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{
    "id": 1521229,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521229/?format=api",
    "text_counter": 110,
    "type": "speech",
    "speaker_name": "Seme, ODM",
    "speaker_title": "Hon. James Nyikal",
    "speaker": null,
    "content": "The most important recommendations are a retreat and a meeting we plan to hold with the Ministry and the SHA management. The main issue we noticed in all this is change management, which remains the core challenge. The concepts may have some minor issues, but not significant. The key concern is the liabilities and assets that SHA took over from the NHIF. The current problem of private hospitals closing down is directly linked to the liabilities that the SHA inherited from the NHIF. That is an area we probably should have examined more closely. While there is frustration with the SHA, it is a fundamental transition issue. It raises important questions about what happened to the money the NHIF raised and how the existing debts are handled. Ultimately, we are dealing with a process of change."
}