The Ministry of Health is committed to tackling the significant increase in people turning up in the island’s healthcare system with mental health illnesses.
Health Minister Dr the Most Honourable Jerome Walcott said over the course of the last three years of the COVID-19 pandemic many of these patients have reported at several institutions with general numbers shooting up by over 200 per cent since 2019.
As he made his contribution to the debate on the Appropriation Bill 2023 in the Senate on Wednesday Dr Walcott noted: “In the Ministry of Health, we recognise that post-COVID mental health illness and disease in Barbados is a real concern. We have been looking at the attendance at the various clinics, and the attendance to the ‘psychi’ clinics in the polyclinic system [since] 2019. We are now over 200 per cent above what it was then, which tells you that there are people seeking care [and] to be evaluated.
“The ministry this year is really going after mental health,” he insisted.
He further revealed that the previously operational Mental Health Commission had been re-established, along with a strategic plan which was first drafted using the 2005 Mental Health Reform Policy.
Dr Walcott stressed that the mental health of citizens and the policies governing this aspect of healthcare needed to be relooked.
“We need to look at the whole issue of governance of mental health illness in this country. We need to look at public education and the stigma associated with mental health illness, [and] we need to look at community mental health.
“We have started but we really need to push it. We need to integrate it totally into the polyclinic system. We are expanding the numbers of psychiatrists and counselling psychologists in the community because we need to move it into the community.”
He added: “There are a number of issues with teenagers in the schools, some of the violence we are hearing about is related to mental health issues.”
He explained that clinics have been introduced in the antenatal and postnatal at the Queen Elizabeth Hospital, recognising that postpartum psychosis is a real factor, and that “people can become suicidal after delivery”.
(SB)

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An Independent Senator who works at the Queen Elizabeth Hospital (QEH) claims there has been little to no improvement in patient care at the Accident & Emergency (A&E) Department since the multi-million-dollar upgrade.
In fact, ENT specialist Dr Christopher Maynard said that far from getting better with the $11 million expansion, the situation appears to be worse for some patients seeking assistance there.
“The A&E was supposed to have been expanded and the project was supposed to be finished and the people of this country were supposed to be treated in a better facility and more efficiently. One can’t question whether it is a better facility, but it’s certainly not more efficient. Some would argue it is worse,” he charged in the Upper Chamber on Wednesday as the debate on the Appropriations Bill, 2023 continued.
Senator Maynard noted that with an additional $5.2 million to be spent to complete the refurbishment, improving how the department functions is important because without that, “you would have created a larger, spacious, more comfortable A&E for people to wait in for longer times and have worse outcomes”.
“The budget given for the A&E department by the then Minister has now been increased by 50 per cent, give or take a couple of hundred thousand. It is amazing that you’ve had to increase the budget for a project by 50 per cent in a tertiary care institution, and you still can’t deliver. Something’s really wrong…. Things are worse than they were before. We need change and we have to fix it,” he contended.
Dr Maynard also questioned whether there had been a “real facts and figures” assessment of outcomes in several departments that had been assigned additional funds.
In that regard, the doctor queried “whether the waiting lists are generally getting shorter and whether productivity is genuinely increasing”.
He took issue with the claim made by Senator Dr Crystal Haynes, during the debate on Tuesday, that the backlog of cataract surgeries had been cleared.
“I challenge that because every week, I get calls from people who dropped off the waiting list. So you can say you have cleared the list of the people who are listed but there are a large number of persons in this country who are almost blind because they have cataracts, and while they may have gone for surgeries during COVID, they have dropped off the map and they haven’t been coming because they are terrified and for various reasons they didn’t come, so don’t be lulled into a sense of security that you have fixed the problem,” Dr Maynard said.
He acknowledged, however, that there was no “easy fix” to the situation at the QEH and stressed that “leadership is important”.
“If you have 2 000-plus people under one roof and do not have the right leadership, you have problems and the people who you treat will have worse problems. So, I call on those in charge to stop the experiment and make a change and fix it. It requires some hard, harsh decisions. It requires that workers of all sorts – lowest paid workers and the highest paid workers – have to improve their productivity, not just turn up to work, and they have to be assessed without fear,” the Independent Senator said.
(JB)

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By Shamar Blunt

A consultant physician at the Queen Elizabeth Hospital (QEH) says the practice of junior doctors working shifts in excess of 30 hours is “dangerous” and needs to stop in the interest of patient and public safety.

“It’s not acceptable,” Dr Kenneth Connell acknowledged in an interview with Barbados TODAY, a day after Government Senator Dr Crystal Haynes called for an end to 30-hour work days for these professionals.

He disclosed that an internal study done in the department of medicine showed that “11 out of 14 junior staff members felt significantly burnt out”. Although he did not indicate when this study was done, Dr Connell said the findings were “significant”.

“These are doctors in internal medicine who have been working long shifts, so 32 hours at least. Internal medicine admits roughly about 70 per cent of the admission burden to the hospital… but yet these doctors are working at their limits, having not slept,” the doctor said.

The Deputy Dean of the Faculty of Medical Sciences at the University of West Indies Cave Hill Campus suggested that just as there are limits on the number of hours pilots are allowed in the air, having caps on the length of doctors’ shifts would be in the best interest of the public.

“Is it possible for pilots to be flying a plane for 30 hours without rest, or working 30 hours? I have been in airports where flights have been [delayed or] cancelled because, during the upcoming flight, the pilot would have crossed his number of hours without sleep. 

“But yet, we have people making critical decisions, life or death situations, that have possibly not slept or we cannot guarantee that they were sleeping for ‘x’ period of hours. To me, in 2023, that is unacceptable,” he said.

During the debate on the Appropriation Bill, 2023 in the Upper House on Tuesday, Senator Haynes said the problem of doctors working extremely long shifts needed to be addressed urgently to safeguard the safety of both patients and healthcare providers.

“[Working excessive hours] is very normal for a lot of doctors, both at the intern level and at consultant level. You work all day on the wards, you spend the night in the ER [emergency room] dealing with emergencies that are coming through all night, and then you continue to work into the next day. That is something that is a threat not just [to] patient safety but [to] the personal safety of our healthcare providers,” the medical practitioner said.

She noted that there were studies which showed that working for more than 17 hours with little rest can lead to fatigue-related impairment in cognitive and physiological functioning, which is comparable to the person having a blood alcohol concentration level of 0.05 per cent – similar to levels seen in alcohol intoxication.

Responding to Senator Haynes’ concerns, Dr Connell acknowledged that junior doctors are often asked to work even longer than 30 hours while on call. 

“I thought it was a conservative estimate of saying 30 hours, to be quite honest. I’ll use my speciality as an example. [They] start work at 8 a.m. – these are junior doctors if they are on call –, they work through until 8 the next morning. That is described as the on-call period and then when they finish that period, their day then starts. So from 8 a.m. until 4 p.m. [the following day], which by my calculation is 32 hours at least,” he explained.

“This doesn’t mean that they will leave at 4 p.m. because they may leave after, but they continue their work day as if it is a new work day.”

Dr Connell said while this is viewed as a “badge of honour” among healthcare providers, the practice is a dangerous one.

“It is almost what I would describe as an unacceptable badge of honour in medicine, that we work long hours and we did it and therefore, our juniors should do it. It’s not acceptable. Mistakes will happen,” he warned.

“In some parts of the hospital, like emergency rooms, there is a shift system so doctors do an eight-hour shift or six hours and then they leave and then another shift comes. Obviously, the ER is high intensity so they need that, but my argument is it is not in the public health interest to have a doctor that has been working continuously – so not just in hospital but sleep deprived – for 30 hours, and is making any clinical decisions. That doctor should not even be getting into their vehicle and driving home. That’s dangerous.”

The medical consultant stressed that for the situation to change, additional funds would have to be made available to hire additional doctors to improve the shift system.

“It is not going to be a cheap transition. The only thing that is preventing doctors from working shorter hours is [that] you will need to hire more doctors. There needs to be 24-hour coverage, so if one group of doctors are going to work [fewer] hours, then someone has to come in and take over from them. 

“So this resistance to change is largely driven by a financial kind of argument where we cannot afford it. But the flip side of it is can you afford the public health risk? If the answer to that is no, then doctors have to be capped on the number of hours that they’re working,” he said.

During her contribution to the debate, Senator Haynes suggested that the University of the West Indies (UWI) “is producing enough doctors every year that we should be able to expand the complement of staff at the junior doctor level to do away with this system and to roll out a proper roster where we can limit the number of hours”.

Dr Connell told Barbados TODAY that even if more graduates were coming out of university, additional posts would have to be created for them to fill.

“They’re only going to get hired if there are posts for them. So, if you don’t have enough paid posts in the hospital then you can’t hire enough doctors to allow for a shift system to begin with,” he said.

shamarblunt@barbadostoday.bb

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Despite the naysayers, interest in Barbados’ medicinal cannabis industry is high and the island’s first therapeutic facility is on course to open in the coming year, the head of the Barbados Medicinal Cannabis Licensing Authority (BMCLA) has disclosed.
The BMCLA’s Acting Chief Executive Officer Senator Shanika Roberts-Odle said on Tuesday that additional training will also be made available to Barbadians who want in on the industry.
She was speaking on the Appropriation Bill, 2023 in the Upper House when she highlighted the progress made in issuing licences in an industry that she said the Government is pursuing as an economic contributor and also to provide medicine that can bring relief to the suffering of Barbadians.
In addition to the initial two licensees representing nine approved and eight issued licences, an additional six licensees and 10 licences have been approved.
“That is progress in this country in an industry where they said no one would be interested; in an industry where they said we would never be able to make inroads. We are making them,” the BMCLA boss said. “2023-2024 will see us having our first therapeutic facility opened in this country. We already have our first working medicinal cannabis farm up and running.”
She said the BMCLA has also made progress in training, research and development, and reported that the agency’s free, three-term cannabis crash course programme, which is now in its second term, has been well received.
“I am happy to say that it has not just been well subscribed, it has been oversubscribed,” she said.
“And term three of that programme, we are working with the University of the West Indies who, in fact, has one of their own training programmes as it relates to training doctors on the use of medicinal cannabis in the treatment of their patients.”
The Government Senator disclosed that the BMCLA has created a training programme “that would give the best opportunity to Barbadians who want to be involved in that industry”.
“I’m happy to say that we have finally reached an agreement with one of the major educational institutions in this country – which will be announced in the coming two months – to carry out that training for Barbadians to allow them to be able to understand where the international requirements lie and to be able to give them a qualification that they can’t just use in Barbados, they can’t just use in the region, that they can go internationally and be able to present themselves as well studied, well learned and qualified,” she added.
In her contribution which focused on the work of the Ministry of Agriculture, Senator Roberts-Odle sought to dispel the notion that licences to get a foot in the industry are not affordable.
The BMCLA issues licences across several categories and types, under which licensees can cultivate, transport, process, sell, import, export, research and develop medicinal cannabis and medicinal cannabis products.
The authority’s CEO pointed out that licences are valid for five years – which she suggested is longer than in other parts of the world – and payment plans were offered.
“I would argue that I have not seen anywhere else that will allow you to pay on a payment plan. We allow our licensees to give us 60 per cent of the cost of their licence upfront and to pay the remainder over the next three years,” she explained.
For example, Senator Roberts-Odle said, for a tier one licence which costs $29 700, a payment of $17 820 is made up front and the remainder is due over three years.
“You can pay that on a yearly basis which is $3 960, or you can pay that on a monthly basis which is $330. That’s a Courts bill,” she asserted.
(DP)

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By Anesta Henry

Pharmacies have recorded an increase in the sale of products to treat upper respiratory issues as Barbadians contend with smoke and ash from cane and grass fires that have been occurring across the country.
President of the Barbados Pharmaceutical Society (BPS) Yolan Pantin told Barbados TODAY on Tuesday that in recent weeks, there has been an increase in the number of people going to pharmacies to purchase over-the-counter medications and have prescriptions filled, as they seek relief from sinus issues and allergic reactions.
“Obviously, because of the situation we have been seeing more people passing through. It depends on what the doctor has written on the prescription and if they are looking for simple things like Histal, antihistamines, and maybe some nasal sprays, depending on how severely they are being affected by the present conditions.
“They are coming with allergies, depending on how long they leave their symptoms, and some persons will receive courses of antibiotics because respiratory tract infection has occurred and that is something that only the doctor deals with,” Pantin said.
She warned Barbadians experiencing respiratory tract infections to treat their symptoms as soon as they show up.
Additionally, Pantin said, individuals should seek medical attention if they do not get relief using over-the-counter medication after three days.
She said the Otrivin nasal spray, in particular, should not be used longer than three days, as doing so could cause “rebound rhinitis where they would actually be hooked on having to use it continuously”.
“If after three days and they find that their symptoms really haven’t dissipated they really should see a physician,” the pharmacist recommended.
Pantin said pharmacies currently have adequate stock to meet the present demand.
While some pharmacies are out of allergy and sinus tablets, people battling with sinusitis can also use the multi-symptom tablets for the time being, since they are basically the same medication, just slightly different strengths.
“Right now, as far as the oral preparations and the nasal sprays that are over-the-counter are concerned, we do have adequate stock on the island,” she said.
Pantin advised those known to suffer from sinusitis, allergies, or asthma who are working in areas affected by the smoke and ash, to resume wearing masks.
“A couple of my customers that have passed through have actually purchased masks because they work in areas close to the smoke and the ash and so on. So, because they do suffer from respiratory problems – some are asthmatics as well – they have chosen to resume wearing masks in order to help with not getting as much smoke inhaled into their lungs and their upper respiratory tract,” she said.
“So, for safety and for your own health, for persons who are compromised with respiratory illnesses of any form, I would advise them until this really dissipates in another two weeks, or unless we get a heavy rainfall, they should resume wearing the masks.”
On Monday, during an interview with Barbados TODAY, Chief Medical Officer Dr The Most Honourable Kenneth George urged asthmatics and people who suffer from allergies and sinus complications to take all precautionary measures to protect themselves amid an increase in cane and grass fires.
While indicating that he had not received reports from polyclinics or the Queen Elizabeth Hospital (QEH) regarding an alarming increase in persons reporting to those facilities complaining of health issues due to the environmental hazard, Dr George supported the Ministry of Education’s decision to closely monitor affected schools to protect students and teachers from potentially harmful effects.
anestahenry@barbadostoday.bb

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The St Stephen’s Nursery School will remain closed for the remainder of the week after the Ministry of Education’s plan to temporarily relocate students to the nearby Anglican Church failed.
Issues including poor lighting and inadequate lunch arrangements at the church were among the challenges identified by parents and by teachers who tried to facilitate classes there.
Arrangements are to be made for students to engage in classwork online and materials will be distributed to parents to keep the children engaged.
On Tuesday following meetings at the St Stephen’s Anglican Church with executive members of the Barbados Union of Teachers (BUT), teachers, president of the Association of Public Primary School Principals Ivan Clarke, staff and parents, Chief Education Officer Dr Ramona Archer-Bradshaw said the ministry did not have adequate time to ensure the church was a conducive learning environment.

Teachers and parents also complained of the fact students had to walk through the church’s graveyard to access the bathrooms, inadequate ventilation and difficulty conducting five classes in a confined area. The situation was further aggravated when workers came to dig a grave in the cemetery using a drilling machine. They were later instructed by the funeral director to complete the job when classes were dismissed.
There are 145 students enrolled at the school in four nursery and five reception classes. Only the reception classes could be accommodated at the church.
Meanwhile, due to the environmental issues that caused the school to officially close twice last week and on Monday, Archer-Bradshaw said a plan of action “was quickly put in place so that children would not lose additional teaching time” and the ministry had instructed the principal to contact the priest to use the church.
“On Monday we were told that the situation had not been rectified as had been expected on Friday so we decided to take quick action with regard to getting the children in the space . . . Sometimes things don’t always work out,” said Archer-Bradshaw.
“If we had three or four days to come and inspect and so on, I could understand that, but we decided that we would come and we would try with the space and I want to thank the teachers and principal for actually coming and trying,” she added.
Last week, the BUT reported that the Ministry of Education was working with environmental health officers to address the problem. A neighbour who raised chickens had promised to have the pens cleaned by last Friday. The environmental problem was first raised last Monday when the school closed early and two days later, parents were given the option to collect their children from the school. However, the school remained open.
(SZB)

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GRASS FIRES STRETCHING RESOURCES OF FIRE SERVICE

By Sheria Brathwaite

The recent uptick in grass fires has been putting the Barbados Fire Service under strain and Chief Fire Officer Errol Maynard is pleading with Barbadians to avoid starting fires.
Meanwhile, the Barbados Union of Teachers (BUT) is urging the Ministry of Education to act more promptly in closing schools impacted by heavy smoke.
In an interview with Barbados TODAY on Monday after 8 p.m., at which time crews were still out fighting fires, Maynard expressed concern that many of the grass fires were caused by people, intentionally or otherwise.
“We are definitely extremely concerned because the fires are stretching our resources beyond limit. Just today, we had in excess of 14 fires up to 7 p.m. and now we are still having fires. They are stretching our resources to the limits, [to the point that] the admin staff, the senior officers, everybody had to come out today,” he said.
Maynard said crews were out from as early as 9 a.m. on Monday in Colleton and Greenidges in St Lucy, Pool in St John, Padmore Village and Farm Road in St Philip, and Callenders and Coral Ridge in Christ Church.
So far this year, there have been 176 grass fires, 20 more than during the January to March period last year.
“All are not due to combustion. Some have to deal with human intervention, accidental or otherwise,” Maynard said about the cause of the fires. “So we are encouraging all persons to avoid burning. Those who are doing it intentionally should stop it and those [doing it] unintentionally should avoid burning; because of the dry conditions and high winds, you will lose control of these fires.”
For the past few weeks, classes at several schools have been affected by billowing smoke.
While saying he was concerned about the disruption, president of the BUT Rudy Lovell said the health of those being impacted by the smoke was more important.
He said he was also concerned about how long it took the Ministry of Education to give the directive to close schools in these circumstances.
“Complaints from our members suggest that in some instances, schools remain open for a prolonged period, waiting for official notice from the Ministry of Education to close, and we would want the ministry to establish a protocol which gives the principal of the school the leeway to make decisions in the best interest of the occupants of the school compound,” Lovell said, noting that while principals wait for the green light from the ministry, students and staff “are suffering from smoke inhalation”.
“We know there are a lot of asthmatics and people with other respiratory ailments and we do not want to expose these people unnecessarily to these environmental issues that can be avoided,” the BUT president added.
In a press release, the Ministry of Education advised parents and guardians to ensure their wards walk with medication if they have respiratory illnesses, noting that they should also have a plan to ensure they can collect their children in a timely manner.
sheriabrathwaite@barbadostoday.bb

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By Anesta Henry

Asthmatics and persons who suffer from allergies and sinus complications have been advised to take all precautionary measures to protect themselves as the country continues to experience a series of cane and grass fires.
Chief Medical Officer (CMO) Dr. The Most Honourable Kenneth George is also supporting the decision of the Ministry of Education to close affected schools to protect students and teachers from the potentially harmful inhalations.
However, Dr George told Barbados TODAY that he had received no reports from polyclinics or the Queen Elizabeth Hospital (QEH) regarding an alarming increase in persons reporting to the facilities complaining of health issues due to the environmental hazard.
“The major persons who would be affected are persons who have some form of allergy. And we know that asthma and sinusitis and sinus headaches and so forth fall into the allergy category and those are the people who should try to protect themselves the most.
“The best way to protect yourself is to leave the area that is close to a site that is burning. We know that that may not always be easy, or it may be easier said than done. Therefore, individuals who can’t get out of the situation, many of you may have masks in your houses because you would have used masks during the COVID pandemic. If you can’t put on a mask, you have to try to lock your houses so that the influx of smoke will not affect you,” he said.
Dr George noted that smoke comprises chemicals which can lead to acute respiratory injury or a reaction that produces bronchial spasms, runny nose and itchy skin.
In recent weeks, the Ministry of Education has had to summon parents and guardians to collect their children after the institutions had to be closed prematurely.
Dr George said even though it may appear to the public that schools are being closed too frequently because of fires, “from a public health perspective, we need to make sure that people are protected.
“We know that asthma kills one or two individuals every year. So it is better to be safe than sorry. I am supportive of the Ministry of Education deciding to close schools, particularly if staff and students are reporting that the environmental conditions are affecting their health. I haven’t received any reports, but the polyclinics are always willing and able to provide any acute care,” Dr George said.
Meanwhile, the CMO recommended that schools establish a treatment plan to guide what measures should be taken to manage students or staff who may experience asthma attacks.
“I think schools should invest in some form of treatment plan for asthma because asthma is so common. Schools should have some area identified as an asthma bay so that they can give some form of acute treatment to persons who are in distress,” he said.
Director of the Barbados Meteorological Services (BMS) Sabu Best explained that there has been a significant reduction in rainfall in recent weeks, particularly in the St Philip, Christ Church, St Lucy areas and this has led to an increase in grass and cane fires due to the dry topsoil.
Best said that while the grass and cane fires usually last for a few hours, the smoke is likely to travel for many miles.
“This is going to make life a bit complex for residents in Barbados, particularly those living in St Michael and working in the Bridgetown area. We expect that these kinds of conditions are going to continue into April where grass and cane fires will be sparking off because of the dry conditions.
“There is not going to be any rainfall coming in anytime soon and I just want Barbadians to be aware that they can expect to see more fires in days to come and just be prepared. This is not an uncommon thing to be actually happening during the dry season,” Best said.
anestahenry@barbadostoday.bb

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The Sanitation Service Authority (SSA) is reporting an increase in the illegal use of its facilities by people burning materials to get copper in order to cash in on the growing trade in that metal.
At a media briefing on Friday, public relations officer (PRO) Carl Alff Padmore said the use of the Mangrove, St Thomas landfill for that purpose was extremely dangerous and put residents in the nearby communities at serious risk.
“The landfill area is dry because, naturally, we are not getting any rain. Why is that a problem for us? We have persons who are trespassing on the compound and they are creating a nuisance because what they are doing is burning copper. There is a trade for copper in Barbados [and so] they are trying to get the rubber off of the copper,” he complained, explaining that these fires were happening in an area near the old Central Cricket Club pavilion.
Saying that no permission had been granted by either the SSA or the Barbados Fire Service to start these fires, Padmore warned: “A simple flame can ignite the grass around the landfill and once the landfill catches, we know it will cause serious strain on our resources because we have to get crews to out it; it will cause strain on the fire service because they will have to deploy trucks; and environmental officers from the Ministry of Health would have to come and do air quality testing.”
“So one simple act . . . has the potential to be a nuisance at a bigger scale,” he added, noting that residents living downwind, in areas such as Arch Hall, Bennetts and Bucks, would be impacted if a fire started at the landfill.
The SSA spokesperson said the culprits tend to start the fires early in the morning and while some people had been spotted leaving the dump, no one had been caught.
He reminded that anyone found engaging in the illegal practice could be slapped with a fine of $5 000 or be jailed for creating a public nuisance.
During the briefing, Padmore also reminded Barbadians not to commingle old mattresses they take to the dump with other waste.
He said there was a programme in place for the SSA to dispose of those kinds of items which come from households, businesses such as nursing homes, and government facilities like the Geriatric Hospital.
Padmore said the SSA would engage in a controlled burn and those were the only fires that were conducted and considered safe at the Mangrove Landfill.
(SZB)

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CTUSAB RECOMMENDS EARLIER TERM’S LEAVE FOR TEACHERS TO AVOID FATIGUE

By Jenique Belgrave

Teachers must once again be allowed a term’s leave after five years’ of service.
General Secretary of the Congress of Trade Unions and Staff Associations of Barbados Dennis DePeiza made this clear on Friday as he insisted that educators have to be protected from the very real threat of burnout.
Saying some believed that the three school breaks per year provided enough time for teachers to rest, he suggested that for many of those days, they are still occupied with work.
“When schools are on recess, teachers are at seminars, summer school, preparation meetings and they get burnout. They were supposed to be given a term’s leave after every five years and someone determined that this should be moved to 15 years. I think there needs to be a rethink and teachers should be given a term’s leave after five years,” he said, noting that such a job needed to be incentivised to draw a higher level of interest.
Speaking to the media at the Barbados Union of Teachers’ Merryhill headquarters on Friday, he also expressed concerns over the number of school disruptions being experienced in recent times due to environmental issues and instances of violence.
“When we see disruption that is continuous like this it says something about how we are managing the system…As soon as something happens, somebody pops up, makes a statement and then disappears, but there seems to be no direction coming from the Ministry of Education, none whatsoever to deal with these ongoing issues,” he charged.
Depeiza noted that such stoppages have an impact on the island’s productivity and he suggested that a broad discussion with all stakeholders is necessary if issues affecting the education sector are to be addressed.
“We need to get something done where we engage all stakeholders because this disruption is having an impact on the country’s economic development. You may say only the schools are closed but when the schools are closed, parents have to go for children all during the day, they lose income and some jobs may be on the line because they are not at work.
“There are other social factors that are affected as people who have a little money are spending it on someone to keep their children and on meals as the children are, in some cases, missing out on the school lunches provided.
“We have to look at this broadly and find out what are the problems right across the system, have some serious discussions and look for solutions,” Depeiza added.
jeniquebelgrave@barbadostoday.bb

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