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{
"id": 1521222,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521222/?format=api",
"text_counter": 103,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you, Hon. Pukose, for that comprehensive Statement. Member of Chepalungu, there is a microphone next to you."
},
{
"id": 1521223,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521223/?format=api",
"text_counter": 104,
"type": "speech",
"speaker_name": "Chepalungu, CCM",
"speaker_title": "Hon. Victor Koech",
"speaker": null,
"content": " Thank you, Hon. Speaker. We appreciate the efforts of the Chairman of the Departmental Committee on Health. I equally appreciate what the SHA has done. The SHA has a very successful story, particularly concerning one of my relatives. My aunt got injured, and Ksh200,000 was required. We registered her on SHA, which paid all the hospital bills. However, we sometimes wonder about some situations – whether the problem is with some hospitals or SHA itself. There is a case of one of my residents called Wilson Keter. He went to Karen Hospital for a heart surgery. On request for approval, only Ksh78,000 out of the Ksh1.3 million required was paid for the patient. People raise such questions with us when we go to the constituencies. I only wanted to comment on that matter and seek clarification. Why does SHA pay whole bills in some cases and only a part of it in other cases? In the case of Wilson Keter, who comes from Lelechonik village, SHA paid only Ksh78,000 out of the Ksh1.3 million that was required for him to undergo heart surgery. I attended his fundraising last week."
},
{
"id": 1521224,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521224/?format=api",
"text_counter": 105,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you. Next is Hon. Milemba."
},
{
"id": 1521225,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521225/?format=api",
"text_counter": 106,
"type": "speech",
"speaker_name": "Emuhaya, ANC",
"speaker_title": "Hon. Omboko Milemba",
"speaker": null,
"content": " Thank you, Hon. Speaker. I appreciate the comprehensive and long Statement given by the Chairman of the Departmental Committee on Health, especially on the updates that we discussed in Naivasha and other emerging issues. I want to be quick to indicate that he should also be able to explain some contemporary issues. The issues are with us. The wananchi would like to know. The first concerns private hospitals. I am a stickler supporter of the SHA. Private hospitals are on strike as you give this very comprehensive Statement. I can use that language, given my background in trade unions. You will notice it is affecting communities. You should say something about it. What is the correlation between the ongoing strike by private hospitals and the debts owed to them by the defunct NHIF? How is it affecting the operation of the SHA 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."
},
{
"id": 1521226,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521226/?format=api",
"text_counter": 107,
"type": "speech",
"speaker_name": "Emuhaya, ANC",
"speaker_title": "Hon. Omboko Milemba",
"speaker": null,
"content": "to the extent that some hospitals are now not taking patients for treatment because of old sins? That is if you may allow me to speak on the NHIF. There is also the informal sector. The SHA seems to borrow from the NHIF, and we support it. Workers founded the defunct NHIF. The fact that the informal sector is not coming on Board will lead to a situation where we will have a tiny population contributing to the entire country. It will not work. I want the Chair to explain clearly how we will onboard the informal sector to ensure that the SHA works. Otherwise, we will have a situation where a tiny population of workers contribute to the SHA. It will not work properly. Hon. Speaker, there is room for improvement. I thank the Chairman because, at least, the discussion is now alive. However, registration may not be as perfect as we would have expected."
},
{
"id": 1521227,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521227/?format=api",
"text_counter": 108,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Nyikal."
},
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"id": 1521228,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521228/?format=api",
"text_counter": 109,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": " Thank you for giving me this opportunity. I am very grateful. I was supposed to read this, but I did not. That was then. This is now. I support the Report as read by our Chairman. It is an interaction between the Ministry, the management of SHA, and the Committee. The contents are correct. As we know, the Ministry and Social Health Authority (SHA) has not yielded the expected results, hence the outcry. However, those efforts appear fairly reasonable, and if properly implemented, they should achieve the intended outcomes. Our Committee's recommendations are based on observations from those reports and focus on what needs to be done to make the efforts more effective."
},
{
"id": 1521229,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521229/?format=api",
"text_counter": 110,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "The most important recommendations are a retreat and a meeting we plan to hold with the Ministry and the SHA management. The main issue we noticed in all this is change management, which remains the core challenge. The concepts may have some minor issues, but not significant. The key concern is the liabilities and assets that SHA took over from the NHIF. The current problem of private hospitals closing down is directly linked to the liabilities that the SHA inherited from the NHIF. That is an area we probably should have examined more closely. While there is frustration with the SHA, it is a fundamental transition issue. It raises important questions about what happened to the money the NHIF raised and how the existing debts are handled. Ultimately, we are dealing with a process of change."
},
{
"id": 1521230,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521230/?format=api",
"text_counter": 111,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "On registration, the NHIF process was straightforward. One would register and pay simultaneously. As long as one was registered and had paid, they could access the services. However, currently, registration has two major components. First, you register, and if you pay, you contribute 2.7 per cent of your gross income and gain full access to treatment under the SHA, with costs covered. However, there is also a provision where individuals can register without paying and still be entitled to services at Level 2 and Level 3 facilities, for which the Government must cover the costs. What is happening is that even the limited funds the Government allocates have not been utilised due to a lack of proper structures. This highlights an issue of system failure. A system that should be working seamlessly is not functioning as expected."
},
{
"id": 1521231,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521231/?format=api",
"text_counter": 112,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "Another key concern is the approval of services that people need and the inefficiencies in the payment system. The Hon. Member has just said that the full payment was made in one case, while only a tiny portion of the payment was made in another. Again, this is because we are dealing with two systems. One is if you are at a Level 2 and Level 3 hospital, and the other one is if you are at a Level 4 hospital, where you are fully in SHA. The benefit packages put in place depend on the hospital you visit. In some hospitals, you will need co-payment or co- insurance. Again, these are things that are actually in this system, but they have not come out well."
}
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}