Medical Teaching Institutions Reforms Act 2015 fails to achieve desired results in KPK

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Medical Teaching Institutions Reforms Act
2015 fails to achieve desired results in KPK
Authorities conducting a Review to identify hurdles
to ensure its benefits reach people
Failure to provide incentives to HCPs, facilities
to patient’s main problem in promoting IBP

PESHAWAR: The Medical Teaching Institutions Reforms Act 2015 promulgated by the Government in Khyber PK to initiate reforms process in health sector has so far failed to achieve the desired results. Now the authorities are reported to have started to review the situation to identify the hurdles and take action against those who are involved in creating problems in smooth functioning of the institutions to ensure that benefits of the new legislation trickle down to the patients.

The Policy Board is stated to be busy in conducting a complete review which is a continuous process. MTI was initially implemented in three public healthcare facilities in Peshawar i.e. Khyber Teaching Hospital, Hayatabad Medical Compiled and Lady Reading Hospital. Later on this scheme was extended to nine other hospitals in the province effectively ending the provincial Health Departments control. Instead Board of Governors were constituted who were given full administrative and financial control of these institutions. However, the current situation reveals that the authorities have failed to get the new law implemented by the healthcare professionals due to various reasons.

Some of the problems identified include that different Medical Teaching Institutions (MTIs) have different salary structure. Moreover, in some MTIs some of the staff is still under government service. MTIs administration is interested to repatriate these government employees to the health department and replace them with new recruitments in different cadres. The MTI Act empowers these institutions to abolish existing posts, create new posts and appoint professionals on these posts at a salary and other privileges comparable with market rates. The amendment made to the MITRA Act creating a Policy Board was meant to frame a uniform policy regarding selection and appointment of new staff, clinical practice and other related matters but there was no visible change in the situation till today.

In many hospitals doctors recruited under MITRA have not yet started their Institutional Based Practice in the evening in their institutions. Despite repeated reminders and warnings, they continue to do private practice outside hospitals. They feel that the authorities have failed to provide them incentives, facilitate the patients with the result that the idea of Institutional Based Practice has not yet showed any benefit for the patients as desired. Doctors charge different consultation fee in IBP in different institutions which is yet another anomaly.

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