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{
    "id": 1169159,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1169159/?format=api",
    "text_counter": 150,
    "type": "speech",
    "speaker_name": "Sen. (Eng.) Hargura",
    "speaker_title": "",
    "speaker": {
        "id": 827,
        "legal_name": "Godana Hargura",
        "slug": "godana-hargura"
    },
    "content": "Unfortunately, this is not the case. For instance, in this case, the personnel system for the whole county is not in place. I wonder how they have been operating because the law requires county executives to submit an organogram for approval. Once it has been approved, the County Public Service Board (CPSB) should use it whenever they receive any indents to employee any staff. I wonder how the CPSB in Uasin Gishu is operating without organograms, which have been approved and submitted to them to use when they are employing. On the issue of equipment, we have even heard it earlier when we were discussing the Managed Equipment Services (MES) Report that some of the equipment for Uasin Gishu County has gone to Moi Teaching and Referral Hospital (MTRH) and the payment is being done from the county allocation, which is unfair. The Government should allocate to its facilities, for example, the Kenyatta National Teaching and Referral Hospital and MTRH which are under the national Government. Level five hospitals should be equipped directly by it because it is in charge. They should not be using the equipment being paid for by the county governments. The management of personnel is very important, but it is coming out as a problem. I hope the four issues raised by the petitioners will be handled by the relevant Committee. Generally, the health sector is an area which is showing that the county governments are not performing well. It should be the area where they should be performing better than any other because this is human life. We allocate money here as equitable share. If you take a look at the county budgets, they will tell you most of it goes to the health sector. You will then wonder what it is doing if we have personnel and equipment problems and most importantly, problems in the provision of drugs. In every county there are no drugs and the reason is given is the law that requires them to buy from Kenya Medical Supplies Authority (KEMSA). Forty-Seven counties cannot be sitting here and if there is a problem with the provision or supply from KEMSA, they are not raising this issue so that we can look at the law and change. It is this Parliament, which passed that requirement that county governments must procure their drugs from KEMSA. If it is not working, we are supposed to get that law and amend it so that county governments with very serious controls in terms of quality and all that can purchase their own drugs. Sometimes they say they have paid, but KEMSA has no supplies. That is not a reason when we are dealing with human life. Counties have to be proactive. If there is any requirement for any change in law, then Parliament should be petitioned maybe by the Council of Governors (CoG) to have that part changed because they are the ones experiencing the implementation of that law. The same thing applies to the first statement. In the case of Garissa County, that is a hospital that has a Medical Training College (MTC) with it. If there are problems of personnel, equipment or negligence, you wonder what kind of staff they are training for us. If those who are training the nurses are the ones who are negligent what kind of output, do you expect from them? I hope the Committee on Health which will handle both the Statement and the Petition, start their work so that what they will not have completed will be taken up by the next Senate. I thank you."
}