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{
"id": 1557912,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557912/?format=api",
"text_counter": 261,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Mama Nairobi."
},
{
"id": 1557913,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557913/?format=api",
"text_counter": 262,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": " Thank you, Hon. Speaker. To the Cabinet Secretary through the Speaker, I want to talk about what Hon. Oundo has said on the issue of children. We know that in Kenya, we have many defiled children. We also have many children who engage in sex before they reach the age of 18. We have a serious problem. If a family has the SHA cards, there is the wife, husband and children. If the wife has given birth, and two to three months later the daughter is giving birth because she was defiled, the system has no way of picking that child and giving her the right cover because she is a minor. We know that during the pandemic, we had over 300,000 minors that got pregnant through defilement. How do you offer services to a defiled minor who is giving birth under their parents’ medical card, when her mother has also given birth? How do you accommodate the minor in the same family unit with the same membership number to get the right services? The minor could be 10 or 12 years old, but the society will look at her as a full-grown woman. By the age of 18, she will have been defiled and misused over and over again. I want to know whether you can ensure she is counselled and put under a family planning programme so that she does not have a child at 13, 14, 15 or 16 years? Then, before you know it, she has wasted her life with no education and becomes a burden to her family, and her children are a burden to her. We also have a big problem with abortion guidelines. The court gave a ruling that the Ministry should issue the guidelines? I want to know whether the guidelines will be based on religious beliefs or as permitted under the Constitution? Have they been spoken to by the courts so that we can have safe abortions when they are required? Thank you."
},
{
"id": 1557914,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557914/?format=api",
"text_counter": 263,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Which Constitution are you quoting?"
},
{
"id": 1557915,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557915/?format=api",
"text_counter": 264,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": " Article 26(4) of the Constitution permits abortion."
},
{
"id": 1557916,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557916/?format=api",
"text_counter": 265,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Abortion is illegal except under very stringent circumstances."
},
{
"id": 1557917,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557917/?format=api",
"text_counter": 266,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": " Yes, but there are no guidelines that have been issued for those stringent circumstances. The courts have pronounced themselves on that issue and said that the emotional, physical and social state of the mother are supposed to be considered. There is a live ruling on the issue in the case of JMM which I will gladly share with the Cabinet Secretary to acquaint himself with it. I know the church is fighting the case. If a woman is supposed to procure a safe abortion and doctors permit it, there are no guidelines. So, the doctors cannot perform the abortion and the woman can die. If you go to KNH right now, the post-abortion medical care wing is full. We spend over Ksh500 million to Ksh1billion in post-abortion care. Women are suffering because of unsafe abortions. Let us be a civilised country."
},
{
"id": 1557918,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557918/?format=api",
"text_counter": 267,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "You are making a speech. Cabinet Secretary, can you respond to those 10 questions?"
},
{
"id": 1557919,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557919/?format=api",
"text_counter": 268,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": null,
"content": " Hon. Speaker, let me start with the question by my good friend the Woman Representative for Nairobi City County. All those abortion issues are contained in the Reproductive Health Bill that is to be brought to the House. I am just going through it, and a lot has been done by Hon. Millie Odhiambo. She was very passionate about it when I was the Leader of the Majority Party. There are a number of policies which I will engage you. As the Speaker has said, abortion is illegal unless under certain medical conditions. Those medical conditions and the framework are being worked on by the 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": 1557920,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557920/?format=api",
"text_counter": 269,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": null,
"content": "Director-General, Dr Patrick Amoth, who is the technical adviser to the Government and the Cabinet Secretary on health matters. He is on my right side. On teenage mothers, I can only deal with the question by Hon. Oundo. Teenage motherhood is another national conversation for the leadership of this House and religious leaders. The numbers are huge and SHA issues them with special temporary cards. They do not need to use their mothers’ cards. If they deliver on the same day, the mother will use her SHA card and the lady will use her temporary card. I agree with Hon. Oundo because his constituency is at the border. It is very complicated to identify a teenager who crosses from the neighbouring country. I assure you that when a person from a neighbouring county cross into Kenya, they are issued with an alien card. So, we will use the alien card to issue temporary cards to the ladies. On indigents, the Government is looking at the social protection data to make sure that it is clean. Even for the elderly people who get Ksh2,000 per month, we want to find out the indigents among them. We are in the process of developing a means testing instrument for the national and county governments. We need your help. There might be indigents in your constituencies and you may want to pay their bursaries through NG-CDF or NGAAF. Hon. KJ has asked about sensitisation. Yes, I know you have a communication background. Every day, 40,000 Kenyans register on SHA. Out of the number, we can tell those who have gone through means testing and how many have paid. Yesterday, 47,000 Kenyans registered online, of whom 18,000 went through the means testing and paid close to Ksh18 million. The average amount is Ksh1,000. I want to assure this House that UHC was meant for the 80 per cent Kenyans who were not accessing NHIF which was colonial and a club of the salaried people. Only 20 per cent of Kenyans were accessing it. The UHC, through SHA, seeks to bring on board the 80 per cent. That is why we are doing means testing. The least amount a person can pay is Ksh300. Hon. Speaker, please allow me to use you as an example. You pay Ksh47,000 to SHA."
},
{
"id": 1557921,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1557921/?format=api",
"text_counter": 270,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "It is Ksh47,800."
}
]
}