On 23rd May 2018, Hakijamii attended the public participation forum for submission of memoranda on the National Government estimates held at the Dagorreti South Empowerment Centre. The forum was well attended with all sub counties represented.
Some of the issues that were raised include:
a) There is need to sensitize Nairobi residents on the functions of National and County governments. Many participants made proposals to the national assembly which should be made to the county government.
b) Residents of Dagoretti South called for de-congestion of Nairobi city by relocating all industries to neighboring towns such as Naivasha and Nakuru.
c) Social Media public participation was proposed by Esther Passaris-Nairobi Women Representative. She urged the Budget and Appropriation Committee to use social media to enable those who do not participate physically to have their voices heard.
d)Dagoretti South Member of Parliament urged Nairobi residents to prepare well for public participation by reading all the relevant documents and preparing a written document for effectiveness in presentation of ideas/projects.
Hakijamii also got the opportunity to raise some areas of concern. A few of the issues we got to raise include:
1. Enlist and recruit 100,000 Community Health Volunteers
In the Big Four Agenda policy documents and the Medium Term III the National Government highlights plans to recruit 100,000 Community Health Volunteers (CHVs) to achieve Universal Healthcare by enhancing primary
healthcare. The CHVs are planned to help in enrolling of citizens for the National Hospital Insurance Fund (NHIF) scale up. Therefore, we call for allocation of a specific budget in the 2018/2019 budget estimates to support
the work of CHVs.
2. Coordination between national treasury and county governments
The frequent delays in disbursement of funds by the national treasury has a direct effect on the procurement process at the county level. Proper coordination and honoring of disbursement guidelines and constitutional provisions is critical.
3. Centralized paperless referral healthcare information system
We call for allocation of funds for development and roll-out of a paper less referral system. One of the reasons for increased out-of-pocket (OOP) spending by the citizens is as a result of multiple payment for the same service in different health facilities. This can combated by developing acentralized paperless referral system to enable healthcare givers to share information on a single platform. This system is highlighted in the Big Four Agenda but it has not been budgeted for in 2018/2019 budget estimates.
4. Lack of public participation during supplementary budget-making
We call upon the National Assembly Budget and Appropriation Committee to instigate a process that will culminate in the provision of a mechanism to ensure effective public participation in formulation of supplementary budgets. This will ensure the interests and priorities of citizens are taken into account and budgeted for. Example: Specialized Medical Equipment. The national government did not involve citizens on making decisions on Special Medical Equipment deal. According to information public available, Kenya government was supposed to set aside Ksh. 38 billion per year for the MES, but it has only set aside Ksh. 16.4 billion for FY 2018/2019. This will lead to delays in
payments systems and may cost the country millions. According to information public available, this will lead to delays in payments systems and may cost the country millions in penalties, which may push the cost of the machines supplied and run by US-based General Electric (GE) up over the leasing period. 5.
5. Citizens Budget (Mwananchi Guide)
We call upon the National Assembly Budget and Appropriation Committee to work with the National Treasury and ensure compliance with the law by making available the Citizens Budget (Mwanachi Guide). This will promote effective citizen participation in the budget-making process.