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{
    "id": 954185,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/954185/?format=api",
    "text_counter": 295,
    "type": "speech",
    "speaker_name": "The Temporary Speaker",
    "speaker_title": "",
    "speaker": null,
    "content": "THAT, AWARE THAT while Health is a devolved function, Article 4(3) of the Constitution states that ‘the governments at the national and county levels are distinct and inter-dependent and shall conduct their mutual relations on the basis of consultation and cooperation’; FURTHER AWARE THAT, there is no existing comprehensive legal framework to guide the consultative and collaborative process between the Ministry of Health (MoH) and County Governments; COGNIZANT THAT, when the Managed Equipment Services (MES) project was launched on 6th February, 2015, the Ministry of Health entered into arrangements with five foreign firms for the provision of specialized medical equipment worth Kshs38 billion; NOTING THAT, according to the Ministry of Health, the project is aimed at improving health infrastructure and enhancing the capacity of counties to provide specialized health care targeting non-communicable conditions such as cancer and renal conditions, as well as to promote diagnostic, radiological and critical care services; CONCERNED THAT, the Council of Governors (COG) has voiced opposition to the project on the grounds that County governments were not involved in the tender procurement process; the monies are debited annually from the accounts of the Counties directly by the National Treasury; there was lack of proper consultation between the Ministry of Health and County governments; and, that leasing the medical equipment was ultimately more expensive than direct purchase; CONCERNED FURTHER THAT, the extent to which county government structures or institutions were involved in the project has remained unclear, and the opposition raised by the COG reveals serious gaps in the consultative process between the Ministry of Health and county governments, including the terms of the contracts which end in 2022; NOW THEREFORE, in exercise of its oversight function, the Senate resolves to establish an ad hoc committee to investigate and establish the facts surrounding the leasing of the Medical Equipment, in the now 119 beneficiary hospitals country wide, including: ix. Whether county governments were involved in prioritizing the medical equipment in accordance with their needs; x. The details of the company from which the equipment was leased; xi. The viability and benefit of leasing versus outright purchase; xii. The availability of adequate numbers of health human resource to provide specialized health services as envisaged in this project; xiii. The operation, training and maintenance facilities in place for the equipment; The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor, Senate."
}