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Alfie the dodo
poundfoolish
#561 Posted : Wednesday, February 19, 2014 10:28:27 AM
Rank: Elder

Joined: 12/2/2009
Posts: 2,458
Location: Nairobi
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...

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!


Phewks.. Thanks Kaigangio.

Atleast somebody who gets what some of us are trying to argue out.
Whats the purpose of Ambulances that will come get stuck at the Nyayo stadium roundabout after a bumpy ride from a village in Yatta?
What if all 70 of them arrived at Kenyatta at the same time. does Kenyatta have the capacity to handle 70 emergencies? The bills that follow?

Infact for me i would have said he starts with the roads first. Even if it meant a good portion of the year's county budget goes to improving of roads. The value of the entire land in Machakos county would triple.
Access would attract all sorts of investors. from schools to health facilities to Nairobbers tied of living in this city.

As the roads are being upgraded, he should be flooding the media with ground breaking ceremonies of constructions (health facilities) et al.
The stadiums and parks angeachia media to find out for themselves as he talks to Muthoni the drama queen and King'ang'i to host their events there for free.

But i understand. Kenyans are yearning for a success story. something that works. and they want to create one. sadly its a Communications Dr. giving us the much needed PR
Swenani
#562 Posted : Wednesday, February 19, 2014 10:29:16 AM
Rank: User

Joined: 8/15/2013
Posts: 13,237
Location: Vacuum
Much Know wrote:
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!


How?
If Obiero did it, Who Am I?
mkeiy
#563 Posted : Wednesday, February 19, 2014 10:31:33 AM
Rank: Member

Joined: 1/27/2012
Posts: 851
Location: Nairobi
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...

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!

@Kaigangio, What you don't know, ask.
Which Machakos are you talking about? People suffer coz they can't access even the health facilities within the division, more so pregnant women.

But for you, i gather one must die to deserve an ambulance.

I'm happy with my governor.
I'm sure you are so happy with yours and that's why you want Mutua to improve. He will, give him time.
washiku
#564 Posted : Wednesday, February 19, 2014 10:38:25 AM
Rank: Chief

Joined: 5/9/2007
Posts: 13,095
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!



Exactly. I wonder why people think Mutua has not thought of those things. If only we could give him time...If buying a car takes one month and building a hospital takes 4 months, yet there are enough funds for each, why cant the whole process begin at the same time? Its obvious it takes longer to build a building than to buy a motor vehicle.
simonkabz
#565 Posted : Wednesday, February 19, 2014 11:02:40 AM
Rank: Elder

Joined: 3/2/2007
Posts: 8,776
Location: Cameroon
All these things people are busy shouting priority are underway. Kwani watu hawajui kusoma jamaneni?
TULIA.........UFUNZWE!
Swenani
#566 Posted : Wednesday, February 19, 2014 11:04:38 AM
Rank: User

Joined: 8/15/2013
Posts: 13,237
Location: Vacuum
simonkabz wrote:
All these things people are busy shouting priority are underway. Kwani watu hawajui kusoma jamaneni?


People like making noise for the sake of it
If Obiero did it, Who Am I?
mkeiy
#567 Posted : Wednesday, February 19, 2014 11:11:22 AM
Rank: Member

Joined: 1/27/2012
Posts: 851
Location: Nairobi
poundfoolish wrote:

What if all 70 of them arrived at Kenyatta at the same time. does Kenyatta have the capacity to handle 70 emergencies? The bills that follow?

Infact for me i would have said he starts with the roads first. Even if it meant a good portion of the year's county budget goes to improving of roads. The value of the entire land in Machakos county would triple.
Access would attract all sorts of investors. from schools to health facilities to Nairobbers tied of living in this city.

As the roads are being upgraded, he should be flooding the media with ground breaking ceremonies of constructions (health facilities) et al.
The stadiums and parks angeachia media to find out for themselves as he talks to Muthoni the drama queen and King'ang'i to host their events there for free.

But i understand. Kenyans are yearning for a success story. something that works. and they want to create one. sadly its a Communications Dr. giving us the much needed PR


@Poundfoolish. If its nothing personal against Mutua, know this;

Rehabilitation of health facilities is going on[my village health center to begin with].

Roads are being graded and plans for bridges where necessary are being worked on.

That Masaku park will draw in more publicity than the roads and health centers being built which you didn't know of.

What you want for people of Masaku, make it a point to all other counties.

Majority of us Masaku people are happy with our governor and we don't get it, with "foreigners" telling us what's best for us.
You are behaving like the Mzungu, always trying to tell the African what and how to do it.


Lastly i would like to know from you, WHO IS YOUR GOVERNOR?
Much Know
#568 Posted : Wednesday, February 19, 2014 11:12:05 AM
Rank: Elder

Joined: 12/6/2008
Posts: 3,582
Much Know wrote:
Swenani wrote:

His speech is a 'disaster' and will nail him with senate!


How?

For example, the 250million for relief, when were such functions devolved? I though waiguru has been dealing with relief. The big "change" between the budget for ambulance and the supplied price will raise queries with the whole tendering process. Ama he is a "genius" negotiator better than all businessmen who applied? And many more.
Ras Kienyeji Man
Swenani
#569 Posted : Wednesday, February 19, 2014 11:26:28 AM
Rank: User

Joined: 8/15/2013
Posts: 13,237
Location: Vacuum
Much Know wrote:
Much Know wrote:
Swenani wrote:

His speech is a 'disaster' and will nail him with senate!


How?

For example, the 250million for relief, when were such functions devolved? I though waiguru has been dealing with relief. The big "change" between the budget for ambulance and the supplied price will raise queries with the whole tendering process. Ama he is a "genius" negotiator better than all businessmen who applied? And many more.


There is nothing wrong to supplement the central govt efforts.If the COB approves the expenditure and he does proper accounting there is nothing to nail him on.

On the price variance between budgeted and actual; I consider it a positive variance and hence it should cause alarm or do you want to say that you expected the actual to exceed the budgeted so as not to raise queries?
If Obiero did it, Who Am I?
freiks
#570 Posted : Wednesday, February 19, 2014 11:30:29 AM
Rank: Veteran

Joined: 6/8/2010
Posts: 1,734
Much Know wrote:
Much Know wrote:
Swenani wrote:

His speech is a 'disaster' and will nail him with senate!


How?

For example, the 250million for relief, when were such functions devolved? I though waiguru has been dealing with relief. The big "change" between the budget for ambulance and the supplied price will raise queries with the whole tendering process. Ama he is a "genius" negotiator better than all businessmen who applied? And many more.


A good question has been raised and i propose that before you comment about Mutua tell us your GAVANA, mine was WAMBORA
Life is an endless adventure
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