A lead story on the Monday edition of The Point captioned “Back-way migrants urged to return, marry women” has produced an array of public reactions, both locally and internationally.
While condemnations of the views expressed by the tourism minister were not in short supply, others also saw the statement as positive reflection of what obtains in Gambian society today.
In the story, Minister Bah called on The Gambia’s backway migrants to return home and marry as many wives as they can in order to ease the burden of rising single women on Gambian society.
In a follow up interview with the BBC Focus on Africa programme aired on Monday, Mr Bah said that he was urging those who left the country that in case they want to marry, they should come back and marry their own Gambian women: “If they can afford to marry more than one, why not, they should marry more than one”
Bah said that when he mentioned that the religion preaches and teaches men to marry up to four women, “it was only fair that men who can afford to marry three to four wives should really do so because our women also have rights to a husband”.
Serious demographic issue
“This is comedic, and uncouth, in the way he [Hamat] expressed it, but it is a serious demographic issue,” Kebba Samateh, a Diaspora Gambian posted on his Facebook timeline.
“Hamat is clearly no sociologist! I wrote and talked about this issue on the radios, as the ‘Backway Syndrome’ issue escalated over the years into time bomb that is about to blow up! Who is going to marry all those eligible young women, when an estimated 4 out of 10 ( in some parts) young men are either stuck in asylum camps in Western Europe, dead, or in Libya, as a result of the ‘Backway Syndrome’?” Samateh argued.
“Honestly, Honourable Minister, I think you should have given our youth a better reason to return home. I expect you to tell them what awaits them if they return (jobs, trainings, etc.). Remember this young people risked a lot to reach their destination and most of them are breadwinners of their families,” said Lamin K. Saidy, an activist for the group Safe Hands for Girls.
Yacca Ceesay, a Gambian based in Italy, wrote: “Hi Honorable Minister, you are right but remember many boys are yet still in Gambia when they want to marry them (young women), it is so difficult. Can you ask them about that? Why do they want only the ones in Europe?”
Amadou Jallow, Tanji, said: “Mr. Bah, please tell your government to create job opportunities for the ones at home first to help them support their lone wives and forget about encouraging others to marry more wives when they cannot afford their daily basic needs. Therefore, leave those migrants in their peace of minds because they are there to fetch something better for their families.”
Ndey Sarr, French-Gambian activist, could not also hide her displeasure with Mr. Bah’s comments.
She said a French journalist asked her if there is men shortage in The Gambia. “Of course I told him no. If Hamat Bah’s government do not have plans for our country’s youths, let them be honest to say they don’t or if they are looking for a chance to encourage polygamy, let them say so.”
Be fair to the minister
Kejau Touray, another Diaspora Gambian in Sweden, said most [who have] taken offense at Hamat Bah’s statement have foreign wives and husbands.
“To be fair, Hamat Bah has a point with our male youths wasting in Europe and [going] after other women…who will marry our women? No wonder we have men shortage.”
Hamat also posted on his Facebook page yesterday morning, saying: “I call on all party members and sympathisers to be very open-minded with all criticisms and negative comments geared towards me because of the publication made on The Point newspaper. However, the beauty of democracy is to have different opinions.”
Source: Point Newspaper
A true story of our health system
The piercing persistent ring of the phone shattered the tranquil of the brief predawn sleep. I concluded that it was not the Suhoor (heda) alarm having already let it ring a few times.
“Doctor, bed X’s condition has changed.”
“Please remind me again, what’s her name and the admitting diagnosis? “, I blearily mumbled to the nurse. “And secondly is she really alive or dead?” I asked the admittedly cynical question because believe it or not, I’ve been called numerous times about patients’ ‘changed condition’ only to find that the patient was actually taking their final breaths or already dead. But I digress as that’s a story for another day.
On the ward I found the patient gasping for breath. Her blood oxygen level was dangerously low and she urgently needed oxygen amongst other things. But life-saving oxygen first and foremost.
The nurse tiredly shook her head. The only oxygen sources on the ward, the portable cylinder and the concentrator were being used for two patients at that very moment. In effect there was no oxygen available for this patient. 4M15 am, no oxygen in the hospital. The hospital only had limited oxygen supply in the form of portable cylinders and oxygen concentrators. The word portable is a misnomer as there is nothing portable about them; each cylinder is the height of an adult male and heavy. Not to mention expensive. Oxygen concentrators are machines the size of a small suitcase and basically extract oxygen from the air using electrical power. They are also expensive to purchase, run and maintain, and our hospital only had 3 working concentrators. The remaining two are owned by the maternity/gynae department and paediatrics department. Borrowing from those two wards was out of the question. As we pondered this quandary, her sister who had been by her bedside all night pleadingly stared at me……
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This oxygen shortage experience I just related happens with wretched regularity the length and breath of the national health system, and I speak with the conviction of a health care practitioner on the front lines of care. I am not interested in massaging the facts or delivering some ‘maslaha’/spin about how plans are afoot to address this situation as healthcare practitioners have been hearing such platitudes for ages with no progress. The painful catastrophic reality is that patients i.e. your relatives, my relatives, OUR relatives, die daily due to a shortage of oxygen in our health system and the situation shows no Y. Z. [. \. signs or fierce urgency to improve.
Consider the following:
There is no overarching national framework or strategy to supply oxygen to the major health centers or public hospitals, or if there is, it is only on paper i.e. the perennial ‘being worked on’.
The international standard is for individual hospitals to have their own oxygen plants on site, or at the very least a central Government-owned manufacturing plant that supplies oxygen to the peripheral health facilities. Each patient bed ideally should have piped oxygen on demand from the on-site plant.
As such major hospitals and health centers (public and private) have to source/buy their oxygen cylinders from private oxygen manufacturers like Banjul Oxygen Ltd, which is hideously expensive and unsustainable.
Our apex referral Hospital EFSTH (Edward Francis Small Teaching Hospital) at one point was allegedly spending 800,000 Dalasis monthly on oxygen purchases alone.
Oxygen is classified as a drug and it goes without saying that it is among the most elemental and fundamental in any health care system. It is critical in life support systems i.e. emergencies and surgeries.
Across the myriad issues facing the Gambian health system, there is a disheartening continuation even widening of that disconnect between the daily experience of those on the front-lines (i.e health care workers) and the policy/ decision makers ‘at the top’ especially how the former can guide what needs to urgently addressed to deliver good patient care.
A sustainable long-term solution to the oxygen issue would be a good start.
By: Dr John Locke