Maybe you wondering why and how ,you comparing services and level of care in public and private sector.
Let’s have a look at what exactly is happening in there.
Working in a hospital is every medics and paramedics dream.The excitement that comes when joining medical school.
You are then taught everything in its perfection,but reality hits when you step in the hospital.
You get to see every aspect in its totality
Working In either public or private hospital has its own pros and cons.
HERE IS THE PUBLIC HEALTH SECTOR WORLD.
Public hospitals are owned by government and operated through the ministry of health.Currently hospitals are managed through counties hence a distinction when it comes to different counties and how they consider health care a priority.
when it comes to counties,most employ people of that region(tribe) .The county government decides on how they share power through the board of management.
Most counties pay nurses starting salary of ksh 65000,depending with the county can be less or more.
Most nurses complain of salary delay for over 3months.They have to survive on loans or locums from private hospitals or personal businesses
When it comes to hospital procurement,the counties are allocated money for health sector by the national government and the procurement team is responsible to ensure enough supplies.
In most cases public hospitals lack basic supplies like drugs,gloves,water,electricity,hospital beds.etc
As they say, government hospital stocks panadol and Amoxyl only.There is money allocated for all the drugs needed.
And This is why , there is a slight fee charged at the public facilities,to avoid shortage of resources.
Now depending with the county, you will know,which prioritizes health care
All public facilities are understaffed,many scenarios where one nurse is taking care of 50 plus patients.Or one nurse in a dispensary.
“A nurse has been turned into a machine and not a human being anymore”Sharon et al
To this point we don’t expect even good services provided to atleast 50% of our patients..Because of the unavailability of resources, understanding, hospital politics and low salary
In most cases a few health care workers will try their best to give you the care you need,the rest no one cares unless a family member is involved to question.
There is so much in the nurses hand,that a patient is in the hands of a relative untill an incident occurs and there is legal follow up.
PRIVATE HEALTH SECTOR WORLD
Most private hospitals are managed by owners or an association.which makes the politics even worst.Some run their hospitals as a small kiosk while others do very wel
Depending with how flexible and strategic the owner is.
Depending with the level of the facility, starting from ksh 15,000 -100,000.
Again some private hospitals are good at their monthly salary payment while those struggling and having a low pay,tend to delay due to low market.
Most hospitals have adequate supply as the procurement manager is directly supervised by the owner
Private hospitals consider 12hour shift which favours the hospital on few staffs deployment.
However working in a private hospital guarantee you work more than 12hours during that shift because of work load
It’s primarily dependant on the mode of nursing care delivery practised .Otherwise most of the private hospital have exceptional care because of the high demands given to the employees
However,nurses in public hospitals enjoy working there for the following reasons.
Permanent and pensionable job
Job security -no abrupt termination
Long off shift periods on request
While nurses in private don’t enjoy the above benefits,Here are the reasons they enjoy private hospital
Maintaining high social class
Career advancement -on job training
Good technology -adequate resources
Are you a medic?Where do you work?What’s your opinion?
If you were to advise someone,where would you want them work?