Tag: Health reforms

  • Health reforms, economic outlook top agenda as MPs convene for retreat

    Health reforms, economic outlook top agenda as MPs convene for retreat

    The challenges surrounding the operation and uptake of the Social Health Insurance Fund (SHIF) under the Social Health Authority (SHA) will take center stage as Members of the National Assembly gather for the 2025 mid-term retreat, set to begin Monday.

    The retreat will take place from January 27th to 31st, 2025, in Nakuru County, bringing together the Presidium, the leadership of the House, the House Business Committee, Chairpersons of House Committees, and all Members of Parliament.

    With the theme ‘Marshalling House Business: Progress Made and Lessons Learned,’ the retreat will also address critical discussions on the state of the economy and explore strategies to tackle the challenges posed by Kenya’s growing youth population.

    Additionally, legislators will deliberate on priority legislation, strengthen oversight mechanisms, and evaluate the effectiveness of parliamentary committees in fulfilling their mandates.

    The retreat will also provide an opportunity to discuss House business, MPs’ welfare, and the role of Parliament in the integration of the East African Community (EAC).

    National Assembly Speaker Rt. Hon. (Dr.) Moses Wetang’ula observed that Parliament has made significant strides in 2023 and 2024 by passing key legislations aimed at implementing the Government’s universal health coverage (UHC) programs.

    Among the outcomes was the establishment of the Social Health Insurance Fund (SHIF) under the Social Health Authority (SHA) as the implementing agency.

    However, Speaker Wetang’ula acknowledged the reported implementation challenges that have accompanied the framework.

    “This session will provide an opportunity for Members of Parliament to engage with Dr. Mohamed Abdi Mohamed, Chairperson of the Social Health Authority(SHA), who will provide an update on the status of the framework’s implementation, the challenges faced, and the corrective measures being taken,” the Speaker said.

    While SHIF aims to enhance healthcare access, Kenyans have raised concerns over the quality of care, citing issues like long wait times, inadequate staff, and substandard treatment.

    Speaker Wetang’ula noted Dr. Mohamed Abdi Mohamed and his team have been invited to the retreat to address these concerns directly.

    Beyond health reforms, the Speaker emphasized that the retreat will also address the country’s economic outlook and the plans for Kenya’s growing youth population.

    “The National Assembly plays a pivotal role in budget-making and the management of public finance, including but not limited to oversight of public spending and debt management,” Speaker Wetang’ula explained.

    “In light of increasing budgetary needs and public demand for services, the National Treasury has been invited to present on the state of the economy and related matters.”

    The Speaker added that this session will enable MPs to address any concerns raised by their constituents from time to time regarding the economic situation in the country and clarify any misinformation.

    The growing youth population is a significant concern for the nation and its leaders. Addressing this issue will be a key agenda item during the MPs’ retreat, where they will deliberate on strategies for youth empowerment, including job creation and other initiatives.

    Members will also deliberate on challenges affecting the continuity of legislative business and chart a course for the remainder of the term.

    Coming at a critical time in the life of the current Parliament, the Speaker noted that the retreat will also provide a platform to reflect on past successes and discuss any legislative interventions needed to support the National Treasury.

    “In the first half of this Parliament, several critical legislations have been passed, including the Social Health Act, the Digital Health Act, and key economic sector laws like the Business Laws (Amendment) Act and the Tax Procedures (Amendment) Act,” Speaker Wetang’ula said.

    “As you may be aware, the House has been instrumental in passing various other legislations affecting diverse sectors of the society including agriculture, water, housing, education, and security. The session in Naivasha will showcase the outputs achieved over the last three sessions and highlight the priority legislative agenda for the House.” he added.

    Additionally, members will discuss proposed constitutional amendments aimed at entrenching three specialized funds in the Constitution: the National Government Constituency Development Fund (NG-CDF), the Senate Oversight Fund, and the National Government Affirmative Action Fund.

    Proposals for these amendments have been under consideration for the past two years, with several co-sponsored by MPs, including Hon. Stephen Mule of Matungulu and Hon. Githinji Gichimu of Gichugu.

    A Joint Parliamentary Ad Hoc Committee was also established in 2022 to review the proposed amendments, though the committee has yet to report to Parliament.

    In December 2024, another proposal to entrench the three funds was received and approved by the Speaker, in line with parliamentary procedure.

    The proposal, co-sponsored by Hon. Samuel Chepkonga of Ainabkoi and Hon. Otiende Amollo of Rarieda, seeks to amend the Constitution under Article 256.

    “This session will provide an opportunity for Members to deliberate on the proposed amendment and ensure that the views of the people’s representatives are taken into account before the Bill is published,” Speaker Wetang’ula said.

    The Speaker also noted that the retreat would allow MPs to consider a roadmap for the constitutional amendment proposal to ensure its completion.

    MPs will be encouraged to provide feedback and enrich the proposal before its final publication.

  • CS Nakhumicha accuses Judiciary of blocking health reforms

    CS Nakhumicha accuses Judiciary of blocking health reforms

    Health Cabinet Secretary Susan Nakhumicha has accused the Judiciary of blocking health reforms that are meant to safeguard the lives of Kenya. 

    The CS says the plan to lower the healthcare scheme payment from Ksh 500 to Ksh300 should have been implemented by now but some forces are hell-bent of scuttling the plan.

    Speaking in Kirinyaga during the burial of Gladys Wanjiku, a sister to Health Principal Secretary Mary Muthoni, Health Cabinet Secretary Susan Nakhumicha wondered why a public servant with a comprehensive insurance scheme would ask the courts to halt an initiative intended to help other Kenyans.

    She, however, assured Kenyans that after cases are complete, it will require only a fortnight to implement the program.

    The Head of Public Service Felix Koskei urged Kenyans to invest in education for a better future.

    Despite many remaining jobless, Koskei said the country’s economy is improving hence more jobs will be created as the government also seeks job opportunities abroad.

    Koskei said public coffers are being protected to ensure Kenyans get value for their taxes.

  • Childhood mortality remains high despite health reforms

    Childhood mortality remains high despite health reforms

    Early childhood mortality in the Luo Nyanza region is alarming, despite heightened efforts to improve child and maternal health. 

    Data from the Kenya Demographic and Health Survey (KDHS) 2022 shows that Migori County has the highest number of infant mortality at 53 deaths per 1,000 live births. Kisumu recorded the least number of 40 deaths per 1,000 live births.

    Siaya and Homa Bay Counties recorded 45 and 42 respectively against the national average of 32 deaths per 1,000 live births in the latest report conducted by the Kenya National Bureau of Statistics.

    Worryingly, the survey, further reveals that Migori County recorded the highest death of children under the age of five years at 73 deaths per 1,000 live births, Siaya County was second at  63. Homa Bay recorded 61 with Kisumu having the least Under-5 mortality rate at 45 above Kenya’s average of 41 deaths per 1,000 live births.

    Speaking during the KDHS dissemination forum held in Kisumu County on Thursday, Godfrey Otieno, KNBS official, said the report has brought to light significant milestones in health indicators and identified areas that require urgent intervention in the region.

    “The survey indicators show where we are and where we need to go.  In Nyanza region, Kisumu has performed well compared to other counties in a number of the indicators. The County leadership needs to leverage the insights provided by the KDHS 2022, to work towards improved healthcare access and quality,” Otieno stated.

    Kisumu County Medical Services Director Dr. Don Ogola reiterated the county’s commitment to use the findings in shaping policy decisions, programs, and interventions to enhance health outcomes.

    Dr. Ogola emphasized the role of Community Health Providers (CHPs) that have been engaged to enhance the healthcare system leading to reduced mortality rates in the lakeside County.

    “Birth outcome starts from the conception day. The Medical Services department has focused on capacity building and performance contract reward to the CHPs to reach out to pregnant women and ensure they promote up to 8 Antenatal clinic visits as recommended by WHO,” he stated.

    The leading probable causes of infant deaths, Dr. Ogola added, include lack of check-ups for pregnancy complications, unskilled antenatal care provision, and communicable diseases.

    “The main cause of under-5 mortality is pneumonia, which is a communicable disease. Kisumu’s strategic plan envisions eliminating communicable diseases. To achieve this, we have increased immunization coverage for children to combat such illnesses,” he elaborated.

    KDHS 2022 was implemented by the KNBS in collaboration with the Health Ministry and other stakeholders through funding from the United States Agency for International Development (USAID), the Bill & Melinda Gates Foundation, and the World Bank.

    Others are the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA), Nutrition International, the World Food Programme (WFP), the United Nations Entity for Gender Equality and the Empowerment of Women (UN Women) and the World Health Organization (WHO).