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{
    "id": 598297,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/598297/?format=api",
    "text_counter": 49,
    "type": "speech",
    "speaker_name": "Hon. Wakhungu",
    "speaker_title": "",
    "speaker": {
        "id": 1889,
        "legal_name": "Chrisantus Wamalwa Wakhungu",
        "slug": "chrisantus-wamalwa-wakhungu"
    },
    "content": "It also has to do with devolution. Since the health function was devolved, we are seeing a great mess. It is a very critical function. Maybe, we need to re-look at the issue of the health function. Is it being managed properly under the county governments? This is the issue. Emergency is an issue that has to be handled through a rapid response. One of the critical causes is that hospitals, especially those in the rural areas, do not have those facilities. Hospitals do not have X-Ray machines and they lack enough ambulances. By the time a patient is brought to the casualty ward, things have gone bad. With due respect to Hon. (Dr.) Musyoka who brought this Motion, I do not know under which framework we are going to develop the curriculum. We know very well that we have different cadres of medical specialists like nurses, clinical officers, general practitioners and other different specialities. At the moment, we have those continuous medical development points. I thought that once this curriculum has been developed, we need to be clear about the framework we are going to roll it on. For instance, is it going to be incorporated in the curriculum at the Kenya Medical Training College (KMTC)? So, the Motion needs to be specific so that, as we move on, we can understand how it is going to be implemented. You can develop a curriculum, but unless you have a proper institution, at what level are we going to do this? Are we going to roll out this curriculum at the nurses’ conference when we have CMEs? We need to improve on this Motion so that is becomes easier in terms of implementation. When it comes to emergency, most of the cases are at the casualty level. Most times, those emergency cases are as a result of accidents. Majority of the accidents are caused by matatus or"
}