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{
    "id": 596696,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/596696/?format=api",
    "text_counter": 89,
    "type": "speech",
    "speaker_name": "Hon. (Prof.) Nyikal",
    "speaker_title": "",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "Thank you, Hon. Speaker. It has come at no better time than now. That health services in this country are in a sorry state is public knowledge. Newspapers and the Press have highlighted it. At least, in this, they said the truth. That something needs to be done urgently is just common sense. Health services have suffered for many years merely because every time we have a transition that intends to make health services better, we fail to manage the transition. Sometimes we then blame the transition whereas the failure is in the management of transition. Let me give an analogy. Pregnancy is a good thing. The baby inside is good. When the baby is delivered safely, it is a great thing, but if the delivery of that baby is mismanaged, you will have a dead baby. You cannot, therefore, blame the pregnancy and the baby inside. We must blame the management of the labour. This is where we are in this country. From 2003 when we had one of the major transitions in this country in terms of change of Government, there was hope and a lot of changes were put in place. Health indices between 2003 and 2008 attest to that. The rate of infant mortality dropped considerably. The under-five mortality rate dropped. The use of contraceptives dropped. The only thing that did not change; and we know why, is actually the maternal mortality. This is because it is a systems issue."
}