Dr. James Nyikal

All parliamentary appearances

Entries 61 to 70 of 3161.

• 2 Feb 2022 in National Assembly: Clause 15 talks about conducting market surveys by the head of procurement units. This is important. As a colleague said, the tenders are given to the lowest bidder. You know very well that half a litre of milk is Kshs40. However, when they bring it, it is Kshs100. The procurement officer says very boldly that the lowest bidder is Kshs120 for something that you know that you can get in the market for Kshs50, which is illegal. That is why people exaggerate a lot of items that the Government uses. Somebody says that a pen costs Kshs80 but you can ... view
• 2 Feb 2022 in National Assembly: The definition of a secretariat can be very difficult in small procuring units. You need very technical people to constitute it. Sometimes there is a delay in the counties, sub counties and departments in the national Government because you have to wait for a few people who want to compose the secretariat, so that the procurement process can go on. If the head of the unit is allowed to constitute the secretariat, the process will be much faster and services will be rendered. view
• 2 Feb 2022 in National Assembly: With those few areas that I have noted in the Bill – and I think that there are a lot more – I support this Bill. 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. view
• 2 Feb 2022 in National Assembly: Thank you, Hon. Temporary Deputy Speaker, for giving me the opportunity to contribute to this Bill. Let me start by congratulating the Mover of the Bill because at one point or another, it touches on everybody who is employed in the country. The Bill seeks to limit the time taken to pay people from the time they retire. This is extremely important because the current practice is to delay and delay and delay. It takes a long time before people get their retirement benefits after they go home. Further still, there is a lot of uncertainty as to whether they ... view
• 2 Feb 2022 in National Assembly: Thank you, Hon. Temporary Deputy Speaker, for giving me this opportunity to second the Bill. Let me start by thanking the Mover and the Departmental Committee on Health that has worked on it. As I second, I must take time to recognise Prof. Miriam Were and Prof. Kaseje, who I started with in 2003 and 2004 when I was the Director of Medical Services to bring out the community strategy, which is the basis of community health workers. We must give them that appreciation. view
• 2 Feb 2022 in National Assembly: I second this Bill, whose objective is to provide a framework for regulations of community health workers, their training, their selection and the Council that guides them. I support because when we started, it was community health workers. However, terms like ‘volunteer’ have been brought in and are bringing confusion. Article 43 of our Constitution provides for a right to health care, and our country seeks to achieve this through the agenda of the Universal Health Coverage (UHC). The most important element in achieving the provision of Article 43 through UHC is prevention of disease, promotion of health and early ... view
• 2 Feb 2022 in National Assembly: The history and the impact of community health workers in other countries have been demonstrated to be cost effective. They reduce the cost of care and the need for human resource. In Ethiopia, for example, it has been demonstrated quite effectively that putting them as part and parcel of the workforce and supporting them financially reduces the cost. I started this thing with The electronic version of the Official Hansard Report is for informationpurposes only. A certified version of this Report can be obtained from the Hansard Editor. view
• 2 Feb 2022 in National Assembly: the current Director of the World Health Organisation (WHO). We worked together with the community strategy and they went ahead and implemented it. Now, Ethiopia is benefiting from it. view
• 2 Feb 2022 in National Assembly: In Kenya, we worked on this as the basis of the community strategies at level one of the health care that we have now, which is the community. That is where all the work should be done. Therefore, we must properly define the community health worker knowing very well that they are at level one in the community where illnesses start. That is why they have to be dealt with. So, we must have a clear criterion, namely, the selection. I think we have looked at it in the Committee, but the selection must be from the community in which ... view
• 2 Feb 2022 in National Assembly: Having done that, we must support them. I do not support the idea that community health workers are called community health volunteers. We must work out a stipend. We must work it out in our budget in terms of how they are going to be supported because in the end, they will reduce cost. Having done that, we must define their training, their skills, and the kits that they need as they move in the community to help with early detection and treatment. It has been tried out even during the COVID-19 Pandemic. In Siaya, they were given pulse oximeters ... view