Tag: MP Ibrahim Rasheed

Resigning not the solution: Health Minister Dr Shakeela

Resigning in the wake of last week’s transfusion of HIV positive blood to a patient is not the solution to problems in the health sector, Health Minister Dr Mariyam Shakeela told MPs on the government oversight committee on Friday (February 28).

Dr Shakeela told the opposition-majority oversight committee that “human error” was to blame for the incident at the government-run Indira Gandhi Memorial Hospital (IGMH), as the lab technician reported the blood as negative despite the machine showing otherwise.

“My resignation isn’t going to solve this. I could resign if that is the case. My resignation is not going to solve it. That’s why I am saying, what is the solution? The solution is all of us cooperating and working together to improve the system,” she said.

Shakeela added that she had been receiving text messages calling for her resignation.

Asked by opposition Maldivian Democratic Party (MDP) MP Ahmed Hamza if she accepted “full responsibility without any excuses” for the incident, Shakeela replied that she accepts responsibility for “providing benefits” to whomever it was owed.

The ministry would attempt to explain to the public that the incident occurred due to “human error,” she stressed, adding that she did not think members of the public would stop visiting the government-run tertiary hospital.

As the donor was found by the patient, Shakeela stressed that the blood sample did not come from the hospital’s blood bank. The donor was not previously registered as an AIDs patient.

The government was ready to take whatever measures were necessary to restore public confidence, she added.

The minister also denied that there was a cover-up, or that the revelation to the media was prompted by leaked information.

Shakeela urged MPs to consider the mishap as “a one-off” incident caused by a mistake.

“Don’t think that this will keep happening to us all the time. We are taking steps for example to try and go to a fully automated system, to improve it and reduce human mistakes,” she said.

ISO standards

Upon learning of the incident on February 19, Shakeela said she informed the World Health Organisation (WHO), seeking advice and assistance following an emergency meeting with high-level officials at the Health Ministry.

The Health Ministry acted in line with international best practices, she said, and immediately launched independent inquiries.

The incident was revealed to the media shortly after receiving a draft report from an independent committee, she added, noting that further investigations were taking place to identify shortcomings at the hospital.

The machines at IGMH were state of the art whilst the standard operating procedures (SOPs) and protocols were at international standards, she noted.

Health Ministry Director General Dr Sheeza Ali meanwhile revealed that the laboratory was presently not “ISO certified”.

“But we are starting work during this year towards ISO certification. It is likely that we might not reach the latest [standards] as we might not be able to fulfil all the requirements,” she said.

Budget constraints

While the Health Ministry had asked for a “realistic budget” of MVR4 billion, Permanent Secretary Geela Ali said the budget approved by parliament had only MVR2.5 billion earmarked for the health sector.

Of the MVR2.5 billion annual budget, Geela noted that MVR1.8 billion was allocated for the National Social Protection Agency (NSPA).

Shakeela meanwhile told MPs that the health sector was in disarray, with crumbling infrastructure and facilities due to insufficient funds allocated in the state budget for many years.

“If we look at machinery, a screw comes loose from the machine and it falls on the head of the patient who is taken into the operating theatre,” she said.

Moreover, attracting qualified foreign doctors was “very difficult” as the salary of doctors in the Maldives has not kept pace with pay rises for doctors in the South Asian region, she explained.

Due to the budget constraints, Shakeela said the ministry was seeking foreign assistance, and that machinery and equipment were “on the way”.

In response to complaints regarding the budget, MDP MPs on the committee pointed out that health policy was formulated by the government while the state budget was proposed by the Finance Ministry, reviewed by a budget committee controlled by the ruling coalition, and approved by the government majority in parliament.

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IGMH lab technician responsible for HIV blood transfusion in custody

An expatriate lab technician at the Indira Gandhi Memorial Hospital (IGMH) responsible for the transfusion of HIV positive blood to a pregnant Maldivian patient has been taken into police custody on Thursday night (February 27).

IGMH Deputy CEO Dr Mohamed Habeeb told MPs on the government oversight committee yesterday that the Indian national had admitted his culpability in the incident.

Local media has since revealed his identity and reported that the Criminal Court has extended pretrial detention to seven days.

Habeeb was summoned to the oversight committee along with Health Minister Dr Mariyam Shakeela and senior officials at the ministry.

Briefing MPs on the incident, Habeeb explained that the blood test was done on February 2 and the transfusion took place the next day.

The technician at fault reported the blood as negative despite the machine showing that it was positive for HIV.

The error was discovered when the patient came in for a routine checkup on February 18, he continued, after which the blood test report was reviewed.

A high-level meeting with senior officials from the Health Ministry was held immediately after the discovery and a three-member committee was formed to look into the incident, he said.

The committee comprised of an experienced doctor, senior nurse, and retired lab technician, he added – none of whom were employed by the hospital.

The incident was revealed to the media hours after the committee shared its findings, he said.

The blood sample was taken from a donor found by the patient and not from the hospital’s blood bank, Habeeb stressed. The donor was not previously registered as an HIV patient.

While there were normally two technicians at the lab, Habeeb noted that the Indian national was alone on the day in question as it was a public holiday.

Habeeb revealed that the technician left for India on the day of the incident and returned to the Maldives about two days later.

The technician had been working at the hospital for seven years and had recently received an award for his performance, Habeeb said.

However, Permanent Secretary at the Health Ministry Geela Ali revealed that the technician had been fired from his previous job in 2006.


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Parliament approves amendment to conduct no-confidence votes through secret ballot

Parliament voted today 41-34 to approve amendments to the parliamentary rules of procedure to conduct no-confidence votes to impeach the President and remove cabinet members through secret ballot.

Today’s vote passed after a similar proposition was narrowly defeated 39-34 in November.

In October, the ousted Maldivian Democratic Party (MDP) submitted a no-confidence motion to impeach President Dr Mohamed Waheed Hassan Manik.

The no-confidence motion has however yet to be tabled in the Majlis agenda. Under the rules or standing orders, the President must be given a 14-day notice ahead of the vote.

Today’s vote was won after MPs of the government-aligned Jumhooree Party (JP) and Dhivehi Rayyithunge Party (DRP) – including respective leaders MPs Gasim Ibrahim and Ahmed Thasmeen Ali – joined MDP MPs to vote in favour of the amendments.

The amendment to the house rules was meanwhile approved after MPs voted in favour of a report (Dhivehi) by the MDP-majority General Affairs Committee, which voted last month in favour of the amendments proposed by MDP MP Ibrahim Rasheed for secret voting.

During today’s debate on the report, MPs of the government-aligned Progressive Party of Maldives (PPM) contended that the report was tabled in the agenda in violation of Majlis rules and criticised having to vote on the same issue for a second time.

PPM MPs along with some DRP MPs and several Independent MPs argued against secret ballots in parliament and insisted that constituents deserved to know how their MPs vote.

MPs further contended that conducting no-confidence votes through secret ballot would give weight to widespread allegations of corruption levelled against parliament.

Meanwhile, speaking at rally on Thursday night, Adhaalath Party President Sheikh Imran Abdulla called MPs who voted in favour of secret ballot “traitors.”

Imran warned that he would “chase after” MPs and the Speaker if the amendments were approved and threatened “direct action”.

“The day that [Speaker Abdulla] Shahid takes a vote to destroy the country is the day that we run after him,” Imran had said.

In an apparent response, Speaker Shahid said in a statement this week that intimidation and threats of force against MPs violated “the spirit of the constitution and democratic principles.”

Article 90(a) of the constitution states, “No member or other person shall be liable to any proceedings in any court, and no person shall be subject to any inquiry, arrest, detention or prosecution, with respect to anything said in, produced before, or submitted to the People’s Majlis or any of its committees, or with respect to any vote given if the same is not contrary to any tenet of Islam.”

While informing MPs of the wishes of the public was part of democratic norms, Speaker Shahid said in his statement that it did not include threats, intimidation and “inflicting psychological or physical harm on MPs.”

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Parliament sittings canceled indefinitely by Speaker

Speaker Abdulla Shahid has announced that parliament sittings will be cancelled indefinitely as “a peaceful atmosphere could not be assured” for sittings to proceed amidst rising political tension.

In a press statement today, Speaker Shahid said that MPs of the formerly ruling Maldivian Democratic Party (MDP) confronted the Speaker in his private chambers after MDP MP Mohamed Rasheed ‘Kubey’ was forcibly removed at the beginning of today’s sitting.

“Moreover, confrontations occurred between MPs in the chamber to the point of becoming dangerous,” the statement read, adding that “an atmosphere of calm necessary to conduct sittings could not be assured” as all recent sittings had to be cancelled due to disorder.

Shahid explained that he decided to invoke the Speaker’s authority under section 213(e) of the rules of procedure to cancel sittings indefinitely as he believed a political solution had to be sought through dialogue among parliamentary group leaders.

Section 213(e) states that the Speaker has the discretion to not conduct sittings for a period “as a precautionary measure if there is fear of a certain type of danger facing the Majlis.”

Both today and yesterday’s sitting were cancelled after MDP MPs vociferously raised points of order to protest the arrest of MPs during the party’s ongoing street demonstrations and the government’s decision to alter the ‘Aasandha’ health insurance scheme to charge patients from private hospitals and clinics.

MDP MPs led by MP Ali Waheed also disrupted today’s meeting of the Finance Committee alleging that the committee had failed to investigate the government “illegally borrowing” MVR 300 million from the Bank of Maldives.

“Paralysed”

Speaking at a press conference yesterday, MDP MP Ali Waheed argued that parliament has been “paralysed” since the transfer of power on February 7 and that “nothing productive” had been done in the past six months.

MP Ibrahim Mohamed Solih ‘Ibu’, parliamentary group leader of the MDP, contended that the government was violating the Public Finance Act by borrowing large sums of money without parliamentary approval.

Ibu claimed that the Finance Minister had written to parliament’s Finance Committee seeking MVR9 billion (US$583 million) for the budget as well as MVR 3 billion (US$194 million) in additional expenditure.

MP Ali Waheed meanwhile noted that MPs last month overwhelmingly rejected a Finance Committee recommendation to make changes to the Aasandha health insurance scheme.

Speaking to press after today’s sitting, MDP Chairperson and Hulhu-Henveiru MP ‘Reeko’ Moosa Manik said the party would not allow parliament to resume while the current government was altering the MDP’s flagship free universal health insurance scheme.

MDP MP Eva Abdulla claimed that the government was facing a shortfall in budgeted funds for the health insurance scheme due to increasing expenditure on the police and army.

“What we’re seeing is the result of a group of people assuming power without making any pledges to the public,” she said. “That is, they do not have to be accountable to the people. They do not have to let the people know what is going on.”

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Tourism Ministry lauds global PR efforts as opposition proposes promo spending cuts

Deputy Tourism Minister Mohamed Maleeh Jamal has claimed marketing plans designed to boost consumer confidence in the Maldives have had a positive impact over the last three months, as parliament prepares to debate a proposal on cutting state promotional spending.

Maleeh said that the nature of global media coverage about the Maldives had been “much better” over the last three months, following a decision to hire several marketing firms to promote the country following February’s controversial  transfer of power.

Among these firms is the high-profile multinational PR group Ruder Finn, which has been employed to “instil confidence in the tourism industry of the Maldives [and] gain understanding and public acknowledgement of the Maldives in the international community”.

Ruder Finn, which was appointed back in April under a three month contract reported in some media to amount to US$150,000 a month, has come under some criticism from at least one opposition MP, who has forwarded a proposal to parliament on rejecting further state spending on the contract.

MP Ibrahim Rasheed hit out at the cost of the Ruder Finn contract as being unsustainable considering the current economic situation in the Maldives.

Speaking to Minivan News today, Deputy Tourism Minister Maleeh said he was aware of the parliamentary resolution forwarded by the MDP MP for Maafannu-South, stressing concern at the potential impact it could have on the national economy.

“I’ve heard of the motion. Certainly from time to time MPs in the People’s Majlis will submit not-so-important motions,” he said.

The country has experienced ongoing political tensions amidst allegations by the Maldivian Democratic Party (MDP) that the elected government of former President Mohamed Nasheed was ousted back in February under a “coup d’etat” supported by opposition politicians, mutinous sections of the police and military and certain business leaders.

Within the current partisan atmosphere, Maleeh called on politicians, regardless of their politics, to avoid actions that would sabotage the tourism industry and the wider national economy.

“I am concerned that a major source of revenue such as tourism is being put at risk. I condemn such acts,” he said, referring to MP Rasheed’s motion to cancel state funding to hire Ruder Finn. “Without tourism the economy would be in a grave state. It is the biggest contributor to our national economy for the last 40 years. Politicians should leave the economy aside.”

According to Maleeh, during the last three years, the former government “slashed” the budget set aside for the promotion of tourism.

He added, that with President Dr Mohamed Waheed Hassan now in office, the new government was doing “all it could”, along with working in collaboration with the private sector, to boost promotional efforts and undo the impacts of international headlines concerning February’s transfer of power.

However, Maleeh stressed that Ruder Finn was just one of a number of promotional contracts that had been signed by the government to try and improve damage to consumer confidence in the country’s tourism industry.

“We have several international contracts with agencies that are carrying out specific focuses for us,” he said.

Earlier this month, the tourism industry announced it had signed a contract to advertise the Maldives under its recently reinstated “Sunny Side of Life” branding on the BBC weather service both through its online and World Service.

When contacted by Minivan News today about the present nature of its contract with the Maldives government, as well as the company’s aims for its work in the country, Ruder Finn’s Ethics Officer Emmanuel Tchividjian said he had “no comment”.

The contract, said to cost US$150,000 a month for the three month-long campaign, was the result of a collaboration with the private sector that tourism authorities have said they hope to continue over the next few months as they secure more funding.

In addressing the impact of the industry’s recent promotional spending Maleeh added that the “results were hard to measure”, but added that there had been a positive impact during the last financial quarter on media coverage of the country.

“Marketing is a long-term strategy. It therefore can take time to get clear results,” he said. “However, with marketing contracts such as these, the main agenda is to protect tourism.”

Amidst “quite aggressive” marketing strategies being employed by neighbouring destinations such as Sri Lanka, Maleeh stressed that improved budgets would allow the country to compete more evenly. To this end, he expressed commitment to secure further private sector support such as the country’s resort industry to aid future marketing efforts.

With the Ruder Finn contract expected to expire next month, Maleeh stressed that no decision had yet been taken on whether to continue using the group in the future.

“That decision would depend of a review of the agreement when the contract was over,” he said, stressing that any decision would be based on the perceived impacts of its current work on the global perceptions of the Maldives.

MP Rasheed today told Minivan News that he had sought to forward a proposal to parliament that calls for a cessation of state funds to be spent on the Ruder Finn contract over concerns that money was being diverted from other areas such as public health.

With a hearing now scheduled for next Monday (July 2), Ibrahim Rasheed said he was confident that the proposal would be able to garner sufficient support in the Majlis chamber.

“We don’t have a budget for sewerage programmes or to fund healthcare,” he said. It is the government who are telling us the don’t have the money for these things.

When questioned by Minivan News as to whether the potential economic benefits of PR efforts from a group like Ruder Finn would not provide a greater economic boost than the amount being paid, Rasheed remained sceptical.

“My argument remains that there are not enough funds for this. [The government] should not be spending that amount on their image,” he argued.

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