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{
    "id": 1286331,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286331/?format=api",
    "text_counter": 536,
    "type": "speech",
    "speaker_name": "Sen. Cheruiyot",
    "speaker_title": "The Senate Majority Leader",
    "speaker": {
        "id": 13165,
        "legal_name": "Aaron Kipkirui Cheruiyot",
        "slug": "aaron-cheruiyot"
    },
    "content": "The Bill also creates the County Primary Health Care Advisory Committee at the county level. All the 47 counties will have this council that will be tasked with ensuring there is effective implementation of primary healthcare through resources. Number one is to mobilize resources. Senators, the reason I keep remind you that these Bills are four, is so that you do not lose track of every conversation. Remember, we have already ring-fenced in the previous Bill that you are canvassing, money that is raised at that particular health centre. We are now talking about other measures of revenue raising, still to that particular health centre. I heard Sen. Sifuna or someone mention earlier that once you ring-fence, perhaps, there is a risk of counties saying that because you have remained with the resources that you raised, there is no need for additional measures. It will be the work of this County Primary Healthcare Advisory Committee to evaluate and see the needs for health centre by health centre. Are they properly resourced; are they falling short and by how much to roll out primary health care? Therefore, they will do resource mobilization, advocacy and planning of development of the primary healthcare service delivery. They will sit and have a view of the entire county. When you read the Bill, of course, Part 1 to Part 3, as is the practice and the norm, contains preliminary provisions. Part 2 of the Bill, which has Clauses 4 to 7, has provision on healthcare services that are accessible to community level and at health facilities. The provisions mandate the county government to facilitate the delivery of these services. It is now cardinal by law for certain levels of treatment to be available at various health levels, from dispensary to a health centre and sub-county hospital. It is stratified and defined so that a particular institution cannot pass and you do not have governors painting buildings and calling them health centers, where the only available thing is a cupboard and Panadol. Madam Temporary Speaker, that will be a thing of the past. This is provided in Section 2 of the Bill. Section 3; Clause 8 to 12, contains provisions for the primary healthcare workforce. These are the Committee Health Promoters (CHPs) and other healthcare providers. The provision sets out the recruitment process of CHPs by the county service through the County Public Service Board (CPSB) as well as their functions and their obligations. Part IV of the Bill has Clauses 13 to 20. It provides for the roles of the national Government through the Ministry of Health, the county governments and various administrative committees and councils; the ones I had mentioned earlier. Clauses 21 to 23 contain miscellaneous, the usual provisions – transitional provisions and provisions on offences and penalties, in case you make certain offences and the delegated powers granted by the Cabinet Secretary for Health to make subsidiary legislation. Madam Temporary Speaker, I urge fellow Senators to support this important Bill, noting that primary healthcare is the foundation upon which a comprehensive health care system is built. I know this might be raised by my colleagues when they speak later; this is something I saw the Committee address, but they did not conclude on it. 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."
}