Tag Archives: education

Health insurance for all in three years

Health insurance for all in three years Asma Ali Zain / 3 October 2013 The head of Dubai’s health authority says he wants to see the population fully covered by health insurance within the next three years — up from less than a third at the moment. The health insurance policy for the emirate of Dubai has been approved and implementation will be done as soon as the Medical Insurance Law is passed, Dubai Health Authority (DHA) director general Essa Al Maidoor told Khaleej Times in an exclusive interview. ‘Health is about people, their feelings…’ H ow do you see the healthcare system for the future in Dubai keeping in mind the Dubai Heath Strategy 2013-2025? There are two issues here: when a business or service is to be started, we should have a strategy. When we talk about health services, it is not like building any infrastructure. For example, a road network needs to be built just once and it is done. Health is different… health is about people, their feelings, their souls and their social lives and that is how we drive our strategy. We start with prevention and we end up with investment and sustainability because you know you have to have prevention and make sure that you are transforming society to be as healthy as possible in practice and its way of life. All these need initiatives, programmes and designated staff as well as collaboration with local and international healthcare institutions, societies as well as government and private sector entities. When it comes to providing services, we have to see accessibility, such as do you have to drive too far to access a service? From that, we come up with project developments which are based on the population and geographic locations between primary healthcare centres, hospitals and settlements.   Is there a plan to make primary healthcare centres (PHCs) stronger and more accessible to people? This is based on what His Highness Shaikh Mohammed bin Rashid Al Maktoum, Vice-President and Prime Minister of the UAE and Ruler of Dubai, has approved as short-term measures. The PHCs have a lot of potential which can be enhanced to give better 24-hour service and even in emergencies… So why head to a hospital when you can have a facility near you that can provide the same service? We recently announced that Nad Al Hammar and Al Barsha (PHCs) will serve people 24 hours. These centres have been selected because of their locations and the large community around them. Keeping in line with the strategy, you will find that some activities are going to be transferred… moved from a concentrated location… decentralised but will continue to provide service without affecting the quality. Decentralisation will provide enhanced geographical access to healthcare services in the emirate. Are health education clinics included in these centres? These are included but of course it is not a matter of emergency. Education, prevention and screening is ongoing… it is a continuous activity. Medical tourism is important for Dubai and for that, we need a big infrastructure and professionals as well. What are the plans to implement such a big project? When we talk about customers and patients… we talk about everybody. Our people, our guests… people coming to Dubai. Our strategy is to further build up quality — starting from having a strong legislation and system in which you can find it easy to invest in the medical industry to an easier, comprehensive and trusted medical system where you have good hospitals, doctors, good machines and so on. In totality, the focus is on quality medicine. We are building a total and credible system which people will trust and choose. We are not asking them to come… but we want them to select Dubai as their destination for medical tourism. We are building on earlier achievements since Dubai has achieved a lot in tourism… we are trying to utilise what is already there, such as roads, airlines etc… People like to come here and when they find that there is also a medical part to it, their stay will be more comfortable. You are talking about the infrastructure, but how do you attract the professionals? Well, actually Dubai is a brand and people like to associate themselves with a brand. We are building the Dubai brand in the medical field and in general as well. We are soon going to have a Dubai accreditation body which hopefully will elevate the standards. Would you be able to give any projected numbers (of professionals a nd infrastructure)? In such things, you cannot give figures… we can say there is a momentum for that. I can tell you that within the last 10 years, more than 20 hospitals have been built. There are more than 1,500 beds under construction, so it means people are investing here… Will the investor come if there is no potential? A strategy has already been approved by the Executive Council and we are implementing (that). With that, you will see improvements in the health sector. Professionals like to come to a place where there are rules and regulations and a sound system. Not everybody can come in… we have to have control on that because we are dealing with people’s health. For such an infrastructure, you would need public and private partnership. Is that an important part of the strategy? Yes, of course, private and public partnership is the way forward to achieve excellence in healthcare. I established a committee that had members from the public and private health sectors. This committee includes members from some private hospitals and some staff from the DHA. They are working together headed by the director of the Licensing Department to improve and see how we can make investors’ life easy… We try and make processes without complications and without affecting the quality because investors have invested a lot in the hospitals and they do not want poor quality. They are working together and this will soon reflect in medical tourism. There has been much talk about health insurance. What exactly is the status now and when will it be rolled out? I can tell you comfortably that 30 per cent of the people in Dubai are insured… almost a million. In the meantime, we have got the health insurance policy approved and we are in the process of getting the insurance law endorsed. Currently, we are liaising with all stakeholders and partners such as the Department of Economic Development, Tourism Department, Immigration, Legal Department in the Ruler’s Office… so when the law is endorsed, everybody is on board. Also, we have a committee with the insurance companies — at least 40 companies that will deal with health insurance. We are also trying to build the infrastructure in all hospitals. All private hospitals are not 100 per cent equipped to handle insurance claims. We have a plan that within three years, we will transfer from partly insured to a 100 per cent insured society. Will this include the blue-collar workers? Yes, of course. They will also enjoy having an insurance card and service wherever they go. What is your outlook for the health sector in Dubai in the coming two years? I have already established initiatives that are short term and we can get a lot of results mainly targeting the customers and their satisfaction. There are a lot of issues that can easily be dealt with and they are not so complicated and do not require a lot of medical input such as customer relations, appointments, the way the staff deal with people… these have all been taken care of. We also have mid-term and long-term plans to improve direct service providing, medical tourism and also medical education. We are trying to create a different way to look into medical education so that students who have studied for seven to eight (years) get an opportunity to practise in their field of medicine. Research is also very important because all the cases that we treat can be used as statistical information which is important for future planning in terms of public health and health policy and strategy. What are the biggest challenges you foresee in implementing your healthcare plans? There are so many challenges actually… like how to change the staff’s mentality to cope with the customer requirements. The customer satisfaction bar is rising continuously as education and IT access increases. At the same time, the customer’s understanding of issues will make it easier for us to serve them better. With time you will see many initiatives coming in based on what you say as ‘there is no value for success but you have proportional success’.   Up close and personal    Your role as the head of the DHA? I am a member of this authority. There is no difference between me and other staff members. Any initiative to improve the authority can come from the office boy or even from a director of the hospital but it is an initiative and we have to listen to everybody and work together with positive energy.  Your most positive trait that you input in running the organisation? Being positive, being open-minded and accepting any comments and criticism as a gift. With that we can move forward; but if we say we are perfect and have reached the ultimate, that means we have reached the end. What is your health regimen as the head of a health body? I believe in sports. Luckily, I have loved sports since I was a child… I like all types of sports. My advice to everybody is, don’t keep stress in your mind. If you do that, you will get older quickly and sick. There are so many issues doctors can’t cure. Doctors don’t have a miracle stick but I think sports has a miracle stick. Playing sports can release all your tensions 100 per cent. Anyone who does not believe this should try it once. asmaalizain@khaleejtimes.com Continue reading

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India, Pakistan leaders reach no concrete agreements

India, Pakistan leaders reach no concrete agreements (Reuters) / 30 September 2013 Indian Prime Minister Manmohan Singh and his Pakistani counterpart, Nawaz Sharif, agreed on Sunday to work to restore a cross-border ceasefire after a spate of shootings in order to improve strained ties, officials said. Singh and Sharif met on the sidelines of the United Nations General Assembly, amid heightened tension between the nuclear-armed neighbours over the Kashmir region, sparked by series of fatal clashes on their de facto Himalayan border. India emerged from the meeting of more than an hour calling the talks “useful” while Pakistan called the atmosphere “very positive.” They both expressed a desire to improve ties but agreed that “peace and tranquillity across the LOC (Line of Control) is a precondition,” Indian national security adviser Shivshankar Menon told reporters in New York. “We need to address the issues that we face today and then we hope to move it forward,” he said. Pakistan’s Secretary for Foreign Affairs Jalil Abbas Jilani told reporters the New York meeting set the stage for future cooperation even though they did not reach specific agreements. “The most significant aspect of the meeting was that the leaders expressed their commitment to … better relations between the two countries,” he told reporters at a separate New York briefing. “Both sides wish to see a better India-Pakistan relationship than we have today,” said Menon. A series of fatal clashes along the so-called Line of Control dividing Kashmir between India and Pakistan have killed at least eight soldiers from both countries in less than two months. The South Asia Terrorism Portal, a website that tracks the violence, says this year’s toll is 44 members of the security forces, up from 17 for all of last year. In their speeches to the U.N. General Assembly, both leaders said they wanted to improve relations between their countries, which have fought three wars since becoming independent from Britain in 1947, two of them over Kashmir. The two prime ministers agreed to instruct military officials to work together to develop a mechanism to stop ceasefire violations, Menom and Jalil said. The two leaders accepted invitations to visit each other’s countries, but no dates were set, Menon added. Continue reading

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Lufthansa breathes new life into product

Lufthansa breathes new life into product Kelly Clarke in Frankfurt (kelly@khaleejtimes.com) / 30 September 2013 World’s leading aviation group undergoes restructure to keep on par with growing air travel market in the Middle East Low-cost airport fees in the Middle East — especially in Dubai — make Gulf carriers one of the most-aggressively priced products within the aviation industry today, and German-owned Lufthansa — the world’s largest aviation group — is playing catch-up with one of the world’s fastest growing air travel markets. But at what cost? In order to gain level pegging with its competitors, Lufthansa’s 117,000-strong workforce is set to receive a blow within the next few years, with up to 3,500 employees being let go in a bid to increase profitability and decrease costs. But despite the risky long shot, Lufthansa’s corporate strategy is one that is bound to see it pick up momentum within the next decade, strengthening an already-strong position within the industry. During a Lufthansa Aviation Academy meeting in Frankfurt, Germany recently, Lufthansa’s director of group communications Aage Dunhaupt said that in order to increase cash flow to further invest in the product, “there will be a reduction in the workforce”.  But will these employees be let go as natural wastage or lay-offs? Dunhaupt said the idea is to have a “natural fluctuation” either through employees being offered benefit packages or early retirement, and he added that “lay-offs would be the last resort”. “This is an investment to enable us be more efficient in the long run,” he added. In an industry that has transformed over the last decade, and with regions such as the Middle East slowly creeping through offering passengers flight travel at slashed rates due to lower landing fees at airports, European network carriers are facing a structural crisis. New competitors, yield decline and an increase in the cost of fuel — which has quadrupled over the past 10 years and sees Lufthansa spend $9 billion on annually — have all contributed to this growing crisis and large network carriers are being forced to adapt their business in order to keep their heads above water. The addition of 10 brand-new air carriers since 1999 signifies an industry dominated by new entrants, but with Lufthansa noted as the world’s leading aviation group, with a history spanning nearly 100 years and expertise including Lufthansa Technik — an aircraft maintenance repair overhaul facility, and LSG SkyChefs — the world’s largest provider of in-flight catering, they are in a leading position to overcome the current challenges being faced. According to IHS Global Insight, the Middle East’s annual GDP between 2013-32 is expected to grow by 3.8 per cent and while commodities, exports and infrastructure development are among the leading growth drivers behind the Middle East’s emerging economy, air travel is expected to dominate this success in the future. Lufthansa Group chairman and chief executive officer Christoph Franz, who recently announced his departure from the company early next year, told Khaleej Times that Germany — and Lufthansa especially — has always backed the idea of visa-free entry for Emiratis into the Schengen region. “We have always advocated for all entry bans into Europe be wiped… for tourism purposes and business purposes, we would favour this free flow of passengers,” he said. And as a result, this could create possibilities for Gulf and German carriers to work together in the future, allowing Lufthansa to cement a stronger presence within the Middle East. But Nils Ecke, Lufthansa Group’s senior vice-president of Airline Group, Alliances and Cooperations, has indicated that it has no immediate plans to work directly with Middle Eastern airlines. “Both [Lufthansa and Emirates] respect each other, but we haven’t found a good solution to work together. Lufthansa has a great feeding venture into Europe, but Emirates very much focuses on a hub service,” he said. According to Boeing statistics, air travel growth in the Middle East and Asia-Pacific will increase 7.3 per cent in the next 20 years, with the total scheduled passenger traffic — or revenue per kilometre — expected to hit more than 800 billion within this period. Speaking at the Academy, Lufthansa Group’s senior vice-president and chief strategy officer Sadiq Gillani said restructuring, consolidation and capacity discipline are all key factors that European carriers need to implement in order to improve profit margins and maintain global success — in line with the Middle East’s growing domination within the air travel market. With airlines achieving the lowest average return on capital when it comes to the value chain of the air transport industry, Lufthansa airlines, with a revenue share of 58 per cent on the group’s overall product/service line, sees little profit, with a margin of just four per cent. “This is an industry known to be turbulent, with no margins. No jobs, no hope, no cash, but this is what we have to fight for,” Franz added. According to Gillani, “Lufthansa’s additional expertise such as Technik helps with profits. Technik is big in China and the Phillipines and we’re now looking at the Asian market for expansion.” Dunhaupt added that the group currently has about 200 programmes set in place to improve their business structure and catch up with its competitors, and it is actively looking to double this margin, to eight per cent, year on year, from now. “From here on in we are working towards achieving profits of €1.5 billion each year to achieve this growth in margin,” he said. And the plan to increase profitability is by “financing investment”. The future outlook is to develop its portfolio by investing in the product, improving relations with airports and delighting customers and in 2011, Lufthansa set aside €36 billion to be pumped into aircraft purchasing. This strategy will take them forward to 2020, but so far they have only spent 25 per cent of this sum, although “the rest of the money has been committed”, Gillani said. In total, 59 aircrafts have been purchased, 34 of which are Boeing 777-9X models and 25 are Airbus A350-900 planes. And customers are going to benefit from premium services too. Business class is going fully-flat on its Boeing 747-800 fleet, making it the first airline in the world to introduce such a feature. In 2011, Lufthansa Group invested another €3 billion into its business, with €1 billion dedicated to the new Business Class seating — the single biggest expense in this investment. Since the end of last year, eight aircrafts — including a passenger jet travelling from Munich to Dubai daily — have been retrofitted with the seats, with a total of 104 aircrafts to benefit from the new luxury product by 2015. And it is also introducing a brand-new premium economy seating option for passengers as well, which will commence from 2014. With the Middle East — Dubai in particular — noted as a region of rapid growth and expansion, there’s no doubt that where there is buying power there is room for a product, so despite growing competition, Lufthansa Group is committed to staying on top of the game by regularly evaluating its already-strong business model.   Continue reading

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