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{
    "id": 39402,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/39402/?format=api",
    "text_counter": 28,
    "type": "speech",
    "speaker_name": "Mr. Kambi",
    "speaker_title": "The Assistant Minister for Medical Services",
    "speaker": {
        "id": 39,
        "legal_name": "Samuel Kazungu Kambi",
        "slug": "samuel-kambi"
    },
    "content": " Mr. Temporary Deputy Speaker, Sir, I beg to reply. Upgrading a lower level health facility like Chuluni Dispensary to a hospital involves the following two complementary procedures: 1. Assessment and recommendation by the District Medical Officer of Health. At this level, the District Medical Officer of Health carries out an inspection of the facility and prepares a proposal for consideration by the District Development Committee and the Ministry headquarters. In preparing the report, the District Medical Officer of Health takes into consideration the following:- (i) Catchment population of the facility; (ii) Existing distribution of health facilities; (iii) Availability of land for expansion. 2. Recommendation by the District Development Committee (DDC) upon receipt of a proposal from the District Medical Officer of Health, the District Development Committee carries out deliberations with particular interest in ensuring that:- (i) The community approves of the proposal. (ii) The location of the facility proposed for upgrading is central to serve the entire district. (iii) The wider Government is brought on board for the purpose of providing necessary support such as provision of access roads and utilities. Mr. Temporary Deputy Speaker, Sir, these procedures have not taken place in respect of Chuluni Dispensary and the Ministry cannot, therefore, consider upgrading the facility to a district hospital as at present. However, should the relevant organs in Nzambani District initiate the process in future, the Ministry will study the proposal and respond appropriately. Mr. Temporary Deputy Speaker, Sir, regarding posting of a medical officer to serve the high population, the staffing norms for health service delivery permit deployment of medical officers in hospitals only. This is because lower level facilities lack theatres, equipment and other facilities that medical officers require to discharge their duties as per their training. Chuluni Dispensary can qualify for deployment of a Medical Officer of Health only after it is upgraded to a hospital level."
}