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"speaker_name": "Sen. (Dr.) Machage",
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"legal_name": "Wilfred Gisuka Machage",
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"content": "Madam Temporary Speaker, thank you for having allowed me to donate a few of my minutes to my colleagues. I only have a few minutes to reply. I realize many hon. Senators wanted to contribute more, but let me take the remaining few minutes to make a few clarifications. Madam Temporary Speaker, noting that the numbers might not be adequate for taking the vote on this Motion, I request that the vote be deferred to this afternoon. As I thank the Senators for making contributions to this Motion and acknowledging their sense of knowledge, there are a few things I have to clarify in order to build on the Motion. It has come to my notice that Senators may not understand the classification of hospitals in terms of grades. I will have to attempt to give the norms that are used for service delivery at Levels 4 and 5 and, maybe, also remind Senators on what Level 6 entails. Level 4 hospitals as service delivery norms entail focus on appropriate accretive care and constitute the principal referral level for all interventions. The functions provided at Levels 2 and 3 serve 10,000 to 30,000 persons, respectively who refer their patients to Level 4. Level 4 hospitals also provide the following services: Clinical supportive supervision to lower level facilities and activities provided include referral level, patient care, in-patient services, emergency obstetric care, oral health services, surgery on in-patient basis, surgery on out-patient basis, client health education, specialized laboratory tests and radiology services. It also gives proper care management of referral cases through the provision of the four main clinic specialties of internal medicine, surgery, gaeneocology, paediatrics and obstetrics. It also gives technical service which includes proper counter referral, providing logistical support to lower facilities and coordination of information flow to the facilities. Level 5 hospitals entails a broader spectrum for specialized referral clinical services that ensure a wide scope of potential health needs of the communities they serve. In addition, Level 5 also include training facilities for cadres of health workers such as doctors on internship. It also includes all the services in Levels 4, 3, 2 and 1. May I mention that we have a few facilities for Level 6 which offer super specialized services. For example, Level 6 is our national referral hospitals, which include Kenyatta National Hospital (KNH), Moi Teaching and Referral Hospital and specialized Level 6 facilities such as Mathari Mental Hospital and National Spinal Injury Hospital. Madam Temporary Speaker, we have changed from the previous nomenclature of just calling hospitals dispensaries, health centres, district, provincial and national hospitals because these names had no meaning in terms of facilitation. We picked on the levels type of nomenclature because when we term a hospital to be Level 5, then it must have certain facilities to qualify for that level. The same applies to Levels 4, 3, 2 and 1. Level 1 is medical health care at community level. Level 2 is a dispensary level. Level 3 The electronic version of the Senate Hansard Report is for information purposes only. A certified version of this Report can be obtained from the Hansard Editor, Senate."
}