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{
"id": 1564841,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564841/?format=api",
"text_counter": 220,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "Mr. Temporary Speaker, Sir, I wish to proceed to the optical services. In the respect of optical services, SHA provides a more comprehensive optical care package with a focus on preventive and corrective services, making it more beneficial for the long-term eye health management of our people. The services will now include eye health education, eye examination, basic eye medication and if need be, eye surgical procedures. It is good to note that these services were not offered by the defunct NHIF which had only 20 per cent of our citizens. Let me go to the Social Health Insurance Fund. What do they provide under inpatient category? Under the Social Health Insurance Fund, in relation to the outpatient care, SHA provides more comprehensive inpatient care with a clear structure for different levels of facilities and longer coverage duration. Mr. Temporary Speaker, Sir, critical care services now covered include, among others, Intensive Care Unit (ICU) at a rate of Kshs28,000 per night, High Dependency Unit (HDU) and palliative inpatient care. The expanded coverage also includes pre- admission evaluation, hospital accommodation, specialist consultation, post-discharge follow-up and has a limit of 180 days per household. Mr. Temporary Speaker, Sir, if you compare this with the NHIF as the Member has sought, NHIF only catered for a daily repeat charge, negotiated between a healthcare provider and the NHIF. The patient was nowhere found. It was between the NHIF and the healthcare provider. The NHIF also only covered treatment in government, mission and some private hospitals, with a limited base on health categories. So, the number of health facilities you can visit was limited. I would like to proceed to maternity and neonatal care. In respect of the maternity and neonatal care, SHA offers more inclusive maternity care, covering a wide range of services and ensuring after-care for both mother and child. This package is not only limited to maternal care during pregnancy, but covers the whole comprehensive package. Under SHA, maternity and neonatal care has now been expanded. It has an expanded scope of antenatal and postnatal care that entails how we manage complications, including critical care for both mother and the newborn. It is our moral and constitutional duty that as a country, using SHA, we reduce the maternal mortality of both the mother and the newborn. It has also incorporated services that were under the Linda Mama cover and enhanced it from a delivery of Kshs5,000 to a reimbursement of Kshs10,000, which constitutes about 100 per cent increment for normal delivery, and Kshs30,000 for caesarean. I would like to demonstrate using the hon. Members who are members of SHA and have an extra comprehensive insurance cover given by the Parliamentary Service Commission (PSC). For example, the house girl of the Speaker sitting today will go to Pumwani Maternity Hospital, deliver and Kshs30,000 will be paid, and she walk away without paying a cent, even for caesarean. If the Speaker’s wife goes to deliver at the Aga Khan University Hospital (AKUH), SHA will pay Kshs30,000 and his other medical cover will pay Kshs170,000 because Aga Khan is Kshs200,000 Pumwani is Kshs30,000. However, the same Speaker can also ask his wife to join his house girl, to go and deliver like the rest of Kenyans in Pumwani and walk out with a baby. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
}