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{
    "id": 1523564,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1523564/?format=api",
    "text_counter": 63,
    "type": "speech",
    "speaker_name": "Sen. Veronica Maina",
    "speaker_title": "",
    "speaker": null,
    "content": "(2) Provide a detailed breakdown of the total funds disbursed by the SHIF as compensation to public and private health facilities per county since inception of the programme while interrogating the functionality of the different systems of registration provided for the registration of different categories of persons, as well as why the registration system for persons employed in the public service requires a payment when payments are already being deducted from the pay slip; (3) Interrogate the delays experienced in the approval of medical procedures in the public hospitals compared to private health facilities, outlining the factors contributing to these delays and steps being taken to streamline approval processes for timely patient care; (4) Explain the rationale behind the requirement for referrals from lower level health facilities for procedures that can only be performed in Level 4, 5 and 6 hospitals and clarify why private health facilities are permitted to act as both the referring and attending facility, effectively bypassing the referral system applied to public hospitals; and, (5) Make recommendations on the roles that can be played by different stakeholders and possible strategic interventions that the country needs to urgently take to improve the operations of the new system for better service delivery in public health facilities, including possible steps that will rapidly enhance efficiency, reduce patient backlog and ensure that vulnerable and needy citizens receive timely quality health care services."
}