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{
"id": 1564842,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564842/?format=api",
"text_counter": 221,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "So, the choice is the same. So, we are caring for your house girl. However, if Speaker Wetangula’s, Sen. Sifuna’s or my wife, or even the president's wife wishes, they can go to Pumwani Maternity Hospital and join our house girls. Even the Presidents’ wife can go to the Pumwani Hospital with our house girls. That is healthcare. That is why we say that the Social Health Authority (SHA) has brought the element of equity. The choice is yours. You can go to Pumwani Hospital or Aga Khan Hospital. The next question was how it covers as per the Ministry of Health (MoH) guidelines on normal and caesarean deliveries, postnatal and immunization for the newborns. How do we compare this with NHIF? NHIF cover was limited to only antenatal and postnatal care and deliveries. It also attracted co-payment in the event of a complication of a mother and a baby. It covered only normal and caesarean deliveries with the specific limits for private hospitals. It is good to note that that cover did not include immunization for the newborn. Moving on to renal care, SHA renal care includes the management of chronic or acute kidney failure, such as the three sessions of the hemodialysis for deserving patients. Two sessions of this and two others for the pre-neural dialysis. This cover only includes the pre-transplant evaluation dialysis, kidney transplant, post-transplant care with set tariffs for each service. That is what SHA covers. Comparing this with renal care under the NHIF, renal care was limited by sessions. Two sessions covered per week, hence patients requiring three sessions and more were required to co-pay. Dialysis and kidney transplant had also set limits per sessions and a package payment for transplant, From the foregoing, it is clear that SHA’s Renal Care package is found in our website for all Kenyans to see. The benefits of SHA are open, public, they are in our website. Our renal care package is more detailed with specific tariffs and services, and they are tailored to a comprehensive patient care before and after the transplantation. I want to report that Kenyatta University Teaching and Referral Hospital (KUTRH), which we are proud of has done the first two kidney transplants two days ago; a good one where there was no organ harvesting."
},
{
"id": 1564843,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564843/?format=api",
"text_counter": 222,
"type": "scene",
"speaker_name": "",
"speaker_title": "",
"speaker": null,
"content": "(Laughter)"
},
{
"id": 1564844,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564844/?format=api",
"text_counter": 223,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "Mental health is an area that I think our country is not serious about. I want to make mental health services a key priority for me under the Ministry of Health. On the question of how SHA covers or what it provides for mental health; SHA provides for comprehensive inpatient service in the designated rehabilitation centres from Level 4 to Level 6. Additionally, services include mental health education, counselling, psychosocial support and rehabilitation for those who suffer substance abuse disorders. The NHIF package attracted co-payment. They were not paying for anything to do with the mental health, they were asking you to pay and it had limited coverage on specific contracted facilities for rehabilitation of drug and substance abuse. The SHA Mental health services are broader. They provide more holistic care and cover a wide range of mental health issues, both under outpatient and inpatient. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1564845,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564845/?format=api",
"text_counter": 224,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "Let me go to oncology services, which is very critical in our country. On oncology services under SHA, the treatment will follow the treatment care plan prescribed by the oncologist in line with the National Cancer Control Programme Guideline. So, after we treat you, we follow you with the post treatment plan. Compressive cancer care, including; chemotherapy, radiotherapy, surgical intervention and routine laboratory investigations with specific tariffs will be provided. Under the former NHIF, oncology services were limited in terms of amount and sessions and attracted co-payment. It also covered radiotherapy and chemotherapy with set limits per session and per cycle. SHA provide a more extensive oncology package with clear tariffs for various procedures making cancer treatment more accessible and more predictable for our patients. On surgical services, SHA will cover preoperative, interoperative and postoperative care, including major and specialised surgeries. We set tariffs for each procedure type. The NHIF only covered major, minor and specialised surgeries with set packages limits, depending on the label of that hospital. The package also attracted a co- payment. To this end, SHA surgical services are more detailed, more structured, providing clear guidelines and tariffs, which enhances transparency and accessibility for patients. On dental services, SHA covers dental services, which include consultation, preventive and restorative treatments such as extractions, scaling and management, while NHIF dental services were only limited to two extractions. In this regard, dental services are broader under SHA and includes a wide range of treatment. On the emergency, chronic and critical illness fund, SHA covers medical and surgical procedures not available locally with a limit of Kshs500,000 per person, whereas under NHIF, a similar coverage through reimbursement for overseas treatment, up to Kshs500,000, subject to approval, was offered. The SHA’s structured approach with the specific tariffs for different treatment shall ensure better planning and access to necessary treatment abroad. On emergency treatment, SHA emergency treatment should be accessible to all Kenyans. Under the NHIF, the emergency treatment was only accessible to be to be paid by NHIF members. SHA offers a more comprehensive cover. Under SHA, the critical service includes care for admission and Intensive Care Unit (ICU), High Dependency Unit (HDU), and the Neonatal Critical Intensive Care Unit (NCIU). All this, including the band units, the critical services were not covered under NHIF. SHA offers critical care package, including specialised services and the broader coverage, which enhance the safety net for health conditions. Under SHA, accidents and emergencies are paid for all Kenyan residents under the Emergency, Chronic and Illness Fund. Under NHIF, the emergency evaluation was limited to road ambulance service through contracted providers like any Red Cross. Let me say this very clearly, many people do not know. Members have been aware that in the event you are walking in the streets, and you get a stroke or you get an ailment when you are rushed to a hospital, the first thing they used to ask you under the NHIF cover was deposit. With SHA, under the emergency, you are rushed to a hospital, The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1564846,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564846/?format=api",
"text_counter": 225,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "that hospital will admit you, will treat you and will release you without paying anything. You do not need to register. I am sure many Members will agree with me that there are many Kenyans who die when the ambulance is going round, looking for a cheap hospital that can take a lower deposit. The SHA benefits now for emergency, chronic and critical illness fund will make sure that in any emergency, any hospital must admit, treat and release that Kenyan. I want to assure this House that if any hospital will do contrary to what SHA provides under the law you have passed, I will have no other reason than to close that facility. Mr. Temporary Speaker Sir, in summary, I think the Member has the key achievements of SHA benefits, which are found in our websites. Kenya has made a large step in achieving of the universal primary health care service for all Kenyans. It is important to know that 70 percent of the health burden is at the primary care in our villages in the rural parts of Kenya. That is why this House and the Government decided that primary healthcare must be free. We have a comprehensive coverage. Under SHA, you have more inclusive, detailed benefit package that covers a wide range of medical conditions, procedures and services compared to NHIF. The SHA provides clear tariffs for various services. It has enhanced transparency and predictability for members when accessing the health care services. Number four is the user-centric policy adjustment. The Social Health Authority (SHA) includes specific benefits and processes such as re-registration of members and structured penalties. We are focusing more on preventive care. The Social Health Authority (SHA) emphasizes on preventive care, including health education, screening, early detection, aligning with the long-term health outcomes. Before, we were dealing with the other aspects but this time, SHA says it's focusing on preventive. Lastly, it is better access to specialized services. The Social Health Authority (SHA) gives you more specialized care options, such as mental health care services, oncology, renal and providing members with better access. We also have a comprehensive emergency and critical care. Mr. Temporary Speaker, Sir, let me comment on the question of the justification for the mandatory migration of NHIF contributions to SHA and any other measures put in place. If you agree with me, when I was looking at this question, I asked myself, why should I answer? This is because it is this House that created the law on the Social Health Authority Act and Social Health Insurance. In the transition clause you are making NHIF redundant. So at that stage, you should have asked, why are we transiting? I have to do it because I have to answer questions before the House. Now that I am on this side, I think Sen. (Prof) Ojienda should have asked this question when we were passing the Bill, which is now an Act. The Social Health Insurance Act repealed the National Health Insurance Fund. With the repeal, all the obligations and assets of NHIF were moved to the Social Health Authority as provided for in the Social Health Insurance Act. The effects of Paragraph two and three of the First Schedule to the Act 23 was to pass all these assets, rights, duties, and powers of the NHIF in the Authority, which assets include NHIF database. The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
},
{
"id": 1564847,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564847/?format=api",
"text_counter": 226,
"type": "speech",
"speaker_name": "Hon. Aden Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": {
"id": 15,
"legal_name": "Aden Bare Duale",
"slug": "aden-duale"
},
"content": "So therefore to ensure timely and seamless access to health benefits of the beneficiaries of the defunct NHIF, the Authority mandated through a Legal Notice No. 147 published on 20th September 2024, for the transition of members of the National Health Insurance Fund, including our Members here. Under the repealed NHIF Act, they all transited to the Social Health Insurance Fund upon verification of their data by the Authority using existing relevant database. The information was transferred to ensure that all these members and their declared benefits can access benefits come 1st October 2024. The transition of the information was in the interest of the members. Secondly, Section 28(2) of the Data Protection Act provides that data may be collected indirectly from the data subject, where collections from another source could not be prejudiced in the interest of the data subject, where the collection data from another source is necessary. So, if I go to the question that the Senator sought clarification on the measures put in place to guarantee comprehensive year-round--"
},
{
"id": 1564848,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564848/?format=api",
"text_counter": 227,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Cabinet Secretary, have you concluded with the two questions by our Sen. (Prof.) Ojienda?"
},
{
"id": 1564849,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564849/?format=api",
"text_counter": 228,
"type": "speech",
"speaker_name": "Hon. Adan Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": null,
"content": " No."
},
{
"id": 1564850,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564850/?format=api",
"text_counter": 229,
"type": "speech",
"speaker_name": "Sen. Abdul Haji",
"speaker_title": "The Temporary Speaker",
"speaker": null,
"content": " Because of time, I would prefer that you move a little bit faster because we already have the responses."
},
{
"id": 1564851,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1564851/?format=api",
"text_counter": 230,
"type": "speech",
"speaker_name": "Hon. Adan Duale",
"speaker_title": "The Cabinet Secretary for Health",
"speaker": null,
"content": " Mr. Temporary Speaker, Sir, you know the Senate---"
}
]
}