Mr. Speaker, I also rise to associate myself with the motion on the floor and in so doing, make a few observations.
Mr. Speaker, yes, the institution of the National Health Insurance Authority and so to speak, the National Health Insurance Fund was to provide an alternative to our health financing. Mr. Speaker, if we are to create an alternative to our health funding, then it implies that funding from the Consolidated Fund will be freed.
If funding from the Consolidated Fund will be freed, then it means that, Consolidated Fund could be used specifically for certain projects while funding from the National Health Insurance Fund could be used to facilitate the provision of health care, while the Consolidated Fund may be used for other things.
Mr. Speaker, in the allocation documen- tation presented to the House on which the Committee of the Whole also had a look and came out with these observations, there were a few things that I would just like to mention.
Mr. Speaker, under the observations of
the Committee, it was noticed that children under 18 years are to benefit from the Fund as shown in the allocation documentation. But Mr. Speaker, true as it may, based on the law under which children under 18 whose parents have registered, it is not really true that children under 18 can all benefit from the Health Insurance Fund.
Based on this observation, a policy was adopted about a year ago but it was not consummated in the relevant amendment to the law. And Mr. Speaker, I do know that the relevant documentation has been done and I would want to urge the Ministry of Health to process it quickly to the House so that it would become acceptable that all children under 18 years in this country should automatically benefit from the National Health Insurance Scheme.
The other observation which I have a little problem with is the observation of a vote of GH¢ 41.50 million for preventive care programmes this year. This compared to last year -- last year's GH¢ 6.5 million was allocated for preventive care programmes but this year, GH¢ 41.5 million has been allocated for that.
Mr. Speaker, much as we do appreciate that there is the need for prevention and preventive care, we still do not think that it will be very, very necessary for the Health Insurance Fund to be used for such because if you look under what actions are to be taken under preventive health care -- it is about vaccination pro-grammes, about sanitation programmes, about malaria control programmes and about sickle cell screening programmes.
Mr. Speaker, yes, they are necessary but some of us do not think that the National Health Insurance Fund should be used for all these programmes. But for the fact that there is the need for this to go on, we may have to cut down on them and then ensure that the Consolidated Fund is used.
When it comes to sanitation, we do not expect that the Ministry of Health should be taking this up. We have other agencies that are relevant focus to do these things. So Mr. Speaker I would wish that we take note of that.
Mr. Speaker, I would want to associate
with the presentation by the Chairman of the Health Committee, when he brought in the issue of the Maternity Unit of the Komfo Anokye Teaching Hospital.
Arguably, the Komfo Anokye Teaching Hospital appears to serve about 30 per cent of the population of the nation and it renders not less than 30 per cent of the maternal care services to the people in this country but for quite some time, and indeed, the maternity block was started way back in 1974. It was raised up to a height of about -- the last few years but we have not been able to complete it.
So Mr. Speaker, while we are looking at the problem of maternal mortality, the soaring maternity statistics in the country and looking at maternal morbidity statistics in the country, it will behove us to ensure that these facilities are provided so that mothers who go to these centres can access health care. And therefore, Mr. Speaker, I would wish that as we consider the Tema Hospital and the Tamale Hospital Maternity Units, we include also the Komfo Anokye Teaching Hospital Maternity Unit under the budget line as provided of GH¢ 20 million for this year.
I believe they would not be able to even use up the entire Fund for the year; then next year we may continue using the same budget line instead of observation by the Committee of the Whole that, yes, they can do it outside of what has been agreed. I believe that will create some problem for the Ag. Chief Executive and possibly for the Board.
Mr. Speaker, the issue of the Mutual
Health Insurance Scheme has also been taken up and Hon Members raised some observations. Mr. Speaker, true, the relevance of the Mutual Health Insurance Schemes may have been brought into question by the practitioners and it is acceptable for Hon Members of the House to make these observations and I think these questions raised in the House also have been agitating the minds of those who have been managing the system. That is how come the House was informed that certain amendments were being brought in for certain changes to be done so that we can have a meaningful system for the provision of health care for our people.
Mr. Speaker, w i th these f ew
observations and also with my main sentiments that Tema, Tamale and Komfo Anokye Teaching Hospital Maternity Units be given the right support this year, I want to associate with this.
Alhaj i Mohammed-Mubarak
Muntaka (NDC -- Asawase): Mr. Speaker, I rise to support the motion before the House to approve the Formula for the distribution of subsidies to be paid to Licensed District Mutual Health Insurance Schemes for the year 2009.
Mr. Speaker, in doing so, I would want to emphasize, having had the opportunity serving on this Committee for the past four years, to bring out some basic issues. Mr. Speaker, for example, the health care of our people does not only rest in just