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{
    "id": 915698,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/915698/?format=api",
    "text_counter": 170,
    "type": "speech",
    "speaker_name": "Seme, ODM",
    "speaker_title": "Hon. (Dr.) James Nyikal",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "It is tragic that there are people in this House who believe that the work we do here is useless. That is a tragedy. I stand to support the Report of the Departmental Committee on Health, which I am a member of. As I said yesterday, the Report outlines a lot of problems that we noticed in the referral hospitals. Most of them are understaffed and overcrowded with debilitated equipment. All those arise from low funding. Members brought that out quite well. I want to focus on one or two things that I did not raise. One of the roles of those referral hospitals is training. There is a big problem of training at Moi Teaching and Referral Hospital and Kenyatta National Hospital. Most of the doctors and other health workers who work there as registrars in training work fulltime. On that note, some of them are not paid under the pretext that they are students. Those who are sponsored, particularly from the counties, are paid by the counties as they work in Kenyatta National Hospital (KNH). It is not a fair arrangement to have doctors who are working at KNH being paid by county governments. We have recommended in the Report that we create training institutions that will be financed by the national Government whose function will be training, so that when students come for the post-graduate training, their pay is financed by the national Government and not the county governments. Very soon, we are going to have a problem. The counties will feel the financial burden of the trainees in Moi Teaching and Referral Hospital and KNH who they are financing. That has to be stopped. We have given that recommendation. The other issue that I want to bring out is that the problems of referral hospitals should be taken seriously. Although most of the work is done by counties, a lot of work filters into KNH and the Moi Teaching and Referral Hospital. Is it the work of a county hospital below Level 5? If there is no good coordination and the county systems are not working, KNH and Moi Teaching and Referral Hospital will never perform. It is important that there is coordination between the The electronic version of the Official Hansard Report is for information purposes only. Acertified version of this Report can be obtained from the Hansard Editor."
}