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"speaker_name": "Sen. (Dr.) Mbito)",
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"legal_name": "Michael Maling'a Mbito",
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"content": "Youth Empowerment Programme. Further, it entails the recruitment of 5,500 skilled health workers on a three-year contract for deployment to Levels 1 to 3 health facilities in counties; (b) Essential medicines and medical supplies: The provision of a Kshs10.5 Billion conditional grants to counties for the supply of essential medicines and medical supplies to all county health facilities through drawing rights at KEMSA; (c) Community health and primary health care services: The setting up of the full complement of community health units by counties; the recruitment of Community Health Extension Workers (CHEWs) by counties; placing of Community Health Volunteers (CHVs) on an agreed stipend of Kshs2,000; TOT training of community units by the Ministry of Health; provision of CHV kits by the Ministry of Health; and, the provision of technical support to counties by the Ministry of Health for establishment of efficient PHC services; (d) Basic equipment: The procurement of basic clinical and laboratory diagnostic equipment for county health facilities by the Ministry of Health at a total cost of Kshs1.5 billion; and, (e)Special Portable Medical Clinics: The allocation of two special portable medical clinics to all counties by the national Government for the provision of medical services in informal settlements and hard to reach areas. Regarding the financial arrangements, under the IPAs - (i) the national Government has committed to progressively increase the budgetary allocation to health as a proportion of the total Government budget towards the recommended 15 per cent, as per the Abuja Declaration within the next 4 years; (ii) counties are to allocate a minimum of the 30 per cent of their total county budgets to health; (iii) The national Government shall transfer monies earmarked for medicines and medical supplies to KEMSA and grant counties drawing rights; (iv) The national Government shall transfer the funds for basic clinical and laboratory equipment to KEMSA; and, (v) county governments are to ensure that funds for health including facility improvement funds are ring fenced at county level. Mr. Speaker Sir, as you may have already realized, the Ministry of Health response raises more questions than answers. Having closely analyzed the Statement by the Ministry, the Standing Committee on Health has raised several issues and concerns. Mr. Speaker, Sir, we note that the statement was sought before the COVID-19 outbreak. As such, to begin with, the Committee acknowledges that a realignment of UHC funds to match emerging priorities may have been necessitated at the Ministry of Health. As such, it is possible that the resources referred to in the Statement have since been channeled elsewhere. Mr. Speaker, Sir, notwithstanding, the Committee notes that according to the response given by the Ministry of Health, curative services have been prioritized under the Universal Healthcare (UHC) programme at the expense of more effective health promotion, prevention and interventions such as water, sanitation and hygiene. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor, Senate."
}