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{
    "id": 1015286,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1015286/?format=api",
    "text_counter": 101,
    "type": "speech",
    "speaker_name": "Suba South, ODM",
    "speaker_title": "Hon. John Mbadi",
    "speaker": {
        "id": 110,
        "legal_name": "John Mbadi Ng'ong'o",
        "slug": "john-mbadi"
    },
    "content": "I am sure there are people who look at the Order Paper and get scared. Hence this House needs to understand a little of this formula then I will sit down because the Mover had explained almost everything. My duty is to fill in the gaps where I feel the Mover has not touched. The CRA for the first time, and I must say, did a commendable job. What we may disagree with was the waiting but CRA did a commendable job. It unpackaged and broke down the functions. This is what they did for health, CRA decided to give health components, 17 per cent of the entire revenue. Now, how did they do it and what are the statistics or what is the formula to distribute the 17 per cent? They looked at three parameters. That is what I thought the Senate should have engaged its mind to. I thought this House would have been given the opportunity to interrogate it. This is because the CRA decided to use hospital visits from level 2 and level 3 hospitals and allocated 60 per cent of that health component. Sixty per cent is being allocated on the basis of visits to level 2 and level 3 hospitals across the country. Second component is visits to level 4 and level 5 at 20 per cent. Then someone will argue that if you look at that application of that formula, it will give more money to certain regions and leave others. When you look at Western Kenya region for instance, people visit hospitals often because of malaria, HIV among others. You look at Central Province and Nairobi Area, people visit hospitals more, because of lifestyle diseases like cancer and diabetes. If you go to North Eastern, people do not visit hospitals either because there are no hospitals around or they are very far. So, what CRA did to cure this was to introduce a third factor which is facility gap. That has been allocated 20 per cent. What we should have been discussing, as people’s representatives, is whether 20 per cent is adequate to address the issues that we see in Mandera, Garissa, Isiolo, Marsabit, and even Narok. That is what the Senators would be discussing. Not the issue of one man; one shilling; one vote; sijui some people live where; and some people are representing animals. That was not supposed to be the discussion. The discussion was supposed to be centered on these parameters."
}