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{
    "id": 798991,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/798991/?format=api",
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    "content": "have contracted, or whatever expenditures they have accrued as part of their recurrent expenditure. Mr. Deputy Speaker, Sir, another key issue is the level 5 hospitals. We noted that Kiambu County was added as a level 5 hospital because it serves many people by virtue of its closeness to Nairobi. It has been allocated Kshs126 million which will ensure it meets its needs on the ground. However, it is the observation of the Committee that we need to have a proper criterion on how hospitals graduate to level 5 hospital status. Currently, we now have 12 level hospitals. Many governors are improving their medical facilities. For example, the Kakamega County Governor is putting up a hospital worth Kshs7 billion. That is an area that we want to look at, going forward. We got a presentation in terms of the formula that is being used to allocate the monies to level 5 hospitals, particularly from the international budget programme partnership which gives us an insight into the effects. Currently, the formula is that monies are distributed based on bed capacity. Even if that was to be the case, there are disparities as in the case of Nakuru and Meru counties. Despite the fact that Nakuru County has a higher bed capacity than Meru, they received the same amount of money. It has been noted that the formula that was being used prior to devolution under the local governments would possibly provide to us a good basis to review the current formula so that it is more equitable and speaks to the needs of the various hospitals. Mr. Deputy Speaker, Sir, another critical issue is the fact that we have increased allocations for leasing of equipment to various hospitals. This has been done significantly even more than what was initially contracted for within a period of seven years. This is welcome. We hope that with the government’s effort to ensure that we have medics from places such as Cuba to support the Universal Health Care, that will go a long way in ensuring that the common mwananch i gets the services at the grassroots level. However, we note that we would also have allocated monies to cancer centres which are critical. Although they have not really obtained in the current County Allocation of Revenue Bill (CARB) yet, this is critical because there are so many cases of cancer amongst our populace. A good cancer facility would cost about Kshs2billion. I believe that if we were more innovative on how we allocate resources we could as well within a period of five years provide five centres of excellence in cancer treatment so that our people do not have to go to India and other places for treatment. I am sure that even here, we have very good champions on this issue such as the good Sen. Mugo. Another key issue that arises is the fact that we still have counties such as Nyandarua, which are continuing to construct their headquarters because initially they did not have them. However, we hope that this is now coming to a close so that we can then move such allocations to other priorities. Mr. Deputy Speaker, Sir, we have also allocated Kshs2billion through this Bill for youth polytechnics. It is very important as you look at our completion rates and performance. Even going by the last Kenya Certificate of Secondary Education(KCSE) results, it is quite telling that we need more youth polytechnics because more than 50 per cent of the KCSE candidates last year got grade D plus and below. The need for those youth polytechnics is very high. There is also the fact that in order for us to achieve the Kenya Vision 2030, we need to ensure that we emphasise on Technical, Industrial and Vocational Education (TIVET). The electronic version of the Senate Hansard Report is for information purposes only. A certified version of this Report can be obtained from the Hansard Editor, Senate"
}