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{
    "id": 90128,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/90128/?format=api",
    "text_counter": 398,
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    "content": "5. improved planning and management of drugs at all levels, including training of facility managers and procurement officers. Mr. Temporary Deputy Speaker, Sir, let me add that in order to have more autonomy for KEMSA the board has prepared a draft Bill, which is being studied by the Treasury. That will complete the report of the task force that we set up in the year 2008 to ensure that the supply chain mechanism works effectively. Mr. Temporary Deputy Speaker, Sir, in terms of human resource management we are decentralizing the recruitment of personnel and developing the social health protection policy. One of the most important issues in terms of financing health care is the National Hospital Insurance Fund. Yesterday, I gave a comprehensive brief to the House on the NHIF. I need not repeat it here today. But let me say that the NHIF continues to mobilize funding for the health sector, with members’ contributions increasing from Kshs4 billion in 2006/07 to over Kshs5 billion in 2009/10. They are further expected to increase to approximately Kshs14 billion as a result of the implementation of the revised rates. In addition, the NHIF claims payout ratio has risen to 56 per cent of contributions. Formal sector membership has reached almost 100 percent, while informal sector membership has risen to nearly 500,000 against a target of 7 million. We still have a long way to go. The NHIF has piloted an outpatient coverage in Nairobi and Mumias, and is preparing a roll out to all members once the newly revised contributions are implemented. This is an ongoing process that I explained to the House yesterday. I do not want to repeat it here today. More important is the operationalisation of the Hospital Management Services Fund. This Fund will go a long way to improve the financing of health services; to decentralize them and ensure that there is greater participation of consumers in the process of health financing. In terms of emergency response, the Ministry is moving ahead to ensure that we have an effective system of emergency response by establishing an ambulance referral strategy nationally to move away from having ambulances stationed in every health facility, and, therefore, their under-use and quite often mismanagement, which is costly to both the consumers of healthcare and the Government. Mr. Temporary Deputy Speaker, Sir, in order to streamline management and move towards paperless administration in health services the Ministry is moving fast towards e-health, that is ICT-based management system and administration. Let me now talk about budgetary allocation. For the year 2010/11 the Ministry resource allocation has been well below what we need. It is about Kshs52,275,000,000. However, Kshs32,583,000,000 was provided in the Printed Estimates for the current"
}