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{
    "id": 445631,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/445631/?format=api",
    "text_counter": 213,
    "type": "speech",
    "speaker_name": "Hon. (Ms.) Nyamunga",
    "speaker_title": "",
    "speaker": {
        "id": 738,
        "legal_name": "Rose Nyamunga Ogendo",
        "slug": "rose-nyamunga-ogendo"
    },
    "content": "Thank you, hon. Speaker. I also support the Motion as amended. First of all, it is important to realize that, for several years, the development of Kenya as a whole has been sort of skewed to the extent that some areas have been more developed than others. So, if we decide that we transfer all the medical facilities to the counties at the same time, it will mean that some counties are going to be left behind in terms of giving medical services. That is because those counties have challenges. If you take Kisumu, for example, which is my county, there is a lot of disparity across the county in terms of human resource. In some counties, the medical facilities are so well equipped in terms of doctors, nurses and all the staff that is required as compared to some counties in rural areas. So, if heath care is transferred at the same time, some counties are going to suffer. Many Kenyans are already suffering because of lack of medical facilities. So, it is important that this thing is referred back and be done in phases. Therefore, the more equipped counties like Nairobi and Mombasa, which are the major cities and have got better facilities, are not treated the same as some counties like Turkana and many other areas that are not medically well equipped. If you look at the issue of operation challenges in terms of drugs, I think the distribution of drugs should be centralized so that each county can get its supplies. Medical supplies should be done according to the needs of a county. I see that there is an operational challenge. It cannot be done equally across the board. It has to be done in an equitable manner. The other challenge that we have is financial. Not all counties can take care of medical services at the same pace for the simple reason that I have already stated - that some counties are more developed than others. So, it cannot be done at the same pace. It has to be done according to the needs of particular counties. So, there is a financial challenge. Another challenge that we have is the criteria of classifying medical facilities. That is because you realize that some medical facilities that can be referred to as a Level 5 or Level 4, if you go to some counties, they are completely nothing. Some of them look like health centers. So, I think that classification is also very important. It should be done across the board so that there is equality in service delivery and medical facilities to many Kenyans who cannot afford private hospitals. With that, I beg to support the Motion in its amended form."
}