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{
    "id": 594609,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/594609/?format=api",
    "text_counter": 206,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Kibunguchy",
    "speaker_title": "",
    "speaker": {
        "id": 294,
        "legal_name": "Enoch Wamalwa Kibunguchy",
        "slug": "enoch-kibunguchy"
    },
    "content": "Before I wind up, I just want to talk about this whole concept of referral system in this country. These people fit there very well. If we have a properly functioning referral system where people are being referred from one level to a slightly higher level of medical care, and knowing that medicine and health are completely devolved--- I would have loved to see a situation where we have a well-equipped central hospital that will work as a referral centre in every constituency. That is in Level 4 hospital. It should be well equipped and well manned with all these people and resuscitation facilities that can be able to save lives. Hon. Temporary Deputy Speaker I know the Senate has proposed that every county should have a Level 5 hospital. That will serve as the referral centre for that county. I hope governors are listening to me because most of them have ears but they do not hear. I propose that in every ward, we should have a Level 3 health facility so that as we move forward, we can move from Level 3 to Level 4 which is based at the constituency and then Level 5 which will be based at the county. At all those levels we should have very clear communication and transport systems so that we can say that what can be handled at Level 3 can be handled there. If somebody comes with acute asthma, anybody should be able to handle it even at that level. What cannot be handled at Level 3 hospitals can be referred to Level 4 hospitals with clear referral systems. The personnel we would like to train in this Motion are personnel that will be the first contact with a patient at every given level. Whatever cannot be handled at Level 4 can then be referred to Level 5 and so forth. That is the kind of system I would like us to have and not what is happening at counties where you do not even see what is being done. They spend too much time talking about very many things in the county without knowing that their primary responsibility in this country is health. Health is very vital and it is completely devolved. If they cannot manage health, it will probably get to a point where we, as legislators, will stand and say we need to revert certain functions from the county governments to the national Government."
}