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{
    "id": 1286187,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286187/?format=api",
    "text_counter": 392,
    "type": "speech",
    "speaker_name": "Sen. (Prof.) Kamar",
    "speaker_title": "",
    "speaker": {
        "id": 33,
        "legal_name": "Margaret Jepkoech Kamar",
        "slug": "margaret-kamar"
    },
    "content": "I say this because I have an experience that I had in Moiben where I come from. Most mothers were going to deliver across in Elgeyo/Marakwet County and when I asked why. I was told it is because of a facility in Elgeyo/Marakwet County where they were giving mothers who had delivered a blanket and other small things. That was something that mothers loved. So, the minute we do this, there will be competition between facilities because every facility will be the best and I can see this raising more revenue than we are raising right now. I also like Clause 6(4) that is talking about this money being a supplementary to the budget not being a substitute. This is going to encourage people to improve their own source revenue. The other thing that is extremely attractive to me is the use of this money and that is to deal with very urgent issues; goods and services. We have realized that many people go to dispensaries and health centres and they do not get even panadol; a very small and basic thing. We are freeing them to do so and I believe that this will give us very positive results. Mr. Deputy Speaker, Sir, I would like to mention a few amendments that I wish to raise, so that the Chair of the Committee can start considering because it good to amend a number of things. The issue to me is on the management and administration of this fund. One, I want to highlight Clause 9 (f). It is taking us back to the national Government because supporting facility improvement through capacity building by the national Government is of no value. Why can the Council of Governors (COG) not do that work? Health has been devolved, except policy. So, I would like to recommend that they consider dropping Clause 9(f). The other area that I think should be brought in the amendments is the composition of the committees. Clause 11 of the Bill it is talking about the establishment of the county health management team. I want to agree with Sen. Mungatana that it has completely divorced the community. The membership that they have given us is just the practitioners and officers who are in the area. I think it is very important that we have local representatives in these committees, right from establishment of the county management team to the next one which is in Clause 13, the sub county health management team. It is very important that it is not just the officers in the place. We need members of the community to be represented. In any case, at this time we have health centre committees and dispensaries committees where the local communities have been running very well. In fact, they have been fund raising whenever they do not have any facilities. So, now that the money has come, we still want them to go and watch over their facilities. It is very important that the two clauses; the county health management team, sub county health management team and the health facility management team is represented. Mr. Deputy Speaker, Sir, I will be proposing an amendment that will introduce three more members from the community. The three more members must include one member who is also in the health sector so that the community feel comfortable that whoever that committee is dealing with their finances, are dealing with that in the right way. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard Services,Senate."
}