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Ksh. 600,000 monthly ambulance leases? Wow!!
Rankaz13
#1 Posted : Sunday, January 19, 2014 1:56:51 PM
Rank: Elder


Joined: 5/21/2013
Posts: 2,841
Location: Here
d'oh!

Is 600,000/= too much for monthly ambulance leases?

So, while we were away, Red Cross was busy scheming how to make an extra coin. I know it's a capitalistic economy and all but I wonder;

-shouldn't such a deal have been subjected to open tendering as per the provisions of Pucblic Procurement and Disposal Act?

-what are the benefits of such an arrangement as opposed to buying and owning the ambulances? Yaani, is a cost-benefit analysis in favor of such a deal?

-how does this compare with international best standards?

-the health sector unions have in the past pushed for establishment of a National Ambulance Service. Wouldn't that be a better and more beneficial idea?

Etc etc.
Life is like playing a violin solo in public and learning the instrument as one goes on.
dunkang
#2 Posted : Sunday, January 19, 2014 2:21:11 PM
Rank: Elder


Joined: 6/2/2011
Posts: 4,818
Location: -1.2107, 36.8831
Rankaz13 wrote:
d'oh!

Is 600,000/= too much for monthly ambulance leases?

So, while we were away, Red Cross was busy scheming how to make an extra coin. I know it's a capitalistic economy and all but I wonder;

-shouldn't such a deal have been subjected to open tendering as per the provisions of Pucblic Procurement and Disposal Act?

-what are the benefits of such an arrangement as opposed to buying and owning the ambulances? Yaani, is a cost-benefit analysis in favor of such a deal?

-how does this compare with international best standards?

-the health sector unions have in the past pushed for establishment of a National Ambulance Service. Wouldn't that be a better and more beneficial idea?

Etc etc.

And that link has just dissapeared, just like the one on RAO and KDF.
Receive with simplicity everything that happens to you.” ― Rashi

Obi 1 Kanobi
#3 Posted : Sunday, January 19, 2014 3:56:34 PM
Rank: Elder


Joined: 7/23/2008
Posts: 3,017
I m I the only one thinking that an ambulance is just a car. For 600K, if I was a gavna, I would buy some old Mat and convert it to an ambulance. In a year I will be boasting of owning 12 ambualnces.and they will be all operational as its not like the ambulance is always in use.
"The purpose of bureaucracy is to compensate for incompetence and lack of discipline." James Collins
Siringi
#4 Posted : Sunday, January 19, 2014 4:24:45 PM
Rank: Elder


Joined: 6/8/2013
Posts: 2,517
@dunkang bado iko==> rink hata kwa twirra


"😖😡KQ makes money for everyone except the shareholder 😏😏 " overheard in Wazua
jguru
#5 Posted : Sunday, January 19, 2014 4:33:20 PM
Rank: Veteran


Joined: 10/25/2007
Posts: 1,574
Leasing a single ambulance for 600k a month!

A brand new 2013/14 Toyota Hiace KDH fashioned into an ambulance would cost approx 5.7 million (CRSP). Add 500k for a stretcher, paint job, sirens etc.

It takes only 10 months for the Red Cross to recoup their 6.2 million per ambulance investment! And if they import the vehicles using their Non-Profit status, they buy the ambulances cheaper since they do not pay duty.

This is the WORST deal I have EVER heard about!!!
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
jguru
#6 Posted : Sunday, January 19, 2014 4:43:18 PM
Rank: Veteran


Joined: 10/25/2007
Posts: 1,574
"Kisii has requested 10 ambulances, Kakamega six, while Bomet will receive six ambulances on February 3, and pay a Sh600,000 monthly lease for each ambulance."

In a year, Kisii will pay 72 million for ambulances (+maintenance costs)! That's enough for 28 ambulances. They could buy older Toyota Hiace 2007 complete with modifications, sirens, paint job etc for about 2.5 million each.

And while they are buying ambulances, the hospitals haven't had a supply of gloves and cotton wool for the last 3 months.
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
washiku
#7 Posted : Sunday, January 19, 2014 5:25:18 PM
Rank: Chief


Joined: 5/9/2007
Posts: 13,095
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.
washiku
#8 Posted : Sunday, January 19, 2014 5:42:37 PM
Rank: Chief


Joined: 5/9/2007
Posts: 13,095
ION, its good health was devolved. Seems in a few years healthy facilities in each county will have improved greatly. There are some counties who have never seen an ambulance before.
jaggernaut
#9 Posted : Sunday, January 19, 2014 6:28:15 PM
Rank: Elder


Joined: 10/9/2008
Posts: 5,389
Ksh 20,000 per day...phew! Sad that county govts have no problem splashing on brand new prados @6m but can't afford used ambulances @2m.
muganda
#10 Posted : Sunday, January 19, 2014 6:29:41 PM
Rank: Elder


Joined: 9/15/2006
Posts: 3,905
@jguru, what investment by Red Cross?
@washiku, good suggestion but tricky when aid agencies begin engaging in capitalism

+ So Kenyans raise money for RedCross through MPesa

+ Red Cross uses the money to buy Ambulances and leases them to Counties at 600,000 monthly.

+ And the County government introduces a levy for mwananchi to fund the lease rate; and in some cases charges additional fees for usage.

+ In this Water Cycle, Kenyan is always the source, money the water.
Rankaz13
#11 Posted : Sunday, January 19, 2014 6:47:52 PM
Rank: Elder


Joined: 5/21/2013
Posts: 2,841
Location: Here
muganda wrote:
@jguru, what investment by Red Cross?
@washiku, good suggestion but tricky when aid agencies begin engaging in capitalism

+ So Kenyans raise money for RedCross through MPesa

+ Red Cross uses the money to buy Ambulances and leases them to Counties at 600,000 monthly.

+ And the County government introduces a levy for mwananchi to fund the lease rate; and in some cases charges additional fees for usage.

+ In this Water Cycle, Kenyan is always the source, money the water.



In all this, one thing still baffles me: How much would it cost us to establish and fund a national ambulance service?
Life is like playing a violin solo in public and learning the instrument as one goes on.
muganda
#12 Posted : Sunday, January 19, 2014 11:11:13 PM
Rank: Elder


Joined: 9/15/2006
Posts: 3,905
Rankaz13 wrote:

In all this, one thing still baffles me: How much would it cost us to establish and fund a national ambulance service?


My Estimates would be...
6 ambulance fleet
One time
6m vehicles = 36m

Annually
40 staff = 24m, Vehicle running = 5% cost
Total recurring = 26m


So ideally in exchange for what it takes to support one county assembly member, you could run each ambulance comfortably.
maka
#13 Posted : Monday, January 20, 2014 11:19:03 AM
Rank: Elder


Joined: 4/22/2010
Posts: 11,522
Location: Nairobi
This is just too much...
possunt quia posse videntur
McReggae
#14 Posted : Monday, January 20, 2014 11:27:49 AM
Rank: Elder


Joined: 6/17/2008
Posts: 23,365
Location: Nairobi
What does the lease entail? Petraol, Driver, 1st Aid Kits, !st aiders...anybody?
..."Wewe ni mtu mdogo sana....na mwenye amekuandika pia ni mtu mdogo sana!".
jmbada
#15 Posted : Monday, January 20, 2014 9:10:51 PM
Rank: Member


Joined: 1/1/2011
Posts: 396
washiku wrote:
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.

Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.
matatuman
#16 Posted : Monday, January 20, 2014 9:56:36 PM
Rank: Member


Joined: 12/5/2013
Posts: 224
jmbada wrote:
washiku wrote:
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.

Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.


Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates.
jguru
#17 Posted : Monday, January 20, 2014 10:30:04 PM
Rank: Veteran


Joined: 10/25/2007
Posts: 1,574
matatuman wrote:
jmbada wrote:
washiku wrote:
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.

Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.


Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates.


Where did you get that figure from?
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
matatuman
#18 Posted : Monday, January 20, 2014 11:22:09 PM
Rank: Member


Joined: 12/5/2013
Posts: 224
jguru wrote:
matatuman wrote:
jmbada wrote:
washiku wrote:
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.

Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.


Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates.


Where did you get that figure from?


Sorry my bad, mistakenly assumed it was 600k per year.
dunkang
#19 Posted : Tuesday, January 21, 2014 7:03:21 AM
Rank: Elder


Joined: 6/2/2011
Posts: 4,818
Location: -1.2107, 36.8831
jguru wrote:
matatuman wrote:
jmbada wrote:
washiku wrote:
Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.

Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.


Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates.


Where did you get that figure from?

I think he took 600/- and divided with 12 months, because he did not get time to read the article and/or understand it. ITS 600K/- PER MONTH @MATATUMAN!!!!!
Receive with simplicity everything that happens to you.” ― Rashi

McReggae
#20 Posted : Tuesday, January 21, 2014 11:13:58 AM
Rank: Elder


Joined: 6/17/2008
Posts: 23,365
Location: Nairobi
McReggae wrote:
What does the lease entail? Petraol, Driver, 1st Aid Kits, !st aiders...anybody?


Without anybody answering me on this, the amount could still be justified!!!!
..."Wewe ni mtu mdogo sana....na mwenye amekuandika pia ni mtu mdogo sana!".
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