rafik yangu kanitumia email hii,nikaona sio vibaya nikaiweka jamvin; If I take a trip down memory lane, just a few years ago, the Aga Khan Hospital-Dsm (AKH) was one of, if not the best hospital in whole of East Africa . Notice how I have used the word was in my previous sentence. Nowadays, its a different story. Firstly, their prices have sky-rocketed and patients end up paying triple the amount they did just a year ago for the exact same medical services. It seems like the hospitals policy is to increase their prices exponentially every couple of months. The prices of medicines, especially injectibles, in their pharmacy are exactly double of those available in the town. And Im not exaggerating in the least bit. Whether its Consultation fees or Medical test fees, the prices are double or more of those charged by any other hospital in Dar-es-salaam. The only thing worse than their exorbitantly high prices, are their services, which seem to be spiraling in the opposite direction at an equally deadly pace. Theres normally only one nurse and one doctor per ward. Nurses are a rarity in this hospital and if a patient is lucky, he might be able to spot one nurse before she disappears again into oblivion. The AKH is nowadays more like a self-service supermarket. The patients have to do everything by themselves because there never is any medical staff around. People literally spend the whole day just waiting to get some sort of medical attention even if its for a very minor ailment The same applies for their out-patient services. Visiting the hospital after office hours or on holidays is a nightmare. You will find one solitary inexperienced doctor in the out-patients with a long queue of patients waiting to be attended. The casualty charge for even a simple cough or cold at night is ridiculously high. The AKH doctors behaviours can put even the most arrogant divas to shame. They arrive to work late and leave early. They make patients, including children, wait unnecessarily for hours while they are engaged in their own personal activities. They are extremely rude. I personally saw a doctor verbally abuse and throw a patient out of his office just because the patient was a few minutes late for his appointment. And it is considered an absolute cardinal sin to call up a doctor after office hours, even if it is a matter of life and death. I wonder if any of these doctors have a conscience or even remember the Hippocratic oath. All they care about is making money, period. Which brings me to my next point, that of Caesarian operations, also known as C-sections. One of my relatives, who was waiting in the Ante-Natal Department, overheard other patients saying that nowadays, the hospital does not wait for patents to go through normal labor pain and immediately opt to perform a C- section. When I asked some of my friends about this, they confirmed that this was indeed true and they had personally experienced it. AKH perform more C-sections in a month than most hospitals do in a year! If Im not mistaken, doctors worldwide avoid performing a C-Section unless absolutely necessary. Could it be because such operations result in the hospital and the Gynaecologist earning more money than a normal delivery?? I wonder. This is Dr. Shafiqs Policy. If Im not mistaken, then His Highness, The Aga Khan established this faculty to provide the people of Tanzania with adequate medical care and services at affordable prices. I doubt if he is aware of what a terrible job the hospital administrators are doing of running the place. The hospital is being grossly mismanaged and I implore someone, anyone, to inform the Aga Khan himself about the state of his hospital.