7 Oct 2021 in Senate:
Health workers being at the centre would then be seconded to counties. They would have a body akin to the Teachers Service Commission (TSC) which they have called the Health Service Commission. County governors would make applications depending on capacity gaps and this central body would deploy health workers to those counties.
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7 Oct 2021 in Senate:
There are those who have argued that when health workers were centralized, places such as Turkana never used to get any. If teachers can reach those areas; if Independent Electoral and Boundaries Commission (IEBC) can reach every corner of this country, with goodwill, health workers can reach every corner of this country even if they were centralized.
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7 Oct 2021 in Senate:
Health workers would have uniform terms of service and the same policies when it comes to professional development, training and qualifications. It would be possible for a health worker to do inter-county transfer.
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7 Oct 2021 in Senate:
My county is unique because we have the burden of certain diseases. We have the HIV/AIDS and Malaria burden and we learn that where you have a Malaria burden, you also have a Sickle Cell burden. A doctor who has practiced in Homa Bay county compared to one who for example, has practiced in Kiambu where there is not Malaria and Sickle Cell and has low HIV/AIDS prevalence will not have the same kind of exposure over the years.
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7 Oct 2021 in Senate:
We must allow our health workers to move from Malaria, Sickle Cell and endemic areas to others that suffer different kinds of diseases. That is when their experience and expertise will become rich.
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7 Oct 2021 in Senate:
If we centralize the management of health workers, we then have a better approach towards developing specialized skills. Perhaps if you asked the number of epidemiologists we have in this country in the face of COVID-19, you will be told that the national Government has been doing a professional development for epidemiologists but every year, it takes only 20. How long will it take us to develop the critical mass of epidemiologists, oncologists, dermatologists and Sickle Cell experts? That can only be done if it is looked at centrally. Unfortunately, that is not the situation.
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7 Oct 2021 in Senate:
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.
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7 Oct 2021 in Senate:
In our Constitution, we scattered our doctors in 47 different directions and gave them 47 different terms, bosses and conditions. That has led to perennial strikes. Madam Temporary Speaker, let us ask ourselves. Health workers are the only workers in county governments who still retain integrity because when they are not paid, they go on strike. Revenue collectors can go for two years without being paid and they will never go on strike. Chief Officers and County Executive Committee Members (CECMs) can remain unpaid forever and they will never go on strike. That tells you there is a way they ...
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7 Oct 2021 in Senate:
In my county, when there are delays in payment of salaries of county workers, everybody else is going about their own business like nothing has happened. The only place where service shuts down is in the hospitals. This is because our doctors having taken the Hippocratic Oath they still have that sense of integrity knowing that when a patient brings money to the hospital, it is not to go into their pockets. It is supposed to buy drugs for those institutions. Madam Temporary Speaker, our doctors are suffering silently under mental health pressure. During the Coronavirus disease (COVID-19) situation, doctors ...
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7 Oct 2021 in Senate:
Madam Temporary Speaker, I conclude that the Health Human Resource Advisory Council that Sen. (Dr.) Ali seeks to strengthen is a toothless dog. It is just adding a bark to it does not have teeth. It is advisory. However, I congratulate Sen. (Dr.) Ali because he has decided instead of sitting and doing nothing, he is going to do something. Even if it is just to add a bark to it. By the time a dog barks, it takes you time for you to realise it does not have teeth. I encourage Sen. (Dr.) Ali, but we will not solve ...
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