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{
    "id": 1084201,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1084201/?format=api",
    "text_counter": 358,
    "type": "speech",
    "speaker_name": "Sen. (Dr.) Zani",
    "speaker_title": "",
    "speaker": {
        "id": 13119,
        "legal_name": "Agnes Zani",
        "slug": "agnes-zani"
    },
    "content": "diarrhea and cholera, giving the specific provisions of what needs to be done. In the case of COVID-19, also giving the suggestions, the masks and social distancing. One of the things we tend to rely on a lot are messages that are given from the media. If you look at communities, how many members are able to get those messages from the television and radio? We have a component of people whom if they are enhanced further within the counties, then they will stay well. Mr. Temporary Speaker, Sir, it was Sen. Farhiya who said they are the first responders within the communities. She spoke of the need to harmonize their responsibilities and incentives for them to be encouraged. Sen. Omogeni has echoed the same thing. This is like a treasure that we have that we can utilize to fight for health outcomes, which are devolved and so well captured in the Constitution in terms of them being a right. We also know that a healthy nation will also turn into better economic incentives and development. Rendering first aid, monitor the growth of children under five years old; provide support for assigned households in terms of quality, family based care and support of the patient; and, submit reports at intervals so that these outcomes can be determined and discussed. Mr. Temporary Speaker, Sir, what has been missing is the hierarchy of a structure that enables this participation to be effective. That structure definitely starts at the Ministry with the Cabinet Secretary (CS). At the national level, we also switch to the county level and give key responsibility to the governors and Council of Governors (CoG) within those counties, County Executive Committee (CEC) Members and County Assembly Members (MCAs). We were in Mombasa recently where we had Hon. Abdulswamad setting up a programme or giving out to constituents of Mvita Constituency a National Health Insurance Fund (NHIF) programme that allows them to reach out for these health outcomes. Mr. Temporary Speaker, Sir, once these health outcomes are determined and easy to project, then it is very easy to put into place a scheme. You find that in many of the developed countries, the developmental strategy is hinged on health and education. We have done a lot at the level of education and health, but there is a way that we can input especially by looking at community health services at the level one position and improve this further. Analyzing information on health status of assigned households: What seems to be recurring and needs to be paid attention? Performing of functions as may be assigned by the CEC Member: I felt it was important that as I respond, I capture even better the role of such key players within the various counties. Sen. Farhiya stated that it is very important to ensure that the regulations are time bound; I am sure the Committee on Delegated Legislation will do that. Sen. (Prof.) Ongeri made it clear that the devolved village levels are the game- changer. We need to go to the devolved village levels and entrench this. We need to bring about inclusivity and equality on the provision of health care to the communities. We"
}