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Healthcare in Iraq Pre and Immediately Post Operation Iraqi Freedom

Healthcare in Iraq Pre and Immediately Post Operation Iraqi Freedom. Michael J. Keller, MBA, FACHE. Geography Medical indicators Health care professionals Ministry of Health Private sector . Geography. Land Mass Comparison -. Babyl Province. Medical Indicators.

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Healthcare in Iraq Pre and Immediately Post Operation Iraqi Freedom

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  1. Healthcare in Iraq Pre and Immediately Post Operation Iraqi Freedom Michael J. Keller, MBA, FACHE

  2. Geography • Medical indicators • Health care professionals • Ministry of Health • Private sector

  3. Geography

  4. Land Mass Comparison -

  5. Babyl Province

  6. Medical Indicators

  7. Al Hilla Maternal/Child Hospital

  8. Medical Supply Missions

  9. Absence of Equipment

  10. Sole Incubator

  11. Sanitation Standards

  12. Al Hillah Hospital Today

  13. Physician Training • All conducted in English (British) • 4 year medical school, standard residency training programs • Iraqi developed and administered final exams since 1981 • Little or no professional contact outside Iraq during Saddam’s regeime • No new textbooks or journals >10 years

  14. Nursing • Estimated 250 formally trained professional nurses (RN’s) • No nursing schools operating • No resources • Care provided by Aides & Orderlies • No appropriate work uniforms • Lack of basic care training

  15. Allied Health Personnel • Medical Laboratory Technician – trained in Baghdad MOH • PT, OT, Speech, Respiratory, Medical Records – not to be found • Bio-Med - None • Management/Administration

  16. Ministry of Health • Baghdad centric • Assigned staff upon completion of training • Handed down operating budget • Salaries controlled and ‘regionalized’ • Directed treatment protocols

  17. MoH Elections

  18. Office of Public Health Dr. Hazim Al Nassiry, May 17, 2003

  19. Medical Supply System • Kamidi • Central purchasing and distribution system • Provincial warehouse & cold chain storage • Former régime requirement for ‘testing’ of all pharmaceuticals and reagents • Ban on U.S. produced Rx’s & reagents • Oversaw Iraq Rx manufacturing • Endemic corruption and graft • Administration ‘clung’ to Kamidia until finally realizing that it was beyond rehabilitation.

  20. Private Sector • Operated throughout the time of the former régime in all provinces • Obstetric & Ophthalmology • Forced to black market for supplies • Global fee - negotiated between physician & patient

  21. Closing comments - • Dedicated and ethical providers • Desperately wanting to return to US/European standards of care • Appropriate spending investment and removing corruption are key • Exportation of knowledge and learning materials is the way ahead • MoH was among first ministry to be returned to Iraqi sovereignty

  22. Questions & Comments A Portion of the Presidential Palace, Tikrit, Iraq

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