Dr. James Nyikal

All parliamentary appearances

Entries 2811 to 2820 of 3161.

• 26 Jun 2014 in National Assembly: Thank you, hon. Speaker for giving me the opportunity to contribute to this debate. The history of health during any transition is important. It is not only this time that we are really having a problem. In 2002/2003 when we had a real major change in the Government there were a lot of efforts to actually improve the health services and we started doing very well. In fact, there is data that indicates that between 2003 and 2008 there was a lot of improvement in the health sector. In 2007 and 2008 when we decided that we are going to ... view
• 26 Jun 2014 in National Assembly: Hon. Speaker, the issue here is not really the Constitution and devolution. The issue here is the management of implementation of the Constitution and devolution in particular. Health and security are very sensitive functions in any country and no wonder The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor. view
• 26 Jun 2014 in National Assembly: now we are having problems in those areas. As regards health, the mistake we have done is we have not followed what the Constitution laid down. There is absolutely nothing wrong with the Constitution and devolution is probably one of the most important aspects of this Constitution. view
• 26 Jun 2014 in National Assembly: Hon. Temporary Deputy Speaker, however, Schedule Six of the Constitution clearly indicates how we should devolve. Section 15 of Schedule Six indicates very clearly the processes that we should go through, the time that we should take, the support that is required and the criteria that are required as we devolve. All these were not adhered to. Section 15 of Schedule Six indicates clearly that the transition should be in phases and not more than three years. It also indicates that Parliament should put into place an Act to guide this and this was done in the Transition to Devolved ... view
• 26 Jun 2014 in National Assembly: Hon. Temporary Deputy Speaker, even division of functions as stipulated in the Constitution were actually guidelines and we have taken them like that without unbundling the definition that was required and would have been done by the Transition Authority (TA) through the Health Act. view
• 26 Jun 2014 in National Assembly: I squarely blame the Governors’ Council for manipulating the country in going into instant dissolution. They must accept that they failed the country; at least, in the area of health. I am not sure whether probably that is not what we are seeing in security. But let me confine myself to the health sector. view
• 26 Jun 2014 in National Assembly: We have talked about county health services and nobody has gone around to define exactly what the county health services are. What we have seen are ambulances and the county health facilities are not defined. What are county health facilities? When we said national referral hospitals, it was assumed that Kenyatta National Hospital and Moi Teaching and Referral Hospital are the national referral hospitals. Where did that come from? Who said that Level 6 hospitals are the national hospitals other than the title that they have been given? view
• 26 Jun 2014 in National Assembly: Hon Temporary Deputy Speaker, when we worked on the levels of hospitals; we were working on functional levels, not administrative levels. We have had lot of problems because of that, if you look at the area of human resource. I do think that there is any area where the human resource components are as complex as in health area. You have over 10 or 20 professionals within the health sector. We needed to actually look very carefully, who are needed where and for what functions? If you simply take nurses, you will have several different cadres of nurses that are ... view
• 26 Jun 2014 in National Assembly: Hon. Temporary Deputy Speaker, if you look at the training of health personnel, this was not considered. Even their progression within their professions was not considered. There are a lot of complexities of the services that are provided within the health sector. Some were very well organized at the national level. One day you cannot just jump in and break them and say that these are now the functions. Hon. Temporary Deputy Speaker, look at immunization which is a completely well organized structure at the national level. That needs to be very carefully looked into and planned before you transfer ... view
• 25 Jun 2014 in National Assembly: Thank you, hon. Temporary Deputy Speaker for giving me an opportunity to talk on this. I am a member of the Budget and Appropriations Committee and I think many things that are being said now were said yesterday. However, I just want to say a few things. Some may sound repetitive but they are not. view