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{
    "id": 558490,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/558490/?format=api",
    "text_counter": 120,
    "type": "speech",
    "speaker_name": "Hon. (Ms.) Tuya",
    "speaker_title": "",
    "speaker": {
        "id": 926,
        "legal_name": "Roselinda Soipan Tuya",
        "slug": "roselinda-soipan-tuya"
    },
    "content": "2014. A year down the line, we have sampled six counties which we have visited to check on the extent of implementation of this resolution. We visited Tharaka Nithi, Isiolo, Laikipia, Tana River, Narok and Kilifi to appraise ourselves on the extent of implementation of this Resolution. Unfortunately, we did not find any implementation of this Resolution in those counties. We are following up this matter with the Cabinet Secretary for Health because we realised that there is a lot of miscommunication. Non-implementation of this Resolution would probably be tied to the devolution of the health function to the county level that has had teething problems. This is another Resolution which we will follow up with the Cabinet Secretary. This is because despite the devolution of the health function, the national Government is still in charge of policy aspects. The third one under the Ministry of Health is the upgrading of, at least, one Level 4 and one Level 5 hospital in each county based on a Motion moved by Hon. Joseph Gitari. The Committee notes that the Ministry carried out a needs analysis and identified one Level 4 and one Level 5 hospital for upgrading in each county. The Ministry further started the process of providing key equipment to the identified hospitals. As a Committee, we further noted that with the devolution of the heath function and the fact that the Ministry only plays a policy role, the actual implementation of this Resolution remains a challenge. Again, we sampled six counties to check on the status of this Resolution. In each of these six counties, one Level 4 and one Level 5 have been identified for upgrading but this has not happened. We know that there is raging debate right now about the equipment offered to the county governments by the national Government for dialysis, cancer screening and X-ray services. We realised the appalling state of our health services when we did our county trips. That was the basis of one of our recommendation in which we supported the Departmental Committee on Health that proposed the possibility of reverting this function to the national Government. That is the subject of another Report of this House. The fourth Resolution is on the recruitment and deployment of medical staff based on a Motion moved by Hon. David Ochieng. On this, the Committee notes that the Ministry, again, carried out a human resource audit on county staff needs. The Committee further notes that when the employment and deployment function was fully devolved, the funds were transferred to counties to carry out the recruitment exercise. During our visits to the six counties I stated above, we realised that there was a variance. We had some counties which had utilised the money allocated to them for the recruitment of staff. However, we found out that some counties had not recruited medical personnel despite being allocated funds for the same. Hon. Speaker, one of the realities we established on the ground in the counties is the fact that we allocate money through the budget process in the National Assembly, but once these monies get to the counties, they are not ring-fenced to the functions that are allocated at the National Assembly. Therefore, they are reallocated to other functions at the county level. This is one of the reasons why the health sector is seriously suffering in our counties. The second last is the Ministry of Transport and Infrastructure. The first Resolution under this relates to the tarmarking of 20-kilometre roads in every constituency based on a Motion moved by Hon. K.K. Mburu. 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."
}