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{
    "id": 1564845,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564845/?format=api",
    "text_counter": 224,
    "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": "Let me go to oncology services, which is very critical in our country. On oncology services under SHA, the treatment will follow the treatment care plan prescribed by the oncologist in line with the National Cancer Control Programme Guideline. So, after we treat you, we follow you with the post treatment plan. Compressive cancer care, including; chemotherapy, radiotherapy, surgical intervention and routine laboratory investigations with specific tariffs will be provided. Under the former NHIF, oncology services were limited in terms of amount and sessions and attracted co-payment. It also covered radiotherapy and chemotherapy with set limits per session and per cycle. SHA provide a more extensive oncology package with clear tariffs for various procedures making cancer treatment more accessible and more predictable for our patients. On surgical services, SHA will cover preoperative, interoperative and postoperative care, including major and specialised surgeries. We set tariffs for each procedure type. The NHIF only covered major, minor and specialised surgeries with set packages limits, depending on the label of that hospital. The package also attracted a co- payment. To this end, SHA surgical services are more detailed, more structured, providing clear guidelines and tariffs, which enhances transparency and accessibility for patients. On dental services, SHA covers dental services, which include consultation, preventive and restorative treatments such as extractions, scaling and management, while NHIF dental services were only limited to two extractions. In this regard, dental services are broader under SHA and includes a wide range of treatment. On the emergency, chronic and critical illness fund, SHA covers medical and surgical procedures not available locally with a limit of Kshs500,000 per person, whereas under NHIF, a similar coverage through reimbursement for overseas treatment, up to Kshs500,000, subject to approval, was offered. The SHA’s structured approach with the specific tariffs for different treatment shall ensure better planning and access to necessary treatment abroad. On emergency treatment, SHA emergency treatment should be accessible to all Kenyans. Under the NHIF, the emergency treatment was only accessible to be to be paid by NHIF members. SHA offers a more comprehensive cover. Under SHA, the critical service includes care for admission and Intensive Care Unit (ICU), High Dependency Unit (HDU), and the Neonatal Critical Intensive Care Unit (NCIU). All this, including the band units, the critical services were not covered under NHIF. SHA offers critical care package, including specialised services and the broader coverage, which enhance the safety net for health conditions. Under SHA, accidents and emergencies are paid for all Kenyan residents under the Emergency, Chronic and Illness Fund. Under NHIF, the emergency evaluation was limited to road ambulance service through contracted providers like any Red Cross. Let me say this very clearly, many people do not know. Members have been aware that in the event you are walking in the streets, and you get a stroke or you get an ailment when you are rushed to a hospital, the first thing they used to ask you under the NHIF cover was deposit. With SHA, under the emergency, you are rushed to a hospital, 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."
}