{"count":1608389,"next":"http://info.mzalendo.com/api/v0.1/hansard/entries/?format=json&page=150387","previous":"http://info.mzalendo.com/api/v0.1/hansard/entries/?format=json&page=150385","results":[{"id":1522052,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522052/?format=json","text_counter":58,"type":"speech","speaker_name":"Hon. Kingi","speaker_title":"The Speaker","speaker":null,"content":" Sen. Faki, you may proceed."},{"id":1522053,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522053/?format=json","text_counter":59,"type":"speech","speaker_name":"Sen. Faki","speaker_title":"","speaker":{"id":13211,"legal_name":"Mohamed Faki Mwinyihaji","slug":"mohamed-faki-mwinyihaji-2"},"content":"Asante Bw. Spika kwa kunipa fursa hii. Ningependa kuchangia Taarifa kuhusiana na mambo ya mahakama ambayo imeletwa na Sen. (Prof.) Ojienda. Kumeingia mtafaruko katika Tume ya Mahakama kutokana na kesi ambazo zimepelekwa mahakamani na Majaji wa Mahakama ya Upeo (Supreme Court) ambayo inahusiana na masuala ya hatua za nidhamu ambazo zilikuwa zichukuliwe na Tume Uajiri wa Majaji. Ni masikitiko kuwa Jaji Mkuu pia ameenda mahakamani kuzuia Tume ambayo anaiongoza kuchukua hatua za kinidhamu kuhusiana na madai ambayo yameletwa kwa Tume hiyo na baadhi ya mawakili wakuu katika nchi hii yetu ya Kenya. Sio jambo la sawa kwamba kiongozi wa Tume anapeleka kesi mbele ya majaji ambao wanaajiriwa na Tume hiyo. Ijapokuwa majaji wanao kinga ya kikazi, inakuwa sio sawa kwa sababu majaji wale wanamuangalia Jaji Mkuu kama mtu ambaye ni kiongozi wao. Na labda hawawezi kutoa amri ambayo ni kinyume na maombi ya Jaji Mkuu. Masuala haya ni mazito na ninafikiria itataka kamati husika ya Sheria na Haki za Binadamu kulivalia njuga suala hili kwa haraka kwa sababu, ni jambo ambalo litaweza kupunguza imani ya wananchi katika mahakama zetu. Ikiwa mtu ana tuhuma ya kwamba jaji fulani ameamua ama amepokea hongo ama amefanya mambo kinyume na maadili ya kikazi, ni muhimu masuala hayo yachunguzwe kwa haraka ili uamuzi uweze kupatikana. Itakuwa sio sawa jaji yule aendelee kuhudumu wakati tume inavuruta miguu kusikiliza madai yale na kuamuru kwamba hakuna mashtaka ama pengine mashtaka yapo na watoe mapendekezo kwa Rais aweze kuweka tume ambayo itaweza kuchunguza jaji yule kwa haraka iwezekanavyo. Haya masuala ambayo yako sasa, yanapunguza imani ya wananchi katika mahakama zetu. Kwa hivyo yanafaa yachunguzwe kwa haraka na Kamati yetu ya Sheria na Haki za Binadamu ili iweze kujulikana usawa uko pahali gani. Asante sana Bw. Spika."},{"id":1522054,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522054/?format=json","text_counter":60,"type":"speech","speaker_name":"Hon. Kingi","speaker_title":"The Speaker","speaker":null,"content":" Sen. Veronica Maina, you may proceed."},{"id":1522055,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522055/?format=json","text_counter":61,"type":"speech","speaker_name":"Sen. Veronica Maina","speaker_title":"","speaker":null,"content":"Mr. Speaker, Sir, I rise in support of the Statement that has been brought to this House by Sen. Ledama Olekina seeking some answers to the question of how KEMSA is rolling out its programme and the provision of drugs that are being used in the counties. The time has now come. I encourage the Standing Committee on Health when they are working on this Statement to ensure that the system that is being run by KEMSA is open and accountable. The procurement process is something that can be explained to Kenya starting from the whole supply chain of drugs. From when KEMSA procures these drugs up to the time when they are taken to the counties and distributed to the health centres. It is unfortunate that when you go to the county, you will find many health centres do not have drugs. It becomes very embarrassing when you go down to those health centres in the villages and find that even simple medicine that could assist the citizens is not available. 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":1522056,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522056/?format=json","text_counter":62,"type":"speech","speaker_name":"Sen. Veronica Maina","speaker_title":"","speaker":null,"content":"What is the inventory management system that is being used by KEMSA? This is something that must be investigated. Mr. Speaker, Sir, you were not here yesterday. The Cabinet Secretary for Health was before this House and did not respond satisfactorily to many of the queries she answered in respect to the Social Health Authority (SHA), starting from the genesis of how contributions are being made, and the repayment of the debt that is outstanding. Now, we have the KEMSA debt which remains unpaid even by counties and then, we have the debt that was accrued by the National Hospital Insurance Fund (NHIF). If you listened to the deep questions that are coming within the healthcare system, it seems that work is cut out for the Standing Committee on Health as they look at the statement and the question of SHA. If the healthcare system fails a nation, then which other system would we say is working properly within our republic? So, I would urge the Standing Committee on Health to ensure that when they bring a report on this Statement, we can see a whole audit of all the counties. Let us name and shame counties that are not willing to give basic services to wananchi down there. We need to stop answering the same question of why hospitals do not have even Panadols; why hospitals do not have basic emergency care for people who could even be rescued and saved. We are risking the lives of Kenyans. I would like to ask the Standing Committee on Health when they sit on this, to check the Order Management System within KEMSA. Ensure they are presenting a system that is foolproof and one that closes out any form of corruption. This is so that if we require medication going down to the health centres, we stop having people at the top level diverting funds that are intended to fund healthcare system within our nation. So, I support that Statement coming from Sen. Ledama Olekina. This is a question that we must be very serious about. Mr. Speaker, Sir, by the time we are done with our five-year tenure, we should be able to account what we have done as a Senate to improve the health care, water system and ensure that basic provisions that are supposed to go to Kenyans are delivered without further delay, excuses and explanations. Let officers seated in Government offices ensure that they take accountability for their office. Let them get the right thing done and deliver Article 43 of the Constitution to Kenyans. That is what we are looking for. The President is also looking for that. He is not looking for workers who are explaining things everyday. Mr. Speaker, Sir, we need those issues fixed under the Social Health Authority (SHA) and the three funds that are supposed to come under the new health care system. If there is a debt that needs to be restructured in National Health Insurance Fund (NHIF), let it be restructured. Kenyans do not care what you do with the systems, processes and how you review the workforce and human resource capital. All they care for is an adequate service delivery that renders service to mwananchi. Many of us were raised in situations where we only went to Government hospitals. We never saw private hospitals until we were this age, where we have now seen the Aga Khan and Nairobi Hospital. All of us have gone through the Level 1 and 2 hospitals and public institutions and they must be made to work. It is our work as an oversight organ to ensure that they work. 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":1522057,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522057/?format=json","text_counter":63,"type":"speech","speaker_name":"Sen. Veronica Maina","speaker_title":"","speaker":null,"content":"I thank you."},{"id":1522058,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522058/?format=json","text_counter":64,"type":"speech","speaker_name":"Hon. Kingi","speaker_title":"The Speaker","speaker":null,"content":" Sen. Eddie, proceed."},{"id":1522059,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522059/?format=json","text_counter":65,"type":"speech","speaker_name":"Sen. Oketch Gicheru","speaker_title":"","speaker":null,"content":"Mr. Speaker, Sir, we always seen serious innovation going on in the private sector to the extent that when you see it in legislative houses like where we are, you get very proud, especially when you come from a technology background like me. I get happy when I see a legislature like what Sen. Ledama Olekina has proposed here. This is a brilliant idea that will deal with a serious crisis we have in this nation; the management and the delivery of drugs to our people. How KEMSA currently works is very simple, but inefficient and ineffective. Currently, KEMSA has a contract with manufacturers of drugs and pharmaceutical companies, where it buys drugs from them on credit. The terms of the credit it gets from these pharmaceutical companies ranges between 90 to 120 days. Once KEMSA has bought the drugs from these companies on credit, it then sells them on credit to county governments as well as national institutions, such as the referral hospitals we have in the country. That credit for KEMSA is dependent on the Exchequer releases. Mr. Speaker, Sir, you know very well that Exchequer problems in this country sometimes span beyond the gap of 90 to 120 days. We have sometimes seen the days of funds going to even six months without paying people. Some county governments receive their monies when they are just in time to close a financial year, to the extent that absorption becomes a problem. This problem means two things. Number one, once KEMSA has bought the drugs from the manufacturers, it takes the ownership. If a drug is going to expire, and sometimes even some medical equipment like what we saw with masks during the COVID-19 pandemic period, they expire under the ownership of KEMSA and not the manufacturers or pharmaceutical companies. What will KEMSA do in a marketplace? KEMSA will then take those nearly expiring drugs and equipment and donate them to different county governments because they are risking their portfolio. What is Sen. Ledama proposing here? He is proposing that through this enterprise resource planning software, we create a marketplace with a warehouse to store and list the drugs that manufacturers have. I do not believe that KEMSA has one currently and Sen. Ledama should sit in that Committee and propose this strongly. Once you list them, manufacturers take the ownership of the drugs and KEMSA only facilitates the transactions on that platform. This will help with taking the ownership of drugs from KEMSA so that it lies with the manufacturer so that any kind of risk and liabilities, both for credit as well as expiration of drugs and medical equipment do not sit on KEMSA.Most importantly, it gives an avenue of such an innovative fund as SHA to facilitate counties to acquire those drugs on that platform. The SHA, which is an authority that establishes a fund, can now fund counties directly so that hospitals can simply go to this marketplace that Sen. Ledama is creating for us as a country and choose the medicine that you need and then the payment is facilitated on that platform, just as you do with M-Pesa in other businesses that we have seen in this country. This is a very brilliant idea. Above the idea of facilitating a proper transaction that avoids risks, it also ensures there is an audit trail, where you can be able to audit and track drugs from the manufacturer all the way to the hospitals. 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":1522060,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522060/?format=json","text_counter":66,"type":"speech","speaker_name":"Sen. Oketch Gicheru","speaker_title":"","speaker":null,"content":"This is one of the most brilliant ideas that has come from this House. I encourage the Committee to take it seriously. As a House, let us follow it through and see it come to fruition, so that one day we can have a country where access to drugs is no longer a problem because it was solved on the basis of innovation that came from this House. I thank you, Mr. Speaker, Sir."},{"id":1522061,"url":"http://info.mzalendo.com/api/v0.1/hansard/entries/1522061/?format=json","text_counter":67,"type":"speech","speaker_name":"Hon. Kingi","speaker_title":"The Speaker","speaker":null,"content":" Sen. Abass."}]}