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{
    "id": 730485,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/730485/?format=api",
    "text_counter": 135,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Nyikal",
    "speaker_title": "",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
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    "content": "Hon. Temporary Deputy Speaker, I do not know how people laugh in their mother tongue, but there are no systems in the county governments that will support the kind of monies they get. Look at health. In some counties, there are improvements because some institutions have been put in place. However, it should be a general improvement, which is not just left at the whims and the goodwill of some governors. Again, that points to an existing systematic problem. Even the current doctors’ issue is a testimony to the fact that there is no harmony across the country on how health systems should be devolved. We have been talking about leasing of medical equipment by the national Government. This was heralded in the President’s Speech as one of the achievements. Members here talked about the 92 hospitals. Some Members were confusing them with referral hospitals. The level of implementation of the process is very varied. In some places, infrastructure has not been put in place while in others there are no members of staff. We are paying for these things, and yet the services are not being provided equally. With regard to the wage bill, before devolution, there was a system of managing government staff from the national to the locational level. The extra needs arising during devolution ought to have been assessed. Remember we also had local authorities’ workers. Instead of county governments working together with the Transition Authority and assessing the required capacity, they engaged in massive employment. So, we had the old staff from the The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}