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{
    "id": 837083,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/837083/?format=api",
    "text_counter": 9,
    "type": "other",
    "speaker_name": "",
    "speaker_title": "",
    "speaker": null,
    "content": "(f) purchase and supply mobile phones, data bundles and other equipment necessary for community health work; (g) employ 21 project members of staff – field and community health managers and supervisors, pharmaceutical technologists, technical support officers and drivers (h) train community health extension workers on key health interventions; (i) hire and supervise a consultant to develop a county community health policy/Bill; (j) Conduct publicity, sensitisation and advocacy; (k) Support the County Government with forecasting for procurement of essential medicines and supplies; and, (l) Provide support with restocking essential medicines and supplies. (4) THAT, the responsibility for delivery of healthcare services to the people of Isiolo County and attendant responsibilities are constitutional obligations of Isiolo County Government as provided under Article 186 and Schedule 4 of the Constitution of Kenya 2010. Private entities are not envisioned by the Constitution as responsibility holders in relation to the delivery of public healthcare services. Therefore, as the entity constitutionally responsible for healthcare services, the County Government has no authority to relinquish this responsibility or part, thereof, to a private entity. At the very least, and as a last resort, the only avenue open to the county executive, if it objectively deems, it necessary is to explore mechanisms for referral or cooperation with the national Government as provided under Articles 187 and 189 of the Constitution of Kenya, 2010. (5) THAT, the agreement unconstitutionally delegates the power of developing legislation – the Community Health Bill – including the requisite public participation process to a private entity; a function that is jointly constitutionally carried out by the County Executive and the County Assembly. (6) THAT, the agreement confers extensive powers to Living Goods Limited over healthcare services provision without much practical control and participation of the County Government, except for the provision of funds. As conceived, the Agreement envisions the County Government’s control over the project to only extend to ‘overseeing implementation and receiving and analysing reports’. Mr. Speaker, Sir, this Petition is a bit long. I will leave a copy behind but I will just read through the areas that are critical. Consequently, the County Executive will not be in a position to know exactly what actions Living Goods Limited is taking in furtherance of the agreement, neither will the County Executive be able to influence the course of events in the implementation of the agreement, thereby opening up Isiolo’s healthcare system and the health of its people to unethical intrusions by entities that owe them no constitutional duty of accountability. (7) THAT, the agreement purports to bypass the process of including the project in the County Integrated Development Plan (CIDP) process and the constitutional budgeting processes by binding the County Government to, among others including: cost of the implementation of the project in its budget; commit to project-related procurement; and, provide funds, office space, logistical support, drugs and supplies and staff necessary for the project. The electronic version of the Senate Hansard Report is for information purposes"
}