Nipate

Forum => Kenya Discussion => Topic started by: Georgesoros on August 18, 2015, 03:35:59 PM

Title: This is good policy...
Post by: Georgesoros on August 18, 2015, 03:35:59 PM
I hate seeing people suffer because they can t afford to pay for medical care.
Being poor should not be equal to death.

http://www.standardmedia.co.ke/mobile/?articleID=2000173204&story_title=kenya-receives-sh3-28-billion-loan-for-health-coverage
Title: Re: This is good policy...
Post by: Kim Jong-Un's Pajama Pants on August 18, 2015, 08:54:40 PM
I don't like it. 

Here is why:

Healthcare is one of those things that should be devolved.  In fact I thought it was devolved.  Different regions are going to have different health priorities.  I gather these guys have gotten a loan to provide things like free maternity.  What happens when the money runs out, the creditor comes calling and women are still giving birth?

Even if one ignores the devolution issue, I don't see it as sustainable or wise. 
Title: Re: This is good policy...
Post by: mya88 on August 19, 2015, 06:02:58 PM
Quote
The loan is expected to contribute to strengthening health system for UHC – Health service delivery, Health workforce, Health Information Systems, Access to essential medicines, Health Financing, and Health Leadership and Governance in Kenya. It is also hoped that the loan is useful to address one of the most immediate health concerns in Kenya - Improving maternal, new-born, child and adolescent health.


1. I disagree with Termi…… Healthcare is just too important an issue to leave to just anybody. 1. For one, These county level leaders and governors have proven to be a disappointment on almost all levels. Except for Gov Mutua of the Machakos hospital, who else have we seen even pretend to deliver services to their respective constituency, with the money that they have so far gotten. Mutua even if he is making a half arse attempt, is doing something for his people. I am not sure I trust that others with any money.

2. The money can will be used to improve those country hospitals to decent level, with equipment, technology, infrastructure, more buildings and maybe even attach an outpatient clinic to them that can see pts quickly and send them back home. Another major area is training the healthcare workforce at the level that they are able to provide care, this is still largely a function of the central government, I would think. Once trained they can go work at those county level hospitals.

3. Different regions may have different healthcare needs, but training, infrastructure and largely medications to an extent will remain the same regardless of the region.
Title: Re: This is good policy...
Post by: RV Pundit on August 19, 2015, 06:46:49 PM
And to add, rarely do Japs get it wrong. Their projects in kenya have always been well executed. Like the chinese.
Title: Re: This is good policy...
Post by: Georgesoros on August 19, 2015, 09:10:13 PM
One thing I would have liked to see was decentralization of advanced health services to other areas. Nairobi has enough already. A place like Kericho could have used these services. I guess mpigs are busy with other things rather than work to bring service closer to others.
Title: Re: This is good policy...
Post by: Kim Jong-Un's Pajama Pants on August 20, 2015, 05:39:10 PM
Quote
The loan is expected to contribute to strengthening health system for UHC – Health service delivery, Health workforce, Health Information Systems, Access to essential medicines, Health Financing, and Health Leadership and Governance in Kenya. It is also hoped that the loan is useful to address one of the most immediate health concerns in Kenya - Improving maternal, new-born, child and adolescent health.


1. I disagree with Termi…… Healthcare is just too important an issue to leave to just anybody. 1. For one, These county level leaders and governors have proven to be a disappointment on almost all levels. Except for Gov Mutua of the Machakos hospital, who else have we seen even pretend to deliver services to their respective constituency, with the money that they have so far gotten. Mutua even if he is making a half arse attempt, is doing something for his people. I am not sure I trust that others with any money.

2. The money can will be used to improve those country hospitals to decent level, with equipment, technology, infrastructure, more buildings and maybe even attach an outpatient clinic to them that can see pts quickly and send them back home. Another major area is training the healthcare workforce at the level that they are able to provide care, this is still largely a function of the central government, I would think. Once trained they can go work at those county level hospitals.

3. Different regions may have different healthcare needs, but training, infrastructure and largely medications to an extent will remain the same regardless of the region.

From what I gather healthcare is already devolved.  So this seems like a loan that at worst should be taken only with the approval of the counties.
Title: Re: This is good policy...
Post by: Georgesoros on August 20, 2015, 06:29:25 PM
Do practicing doctors need malpractice insurance on order to practice in Kenya? If not, who pays for malpractice? How about nurses?
Recently read of nursing who gave injections to kids who ended up disabled!!!
Sad