Lebanon’s Rafik Hariri University Hospital Suffers from Neglect in the Midst of Crises

FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
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Lebanon’s Rafik Hariri University Hospital Suffers from Neglect in the Midst of Crises

FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir

All eyes turn to Rafik Hariri University Hospital whenever there is a public health crisis caused by an epidemic. It is also where many of those injured in wars or security incidents are taken for treatment. However, it has been neglected by the Lebanese state, especially the ministry of health, which has taken it out of the list of Lebanon’s most modern hospitals.

With the spread of the coronavirus, however, it has come under the limelight since it is the only health center that is able to treat patients who have caught the virus.

The Rafik Hariri University Hospital building is located on a spacious property in Beirut's Bir Hassan area, and consists of three stories with 400 beds, making it one of the largest hospitals in Lebanon.

The health ministry has equipped a hospital ward, which includes 137 beds, so that it can receive those infected or suspected of being infected with the virus, and it is ready to turn all its departments into a health center for infected people in the event of an increase in the number of patients.

Despite the responsibilities assigned to the hospital, it suffers from two major issues. The first revolves around the need to improve its equipment. The other is the mistreatment of its employees - whether in administrative or medical positions - who suffer from delays in the payment of their salaries compared to other public sector staff.

Hospital personnel protested near its headquarters on Wednesday to remind officials of their demands, and they made their voices heard to Minister of Health Hamad al-Hassan in conjunction with the press conference that was held to update the public on the status of coronavirus patients in Lebanon.

Hospital employees demanded their right to benefit from the pay raises to public sector employees that they are entitled to.

There are many reasons behind the state’s neglect of this hospital, a source from inside the Rafik Hariri University Hospital told Asharq Al-Awsat, the first being that private hospitals in its vicinity are owned by political figures that have no interest in developing the institution. The second is that health ministers have been dealing with the hospital in accordance with their political background and interests. They link any initiative to developing the facility or its medical and nursing staff to political services.

A ministry source denied these claims. “Attending to the needs of Rafik Hariri University Hospital is a top priority for the ministry,” he told Asharq Al-Awsat.

The official also denied that political considerations interfered with its management. “Most of spending on hospitalization goes to this hospital, taking into consideration the share received by private and public universities for treating patients at the ministry's expense”.

He considers that “the employees' objections are shared by public sector staff in general; it is not a problem unique to the ministry of health.”



Sudan Banknote Switch Causes Cash Crunch

A Sudanese man pushes a cart with water containers in Omdurman, the Sudanese capital's twin city, during battles between the Sudanese military forces and Rapid Support Forces (RSF), on January 17, 2025. (Photo by AFP)
A Sudanese man pushes a cart with water containers in Omdurman, the Sudanese capital's twin city, during battles between the Sudanese military forces and Rapid Support Forces (RSF), on January 17, 2025. (Photo by AFP)
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Sudan Banknote Switch Causes Cash Crunch

A Sudanese man pushes a cart with water containers in Omdurman, the Sudanese capital's twin city, during battles between the Sudanese military forces and Rapid Support Forces (RSF), on January 17, 2025. (Photo by AFP)
A Sudanese man pushes a cart with water containers in Omdurman, the Sudanese capital's twin city, during battles between the Sudanese military forces and Rapid Support Forces (RSF), on January 17, 2025. (Photo by AFP)

Sudan's army-aligned government has issued new banknotes in areas it controls, causing long queues at banks, disrupting trade and entrenching division.

In a country already grappling with war and famine, the swap replaced 500 and 1,000 Sudanese pound banknotes (worth around $0.25 and $0.50 respectively) with new ones in seven states.

The government justified the move as necessary to "protect the national economy and combat criminal counterfeiters,” AFP reported.

But for many Sudanese it just caused problems.

In Port Sudan, now the de facto capital, frustration boiled over as banks failed to provide enough new notes.

One 37-year-old woman spent days unsuccessfully trying to get the new money.

"I've been going to the bank four or five times a week to get the new currency. But there is none," she told AFP, requesting anonymity for fear of reprisals.

Grocers, rickshaw drivers, petrol stations and small shop owners are refusing to accept the old currency, preventing many transactions in a country reliant on cash.

"We cannot buy small things from street vendors any more or transport around the city because they refuse the old currency," the woman said.

The currency shift comes 21 months into a war that has devastated the northeast African country's economy and infrastructure, caused famine in some areas, uprooted millions of people and seen the Sudanese pound plunge.

From 500 pounds to the US dollar in April 2023, it now oscillates between 2,000 and 2,500.

Finance Minister Gibril Ibrahim defended the switch, saying it aims to "move money into the banking system, ensure the monetary mass enters formal channels as well as prevent counterfeiting and looted funds.”

But analysts say it is less about economics and more about gaining the upper hand in the war between army chief Abdel Fattah al-Burhan and his former deputy Mohamed Hamdan Daglo, who leads the Rapid Support Forces (RSF).

"The army is trying to weaken the RSF by having a more dominant currency," Matthew Sterling Benson at the London School of Economics and Political Science told AFP.

After the RSF looted banks, the army "wants to control the flow of money" and deprive them of resources, he said.

Kholood Khair, founder of think tank Confluence Advisory, believes that this financial squeeze may accelerate RSF plans to establish a rival currency and administration.

"The move has catalyzed the already existing trajectory towards a split," she told AFP.

Sudan is already fragmented: the army holds the north and east and the RSF dominates in the western Darfur region and parts of the south and center.

Greater Khartoum is carved up between them.

For Sudan's population, the move has only compounded their suffering.

Activist Nazik Kabalo, who has coordinated aid in several areas, said supply chains have been severely disrupted.

Farmers, traders and food suppliers rely entirely on cash.

"And if you do not have cash, you cannot buy supplies, needed for aid or for anything else," Kabalo told AFP.

The government has promoted digital banking apps such as Bankak, but many Sudanese cannot access them because of widespread telecommunications outages.