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Red tape leads to drug crisis in 450 hospitals

Naimul Haq
Purchase of drugs for more titan 450 government hospitals has remained suspended since July 1, as the health and planning ministries got bogged down in red tape.
Fourteen other operation plans have also remained snapped for the last three months, as the Planning Commission of the planning ministry rejected tire health ministry’s Tk 602 crore project
The 14 plans deal with salary of about 80,000 family planning
employees, health equipment purchase, measures to prevent HIV/AIDS and other sexually transmitted diseases, safe blood transfusion equipment and construction of new sub-health centres, among others.
Ute health ministry sought a fund of Tk 602 crore to carry out 15 operation plans including drugs purchase this year, ministry sources said. But tire government has this fiscal year allocated only Tk 250 crore in its annual development programme (ADP).
Tire ministry however did not send the outlines of its plans to tire Planning Commission until August, letting the medicine supply run out and leaving family planning employees unpaid.
Bureaucratic tangles appeared as the health ministry's National Steering Committee approved tire operation plans and sought funds in August, while the government budget was approved in June.
Rejecting the staggering proposal, tire Planning Commission health ministry tap donor funds for the additional amount.
The health ministry was asked to explain why it prepared such a huge budget when it knew the ADP allocation.
Since June, the government has cleared and disbursed only Tk 11.84 crore, leaving the public sector healthcare in disarray.
"I sought Tk 52 crore worth of medicines for different thana health complexes last month as most complexes informed me that they ran out of drugs," said one of the directors dealing with government's primary healthcare. "But I did not receive any medicine so far."
A family planning employee, who did not get her salary from July to October, said, "Every year, we face the same problem. It's a total anarchy."
Of the Tk 250 crore ADP allocation for health ministry plans, Tk 186 crore will be provided from government funds, with the rest from the donors, sources said.
The development partners have not yet given their committed amount of money (though approved) for this fiscal.