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{
    "id": 566359,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/566359/?format=api",
    "text_counter": 83,
    "type": "speech",
    "speaker_name": "Hon. (Prof.) Nyikal",
    "speaker_title": "",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "The main Motion is an indication of what is happening in our country. After Independence, there were good health services in this country, but they started deteriorating from the 1970’s up to about 2002. There was good input in terms of structure and funding and health services improved. Since then, it has suffered two shocks. In 2007, we split the Ministry which had not recovered well in terms of structures and management. That was expected. It had just started to improve and then with the devolution that has come, again, the Ministry has suffered another shock in terms of management and structure. All these Motions that we are getting bit by bit are an indication that we need to take a bigger picture at the health sector. Sometimes we have thought that health should not have been devolved. We have not looked at the complexity of health. Basically, what has happened is that we have not looked at the complexity of the health sector, and more so its various sub-sectors that need to be devolved in a well planned manner. With the Inter-governmental Relations Act and the secretariat that they are putting in place, we must go back and---"
}