These facilities should be privatised so that competent people can oversee their activities. A person who wins a tender can become the owner of the facility for a specified period of time like five years.
The Government can continue supplying drugs free of charge and the necessary equipment to the facility. The overseer, in consultation with
the health ministry, can charge a small fee on the drugs as cost-sharing so as to get his or her money back.
Donâ€™t argue that drugs are supposed to be free. drugs are ever out of stock and patients have been buying them! So if they charge a manageable fee, it would be better. The Government can continue paying staff salaries but through the facility owner.
This would help to supervise employeesâ€™ activities and curb unauthorised absentism. An evaluation by ministry can be made every year. This can be done by the ministry officials as well as the local people who are the beneficiaries.
This evaluation can also help to monitor the facility owner. The training fees of nurses and other health workers should be reduced so to encourage many people to join the profession.
Health centres should be privatised