John A D I E N G Adwok
I am a General and Endocrine Surgeon based at the Nairobi Hospital, Kenya running a full time busy private practise. I left the University of Nairobi School of Medicine after teaching clinical surgery for 26 years. I also hold a PhD in Human Services specialising in Healthcare Administration. Some sample publications, lectures, talks and presentations that reflect fields of interest are available in the research section. My CV is also available on the personal website on Academia.
Phone: +254733709726
Address: Nairobi Hospital Lab. Building, 309. P.O.Box 21274. 00505, Nairobi, Kenya
Phone: +254733709726
Address: Nairobi Hospital Lab. Building, 309. P.O.Box 21274. 00505, Nairobi, Kenya
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Private hospitals, clinics, and traditional healing centers rapidly mushroomed all over the country soon after independence in 2011. The quality, nature and cost of health care services was left to local health authorities at the time until the SSGMC was established three years ago. Since then, traditional regulatory methods such as licensing and certification through the regulatory strategy of command and control have had little impact on controlling the behaviour in the healthcare sector. There is empirical evidence that this is a result of the limited resources available to government and because of the powerful countervailing incentives that encourage deviant behaviour to continue.
The purpose of this presentation is to give an overview of the current regulatory environment in South Sudan and highlight the seemingly insurmountable obstacles faced by the SSGMC to establish itself as a regulatory body that will ensure access to safe health care by all. We also propose further research to identify hybrid regulatory methods that could be more effective and efficient in regions where the rule of law is difficult to enforce.
Attending and visiting doctors working in hospitals are considered independent contractors rather than employees and have to bear full liability when sued for malpractice while treating a patient. The hospital is more often than not enjoined when such cases arise for ‘negligently granting privileges to an unlicensed or incompetent doctor.’
Controlling the number and distribution of health care facilities and quality of care as well as protecting consumers from opportunistic behavior or malpractice demands special regulatory capacities
it possible to extend the life of critically ill patients even in resource
poor countries in Sub-Saharan Africa. Modern biomedical technology
restores some patients to health but also allows others to live in a
severely disabled stage and prolongs the dying process for others. The
increasing role of technology in prolonging life in severely debilitated
patients, with no possibility of restoring health, is on a collision course
with moral norms in many societies. Patients have a limited say on
when to initiate these complex treatments and when to stop them
in the absence of advance directives or living wills......