The failure of the two boards to meet curtails the rights of the mental patients.
For instance there maybe patients detained unnecessarily for lengthy periods
of time without recourse. With the challenges facing the Institution, constant
monitoring of the rights of the mental patients as provided in the Mental
Health Act is pertinent.
6.3 Separation of patients
The ZHRC found that there was a clear separation and categorization of
patients according sex and to the nature of their illness in compliance with the
Mental Health Act [Chapter 15:12]. For example the patients were categorized
and separated as follows: male and female patients were housed separately;
juvenile, chronic patients; sub-acute; elderly; aggressive/violent patients and
those with criminal records were respectively kept separate. This separation
of patients eliminates the possibility of sexual exploitation and maintains their
inherent dignity which should not be taken away upon institutionalization.
6.4 Resource Constraints
From interviews conducted with senior management of the institution, the
ZHRC confirmed that the hospital is facing serious financial challenges which
affects service provision and the welfare and health of the patients seeking
treatment and those being kept at the hospital. It was highlighted that the
institution has over the years been receiving paltry budgetary allocations in
batches which are far lower than their expectations. This has caused the
Hospital to be always indebted to service providers and as of June 2015 the
debt of the institution had sky rocketed to around USD920 000. The budgetary
request for 2015 for Ingutsheni Central Hospital was USD8million but was
reduced to USD498, 200 of which they have only received USD180 000 which
is far below their needs. This means that the institution is seriously
constrained. Unlike other institutions which charge for their services and are
able to fundraise, Ingutsheni Central Hospital solely depends on government
disbursements for day to day activities. From the interviews carried out it was
stated that the hospital has been able to keep running because of donations.
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