SAMA EXTRA ORDINARY GENERAL MEETING

We need real transformation in the public sector . There is need to capacitate doctors and involve them In decisions affecting clinical services ,HR planning , organogram , leadership and governance training .quality of care remains poor in the country and doctors need training on this ,EC facilities are failing OHSC and ideal clinics yet many solutions are in their hands if they understood the national priorities and targets .

Clinical manager space is poorly defined and there is poor orientation and capacity building for them on clinical governance hence need for provincial clinical forums . This should involve specialists from all regions ,Dcst and provincial management so that dis enablers ,staffing norms equipment and Emrs issues are tabled and accountability is 2 way .
The public service is always perceived as UNSAFE because it does not meet vital standards for emergency care , has high crude death rates but doctors are not given funds to ensure they all have ATLS , ACLS , and maybe APLS .

Career patching for those who do not want to be specialist but write diplomas in DH which don't meet criteria is not prioritized and when they qualify the salary is not adjusted for additional qualifications .

Specialization in family medicine is needed and accreditation of facilities depends on appointment of specialist in large DH with more 300 beds but these posts are not in the organogram .

Research capacity for doctors and support is needed so the doctors can be involved in evidence based medicine from DH and see visibility of EC in national and International conferences .

District sonographer or ultrasonographer are not in DH organogram .this in will help reduce Stillbirth and neonatal deaths and capacitate doctors with mentor ship to acquire needed ultrasound skills which are poorly covered in undergrad training .

SAMA has no insight into this issues , is not meeting this need , has no forum to communicate or develop leadership .