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{
    "id": 1144753,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1144753/?format=api",
    "text_counter": 272,
    "type": "speech",
    "speaker_name": "Seme, ODM",
    "speaker_title": "Hon. (Dr.) James Nyikal",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "In Kenya, we worked on this as the basis of the community strategies at level one of the health care that we have now, which is the community. That is where all the work should be done. Therefore, we must properly define the community health worker knowing very well that they are at level one in the community where illnesses start. That is why they have to be dealt with. So, we must have a clear criterion, namely, the selection. I think we have looked at it in the Committee, but the selection must be from the community in which they live. All other requirements should be there, but the healthcare workers must be members of that community. Secondly, their definition must ensure that they are members of that community and live in that community selected by the community. We will not have a situation where once we define them as part of the health workforce, we put them into cadres that can be moved from one place or be transferred. When we do that, we lose their values as community health workers. Their value lies in the knowledge of the community in which they live in, the structure of it, the physical environment and everything they know about that community. As we bring a Council for other health workers who are movable, we must tie this by definition to the community in which they live and by selection, by that community."
}