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{
    "id": 916371,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/916371/?format=api",
    "text_counter": 445,
    "type": "speech",
    "speaker_name": "Kesses, JP",
    "speaker_title": "Hon. Swarup Mishra",
    "speaker": {
        "id": 13286,
        "legal_name": "Swarup Ranjan Mishra",
        "slug": "swarup-ranjan-mishra"
    },
    "content": " Thank you Hon. Temporary Deputy Speaker. As a training institution, Mathari offers its training facilities to other hospital workers without commensurate compensation or facilitation. Although teaching and research is one of the core functions of the hospital, the high demand for training has overstretched the hospital’s available training facilities. Though classified as a national teaching and referral hospital, the facility has no autonomy as it is still managed as a unit in the Ministry of Health. Many of the patients are not registered with the National Hospital Insurance Fund (NHIF) due to lack of identification cards. Further, the NHIF took inordinately long to refund the facility. As at the end of April, the insurer owed the hospital Kshs100 million. The public health system in Kenya has failed to adequately care for mental health patients. The National Spinal Injury Hospital, on the other hand, is built on a small piece of land and with no room for expansion. The hospital also lacks autonomy and faces the same challenges of inadequate staff, lack of equipment and low funding. The hospital’s capacity is overstretched since it caters for patients being referred from hospitals in East and Central Africa. The hospital has a limited bed capacity of 35 and at any given time the beds are always full hence lengthening the admission period for the waiting patients. The facility is built on a small parcel of land with no room for expansion, wards are small hence limited physiotherapy space for patients who require enough space to exercise. The hospital has an acute shortage of staff in all cadres coupled with stagnation of staff due for promotion. This has affected the staff morale. Though classified as a national referral hospital, the facility has no autonomy as it is still managed as a unit in the Ministry of Health. Inadequate medical equipment including orthopedic hospital beds, ICU/HDU, laboratory machines, incineration services and spine operation sets amongst others. The hospitals laboratory runs only basic test as it depends on one small hemogram machine. For the laboratory to run efficiently, the facility requires well equipped and advanced apparatus, including an appropriate hemogram machine. 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."
}