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{
    "id": 1286881,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286881/?format=api",
    "text_counter": 106,
    "type": "speech",
    "speaker_name": "Sen. Wambua",
    "speaker_title": "",
    "speaker": {
        "id": 13199,
        "legal_name": "Enoch Kiio Wambua",
        "slug": "enoch-kiio-wambua"
    },
    "content": "“Every person has the right to the highest attainable standard of health, which includes the right to health care services, including reproductive health care.” The objects of the Bill are okay. Also, the primary healthcare workforce proposed is acceptable. However, I begin to have challenges from Clause 10 on the functions of the community health promoters. Clause 10(2)(j) is a clear and outright violation of the provisions of the Data Protection Act - “Submit reports, at such intervals as shall be determined by the county director of health, on the health of each member of an assigned household and the barriers to health and health care in the household to the community health officer.” If the promoters are supposed to be in every corner of this country and in each household, then the status of health of each member of every household must become a subject of discussion between the health promoter and the public health officer. This is a violation of a basic right. There must be a way of dealing with that matter. Clause 10(3) is on the code of conduct of the community health promoters in their functions specified on Clause 10(1) and (2). Clause 10(3)(d) states that the promoter should ensure accuracy of the information captured. At times, information captured about the health of any person is not the responsibility of the person capturing the information. They could be using faulty machines. Sen. Cheruiyot should note the wording of this clause. The community health promoters should be responsible for the accuracy of the information. They can explain how they got the information, but they should not be the people to ensure the accuracy of the information. I will proceed to Part IV of the Bill, where I have a problem. I am happy that Sen. Mungatana MGH has taken note of this. As a Senate, we must always remember that there are two sectors of the Kenyan economy that are our responsibility; agriculture and health. Everything we do must be done towards entrenching those functions in the county governments. This Bill is giving responsibilities and functions of primary health to the national Government. What are we doing to ourselves? Clause 13(e) assigns the responsibility of the national Government to be a monitor of the functions of the county governments. The national Government must never be allowed to prefect county governments when it comes to rolling out health functions. Clause 13(f) does the same thing. I propose that those two should perhaps, devolve more funds to the health function. It is time to build the capacity of county government to carry out primary healthcare responsibilities. Clause 14 is now the constitution of the Advisory Council. I have a problem with that functional relationship between the Advisory Council and the Advisory Committee. Is it a power relationship where the Council is the boss of the county or are they complimentary? They need to tighten that aspect. Even looking at the representation, it is too national Government heavy. It leaves out very important segments of society and stakeholders in this function."
}