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{
    "id": 642913,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/642913/?format=api",
    "text_counter": 705,
    "type": "speech",
    "speaker_name": "Hon. (Ms.) R.K. Nyamai",
    "speaker_title": "",
    "speaker": {
        "id": 1979,
        "legal_name": "Rachael Kaki Nyamai",
        "slug": "rachael-kaki-nyamai"
    },
    "content": "(a) in LEVEL 3 by inserting the words ‘or medical officer with at least two years managerial experience” immediately after the word “officer.” (b) in LEVEL 5- (i) by deleting the words “nursing staff and clinical officers” appearing at the end of paragraph (b) and substituting therefor the words “paramedical staff”; (ii) by deleting paragraph (d); (c) in LEVEL 6- (i) by inserting the words “Research centre, provides” immediately before the word “training” appearing in paragraph (b); (ii) by deleting note 2 and substituting therefor the following note- “2. Level 6 shall be National Referral Hospitals and established in every County.” (iii) by inserting the words “or downgraded” immediately after the word “upgraded” appearing in note (3). The purpose of this amendment is to provide that an in charge of the facility should be a qualified registered health professional. Also, by way of delicate compromise, Level 5 hospitals shall remain under the management of county governments and shall operate as centres of training for paramedical staff. We would like training of higher cadre officers to be at the national level, but training for paramedics, who are highly needed at the county level and who do not require much specialised training, can be done at the county level. The purpose of the deletion of paragraph (d) is that it deals with research, which is a national Government function. It is not a county government function. The amendment to Level 6 hospitals caters for the deletion of the same under Level 5 hospitals. Level 6 hospitals are national referral facilities whose management is placed under the national Government courtesy of provisions of Article 181 of the Constitution. The deletion of note 2 and substituting it with a new provision is for the purpose of equity. Our counties require equal attention."
}