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{
"id": 389904,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/389904/?format=api",
"text_counter": 120,
"type": "speech",
"speaker_name": "Hon. (Dr.) Pukose",
"speaker_title": "",
"speaker": {
"id": 1458,
"legal_name": "Robert Pukose",
"slug": "robert-pukose"
},
"content": "The second question on the plans by the Government to ensure that all public hospitials are able to accommondate all Kenyans needing intensive, or emergency care, the number of patients requiring ICU services has been increasing at a rate that our hospitals are not able to accommodate. Kenya is experiencing a rise in non- communicable diseases, road accidents and inter-ethnic conflicts, some of which lead to health states that require critical care in ICUs. This is because the numbers are overwhelming and the human and financial resources necessary for creation of more ICU beds are lacking. It should be noted that the KNH and other public hospitals have been receiving high numbers of victims of road accidents; this is one of the major causes of high demand for ICU services. In view of the reasons for insufficient bed space in ICUs in public hospitals, the Ministry has plans, in consultation with county governments, and subject to the availability of funds, to scale up the ICU services capacity in the country in a progressive and phased approach. In this plan, several counties will initially share services before units are established in all the counties. The factors to be considered in prioritizing establishment of ICU units include morbidity and mortality patterns, readiness for ICU services provision in terms of infrastructure, equipment and human resource, population, region and geographical access. The implementation of this programme will improve and equitably distribute ICU services in the country, in addition to decongesting the current centres offering ICU services. In the proposed programme for the implementation, in the initial phase, the Ministry intends to upgrade or establish ICUs in the current Level Five Hospitals. These are what we call the provincial hospitals. They are 11 in total, namely Garissa Provincial General Hospital, Embu Provincial General Hospital, Coast Provincial General Hospital, Nyeri Provincial General Hospital, Kisumu General Hospital, Kakamega Provincial General Hospital, Nakuru Provincial General Hospital, Thika District Hospital, which is a high volume hospital, Machakos District Hospital, Kisii District Hospital and the Meru District Hospital. The proposed set-up will constitute eight to 12 beds per unit within a timeframe of two years. The second phase will involve establishing ICUs in selected Level Four Hospitals. The targetted hospitals are Kitale District Hospital, Lodwar District Hospital, Bungoma District Hospital, Isiolo District Hospital, Homa Bay District Hospital, Kiambu District Hospital, Voi District Hospital, Mandera District Hospital, Wajir, Siaya, Marsabit, Naivasha, Narok, Busia, Moyale, Malindi, Maralal, Kericho and Lamu district hospitals. The proposed timeframe for this phase is four years, with each unit having five to eight beds. The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}