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{
    "id": 566410,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/566410/?format=api",
    "text_counter": 134,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Simiyu",
    "speaker_title": "",
    "speaker": {
        "id": 141,
        "legal_name": "David Eseli Simiyu",
        "slug": "david-eseli"
    },
    "content": "Thank you, Hon. Temporary Deputy Speaker. Although the voting was a secret ballot, I want to confess that I am the one who abstained from vote, the reason being that I felt the Question was on an ill-advised amendment that was trying to amend an ill-advised Motion. Two wrongs do not make a right. This Motion is ill-advised, ill-researched and populist. It will not improve health care at all even if somebody tries to implement it. It is not implementable anywhere in the world, and not just within our devolved system of government. Issues like blood transfusion services are matters that are looked at according to the population the centre is supposed to serve – an aspect unrelated to the counties. A blood transfusion centre is supposed to be placed in a given location with a view to serving a given population. Therefore, the suggestion that blood transfusion centres in the country be located in every county is ill-advised. The whole idea is populist. Likewise, placement of ICUs should not be based on counties but should target specific populations for service. What size of population is an ICU going to serve? Placement of such units should not be determined by county or constituency boundaries. An ICU is not just a room; it must have appropriate equipment and personnel to man the equipment. An ICU must be manned by nurses, whose duty is to take care of patients. You will need an anaesthetist and an intensivist – highly trained personnel who are at a prime even in the developed world. I do not see how we can handle that in Kenya, if we go by constituencies. Hon. Temporary Deputy Speaker, we need to improve our health services but that can be done by looking at things professionally. We should be looking at these issues in terms of population coverage. Demanding such services on the basis of constituencies will not help us at all. The level of health care that is looked at in this Motion is what has been devolved to the counties. Therefore, this matter should be debated by the Senate at the best, or not debated at all. With those remarks, I beg to oppose."
}