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{
    "id": 392686,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/392686/?format=api",
    "text_counter": 216,
    "type": "speech",
    "speaker_name": "Sen. Kajwang",
    "speaker_title": "",
    "speaker": {
        "id": 164,
        "legal_name": "Gerald Otieno Kajwang",
        "slug": "otieno-kajwang"
    },
    "content": "Mr. Deputy Speaker, Sir, I am grateful to the Chairman for having explained what the levels are all about. I was asking about them because whenever they refer to the Kisii General Hospital, they regard it as a level five. Although it has improved, it is not quite the provincial hospital that we know. I, was, therefore, very doubtful as to what level it is. I thought that the Chairman would make us more comfortable by listing down some of the requirements like equipment and provisions that should be there for a health facility to be moved from one level to the other. Once we know have this information, we will go back to our former district hospitals which are now county hospitals and tell them what they require to move from, for instance, from a level four to a level five hospital. We should know what magnitude of a laboratory they require, the operation tables, running water; hot and cold, operating theatres, the number of doctors they should be having and the number of nurses they should have so that we help them to be the real level four or five so that we have a real structural development towards that. As we look at our budgets – the Bill is coming and we will pass it soon – we will sit with the Governors and other leaders and decide to improve hospitals the way it ought to be done. Setting up a laboratory is not cheap. I have seen one here that is being funded by the World Bank at a cost of Kshs50 million. So, for a laboratory to be a real laboratory and deal with sophisticated issues, we need to budget for them. Probably, as an addendum to your report, you could inform us what is required to call a hospital a level four or five so that we work towards that. I want to think that there will soon be referral hospitals of the counties. Somebody will be moving from Mvita to Homa Bay on a referral. You need to have the facilities for this person to move from Homa Bay to Kisumu. For one to be referred to Nairobi, they must be going through a complicated issue. There should also be lack of expertise at hospital the person is being treated. I know of a hospital, where I come from; there is a 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."
}