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{
    "id": 1015340,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1015340/?format=api",
    "text_counter": 155,
    "type": "speech",
    "speaker_name": "Homa Bay CWR, ODM",
    "speaker_title": "Hon. (Ms.) Gladys Wanga",
    "speaker": {
        "id": 590,
        "legal_name": "Gladys Atieno Nyasuna",
        "slug": "gladys-atieno-nyasuna"
    },
    "content": "Starting with Level 4 and Level 5 hospitals, only 11 counties in this country have Level 5 facilities. Already, if you do not have a Level 5 facility, there is already a disadvantage there. It is because you will be having nothing to visit. There has been laxity even within our counties for Level 2 and Level 3 facilities. People do not want to go to the dispensaries or health centres. Everybody runs to the main hospitals or referral hospitals within those counties. If you go to Level 2 and Level 3 facilities, you will find that there is no medication. People go to higher facilities. So, when the Leader of the Minority Party said that the debate should be whether the facilities gap is adequate, I would propose that this facilities gap is moved to take a higher portion, not just 20 per cent. It should take up to 30 per cent or 40 per cent so that we take care of those who do not have facilities in the first place. This will ensure that we are not giving money for facilities visits when the facilities are sometimes not there or are not equipped. Then we came to the issue of data. I think Hon. Makali Mulu raised the issue of the data that we intend to use for this purpose. If you look there, you will find that the formula is talking about number of primary healthcare visits over the total number of primary healthcare visits in the country. On this number of primary healthcare visits, how sure are we that we are using the correct data or data that can be verified properly? How sure are we that people are not just adding things on top of what they have just so that they can get more money? I think the issue of data, not just in primary healthcare visits but data in the other aspects as well, should be well taken care of and well looked into. When you come to agriculture, it has already been spoken to. The formula is talking about rural households in a county divided by the total number of rural households in the whole country. How is that taking care of agriculture? When you go to Homa Bay, for example, as it has been said before, the mainstay there is fishing. How are we taking care of that in this formula? When you talk about people who are growing miraa in Meru or people who are keeping livestock in North Eastern, how is that taken care of in this formula? Why have the Senators not explained to us how agriculture as a factor carries up to 10 per cent in this formula? How are we taken care of as people within the blue economy areas? Uuiiii!"
}