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{
    "id": 1338187,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1338187/?format=api",
    "text_counter": 264,
    "type": "speech",
    "speaker_name": "Seme, ODM",
    "speaker_title": "Hon. (Dr) James Nyikal",
    "speaker": null,
    "content": " Thank you, Hon. Temporary Speaker, for allowing me to support this Bill. I must support it. We came up with this Bill in 2005, but we put it aside when devolution came. I am happy that it has come back today, while recognising that there is devolution. The health function was more devolved before devolution than it is today. I support the Bill because it devolves the health function much further. The main objective of the Bill is to ring-fence money for the health sector. There are many competing needs at the county level such that, even if money is set aside for healthcare in the budget, at the time of payment, it does not go to healthcare but to other needs such as road maintenance and so on. This Bill ring-fences the money. Clause 5(1) clearly states: “There shall be retention of all monies raised or received by or on behalf of all public health facilities.” Clause 5(2) states: “There shall be opened a facility improvement financing account for each public health facility into which shall be paid all monies received by or on behalf of the respective public health facility.” That is the crux of the matter. That account used to exist until the county revenue account came into place. Clause 6(a) states: “6. The sources of revenue and other receivables for public health facilities improvement financing shall include- (a) own source revenues that include monies received as user fees, charges, monies paid as reimbursement for services received from insurance firms or other relevant entities;” That includes the NHIF, particularly if we use capitation at the health centre and dispensary level. Clause 6(b) states: “6. The sources of revenue and other receivables for public health facilities improvement financing shall include- (b) money appropriated by the county government to the health facilities from the equitable share;” That means that money that comes from counties will go into this account. We are ring-fencing the money. Clauses 6(c) and (d) mention conditional grants, donations and gifts. Here, you are influencing money and any conditional grant, donation, or gift. It was with DANIDA that we fashioned this thing and partners wanted to give money directly to the health facilities. Now that we are back to it, even donors or partners can give money. The money from counties will go into this account. I support it because they have done it well. They have established a mechanism for management. There is the county health management team and the sub-county health management team which will support Level IV, III and II hospitals, then you have the hospital management team. Level IV and Level V hospitals will have management teams too. The only thing that I have seen in those committees that we need to look at is representation of The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}