On Sunday morning announced a general strike of
Mozambican doctors. This position is the culmination of years of peaceful
attempts to resolve the deplorable situation of doctors in the public service
and I think they have a right to know how we got to this extreme situation.When
an individual started his career as a doctor in 1975, had net earnings as ±
15,000 mt which at the time amounted to ± 454 U $ D, and could live
comfortably, for example, with 9 salaries could buy a Honda Civic again, today,
37 years later and on the eve of retirement, as an expert consultant on top of
career and personality internationally recognized in the area, receives a base
salary of 29,629 mt which added to give a total net subsidy
± 42,000 mt, ie ± 1400 U $ D.A medical graduate with 7
years of career have a base salary of 15.531mt (535 U $ D) and liquid ± 24 000
mt (827 U $ D), which does not reach the 5th of the following month, I'm pretty
sure auferiria more like washing cars or used in some homes. And today to buy a
new Honda Civic will cost at least 60 salaries.A nurse usually receives a base
salary of ± 5100 mt and 7800 mt liquid ± (268 U $ D), a servant of hospital
receives a net salary of ± 2700 mt (93 U $ D). Might check it out at: - And
there are official documents that show the same.In the history of this beloved
homeland, doctors were ever (including the civil war period and until
recently), the only top-level professionals to be placed in districts, say in
passing mainly for political purposes, because we are often asked (especially
outside Maputo) to participate in partisan political tasks rather than the
exercise of our profession. We gladly accepted, because we are aware that we
graduated at the expense of the people and to serve. However we made no vow of
poverty and we are very resentful of the way the government has treated us.The
government's policy was to always put doctors in districts and was never
rejected, but we feel wronged when we are almost always housed (sometimes
literally in stores converted into houses) in substandard housing, often
without water and / or electricity, and work without time and few resources to
meet the needs of patients, and we see a young man like that but we chose the
judiciary be placed only where there is water and electricity, get about twice
as much, have the right to home and other perks not think and work under normal
time for 9 months a year. Do not envy your situation but have difficulty
understanding and accepting because they think we do not deserve this negative
discrimination by the Government.We feel powerless and angry to see some of our
nurses and orderlies make illegal charges for a patient can pass the queue and
be served in emergency services at the expense of patients who arrived first
and sometimes in serious condition, and that by tiredness commit omissions and
errors in drug prescription. But what have we as moral leaders of health teams
to rebuke the members of our team who have a family to support and to educate
children, who receive lower pay than many domestic workers and violate labor
standards to make shifts in hospitals and clinics and can neither physically or
psychologically to give patients the treatment they both need and deserve?.
As the practice of medicine for dealing with the lives
of our countrymen, a profession of great responsibility, and it requires the
sacrifice of living of our family, we feel wronged because we can not give our
wives and children the that our colleagues from the Universities of banks can
provide for their families.With wages the government pays us how we can live in
the same neighborhoods and our children attend the same schools and
kindergartens. We do not know how to respond when our children ask us why we
choose to be doctors rather than other professions or even merchants. Perhaps
the answer is that the scale of values of our society are the most important activities so
that more paid to save lives.When some of us, exercise private activity to try
to match the pairs in our society, we are criticized for allegedly descurarmos
care to patients in the NHS at the expense of private patients and yet his own
Vice-Minister of Finance said "we we can not afford, but you guys have to
go get some more money. "We would like to stay clear of the vast majority
of private medicine physicians has not choice but by necessity as such and only
happens in some provinces capitals, otherwise abandon the state to devote
themselves exclusively to private. I would particularly like to know that from
about 1200 doctors trained by EMU, one in four, some of which are renowned
experts in search of better living conditions, left the NHS to go to work in
NGOs, exchanged the public health clinic. Who of you feels free to criticize
them when they shared a salary of 24,000 mt for wages generally superior to
60,000 mt and 200,000 mt can overcome? We feel insulted, humiliated and
disgusted when the Government says that not only does not have money to pay us
better, but rather to improve our working conditions that could help save more
lives, but has tax money for all of us to pay our fellow South Africans and
others, not only treatment but also the routine check ups, the senior of the
three powers. We can only conclude that mistreat us and despise us because they
need us. That's how the President thinks we cultivate self-esteem?
The Government says not having the money you need for
Health Fails percentage budget proposed by the WHO. We agree, but would like to
know how after 37 years of Independence have not found that health insurance
can be an alternative source of funding, not to mention the microimpostos
megaprojects. Travel for everything in this world and the site is that they
have learned? Our state of exasperation is why it seems to us that the problems
of the people and our and rather than propalam, are the least of your worries.
As servants of the state know that many in the public have bad wages and we are
sympathetic to all professionals. However, it is documented that in certain
sectors things work very differently, for example, a servant of the Bank
Mozambique receives between 20,000 to 30000MT, a driver in the same bank
receives between 20,000 to 50,000 mt, an assistant clerk of court has a base
salary of 17,584 mt, a legal secretary has a base salary of 31,970 mt, a judge
on top career has a base salary of 37,366 mt, a commissioner general tax /
customs has 47,453 mt, many of them have 100% of emoluments and perks as home
and car service, fuel, and other expenses homemade, but the good of truth have
a commitment of exclusivity. And the deputies?
Apart from MPs, do not mean it's wrong to pay them
more, I would like to know why was the doctor who devotes all his time to work
some more and have a lower recognition in terms of salary that an assistant
registrar and is not equated with other graduates who earn much more. There is
in the public weights and measures clearly different. Throughout our history
post independence, at no time was made to revise the salaries of doctors as
happened to other classes, countless worlds and fund managers promised but
never fulfilled, and they have their guaranteed health care in the private
sector or outside the country at the expense of our taxes. In 2011 the current
Minister of Health promised to doctors specializing in a grant that could help
address the difficulties they face because it is difficult to have to devote
the time to learning and paying bills with just meager salary and so far
nothing was made. In November 2011 we presented the health sector concerns to
President Guebuza, and the current claims were reported, and was promised that
it would resolve the matter and to date nothing has been done.
The current direction of the Medical Association of
Mozambique (AMM) was elected and took office in May 2012 and this ceremony the
current Minister of Health expressed his satisfaction and urged and pledged the
cooperation between the two institutions.
ut since the
beginning of the activities only difficulties were encountered, even in ways
that would benefitting the doctor, for example, blocked and prevented the
execution of an agreement that would allow the creation of a web page that is
also intended to be a source of scientific information for associates. They
documented the numerous requests for clarification on the status of the status
and salary review that is underway and we knew there was never reply. Against
this silence is convened in November 2012 a general meeting that approved the
continuation of attempts to clarify the situation by letters sent to MOH,
OFFICE OF THE PRIME MINISTER, THE CHAIR OF PARLIAMENT all these knowledge with
the Secretary General of the FRELIMO Party and the response was silence. The
AMM part then for the pre warning strike that disperta the Government's
attention immediately and it makes a meeting between the Prime Minister and the
MOH, and the Medical AMM and this came to a determination to find a solution.
Following the MOH and AMM initiate negotiations to review the status and salary
in specific committees which involved only medical officials. It was then that
the MOH has a starting salary proposal that there would be a rise in base
salary for the newly formed 20.000mt to the newly formed and 38.000mt for the
specialist consultant, on balance the rise of real net salary would be 24,000
mt of ± current to ± 28000mt for the newly formed and 42,000 mt for ± ±
48000mt. This had never been discussed with representatives of the class and
had cabimentação budget in June 2012, in a document signed by the Minister of
Finance: This proposal is made in the general meeting of physicians today by
historic turnout. Never at any time in the history of MMA joined a meeting so
many doctors, and the amphitheater of the Faculty of Medicine was little to
close to 400 that occupied the entire space of the room and outside were
several, besides those who attended this meeting on the internet, it is
estimated that certain quarter of Mozambican doctors in the public service have
been at present. This assembly chumbou the government's proposal because it was
clear she was not dignified the doctor and following the principle of fighting
for a decent base salary supplemented by subsidies that can be withdrawn at any
time and has delegated to management the AMM to advance to the negotiation with
a proposal for a minimum of 40000MT of basic salary in view of what is paid to
other classes of professionals in the public, because the doctor is no more or
less valid than the other professionals who earn these wages.
In negotiations were agreed the composition of
committees and deadlines (with a document signed by the parties) for completion
of negotiations with proven solutions, Jan. 5 for salary review committee and
January 31 for the commission to review the status.
The review committee status did his job without much
precalços.
Contrary to what was agreed, should integrate the
salary review committee members from the Ministry of Finance and the Civil
Service but was never explained his absence, this negotiation was conducted
with the steps chameleon unexcused absence by MOH on December 24, not being permitted
AMM's participation in meetings in finance, for only the 3rd of January to
submit a proposal AMM minimum wage indecent because it was smaller than
initially sinker with an initial base salary of 18000mt sinker and that was
obviously the MOH was to present a new proposal for the next day. The argument
made was that the state budget had already been approved, there was not much
room for maneuver because there was no more money, and that a revision in the
base salary of the doctor would require a revision of the entire salary
structure of the employees. WE ARE SPEAKING OF MEDICAL 1274. Now there is money
to revise wages but no money for luxury cars, helicopters, first class tickets,
bridges to nowhere, during discussions at the negotiating table was none regretted
that because of lack of money had not been possible to Directors buy new cars
in 2012, and wonder what was done to the previous? And the previous ones?
Passed on to family members? It is claimed that there is no money but the
government spends on each Cuban doctor in the country that is $ 6000 per month.
It is claimed that there is no money but was recently published in the Journal
News that the National Assembly will review in March its Statute and Rules,
which will be verified with costs that are too high (880 meticais per year) and
will reduce them?
he meeting on
January 4 did not happen and AMM was forced to announce the guidelines for the
strike, and that's when doctors AMM senior counselors are called to a meeting
with MOH and senior officials of the Ministry of Finance that expose the
situation current of dissatisfaction and distrust in the class who have fallen
by the successive failures over the years and the recent and present
counterproposal that salary. At the meeting were instructed to find a new
proposal.
We know that it exists but has not been filed within
the time agreed, and probably, if an acceptable proposal - a compromise with
guarantees to keep improving until they reach the desired, the AMM - open to
negotiation as to be clearly demonstrated, cancel this shutdown. The Government
again guided by silence, the same silence that led to the November General
meeting and the same silence that led to the pre warning strike. But this was
only silence at the negotiating table and because the Health Minister is
publicly attacking some members of the AMM, refers to values proposed not true values and also not true that pays few experts in the
provinces but says it does not pay it to Maputo, puts up against the doctors
and try to put the public against doctors. There are recent examples of the way
that such behavior has led, or not? And on such extra allowance is paid to
medical experts, the former Directorate MOH had removed the such $ 500 for
household income are actually 13000mt and rents are 20000MT in many provincial
capitals, besides factode such subsidies "topping up" not count for
reform. Then leaves the public with a press release threatening doctors and is
touted as the doctors' strike is illegal. Several legal experts consulted were
of the contrary opinion because the fact that the strike is not regulated in
General Statute Employee and Agents of the State does not make it illegal for
there other legal instruments that make it legal, including the Constitution,
the Labor Law and Statute of the Medical and its Code of Ethics. My compatriots
the strike is legal, yes and will be held during its duration will be
guaranteed minimum medical services. I would invite those compatriots who argue
the illegality of this movement to publish their salaries, perks and subídios
not published in the Government Gazette. I ask everyone to understand our
situation and we want to be treated just like other professionals in the civil
service. In closing I want to remind that Mozambique is today an independent
country because a group of young people became aware of a series of injustices
and joined and formed the FRONT OF LIBERATION OF MOZAMBIQUE. (Signed:
A young doctor and attentive)