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{
    "id": 558545,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/558545/?format=api",
    "text_counter": 175,
    "type": "speech",
    "speaker_name": "Hon. (Prof.) Nyikal",
    "speaker_title": "",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "Hon. Temporary Deputy Speaker, on the issue of health, I want to say something - and I have said it before. We know that the health function is devolved and we know that we made a Report that some of it may need to be looked at again. But the health function can work in a devolved state. The only thing that has happened, which is a problem in this country on everything, is that people play politics with everything. People pass information; people talk in barazas and after they have answered a query, they think that something is going to happen. Nothing happens. What the health function needs is the Ministry sitting down with the Council of Governors or the Inter-Governmental Relations Authority. I have not heard of any effort to sit down and look at health, department by department. There are many functions within health sector. It is complex. If you take human resource only, you have about 30 cadres who have different progression schemes. If you take the services that are being offered, you have highly technical services that are being offered. If you look at procurement in health, you have things that are being procured internationally and that is the only way it can be done with the support of partners. You are not going to treat it like something else. So, you have to sit down and do it. The purchase of equipment is a good effort, but there are issues. It is a devolved function. What is the relationship that has been brought in? What arrangements have been brought in with the county governments? We have seen that governors were not keen to sign. They have now signed. But whether they were persuaded or coerced, that will not matter. What will matter is whether the governors had the correct information, particularly from the directors of health at the counties to convince them. You cannot use politics or power to do anything in health. You only use the facts as they are available."
}