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{
    "id": 1286174,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286174/?format=api",
    "text_counter": 379,
    "type": "speech",
    "speaker_name": "Sen. Maanzo",
    "speaker_title": "",
    "speaker": {
        "id": 2197,
        "legal_name": "Daniel Kitonga Maanzo",
        "slug": "daniel-kitonga-maanzo"
    },
    "content": "Thank you, Mr. Deputy Speaker, Sir, for giving me an opportunity to contribute on this very important aspect of health. It is true that there is a problem, but I do not think that this is the best way to solve this problem of inefficiency in the hospitals. Mr. Deputy Speaker, Sir, there have been serious problems in Makueni District Hospital in the business of scan. When someone has had an accident, scanning is sometimes not done in the hospitals. The other problem arises when someone has to read the scan because that patient cannot go to theatre or be released to a referral hospital like the Kenyatta National Hospital, unless that process has gone through. Quite a number of patients have died in that process. If it were done immediately, lives would have been saved. There was once a delay for eight hours and the patient died. It has caused many problems in that particular hospital and generally in the county, as to the efficiency of hospitals and its management. All the hospitals already charge some money and already have a system, which has a way of forwarding to become part of the internal collection of a county. So, what will stop these monies from getting lost has not been put in this law. Are we amending the PFM Act? What are we amending and what are we seeking to solve? Mr. Deputy Speaker, Sir, in my opinion, we need many amendments on this Act. Probably, we do not need to amend this Act. Anything to do with finances and expenditure has its own regime of law and its own system. Otherwise, we might be trying to solve an existing problem, but create a bigger problem in terms of accountability. You need to look at multiplying effect. We are talking of the district and sub-county hospitals and dispensaries. There are collections in all of them. If you allow the staff to collect and use the money because they need to fuel an ambulance, the ambulance should already be fuelled. It should be in full capacity to operate for the day. Then what is this you want to mitigate? If it is medication, it should have been supplied in advance. If it is anything to be used as an emergency, even if it is medication for a snakebite, it should already be in that particular level. As much as we want to solve this problem which already exist, it may not be addressed by this particular law. We may pass this law and still find that inefficiency in hospitals in the counties as it continues. I think the whole hospital management system has to be overhauled on how it is managed. The most important is the attitude of the people who work in the hospitals. Do they want to save the people? Are they living to the Hippocratic Oath of saving a life as soon as it is practical or is it business or commerce, where the doctor is there just to make money for the day? The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard Services,Senate."
}