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{
    "id": 784686,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/784686/?format=api",
    "text_counter": 215,
    "type": "speech",
    "speaker_name": "Hon. Kimunya",
    "speaker_title": "",
    "speaker": {
        "id": 174,
        "legal_name": "Amos Muhinga Kimunya",
        "slug": "amos-kimunya"
    },
    "content": "I support that obviously, if the board has not thought of decongesting KNH, perhaps, they have been there for the wrong reasons. Now that we know there are problems and we need to start afresh, I support that we should have a new board like yesterday. The new board will then be mandated by the Act that set up KNH. Can we ensure that KNH is behaving and working in accordance with that Act? Look at all the services that should not be at KNH. Which of those should be in the devolved health facilities? Remove all those and do not wait for Mama Lucy, Mbagathi or other hospitals to build the capacity. Just remove them from KNH and sort out KNH. If you stopped to wait until the whole healthcare system works so that the referral system works, then we are going to be in a continuous cycle of mediocrity. Once Level 1 has failed, Level 2 is congested. When Level 2 fails, then it affects Levels 3, 4, 5 and 6, where we should be having very minimal cases purely for research, training and very complicated cases that people can have enough time to attend to. So long as we turn KNH to treat primary healthcare issues and tell people about feeding that should be done at Level 1, then we are missing the plot and we will have those mishaps going on forever. I submit that the Committee should go further beyond KNH. Let us look at what is happening at the Moi Teaching and Referral Hospital (MTRH). Let us look at the entire referral health system. Let us work with the Senate and challenge them to also look at what is happening and have a joint session or some joint report that looks at how we can turn our healthcare system into what it is. How can we have our healthcare system almost at par with the national health system within the UK which the report alludes to and which we all know how it works and works very well? We all recognise the centrality of health within our lives’ social dynamics and development. It has also been captured within the Big Four Agenda, one of the things that this Government wants to concentrate on within four years. I would wish that the Departmental Committee on Health would now, in support of that, look through on how we can review the entire system. We in the House will be happy to come and help them with the necessary laws and regulations to ensure that we can turn our health system into what it should be. We should not just look at our comfort zones in Nairobi. We are Members of Parliament. You can travel anywhere. Yes, I have AAR and Bupa and all those health insurance systems, but I keep asking myself this: What would happen to me if I am in a remote village somewhere in Kenya and I got an accident? Before people know you have your Bupa, you have to be taken to that dispensary or a Government hospital. Let us make sure that those small health facilities work."
}