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{
"id": 1521052,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521052/?format=api",
"text_counter": 332,
"type": "speech",
"speaker_name": "The Cabinet Secretary for Heath",
"speaker_title": "",
"speaker": null,
"content": "On the question, could the Cabinet Secretary provide a breakdown of the budget for the affected programmes?"
},
{
"id": 1521053,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521053/?format=api",
"text_counter": 333,
"type": "speech",
"speaker_name": "The Cabinet Secretary for Heath",
"speaker_title": "",
"speaker": null,
"content": "The total budget for the affected programme in the Financial Year 2024/2025 is Kshs79.8 billion, and the breakdown is as seen in the table. Actions taken to ensure that critical services under the affected programmes do not stop and that we avoid the likelihood of putting healthcare in jeopardy, both in counties and at the national government. The Ministry of Health has undertaken the following measures to mitigate the impact of funding withdrawal. 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": 1521054,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521054/?format=api",
"text_counter": 334,
"type": "speech",
"speaker_name": "The Cabinet Secretary for Heath",
"speaker_title": "",
"speaker": null,
"content": "(1) Emergency funding. The Ministry has requested an emergency allocation of Kshs33.5 billion to fill the funding gap and sustain critical health programmes, with a breakdown given below; and,"
},
{
"id": 1521055,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521055/?format=api",
"text_counter": 335,
"type": "speech",
"speaker_name": "The Cabinet Secretary for Heath",
"speaker_title": "",
"speaker": null,
"content": "(2) Diplomatic engagement, where high-level bilateral discussions with the US Government are ongoing to clarify and implement the waivers on essential health services. It is, however, important for the Senate to assume a worst-case scenario and support the Ministry meet the budget gaps through resource allocation for affected programmes at the national and county level."
},
{
"id": 1521056,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521056/?format=api",
"text_counter": 336,
"type": "speech",
"speaker_name": "The Cabinet Secretary for Heath",
"speaker_title": "",
"speaker": null,
"content": "On reallocation of resources, the Ministry is prioritising the reallocation of domestic resources to sustain critical programmes, including HIV, malaria and family planning, as captured in the Budget Policy Statement (BPS) for the Financial Year 2025/2026. Again, strengthening local systems where efforts are underway to strengthen domestic health financing mechanism, including the SHIF, to reduce dependency on external donors. For example, premium insurance financing to net in the informal sector economy through cooperatives is underway. On commodity distribution, the Ministry is engaging Global Fund, to expedite the procurement of essential commodities and ensure their distribution through KEMSA. This is Annex III stock status for Antiretrovirals (ARVs) and vaccines including stock pipeline as provided by KEMSA. The data system integration plans are underway to integrate health data system into the national digital health infrastructure to ensure sustainability and data security. Affected systems to be integrated include chanjo.ke for vaccination, damu.ke for blood collection, tibu.ke for TB, digimal.ke for malaria and Kenya Health Information System (KHIS). I submit."
},
{
"id": 1521057,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521057/?format=api",
"text_counter": 337,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Thank you, Cabinet Secretary. Hon. Senators, we will now take supplementary questions. Sen. Mandago, do you have a supplementary question?"
},
{
"id": 1521058,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521058/?format=api",
"text_counter": 338,
"type": "speech",
"speaker_name": "Sen. Mandago",
"speaker_title": "",
"speaker": {
"id": 13577,
"legal_name": "Kiplagat Jackson Mandago",
"slug": "kiplagat-jackson-mandago"
},
"content": "Thank you very much, Mr. Temporary Speaker, Sir. I do not know whether it will be a question or just a comment, especially on the matter of interns. I think the Ministry should work on the budget. Nonetheless, we also understand that the issue of training of medical staff, the human resource, is both by private sector and Government. What I would like to know is why should the Government take responsibility for interning medical officers who were trained in private facilities and who were not captured in the budget of the national Government through trainings in public institutions? I would like to know from the Ministry, what are they doing to make sure that we do not get these emergency budgets that result from actions that are not from the Ministry or properly budgeted for, so that we are able to cater for internship effectively through forward planning."
},
{
"id": 1521059,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521059/?format=api",
"text_counter": 339,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Proceed, Sen. Madzayo."
},
{
"id": 1521060,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521060/?format=api",
"text_counter": 340,
"type": "speech",
"speaker_name": "Sen. Madzayo",
"speaker_title": "The Senate Minority Leader",
"speaker": {
"id": 679,
"legal_name": "Stewart Mwachiru Shadrack Madzayo",
"slug": "stewart-mwachiru-shadrack-madzayo"
},
"content": " Thank you, Mr. Temporary Speaker, Sir. I would like to find out from the Cabinet Secretary, is it true that on 20th February, 2025 the Rural and Urban Private Hospitals Association of Kenya (RUPHA) 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": 1521061,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1521061/?format=api",
"text_counter": 341,
"type": "speech",
"speaker_name": "Sen. Madzayo",
"speaker_title": "The Senate Minority Leader",
"speaker": {
"id": 679,
"legal_name": "Stewart Mwachiru Shadrack Madzayo",
"slug": "stewart-mwachiru-shadrack-madzayo"
},
"content": "issued a statement suspending the services under SHA except for emergency cases beginning Monday, 24th February, 2025 and alleging arrears worth Kshs30 billion? Additionally, the Kenya Association of Private Hospitals (KAPH) issued a directive on 24th February, 2025, resolving to indefinitely suspend all credit arrangements under SHA due to the outstanding NHIF arrears. My question would be, what is the Government doing to ensure restoration of the essential medical services? As a second question which is very short, following the suspension of the services under SHA of the two associations, that is RUPHA and KAPH, what measures has the Ministry ---"
}
]
}