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{
"id": 1412901,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412901/?format=api",
"text_counter": 327,
"type": "speech",
"speaker_name": "Nominated, UDA",
"speaker_title": "Hon. Dorothy Muthoni",
"speaker": null,
"content": "services that you get there are seamless? When you go to a health facility, many a times, you are told to wait for pre-authorisation. Sometimes, it is an emergency and family members become helpless and do not know what to do because it takes ages. Secondly, members of various entities like the teachers will contribute to SHIF. Every other worker will also contribute. What guarantee is there that when they go to any facility where they require services, they will be attended to, instead of being told to fill two hospitals where they will be going? You are not static. Sickness will not wait for you to go to the nearest station to your home. Thank you, Hon. Speaker. Congratulations to the Cabinet Secretary for Health."
},
{
"id": 1412902,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412902/?format=api",
"text_counter": 328,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Hon. Farah Maalim. Give him the microphone. There is one next to you."
},
{
"id": 1412903,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412903/?format=api",
"text_counter": 329,
"type": "speech",
"speaker_name": "Dadaab, WDM",
"speaker_title": "Hon. Farah Maalim",
"speaker": null,
"content": " I join my other colleagues in congratulating the Cabinet Secretary for making a serious effort. I know this is the beginning. There will be a lot of conversation on this issue. I ask the Cabinet Secretary whether the Ministry has ever considered something akin to what is called NHS in the United Kingdom (UK). We have the Teachers Service Commission (TSC) in the country. We need an institution that encompasses the entire health sector. It should look at the quality of training of doctors, nurses and physiotherapists. It should also look at employment of everybody in the health sector in a holistic manner. We have a situation where a consultant surgeon who had a straight A in his Form IV and went through university and did 16 years of education, being interviewed by an MCA who got a D+ in secondary school. Sometimes, we need to give this very critical sector the weight that it deserves. Those are people that we entrust with our lives. We need to look at this thing in a holistic manner. If it means looking at the Constitution, we should look at how we can have a body that will run this thing; it will essentially be involved in employment, benefits, etiquette and the Hippocratic oath that doctors take. We can have this thing similar to the way it is in the Judicial Service Commission (JSC) right now or the way they have it in the UK National Health Service and a number of European countries. We do not have to reinvent the wheel. I understand that in the Kenya Constitution, 2010 there are a lot of things that need to be changed; having experienced it for over 10 years now. Can we look at it in a holistic manner and can the Cabinet Secretary give us an undertaking on that possibility. Thank you."
},
{
"id": 1412904,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412904/?format=api",
"text_counter": 330,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Hon. Beatrice, I want to close it here."
},
{
"id": 1412905,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412905/?format=api",
"text_counter": 331,
"type": "speech",
"speaker_name": "Dagoretti North, ODM",
"speaker_title": "Hon. Beatrice Elachi",
"speaker": null,
"content": " Thank you, Hon. Speaker. I will be very brief. First of all, I want to appreciate Waziri so much for her clarity on the many issues she has answered. However, we need to look at the issue of NHIF in mission and private hospitals. Waziri, there is a mama right now at Mary Immaculate Hospital, Gatanga Road who was sent to Mbagathi Hospital for a Caesarean Section (CS) operation. She has an NHIF card and she cannot use it. She was detained in hospital as much as she had paid her bills. It is important to have a conversation with the private hospitals to see how we can unlock this issue of NHIF with them."
},
{
"id": 1412906,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412906/?format=api",
"text_counter": 332,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you. Cabinet Secretary, can you respond quickly to those Questions?"
},
{
"id": 1412907,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412907/?format=api",
"text_counter": 333,
"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. I appreciate the questions. The first Question is from Hon. Wamuchomba on the instant remedy. As we speak, the crisis that we are in is affecting the health sector. I want to confirm that Level 2 facilities, which are the dispensaries that are manned by nursing officers, are functional. Level 3 facilities, which are the health centres are equally functional. The doctor’s strike has hit us most in Level 4, Level 5 and Level 6 facilities, where specialised services are needed. 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": 1412908,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412908/?format=api",
"text_counter": 334,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": "We have put in place mechanisms to make sure that, the emergency care that is required is given in all the national referral hospitals. In the meetings that we had with governors, we asked them to also put in place measures to ensure that if a mother or any Kenyan will need emergency care, they will be attended to. Administrative actions have been taken, including employing doctors on short term contracts and employing some locums to fill the gaps. So, as a Ministry, we have put in our best effort to ensure that the services are being provided. However, we acknowledge the crisis that is at hand and that is why I plead with the doctors of this country that life is more important. With money, negotiations can always be done and if they do not get it today, when circumstances improve tomorrow, they will be paid. However, if we lose a life, we will not recover it. So, I want to speak to the doctors that they come back and comply with the court order that suspended the strike and give talks a chance so that we can get amicable solutions. On the Question raised by Hon. Mayaka on diapers for mothers, Hon. Speaker and Hon. Members, I would like to confirm that the Kenya Kwanza Government had a huge Manifesto and there is a plan on its delivery. Quite a number of items that are listed in the Manifesto have been achieved. Implementation of a Manifesto is progressive and the Ministry is seized of that matter. At an opportune time when resources for diapers are allocated, and thankfully I am speaking in the House that oversees resource allocation, we shall give them to mothers. I confirm that the Kenya Kwanza Government is committed to implementing its Manifesto."
},
{
"id": 1412909,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412909/?format=api",
"text_counter": 335,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": "On the question raised by Hon. Milemba on transition from National Health Insurance Fund (NHIF) to Social Health Authority (SHA), yes, there is a lot of anxiety across the country. Many people and facilities think that their claims will not be paid. I confirm to the nation that we have a transitional committee with one of their terms of reference being to ascertain and reconcile claims so that the assets and liabilities of NHIF will be moved to SHA. Any claim that will not have been paid by the time we transit on the 1st July 2024 will be taken over by SHA. So, I appeal to the facilities that are denying Kenyans services not to do so because their claims will be verified, reconciled and paid, once resources are available. Hon. Speaker and Hon. Members, I have just confirmed that this week, we have received confirmation from the National Treasury of the release of Ksh5.5 billion that will go towards the payment of claims. Hon. Naisula raised a question regarding what we are doing to ensure services are ring- fenced under the SHA. Hon. Speaker and Hon. Members, the SHA is 90 per cent digitised to ensure that the risks that existed in the NHIF that led to leakage of revenues and resources from NHIF are removed. We have a digitised system that is able to ring-fence. Equally, we now have free primary health care under Level I, 2 and 3 hospitals in the new laws. It is going to be provided without a Kenyan having to pay anything. But, once they are referred to Level 4, 5 and 6 hospitals, the Social Health Insurance Fund (SHIF) kicks in to take care of them."
},
{
"id": 1412910,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1412910/?format=api",
"text_counter": 336,
"type": "speech",
"speaker_name": "Ms. Susan Nakhumicha",
"speaker_title": "The Cabinet Secretary, Ministry of Health",
"speaker": null,
"content": "Hon. Speaker and Hon. Members, the issue of cartels is an issue of system and governance and we are working on it. We have been able to demonstrate through the Kenya Medical Supplies Authority (KEMSA) on what we have been able to do. Equally, through the NHIF, we have taken care of the governance issue under the SHA Act. The board was carefully selected. We are going to do a careful selection of all the people who will work in that institution. But we should get the comfort of having a digitised system that is free from any manipulation to ensure that systems run as envisaged."
}
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