Rankaz13 wrote:Looks like the worst is finally here. So far, Baringo, Marsabit and Laikipia counties confirmed to have cut health workers' salaries by withdrawing some allowances. No explanations as yet.
I don't think the doctors have seen anything yet. Mambo bado. It will get really ugly. When I finally understood what this whole devolution means I must say I totally sympathized with the doctors. It is however a monster that is now in the house that they must learn to live with.
In summary this is what it means. Now that the function of health is devolved it means that the decisions on how to allocate resources for matters health fall squarely with the county governments. Each county in its own wisdom will have its own priorities.
County assemblies are made up of the local people and they would just as an example wonder why you need a hardship allowance to live in their county when they have lived there all their lives without any problems.
Depending on how remote a county is everybody from a nurse to a clinical officer to a surgeon are all Daktari so why would one be earning 5 times what the other earn. You might be in a county where the county cabinet secretary of health is a former clinical officer or lab technician and the county assembly is full of local businessmen from butchers to matatu operators. As a doctor you will need to justify to these people why you need some expensive hospital equipment to do your job.
There is no National activism on matters health anymore, medical personnel will have to engage their respective counties separately. Talk about Kizungumkuti.