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"id": 1084199,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1084199/?format=api",
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"type": "speech",
"speaker_name": "Sen. (Dr.) Zani",
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"speaker": {
"id": 13119,
"legal_name": "Agnes Zani",
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"content": "In some quarters, it is referred to as the Cuba model, where you strengthen the basic and basis of the communities and have that running. That is why the provisions in Clause 11 are very important. The responsibilities that are given to this key group of young people and older people who are involved in being community health volunteers is critical for service delivery at the various levels. Mr. Temporary Speaker, Sir, when you look at issues like sensitizing the community, providing community disease surveillance by reporting early signs of imminent health disasters or emergencies. They live within the communities, they have experience and know the historical background. Therefore, they can preempt and stop by early signal warning systems, a problem that is coming within the community. We move towards preventive rather than curative in a very diabolic and significant manner. We log in and monitor the health status of members of households on a day to day or weekly basis. That includes making the records, discussing this, having the barazas and discussing what the issues are and how to circumvent. They have dealt in many cases even with people living with disabilities. You know certain households where such children are put away and are not taken care of. Mr. Temporary Speaker, Sir, however, they are able to go there and give suggestions. In fact, in many cases, they are key opinion leaders within communities. What they say is taken as important. Keeping and maintaining a register of members so that they can remember where they have gone to and what the problems were. When we talk about capacity building and training, we are referring to the importance of this community health volunteers at the level of community health services. They have these skills that are critical. They are providing appropriate health advice to assigned households in a language that members understand. It is not just about a language. Most of the time, it is about the confidence that you have. Mr. Temporary Speaker, Sir, first, these are people who have worked in the community and have success stories. People run to them or they go to people and when they see them and see what happened and what worked, then it makes it easier. Some of these solutions are very simple. If it is malaria, for example, the putting of the nets and ensuring that ponds are clear are things that communities can be mobilized to do very well. The consequences of not doing that are so high. For Kenya, in terms of an economy that wants to ensure health issues are taken care of, if we are in a position to half that cost, it is possible by just having basic healthcare systems at level one taken care of. The strategy is important and key. This Bill is not introducing something that is not there. It is just introducing a component that has not been tackled in terms of legislation, as has happened in the Health Act. The Health Act tends to focus on level two up to level six. Mr. Temporary Speaker, Sir, provision of level one needs to be encouraged even more. Providing appropriate healthcare advice, sanitation, hygiene, good nutrition, maternal and postnatal care, prevention of transmission and management of communicable diseases: Sometimes it is not even as difficult as we imagine. If it is"
}