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"content": "(Sen. Ogola on 16.04.2024)"
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"content": "(Resumption of debate interrupted on 16.4.2024)"
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"content": "Thank you, Madam Temporary Speaker. I had moved that the Maternal, Newborn and Child Health Bill (Senate Bills No.17 of 2023) be read a Second Time."
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"content": "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."
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"content": "It is worth noticing that I move this Bill against the ongoing medics strike who are the custodians of healthcare. This Bill seeks to put in place a framework for the wellbeing of pregnant mothers, new-born babies and children as well. In this Bill, the age of children goes up to 12 years. Madam Temporary Speaker, mothers continue to die while trying to secure the continuity of our future generations. As I speak here, last evening, we lost a mother in the Homa Bay Referral Hospital. She was a young woman from Magunga, Suba South and she left two children. If you were to go every other region, you would see that we continue to lose mothers as they give birth. That is why this Bill wants to address the wellbeing and the services that the pregnant women and new-born babies are entitled to. Sometimes last year, a declaration was made by the World President of Gynaecologists. The declaration talks about the fact that the measure of a country's state of health is predicted by its maternal mortality ratio; if we can guarantee the safety of our mothers in their pregnancies, as they deliver and the safety of babies in their first years. As we lose mothers when they are delivering, a commentary goes ahead to say that worse is that we cannot assure that every baby born stands a fighting chance to celebrate their first month of life. Madam Temporary Speaker, in all our communities, averagely people were able to applaud the standards of that community by the well-being of the women and children that are in those communities. In my village and not for any reason, men are judged by how well the women around them are kept and how the children they raise are kept. On the same note, whatever kind of man you are, if the women around you are not kept well and the children around you are languishing, you are not a considerable person to be notified. Madam Temporary Speaker, we must be intentional in reducing preventable maternal deaths. I know this story is everywhere. In December, in my local sub-district hospital, we lost two young women from college when they were giving birth. We lost the wife of a young teacher, Mrs. Opiyo. She was a promising young mother who left behind three children. She walked into a health center called Ongako in Ndhiwa sub- county, having prepared herself. In less than an hour, Mrs. Opiyo Milton was pronounced dead. Just the previous weeks, we had lost two students, Caroline Urowe and another young student. That is why we must be intentional on how to improve our services. How do we improve the services that are given by both levels of government to ensure that we reduce maternal death? Madam Temporary Speaker, even as we celebrate, it is worth noting that the impressive records of increased antenatal care visits and attendance in our hospitals, the skilled birth attendants and the indices that are recorded in our hospitals, have not translated to reduced maternal deaths in our country in the 21st century. This Bill will ensure that the status of maternal healthcare goes to the required international standards. I would also like to give a brief of a demographic health survey that was done in 2022. If I am not wrong, it could be the latest. It has percentages in our counties. If I read"
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"content": "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."
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"content": "them out, you will see that other than Nyeri and Nyandarua which are at their lowest, a number of our counties are not doing well. This brings me to a statement that an economist gave out. If we have invested so much in bringing our mothers and girls to hospitals and dispensaries, then why are our girls and women still dying from a natural activity such as childbirth? There are concerns that we must address as a country. It is time we worked on the quality of our service provision. Some of the concerns and critical questions that we must ask ourselves as a country are; do the services that we provide meet the minimum quality standards? I bring up these concerns because as a country, we must address the issue of mothers and girls that we continue to lose. Other concerns are; do the facilities that we have in our healthcare facilities such as dispensaries, health centres and referral hospitals ensure the highest attainable standards of care? Do we have shortfalls in health systems financing models? What are our models of financing health? Do we have an adequate workforce that is available for patient care? The workforce must be looked into in terms of numbers and skills that they have. We must also address the issue of an unresponsive health information system. We should not expect different results, yet we continue to do things in the same old manner. It is about learning and unlearning what we have. As I indicated when I began to move the Maternal, Newborn and Child Health Bill (Senate Bills No.17 of 2023), Part I talks about the preliminaries. These are just interpretations in the Bill. The Bill has a short Title that may be cited as the Maternal, Newborn and Child Health Act, 2023. We also have interpretations and objects of the Bill. The objects of the Bills are to–"
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"content": "("
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"content": "a) Provide a framework for the delivery of comprehensive quality health services to meet health needs of mothers, newborns and children. (b) Establish a coordinated and structured system for provision of quality maternal, newborn and child healthcare services. Madam Temporary Speaker, we go to Clause 4 and you see the principles for service delivery. What are the major principles of service delivery? I am talking about access and equity. How do our mothers, the maternal the newborn, and the children up to 12 years, do they have access and are these services equitable to these cohorts? The principles include access to services. Are the services timely? When I refer to the laws we had in the Homa Bay District yesterday, you probably think about a mother who did not have timely services. Probably somebody did not ensure the kind of service this woman needed. So, the principles talk about access, equity and timeliness. Another principle is the collaboration between the national and county governments and the relevant stakeholders. Health is a function of the county governments. It is a shared function. This Bill spells out the services that the county government must give to our mothers, our newborns, and children up to 12 years. We are talking about inclusivity in the delivery of health services. We are here spelling out in the Bill the recognition and the sensitivity of the cultures of various communities. This Bill talks about targeted empowerment and capacity-building initiatives for people both at risk and persons with special needs. It is worth noticing"
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"content": "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."
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