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{
"id": 1412821,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412821/?format=api",
"text_counter": 247,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Cabinet Secretary."
},
{
"id": 1412822,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412822/?format=api",
"text_counter": 248,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": " Thank you, Hon. Speaker and Hon. Members. The question is for the Ministry of Health to provide a list of all community health promoters in the 290 constituencies. I would like to begin by saying that community health services aim at empowering individuals, families and communities to take charge of their health. Community health services are delivered by community health promoters at the household level. Some of the services that they provide are health education and promotion; disease prevention and control to reduce morbidity, disability and mortality; family health services; environmental health; first aid; psycho-social support; and, managing the general health data. Community Health Promoters (CHPs) are assigned approximately 100 households, which they visit on a routine basis. Each community health unit has 10 CHPs. There is a community health committee that oversees the affairs of a community health unit. Each community health unit comprises five to seven members, drawn from among the community members. There is a table that enumerates the community health promoters per county, but we have those names per constituency. Across the nation, there are 107,000 CHPs. If we were to print the list, it would be bulky. We are able to offer a soft copy of the list, specifically for Baringo Central Constituency and any other constituency that may want to see the list of the CHPs."
},
{
"id": 1412823,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412823/?format=api",
"text_counter": 249,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "For the curiosity of the Member – and I do not know what he wants to know - send the soft copy for all the 290 constituencies. He will go through it and if he has any issues, he can file a question through the Committee. Please, go to the second part of the question."
},
{
"id": 1412824,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412824/?format=api",
"text_counter": 250,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": " On the second part of the question on the method used by the Ministry to select the said CHPs across the country, their selection is guided by Section 9 of the Primary Healthcare Act, 2023. It provides that a Community Health Promoter shall be selected by the community through a public participation and they shall be appointed by the county government. A person qualifies for selection and appointment as a CHP if the person is a citizen of Kenya; is above the age of 18 and is of sound mind; is responsible and respected member of the community; understands the role of a CHP; is a resident of the respective community for a continuous period of not less than five years prior to the appointment date; is literate and can read and write in, at least, one of the national languages and the local language; and, is not disqualified from appointment by any other criteria in law. A CHP shall be appointed on such terms and conditions as the respective county public service board shall determine. Each county executive committee member shall prescribe in the county legislation regulations approved by the respective county assembly for the conduct of The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor"
},
{
"id": 1412825,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412825/?format=api",
"text_counter": 251,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": "public participation forum. Section 10 of the Act further provides for a framework for the conduct of public participation during the selection of CHPs. In conducting the public participation forum under Section 9, the county executive committee member shall publish and publicise, through the mechanisms established by a county government under Section 95 of the County Governments Act, a notice of the proposed selection process, at least, seven days before the conduct of the process. They are expected to provide to the residents of the county information regarding the selection process, criteria for selection of CHPs, the process of submitting the nomination for selection, and such other information as the committee member may consider necessary for the effective participation and conduct of the selection process. Public participation shall provide, where necessary, interpretation services for persons who are not conversant with the national language, where the national language is the principal language of communication during the conduct of the public participation forum. They shall keep and maintain an attendance register for all persons attending the forum. The conduct of the public participation forum shall be guided by the principles of citizen participation in counties, under Section 87 of the County Governments Act. There is provision of effective mechanisms for involvement in the public participation, including special interest groups who will be affected or interested in the decision; equitable access to the information that participants need to participate in a meaningful manner; appropriate feedback mechanism; adherence to the national values under Article 10 of the Constitution; adherence to the principles of public participation as may be prescribed by written law; and, ensuring the needs and interests of all persons are catered for. Despite Section 9 of the Act, a person appointed as a community health volunteer or community health worker at the commencement of the Act shall be deemed to be appointed as a CHP under the Act. The third part of the question is to explain why drivers are not considered and counted as prone to risk while handling emergency cases. Delivery of Universal Health Coverage (UHC), including quality emergency care to all Kenyans, is a priority for the Government of Kenya and the Ministry of Health. Emergency vehicle operators or ambulance drivers play a key role in the delivery of emergency care. The Ministry of Health recognises that they are exposed to diverse risks as they perform their duties. The Ministry is committed to ensuring the safety and wellbeing of all healthcare personnel working in Kenya. The Constitution states that every Kenyan has the right to the highest attainable standard of health, which includes the right to healthcare services. The Health Act, 2017 states that every person has the right to emergency medical treatment, including pre-hospital care. The Social Health Insurance Act, 2023 establishes the emergency, chronic and critical fund to cover the cost of emergency treatment. The Ministry has developed the Kenya Emergency Care Policy 2020-2030 and Kenya Emergency Care Strategy 2020-2025 to accelerate the establishment of an effective emergency medical care system for Kenya. The policy and strategy are based on WHO emergency care system framework, which highlights three areas where emergency care is provided, that is, at the scene of illness, or injury by bystanders delivering first aid, or calling for help from an ambulance service. Further care may be delivered by emergency care personnel when they arrive at the scene. During transport in an ambulance, the patient is monitored, information regarding the patient is communicated to the receiving health facility and delivery of medical intervention continues. At the health facility, the patient is received by the emergency department staff for ongoing care. The Kenya Emergency Care Policy recognises the key role that is played by emergency care personnel, including drivers. It highlights the shortage of those key personnel in Kenya. The Kenya Emergency Care Strategy outlines the key intervention to increase the number of drivers and to ensure that they have the knowledge and skills required to deliver quality service The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor"
},
{
"id": 1412826,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412826/?format=api",
"text_counter": 252,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": "to Kenyans while minimising the risk to themselves, to the patient, to other personnel and other road users. The key interventions are: 1. Development of a standardised curriculum for training of the drivers. 2. Establishment of a standardised framework for regulation, licensing and continuous professional development of emergency ambulance drivers. 3. Institution of norms and standards for staffing at all levels of emergency care. The Ministry intends to roll out a holistic programme to enhance capacity of motorcycle riders, institution drivers, matatu and lorry drivers on basic first aid and triage, which we have called Afya Barabarani. There will be training and equipping of CHPs on first aid and joint emergency inter-operability principles, that is, linking services together. The Ministry plans to establish a command-and-control centre that is linked to ambulance dispatch centres, fire departments, police and all emergency support functions. A toll-free number is to be provided to all sectors for emergency calls. In 2019, the Kenya Bureau of Standards, in collaboration with the Ministry of Health, developed minimum ground ambulance requirements. Compliance with those detailed requirements promotes safety for ambulance drivers and all ambulance passengers. In conclusion, the Ministry of Health is committed to delivering quality health services to all Kenyans. This includes the safety and wellbeing of healthcare personnel, including ambulance drivers. While a lot remains to be done, the Ministry is committed to delivering quality training, registration, licensing and continuous professional development. Hon. Speaker and Hon. Members, I submit. Thank you."
},
{
"id": 1412827,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412827/?format=api",
"text_counter": 253,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Hon. Kandie, are you satisfied?"
},
{
"id": 1412828,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412828/?format=api",
"text_counter": 254,
"type": "speech",
"speaker_name": "Baringo Central, UDA",
"speaker_title": "Hon. Joshua Kandie",
"speaker": null,
"content": " Thank you, Hon. Speaker. I am partly satisfied. However, on the last question, the Cabinet Secretary has not told us whether the drivers are going to be given risk allowance because they do the same work as the other emergency workers do."
},
{
"id": 1412829,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412829/?format=api",
"text_counter": 255,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Drivers in the Ministry or drivers anywhere?"
},
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"id": 1412830,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412830/?format=api",
"text_counter": 256,
"type": "speech",
"speaker_name": "Baringo Central, UDA",
"speaker_title": "Hon. Joshua Kandie",
"speaker": null,
"content": " Emergency drivers."
}
]
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