Dr. James Nyikal

All parliamentary appearances

Entries 2351 to 2360 of 3161.

• 11 Nov 2015 in National Assembly: (i) deleting the word “emergency” appearing immediately after the word “for” in the last line; and, view
• 11 Nov 2015 in National Assembly: (ii) inserting the words “on emergency medical care” immediately after the word “country” appearing in the last line. view
• 11 Nov 2015 in National Assembly: With that, the import is: If we leave the Motion as it is, the emphasis will be on training of medical people without saying exactly what they are being trained on. However, with this amendment, we are sure that medical people are being trained on how they can provide emergency care. With that, the Motion will, therefore, read:- “...this House resolves that the Government immediately develops and implements a national curriculum for training of all medical personnel in the country on emergency medical care.” view
• 11 Nov 2015 in National Assembly: With that, I ask Hon. Mulu to support the amendment. view
• 10 Nov 2015 in National Assembly: Thank you, Hon. Speaker. It has come at no better time than now. That health services in this country are in a sorry state is public knowledge. Newspapers and the Press have highlighted it. At least, in this, they said the truth. That something needs to be done urgently is just common sense. Health services have suffered for many years merely because every time we have a transition that intends to make health services better, we fail to manage the transition. Sometimes we then blame the transition whereas the failure is in the management of transition. Let me give an ... view
• 10 Nov 2015 in National Assembly: In 2008, we split the Ministry of Health. I was involved. This was not desirable but at least it improved the funding to the Department of Public Health. Again, after that, we did not manage it very well. All the same, there was indication that there was improvement. We may want to blame devolution but we must distinguish the principle from the process. What has not been right is the process which we have gone through. It is not only in health. If you go to the Ministry of Environment, Water and Natural Resource and the Ministry of Agriculture, Livestock ... view
• 10 Nov 2015 in National Assembly: If you look at the health legal framework, you will realise that we still have the Public Health Act which was promulgated in the 1930s and we have about 32 or so other Acts that go with it. The many Acts have been useful in a way, but the Public Health Act was just that. It did not take into consideration very much the provision of medical or clinical services. These other Acts actually attempted to do that. We must now look at the socio-economic, political and legal situation in which we are running our health services now. The most ... view
• 10 Nov 2015 in National Assembly: At least every month we have a Bill brought in this House about the health sector. All these Bills stand singularly on their own. It is important that we have an overarching law that will actually oversee all of them. I am sure that is what this Bill is seeking to achieve. I have said something about devolution. Health has many systems that are in one: The human resource system, the commodity and supply system, the infrastructure and equipment system and the health financing system. All these systems have to be harmonised. It is not because of devolution that we ... view
• 10 Nov 2015 in National Assembly: Hon. Speaker, sometimes when hospitals claim they have no Intensive Care Unit (ICU) beds they are scared of taking in the patient. Emergency cases are extremely expensive. Within an hour, you will probably spend Kshs100,000 because of the equipment and drugs you are using. So, they are scared of who will pay for that. However, if they leave it at the constitutional level and say it is a right which must be provided, what are we doing to the facilities that are providing it and the healthcare providers? We must make provisions. I am happy that there is an attempt ... view
• 10 Nov 2015 in National Assembly: On a point of information. view