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{
    "id": 1237860,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1237860/?format=api",
    "text_counter": 177,
    "type": "speech",
    "speaker_name": "Nyeri Town, UDA",
    "speaker_title": "Hon. Duncan Mathenge",
    "speaker": null,
    "content": " Thank you, Hon. Temporary Speaker. I am a member of the Departmental Committee on Health. While I congratulate my senior, Hon. Didmus, on the thought behind this Amendment Bill, I will highlight two things. Number one, the introduction of the NHIF into decision making in the referral system is not desirable. Today, the NHIF, after collecting money from Kenyans, goes ahead and accredits health facilities where the members seek services. You go to the same health facility that is accredited by the NHIF where you are designated to obtain your primary health services, and you find out that the only guarantee that you have in that facility is a prescription of either to go to a pharmacy, medical laboratory or an imaging centre. Then when you get there, you do not get the medicine, laboratory tests and x-rays. If the NHIF cannot assure us on the quality of services in institutions that are in this country, then what capacity does it have outside our country? Already, we are giving a weak institution a responsibility over a service where a delay of a single day could have life-changing effects. At the same time, we have to sympathise with Kenyans who, after entering the clinic of a medical service provider, are literally held captive there until the disease has progressed to the point of causing lifelong disabilities and permanent effect on their health before they are released and referred to higher level facilities or personnel of service provision. To me, that is where this Bill should be taking us."
}