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{
    "id": 444200,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/444200/?format=api",
    "text_counter": 337,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Pukose",
    "speaker_title": "",
    "speaker": {
        "id": 1458,
        "legal_name": "Robert Pukose",
        "slug": "robert-pukose"
    },
    "content": "In the Division of Revenue Bill that went to the Senate and is now going to the Mediation Committee, the discussion is where do the Level 5 hospitals get the money from? Do they get it from the national Government or they get it from the county governments? You will find that the Senate, being the protector of the county governments, is saying that the national Government should give money to these hospitals. If you discuss this with many of the governors, you find that they are in a position to effectively run health services at the Level 5 hospitals or former provincial general hospitals. I think they also have a challenge in running high volume hospitals. These are Level 4 hospitals like Machakos, Kitale District Hospital, Kericho, Kisii and others. In Trans Nzoia County, the amount of money that the county government allocated is about Kshs260 million in the last financial year. This is the case and yet one Level 5 hospital gets about Kshs360 million, Kshs390 million or Kshs400 million. That is the amount of money you need to run one facility. If the county will set aside almost a fraction of that amount to run all the county health services including the Level 4 hospitals or high volume hospitals, then it will be a big challenge."
}