Dominica receiving help from PAHO with health insurance scheme and finding a replacement for the DFCH CEO

Dr. Dexter James, former CEO of The Dominica China Friendship Hospital

Five months following the resignation of the Chief Executive Officer (CEO) of the Dominica China Friendship Hospital (DCFH), Prime Minister Roosevelt Skerrit has revealed that Dominica is receiving the assistance of the Pan American Health Organization (PAHO) in finding a replacement for the Trinidadian national.

Dr. Dexter James, who held the position of CEO from the start of 2021, on a two-year contract, tendered his resignation from the health facility in July 2022. His contract should have ended and possibly been renewed on January 10, 2023, however, due to the resignation and earned vacation, James left the island at the end of September 2022.

Speaking on the subject, the prime minister made known that since this time, efforts have been made to recruit a new CEO, with the assistance of the United Nations organization which is in charge of international health cooperation in the Americas.

Skerrit also highlighted that the organization has also assisted by way of providing Dominica with several experts who will assist in ensuring that the country can have the equipment and the structures needed to provide optimal care to residents.

“They were here about a week and a half ago meeting with the minister of health and the hospital authority to discuss the approach and the plan, “ he said. “And I believe coming out of that, the hospital will be in a much better position to provide the kind of care that all of us would like to provide to our citizens.”

The prime minister also informed the media that, as in the past, his administration will continue to work with PAHO on the national health insurance scheme pilot programme.

Skerrit asserts that several people have already benefited from the program’s two components.

The prime minister added that his government has also decided to abolish the income tax criteria for those who have health insurance to give them a better opportunity to obtain health insurance as an additional means of support.

Given Dominica’s sparse population, the head of government emphasised that PAHO’s assistance is required to determine whether a new iteration of the country’s national health insurance programme can be implemented.

“Because there are always challenges with a small population size, like ours, such as what rates do you peg, how do you juxtapose against social security, etc? Or what kind of contribution will people make because you will have a situation where some can pay and some cannot pay. And the whole idea is that those who can’t will be supported by
those who can pay,” he explained.

Skerrit continued by saying he has also spoken with the prime minister of Antigua and Barbuda, who launched a similar project a few years ago and is currently working to improve it.

He pointed out that among their discussion was on what kinds of studies they had conducted and what percentage of contributions would Dominicans need to make.

The Prime Minister continued by officially declaring his commitment to moving through with this project, as well as that of the ministries of health and finance.

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4 Comments

  1. Sunshine
    March 4, 2023

    There is no Dominican medical professional with some years under their waist, with management experience and qualifications and local knowledge to fill this position?

  2. Citizen
    March 2, 2023

    PAHO too much and too deep in our health business garçon. Now WHO managing health locally? Look injection, nou pwi.

  3. dissident
    March 2, 2023

    Skerrit…..technically you saying a Dominican can’t fulfill the position!
    It’s our hospital!
    Well get Chinese nuh!
    “equipment and the structures needed to provide optimal care to residents” ……you see….you pushing your foot in your mouth!
    Where de hifu machine that you were boasting of?
    Officially skerrit is informing the country that our hospital is not fully equipped….and no head to run de show…..a headless chicken quite frankly.
    A direct reflection of our health situation on island. Now look at de minister of health!
    De man explaining his failures to our face!!!!

  4. Smh
    March 2, 2023

    Pure hogwash! They told us that Dr. James left because he wanted to be closer to his family. Remember he is Trinidadian. A month after he left Dominica it was announced that he took up the position of CEO at the Millennium Heights Medical Complex in St. Lucia. Closer to family huh? These people need to be straight with Dominicans. For one reason or another a qualified man who has a wealth of knowledge and experience in his field was allowed to leave and we are left pulling teeth to find his replacement. That is really something else.

    On another note, foreign organizations are assisting us with human resources when we have educated Dominicans in the country who aren’t hired in their field of training. Make it make sense!

    Well-loved. Like or Dislike: Thumb up 7 Thumb down 3

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