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{
    "id": 1286516,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286516/?format=api",
    "text_counter": 169,
    "type": "speech",
    "speaker_name": "Sen. Mandago",
    "speaker_title": "",
    "speaker": {
        "id": 13577,
        "legal_name": "Kiplagat Jackson Mandago",
        "slug": "kiplagat-jackson-mandago"
    },
    "content": "Madam Temporary Chairperson and Hon. Members, I have heard from my colleagues on that matter. However, allow me to persuade them that we retain that Clause. If you look at the composition, we have proposed, as a Committee, to remove the caucus of the Vice Chancellors and put there the Director of Kenya Medical Training College (KMTC) for purposes of training. However, the work of that body is basically to advise the Cabinet Secretary on policy matters. If you look at Sub-Clause 4, it states- “In the execution of its function, the primary health care advisory council shall be guided by the principles under the Constitution, health laws, policies, guidelines and relevant international instruments applicable to Kenya.” Secondly, there is an aspect of inter-county. Primary health care is about prevention of some of these diseases that can easily spread within a very short time. There will be a need for some certain coordination. It will be almost impossible to ask counties how they are going to sit. They need an anchor kind of place to centralize. Clause 15 provides for the implementation bit which will be handled by the county. Finally, the health of the nation is the aggregation of the sum of the efforts of all counties which now makes a national position. Madam Temporary Chairperson, I would like to persuade my colleagues that I do not think that this will offend the Constitution unless there are specific things that take away the county. However, this body will just advise the Cabinet Secretary. We all understand that you can be a Cabinet Secretary, but you will not have all the information. You need a team to work with. There is a deliberate effort this time round between the national Government and county governments to make sure that the rollout of Universal Health Coverage (UHC) is successful. Therefore, let us give a chance to this advisory body to support county governments at the county level and national Government at the national level so that this can be rolled out. I would also like to persuade them because if there is an issue, we have a chance to amend it. I would like to persuade Sen. Oketch Gicheru. For purposes of coordination, the implementation of UHC has failed three times. We are trying to look at all the things that are going to make it work. Part of it is that critical coordination and proper advice, both at the county and at the national level."
}