The Minister of Health in "Okaz Forum" inspects Jeddah with two hospitals in the north and east .. Dr. Al-Rabiah: Our projects are being delayed due to the lack of land ... We did not waste an inch. Moderated by: Dr. Ayman Habib, Dr. Khaled Al-Faram Follow-up: Muhammad Daoud, the Minister of Health, acknowledged the job slack in his ministry, when he indicated that it includes about 58,600 diploma graduates, but he added, “The ministry is keen to benefit from its cadres through development and training programs.” Dr. Abdullah bin Abdulaziz Al-Rabiah in his ministry on what was described as an incitement (instructive) from within the ministry to prevent women from working with men in the health sector, stressing that the criterion in this is the professionalism governed by the provision of service to the beneficiary without any other considerations.

Minister Al-Rabiah declared during his speech in (Okaz Forum) the love and interest of Jeddah when he said: “One of my concerns is to master Jeddah by completing the implementation of the North Hospital project, which cut more than 65%, and the hospital in the east of the city, in addition to establishing an eye bank.” The minister revealed the most prominent obstacles that stand in the way of delaying and implementing health projects, which is the lack of availability of land, stressing that they have not left an inch of it for any party, but rather that efforts and endeavors are continuing with the relevant authorities to find a solution to this problem. He denied any interference from regional princes in the movement of transportation or management of health leaders, indicating that the decision to move these leaderships is being studied professionally and according to clear foundations.

Here are the details of the second and final episode of the forum

• Dr. Khaled Al-Faram: It seems that the Minister of Health does not want to criticize his ministry, for many ideas and projects, but many studies that are viewed in small countries compared to the Kingdom in which the rate of health spending is higher than in the Kingdom, so I think that there is no value for projects and studies if there is no fuel He drives these projects, and the other side of the question is that the Kingdom is currently suffering from a high percentage of diabetes patients in Saudi society, and perhaps even a third of it suffers from it, so what is the role of preventive medicine here? And also the absence of a cost-containment philosophy in hospitals. Are there achievement rates through measures and standards?

Minister: Today I will criticize my ministry (laughing), I think it is difficult to speak about any other ministry in its absence, but what we are interested in is the services provided to the citizen and the national health care project, and I have indicated the size of the challenges that face us, regarding spending on the citizen, I think this is not Secretly, you are informants, and you can view the World Bank numbers, which are available to everyone and not to the Ministry of Health. These numbers have been signed by the national project, and we hope that we will reach the standards that achieve their translation into reality. Regarding diabetes, I think that it is an excellent and professional question. Diabetes is one of the world''s concerns, and placing it on the United Nations agenda next September confirms the extent to which countries are mobilizing. The Ministry of Health is currently developing a conception of projects for chronic diseases, and at the top of the list is diabetes because the rates - which are At least publicly-loud, and one of the reasons for this is: lifestyles and food, which we must all work to change, through partnerships and the National Committee for Health Awareness.

Dr. Sami Badawood: In the governorate of Jeddah, the governor directed during the past year to form a working group from the Secretariat, the Ministry of Higher Education, and the Ministry of Education for the health promotion program set by the ministry, and the program depends on changing the lifestyle and behaviors in general, including smoking, diet and movement, so that it is set Programs targeting young people to make them aware of the importance of the correct diet, healthy behaviors are very important things and consume huge sums, as well as teeth that consume very high costs and do not pay much attention to them, and educating young people on the correct behaviors is one of the goals of Jeddah Governorate and health affairs, and work is underway with the secretariat To establish suitable places that allow the exercise of sports programs.

Dr. Ayman Habib: Is it not strange that some diabetics in the Kingdom do not find medicine in a government hospital, a remote village, or in an area close to the nearest health service?

Minister: The Ministry has made a great effort with regard to medicines, and I do not say it has succeeded, but it has succeeded until now, and I assure you that we do not have a shortage of medicines, but it may happen that a mistake occurs in a hospital by saying I do not have an native, but the problem that we face in the media is medicine I mean, we always have an accurate follow-up of the drug, and there are powers for hospital directors and health affairs departments to buy directly, from the advance available to hospital directors, but what happens, for example, a drug is given to a patient outside the drug directory, because I am not responsible for all the medicines that are manufactured in companies around the world, and I confirm For you that the Ministry does not have any shortage of medicines.

• Dr. Ayman Habib: Means advances for diabetes and non-diabetes? Does it happen that some hospitals do not dispense medicine?

Minister: Yes, the advance for all medicines. As for the failure to dispense the medicine, if it occurs, it is either that the medicine is outside the directory, or the official does not carry out his duties, and we are dealing with 270 thousand health workers, not all of them are angels.

• Dr. Hammoud Abu Talib: It is known that reducing the proportion of diseases in the world is done through health education and professional health education, but we do not have health education programs at a high level of professionalism, and it is also noted that we do not have the cadres capable of providing health education properly. If we are talking about preventive medicine in the future, and we are talking about advanced health programs, I think it is important that the Ministry, as the main provider of the health service, focus on the issue of health education, and that it should be provided as it should through specialized cadres. Returning to the point that Khaled Al-Sulaiman referred to on the topic of the strategic plan, as the national project for health care is written, and the national project in my simple concept is that it is a national ministerial project, and unfortunately we have ministerial projects and not ministries'' projects, meaning that they change with the change of ministers, so how do we protect this strategy And similar medical projects in the future of change or cancellation?

Minister: With regard to health education, there are so-called health educators or health educators, and it is one of the health cadre programs, and all developing countries, even some developed countries, face a shortage, and the Ministry is aware of that, and we will work to fill it in cooperation with universities and attracting some countries. Regarding the protection of the strategic plan, the ministry has involved all the relevant authorities in this project, and I think that one of the things that the Ministry of Health aspires to is that the Health Services Council reach a higher executive council, and that this plan is related to it, and I do not think that a minister will cancel any standards Good was before him.

• Dr. Hana Al-Ghamdi (Consultant Family Medicine): We noticed the focus on primary health care, which is one of the most important things to raise the level of health of the individual, but we also need more attention from you, especially since the level of health centers and family medicine is very low in the city of Jeddah, not to mention the remote areas.

Minister: On the contrary, I hope to “close my eyes and open them and see with me a thousand or two thousand consultants instead of the 300 currently available in the Ministry.” We need thousands of family medicine consultants, and family medicine and primary health care programs are a strategic goal and the primary health care strategy has finally been approved. The executive council in the ministry, although we hope that it becomes an institutional system.

• Dr. Ayman Habib: We have information that you have abandoned important lands, or you comfortably surrendered them in favor of some city secretariats?

Minister: We have not wasted an inch, and we now have approvals to buy some lands, and we have partners such as a committee from the Ministry of Finance, State Properties and the Ministry of Health, and they are announced in newspapers, including Jeddah, but we also found a challenge represented by objections, and our problem is more in terms of the lack of primary health care centers In the cities of Jeddah and Riyadh, despite the population density.

• Dr. Ali: I hope that the infection of the ministry’s partnership with the media will be transmitted to the directors of health affairs in the regions, and that they do not resort to denial and denial. Admitting their existence with previous accumulations, not in your era, and we also note that there is no follow-up or reporting on serious medical errors, and we are also interested in the pace of implementation of projects, especially in areas such as the North Jeddah Hospital, which has been stalled for many years, and also put quarantine hospitals within neighborhoods such as King Saud Hospital in the Muhammadiyah neighborhood. I also believe in the importance of more coordination with the private sector, including operating hospitals in cooperation with the private sector, as well as the importance of mobile teams for remote areas and neighborhoods, especially for primary health care, and I agree with you regarding health insurance because it is difficult to entrust the citizen, and thus focusing on the service itself is better than Focusing on the means of financing?

Minister: We do not feel sensitive to criticism because it is about to work, so you are not "angry with us, nor do we get angry at you." We have mistakes as I said in the medical errors conference because there is no work without mistakes and who does not make mistakes do not work, and the media also has mistakes, And we must all acknowledge our mistakes when they happen, and hope that there is no gap between us The media is a strategic partner of the Ministry. In order to serve the citizen. As for the facilities, I spent a lot of time with contractors to solve their problems so that no project was withdrawn.

As for the North Jeddah Hospital, it is about to end and is in the process of being prepared for its operation, and with regard to King Saud Hospital, I previously said that there is no such thing as Hajar hospitals, as isolation rooms have been attached to them as a system of hospitals, and this is a global trend. As for employment through the private sector, there is no objection to studying the subject, and it was previously applied, but it did not succeed.

As for the mobile teams, I assure you that the Ministry has restarted its work in peripheral areas. In the home medicine program, we have reached 800,000 beneficiaries and I think it is very successful.

• Dr. Mahdi (consultant orthopedic and spine surgery at King Fahd General Hospital in Jeddah): First, by virtue of my work, we receive between 5-7 cases of different fractures, which constitute great pressure, and we