Strike

Healthcare Staff Nationwide Strike Exacerbates Kenya’s Health Crisis

Kenya’s public hospitals are likely to ground to a halt as nurses and clinicians vow to stay off work even as millions are facing three weeks in a row without healthcare amid the global COVID-19 pandemic.

With the rising cases of Coronavirus and the deadly toll the pandemic is taking on Kenyan, nurses, and clinicians at public hospitals made good their threat to boycott work over poor working conditions on December 6.

Through its union, the Kenya National Union of Nurses (KNUN), the nurses’ number 23,000 said they will only resume work after their demands are met.

Seth Panyako, the union’s Secretary-General, among other demands, told the State to compensate families of 26 nurses who have died of COVID-19 in line of duty.

The striking healthcare staff lament that many of their colleagues are dying from COVID-19 due to a lack of both protective gear and health insurance.

Joseph Ondiek, whose wife was to undergo delivery through Cesarian Section had to seek medical services at the Kenyatta National Hospital, a facility already struggling with the surge of cases.

“My wife requires to undergo a Caesarian Section. On reaching Kenyatta National Hospital, I could not be attended to the emergency requirements because of the long queues. All I am praying is that the government come to our rescue by listening to the nurses’ demands,” said Ondiek, who resides in Mathare, one of the informal settlements in Nairobi.

Worsening this already dire situation was when Kenyan doctors in pubic hospitals, said to number 7,200 members joined nurses and clinical officers in the nationwide strike.

The doctors’ concerns revolve around the lack of protective equipment and health insurance for frontline workers fighting against the spread of Coronavirus.

However, the doctors called off the strike three days later after the government acquiesced to their most immediate demands. Nurses and clinical officers’ demands were never attended to and hence continue to picket.

Healthcare staff strikes are a significant threat to universal access to healthcare globally and especially in Sub Saharan Africa. Kenya’s healthcare sector has seen an increase in such industrial action.

Since 2013, Kenya’s public health sector has been affected by frequent short strikes, culminating in nationwide strikes lasting a total of 250 days by doctors and nurses in a span of 11 months in the years 2016 and 2017.

Whilst health professionals have the right to picket, experts say their strike cripples health services with almost no public hospital inpatient services being administered, thus violating people’s right to healthcare.

In most of the healthcare workers’ strike, the Kenyan government has been employing reactive solutions such as sacking striking workers, jailing trade union officials which neither addresses the underlying problems nor build the resilience of the health system.

Last week, Mutahi Kagwe, the Cabinet Secretary for Health directed county governments to sack all striking healthcare staff.

“County governments should start advertising vacancies to replace those on strike if the striking health staff continue to be adamant,” Kagwe gave the directive when he addressed the media.

Kagwe urged the over 8,000 nurses currently jobless to apply for the positions once advertised.

However, officials of the Kenya Medical Practitioners and Dentists Union (KMDU) were quick to rubbish the directive.

“We are shocked by the government’s level of insensitivity and arrogance in dealing with the grievances raised by our members on their welfare and safety in COVID-19 times. The minister’s ‘appreciation’ to healthcare workers is illaudable,” KMPDU Acting Secretary-General Chibnzi Mwachonda told a press conference.

Samson Cherargei, a senator in Nandi, one of the counties in Kenya’s Rift Valley called on CS Kagwe to instead use his energy in unraveling those behind a multi-million COVID-19 heist scandal under his health ministry.

Bowing to pressure, the CS later said the government will not replace the healthcare workers on strike, a move he said was aimed at ensuring services continue to be provided in all public health facilities.

With the virus spreading, and on the frontline between a nervous public, the healthcare workers on whom all depend have in many instances been forgotten.

The World Health Organization estimates that health workers during the Ebola outbreak and six years ago were between 21 and 32 times more likely to be infected than the general adult population. More than 350 healthcare workers died while battling Ebola in West Africa.

Kenya, currently with some 48 million people has 9,068 licensed medical doctors, 537 Intensive Care Units, and only 256 ventilators.

Zimbabwean School Children Pay The ‘Price’ As Teachers Strike Over Poor Salaries

Harare, Zimbabwe — When schools reopened in Zimbabwe, late September, Noel Madamombe (16) thought time had arrived for him to prepare for final examinations later this year.

Little did he know that there will not be any learning, for quite some time. 

Zimbabwean teachers have vowed not to report for work until their employer revises their salaries to 2017 when they earned not less than $300 per month. 

While negotiations are continuing, the government has, in the interim, offered the striking teachers a 40 percent transport allowance.  

This is in addition to a COVID-19 $75 allowance lasting until December. 

Currently, teachers are earning a paltry 3,500 Zimbabwean dollar (Z$) ($38). 

The Total Consumption Poverty Line for an average family of five is now pegged at Z$15,573 ($173) as of August this year, according to the Zimbabwe National Statistics Agency. 

While the poverty datum line and the cost of the basic commodities, which are pegged against the United States dollar, have continued to rise the government has not responded by increasing teachers’ salaries beyond the COVID-19 allowance and transport allowance.

As the government and its workers tussle over salaries, the students are the most affected.

Pupil wearing face mask in the capital Harare
School children in Zimbabwe are going to school to study as teachers’ strike continues. Credit: Ruvimbo Muchenje

Madamombe, is in his final year studies and is due to write his Ordinary Level examinations. 

Students have been out of school since March this year when the government imposed a nationwide lockdown to slow the spread of the Coronavirus pandemic. 

As a provisional measure, some schools introduced online learning during the lockdown period but only a few students – those who could afford data bundles benefitted

Zimbabwe has some of the highest data tariffs in the region and has been experiencing its worst economic crisis in decades. 

With Coronavirus cases declining, the government is finally putting measures to ensure all schools reopen while observing COVID-19 World Health Organization regulations. 

Since the 28th of September 2020, schools have started opening their doors only to pupils who will sit for their national examinations later this year. 

The remaining pupils are expected to return to school towards the end of the year.

“I am worried about my examinations because during lockdown I was not learning,” Madamombe, a student at George Stark Secondary School in Mbare in the capital Harare told Ubuntu Times.

“I live in an area with no electricity to charge my gadgets and buying internet data bundles to attend online lessons was a challenge for me.”

While students are coming to school, no learning is taking place.

“Our teachers are not coming to school,” Madamombe said.

Another Form 4 student, Trish Hungwe (17), said they were going to school to study. 

“Since the day we reopened we have not been learning,” said Hungwe who learns at Chikanga Secondary School in Mutare, Zimbabwe’s fourth-largest city.

Madamombe and Hungwe‘s predicament is similar to many students who are going to school at a time when their teachers are on an industrial strike citing incapacitation. 

Zimbabwe’s economy has been plummeting since the time President Emmerson Mnangagwa took over reigns of power from the late former President Robert Mugabe, in November 2017 through a military coup.

Doctors from public hospitals demonstrating against poor salaries in the capital Harare in 2019
Teachers are among civil servants that are demanding adequate salaries from the government. Doctors from public hospitals were captured here demonstrating against poor salaries in 2019, in Harare. Credit: Farai Shawn Matiashe / Ubuntu Times

The country is going through a crisis. 

Basic commodities are readily not available and the country is battling to arrest unemployment and hyperinflation that has surpassed an annual of 700 percent as of August this year, according to the Reserve Bank of Zimbabwe. 

This has posed viability challenges and eroded salaries of civil servants.

The southern African nation’s economy has been worsened by the impact of Coronavirus which has paralyzed many industries. 

Teachers are among the worst affected groups. 

Teachers, who are saying their salaries are the lowest in the SADC region are demanding a monthly minimum wage of $520.

As the plight of students worsen there are growing calls for the government to ditch piecemeal arrangements and find a holistic solution to teachers’ salaries problem. 

“Our education is in a serious crisis, November 2020 candidates will not be ready for examinations in December. Government should urgently convene education stakeholders to resolve the ensuing crisis,” Obert Masaraure, Amalgamated Rural Teachers Union of Zimbabwe president told Ubuntu Times.

He said even though they still have teachers who are consistently logging in they are not teaching and 98 percent of their teachers are not reporting for work. 

“The few teachers who reported for duty on opening day are now leaving schools to join the majority who are still at home,” he said adding that learners in boarding schools were spending time in between hostels and dining halls.

Some schools, especially those in remote areas, are struggling to meet Ministry of Health conditions on social distancing and sanitization. 

But, the government has given assurance that all is under control.  

Students walking to school in Harare
School children in the cities are being asked by school authorities to bring at least two face masks from home. Credit: Ruvimbo Muchenje

Speaking during a media briefing in early October, Information Minister Monica Mutsvangwa said basic Personal Protective Equipment (PPEs) that include face masks, sanitizers and disinfectants “have been distributed to all public and independent schools.”

This is all fake according to information gathered by Ubuntu Times. 

John Mutisi, a headteacher in Buhera, in eastern Zimbabwe, whose name has been changed to protect his identity for fear of reprisal said he has been forced by the government to open the school with inadequate PPEs.

Mutisi’s worries are echoed by teachers’ unions who believe the government is neglecting them by exposing them to Coronavirus.

“There are no PPEs and no running water in several schools. Teachers have not been tested for COVID-19,” said Raymond Majongwe, the secretary-general of the Progressive Teachers Union of Zimbabwe.

Masaraure said PPEs were an essential requirement for schools to reopen. 

“However, the government has failed to make these important essentials available thus risking the lives of teachers and learners,” he said.

Some Non-Governmental Organizations have come to the government’s rescue by providing PPEs in some schools in the country. 

“We have provided handwashing stations and most of the schools in our areas have been making masks,” Shamiso Matambanadzo, World Vision Zimbabwe advocacy, communication and external engagement team leader told Ubuntu Times.

“Also, we have been distributing bars of soap, hand sanitizers, and buckets in preparation of schools opening.”

However, the government remains hopeful that a solution will be found. 

Mutsvangwa said salary negotiations for civil servants were underway.

“Government is aware of the challenges facing civil servants including teachers and is committed to improving the welfare of its workers. Consultations are currently underway to consider the request by the Apex Council in the last negotiating meeting held with the Government,” she said.

A pupil opening a gate at Chikhova Primary in Chiredzi, south-east of Zimbabwe
School children in Zimbabwe have been out of school for nearly six months and now their teachers have embarked on industrial action over poor salaries. Credit: Zimbabwe Peace Project

There seem to be no lasting solution in sight to Zimbabwe’s crippling education sector. 

While the government has in some sectors resorted to issuing threats to its workers, teachers are refusing to budge. 

“Teachers continue to send a bold message to the employer, they are not going to be cowed by empty threats,” said Masaraure.

While the labor tension between the government and teachers continues, Madamombe and other students who are scheduled to write their national examinations this year will continue paying the ‘price’. 

“I just hope we will soon start learning,” said Madamombe.

“I am worried about my future if I fail this examination.”

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