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"id": 1006081,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1006081/?format=api",
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"type": "speech",
"speaker_name": "Murang’a CWR, JP",
"speaker_title": "Hon. (Ms.) Sabina Chege",
"speaker": {
"id": 884,
"legal_name": "Sabina Wanjiru Chege",
"slug": "sabina-wanjiru-chege"
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"content": "hierarchy of management for future reference. However, an immediate reporting system by the Jitenge System of monitoring will reach the national level immediately and data will be interpreted for further management. There is an electronic alert response system which is known as the Jitenge System. This is an application that guides through the process of reporting daily defined conditions of a COVID-19 exposed individual during the 14-day quarantine or isolation period. Jitenge is developed as a module within the National Electronic Alert System in response to the uniqueness of the COVID-19 pandemic. All persons meeting the case definition of exposure to COVID-19 are eligible to use this application. The main objective of this system is to provide critical data for self-quarantine isolated cases at national and county levels for decision making and quick intervention. In a nutshell, the Jitenge System can be used in designed quarantine or isolation facilities or homes and for special interest groups such as truck drivers. A client is prompted, every 24 hours, to report on symptoms and/or changes in health condition with multiple reminders in case of default in reporting. It is available as a mobile phone application and as a USSD session by dialing *299#. This can be done both on a smartphone and a mulika mwizi mobile phone . Notification to healthcare workers in the event of change to asymptomatic or default in reporting, the Jitenge System allows remote management of many clients at the same time with their records digitalised. It also allows geo-mapping and geo-fencing. Reports can be aggregated from quarantine or isolation facilities and specific interest groups such as truck drivers at the county and national level. On enforcement of various protocols on social distancing in all active sectors in the country, every sector has a chain of management and it is the role of management to ensure compliance to these laid down protocols bearing in mind that the organisations were heavily involved in coming up with them. Before reopening, inspections are done by a team of specialists who check on the level of compliance. Once opened, further routine inspection shall be done from time to time for continuous compliance and corrective action when necessary. Health information education will be continuous to serve as a reminder on the need for social distancing as well as the proper use of masks, hand washing and other methods of disease control. Inter-agency collaboration will be key in social distancing, especially where there are issues of crowd control, for example, in demonstrations, burials and other social gatherings. There is the use of Cap.242 to prosecute the offenders. On the status report on mass testing countrywide, testing started since the beginning of the outbreak. The World Health Organisation (WHO) has emphasised the importance of testing in the early stages of this pandemic. The target of testing in Kenya was of persons with symptoms of the virus and international travelers returning from COVID-19 affected countries. All this has changed with evidence of established local transmission in the country, where 57 per cent of the current confirmed cases are local. Public health approaches in breaking the chain of transmission of any epidemic is hinged on testing and its extent. Ideally, mass testing of either the entire or a large population for COVID-19 allows for the true extent of the epidemic in a country to be determined with a level of accuracy. This enables prompt intervention of case identification, isolation, treatment, contact tracing and quarantine to be taken to contain spread of the virus. For this COVID-19 pandemic, this ideal approach cannot be attained by many countries, particularly the low-medium income countries like ours because of the cost, technology and expertise required to conduct the current goal standard test of Real Time-Polymerase Chain Reaction (RT-PCR) on high-throughput automatic platform. Further, the global demand and scramble for equipment and 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."
}