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        {
            "id": 1521042,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521042/?format=api",
            "text_counter": 322,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "(Hon. (Dr.) Deborah Barasa): Mr. Temporary Speaker, Sir, the recent withdrawal of funding by the American Government following the issuance of Executive Order No.14169 has had profound and far-reaching consequences on several critical health programmes in Kenya. This abrupt shift in financial support has disrupted essential services, ongoing initiatives and placed an immense strain on our healthcare system, particularly in the areas that rely heavily on official aid. The affected programmes include the HIV&AIDS programme."
        },
        {
            "id": 1521043,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521043/?format=api",
            "text_counter": 323,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "The withdrawal of funding affects the provision of life-saving antiretroviral therapy for over 1.4 million Kenyans living with HIV in the country. In Kirinyaga County alone, there are 12,345 people living with HIV, with 10,456 currently receiving Antiretroviral therapies (ARTs). Furthermore, critical lab commodities for early infant diagnosis and viral load testing are at risk of stock out, jeopardising the timely detection and monitoring of HIV in newborns and patients on ART."
        },
        {
            "id": 1521044,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521044/?format=api",
            "text_counter": 324,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "Again, the malaria control programme and the recent funding freeze has disrupted the distribution of critical malaria control commodities across multiple counties, including Kirinyaga, which is marked for malaria elimination. These include insecticide- treated nets, rapid diagnostic test kits and preventive treatment for pregnant women. This setback poses a significant risk to malaria-endemic regions, particularly in counties with high transmission rates such as Kisumu, Migori, Kakamega and Tana River."
        },
        {
            "id": 1521045,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521045/?format=api",
            "text_counter": 325,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "Without timely intervention, malaria cases and related complications could rise, undermining progress made in reducing malaria-related morbidity and mortality. The withdrawal of funding has significantly impacted the availability of essential family planning commodities nationwide, stock levels of contraceptives, including implants. 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."
        },
        {
            "id": 1521046,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521046/?format=api",
            "text_counter": 326,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "Injectable contraceptives or pills, have dropped below the required minimum, affecting both public and private facilities. This shortage threatens the ability of women and families to access reliable family planning services with potential implications for maternal and child health outcomes, particularly in counties with high unmet contraceptive needs such as Nairobi, Bungoma, Nakuru and Kilifi."
        },
        {
            "id": 1521047,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521047/?format=api",
            "text_counter": 327,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "On vaccines and immunisation programmes, the funding freeze has disrupted the procurement of critical vaccines, affecting approximately five per cent of Kenya's total vaccine supply, amounting to Kshs585 million. Counties with large immunisation coverage gaps such as Turkana, West Pokot, Mandera, and Garissa, face a heightened risk of vaccine-preventable disease outbreaks and this reduction in funding threatens Kenya's ability to sustain its routine immunisation programmes and respond to emerging public health threats, potentially reversing hard-won gains in child health."
        },
        {
            "id": 1521048,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521048/?format=api",
            "text_counter": 328,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "Kirinyaga County risks reversing their 10-vaccination coverage of 93 per cent for pentavalent, 91 per cent for oral polio, and 87 per cent for Bacillus Calmette-Guérin (BCG) against a national coverage of 72 per cent."
        },
        {
            "id": 1521049,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521049/?format=api",
            "text_counter": 329,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "On the nutrition programme, the withdrawal of funding has disrupted the supply of life-saving nutrition commodities, including therapeutic foods used to treat severe acute malnutrition in children under five. Counties with high rates of malnutrition such as Marsabit, Samburu, Kitui and Baringo, are particularly affected, putting thousands of vulnerable children at risk of severe health complications. Without urgent intervention, malnutrition-related deaths could increase, exacerbating the already critical burden of food insecurity in drought-affected regions."
        },
        {
            "id": 1521050,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521050/?format=api",
            "text_counter": 330,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "Kirinyaga County is flagged nationally for overweight and obesity challenges, particularly amongst the reproductive age women, at 65 per cent being the highest in the country and is therefore a target for intervention by the ministry's Non-Communicable Diseases (NCD) campaign."
        },
        {
            "id": 1521051,
            "url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521051/?format=api",
            "text_counter": 331,
            "type": "speech",
            "speaker_name": "The Cabinet Secretary for Heath",
            "speaker_title": "",
            "speaker": null,
            "content": "For Human Resource for Health, the funding freeze affects 41,547 health workers, supported by Presidents Emergency Plan for Aids Relief (PEPFAR), including those deployed in Kirinyaga County. The county has submitted to the Council of Governors (CoG) a list of 159 affected frontline health staff who are spread across three projects, LVCT-Dhibiti project, Christian Health Association Uzima Project and Wezesha Afia project for Kshs4.7 million per month. Despite the freeze, services continue for now due to the implementation of a waiver."
        }
    ]
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