهنفلهونزا وجوودی نهبوو. لهو کاتهدا که مهترسی بڵاوبوونهوهی نهخۆشێکه کهم بوو، ئهکرا له جیاتی ترساندنی خهڵک، ههنگاوی پراکتیکی و سوودبهخش ئهنجامبدرایه که ئهگهرهکانی هاتنه ناوهوهی نهخۆشێکه بۆ کوردستان کهم بکاتهوه. ئهوهی که وهزارهت وهک ههنگاوێکی زۆر گهوهرهی خۆ پاراستنی پێفرۆشتنێوه گرتنی پلهی گهرمی ئهوانه بووکه له دهرهوه دێنهوه، له کاتێکا که وهزارهتی تهندروستی یا ئهنزانێ و خۆی گێل ئهکات و یا نازانی که زیاتر له 50% ئهوانهی که تووشی پهتاکه دێن هیچ بهرزبوونهوهیکی پلهی گهرمییان نیه. ئهوهی لهو کاتدا ئهکرا بکرایه و ئێستاش ههر زووهو ئهتوانین بیکهین، هێنانی فهحسی پێشکهوتوونی PCRه که تهنها تاقیکردنهوهیه بۆ دهستنیشانکردنی سهرههڵدانی پهتاکه. ئایه وهزارهت ئهتوانێت پێمان بڵێت ئایه ئهم فهحسهی ههیه یا نا، ئهگهر نیهتی چۆن ئهزانێت له کوردستاندا وهک جهنابی وهزیر ئهڵێت "هیچ حاڵهتێكی تر له ههرێمی كوردستان تۆمار نهكراوه". بۆیه ئهبوایه وهزارهتی تهندروستی پێش ترساندنی خهڵک دهستی بدایته کاری جدی و پلانڕێژبۆکراو بۆ رووبهرووبوونهوهی پهتاکه.
ئیستاش که پهتاکه له کوردستان و عیراق بڵاوبووهتوه و تهنانهت کهسێکیش له نهجهف بههۆی نهخۆشێکهوه مردووه، جهنابی وهزیر به یاسای عوزر له قهباحهت خراپتره، مامهڵه لهگهڵ ئهگهری تهشهنهکردنی ئهم مهترسیه تهندروستیهی که ڕووی له وڵاتهکهمان کردووه. وهزارهتی تهندروستی نهیتوانیهوه بچووکترین زانیاریمان لهسهر ئهنفلونزای بهراز پێببخشێت. ئهوهی لهسهر پهتاکهی ئهزانین تهنها له میدیا جیهانی و پێگه ئیلکترونێکانهوه بهدهستمان ئهگات و ئهو زانیاریانهش زیاتر له سهر وڵاتانی جیهان و دهرووبهره. تهنانهت وهزارهتی تهندروستی عیراقیش زۆر له وهزارهتهکهی خۆمان چالاکتربوو بۆ گهیاندنی زانیاری له ڕێی کۆنگرهی ڕۆژنامهوانیهوه. وهزێری بهڕێزیش بۆ پاساوهی ئهم کهمترخهمهی وهزارهتهکهی له کۆکردنهوهی داتا و ژماره سهبارهت به نهخۆشێکه پێمان ئهڵێت، " لهههرێمی كوردستان کهمترین كهس دووچاری ئهم پهتایه هاتووه، چونكه لهوڵاتان ڕێژهكهی هێنده بهرز بووه لهتوانای ژماردندا نهماوه، ههر بۆیهش ژماردنی حاڵهتهكان لهزۆرێك وڵاتان ڕاگیراون، بههۆی ئهوهی ئێستا زۆرێك لهتووشبووانی پهتایهكه لهماڵهوه چارهسهریان بۆ دهكرێت".. خۆی ئهم پارهگرافه تهنها له سهرلێشهواندنی خهڵک زیاتر هیچ ئهنجامگیریهک بهدهستهوه نادات. ئاخر جهنابی وهزیر، "کهمترین کهس" مانای چیه، کهمترین یهک کهسه دووه یا سهده؟ ئهوهی که وهزیر ئهڵێت که له وڵاتاندا له بهر ئهوهی گوایه پهتاکه زۆر بڵاوبووهتهوه و ژمارهی ئهو خهڵکانهی تووشی بوون ئهوهنه زۆرن که چیتر ناکرێت بژمێردرێن، له خۆڵکردنه چاوی خهڵک زیاتر ناکرێت هیچی تری ناو بنێن. یهکێک له ئهرکه ههره سهرهتایهکانی ههر وهزارهتێکی تهندروستی، کۆکردنهوه و بهکارهێنانی داتایه، جهنابی وهزیر وهک ئهوهی بڵێت ئێمه به تهنها نهمانتوانیوه داتا و زانیاری کۆبکهینهوه بهڵکو وڵاته پێشکهوتووهکانی دونێاش له کۆکردنهوهی زانیاره کهمترخهمیان ههیه. بهڕاستی کاراساته ئهم جۆره ووتاره له کهسێکی شارهزای بواری پزیشکی بیکات که کاتێکی زۆری تهمهنی له دهرهوه بردبێته سهر و بزانێت که له وڵاته پێشکهوتووهکاندا، هێچ شتێک بێداتا ناکرێت و تووژینهوهی زانستی و ئهنجامدانی پرۆژه و پرۆگرامی تهندروستی بێ داتا هێچ مانایهکیان نابێت و هیچ ئهنجامێک ناپێکن.
له بهشیکی تری لێدوانهکهیدا، وهزیر ئهڵێت که وهزارهتهکهی "بهههموو شێوهیهك ئامادهكاریان كردووه بۆ ڕووبهڕوو بوونهوهی... لهتوانایاندا ههیه 500 ههزار كهس كهدووچاری نهخۆشیهكه بێت بخهنه ژێر چاودێریهوه". دیسانهوه ئهمهی که وهزیر ئهڵیت له قسهیهکی سهرپێی زیاتر هیچ مهبهستێک و زانیاریهک نابهخشێ. ئهکرێت جهنابی وهزیر پێمان بڵێت، مهبهستی چیه له "ههموو شێوهیهک"، ئایا مهبهستی ئهوهیه که ئێستا له کوردستان، قهڕوێله و شوێنی تایبهت ههیه بۆ خهواندنی ئهو نهخۆشانهی که خۆانهخۆاسته به ژمارهیهکی زۆر تووشی نهخۆشێکه ئهبن، ئهکرێت پێمان بڵێت له کوردستان چهند ڤاکسینمان ههیه بۆ بهرگریکردن له بڵابوونهوهی نهخۆشێکه، یا چهند دهرمانمان ههیه بۆ چارهسهری پهتاکه ئهگهر به ئهندازهیهیکی فراوان بڵاوبووهوه؟
تهنها ژمارهیهک که له ئاخاوتنهکی وهزیری بهڕێز هاتووه، ژماره 500 ههزاره، ئایا ئهم ژمارهیه لهسهر چ بنهمایهک دهستنیشانکراوه؟ ژمارهی قهڕوێله، پزیشک یا دهرمان و ڤاکسین؟ دیسانهوه ئهو ووشهی بهڕیزیان له ڕهستهکهدا بهکاریهێناوه، مهترسیمان زیاتر ئهکات بهوهی که پێمان ئهڵێت وهزیر هیچ پلانێکی نیه بۆ ڕووبهڕووبوونهوه و چارهسهری پهتاکه. ئهوهی که جهنابی وهزێر باسی ئهکات به وهی که له توانا ههیه که ئهو ژماره نهخۆشه بخهنه "ژێرچاودێری" هوه بۆ کهسانێک ئهشێت که نهخۆشیهکی مهترسیداری وایان ههبێت که ئهگهری چاکبوونهوهیان کهم بێت. چاودێری پزیشکی ئهکریت مانای ئهوه بێت که تهنها پاڵهپهستۆ و پلهی گهرما و نهبزی نهخۆش پێورێ و هیچی تر. ئهگهر ئهمهی دوای ڕاست بێت کهواته وهزارهت ئهتوانێ چ شتێکی زیاتر پێشکهش به کۆمهڵانی خهڵک بکات لهوهی که نهخۆشخانه و بنکه تهندروستیهکانی کوردستان حاڵی حازر ئهیکهن.
ههر هاوڵاتیهکی ئهم ههرێمه مافی خۆیهتی که بزانی وهزارهتی تهندروستی جگه له ترساندنی خهڵک چ تری پێیه بۆ ڕووبهڕووبوونهوهی ئهنفلهونزای بهراز. مافی خۆمانه که بزانین، ئایا وهزارهتی تهندروستی چهندێک ڤاکسین و دهرمان و قهڕوێڵهی ههیه بۆ بهگریگرتن و چارهسهرکردنی پهتاکه. وهزیری تهندروستی بهڕیز، تکایه وهڵامی ووردترمان له جهنابتان ئهوێت.
*ماستهر له سیاسهتی تهندروستی
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