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"id": 1520942,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520942/?format=api",
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"type": "speech",
"speaker_name": "Sen. Methu",
"speaker_title": "",
"speaker": {
"id": 13581,
"legal_name": "Methu John Muhia",
"slug": "methu-john-muhia"
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"content": ". Mr. Temporary Speaker, Sir. I kindly request for an opportunity to ask a question before she answers the questions posed."
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"id": 1520943,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520943/?format=api",
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"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Very well, Sen. Methu."
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"id": 1520944,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520944/?format=api",
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"type": "speech",
"speaker_name": "Sen. Methu",
"speaker_title": "",
"speaker": {
"id": 13581,
"legal_name": "Methu John Muhia",
"slug": "methu-john-muhia"
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"content": "Thank you very much, Mr. Temporary Speaker, Sir. I want to conceptualise the issue that has been raised by Sen. Cherarkey and Sen. Sifuna. There is no way that the Cabinet Secretary and the Ministry of Health cannot say that they are not aware of the case of baby Arianna, who I would want to confirm is a patient from my own county. She comes from Ol Jorok in Nyandarua County. 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": 1520945,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520945/?format=api",
"text_counter": 225,
"type": "speech",
"speaker_name": "Sen. Methu",
"speaker_title": "",
"speaker": {
"id": 13581,
"legal_name": "Methu John Muhia",
"slug": "methu-john-muhia"
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"content": "Baby Arianna suffered from Pearson disorder, and she is the 10th patient in the world to get that particular disorder. Therefore, there is no way the Ministry would say that they are not aware of such a patient who has such a rare disorder. The hospitals in India have actually been using her case as a success of Pearson's disorder that has been treated. It is a genetic disorder that has been treated. Unfortunately, we lost baby Arianna. By the time she passed on, her bill was Kshs1.6 million. Social Heath Authority (SHA) has now paid is Kshs23,000. Therefore, can we not use this case to gauge whether SHA is working or not? This is because, Kshs23,000 out of Kshs1,600,000 is such a small and negligible percentage. You cannot keep reading statistics to say this is the money that we have, these are the number of patients that have been taken care of--- On this specific case that you must be aware of because it is a very rare disorder, tell us why SHA has paid Kshs23,000. First, confirm whether SHA has paid Kshs23,000 and secondly, tell us why SHA can pay Kshs23,000 out of a bill of Kshs1,600,000."
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"id": 1520946,
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"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Cabinet Secretary, please proceed."
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"id": 1520947,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520947/?format=api",
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"type": "speech",
"speaker_name": "The Cabinet Secretary for Health",
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"speaker": null,
"content": "(Hon. (Dr.) Deborah Barasa): Thank you, Mr. Temporary Speaker, Sir. I would like to start with the Question from Sen. Omtatah, regarding the Universal Health Care (UHC) premiums. Previously under National Health Insurance Fund (NHIF), as you remember, it was tax funded but it was capturing the formal sector with only 20 per cent of the population under this health insurance. So, when we talk about leaving no on behind, NHIF was not living up to it because we were not able to cover each and every Kenyan in regards to heath service delivery. However, SHA, is improved and we are trying to ensure that all Kenyans are on board and that all their health needs are addressed. Part of it is using social health financing, ensuring that 2.75 per cent of the amount is being deducted for contribution into Social Health Insurance Fund (SHIF). Ultimately, our goal is to ensure that we are leaving no one behind but equally, you take note that the indigence will be covered by the government, that is, the people who are unable or are not capacitated well to cover or to pay the premiums. As the Government, we will be able to support in their health insurance coverage. I think this is a great step from the 20 per cent and ensuring that all are being covered. You can see that we have now increased and registration up, almost 3 times the population that was covered previously. There is great progress, as you said Sen. Sifuna. There is great progress with the number of people that have been registered and the number of people that can access primary health care. We have up to three times more that can access. Then when it comes to registration and being able to access services in higher level of care, we are looking to ensure that there is improved contribution and ultimately all Kenyans will be able to access health care. I believe that this a game changer where we will have Kenyans not selling their property in order to access health. Additionally, there are good stories out there and I can attest and maybe next time we can have a documentation and reports of more than 500,000 being able to access these services and tabulate how much contribution did they 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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"speaker_name": "The Cabinet Secretary for Health",
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"speaker": null,
"content": "have to pay and how much NHIF was covering. That way, we will have evidence based and data driven analysis to show you that indeed SHA is working. When we talk about the issue of Arianna, yes, the Ministry acknowledges and indeed, we send our condolences to the family. We acknowledge that was a challenge seeing the Pearson syndrome is a very rare disease and only ten people in the entire world have this disease. Therefore, as a Ministry, we are looking into ways of ensuring that we review this condition, the diagnosis, treatment, management and so on. When it comes to management of the baby, you will notice that NHIF cover previously was Kshs4,600 for ICU but I can assure you that the Ministry has really been advocating and pushing to ensure that our Emergency Chronic Critical Illness Fund (ECCIF) is improved. We are happy to report that after reviewing, it has been increased to Kshs28,000, and that will gradually improve. We have the benefits package advisory team, which will be reviewing the benefit package and seeing gradually how we can improve to ensure that Kenyans are accessing services. As you are well aware, at the beginning of UHC, we looked into the burden of the disease in Kenya and we also looked at what was causing death and what was causing catastrophic expenditure. We also reviewed what NHIF was offering and you can see the benefit is actually better or the same as NHIF. Nothing was lower than what NHIF was offering. However, moving forward, based on the resources at hand, we hope to gradually improve the benefit package for the betterment of health services for all Kenyans."
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"id": 1520949,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520949/?format=api",
"text_counter": 229,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Sen. Methu, please proceed."
},
{
"id": 1520950,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1520950/?format=api",
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"type": "speech",
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"speaker": {
"id": 13581,
"legal_name": "Methu John Muhia",
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"content": "Mr. Temporary Speaker, Sir, I do not know why the Cabinet Secretary (CS) for Health would want to take us in circles. The question was specific. Now that you admit that you are aware of the case of Baby Arianna Wairimu from Nyandarua County, who succumbed to Pearsons Syndrome, the question is specific - Is it true that SHA paid Kshs23,620 out of a bill of Kshs1,600,000? That is a straight forward question. First, tell us whether that is a fact that SHA paid Kshs23,000 then we shall get to the second limbo of the question, which is, why would you say that SHA is working if it is has paid such a negligible amount of money out of a bill of Kshs1,600,000? Mr. Temporary Speaker, Sir, I have been following and the parents of this child are my friends. I know Lewis, the father to the baby. The family and his friends have, out of their own contribution, spent more than Kshs10 million to take that baby to India, yet the Government has not paid anything. So, the only one last time that baby Ariana wanted SHA to work, the one that has been praised that is working, because out of the many bills that we have had, she was being treated in India. There was no way the government of Kenya would have helped her when she was being treated in India. So, Madam CS, tell us, is it true that SHA paid Kshs23,000 for Baby Arianna Wairimu out of a bill of Kshs1,600,000? Do not tell us stories that on where SHA has worked. This is a specific case and you said that you are aware of it."
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"id": 1520951,
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"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Sen. Cherarkey, please proceed. 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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