Sunday Express
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Maseru Eye Clinic fails patients 

 

…due to lack of resources 

Mathatisi Sebusi 

THE Maseru Eye Clinic is struggling to deliver essential services and perform eye operations due to a severe lack of resources.  

This was revealed by the Head of the Eye Department at Maseru District Hospital, Dr Wenjun Fan, in an interview with the Sunday Express on Friday. 

The eye clinic forms a crucial part of the Maseru District Hospital and Eye Clinic, which is the country’s top medical facility. 

Dr Fan said his department was overwhelmed, with a three-year waiting list of patients in urgent need of eye operations. However, he was unable to perform the most critical surgeries due to inadequate resources. 

“We have the machinery, but some essential components are missing and need to be replaced for surgeries to be performed effectively. The microscope, for example, has no lens. I reported this issue a year ago, but instead of purchasing the lens, hospital management said funds were being prioritized for ‘other things’—without specifying what those are,” Dr Fan explained. 

He said he has been forced to improvise by using an old microscope, which also has lighting problems. 

“When I reported the issue with the light, I was told to use the room’s general lighting instead,” he said. 

Dr Fan said despite his expertise in eye treatment and his continued efforts to keep the department functional since the hospital opened, mismanagement and carelessness by hospital management have sabotaged his work. 

Currently, he works alone in the department, attending to about 40 patients per day without any assistance from nurses. 

“Every day, about 100 people come here seeking eye services, but since I work alone, I can only attend to 40. I had arranged for three nurses to assist me, and when they did, we managed to see 100 patients a day. However, without my knowledge or explanation, management held a meeting with all nurses and ordered them not to work with me. Now I am alone, with no resources,” he said. 

Dr Fan also raised concerns about poor management practices, accusing hospital authorities of incompetence and self-interest. 

“Because of mismanagement and the desire for personal benefit, many medical machines are lying unused. Most practitioners do not even know how to operate them. When it is requested that staff be sent to China for training, management select themselves and their favourites—without consulting department heads.
They attend these trainings for the per diems but return without sharing any knowledge or even submitting reports,” he said. 

He emphasized that the Eye Department—and other hospital units that were originally envisioned to address Lesotho’s medical challenges—are now crippled by mismanagement. 

Due to the lack of resources, Dr Fan said he is often forced to transfer patients to Bloemfontein for procedures such as cornea surgeries, despite having the expertise to perform them locally. 

“I transfer patients for medical procedures that I am qualified to perform. We have the machines, but not the supporting resources,” he concluded. 

The Maseru District Hospital and Eye Clinic is a 200-bed facility established through a CNY 400 million (almost M1 billion) donation from the Chinese government. The People’s Republic of China’s Shanghai Construction Company began construction in April 2021 and completed it in April 2024. 

It replaced the 120-year-old Queen Elizabeth II Hospital, which was demolished in April 2020, with its staff absorbed by the new hospital. The Chinese government officially handed over the state-of-the-art facility to the Government of Lesotho on 13 June 2024. 

Efforts to obtain a comment from the hospital’s manager, Dr Mapota Masoabi, were unsuccessful as she did not answer her phone. 

Meanwhile, Chairperson of the parliamentary Social Cluster Committee, Mokhothu Makhalanyane, said the committee had received a report highlighting the challenges faced by the Maseru Eye Clinic. He revealed that the Social Cluster would summon the management of Maseru District Hospital this week to discuss the matter and work towards a possible resolution. 

“We were informed about the long waiting list of patients awaiting surgery at the eye clinic, as well as the shortage of doctors at the hospital. The clinic is not only struggling with inadequate equipment but also a severe shortage of human resources. We encouraged the management to explore various options, including inviting international doctors to help clear the backlog,” Mr Makhalanyane said. 

He further admitted that the committee had not been fully aware of the seriousness of the equipment shortage until recently. He stressed that in such cases, ministries should prioritise issues that directly affect people’s lives. 

“We are going to ensure that this matter is addressed in the coming week,” he said. 

 

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