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{
    "id": 1024940,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1024940/?format=api",
    "text_counter": 598,
    "type": "speech",
    "speaker_name": "Sen. (Dr.) Zani",
    "speaker_title": "",
    "speaker": {
        "id": 13119,
        "legal_name": "Agnes Zani",
        "slug": "agnes-zani"
    },
    "content": "This is a group of workers who are so important in the specific categories. There are many people in the community who are not able to go to a dispensary or hospital. They need the sort of intervention that community health workers give. Madam Temporary Speaker, I have brought this Bill to the Floor of the House of Senate to show that many counties have already begun this process. We, as Senate, have come up with this legislation so that these particular counties entrench on and vary it to their specific issues within their counties. The community health workers already exist. In some counties, they are given some allocation of money while in others, they are not given. It is done arbitrarily by some counties. Therefore, structuring of this is very important. There are specific counties who have been able to put in place this legislation. We have Nairobi City County Community Health Services Bill. We have the Homa Bay County Community Health Services Bill. The Turkana Community Health Services Act, 2018, which was passed by Turkana County Assembly. It is an Act. We also have the Narok County Community Health Services Bill. As I said, counties are already putting legislation in place, buy we do not have the legal legislative framework nationally. That legal legislative framework can only come from the Senate. There is evidence across the world about the impact of community health service health functionality on various aspects of health; be it reproductive, maternal, newborn children or adolescent health. Data actually shows, for example, increase in women attending at least four antenatal clinics raises their ability to have productivity heightened and child mortality improved which can improve from 39 per cent to 62 per cent. When I finish moving this Bill, Sen. (Dr.) Milgo will second it so that we begin to debate. As I speak, counties are waiting and are hopeful that we will get to that point. I will make a quick run through what this Bill is about. It specifies the role of national and county governments; establishes the position of Director of Community Health Services; procedures for appointing community health workers; functions of community health workers; and, inspection of the register among others. In short, we want to put order, functionality and legislation in the area of community health services."
}