Search results

Theory vs. practice. Very different. Example: health facilities in many counties (?) lost all control they had over their budgets and finances. I know of places where, now, ambulances have to be driven to county hqs to be fueled. Imagine that!! The same is replicated in other devolved dep’ts...

🤣🤣🤣 There’s sth called onset of action in pharmacology.

Whatever little devolution claims to have achieved would still have been achieved by decentralization, which we already had accelerated by 2013. In that respect, devolution rolled back the gains by centralizing at county hq.

There’re three drugs commonly used at the moment: Tocilizumab, Remdesevir and Favipiravir.

Kenya - South Sudan - Sudan - Egypt - Israel - Lebanon - Syria - Turkey - Bulgaria - Serbia - Croatia - Austria - Germany -France - U.K. 😎

Nditto!!

In our former village numerous listers confessed as much: that their first sexual encounters was with their house maids.

Inawezekana.

Sio Regional Kamishna? 🤔

Hard, no. Expensive, yes. Equipment costs, their running costs (electricity) and maintenance costs.

And I’m here to remind you it’s Saturday.

Aside from the politics of it, I look at it from a purely financial perspective. Affordability. Methinks we simply cannot afford it. Not with the meager resources at our disposal currently.

What’s the work of KETRACO?

Water levies going up as well.

On matters staffing, all counties have hit the prescribed ceiling ratio (I think it’s 35% but sikumbuki vizuri) in terms of how much they can spend on salaries and emoluments, this despite glaring staffing shortfalls in departments as key as agriculture, healthcare, irrigation, etc. Some are...

Worst effect is inflation. Take the case of cost of land, for instance. These thugs in suits steal from us, but land at exorbitant prices and so drive prices up. Suddenly, we from whom the resources are stolen can now no longer afford to buy that land!

Devolution sucked up resources for that. And the political reality of the day is quite sth. Especially local politics. Part of the mess that isin the referral system is partly blamed on devolution, and partly on the NHIF system. The latter, worsened by devolution.

The folly of political myopia. Instead of concentrating on baking the cake, they’re preoccupied on sharing out an ever shrinking one. I often wonder, hawa wakenya who support(ed) it, where do they think extra funds to pay for the expanded Executive etc will come from? Si ni sisi tu tutafinywa...