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{
    "id": 293333,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/293333/?format=api",
    "text_counter": 444,
    "type": "other",
    "speaker_name": "",
    "speaker_title": "",
    "speaker": null,
    "content": "(1) The process of conceptualization of the scheme and the exercise of choice by the beneficiaries. There was a complaint that alleged the exercise was poorly conceived. That is the perception. That is the position. Civil servants were not allowed to choose their preferred facilities, but were forced to seek services from private and public facilities as per the list allocated. These lists that were allocated were to the effect that every civil servant was allocated a facility where their pay points were. For example, if I worked in Nairobi, I would be allocated a facility in Nairobi. If I worked in Mombasa, the same thing would happen. If I were in Busia, that would be the same position. So, the freedom of choice which is really the basic principle in the capitation method was not provided. Mr. Temporary Deputy Speaker, Sir, the principle of capitation is a choice by a family of a service provider for a given amount of money or a figure for a given period, but there must be freedom to choose. In this case, civil servants were not given that opportunity. They were allocated health facilities depending on where they worked. The questions that would arise are: If I were given a service provider in Nairobi where I work, and I happen to have my family in Kisii, how do I get out-patient services in Nairobi and give it to your family members who are in Kisii? Because once you have been allocated a facility, you live with that facility for a given period of three months before you can make any changes. This is on the grounds that in capitation which I have already defined, has payment done to the providers in advance, at the beginning of the quarter. So, the contract signed will be to the effect that you are paid before you provide the services. (2) Lack of awareness is another issue we were following. Some intended beneficiaries did not even know about the roll out of the scheme or the facilities accredited to offer the services under the scheme. (3) Geographical location of the residences was a concern to us. You could be living in Nairobi, but you are allocated a facility in Nakuru. You live in Nairobi, but you have a facility in Nakuru because your salary, your last or your current pay point is in Nakuru. That gives confusion to the beneficiaries. Cases were cited where a public officer would be allocated a facility in one location which is far from the place of residence, even where there was a better health facility in close proximity. You will be given a smaller facility in Nairobi, but you live in Nakuru. Therefore, you are forced to leave the Nakuru facilities which are superior and go to a facility near your place of work. (4) The fourth issue we were following up was the existence of the service providers and the wording we used was “non-existent facilities.” As we inquired into this matter, it was disclosed, revealed and confirmed by the witnesses that came before us---"
}