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{
"id": 1521232,
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"text_counter": 113,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "Another critical issue is the human resource transition from the defunct NHIF to the SHA, where the numbers differ significantly. While all employees are now under the Public 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": 1521233,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521233/?format=api",
"text_counter": 114,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "Service Commission and seconded to the SHA, uncertainty remains. Only 800 out of the 1,700 employees will be retained. As of now, no one knows who will stay. These employees cannot be expected to work wholeheartedly under such uncertainty."
},
{
"id": 1521234,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521234/?format=api",
"text_counter": 115,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. James Nyikal",
"speaker": null,
"content": "That is the system we are dealing with. That is why I emphasise the importance of the meeting I mentioned earlier. As a Committee, we must thoroughly and objectively examine these issues in detail. In some areas, we may even have to look at the law to implement it very quickly as it is desirable. If we find a need to review the law, we must be willing to do so. One key issue is capping. Some people contributing 2.7 per cent of their income may end up paying as much as Ksh30,000 while others pay significantly less. When and where do we set the cap? That is an important question. Additionally, if we look at people in informal employment and the indigent population, out of the 18 million registered, only 4 million paid. However, all 18 million people think they are entitled to benefit. Not all are entitled to all the services. Again, that is an issue of concern, as my Chair said."
},
{
"id": 1521235,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521235/?format=api",
"text_counter": 116,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you."
},
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"id": 1521236,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521236/?format=api",
"text_counter": 117,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. (Dr) James Nyikal",
"speaker": null,
"content": " This issue needs to be sorted out. We have not properly established a system for the two remaining groups – people in informal employment and the indigent, who rely on government support. So, the only people who are now paying are the employed. For now, a vast population depends on the contributions of a tiny group of people. These are things that can be handled. We want to move fast. There is nothing wrong with the desire to move fast. Therefore, we shall return with recommendations when we go to the retreat. Even if it means we retrace our path, we propose some amendments to the law and bring them here quickly, let it be so. It is clear that, as of now, the population is not satisfied, but I think something can be done."
},
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"id": 1521237,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521237/?format=api",
"text_counter": 118,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you. Hon. Wangari."
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"id": 1521238,
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"text_counter": 119,
"type": "speech",
"speaker_name": "Gilgil, UDA",
"speaker_title": "Hon. Martha Wangari",
"speaker": null,
"content": " Thank you, Hon. Speaker. I also want to laud the Chairperson. I remember Naivasha. Thank you for allowing us to have a very serious engagement while there. That session is what necessitated this Statement and the engagement we have seen."
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"id": 1521239,
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"text_counter": 120,
"type": "speech",
"speaker_name": "Gilgil, UDA",
"speaker_title": "Hon. Martha Wangari",
"speaker": null,
"content": "Hon. Nyikal has raised most of the issues, but I want to plug in the need for intergovernmental relations to be put in place. This is because the county governments run Levels 2, 3 and 4 hospitals, where we are supposed to get services. We also have Level 6 hospitals, like Kenyatta National Hospital (KNH). Someone living in Nairobi would prefer going to KNH to get the first service, yet one should get the first service at Level 2. People know that at Level 2 or Level 3 hospitals, they will not get the services of doctors, or they may not get medicines."
},
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"id": 1521240,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521240/?format=api",
"text_counter": 121,
"type": "speech",
"speaker_name": "Gilgil, UDA",
"speaker_title": "Hon. Martha Wangari",
"speaker": null,
"content": "Going forward, even if the Ministry engages with the SHA, it must loop in the Council of Governors or the County Executive Committee Members (CECMs) at the county level because these people interact with these facilities daily. That way, we can salvage the issues that are not working, as Hon. Nyikal has put it: ‘What should be working is not working.’ I hope that in the next engagement, the county governments will be given an opportunity to participate so that they also undertake to take care of their Levels 2, 3 and 4 hospitals. Ideally, we should specify what should be referred to referral hospitals. We can, for example, say that patients going for Anti-RetroViral (ARV) medicines, immunisation of children and treatment for malaria and flu should not get their way to a Level 6 hospital. That way, we will be able to decongest the referral hospitals so that they can deal with very serious issues. I laud the Chairperson for the effort they have made so far. I hope that the next round of engagement will include the county governments so that we can make progress. 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."
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"id": 1521241,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1521241/?format=api",
"text_counter": 122,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Thank you."
}
]
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