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{
    "id": 1400533,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1400533/?format=api",
    "text_counter": 221,
    "type": "speech",
    "speaker_name": "Sen. Ogola",
    "speaker_title": "",
    "speaker": null,
    "content": "our records, we can pick from the health centres, dispensaries and referral hospitals figures that show an increase in antenatal visit attendance. Dr. Bosire says that as we celebrate the increased antenatal visit attendance and skilled birth attendance delivery indices, these exciting indices have not translated to reduced maternal deaths. As a country, even when we talk about records showing an increase in women visiting antenatal clinics; even when we have records that show that there are skilled birth attendants who are attending to our pregnant mothers, it is sad to notice that this increase in records has not translated to reduced maternal death. This Bill is specifically about strengthening the services that we give to these three components so that, at the end of it, as a country, we reduce maternal deaths and give services that are to the international standards. An economist asked that if we have invested as a country in bringing our mothers to hospitals and dispensaries, why are they still dying? If the hospitals are there and we have invested in bringing mothers to hospitals and dispensaries, why are they still dying? It is time to work on the quality of our service provision. There are critical questions we must ask ourselves. Is the service we are providing meeting the bare minimum quality standard? Are our facilities ready to ensure the highest attainable standards of care? There are concerns that our health system must address. One is the quality of service delivered to our mothers. Secondly, we must address the shortfalls in health system financing. Is the right model in place for delivering maternal care? Another concern we must address is the inadequate workforce available for patient care, both in numbers and scales. In my active maternal life, I was once admitted to the Homa Bay District Hospital Ward Two, if I remember precisely. I spent almost seven days in the ward. As I was there as a patient, I thanked God I had a very committed doctor - the district gynecologist at that time - the late Dr. Ojwang' Ayoma; May the lord rest his soul in peace. That was a man who had a passion for his work. As I was lying in the hospital bed, sometimes in the night, young women - this was a maternal ward - kept on coming there with different problems. There were cases of aborted pregnancies in the night to struggling mothers who had been brought from over 50 kilometres away and had been driven on rough roads. As soon as they came, they were either losing their babies or some losing their lives. While I was there, there were only a few nurses that would be available. Sometimes, there were only two nurses on a night shift serving over 50 mothers, who sometimes came at the same time. Some of the mothers would come crying. Some would lose their lives and their babies. That is why I am asking whether we have addressed the issue of inadequate workforce available for patient care. I am very specific both in numbers and skills. The reason I appreciate the Lord for Dr. Ayoma is because he came to the hospital for all the calls that came, to attend to women, whether he was on duty or 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 and AudioServices, Senate."
}