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{
    "id": 1521216,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521216/?format=api",
    "text_counter": 97,
    "type": "speech",
    "speaker_name": "Endebess, UDA",
    "speaker_title": "Hon. (Dr) Robert Pukose",
    "speaker": null,
    "content": "Coverage for pregnant mothers and teenage pregnancies falls under the Linda Mama Programme, which is still ongoing and ensures pregnant mothers, including teenage mothers, receive full health coverage. That coverage is effected upon first contact at the facility. For mothers due for delivery who have not paid the SHA premiums, the Linda Mama Programme automatically identifies them and pays their annual premiums, covering the entire household. The State Department for Medical Services is currently responsible for payments of the premiums. On concerns that despite the high premiums, patients in need of services are being turned away by hospitals, several issues have been identified where members, despite having made payments, are deemed ineligible by healthcare providers. This includes incomplete payment records in the SHA database, absence of corresponding payment reference numbers, payments made via real-time cross-settlements, and RDGs and Electronic Funds Transfer (EFT) methods sometimes lacking corresponding Payment Registration Numbers (PRNs). That omission prevents the automatic updating of individual member amounts, leading to service ineligibility. On payment variances and discrepancies between PRN amounts and bank payments, when the amount indicated on a PRN differs from the actual amount paid, the system cannot auto-update the member’s amount. That scenario necessitates manual intervention. Employers are required to upload detailed payment information, including employees’ names and corresponding amounts, into the SHA system before remitting payment. We have erroneous national identification numbers, incorrect data entry, and cancellation of payment registration numbers by employers. This also has an impact on employee eligibility. We also have unprocessed payments. To mitigate this, we have the empowerment of branch offices, member self-service applications, employer notifications, employer sensitisation initiatives, the development of information materials, and simplified registration channels where we have accessible registration methods. The accessible registration methods include USSD code-assisted registration, an online portal, and physical locations where SHA branches and Huduma Centres provide in-person registration services."
}