Resource scarcity seriously cripples operations of the institution and affects
the enjoyment of basic human rights critical to mental health patients such as
the right to food and right to health.
6.5 Right to Food and Access to Water
The ZHRC team established that there is an acute shortage of food at
Ingutsheni Central Hospital owing to the paltry budgetary allocations the
institution gets, which is split between operational and infrastructural costs.
From the interviews carried out it was revealed that patients have tea with
bread in the morning, sadza and vegetables at lunch and sadza and
vegetables or beans (as and when available) at dinner almost on a daily basis
unless there is a donation to cater for meat once or twice per month. Doctors
and nursing staff pointed out a malnutrition scare as the patients are not
having a balanced diet. They advised that between 2007 and 2008, over 100
mental patients died as a result of malnutrition and that if nothing was done to
improve the diet, the institution would encounter the same fate. While the
ZHRC team was touring the institution some patients volunteered information
to the effect that there was a monotonous diet of sadza and vegetables and
begged the team to bring them meat.
It was noted that there is a good supply of portable water to the institution
giving the patients access to clean water and ensuring hygienic surroundings.
6.6 Right to Health
Interviewed staff at Ingutsheni voiced concerns over the shortage of
resources which adversely affect service delivery. It was reported that there
was a shortage of essential anti-psychotic drugs at the institution and this has
negative impact on the staff as they may be unable to work safely if acute
patients are not sedated. It was reported that there is a shortage of critical
drugs such as the Chrorpromazine, Fluphenazine Deconate and Benzhezol
results in deterioration of patients’ condition. The ZHRC was advised that
some patients who still have cooperative and willing relatives, had these
drugs bought from the pharmacies. The right to the highest attainable health
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