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{
    "id": 1517555,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1517555/?format=api",
    "text_counter": 112,
    "type": "speech",
    "speaker_name": "Sen. M. Kajwang'",
    "speaker_title": "",
    "speaker": {
        "id": 13162,
        "legal_name": "Moses Otieno Kajwang'",
        "slug": "moses-otieno-kajwang"
    },
    "content": "full amount directly to them. That is killing devolution because these are employees and agents of county governments. They cannot be converted to be agents of the national Government. We need to deal with this as a matter of urgency. I have seen a Notice of Motion in the Order Paper that we will dissolve committees. This House must also register its compliments to Sen. Mandago for the robust manner in which he has handled the Committee on Health as the Chair. He has brought visibility to the Senate because of the activities of that committee. I urge the gentlemen and women who are going to join the Committee on Health to embark on an inquiry on the issue of Social Health Authority (SHA). We must go back to those laws that we passed in Turkana. On the issue of registration of indigents, when we were in Naivasha, we were told by the Commission on Revenue Allocation (CRA) that the health data from county governments cannot be trusted. It was on that basis that they dropped the old indicators or variables that were used for dividing revenue amongst county governments. They claim that counties are either underreporting or overreporting. We saw a typical case where in a certain year, you had 90,000 hospital admissions then today you have 400,000 hospital admissions. Are we going to trust the records and data from the SHA registration being done by CHPs? County governments have already known that if they register more, then more money is send to those facilities. Mr. Temporary Speaker, Sir, let us be honest with ourselves. Our county governments are gaming the system. They know that if a health facility registers more people, more money will go there. They are going to register ghost people because there is no cost to registration. Once you register, there is a capitation of Kshs900 that goes to that facility. The second question we have to ask ourselves is whether that capitation of Kshs900 is adequate to provide universal healthcare. The third issue that the committee must investigate is the issue of medical equipment placement. That thing is a scam! We said it in my Committee and the next day the President was at the Coast saying that our heads are not proper because we questioned that matter. We shall continue questioning things that do not make sense because they touch on the most vulnerable in this country. Mr. Temporary Speaker, Sir, as this Committee processes this Statement, I do pray that they are going to launch a full inquiry into the state of universal health, legislation, and the welfare and plight of CHPs. Please, direct that the team that went into mediation with the National Assembly should bring back a report. I know it is not in our Standing Orders, but if Kshs42 billion cannot go to counties because of failure of mediation, I believe that delegation has a responsibility to come back. I support."
}