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{
"id": 1499355,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1499355/?format=api",
"text_counter": 218,
"type": "speech",
"speaker_name": "Endebess, UDA",
"speaker_title": "Hon. (Dr) Robert Pukose",
"speaker": null,
"content": "your SHIF and it has been exhausted, any chronic illnesses such as diabetes, renal disease, or those requiring dialysis will still receive services through this different fund. Hon. Wamumbi referred to county health promoters. However, they are actually community health promoters. The community health promoter operates at the primary healthcare level. This is a network where each community health promoter is in charge of 100 households. They can identify illnesses, diagnose conditions such as diabetes or hypertension, and refer individuals to healthcare facilities for proper treatment. County governments play a critical role in recruiting these community health promoters. They also co-share the payment costs, with the national Government contributing 50 per cent and the county government covering the other 50 per cent to ensure these promoters receive a stipend. Previously, they did not receive any payment. However, now they receive a small stipend of Ksh5,000, funded jointly by the national and county governments. The National Government is also responsible for training these promoters. This morning, we passed the Community Health Workers Bill, introduced by the Member for Ndhiwa. This Bill will facilitate training, registration, and management of these community health workers. My colleagues, Hon. Mugambi and Hon. Kamuren, asked about registration. My appeal here is that all 54 million Kenyans must be registered to facilitate the allocation of funds for the primary healthcare system at levels two and three and outpatient services. Through capitation, every Kenyan should access these outpatient services for levels two, three, and four at no additional cost. For emergency, critical, and chronic illnesses, when you are involved in an accident or any emergency, this House has appropriated Ksh2 billion to that fund. We will continue allocating more funds so that you will not have to pay if you experience chronic or critical illness or face an emergency. You will be admitted to any hospital, and that fund will cover your expenses. The Head of State mentioned how people have been selling their land to take patients to hospital. We aim to change this. If you have kidney disease, you should be able to receive dialysis or a transplant without financial burden, including pre-implant and post-implant care for both the recipient and the donor, as a free service. However, for SHIF, those with payslips have to contribute 2.75 per cent. The rest of Kenyans will go through proxy mean testing. My colleague has asked what indigents are. Indigents are individuals unable to afford healthcare. Previously, the Government allocated funds through this House for such individuals. Now, we need to ensure these indigents, including the elderly and sick in your constituencies, are registered. We appeal to you to assist; we will send officers to your constituency offices to help with this process. A list of officers from the Digital Health Agency and the SHA—including contact information—is attached here. You can reach out to them for assistance with registration and proxy means testing. It is essential to identify the impoverished members of our communities so they can access necessary health services for free and without challenges. Now, it is up to you, hon. Members, to help ensure everyone is registered."
}