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{
    "id": 445639,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/445639/?format=api",
    "text_counter": 221,
    "type": "speech",
    "speaker_name": "Hon. Baiya",
    "speaker_title": "",
    "speaker": {
        "id": 8,
        "legal_name": "Peter Njoroge Baiya",
        "slug": "peter-baiya"
    },
    "content": "Thank you, hon. Speaker for giving me the opportunity to contribute to this Motion. I also wish to support it as amended. The main highlight of this Report touches on the impact of devolution on ongoing health services in the country. There is no doubt that there is evidence of interruption of health service delivery in this country that has been contributed to by the process of devolution, almost leading in some cases to paralysis of service. A case in point is an experience I had with one of my relatives in Kiambu District Hospital, which is a Level 5 hospital. She was admitted there and needed urgent blood transfusion and the service was very much delayed. When it was administered, she was partially given about two pints and the rest of the two pints were erroneously administered to another patient before any matching had been done. Unfortunately, it was a fatal case for the other patient indicating that, clearly, the quality and level of service is quite affected. Hon. Speaker, we keep on receiving complaints from the health staff who are involved in health service delivery. They complain that they are demoralised. They do not seem to receive clear instructions. There is absence of policy clarity and it is like they do not really understand where they are really going. Hon. Speaker, as far as devolution is concerned, that was not one of the outcomes that were actually intended. So, it begs the question: What is happening or who is responsible for what is really happening and what is our role as Parliament to ensure that the situation is averted? Hon. Speaker, this Report of the Departmental Committee on Health, in my view, only highlights health as one of the devolved functions. However, I am very sure that even the other functions which have been devolved are equally affected. It is not only with regard to health service. The impact of non-effective devolvement is more severe, painful and not capable of being ignored. Hon. Speaker, the purpose of devolution was to enable the functions that were being devolved to be performed more effectively and efficient by the recipient government. But what we are dealing with is a situation where that process of transition, the way it was designed and the way it is being implemented, there is a mis-match between the two. The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}