After recent criticism from a U.S.-based surgeon regarding the inadequate infrastructure in Jamaica’s hospitals, the Ministry of Health and Wellness has announced plans to introduce a new policy to improve equipment repair and maintenance across the island.
The backlash came after Dr. Robert Brady, a section chief at Norwalk Hospital in Connecticut, reported that poor operating conditions forced his team to delay a crucial surgery for an 11-year-old girl. Dr. Brady, who has been traveling to Jamaica for nearly two decades to perform life-changing orthopedic surgeries for children with severe health challenges, including scoliosis, called this recent trip “terrible.” His team, usually able to complete 12 to 16 surgeries, managed only five on this visit—four at BHC and one at the University Hospital of the West Indies (UHWI).
Dr. Brady attributed the delay to inadequate infrastructure at BHC, describing the operating theater as plagued with mold, faulty air conditioning, and a lack of essential equipment.
In response to these concerns, Dr. Tufton announced a draft plan to engage a private entity skilled in engineering, mechanical, plumbing, and electrical services for comprehensive facility maintenance.
“I have asked for a draft terms of reference to engage a private entity that possesses a suite of skill sets, like engineering, mechanical, plumbing, electrical… has the experience where we would contract them to coordinate the overall maintenance of the plant of our health facilities,” Dr. Tufton stated.
He explained that long-term service contracts would require suppliers to maintain a stock of basic parts and carry out routine equipment servicing and replacement to prevent breakdowns. Highlighting existing issues, Dr. Tufton noted that a previous supplier contracted to repair the Bustamante Hospital’s central air conditioning unit failed to do so after five months, leading to the supplier’s termination. A new contractor was hired but has yet to fulfill their commitment despite promising repairs within two weeks and hiring an overseas professional to assist.
“There is no lack of money,” Dr. Tufton emphasized, acknowledging that the problem lies within a systemic maintenance issue. “The culture and the history of how we operate within this environment has been suboptimal,” he continued, adding, “as we build out and modernise, which we are doing, a lot of money is being spent and we have to be careful that we transition into a more efficient culture.”
The Minister explained that implementing long-term supplier contracts, which would include well-stocked inventories for hospitals, could lead to a more efficient healthcare system. “Once we insist on extended service, whether through leasing, which we are going to… they will automatically be required to repair and to replace after the equipment depreciates through its usefulness,” he said.
Dr. Tufton expects a draft of the policy within the next month, after which it will be submitted to Cabinet, with public updates provided as the policy progresses.
