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{
    "id": 1084121,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1084121/?format=api",
    "text_counter": 278,
    "type": "speech",
    "speaker_name": "Sen. (Dr.) Zani",
    "speaker_title": "",
    "speaker": {
        "id": 13119,
        "legal_name": "Agnes Zani",
        "slug": "agnes-zani"
    },
    "content": "According to a particular report by the Living Goods Community Report of 2020, the proportion of women who attended the recommended number of Antenatal clinics increased. We have had more cases of improved health parameters in Isiolo where women get to delivery centers faster than they did before. The work of community health volunteers within the community is so important. We are actually talking about the health of the nation’s right from the beginning. We are talking about child mortality, immunization, maternal health, nutrition and basically, everything else under health matters. These issues are stipulated, advanced and discussed at the early levels, so that they are taken into consideration right through the various moments and times. Through the various declarations that have been given that have been given at the international level, the role of community health care workers has always been attributed, affirmed and seen to be critical. That is what this Bill seeks to achieve by putting it into perspective and finding a way to put it into place. Allow me to give a few examples to contextualize where we are and where we need to move to. According to the Kenya Workforce Report 2015, we have 15 doctors per 100,000 population ratio, yet the WHO guidelines advocate for 36: 10,000. I am giving the statistics to highlight that our healthcare system is heavily tilted towards service provision, where the numbers are not really adequate. At the end of the day, community health volunteers and community healthcare workers are able to bridge the existing gap. That report also showed that 8.3 nurses exist per 10,000 population ratio, yet the WHO guidelines advocate for 25:10,000. Further, the WHO advocates for 27 clinical officers per 1,000 population ration and a ratio of 27: 10,000 medical laboratory officers. That highlights that it is very important to come up with a scheme, which allows us to bridge the gap between the community and the formal health services in the various sectors of health development, which are very critical. Through the various examples that I have given of Indonesia and Isiolo, it shows that the de3livery system is key. The filling of the lacuna should be carried by the Strategy of Community Health 2014-2019 which speaks heavily of community health services and how it is important in closing the gap for better health outcomes within communities in Kenya. Given the role, the structures become very important. Madam Temporary Speaker, this Bill also hopes to provides a minimum standard upon which county health services may be achieved. I just gave the example of Isiolo, but there are many other counties where there is variation mainly because there is no specific guidance in terms of how the CEC member should operate within the counties and how the county assemblies should be envisaged as well as how the various structures can be put in place. The Clauses in this Bill seek to address the role of the National Government, what the expectations are, the role of the county governments, the importance of health officer, the delivery of health services and how they should be enshrined, the community health community which is a committee that constitutes key members within the community who can discuss the various outcomes for that particular county, the appointment of"
}