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"type": "speech",
"speaker_name": "Sen. Kathuri",
"speaker_title": "The Deputy Speaker",
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"id": 13590,
"legal_name": "Murungi Kathuri",
"slug": "murungi-kathuri"
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"content": " Next is Sen. Olekina."
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"content": "Thank you, Mr. Deputy Speaker, Sir. My question is directly related to the responses given by the Cabinet Secretary on the question asked by Sen. Mumma. Hon. Cabinet Secretary, you have indicated that the biggest challenge is the debt owed by county governments to KEMSA which is about Kshs6.2 billion. You have also indicated that the Social Health Authority (SHA), which you know very well, that in the Financial Year 2024/2025, it was allocated a total of Kshs25,798,827,666 which is up from the initial of Kshs11,899,413,839. This means that there was an additional Kshs13 billion allocated to SHA to ensure that they provide this medicine to the people. Hon. Cabinet Secretary, I would like you to pay attention to my question. If we have problems with drugs being administered in hospitals because county governments are not collecting the drugs or they have not paid the money to KEMSA, do you not think that it is time as a Ministry to develop a system where the manufacturers only release the drugs upon payment by SHA? I say this because when I was young, I was diagnosed with petite mal epilepsy. Thus, I know the dangers of people who end up having epilepsy. Do you not think that it is time that you developed a robust system that can ensure that all those manufacturers list their drugs and only draw them down upon being paid, so that you do not have to incur all these debts? I will give you a very good example. It is like a supermarket. If you walk into a supermarket, you will buy sugar although that supermarket does not own that sugar. That sugar has been placed there by a manufacturer. The only time that it is released, it is when it is paid. We have SHA spending Kshs25 billion, and counties collecting money from Own Source Revenue to use. This House passed a law. Can you please, tell us how we can solve that problem once and for all? It is not right for people who are sick, epileptic and 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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"id": 1520804,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520804/?format=api",
"text_counter": 84,
"type": "speech",
"speaker_name": "Sen. Olekina",
"speaker_title": "",
"speaker": {
"id": 407,
"legal_name": "Ledama Olekina",
"slug": "ledama-olekina"
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"content": "disabled people who are epileptic, to stay without drugs in the hospitals because the county governments have not paid KEMSA for the drugs that they are collecting. Please, answer that question diligently. If you have not understood it, ask me again and I will explain it."
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"id": 1520805,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520805/?format=api",
"text_counter": 85,
"type": "speech",
"speaker_name": "Sen. Kathuri",
"speaker_title": "The Deputy Speaker",
"speaker": {
"id": 13590,
"legal_name": "Murungi Kathuri",
"slug": "murungi-kathuri"
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"content": " Madam Cabinet Secretary, kindly answer that question."
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"id": 1520806,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520806/?format=api",
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"type": "speech",
"speaker_name": "The Cabinet Secretary for Health",
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"content": "(Hon. (Dr.) Deborah Barasa): Thank you once again, Mr. Deputy Speaker, Sir, and the hon. Member. Certainly, drug availability is critical for us. One of the key challenges that we have faced, as a Ministry, is ensuring that the drugs reach the last mile and we have accessibility to essential medicines. Under the Universal Health Coverage (UHC,) that is the Taifa Care, we are working tirelessly to ensure that we have recapitalisation of medicine in KEMSA. In addition, that they are reaching the last mile, that is to the facilities, up to level 2, 3 and 4 for accessibility by patients. What we have talked about and we are ensuring that we implement is that, after the counties have requested for the medicine, SHA will pay directly for medicine before the money is released to counties. Apart from ensuring that they are paying the claims, they will ensure that medicine is also withdrawn from that money before the money is released to the county. Mr. Deputy Speaker, Sir, this is an area that we are looking into, together with SHA, to ensure that we are paying up for the medicine before the rest of the money is released. We want to ensure that KEMSA is routinely recapitalised, it has resources and essential medicines to be able to supply at the county level. I do not know if I have made sense."
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"id": 1520807,
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"text_counter": 87,
"type": "scene",
"speaker_name": "",
"speaker_title": "",
"speaker": null,
"content": "(Loud consultations)"
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"id": 1520808,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520808/?format=api",
"text_counter": 88,
"type": "speech",
"speaker_name": "Sen. Kathuri",
"speaker_title": "The Deputy Speaker",
"speaker": {
"id": 13590,
"legal_name": "Murungi Kathuri",
"slug": "murungi-kathuri"
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"content": " Proceed. Sen. Olekina."
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"id": 1520809,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520809/?format=api",
"text_counter": 89,
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"speaker": null,
"content": "(The Cabinet Secretary for Health (Hon. (Dr.) Deborah Barasa) stood in her place)"
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"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520810/?format=api",
"text_counter": 90,
"type": "speech",
"speaker_name": "Sen. Olekina",
"speaker_title": "",
"speaker": {
"id": 407,
"legal_name": "Ledama Olekina",
"slug": "ledama-olekina"
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"content": "Mr. Deputy Speaker, Sir, I am not sure if the Cabinet Secretary understood my question. She is saying that SHA will pay KEMSA before KEMSA releases the drugs to the hospitals. I want to be clear and I am happy to come and sit down with you and try to explain better what I mean. The question is, since we are having a problem with counties paying KEMSA for the drugs, do you not think that it is about time to become a bit creative and develop a system that will ensure that these manufacturers place their drugs there and only release them when they are being prescribed to a patient? That will solve two problems. Hon. Cabinet Secretary, it will solve the problem of pending bills and expiry of drugs, such that they will only spend drugs which can be used. Every day we are told what manufacturers are doing, including others making drugs to confuse people. That is my question. What you are now saying is that, you will develop a system where SHA is paid money before KEMSA releases the drugs. That is a bit confusing. 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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"id": 1520811,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520811/?format=api",
"text_counter": 91,
"type": "speech",
"speaker_name": "Sen. Kathuri",
"speaker_title": "The Deputy Speaker",
"speaker": {
"id": 13590,
"legal_name": "Murungi Kathuri",
"slug": "murungi-kathuri"
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"content": " Hon. Cabinet Secretary, kindly have your seat because you are not exchanging with the hon. Senator. When you sit down, you can benefit from your officers."
}
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