Entry Instance

HTTP 200 OK
Allow: GET, PUT, PATCH, DELETE, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

{
    "id": 916372,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/916372/?format=api",
    "text_counter": 446,
    "type": "speech",
    "speaker_name": "Kesses, JP",
    "speaker_title": "Hon. Swarup Mishra",
    "speaker": {
        "id": 13286,
        "legal_name": "Swarup Ranjan Mishra",
        "slug": "swarup-ranjan-mishra"
    },
    "content": "Most of the hospital’s equipment donated by well-wishers are inoperative and lack service contracts hence making it hard and expensive for the hospital to repair them. The facility’s kitchen space is limited. It lacks a cold room to store vegetables and the nutritionists are also overworked as they double as caterers. Due to delay of NHIF reimbursements, the agency owed the hospital between Kshs5 million to Kshs6 million. The hospital benefited from the Ministry Managed Equipment System (MES) where it acquired essential equipment such as MRI scan, digital x-ray, fluoroscopy C-Arm machine and theatre equipment. The Moi Teaching and Referral Hospital (MTRH) in Eldoret suffers the burden of serving patients from 21 counties in the Rift Valley and western regions of the country. The hospital has had relative success in staff management, donor partnerships and has a vision for expansion. The facility covers over 21 counties in western Kenya region and patients from neighbouring counties which translate to over 25 million people in the catchment area. Like other referral hospitals in the country, MTRH also faces the issue of overcrowding. Despite having a bed capacity of 900, the facility experiences a daily patient work load of 1,500 outpatients and 1,200 inpatients and a bed occupancy of 110% because of high patient number occasioned by dual function of the hospital as referral and primary healthcare centre. The hospital’s cash flow has been greatly affected by waivers and bad debts. As at 31st January 2019, corporate debtors stood at Kshs313,839,862 while individual debtors stood at Kshs514,580,335.92. Delivery of academic and administrative services at the hospital’s colleges had been hampered by a number of reasons including a freeze on recruitment of personnel and demotivation as a result of disparity in payment of practice allowances between student registrars and lecturers. The relationship between international partners and the hospital risks being jeopardized as a result of issues concerning double taxation subjected to the expatriates, delay in processing expatriates visa and work permits which sometimes take up to one year to process and delay in signing the agreement between Kenya- United States Government in regard to funds meant for the Academic Model Providing Access to Healthcare (AMPATH) Plus Programme for chronic diseases. Despite these challenges, the hospital had realised savings and increased efficiency as a result of its decision to embrace ‘placement contract model’ for its equipment. The hospital has enhanced service delivery and collaboration in research and training by utilising its partnership with both local and international institutions. Compared to other referral hospitals, MTRH has experienced successes on projects that have been finalised and ongoing, clinical services and general operations. The Kenyatta National Hospital, the biggest not only in the country, but in the region, has for a long time operated without a substantive chairperson of the board, as well as a Chief Executive Officer (CEO). We are, however, glad that the hospital currently has a new chairperson while the recruitment of a CEO is awaiting a court decision. The hospital is unduly 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."
}