Government is in the process of taking over all health facilities owned by local authorities as part of a grand plan to ensure  standardised service delivery as envisaged by the National Development Strategy 1, Parliament heard yesterday.

Vice President Constantino Chiwenga told legislators that most health facilities owned by local authorities were charging pregnant women and juveniles under five user fees in defiance of a standing health policy.

VP Chiwenga, who is also the Minister of Health and Child Care said his Ministry was in the process of recruiting provincial medical directors for Harare and Bulawayo.

He said this in the National Assembly while responding to a motion moved by Bulawayo Proportional Representation legislator Dr Thokozani Khupe who bemoaned the continued charging of user fees by health centres despite a Government policy against that.

The Vice President said health facilities were supposed to help pregnant women deliver for free before submitting their claims to the Ministry of Finance and Economic Development for reimbursement.

“To ensure implementation of National Development Strategy 1 on health and well-being, the Ministry of Health and Child Care is in the process of absorbing into the mainstream, all local authorities health delivery platforms which include clinics, polyclinics, rural hospitals and infectious disease hospitals. 

“In this regard, the Ministry is in the process of filling the gaps of provincial medical directors for Harare and Bulawayo Metropolitan provinces reporting directly to the Ministry. 

“This will standardise the provision of health service delivery among other things addressing both the welfare of health workers and Government user fee position,” said VP Chiwenga.

He said PMDs would be focal persons working with Ministers of State for Provinces and the Provincial Development Coordinator to push the devolution agenda.

He said the Ministry had just crafted the Health Development Strategy for 2021 to 2025 which would ensure equitable health delivery to everyone

VP Chiwenga chronicled the historical background regarding the policy on no user fee and noted that while Government had directed that there should be no user fees in district rural clinics, they were charging card, consultation, drug, security and development fees among others.

It was also noted that some health facilities were also demanding non monetary charges in the form of commodities such as maize, chicken and goats for services given to pregnant women.

-State Media