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Onjezani Kenani Is Misled On Dialysis Unit Issue At Kamuzu Central Hospital

BY YAMIKANI NICHOLAS KACHINGWE


Our Switzerland  based Uncle Mr Onjezani Kenani earlier today wrote an article(See attached image) which had misleading information and misrepresented facts.

I trust he was deliberately misinformed and allured into parading falsehood for the solely purpose of holifying the image of the ‘CORRUPT’   FREISNER MEDICAL CARE AGE  COMPANY. 

Mr Kenani got it wrong,this is the truth below.
In 2013 Nipro gracefully donated 10 dialysis machines to Kamuzu central hospital in order to setup the first dialysis unit in Malawi. A record breaker.  This means the government of Malawi is rightful owner of the 10 Dialysis  Machines. 

A dialysis machine can not perform it’s duty without consumables e.g syringe,drips etc plus technical support. Therefore, it needs  professional, experienced   technical expertise and support for it to be operated effectively. 


The Government of Malawi through the ministry of Health, appealed to NIPRO to be supplying the consumables to Kamuzu Central Hospital.
Nipro’s local  based agent is Worldwide Pharmaceutical Company.
Worldwide Pharmaceutical company by virtue  of being  Nipro’s local based agent. As a surety of guarantee/warranty, they signed 1 year contract to maintain, operate and repair the 10 Dialysis Machines FREE OF CHARGE! Kwa chaka  chimodzi  amayang’anila,kukonza  ndipo  kusamala machine wo  ULERE!.

Worldwide Pharmaceutical company performed and executed their end of bargain excellently.

In 2014
The warranty expired.
Worldwide Pharmaceutical company appealed, requested and attempted to negotiate with the administration department of KCH to award it a maintenance contract for the Dialysis Machine but it never materialized. 
Although Worldwide Pharmaceutical company  proved beyond  reasonable doubt that,they have the  capacity,ability to operate and maintain the Dialysis Department. No contract was signed regardless. 

Thereafter, 
Worldwide Pharmaceutical company was only  called  on temporary basis to be fixing the machines whenever they have faults or undergo any technical problems. In which ,as usual WPC were fixing the machines  effectively and on time!

In 2016
As part of Corporate Social Responsibility and in an effort  to lessen the burden on the shoulder of KCH and as well in considering the welfare of Malawians struggling with Kidney problems. WPC donated 5 brand new dialysis machines to KCH. 

Somewhere around February 2020
The Ministry of Health gave a directive to the top management of KCH to inform WPC; they’re maintenance services are no longer  required. And KCH further told the company  to retrieve it’s donation of 5 Dialysis Machines. 

KCH had in-house technical experts  who attempted  to offer  maintenance services, unfortunately. It never worked  out. Weeks after weeks  patients were being sent back or referred  to Q.E.C.H. 

After several unsuccessful maintenance efforts by KCH in-house technical experts.  The top management recalled WPC to offer the maintenance services on temporary basis AGAIN. Within two weeks the machines were  operational and in full force.  Numerous patients were assisted and saved from pending deaths.

While on the other hand,
In 2013, 
A Germany based FREISNER MEDICAL CARE AGE  company with no local based agent got a three year contract with Queen Elizabeth Central Hospital  to install  5 Dialysis Machines and therein, A clause  cemented the fact that consumables will only be bought from them and they won’t  be any open bidding or tendering. 
A sham of a deal it was.

Fresenius Medical Care AGE and NIPRO  are among the  leading dialysis machines manufacturers and technical  experts in the world. Both of them their products  are top-notch. No doubt!

KENANI: Got it wrong

However. The Germany company which has agents  based in South Africa, whom here and there were chartering a plane to service the machines at Q.E.C.H whenever they felt like regardless the fact the company  needed to have a readily available team of technical experts on the ground.

Not only that,on two consecutive times Q.E.C.H failed to pay their due payments. The company  wasted no time to dismantle the 5 Dialysis Machines and left the lives of patients with kidney disease  in jeopardy. Fortunately some of the patients were being  referred to KCH, an institution that was being  maintained  by WPC on temporary basis.

While WPC on several occasions had delayed payments but not for once did they refused to offer their services or abandoned Patients with Kidney disease. 

Strangely  and unbelievably. Today the very same company with an ugly track record is bribing some officials from KCH,MOH and Q.E.C.H to promote and support it to control and have full  authority  to supply dialysis machines, maintenance services and consumables  to all Dialysis Departments in Malawi  without a formal  and  open tender process done with due diligence in respect to PPDA Act.

Meanwhile,
Fresenius has also been convicted of fraudulent  activities in more than 13 countries for bribing public health officials which includes, Spain, Morocco, Angola, Saudi Arabia, turkey, Benin, Burkina Faso, Cameroon, ivory coast, Niger, Gabon, chad and Senegal. 

These are  the only countries that  had undisputed  evidence and it was submitted and substantiated at the  US Justice Department . After pleading guilty of corrupt activities Fresenius was fined $231m.
This is a clear indication  that Fresenius has a history of bulldozing into different countries via  corrupt practices and bribery as their main WEAPON OF WOOING  CIVIL SERVANTS.

Mr Kenani,are you aware?
A tender was floated in 2019 for the same dialysis units for KCH, QECH, MCH and ZCH. Insiders from the technical evaluation team  revealed that FRESENIUS did not pass even the first round of this process. As the ministry was concluding the awardment of  the tender.  Some senior officials at Ministry of Health cancelled the entire process inorder to accommodate their paymaster(FMCA).

SHOCKING REVELATIONS:
1)Q.E.C.H has categorically refused to take any other dialysis  machines besides FRESENIUS, disregarding the government’s entire tender process and bulldozing their own interests by conniving with FRESENIUS.


2)Now i urge all  Malawians of good Will, why would MOH officials and QECH disregard the tender process and why do they only want FRESENIUS? There are several local based companies that are offering the same solutions. I thought the purpose of Tonse Government is to empower local companies?

From a layman’s  perspective it shows there is,and most  definitely additional incentives offered by Fresenius. As they have done in several countries across the world. 

Conclusion 
.If Worldwide Pharmaceutical company  is denied a contract to serve Malawians  through their maintenance  services at  KCH then the whole country will be at the mercy of one company FMCA.It will be a trade monopoly which will result  into over-charging and running the Dialysis Departments countrywide  as they wish.


• If Fresenius is awarded the full contract, if they’re any delays with payment, several lives could be lost as Fresenius has a history of shutting down units if payment is not received. 
• If Fresenius continues practicing in Malawi,this means  we as Malawians are supporting a company that makes profits off  corrupt practices. And we are encouraging these practices within the health sector. 
•I would suggest that WPC should  continue maintaining the Dialysis Department but this time around they should have a signed contract not As a part time service provider.

SUGGESTION
I appeal to the Minister of Health to intervene  in this matter. We can not afford to play around with people’s lives. 
I suggest, may we consider giving 1 year contract to both companies;
1) FREISNER MEDICAL CARE AGE COMPANY at Q.E.C.H
While,
2) Worldwide Pharmaceutical company at K.CH.
Then,
Let the Ministry of Health scrutinize and review  the previous  tender which was cancelled deliberately  by some unscrupulous officials. 
Whosoever comes out as the successful bidder[s],Will then take over the designated and selected  dialysis departments.


Let the RULE OF LAW BE RESPECTED  AND ADHERED TO BY EVERYONE.

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