Entry Instance

HTTP 200 OK
Allow: GET, PUT, PATCH, DELETE, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

{
    "id": 748350,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/748350/?format=api",
    "text_counter": 172,
    "type": "speech",
    "speaker_name": "Hon. (Ms.) R.K. Nyamai",
    "speaker_title": "",
    "speaker": {
        "id": 1979,
        "legal_name": "Rachael Kaki Nyamai",
        "slug": "rachael-kaki-nyamai"
    },
    "content": "The National Assembly Committee rejected the Senate amendment to Clause 25. Their justification was that the technical classifications are in line with the Health Policy 2014/2030, which provides for technical classification as community, dispensaries, health centres, primary, referral facilities, secondary referral facilities and tertiary referral facilities. At the mediation, the Committee agreed with the National Assembly’s position to reinstate Clause 25. However, it also agreed that a new Clause 25 should be introduced to provide that the classification shall not affect health facilities already under the devolved system in the counties. The Committee resolved to reinstate Clause 25 with amendments as follows: “(i) re-numbering the prefatory statement as sub clause 1; (ii) inserting the following new sub clause immediately after renumbering sub clause 1– (ii) Sub section (1) shall not apply to a health facility under the management of county government at the commencement of this Act.” This was done because the counties wanted to safeguard the 11 former provincial hospitals. There is also another consequential amendment which was made on Clause 112 on regulations because it is affected by this Clause. We are seeking to insert a new Clause to read as follows: “Grading of health facilities in consultation with county governments.” The justification is that the amendment seeks to provide guidelines for upgrading or downgrading of health facilities. The First Schedule is on technical classification of levels of health care delivery. On Level 5 Hospital (Secondary Hospitals), we seek to amend the schedule to expand the functions of Level 5 Hospitals to include– (i) general specialisation; (ii) provision of county specific specialised as care services; and, (iii) research centres to provide for research services on issues of importance relating to local conditions within the counties. The justification is that this will give room for county governments to develop Level 5 facilities to provide specialised services to the counties. Part V, which affects Clauses 30 to 44 is on establishment of Kenya Health Human Resource Advisory Council (HRAC). The Senate amendment was that Clause 30 to Clause 44 be deleted. The senate’s justification for the proposed deletion was that it deals with the establishment of Kenya Human Resource Advisory Council in order to give the county governments the independence to deal with health work force. The National Assembly Committee rejected the Senate’s amendment for deletion of Clauses 30 to 44. The justification was that the HRAC was established to address the current gap in harmonisation of county health workers’ emerging issues, including – and not limited to – internships, rationalising of remuneration, transfers and promotions among other issues. At the Mediation stage, the Committee agreed with the National Assembly’s position to reinstate Clauses 30 to 44 with amendments as follows. “Clause 30 of the Bill be amended in sub clause (1) by– (a) deleting it and substituting therefor with the words “one person not being a governor nominated by the Council of Governors to be part of the council”; The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}