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{
"id": 1401201,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401201/?format=api",
"text_counter": 362,
"type": "speech",
"speaker_name": "Sen. Veronica Maina",
"speaker_title": "",
"speaker": null,
"content": "Thank you, Mr. Temporary Speaker, Sir. You have put to rest the points of order. Otherwise, I would have advised my colleague, Sen. Sifuna, on the meaning of common parlance of the English language and how you cannot retract and then reinstate the statement in different words. I will now go straight to the questions to the honourable CS. Hon. Cabinet Secretary, once again, welcome to the Senate. As you very well know, healthcare remains a critical pillar to the welfare of our nation. Ideally, it should enjoy budgetary priority in resource allocation. Hon. Cabinet Secretary, Kenyans are very concerned about how prepared the Ministry is in managing the transition from the National Health Insurance Fund (NHIF) to the Social Health Security Fund (SHIF) without exposing and while avoiding any gaps that may expose the Kenyan population who require healthcare on a daily basis. Number two, you know it is women who give birth. Linda Mama Programme seemed to have enjoyed a lot of popularity and it is a programme that was acclaimed and approved. Within the new SHIF framework, what is the Ministry doing to design a specific programme for Linda Mama ? What is it doing for that woman who is pregnant, prenatal, labour and childbirth as well as postnatal care without limiting those visits to two or four, but to Linda Mama in as much as they require that postnatal care until the mother and the baby are both safe within the public hospitals that we have in Kenya?"
},
{
"id": 1401202,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401202/?format=api",
"text_counter": 363,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " The third question will be asked by Sen. Hamida Kibwana."
},
{
"id": 1401203,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401203/?format=api",
"text_counter": 364,
"type": "speech",
"speaker_name": "Sen. Kibwana",
"speaker_title": "",
"speaker": {
"id": 277,
"legal_name": "Kibwana Kivutha",
"slug": "kibwana-kivutha"
},
"content": "Thank you, Mr. Temporary Speaker, Sir. Madam Cabinet Secretary, I have just been wondering; actually, the morgues are now full. The patients are not being attended to and they are dying. Does the Government realize that this is a matter of life and death? How long will this go on, seriously? Should The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1401204,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401204/?format=api",
"text_counter": 365,
"type": "speech",
"speaker_name": "Sen. Kibwana",
"speaker_title": "",
"speaker": {
"id": 277,
"legal_name": "Kibwana Kivutha",
"slug": "kibwana-kivutha"
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"content": "we continue losing lives just for the Government to take its time to honor the Collective Bargaining Agreement (CBA)? It really hurts. Number two, we have also realized that interns are normally sent to work in facilities without supervision. This of course is a risk without any professionals being around. I am wondering because we are talking about deaths and interns who are unsupervised. I do not know how this issue is going to be tackled, but, please, our people are dying, Madam Cabinet Secretary. Kindly, do something."
},
{
"id": 1401205,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401205/?format=api",
"text_counter": 366,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Hon. Cabinet Secretary?"
},
{
"id": 1401206,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401206/?format=api",
"text_counter": 367,
"type": "speech",
"speaker_name": "Hon. Nakhumicha",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 520,
"legal_name": "Reginalda Nakhumicha Wanyonyi",
"slug": "reginalda-nakhumicha-wanyonyi"
},
"content": " Thank you, Mr. Temporary Speaker, Sir. I will begin with the question of Sen. (Prof.) Kamar that the KMPDU has alluded to the Government being on strike. They have explained that this is because the CBA was not implemented from 2017 to date. The CBA that was signed had several aspects. In my earlier submission, we have put those matters into the different areas that need to take responsibility. We have matters for the national Government, those that are cross-cutting and for county governments. I want to confirm that of the six issues that pertain to the national Government, we have addressed them. The issue of post-graduate fee arrears has been addressed with the release of Kshs200 million from the National Treasury for payment. The issue of basic salary arrears within the CBA, for the doctors who work within the national Government, that aspect has been met. In fact, there is an overpayment. The Government is now asking, what do we do with the overpayment of the arrears to the doctors? The issue of the CBA between KMPDU and KNH was awaiting concurrence from the SRC, which has already been done. The issue of the CBA between Moi Teaching Referral Hospital (MTRH) and KMPDU has already been finalized. It was a matter in court and a decision was already passed. Regarding the issue of the CBA between Kenyatta University Teaching and Research Hospital and KMPDU, the CBA is now ready. Kenyatta University Teaching and Referral Hospital has called the unions to go discuss and negotiate on the CBA. So, on matters about the national Government, progress has been made. The only sticky issue is the stipend. I want to ask of this House, that as for that stipend, we are asking that if the interns, and should they accept that, then they open room for negotiation that the Government has offered. They have not come to the table to tell us that, no, we will not take that, we want this. That must be allowed to happen. Sen. (Prof.) Kamar, on the issue of the Government walking out during the discussions, I was in that meeting and I confirm that the Government did not walk out. The meeting adjourned because we were following the orders of the judge from the court. The judge ordered that the doctors should suspend the strike for negotiations to proceed. That is what we were asking of the doctors, that they suspend the strike and negotiations to proceed. I want to confirm to the House that negotiations will be good. Negotiations will be accelerated, if we have no people dying out of this strike. They will be accelerated if the doctors are at the bedside of the patients. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1401207,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401207/?format=api",
"text_counter": 368,
"type": "speech",
"speaker_name": "Hon. Nakhumicha",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 520,
"legal_name": "Reginalda Nakhumicha Wanyonyi",
"slug": "reginalda-nakhumicha-wanyonyi"
},
"content": "I want to clarify that on the issues raised by KMPDU, risk allowance does not arise. The people who raised the issue of risk allowance are the clinical officers. They are saying they want the risk allowance to be enhanced from Kshs3, 000 to Kshs15, 000 per month. That is a 500 per cent increase in the risk allowance. That is an issue of budget. Once we get SRC guidelines, if that is possible, then we put it in the budget for consideration. Once the National Assembly approves our budget and the exchequer is released, we shall meet that because we know that whatever they are doing is risky and, indeed, they deserve risk allowance. The issue is the movement from Kshs3,000 to Kshs15,000. That is a 500 per cent increase. If the SRC confirms that is in order, we will put measures in place for resources to be put together for that. There is a question that was raised by Sen. Veronica Maina. Earlier on, I spoke about the transition from the NHIF to the SHIF. As a Ministry, we have done our best. That is why we put together a transition committee or committee of experts to guide the process. As I reported earlier, there is a roadmap. We meet every two weeks and we are satisfied with the progress that it is going to be a smooth transition. No patient will notice that there was a change. It should be a seamless transition. On the issue of Linda Mama, I want to confirm that as a mother, and probably aspiring to get another child, maternal health is of importance to me. So, I do not want to preside over a situation where maternal health will not be covered in this country."
},
{
"id": 1401208,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401208/?format=api",
"text_counter": 369,
"type": "scene",
"speaker_name": "",
"speaker_title": "",
"speaker": null,
"content": "(Applause)"
},
{
"id": 1401209,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401209/?format=api",
"text_counter": 370,
"type": "speech",
"speaker_name": "Hon. Nakhumicha",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 520,
"legal_name": "Reginalda Nakhumicha Wanyonyi",
"slug": "reginalda-nakhumicha-wanyonyi"
},
"content": "I want to confirm that according to the SHIF, reproductive health is one of the benefits package. In fact, it is an expanded package from what was there under LindaMama . Let us not stick on Linda Mama . Let us be concerned about what is it that they were getting then and what they will get in the new one. I confirm that the benefits are expanded. On the question raised by Sen. Hamida Kibwana regarding whether we know the situation, indeed, we know the situation. On a daily basis, we track how the situation looks like. We have developed a tool that is being filled by county governments. We have also developed another tool that is being filled by national referral hospitals, which we have 100 per cent control over. For the weeks that the strike has progressed, I want to confirm that in our teaching and referral hospitals, Moi Teaching and Referral Hospital (MTRH) has recorded the highest increase in the number of medical officers who have gone back to work based on the administrative measures we have put in place. We take responsibility that we have an issue at Kenyatta National Hospital (KNH) because the registrars have not gone back to work. Registrars are people who are doing their postgraduate training. We have Government-sponsored and privately-sponsored. Those are the people we are talking to, so that they get back to work and carry on with what they have been doing. As a Ministry, we understand the gravity of this matter. That is why on a daily basis, for the past three days, we have been having meetings until midnight to find a solution to this issue. As I have said, the solution will not just come from the Ministry of Health. It will be based on the whole-of-the-nation approach and the The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1401210,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1401210/?format=api",
"text_counter": 371,
"type": "speech",
"speaker_name": "Hon. Nakhumicha",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 520,
"legal_name": "Reginalda Nakhumicha Wanyonyi",
"slug": "reginalda-nakhumicha-wanyonyi"
},
"content": "Ministry being able to implement what will have been agreed on. I have also said that we expect a ruling from the court. The mention is happening today. The judge, in his wisdom, ordered the doctors to suspend the strike. I want to plead with the doctors. If they respect court orders and suspend the strike, they will create a good environment of being listened to. That will enable the Government to do something, so that we meet somewhere with them. Regarding internship centres, I want to confirm that, as a Ministry, we have criteria that is used to determine what centres become internship centres. There must be existence of a specialist to supervise the interns. There must be the existence of equipment that the interns will use. There must be the existence of commodities for the interns to use. That is why we are saying we want to take time and ensure that this matter is resolved for once. We have 85 internship centres in the country; 65 of them are in public hospitals. As a Ministry, we have at least ensured that the commodity aspect is taken care of. We are working on the equipment aspect. What was remaining is to ensure that there are specialists there to confirm that we have a number that can supervise the interns. I would like to say that this is a shared function. County governments have a responsibility to bring governors in this matter. Where the union has raised specific issues with them, we expect that governors should handle those issues. For issues that have been raised with the national Government, I have confirmed to this House that we have handled them. Mr. Temporary Speaker, Sir, I submit."
}
]
}