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{
    "id": 1286939,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1286939/?format=api",
    "text_counter": 164,
    "type": "speech",
    "speaker_name": "Sen. Oketch Gicheru",
    "speaker_title": "",
    "speaker": null,
    "content": "Mr. Speaker, Sir, I appreciate the fact that yesterday we had a good conversation around the idea of making the tenets of public health devolved as much as possible. I also appreciate the Senate Majority Leader and the Chairperson of the Committee on Health for bringing up a Bill that want us to start looking at how we can make the healthcare institutions in this country more independent and granular in terms of utilisation of resources. Mr. Speaker, Sir, this is also a good attempt by both this committee supported by the Senate Majority Leader, to make sure that the vision of Article 43 of the Constitution on economic and social rights is entrenched. Particularly the right to great healthcare services in this country. This Bill would not be a Bill without revisiting Schedule Four of the Constitution on the devolved functions vis-a-vis the national Government functions. Schedule 4(23) says that for the national Government, the only duty they are given in terms of health is national referral health facilities and health policy. However, if you look at Part 2 of that schedule, the county government is given four mandates on promotion of primary healthcare. I do not want to consider any part as not being important. However, for me, the definition of primary healthcare services is found under part two of Clause 4(ii) of this Bill. It says - \"The Services referred to in Sub-clause (i) shall include; health promotion, prevention, curative, rehabilitation, and palliative services.\" That part of the Bill is directly akin to what Part 2 of Schedule Four of our Constitution says; that County Health Services, including promotion of primary healthcare--- I start having problems with this Bill when you get to Clause 13. That is why I was saying that this is the core component of this Bill. It talks about the management of primary healthcare services. It is not talking about policies, but it is talking about the verb element – the action. I usually have a problem with English verbs, somebody was saying that when the English verb says \"he dances, you dance and I dance\" does it mean that the earlier one is"
}