evans comedy show ilivyofana usiku wa kuamkia leo nyumbani longe.

THE ARMS DEALER; BOKO HARAM

Gary Hyde

On 19 January 2012, we read of the collapse of the trial of arms dealer Gary Hyde.

Hyde had been accused of helping to organise a shipment of arms from the UK to Nigeria.

(BBC News - Gary Hyde arms deal trial collapses)

Reportedly, Hyde regularly does business with the UK Ministry of Defence.

(British gun dealer investigated over AK-47 empire.)

Osae Brown asks: Who is sending the guns to Nigeria?


Nigeria by * Daniel *

On 2o January, it was reported that Nigeria-bound arms have been seized in Ghana. s

"In recent weeks, there have been increasing and disturbing reports of attempted importation of arms and ammunition into the country.

"Most recently, the Ghana Police Service intercepted a truckload of arms destined for Nigeria.

"The arms and ammunition were concealed in a lorry with an inscription of Coca-Cola brand name on it. In the consignment were pump action guns, AK 47 rifles, double-barrel guns and a large quantity of AA and BB cartridges.


Nigeria by Iris (Irene Becker)

"According to the Accra regional police command, the vehicle was intercepted following a tip-off from residents in the area that a truckload with a Nigerian number plate was heading for the Ghana-Togo border with offensive arms...

"Coming at this time that Nigeria is in the throes of its worst security problem posed by the terrorist sect, Boko Haram, the incessant reports of attempted arms importation into the country, is a present danger that should be tackled swiftly.


Nigeria by anthonyasael

"Only a day after the Nigeria-bound arms were intercepted in Ghana, a Briton, Mr. Gary Hyde, an arms dealer from Yorkshire, England, was arraigned in a London court for allegedly smuggling 80,000 guns and 32 million rounds of ammunition from China to Nigeria.

"Mr Hyde has also been fingered as the arms merchant behind the 2007 shipment of 40,000 AK 47 assault rifles, 10,000 9mm pistols into Nigeria..."

THE USA IN GHANA AND NIGERIA

Ghana - by Wieland Koerbel

"The US Africa Command is now at war on the continent of Africa.

"And not surprising, the war is about oil." (AFRICOM Goes To War In Africa -m)

Ghana made its first big oil find off the coast in 2007, and turned on the taps in 2011.

Reportedly, Mossad and the CIA are very active in oil-rich Ghana and Nigeria.


There is a fear that Ghana could become a failed state, just like Nigeria.

Politicians in both Nigeria and Ghana have their armed militias.

The CIA used militias to get control of the oil in Libya.

Website for this image

On 28 January 2012, at modernghana.com, Lord Aikins Adusei has written:

"Azorka Boys and Bamba Boys: the coming Boko Haram in Ghana?"

According to Adusei:

1. Nigeria's former head of state General Olusegun Obasanjo predicted that Nigeria would be counted among the 'ten leading nations in the world by the end of the (20th) century.'

But, Nigeria has become a failed state.

2. Professor Wole Soyinka, in a BBC interview, described the Boko Haram terrorist group as people from the Islamic madrassas, armed and employed by the elite in the north.

Ghana by Eli Shany אלי שני

In November 2011 some top people, including Senator Mohammed Ali Ndume, were arrested after it was discovered that they had met and supported Boko Haram.

In January 2012 President Goodluck Jonathan announced that members of his own government were supporters and sympathisers of the Boko Haram terror group.

3. In the south of Nigeria, politicians also have their armed militias.

These militias steal ballot boxes and carry out assassinations.

The Area Boys attack their political opponents, rob oil tankers, and kidnap oil workers for ransom.

Ghana by Eli Shany אלי שני

4. In Ghana, the ruling NDC have their Azorka Boys.

The opposition NPP have their Bamba Boys.

The Azorka Boys and Bamba Boys are 'violent and lawless thugs' working for certain politicians.

During elections they are supplied with weapons.

Brig. Gen. Robert Ferrell, U.S. Africa Command C4 director; Maj. Gen. David R. Hogg, U.S. Army Africa Commander; and Brig. Gen. Joseph Searyoh, director general of Defense Information Communication Systems, Ghana Armed Forces

5. Ghana's problems include:

Corrupt politicians, civil servants, judges and police.

Extreme poverty and inequality in the northern part of Ghana.

Politics based on tribe and religion.

A failing educational system.

Massive unemployment.

~

EURO CRISIS IS PROBABLY OVER - FUND MANAGER

France

Hugh Cuthbert, a top rated UK fund manager, says the euro crisis is probably over.

He believes that Europe now has the funding, and austerity, needed to end the 'sovereign debt' problem once and for all.

(http://www.trustnet.com/News/Research.aspx?id=305465 31 January, 2012)

Italy

On 30 January 2012, 25 countries at the EU summit endorsed the new Treaty on Stability, Coordination and Governance.

This means a promise to cap 'structural deficits' at 0.5 per cent of GDP, with fines of 0.1 per cent for nations that breach the limit.

The UK and the Czech Republic did not sign up to the treaty, but, David Cameron dropped his objection to the European Court of Justice taking control over such agreements.

Italy

Hugh Cuthbert believes that it is 'more than likely' that the end is now in sight.

He says: "We think measures such as the recently announced long-term refinancing option (LTRO) are what the market is looking for but in disguise.

"Banks have been given almost unlimited access to money at a cost of 1 per cent, they are then mandated to go out and buy sovereign debt.

"It is not just the ECB that is directly buying the sovereign debt, the banks are too. (This sees) banks cured and sovereign debt has a safety net put under it.

"I think the market has missed a trick there and that makes me positive about the future."

France

"In London, the FTSE 100 Index advanced 34 points to 5704.9 as traders were also hopeful Greece would receive its next tranche of its bailout funds later this week.

"Germany's Dax and France's Cac-40 made gains of 1% and 1.5% respectively." (Markets boosted by Greece optimism )

Stocks headed for best January since 1997

AMERICANS LOVE CHILDREN?

Some Asians like to hug.

'Mommy left us on the sidewalk and drove away'.

On 29 January 2012, the Alisha Adams abandoned her kids, aged 3 and 5, on a street in New York.

Brooklyn mom Dalisha Adams abandoned two kids.

Number of child deaths per day in the USA due to child abuse and neglect

On 29 January 2012, the 13-year-old son of a colonel in the US Airforce was shot dead at his home in the UK.

The colonel is based at the USAF air base in RAF Croughton, in the UK.

US officer's son dies after gunshot

In 1999, an estimated 3,244,000 children in the USA were reported to Child Protective Services

On 28 January 2012, a naked 9-year-old boy was found wandering his North Miami Beach neighborhood.

The boy's bones protruded from his skin, and his eyes bulged from their sockets.

The authorities had been alerted to the child's situation as early as 2007, but had failed to protect him.

Judge: Abused boy looks like concentration camp victim


"Over the past 10 years, more than 20,000 American children are believed to have been killed in their own homes by family members.

"That is nearly four times the number of US soldiers killed in Iraq and Afghanistan.

"The child maltreatment death rate in the US is triple Canada's and 11 times that of Italy."

Why child abuse is so acute in the US

CIA torture of children (MK ULTRA brainwashing)

Children from Texas are nearly twice as likely to die from abuse and neglect as children from Vermont.

Texas is a low tax, low service state.

Vermont is a high-tax, high-service state.

Why child abuse is so acute in the US

Victim of child abuse in the USA

In the USA, "why do husbands beat their wives?

"Why do so many of us support capital punishment?

"Why do we find so much entertainment and enjoyment in films and television programs that depict physical violence?

"The answer is that we are a physically violent society and that child abuse represents merely one aspect of that violence...

"Cultures that gave a great deal of infant physical affection - that is, a lot of touching, holding and carrying - were rated very low in adult physical violence.

"Conversely, the cultures that were rated low on adult physical affection of children were rated very high on adult physical violence."

Article: Child Abuse in America: Slaughter of the Innocents

~~

FAMILY COURTS ARE RUN BY PEDOPHILE RINGS?

UNHAPPY SOCCER PLAYERS

UK soccer player Duncan Ferguson introduces himself to Steffen Freund - Coming out of the Closet with Fuse: Meet Big Dunc e

Duncan Ferguson, former team mate of UK footballer Gary Speed, was jailed in 1994 for assaulting a rival player on the pitch.

Gary Speed was 'found hanged after a row'

More than 122 footballers are in jail, a charity has revealed s

More than 120 former UK football stars are behind bars for:

1. drug dealing

2. assault

3. car theft

4. shoplifting

In December 2011, former Manchester United player Ronnie Wallwork was jailed for 15 months for selling stolen car parts.

In November 2011, former Leyton Orient player Elliot Omozusi, 22, was sentenced to two-and-a-half years for witness intimidation.

In August 2011, former Southend player Tesfaye Bramble, brother of Sunderland player Titus, was jailed for four-and-a-half years for raping a teenage girl.

In 2008, Joey Barton of football team QPR was jailed for assault.

In 2008, former Plymouth goalkeeper Luke McCormick caused the deaths of Aaron Peak, 10, and brother Ben, 8, in an alcohol-fuelled road smash and was sentenced to seven years in jail.

In 1990, Tony Adams was jailed for drink-driving while he was captain of Arsenal.

GARY SPEED - MYSTERIOUS DEATH

BEYOND ALL BELIEF

Peter Lemesurier

According to author Peter Lemesurier, in his book "Beyond All Belief":

1. "Your triumphs and disasters, the whole unrolling tapestry of your daily life turns out to be an educational programme devised by the deeper you.

"That is why the good things always happen together, and why some days turn out to be unreleived chains of disasters.

"It is also why, if you discover one example of a new word or concept, you discover dozens at once."

2. "Once attain the level of consciousness at which you, the patient and the whole of the universe are one, and the healing takes place of its own accord."

3. "There is only consciousness...

"Fully relax into the realisation, therefore, and ultimate bliss can ensue."

4. Unconditional love... has the curious property that, of all the opposites in our world of opposites, it alone can transcend the other pole of the argument."

~~

Nostradamus and the Arab Revolt

Nostradamus and the financial crisis

Worried about 2012?

RENT BOYS AND GIRLS FOR FAMOUS PEOPLE

Scotty Bowers

Scotty Bowers, a former US Marine, reportedly ran a rent boy ring for top people.

He also reportedly supplied girls to top people.

These top people reportedly included Spencer Tracy, Cole porter, Cary Grant, George Cukor, Rock Hudson, the Duke of Windsor, Edith Piaf, Rita Hayworth, Katherine Hepburn and Vivien Leigh.

Reportedly, Scotty Bowers set Hepburn up with 'over 150 different women.'


Scotty Bowers has now written 'Full Service: My Adventures In Hollywood And The Secret Sex Lives Of The Stars'.

Bowers says it all started in 1946, when he was aged 23, and newly out of the Marines.

He got a job at a gas station near Paramount Pictures, reports the New York Times.

At the gas station, actor Walter Pidgeon propositioned him with a $20 bill.

Soon Bowers was servicing a number of clients himself, as well as setting them up with his Marine friends.

http://www.nytimes.com/2012/01/29/fashion/scotty-bowers-and-his-sexual-tell-all-of-old-hollywood.html?_r=1&pagewanted=all

http://www.dailymail.co.uk/news/article-2093684/My-famous-tricks-dead-The-truth-hurt-anymore-Revealed-1940s-Hollywood-rent-boy-threesomes-Edward-Wallis.html#ixzz1kwKgH0NS

TUME YA VYUO VIKUU TANZANIA

(TANZANIA COMMISSION FOR UNIVERSITIES – TCU)

TAARIFA KWA UMMA KUHUSU UENDESHWAJI WA UDAHILI - ELIMU YA JUU KWA MWAKA WA MASOMO 2012/2013

UTANGULIZI

Tume ya Vyuo Vikuu Tanzania (‘Tanzania Commission for Universities’-TCU) ikishirikiana na Baraza laTaifa la Elimu ya Ufundi (‘National Council for Technical Education’ - NACTE) pamoja na Bodi ya Mikopo ya Wanafunzi Elimu ya Juu (Higher Education Students Loans Board) inapenda kuutarifu umma kuhusu utaratibu wa kujiunga na vyuo vya elimu ya juu kwa mwaka wa masomo 2012/2013 kupitia mifumo ya “Pre-entry”, “Mature Age Entry”, “Equivalent Qualifications” na mfumo wa pamoja wa udahili (‘Central Admission System’) na utaratibu wa mikopo kama ifuatavyo:

MFUMO WA UDAHILI KUANZIA MWAKA 2012/13

1.1 Utaratibu wa Kuendesha Program za “Pre-entry” na “Mature Age Entry”

Kuanzia mwaka huu 2012, vyuo vyote vitakavyotaka kuendesha mafunzo ya awali kabla ya mwombaji kustahili kudahiliwa ili kuweza kujiunga na programu za elimu ya juu (pre-entry programmes) pamoja na kuendesha mitihani ya kupitia mfumo wa “Mature Age Entry” vinatakiwa kuwasilisha programu hizo Tume ya Vyuo Vikuu (TCU) au Baraza la Taifa la Elimu ya Ufundi (NACTE) kwa uhakiki na kupata kibali. Programu hizo ni lazima ziendeshwe kwa muda wa mwaka mmoja. Hali kadhalika kwa upande wa mitihani kupitia mfumo wa mature entry, Tume kwa ushirikiano na Baraza, kwa pamoja wataandaa na kuratibu utaratibu wa mitihani katika vituo maalum kikanda ili vyeti vitakavyotolewa viwe na ulinganifu unaostahili na hatimaye kuweza kutumika katika udahili wa sifa linganishi katika vyuo mbalimbali.

Vyuo vinatakiwa kuandaa programu za mifumo ya “Pre-entry” na “Mature Age Entry” na kuziwasilisha Tume na Baraza ili zihakikiwe kwani mwaka wa masomo kwa kusudi hili utaanza mwezi Agosti 2012/2013. Kwa utaratibu huu, watakaofanya mafunzo hayo watatakiwa kufanya mitihani yao na kujiunga na masomo ya elimu ya juu katika mwaka wa masomo 2013/2014.

Kwa taarifa hii, mwaka 2012/13 hakutakuwapo na udahili wa wanafunzi kwa mfumo wa “Pre-Entry” na “Mature Age Entry”.

1.2 Utaratibu wa Udahili Kupitia Mfumo wa Pamoja (Central Admission System)

Waombaji watakaopitia mfumo wa pamoja wa udahili (CAS) wamegawanyika katika makundi manne, ambapo waombaji wa kundi (i), (ii) na (iii) watatambuliwa kama “Direct Applicants” na kundi (iv) watatambuliwa kama “Indirect Applicants”

Waliohitimu elimu ya sekondari kidato cha sita katika kipindi cha miaka miwili iliyopita pamoja na wale watakaohitimu mwaka huu.

Waliohitimu mafunzo ya diploma ya elimu ya ufundi (NTA level 6) kutoka vyuo vinavyotambulika na NACTE miaka miwili iliyopita pamoja na wale watakaohitimu mwaka huu;

Waliohitimu mafunzo ya Diploma ya Ualimu (kutoka vyuo vinavyotambulika) katika kipindi cha miaka miwili iliyopita pamoja na wale watakaohitimu mwaka huu.

Waombaji ambao sio wa moja kwa moja (Indirect Applicants) ni wote waliohitimu kidato cha sita, Diploma ya Elimu ya Ufundi (NTA level 6) na Diploma ya Ualimu katika kipindi cha zaidi ya miaka miwili iliyopita (kuanzia 2009 kurudi nyuma).

1.2 Waombaji Watakaowasilisha Maombi yao Moja kwa Moja Vyuoni

Waombaji watakaowasilisha maombi kupitia vyuo husika ni wenye sifa linganishi (Equivalent Qualifications) yaani wenye vyeti vya Astashahada na Diploma ambazo hazitambuliwi moja kwa moja na NACTE. Ili kukamilisha udahili, wanashauriwa kuwasiliana na NACTE ili vyeti vyao vitambuliwe na kusajiliwa kabla udahili haujaanza.

Vyuo vinavyofundisha programu mbalimbali katika ngazi ya Astashahada na Diploma ambavyo havina usajili wa NACTE/NECTA vinatakiwa kuwasilisha matokeo ya wanafunzi wao NACTE haraka iwezekanavyo ili matokeo hayo yaweze kutumika katika utambuzi wa vyeti vya wanafunzi husika.

MUDA WA UDAHILI KWA MAKUNDI MBALIMBALI

Muda wa maombi wa kuwasilisha maombi ya udahili kwenye CAS umegawanyika katika makundi matatu kama ifuatavyo:

Kundi la Kwanza – (1 Aprili mpaka 30 Aprili 2012)

Waombaji wote waliomaliza kidato cha sita, Diploma ya Elimu ya Ufundi (NTA level 6), na Diploma ya Ualimu kuanzia mwaka 2011 kurudi nyuma wataanza kuomba udahili kuanzia Aprili 1, 2012 hadi 30 Aprili 2012.

Kundi la Pili

Waombaji wote watakaomaliza kidato cha sita, Diploma ya Elimu ya Ufundi na Diploma ya Ualimu mwaka 2012 wataanza kuomba udahili baada ya matokeo yao ya mitihani kutangazwa na vyombo husika. Hakuna mwanafunzi atakayesajiliwa kwa kutumia matokeo ya muda (provisional or expected results).

Kundi la Tatu

Waombaji wote ambao ni raia wa Tanzania waliosoma nje ya nchi au wenye vyeti ambavyo si vya mfumo wa elimu ya Tanzania (mfano: Cambridge, Bacclaureate, n.k). Waombaji wa kundi hili wanashauriwa kuomba udahili mara matokeo yao yatakapotangazwa na watatakiwa kupeleka vyeti vyao Baraza la Taifa la Mitihani (“National Examinations Council of Tanzania – NECTA”) au Baraza la Taifa la Elimu ya Ufundi (National Council for Technical Education - NACTE) kwa ajili ya kulinganisha alama zao za matokeo au kupata ithibati kabla ya kuanza kuomba udahili. Hakuna wanafunzi watakaodahiliwa kwa matokeo ya muda.

UTARATIBU WA MIKOPO

Bodi ya Mikopo ya Wanafunzi wa Elimu ya Juu kwa mamlaka iliyopewa kisheria itatoa mwongozo na utaratibu wa utoaji wa mikopo mwezi Februari 2012. Miongozo hii itachapishwa katika vyombo vya habari na kusambazwa kwenye vyuo vyote vya elimu ya juu nchini na Ofisi za Posta na kwa Wakuu wa Elimu kila wilaya. Maombi ya mikopo kwa mwaka wa masomo 2011/2012 yataanza kupokelewa ifikapo mwezi Machi 2012 na mwisho wa kupokea maombi ni tarehe 30 Juni 2012. Utaratibu huu utahusu waombaji wote wapya na wale walioko masomoni katika vyuo vya elimu ya juu.

HITIMISHO

Tunapenda kuwajulisha waombaji wote kuzingatia muda wao wa udahili kama ulivyoainishwa katika tangazo hili. Muda ukiisha hawataweza kuomba hadi mwaka wa masomo 2013/2014. Pia waombaji wote wanashauriwa kufuata taratibu za mikopo kam zitakazotolewa na Bodi ya Mikopo ili kuepuka usumbufu unaoweza kujitokeza katika swala hili

Maelezo zaidi na ufafanuzi kuhusu udahili na mikopo wa 2012/13 yanapatikana katika tovuti zifuatazo:

Tume ya Vyuo Vikuu; www.tcu.go.tz

Baraza la taifa la elimu ya ufundi; www.nacte.go.tz

Bodi ya Mikopo ya Elimu ya Elimu ya Juu; www.heslb.go.tz

IMETOLEWA NA: Katibu Mtendaji, Tume ya Vyuo Vikuu Tanzania, S.L.B 6562, Dar es Salaam. Barua pepe (e-mail) es@tcu.go.tz

Vifaa na Mazingira Bora ya Kazi Huzaa Huduma Bora za Afya

Ni Jumatatu asubuhi. Hali ya hewa ya joto la kadiri ilikuwa ni kitu cha kawaida kwa maeneo haya ya Dar es Salaam kipindi cha miezi hii ya mwisho wa mwaka. Tupo darasani kwenye presentation ya somo linalohusu magonjwa ya figo. Mada ilihusu kushindwa kufanya kazi ghafla kwa figo au Acute Renal Failure kwa lugha ya wenzetu. Lilikuwa somo refu lililozungumzia kwa undani tatizo hilo. Baada ya mwenzetu mwasilishaji kumaliza kuwasilisha somo lake kikafuata kipindi cha maswali na majibu na masomo zaidi kutoka kwa Profesa aliyekuwa anasimamia ile mada.

Mada ilikuwa moto. Maswali yetu pamoja na uzoefu wa yule profesa ulitosha kuibua somo na majibu yaliyotosheleza kiu zetu za kujifunza zaidi. Kisha baada ya somo akauliza swali kwa hali ya utani kidogo, nani kati yenu anapenda kuwa Nephrologist (daktari bingwa wa magonjwa ya figo). Wote tulibaki kimya tukitazamana kisha mwanafunzi muwasilisha mada huku akitabasamu alininyoshea kidole akasema Fabby huyo. Profesa aliniangalia kisha akainamisha kichwa chini kwa masikitiko akasema “I feel sorry for you my friend (nakuonea huruma rafiki yangu)”. Sikuelewa kwanini alisema vile nikashtukia tu namuuliza “why Professor?” Huku bado akiendelea kunitazama akanijibu “because you will be seeing your patients dying everyday”. Jibu lake ghafla likanirudisha nyuma kama mwaka mmoja hivi nikiwa nafanya kazi hospitali moja ya Mission iliyopo mkoa fulani kusini mwa nchi. 

Ilikuwa siku ya Jumatano asubuhi. Hali ya kaubaridi baridi iliyokuwepo siku hiyo iliashiria kuanza kwa siku njema. Ninaingia wodini na kusalimiana na wauguzi wa wodi yangu kabla ya kuingia ofisini kujiandaa na round. Nilikuwa na kawaida ya kuanza siku kwa kufanya round kwa wagonjwa waliolazwa kabla ya kuingia ofisini kuwaona wagonjwa wengine wapya na wale wanaokuja kwa ajili ya follow up. 

Baada ya kuwaona wagonjwa kadhaa, nikakifikia kitanda cha mgonjwa mpya aliyekuwa amelazwa usiku wa kuamkia siku hiyo na kuonwa na Clinical officer aliyekuwa zamu. Ni binti wa miaka takribani 20 (kwa sababu za kimaadili sitataja jina, umri wake halisi, mahali anapoishi wala details zake nyingine). 

Hali yake ilikuwa mbaya maana alikuwa amenyong’onyea na alikuwa akipumua kwa shida sana. Mpira wa mkojo ulikuwa ukining’inia pembeni ya kitanda lakini hakukuwa na kitu ndani yake. Uso wake ulionekana kuvimba kwa mbali na alikuwa akizungumza kwa shida. Midomo ilikuwa mikavu na hata ngozi yake ilionekana iliyosinyaa na kavu kuliko kawaida. Nilimuita mwangalizi wake na kuanza kuchukua upya historia ya mgonjwa maana yeye mwenyewe alikuwa akizungumza kwa shida sana. 

Mwangalizi aliniambia kuwa mgonjwa wake, alianza kupata tatizo la kukosa mkojo kwa ghafla kama siku saba zilizopita. Hawakujua sababu hivyo wakadhani ni mambo ya ushirikina wakaamua kumpeleka kwa mganga wa kienyeji ambaye alikaa naye siku tatu huku akimnywesha kila aina ya miti shamba lakini bila mafanikio.

Akasema, “tulipoona hali yake bado ipo vile vile tukaamua kumkimbiza hapa ili tujaribu huduma za kizungu. Kwahiyo kwa ujumla ana siku kama kumi tangu tatizo lilipojitokeza. Wakati tupo kwa mganga angalau hali yake ilikuwa siyo mbaya sana lakini jana usiku ndiyo hali ikabadilika tukaamua kumkimbiza huku. Sasa hivi hali chochote maana analalamika kichefuchefu muda wote, na akijaribu kula tu anatapika chote. Wakati mwingine anaongea vitu havieleweki basi baba ndiyo hivyo hivyo tu”.

Baada ya kuuliza maswali zaidi kulingana na taratibu zetu, kwa muonekano wa mgonjwa na historia yake harakaharaka niliweza kuhisi ni kitu gani kitakuwa kinamsumbua huyu mgonjwa. Niliamua kumfanyia uchunguzi wa mwili (physical examination) ili kuona vishiria vingine vya ugonjwa. Alikuwa na dalili zote za mtu mwenye matatizo ya figo, na mbaya zaidi alikuwa katika hali ya hatari zaidi ya ugonjwa.

Uchunguzi ulionesha, pamoja na dalili nyingine, kuwa alikuwa amevimba miguu (pedal edema) kwa kiasi fulani, tumbo lake lilishaanza kuvimba (ascites) na alikuwa akipumua kwa shida  sana (dysponea), alikuwa na dalili za upungufu wa damu (anemia) na ngozi kavu kuliko kawaida kuonesha kuwa alikuwa amepungukiwa maji mwilini (dehydrated). 

Nikaagiza tufanye vipimo kadhaa kama vile vya kuchunguza utendaji kazi figo, vya kuchunguza uwiano wa madini/chumvi mwilini (electrolytes analysis), ultrasound ya tumbo, vipimo vya moyo na vipimo vingine kadiri nilivyoona inafaa.

Ingawa vingi ya vipimo nilivyoagiza vilishindikana kufanyika ama kwa vile hakukuwa na vifaa vya kufanyia vipimo hivyo au hatukuwa na wataalamu wa maabara wenye ujuzi wa kufanya vipimo hivyo pamoja na kuwepo kwa mashine, bado niliweza kupata jawabu la tatizo lililokuwa linamsumbua mgonjwa wangu ingawa nakiri sikuweza kufahamu chanzo hasa cha ugonjwa wake ni nini kwa vile hatukuwa na vipimo vya kufanya hivyo. Alikuwa akisumbuliwa na kushindwa kufanya kazi ghafla kwa figo yaani Acute Renal Failure (ARF) na kwa dalili zake tayari alishafikia hatua ya kuwa na kiasi kikubwa cha madini ya potassium katika damu (hyperkalemia) na kwamba mrundikano wa uchafu mwilini ulikuwa katika kiwango cha hali ya juu kwa sababu figo zilishaacha kufanya kazi zake inavyotakiwa.

Pamoja na kumuanzishia matibabu, katika hali aliyokuwa nayo matibabu sahihi ilikuwa kwanza kufahamu chanzo cha tatizo ili kukitibu, kumfanyia dialysis ili kutoa uchafu mwilini na hatimaye kama ikionekana figo zimekufa kabisa basi afanyiwe upandikizaji wa figo mpya.

Nilipowaeleza yeye na mwangalizi wake kuhusu matokeo ya vipimo, hatua ya ugonjwa iliyofikiwa na nini cha kufanya ghafla niliona machozi yanamlengalenga mwangalizi. Kwa kweli alistahili kuwa vile. Kwa unyonge akaniuliza, “sasa baba hayo matibabu mnaweza kuyafanya hapa.” Nilimtazama tena na kwa kujitutumua ilibidi nimueleze tu ukweli kuwa hatuna uwezo wa kufanya dialysis pale kwetu, na wala hospitali ya karibu ya mkoa haina uwezo wa kufanya hivyo mjipigepige mumsafirishe mgonjwa Dar es Salaam kwa matibabu zaidi. 

Kama aliyekuwa anasubiri bomu zaidi nikamtajia na gharama za kufanya hayo matibabu na muda anaotakiwa kufanyiwa. Mama mwangalizi alinyamaza kwa sekunde kadhaa kama mtu anayefikiria kitu kisha kwa unyonge akasema , “baba kwa umaskini wetu huu hali yenyewe hii unaiona nilivyo. 

Naomba chonde chonde ujitahidi kufanya lolote lile hapa kama Mungu akipenda kumchukua basi mapenzi yake yafanyike maana hatuna uwezo wa kumsafirisha siyo tu kwenda huko Dar es Salaam bali hata hapo mkoani hatuwezi kufika”. Sikuwa na jinsi zaidi ya kuendelea na matibabu na kufanya kwa kadiri ya uwezo wangu kuokoa maisha ya mgonjwa wangu. 

Nasikitika kuwa baada ya masaa kadhaa mgonjwa yule alifariki kwa mshtuko wa moyo kama complication ya hypekalemia. Nilihuzunika sana lakini sikuwa na jinsi zaidi ya kuendelea kuchapa kazi kuhudumia wagonjwa wengine.

Kwanini nimekikumbuka hiki kisa?
Hiki ni kisa kimoja tu kati ya visa vingi vingi ambavyo madaktari wanakutana navyo kila siku katika utendaji wao wa kazi. Kushuhudia uhai ukipotea wakati ungeweza kuokoa maisha lakini huna vifaa au wataalamu wa kusaidiana nawe ni jambo linaloumiza sana kwa daktari na watoa huduma ya afya kwa ujumla wake. 

Nawafahamu wenzangu waliowahi kufanya operesheni kwa kutumia mwanga wa tochi za simu baada ya umeme kukatika hospitalini kukiwa hakuna jenereta wala taa hata ya kandili, wapo waliolazimika kubuni mbinu mbadala baada ya kukosekana maji ya drip (iv fluids) kwa ajili ya matibabu. 

Hapa majuzi tumesikia kuhusu watumishi wa hospitali moja ya misheni huko mkoani Manyara wanaolazimika kutumia vipande vya nguo na mashuka kama gloves wakati wa kuhudumia wagonjwa, ipo mifano mingi mingi inayoonesha uzembe wa watendaji wanaotakiwa kuboresha mazingira ya kazi ili watoa huduma ya afya waweze kutoa huduma katika mazingira salama kwao wenyewe na kwa wagonjwa wao na hivyo kuokoa maisha yao.

Kifo cha mgonjwa yule kingeweza kuzuilika au hata kucheleweshwa kwa mfano kama hospitali ya mkoa ingewezeshwa kutoa huduma ya dialysis kiasi cha kuweza kumkimbiza mgonjwa hospitalini hapo haraka. Lakini pia ingewezekana kuwa katika wakati mzuri wa kutambua chanzo cha ugonjwa wake kama hospitali ile ingekuwa na vifaa vya uhakika vya vipimo na pengine kulipatia ufumbuzi bila hata kuhitaji kumpa referral. Ipo mifano mingi yenye kufanana na hiyo. 

Mgogoro unaondelea hivi sasa nchini kati ya madaktari kwa upande mmoja na serikali kwa upande mwingine ni jambo linalosikitisha kutokana na jinsi suala hili lilivyoshughulikiwa na watendaji wakuu wa wizara pamoja na kuwa madai ya madaktari hawa ni ya msingi sana. Moja ya madai ya madaktari ni kutaka uboreshaji wa hospitali na vituo vyetu vya afya kwa maana ya vitendea kazi na mazingira ya kufanyia kazi. Dai hili siyo tu lina nia njema ya kuwahakikishia madaktari wanafanya kazi katika mazingira bora yenye vitendea kazi vya uhakika bali pia linahusu afya njema kwa ajili ya wananchi wenyewe. Kwa maneno mengine madai ya madaktari yanahusu pia ustawi wa afya za wananchi wengine na siyo maslahi yao tu binafsi.

Ni aibu sana kwa hospitali ya Taifa, kwa mfano, kukatikiwa umeme bila kuwa na chanzo kingine mbadala cha umeme huku ukitegemea watoa huduma hawa kuacha kunung’unika. Haiingii akilini hospitali ya Wilaya kukosa hata strips za kupimia sukari mwilini na kisha ukategemea wafanyakazi wawe na furaha na kazi yao. Haingii akilini wauguzi wafurahie kufanya kazi kwenye wodi ambayo wagonjwa wamelala watatu watatu kwenye kitanda kimoja. Ni aibu, ni aibu, ni aibu. 

Pamoja na nia njema ya madai hayo, bado inasikitisha kuona jinsi ambavyo serikali kupitia kwa Waziri Mkuu walivyoona kuwa hakuna njia ya kuweza kushughulika na madai hayo zaidi ya KUAMURU madaktari kurudi kazini kana kwamba AMRI inaweza kuboresha mazingira ya kazi. Kumlazimisha tabibu pamoja na watoa huduma wengine wa afya kurudi katika mazingira yale yale wanayoyapigia kelele siyo tu hakutatui tatizo bali kunaongeza ukubwa wa tatizo. 

Hakuna tabibu na muuguzi atakayefanya kazi kwa moyo mmoja huku akiwa na hasira na kinyongo kwanza kwa kuamrishwa bila kusikilizwa anachodai lakini pili kwa kulazimishwa kurudi katika mazingira yaleyale anayodai yarekebishwe. Hatari ninayoina ni kwa wagonjwa kuzidi kupoteza maisha na wengine kuishia kupata vilema kutokana na matibabu butu watakayopewa na wahudumu wasioridhika. Na haya yakitokea wahudumu wa afya kamwe wasilaumiwe!

Amri, vitisho, ubabe wala kamata kamata ya madaktari siyo suluhisho la matatizo. Ni matumaini yangu, wale wenye mamlaka wataona uzito wa madai ya madaktari na kuyapatia ufumbuzi wa kweli badala ya kuyapatia majibu ya kisiasa yenye vitisho na nia ya kufunika kombe ili mwanaharamu apite. 

Kinyume na hapo ni kuahirisha matatizo na kuendelea kuhatarisha afya za wananchi wengi masikini na wengine kufa kama yule binti. Lakini pia ni matumaini yetu, wananchi watatambua nia njema ya madaktari ya kutaka kuboreshewa mazingira yao ya kazi ili wananchi nao waweze kupatiwa huduma bora zaidi na uhakika tofauti na sasa.


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