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Ksh. 600,000 monthly ambulance leases? Wow!!
Rank: Elder Joined: 5/21/2013 Posts: 2,841 Location: Here
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Is 600,000/= too much for monthly ambulance leases?So, while we were away, Red Cross was busy scheming how to make an extra coin. I know it's a capitalistic economy and all but I wonder; -shouldn't such a deal have been subjected to open tendering as per the provisions of Pucblic Procurement and Disposal Act? -what are the benefits of such an arrangement as opposed to buying and owning the ambulances? Yaani, is a cost-benefit analysis in favor of such a deal? -how does this compare with international best standards? -the health sector unions have in the past pushed for establishment of a National Ambulance Service. Wouldn't that be a better and more beneficial idea? Etc etc. Life is like playing a violin solo in public and learning the instrument as one goes on.
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Rank: Elder Joined: 6/2/2011 Posts: 4,818 Location: -1.2107, 36.8831
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Rankaz13 wrote: Is 600,000/= too much for monthly ambulance leases?So, while we were away, Red Cross was busy scheming how to make an extra coin. I know it's a capitalistic economy and all but I wonder; -shouldn't such a deal have been subjected to open tendering as per the provisions of Pucblic Procurement and Disposal Act? -what are the benefits of such an arrangement as opposed to buying and owning the ambulances? Yaani, is a cost-benefit analysis in favor of such a deal? -how does this compare with international best standards? -the health sector unions have in the past pushed for establishment of a National Ambulance Service. Wouldn't that be a better and more beneficial idea? Etc etc. And that link has just dissapeared, just like the one on RAO and KDF. Receive with simplicity everything that happens to you.” ― Rashi
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Rank: Elder Joined: 7/23/2008 Posts: 3,017
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I m I the only one thinking that an ambulance is just a car. For 600K, if I was a gavna, I would buy some old Mat and convert it to an ambulance. In a year I will be boasting of owning 12 ambualnces.and they will be all operational as its not like the ambulance is always in use. "The purpose of bureaucracy is to compensate for incompetence and lack of discipline." James Collins
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Rank: Elder Joined: 6/8/2013 Posts: 2,517
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@dunkang bado iko==> rink hata kwa twirra "😖😡KQ makes money for everyone except the shareholder 😏😏 " overheard in Wazua
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Rank: Veteran Joined: 10/25/2007 Posts: 1,574
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Leasing a single ambulance for 600k a month! A brand new 2013/14 Toyota Hiace KDH fashioned into an ambulance would cost approx 5.7 million (CRSP). Add 500k for a stretcher, paint job, sirens etc. It takes only 10 months for the Red Cross to recoup their 6.2 million per ambulance investment! And if they import the vehicles using their Non-Profit status, they buy the ambulances cheaper since they do not pay duty. This is the WORST deal I have EVER heard about!!! Set out to correct the world's wrongs and you will most certainly wind up adding to them.
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Rank: Veteran Joined: 10/25/2007 Posts: 1,574
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"Kisii has requested 10 ambulances, Kakamega six, while Bomet will receive six ambulances on February 3, and pay a Sh600,000 monthly lease for each ambulance." In a year, Kisii will pay 72 million for ambulances (+maintenance costs)! That's enough for 28 ambulances. They could buy older Toyota Hiace 2007 complete with modifications, sirens, paint job etc for about 2.5 million each. And while they are buying ambulances, the hospitals haven't had a supply of gloves and cotton wool for the last 3 months. 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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Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving.
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Rank: Chief Joined: 5/9/2007 Posts: 13,095
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ION, its good health was devolved. Seems in a few years healthy facilities in each county will have improved greatly. There are some counties who have never seen an ambulance before.
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Rank: Elder Joined: 10/9/2008 Posts: 5,389
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Ksh 20,000 per day...phew! Sad that county govts have no problem splashing on brand new prados @6m but can't afford used ambulances @2m.
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Rank: Elder Joined: 9/15/2006 Posts: 3,905
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@jguru, what investment by Red Cross? @washiku, good suggestion but tricky when aid agencies begin engaging in capitalism
+ So Kenyans raise money for RedCross through MPesa
+ Red Cross uses the money to buy Ambulances and leases them to Counties at 600,000 monthly.
+ And the County government introduces a levy for mwananchi to fund the lease rate; and in some cases charges additional fees for usage.
+ In this Water Cycle, Kenyan is always the source, money the water.
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Rank: Elder Joined: 5/21/2013 Posts: 2,841 Location: Here
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muganda wrote:@jguru, what investment by Red Cross? @washiku, good suggestion but tricky when aid agencies begin engaging in capitalism
+ So Kenyans raise money for RedCross through MPesa
+ Red Cross uses the money to buy Ambulances and leases them to Counties at 600,000 monthly.
+ And the County government introduces a levy for mwananchi to fund the lease rate; and in some cases charges additional fees for usage.
+ In this Water Cycle, Kenyan is always the source, money the water.
In all this, one thing still baffles me: How much would it cost us to establish and fund a national ambulance service? Life is like playing a violin solo in public and learning the instrument as one goes on.
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Rank: Elder Joined: 9/15/2006 Posts: 3,905
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Rankaz13 wrote: In all this, one thing still baffles me: How much would it cost us to establish and fund a national ambulance service?
My Estimates would be... 6 ambulance fleetOne time 6m vehicles = 36m Annually40 staff = 24m, Vehicle running = 5% cost Total recurring = 26m So ideally in exchange for what it takes to support one county assembly member, you could run each ambulance comfortably.
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Rank: Elder Joined: 4/22/2010 Posts: 11,522 Location: Nairobi
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This is just too much... possunt quia posse videntur
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Rank: Elder Joined: 6/17/2008 Posts: 23,365 Location: Nairobi
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What does the lease entail? Petraol, Driver, 1st Aid Kits, !st aiders...anybody? ..."Wewe ni mtu mdogo sana....na mwenye amekuandika pia ni mtu mdogo sana!".
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Rank: Member Joined: 1/1/2011 Posts: 396
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washiku wrote:Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving. Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year.
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Rank: Member Joined: 12/5/2013 Posts: 224
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jmbada wrote:washiku wrote:Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving. Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year. Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates.
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Rank: Veteran Joined: 10/25/2007 Posts: 1,574
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matatuman wrote:jmbada wrote:washiku wrote:Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving. Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year. Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates. Where did you get that figure from? Set out to correct the world's wrongs and you will most certainly wind up adding to them.
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Rank: Member Joined: 12/5/2013 Posts: 224
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jguru wrote:matatuman wrote:jmbada wrote:washiku wrote:Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving. Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year. Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates. Where did you get that figure from? Sorry my bad, mistakenly assumed it was 600k per year.
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Rank: Elder Joined: 6/2/2011 Posts: 4,818 Location: -1.2107, 36.8831
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jguru wrote:matatuman wrote:jmbada wrote:washiku wrote:Yani even red cross is looking for an opportunity to eat or what? Maybe a better deal would have been they import jointly owned ambulances with red cross. County govt pays up for import cost n red cross negotiates to have them bought at a lower cost due to their status. Then they ensure all the counties are on board. Thus in one year or there about, there would be an ambulance at every corner of this country. Red cross would then enter an MOU with the counties to have all the ambulances branded Red Cross and they should be at the red cross's disposal anytime Red Cross want to use them for an emergency. After all, the same people Red Cross serves in case of an issue are the same people county govts are serving. Red Cross is predominantly an NGO. Don't blame them for responding to market forces to ensure that their business model is at least self-sustaining. That's like saying that the Boma Hotel should charge less than other similarly rated and located hotels! As for the Counties, it is entirely THEIR responsibility to decide whether or not to source their own ambulances or to lease. My suspicion is that their appalling budgeting process left them in a situation where they had NO cash for provision of Emergency Services....yet they had INSISTED on IMMEDIATE devolution of Health Services, but don't have the balance sheet to take on ambulances as assets on their books this financial year. Guyz, lets stop criticizing just for the sake of it. They are only charging 50k per month for a fully equipped ambulance. That is fairly priced, cheap i should say going by car hire rates. Where did you get that figure from? I think he took 600/- and divided with 12 months, because he did not get time to read the article and/or understand it. ITS 600K/- PER MONTH @MATATUMAN!!!!! Receive with simplicity everything that happens to you.” ― Rashi
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Rank: Elder Joined: 6/17/2008 Posts: 23,365 Location: Nairobi
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McReggae wrote:What does the lease entail? Petraol, Driver, 1st Aid Kits, !st aiders...anybody? Without anybody answering me on this, the amount could still be justified!!!! ..."Wewe ni mtu mdogo sana....na mwenye amekuandika pia ni mtu mdogo sana!".
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Ksh. 600,000 monthly ambulance leases? Wow!!
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