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March 14, 2000

Over 500 district hospital and thana health complex positions have been vacant for year, since the doctors assigned to them refused to go, arranging alternative “posts” in Dhaka.

“Many doctors posted to hospitals outside the capital use connections inside the Bangladesh Medical Association or influential telephone calls to cancel postings,” said a healthy ministry official, who requested anonymity.

“Many doctors avoid work by becoming a “deputy,” an employees with no real duties, or an “academics” such as a medical officer or assistant professor, at a city hospital.

For example, an assistant professor at Mitford Hospital has been a deputy since October 25, 1999, while an assistant registrar at Pangu Hospital has been one since October 27, 1999. An orthopedic surgeon at Shaheed Suhrawardi Hospital has been a deputy since January 1, 1999, while a junior consultant in Dhaka medical College Hospital’s surgery department has been deputy since July 199.

There are over 25 doctors working as deputies at Dhaka Medical College Hospital, while there are at least 14 at the Bangla Bandhu Sheikh Mujib Medical University Hospital. There are about 20 deputies at the health directorate, the Institute of Public Health and NIPSOM.

In all, about 124 positions have been filled in this way since 1998, but none of the doctors have been punished.

“Most doctors trying to avoid posts outside the capital operate private clinics or attend to “clinic business” after their hospital duties,” said an official.

Doctors who begin courses or accept “academic” positions also crate staffing problems at rural hospitals. According to the health directorate’s records, about 200 doctors have completed their courses in the last two years but have not reported to the authority.

“I know tow doctor who returned recently from abroad after eight years, although their academic training ended after five years,” said a health ministry official. “High officials have been instructed to discourage foreign training due to such problems.”

Sheikh Fazlul Karim Selim, minister of Health and Family Welfare, said the vacancies are a serious problem.

“About four to five doctors are p resent against nine in thana health complexes,” said Selim. “There aren’t any guidelines for postings, either.”

Source: The Daily Star


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