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Alfie the dodo
Rank: Chief Joined: 5/9/2007 Posts: 13,095
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Swenani wrote:Rutto subdued by khalwale He says governors r accountable for resources, not funds. How dumb can it get?
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Rank: Elder Joined: 3/18/2011 Posts: 12,069 Location: Kianjokoma
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Swenani wrote:Rutto subdued by khalwale the gavanaaa and the senataaa
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Rank: User Joined: 8/15/2013 Posts: 13,237 Location: Vacuum
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Hussein is such a useless moderator If Obiero did it, Who Am I?
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Rank: Elder Joined: 3/2/2007 Posts: 8,776 Location: Cameroon
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Swenani wrote:Rutto subdued by khalwale Serves him right. His manifest whining is a national shame! TULIA.........UFUNZWE!
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Rank: Veteran Joined: 10/25/2007 Posts: 1,574
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This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity. These ambulances are just an avenue to eat. Period. And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Set out to correct the world's wrongs and you will most certainly wind up adding to them.
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Rank: Chief Joined: 5/9/2007 Posts: 13,095
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Lolest! wrote:Swenani wrote:Rutto subdued by khalwale the gavanaaa and the senataaa  . Funny.
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Rank: Elder Joined: 6/17/2008 Posts: 23,365 Location: Nairobi
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simonkabz wrote:Swenani wrote:Rutto subdued by khalwale Serves him right. His manifest whining is a national shame! There was a zinger though: Have you summoned the guy for the hustler's jet? Are you summoning everybody? ..."Wewe ni mtu mdogo sana....na mwenye amekuandika pia ni mtu mdogo sana!".
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Rank: Elder Joined: 8/10/2010 Posts: 2,264
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Lolest! wrote:Swenani wrote:Rutto subdued by khalwale the gavanaaa and the senataaa Did I just hear a veiled threat by the senator that the president can fire the governors wholesale  Politics is just things to keep the people divided and foolish and put your trust in men and none of them can do nothing for you...
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Rank: User Joined: 8/15/2013 Posts: 13,237 Location: Vacuum
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jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs If Obiero did it, Who Am I?
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Rank: Elder Joined: 3/18/2011 Posts: 12,069 Location: Kianjokoma
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The positive side of all this governor-senator-mca-auditor general etc wars is that the President and cabinet are missing in the picture. The structures we were hoping for are finally in place. This katiba is not that bad after all. Wapi @impunity? Proud to be Kenyan!
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Rank: Member Joined: 11/25/2013 Posts: 402
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Swenani wrote:jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs Mr. Thuo had to die. Nothing could save him.
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Rank: Elder Joined: 2/7/2007 Posts: 11,935 Location: Nairobi
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There is this governor whose seat has to be carried around in a separate car while touring his county.I have watched the idiot almost in horror and what has often come to mind is;There is a kid who needs that money to get to class.Why do most of them seem to believe they are demi-gods? We elected them to serve;not to lord! Nothing great was ever achieved without enthusiasm.
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Rank: Member Joined: 4/6/2010 Posts: 741 Location: Nairobi
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We are not accustomed to result oriented leadership. What Mutua is doing is strange and rubbing people off in the wrong way.
He is setting standards. A pacemaker. Now the People of Machakos will not accept anything less from anybody else. Thus, Mutua has already made it difficult for anybody else to vie for the Governor's office. Imagine if this trend spread to the rest of the country!!!! So many wakubwas will have to become mere commoners.
Development can happen simultaneously. Get Ambulances on the ground while other systems are also being established. Plus KNH and other bigger hospitals are not soo far away from Machakos so these vehicles will improve access to healthcare.
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Rank: Elder Joined: 12/11/2008 Posts: 2,306
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Njung'e wrote:There is this governor whose seat has to be carried around in a separate car while touring his county.I have watched the idiot almost in horror and what has often come to mind is;There is a kid who needs that money to get to class.Why do most of them seem to believe they are demi-gods? We elected them to serve;not to lord! Toboa ni nani please. We need to name and shame Great men are not always wise, neither do the aged understand judgement...
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Rank: Elder Joined: 8/4/2008 Posts: 2,849 Location: Rupi
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washiku wrote:Swenani wrote:Rutto subdued by khalwale He says governors r accountable for resources, not funds. How dumb can it get? Aren't funds financial resources? Somebody teach me English now! Lord, thank you!
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Rank: Elder Joined: 12/11/2008 Posts: 2,306
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Swenani wrote:jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs What I see from Jguru is either goggle mentality or ignorance of healthcare dynamics. He worries about ambulances which could save lives, he would rather Machakos level 5 hospital was turned into a copy of Nairobi hospital before infrastructure to access it is put in place. In the meantime, people can die in the villages of prevetable diseases until quality healthcare is available. What crap! Improving access and quality will be a long process. I am glad Mutua has taken concrete first steps in this direction. The next step is on quality, and I am sure Mutua has a plan for this too. Rome was not built in one day and neither will Machakos. Great men are not always wise, neither do the aged understand judgement...
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Rank: Elder Joined: 12/7/2012 Posts: 11,908
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Robinhood wrote:[quote=Swenani][quote=jguru]can you imagine if kiambu county had an ambulance for each ward
All would have been stolen by now In the business world, everyone is paid in two coins - cash and experience. Take the experience first; the cash will come later - H Geneen
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Rank: Elder Joined: 2/27/2007 Posts: 2,768
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Robinhood wrote:Swenani wrote:jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs What I see from Jguru is either goggle mentality or ignorance of healthcare dynamics. He worries about ambulances which could save lives, he would rather Machakos level 5 hospital was turned into a copy of Nairobi hospital before infrastructure to access it is put in place. In the meantime, people can die in the villages of prevetable diseases until quality healthcare is available. What crap! Improving access and quality will be a long process. I am glad Mutua has taken concrete first steps in this direction. The next step is on quality, and I am sure Mutua has a plan for this too. Rome was not built in one day and neither will Machakos. @jguru is very right on this... looking at the bigger picture, equipping the hospital comes first. That is, stocking it with the necessary basic drugs (not aspirin, panadols and malaraquin), having a fully functional and efficient in-patient and out-patient departments with complete basic facilities (not just stethoscopes, sphygmomanometers, a clinical officer and a nurse), having a fully functional hospital residential facilities (not just ricketty beds with tattered beddings, under equipped and crumbling catering facility etc) and lastly having adequate, committed, well motivated medical staff... In fact many deaths in public hospitals occur in in-patient and not the emergency cases being dealt with by the ambulances... If I were Gov. Mutua i would have dealt with strengthening the dispensaries at the ward level first by fully equipping them to deal with all health cases as a first line of defense...This action alone would reduce the referral cases to Machakos hospital by may be 90% thus easing the pressure on available facilities and staff and allowing the hospital to concentrate only on the predominantly complicated ailments and other genuine emergencies. It makes absolutely no sense in transporting an expectant mother in an emergency condition all the way from Tala or Mwala to Machakos hospital just because there is no midwifery services or a doctor/nurse and other important facilities related to child birth in the local dispensary...Under such circumstances, you would not expect the new ambulance to last for long. It would be a waste in the long run! ...besides, the presence of a safe alone does not signify that there is money inside...
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Rank: User Joined: 8/15/2013 Posts: 13,237 Location: Vacuum
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Kaigangio wrote:Robinhood wrote:Swenani wrote:jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs What I see from Jguru is either goggle mentality or ignorance of healthcare dynamics. He worries about ambulances which could save lives, he would rather Machakos level 5 hospital was turned into a copy of Nairobi hospital before infrastructure to access it is put in place. In the meantime, people can die in the villages of prevetable diseases until quality healthcare is available. What crap! Improving access and quality will be a long process. I am glad Mutua has taken concrete first steps in this direction. The next step is on quality, and I am sure Mutua has a plan for this too. Rome was not built in one day and neither will Machakos. @jguru is very right on this...
looking at the bigger picture, equipping the hospital comes first. That is, stocking it with the necessary basic drugs (not aspirin, panadols and malaraquin), having a fully functional and efficient in-patient and out-patient departments with complete basic facilities (not just stethoscopes, sphygmomanometers, a clinical officer and a nurse), having a fully functional hospital residential facilities (not just ricketty beds with tattered beddings, under equipped and crumbling catering facility etc) and lastly having adequate, committed, well motivated medical staff...( Boss, read the whole speech first)In fact many deaths in public hospitals occur in in-patient and not the emergency cases being dealt with by the ambulances...(source?)If I were Gov. Mutua i would have dealt with strengthening the dispensaries at the ward level first by fully equipping them to deal with all health cases as a first line of defense(did you read his speech)...This action alone would reduce the referral cases to Machakos hospital by may be 90% thus easing the pressure on available facilities and staff and allowing the hospital to concentrate only on the predominantly complicated ailments and other genuine emergencies. [color=blue ]It makes absolutely no sense in transporting an expectant mother in an emergency condition all the way from Tala or Mwala to Machakos hospital just because there is no midwifery services or a doctor/nurse and other important facilities related to child birth in the local dispensary[/color] (so its better to wait for 6-12 months for construction of a dispensary than to offer ambulance services?if you read his speech you will see that each ward will ahev a dispensary by August 2014)...Under such circumstances, you would not expect the new ambulance to last for long. It would be a waste in the long run! If Obiero did it, Who Am I?
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Rank: Elder Joined: 12/6/2008 Posts: 3,548
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Swenani wrote:Kaigangio wrote:Robinhood wrote:Swenani wrote:jguru wrote:This obsession with ambulances in unbelievable! Since when did having ambulances equate to better health care delivery? What's the point of rushing 5 emergencies to Machakos Level 5 Hospital and having only 2 functional theaters? Those referrals will still die. Why did you shuttle them from Mwala to come die in Machakos? There shall be no improvements in mortality or morbidity.
These ambulances are just an avenue to eat. Period.
And politicians being the attention seekers that they are, having 80 flashy vehicles, going wiu-wiu-wiu all over the county is a sure way of getting votes. Access to health equates to better health care delivery i think;and thats what mutua is trying to do.can you imagine if kiambu county had an ambulance for each ward,mr thuo could still be alive:so think of the many lives that will be saved on msa rd accidents;pregnant mothers and kifs What I see from Jguru is either goggle mentality or ignorance of healthcare dynamics. He worries about ambulances which could save lives, he would rather Machakos level 5 hospital was turned into a copy of Nairobi hospital before infrastructure to access it is put in place. In the meantime, people can die in the villages of prevetable diseases until quality healthcare is available. What crap! Improving access and quality will be a long process. I am glad Mutua has taken concrete first steps in this direction. The next step is on quality, and I am sure Mutua has a plan for this too. Rome was not built in one day and neither will Machakos. @jguru is very right on this...
looking at the bigger picture, equipping the hospital comes first. That is, stocking it with the necessary basic drugs (not aspirin, panadols and malaraquin), having a fully functional and efficient in-patient and out-patient departments with complete basic facilities (not just stethoscopes, sphygmomanometers, a clinical officer and a nurse), having a fully functional hospital residential facilities (not just ricketty beds with tattered beddings, under equipped and crumbling catering facility etc) and lastly having adequate, committed, well motivated medical staff...( Boss, read the whole speech first)In fact many deaths in public hospitals occur in in-patient and not the emergency cases being dealt with by the ambulances...(source?)If I were Gov. Mutua i would have dealt with strengthening the dispensaries at the ward level first by fully equipping them to deal with all health cases as a first line of defense(did you read his speech)...This action alone would reduce the referral cases to Machakos hospital by may be 90% thus easing the pressure on available facilities and staff and allowing the hospital to concentrate only on the predominantly complicated ailments and other genuine emergencies. [color=blue ]It makes absolutely no sense in transporting an expectant mother in an emergency condition all the way from Tala or Mwala to Machakos hospital just because there is no midwifery services or a doctor/nurse and other important facilities related to child birth in the local dispensary[/color] (so its better to wait for 6-12 months for construction of a dispensary than to offer ambulance services?if you read his speech you will see that each ward will ahev a dispensary by August 2014)...Under such circumstances, you would not expect the new ambulance to last for long. It would be a waste in the long run! His speech is a 'disaster' and will nail him with senate! A New Kenya
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