By Geoffrey Kamadi
Rather than bring services closer to the masses thereby increasing efficiency through disaggregation of government functions, it is now feared that devolution might actually have the direct opposite effect. And this is despite the fact that the process is set to get under way in just a matter of days.
But nowhere is this more apparent than in the health sector. And now rather than champion for the process, healthcare providers are up in arms clamouring that the process be delayed, until such a time as proper structures have been instituted in all 47 counties.
“We believe that the rush to devolve all functions of the government does not favour the counties nor does it favour the health sector. The counties will soon discover that they have accepted liabilities that they will be hard placed to meet, out of their limited budgets,” says Dr. Victor Ng’ani, the chairman of the Kenya Medical Practitioners, Pharmacists and Dentist Union (KMPDU). The trade union represents all doctors in the country.