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{
    "id": 392692,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/392692/?format=api",
    "text_counter": 222,
    "type": "speech",
    "speaker_name": "Sen. Kajwang",
    "speaker_title": "",
    "speaker": {
        "id": 164,
        "legal_name": "Gerald Otieno Kajwang",
        "slug": "otieno-kajwang"
    },
    "content": "Mr. Deputy Speaker, I raised that issue because it is good to devolve but some people are far below others. It is a fact that if you went to some hospitals in some parts of the country which we now call level 4, for lack of a better word because they are now the highest county hospitals, you will find that the capacity is far too low. Maybe the county governments may not have the capacity to build these facilities and provide equipments. They might not even have the capacity to train doctors. Sometimes, doctors trained elsewhere would not want to work for you. They do not want to go and work in Homa Bay, for example, because they all want to work in Kenyatta National Hospital (KNH). I think the former Minister knows that. They all want to work in KNH because this is where they also go and visit their clinics but Homa Bay does not have that kind of money. So, if you take them to Homa Bay it is like you are giving them a punishment. I can tell you that there will be no neurosurgeons in Homa Bay for a long time, maybe, in another 20 or 30 years. I can tell you that very highly specialized people in kidney diseases or in oncology, would go to those areas. If the Government wanted to support, we could train some core staff from every county. We could say that we want at least two surgeons, two specialists, one physician and so on in every county. The Government could support them by giving them a master’s programme but they must work in Homa Bay for five years. I can tell you those experts will accept because they want that training but they cannot afford it, but at the same time, they must know that they have to pay back to the county that invested in them. That way, we might create a cadre of specialists across the country but if we leave it to the counties, probably we will not make a good start. 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."
}