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As a strategy this appears beyond debate – why rescue just the few when there is an opportunity to help many?


Because Cheap Bruce Ellington Jersey , say the critics on both sides of the border campaigning against the closure of the clinics, PNG’s beleaguered health system is a long way from being capable of caring for these patients, and lives will be sacrificed in the attempt.


In highlighting the scale of the failures within the PNG health system – widely acknowledged even by the PNG government as a wreck – the story of the Torres Strait clinics raises the fraught debate about the effectiveness of aid, and about how to turn Australia’s $400-million-a-year aid to PNG into real benefits for its people.
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Coming on the heels of two independent evaluations of the performance of Australian aid – one last year focused on PNG Cheap Tyrann Mathieu Jersey , and one in May looking at AusAID’s role internationally – new strategies are being rolled out on the ground in PNG. The TB crisis, and the closure of the clinics, lends sudden urgency to these efforts.


Daru General Hospital, and the vast Cheap Trevor Daniel Jersey , impoverished Western Province region it serves, provides the theatre for a bold real-life experiment in which the stakes could not be higher.


Daru is the notional capital of Western Province, but the powerbrokers have long since moved north up the Fly River, closer to the action of Ok Tedi Mining’s copper operations. They left behind a dysfunctional Cheap Dylan Cole Jersey , marooned island city with a pot-holed airstrip, a tenuous water supply, an estimated 15,000 people – many crowded into shanty slums – and a hospital reputed to be one of the worst in the nation’s failing government health system.


In ”poor old South Fly” Cheap Brandon Dunn Jersey , observes AusAID’s PNG health program director, Dr Geoff Clark, ”seriously, God forgot them”.


Daru General Hospital struggles to find clean water Cheap Jordan Thomas Jersey , let alone medical staff. Buildings and equipment are dilapidated and broken. When The Age visited, neither the X-ray machine nor the tiny pathology unit was working.


Each morning, the sick are turned too quickly out of 90 beds to accommodate the next wave. Many come from ”the corners” – settlements that are home to the diaspora of Fly delta people who flock to Daru because they can’t get access to basic health services, schools Cheap Vyncint Smith Jersey , banking and communications in their home villages, or because they have lost their gardens to rising king tides or to shifts imposed on the Fly River from the sediment washing down from Ok Tedi. With underlying malnutrition and overcrowding, disease spreads rapidly through the corners.


Men, women and children share crowded wards. There hasn’t been a delivery of basic medical supplies in months – though this is a complaint common in health facilities right across the country. The hospital’s caretaker chief Cheap Seantrel Henderson Jersey , Dr William Waro, says he has run out of anaesthetics and antibiotics. Meanwhile, he is struggling to find money to keep mopping up the aftermath of a cholera epidemic last year which officially claimed between 200 and 300 lives, but which local health workers say may have killed many more.


Dr Waro is worried that when village people from far-flung parts of the province converge on Daru next month to collect their annual payments from Ok Tedi Cheap Senio Kelemete Jersey , cholera will again capitalise on a crowded city weakened by underlying poverty and sickness and lacking a functional sanitation system.

Aid failing to prevent PNG’s wellbeing catastrophe


home medical supply


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