Debates of 16 Nov 2022

MR FIRST DEPUTY SPEAKER
PRAYERS 10:48 a.m.

Mr Speaker 10:48 a.m.
Hon Members, we
do not have any message from His
Excellency the President. So, I would
just say a word under the item
numbered 3 which is Formal
Communication by the Speaker, then
we would move to the item numbered
4, correction of Votes and
Proceedings and the Official Report.
FORMAL COMMUNICATION 10:48 a.m.

BY THE SPEAKER 10:48 a.m.

Mr Speaker 10:58 a.m.
Hon Members, we
have installed new scanning
machines, and it is absolutely
obligatory. It is compulsory for all
Hon Members who intend to enter the
Chamber of Parliament to pass
through the equipment. I repeat, it is
compulsory for all Hon Members,
including me, the Rt Hon Speaker, to
pass through the machines to be
scanned before we enter the Chamber
of Parliament.
All strangers who intend coming
into the Chamber of Parliament,
whether to the public gallery, the
press gallery or to the important
visitors' gallery are all required to pass through the scanning machines.
It is for the good of Hon Members
that we want to implement this rule.
I passed through it this morning; it
is very easy and comfortable, and if
you want to see, you can see it. It
would be shown to you. So, please,
Hon Members, starting from
tomorrow, any person who is not
willing to pass through those
machines would definitely not be
allowed to enter into this Chamber. I
am sure it is very clear and I do not
need to repeat myself.
We would now move to, item
numbered 4, correction of Votes and
Proceedings and the Official Report.
Hon Members, we would start
with the Votes and Proceedings of
Tuesday, 15th November, 2022.

Votes and Proceedings and the

Official Report

Page 1...8 —

Yes, Hon Majority Leader?

Majority Leader (Mr Osei Kyei-

Mensah-Bonsu): Mr Speaker,

yesterday, I was not in the Chamber.

I had gone to Kumasi, intending to be

in the Chamber yesterday.

Unfortunately, I was taken ill just

when I was approaching the airport,

so, I had to go home. I quickly asked

my officers to submit a leave of

absence to you which was appended

to on my behalf by the Hon Majority

Chief Whip.

I have noticed that today, I have

been marked as “Absent without Permission”. I do not know how this mischief is going to be cured,

especially, these days where even

when you, the Rt Hon Speaker

travels, Leaves of Absence may have

to be transmitted to you before you

approve of same.

Emergency situations may require

immediate attendance to such a

request. So, I do not know how it is

going to be captured, but maybe,

when we adjourn, we could discuss

this matter further. Really, mine was

an emergency situation and how I

find myself as having been marked as

absent without permission poses a bit

of difficulty to me.

I thank you, Mr Speaker.
Mr Speaker 10:58 a.m.
Well, you clearly
stated the position that you were
absent as a fact. It is only that your
instructions for your Leave of
Absence to be submitted is what was
done yesterday. My attention is now
being drawn to it, because it has not
gotten to me. When it gets to me, I
would do what is necessary.
However, the Table Office did the
right thing by capturing you as being
absent yesterday because you were
actually absent. The other aspect, as
we said, we can discuss after this
Sitting.
Page 8 … 23
Hon Members, we move to the
item numbered 5.
Mr Frank Annoh-Dompreh —
rose —
VOTES AND PROCEEDINGS AND THE OFFICIAL REPORT 10:58 a.m.

Mr Speaker 10:58 a.m.
Yes, Hon Majority
Chief Whip?
  • [No correction was made to the Votes and Proceedings of Tuesday, 15th November, 2022.]
  • Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, with respect, we would like
    to seek your leave to vary the order of
    Business and go on to the item
    numbered 9, after which we would
    come back to the item numbered 5, as
    duly announced.
    Mr Speaker 10:58 a.m.
    Hon Members,
    application has been made for leave
    to vary the order of Business as set
    out in the Order Paper.
    Minority Leadership?
    Mr Haruna Iddrisu 10:58 a.m.
    Mr Speaker,
    the application is for you to take a
    decision on. My only concern is why
    he said the item numbered 9, and not
    the item numbered 8, so that we move
    to Commencement of Public
    Business, which begins with the item
    numbered 8 and not the 9, but I have
    no objection to it.
    I thank you, Mr Speaker.
    Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, there is no debate about that.
    I am on all fours, so at the
    Commencement of Public Business,
    we begin with the item numbered
    9(a) by the Hon Majority Leader.
    Mr Speaker 10:58 a.m.
    Well, in other
    words, the item numbered 8 is not
    ready. That is why we are not
    beginning with it.
    Hon Members, I grant the leave
    for us to vary the order of Business in
    accordance with Order 53(2) of the
    Standing Orders. So, we would go
    straight to the Commencement of
    Public Business, the item numbered 9
    — Presentation of Papers.
    PAPERS 10:58 a.m.

    Mr Speaker 10:58 a.m.
    Item numbered 9 (b)
    to be laid by the Hon Minister for

    Papers

    Finance. Is the Hon Minister for

    Finance not available?
    Mr Kyei-Mensah-Bonsu 10:58 a.m.
    Mr
    Speaker, we have the Hon Deputy
    Minister for Finance who is one of
    our own in the House with us. I am
    seeking permission for her to present
    the Paper on behalf of the Minister
    for Finance, and it has to do with the
    item numbered 9(b).
    Mr Speaker 10:58 a.m.
    Hon Members,
    permission is being sought, with the
    indulgence of the House, for the Hon
    Deputy Minister for Finance to
    present the Paper for and on behalf of
    the Minister for Finance.
    Yes, Minority Front Bench?
    Mr Ahmed Ibrahim 10:58 a.m.
    Mr Speaker,
    we have no objection. She is a very
    punctual and diligent Hon Member of the
    House who has been doing same, so she
    can go ahead and do it on behalf of her
    boss.
    Mr Speaker 10:58 a.m.
    Hon Deputy Minister
    for Finance, you have my permission to
    do so.
    By the Deputy Minister for
    Finance (Mrs Abena Osei-Asare) on
    behalf of the Minister for Finance —
    i. Request for waiver of Import Duty, Import
    GETFund Levy, Import
    NHIL, Import VAT,
    EXIM Levy, COVID-19
    Recovery Levy and
    Special Import Levy
    amounting to the Ghana
    cedi equivalent of twelve
    million, nine hundred and
    thirty-eight thousand, one
    hundred and thirty-three
    euros (€12,938,133.00) on materials and equipment
    required to be procured for
    the construction and
    equipping of (3) 80-Bed
    District Hospitals at
    Osiem, Assin Kuhyea and
    Kutre No. 2; (1) 40-Bed
    Polyclinic at Dormaa
    Akwamu and Upgrading
    of the Wamfie Polyclinic
    into a 60-Bed District
    Hospital Project.
    Referred to the Finance
    Committee.
    Mr Speaker 10:58 a.m.
    Hon Members, with
    your kind indulgence, the Hon

    Papers

    Deputy Minister for Finance could

    present the items numbered 9(b) (ii)

    (iii) (iv) and (v) together, so that the

    Clerks-at-the-Table could read them

    at a go and we refer them in bulk to

    the Committee for consideration and

    report.

    It has been accepted, so Hon

    Deputy Minister for Finance, you

    may do so now.

    By the Deputy Minister for

    Finance (Mrs Abena Osei-Asare) on

    behalf of the Minister for Finance —

    11.08.m.

    ii. Request for waiver of Import Duty, Import GETFund Levy,

    Import NHIL, Import VAT,

    EXIM Levy, COVID-19

    Recovery Levy and Special

    Import Levy amounting to the

    Ghana cedi equivalent of thirty-

    seven million, eight hundred and

    ninety-one thousand, three

    hundred and twenty-three euros

    (€37,891,323.00) on project plant, machinery, materials and

    equipment required to be

    procured for Effia Nkwanta

    Hospital and the Construction of

    a Regional Hospital in the

    Western Region.

    iii. Request for waiver of Import Duty, Import VAT, Import

    NHIL, Import GETFund Levy,

    EXIM Levy, COVID-19

    Recovery Levy and Special

    Import Levy amounting to the

    Ghana cedi equivalent of

    sixteen million, three hundred

    and twenty-three thousand,

    three hundred and eighty-two

    euros (€16,323,382.00) on materials and equipment

    required for the implementation

    of the Sekondi-Takoradi Water

    Supply Rehabilitation and

    Expansion Project (Phase I) by

    Messrs STRABAG AG of

    Austria.

    iv. Concessional Loan Agreement between the Government of the

    Republic of Ghana (represented

    by the Ministry of Finance) and

    Kreditanstalt fur Wiederaufbau

    (KfW), Frankfurt am Main for

    an amount of one hundred and

    sixteen million, six

    hundred thousand euros

    (€116,600,000.00) to finance the 330kV Accra-Kumasi

    Transmission Line Project.

    v. Concessional Loan Agreement

    between the Government of the

    Republic of Ghana (represented

    Papers

    by the Ministry of Finance) and

    Kreditanstalt fur Wiederaufbau

    (KfW), Frankfurt am Main for

    an amount of thirty million

    euros (€30,000,000.00) to

    finance the Government Goes

    Solar Project.

    Referred to the Committee on

    Finance.
    Mr Speaker 10:58 a.m.
    Hon Members, we
    now move to the item numbered 9(c)
    by the Hon Chairman of the
    Committee.
    Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, with respect, 9(c) is not yet
    ready.
    Mr Speaker 10:58 a.m.
    Hon Members, we
    then move to item numbered 9(d),
    which will be done by the Hon
    Chairman of the Committee.
    Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, again, all the other Reports
    are not yet ready.

    Mr Speaker, I am getting a

    communication from my good

    Friend, the Hon Ranking Member for

    the Committee on Finance, that with

    the 9(d), some of the reports are

    ready.

    Mr Speaker, so, with your leave,

    the Hon Ranking Member will lay it

    on behalf of the Hon Chairman of the

    Committee.

    Ranking Member (Dr Cassiel

    Ato Baah Forson): Mr Speaker, just

    to say that the item 9(d), (i) to (v) are

    all ready; we discussed it yesterday

    and signed the Report.
    Mr Speaker 10:58 a.m.
    Are the five of them
    all ready and not some? As the Hon
    Ranking Member, are you prepared
    to lay them for and on behalf of the
    Hon Chairman of the Committee?
    Mr Ahmed Ibrahim — rose —
    Mr Speaker 10:58 a.m.
    Yes, Hon Member?
    Mr A. Ibrahim 10:58 a.m.
    Mr Speaker, he
    is the Hon Ranking Member of the
    Committee, so he can go ahead to lay
    all the Papers on behalf of the Hon
    Chairman. However, I heard the Hon
    Majority Chief Whip seek your leave
    to allow him to lay them on behalf of
    the Chairman. — [Interruption] — I think you did it. That is what you did.

    Papers
    Mr Speaker 10:58 a.m.
    Well, the leave is granted; he could lay them for and on behalf of the Hon Chairman of the Committee. I will go over the items again: the items numbered 9(d) (i), (ii), (iii), (iv) and (v) to be laid by the Hon Ranking Member for the Committee on Finance, for and on behalf of the Hon Chairman of the Committee.
    By the Ranking Member of the Committee (Dr Cassiel Ato Baah Forson) on behalf of the Chairman —
    (i) Report of the Finance
    Committee on the Annual Report on the Management of the Energy Sector Levies and Accounts for the Year 2021.
    (ii) Report of the Finance Committee on the Annual Report on the Collection and Utilisation of the African Union Import Levy for the 2021 Fiscal Year.
    (iii)Report of the Finance Committee on the Report of the Public Interest and Accountability Committee (PIAC) on the Management and Use of Petroleum Revenues for the Period January to December, 2021.
    (iv) Report of the Finance
    Committee on the Annual
    Report on the Petroleum
    Funds for the 2021 Fiscal
    Year.
    (v) Reconciliation Report on the
    Petroleum Holding Fund for
    the Year 2021.
    Mr Speaker 10:58 a.m.
    As the Hon Ranking
    Member stated, I am sure the Papers
    are ready and have been presented
    now. I am sure the Clerks-at-the-
    Table will proceed to make them
    available to all Hon Members for our
    attention and consideration maybe by
    tomorrow or the day after tomorrow.
    Leadership, any further guidance?
    Yes, please?
    Mr Annoh-Dompreh 10:58 a.m.
    Mr Speaker,
    we are ready to take the item
    numbered 8 on page 4.However, the
    Hon Minister for Health will have to
    withdraw that item and relay it.
    Mr Speaker, I have related
    appropriately to my Hon Colleague,
    so you may allow the Hon Minister to
    perform that function.
    Mr Speaker 10:58 a.m.
    Hon Majority Chief
    Whip, just a few minutes ago, you
    said that the Paper was not ready, but
    when the Hon Minority Leader drew
    your attention to it that we should
    start at the item numbered 8 and not
    9 — I put the question to you when you insisted that we start at the item
    numbered 9, which meant that the
    item numbered 8 was not ready; you
    said yes, it was not ready. You are
    now asking us to go back to it. Is it
    now ready?
    Yes, please?
    Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, I will defer it to you on any
    day, but what I actually said is in
    reference to the item numbered 9(c)
    and then further the item numbered
    9(d) because I had not duly received
    any communication until the Hon
    Ranking Member subsequently
    informed me.
    Mr Speaker 10:58 a.m.
    Well, let us leave it
    at that; your memory is playing tricks
    with you.
    Mr Annoh-Dompreh 10:58 a.m.
    Mr
    Speaker, very well.
    Mr Speaker 10:58 a.m.
    But it has been
    captured by the Hansard.
    Now that the Hon Minister for
    Health is available and has indicated
    that the Paper is ready, we will definitely
    move to the item numbered 8.
    Minority Front Bench, any
    objection?
    Yes, please?
    Mr Ahmed Ibrahim 11:18 a.m.
    Mr
    Speaker, the Hon Majority Chief
    Whip must come clear, and maybe
    that is why you are asking questions.
    What I understood him to have said is
    that the National Vaccine Institute
    Bill, 2022 which is before this House,
    is going to be withdrawn by the Hon
    Minister for Health, and the National
    Vaccine Institute Bill, 2022 which is
    on today's Order Paper is then going to be laid to replace the one that the
    Hon Minister is going to withdraw.

    Mr Speaker, is that not what the

    Hon Majority Chief Whip is saying?

    So, in that case, we have no

    objection. The Hon Minister for

    Health is in charge of the Bill that has

    already been laid in the House; he

    knows the date on which it was laid,

    and, therefore, he would seek your

    indulgence to withdraw that one.

    After that, he would seek your leave

    to lay this new one. We have no

    objection to that; he can go ahead.
    Mr Speaker 11:18 a.m.
    Hon Members, let
    me give the opportunity to the Hon
    Minister and hear him. Then we
    would know how to proceed. We will
    move to the item numbered 8 - Presentation and First Reading of
    Bills: National Vaccine Institute Bill,
    2022.
    Hon Minister for Health?
    Minister for Health (Mr Kwaku
    Agyeman-Manu) (MP): Mr
    Speaker, I beg to seek leave of you to
    withdraw the National Vaccine
    Institute Bill, 2022, which was laid in
    the House on 25th July, 2022.
    Mr Speaker, this action of mine
    has become very necessary because
    during the recess, after having laid
    the Bill and it being referred to the
    Committee on Health by you, we had
    cause to meet with the Committee
    and did a lot of work on the Bill. We
    realised that there were amendments
    that were not very controversial, but
    they were a bit bulky. Therefore, on
    consultation, we decided to withdraw
    and do some of the amendments
    incorporated into the Bill to enable us
    cut down the time that we would
    spend in the Chamber at the
    Consideration Stage. That is the
    rationale behind the withdrawal of
    the Bill, and immediately my leave is
    granted, I would also seek leave to re-
    lay the new one into which the
    amendments have been incorporated
    to enable us work faster in the
    Mr Speaker 11:18 a.m.
    Hon Members, the
    Standing Order 132, which is on
    withdrawal of Bills, states:
    “Either before the commencement of Public Business or at the
    commencement of any stage of a
    Bill, the Member in charge of the
    Bill may make a motion without
    notice for its withdrawal.”
    That is exactly what the Hon
    Minister has done. So, it is the second
    leg, that is, “at the commencement of any stage of a Bill”. Therefore, at the first stage, which is the First Reading,
    the Hon Minister seeks leave to
    withdraw an earlier Bill that has been
    referred to a Committee for
    consideration and Report, and he has
    the right to do so under our Rules.
    Therefore, I will grant him that
    permission to withdraw the first one,

    which was laid on 25th July, 2022,

    and then give him the opportunity, if

    the new one is ready, to present it to

    the House.

    Hon Minister, leave is so granted.

    You may withdraw the first one.
    Mr Agyeman-Manu 11:18 a.m.
    Thank you,
    Mr Speaker.
    Mr Speaker 11:18 a.m.
    Hon Members, with
    your kind permission, if the new Bill
    is ready, I call on the Hon Minister to
    now present it to the House.
    BILLS — FIRST READING
    National Vaccine Institute Bill,
    2022
    AN ACT to establish the National
    Vaccine Institute to provide for the
    coordination and supervision of
    research, development, and
    manufacturing of vaccines and sera,
    and for related matters.
    Presented by the Minister for
    Health (Mr Kwaku Agyeman-Manu).
    Read the First time; referred to the
    Committee on Health.
    Mr Ahmed Ibrahim — rose —
    Mr Speaker 11:18 a.m.
    Yes, Hon First
    Deputy Minority Whip?
    Mr Ahmed Ibrahim 11:18 a.m.
    Mr
    Speaker, I thought once the leave was
    granted and the Bill withdrawn by the
    Hon Minister, you would announce
    that the National Vaccine Institute
    Bill, 2022, which was laid on 25th
    July, 2022 in this House, is duly
    withdrawn, and the referral also
    accordingly withdrawn before we
    come to the laying of the new one.
    Mr Speaker 11:18 a.m.
    Yes, Hon Member, you
    are right. I accordingly direct that the
    earlier Bill dated 25th July, 2022 be
    withdrawn, and the referral to the
    Committee on Health for consideration
    and report to the House is also
    accordingly withdrawn. The current Bill,
    which is a revised Bill that has captured
    what was considered in the earlier one
    and now being presented to the House, is
    accordingly referred to the Committee on
    Health for consideration and report to the
    House. I so direct.
  • [Bill withdrawn by the leave of the House.]
  • Mr Speaker 11:18 a.m.
    Hon Members, I am sure that we can now move to item numbered 5?
    Mr Annoh-Dompreh 11:18 a.m.
    Mr
    Speaker, yes, we can.
    Mr Speaker 11:18 a.m.
    Hon Members, we
    will now turn to page 2 of the Order Paper, item numbered 5 - Urgent Questions. We have three Urgent Questions this morning, all directed at the Hon Minister for Health. The Hon Minister has already taken the appropriate seat. The first Question stands in the name of the Hon Member for Builsa South, Dr Clement A. Apaak. Hon Member, you may ask your Urgent Question now.
    URGENT QUESTIONS 11:18 a.m.

    MINISTRY OF HEALTH 11:18 a.m.

    Dr Clement A. Apaak (NDC — Builsa South) 11:28 a.m.
    Mr Speaker, I beg to ask the Hon Minister for Health what steps the Ministry is taking to ensure that medical doctors posted to deprived parts of the country take up their postings.
    Minister for Health (Mr Kwaku
    Agyeman-Manu) (MP): Mr
    Speaker, in the last few years, a
    growing consensus has emerged that
    policy initiatives on interventions to
    attract and retain health workers in
    deprived and underserved areas in
    Ghana have not fully yielded the
    desired outcome, and that has the
    potential to undermine healthcare
    delivery in those areas and the overall
    attainment of the Universal Health
    Coverage.
    Mr Speaker, a policy shift to
    improve processes for the
    development and implementation of
    actions that respond to current and
    forthcoming health workforce
    challenges in deprived and
    underserved areas has been
    advocated at several levels. One of
    the levels of advocacy for this is the
    enactment of the National Human
    Resource for Health Policy and
    Strategies, which was launched in
    January 2021 to provide the policy
    direction in managing human
    resource issues in the health sector.
    Mr Speaker, key among the
    thematic areas is objective (3) of the

    Urgent Questions

    policy, which states, and I beg to

    quote:

    “To develop and institute

    mechanisms to ensure retention of

    the health workforce serving in

    deprived or underserved locations

    and facilities.”

    The Ministry of Health, with

    financial and technical support from

    the World Health Organisation

    (WHO) and the Health Systems

    Strengthening Accelerator, sought to

    explore the factors that influence

    doctors and other health

    professionals to accept postings to

    deprived locations and facilities in

    the country. To ensure that the

    Ministry identified the right factors,

    the services of consultants, a human

    resource steering committee, and a

    technical working group were

    engaged.

    Mr Speaker, a survey has been

    conducted to solicit the views of

    health workers on measures to attract

    and retain them to work in deprived

    areas. From the survey, willingness

    of health workers to accept postings

    to any of the deprived areas is based

    on the following financial and non-

    financial incentives.

    Non-Financial Incentives

    Mr Speaker, non-financial

    incentives among others are

    scholarships to be granted, residential

    accommodation defined by the

    existing policies, standard medical

    equipment and transfer after three to

    five years' service upon request.

    Financial Incentives

    Mr Speaker, direct financial

    incentives recommended include 34

    per cent of basic salary as incentive

    allowance for mildly deprived areas,

    38 per cent of basic salary as

    incentive allowance for moderately

    deprived areas and 40 per cent of

    basic salary as incentive allowance

    for severely deprived areas.

    Mr Speaker, as a follow up to the

    survey, a technical review workshop

    is underway to review the various

    options that emerged from the survey

    and cost of the financial incentive

    packages that was proposed.

    Mr Speaker, for the next steps, we

    are considering the validation of the

    deprived districts at the regional

    Urgent Questions

    level; the conduct of a validation

    meeting with stakeholders to

    recommend the policy options and

    the costing of the incentive package;

    preparation of a Cabinet

    memorandum and submission of this

    memorandum to Cabinet for

    consideration.

    Mr Speaker, finally, we would

    consider a parliamentary approval for

    the findings, to assist

    implementations of the incentive

    package. It is hoped that this would

    help ensure that medical doctors and

    other professionals accept postings to

    the deprived and or under-served

    areas in order to work to attain the

    goal of the universal health populace.

    Mr Speaker, in the meantime, we

    have started advertising vacancies in

    various hospitals to recruit and fill

    these vacancies with financial

    clearance issued to the Ministry of

    Health. This exercise has started in

    earnest and by yesterday, Tuesday,

    15th November, 2022, the report I got

    from the Director-General of the

    Ghana Health Service is that close to

    110 of these young doctors have

    accepted to take positions in areas

    that are supposed to be deprived after

    we have declared vacancies in those

    areas. I thank you.
    Mr Speaker 11:28 a.m.
    Hon Member, any
    supplementary questions?
    Dr Apaak 11:28 a.m.
    Mr Speaker, I
    appreciate the response of the Hon
    Minister but in all the narration that
    he has given, as we speak, he has not
    been able to give us a firm timeline
    with regards to when these policy
    directives are going to be
    implemented. This is a practical
    reality; for instance, last year in the
    Upper East Region, of all the 10
    doctors posted there, not even one
    took up the position and, this year,
    only five of them did. Could the Hon
    Minister give us a response that
    indicates that something is being
    done, even as they look at unfolding
    these elaborate policy measures?
    Mr Speaker 11:28 a.m.
    Hon Minister, when
    would the implementation of what
    you just read start?
    Mr Agyeman-Manu 11:28 a.m.
    Mr
    Speaker, after receiving the report of
    the consultant, we are validating the
    report after which I would send the
    memorandum to Cabinet and that
    would continue the process.
    Mr Speaker, I do not have strict
    control over the time and activities.
    Some of them are exogenous; so, they

    Urgent Questions

    are outside my environment. I also

    said I would come to Parliament

    again and it would depend on when

    we would finish with the validation,

    get the Cabinet memorandum done

    and approved and then come to

    Parliament for acceptance of what we

    have agreed upon and then we shall

    roll it out. This is why I said we

    cannot wait continuously for the

    problems that we are mentioning to

    continue to persist.

    It is not only in the Upper East

    region. Last year, in the Oti Region,

    we sent 10 medical doctors there and

    only one reported. So, this time

    around, we said that we are not

    posting them like we have been doing

    in the past. We would advertise

    vacancies to tell them there are

    hospitals that have vacancies for

    medical doctors at Fumbisi and if the

    medical doctor is ready to go there

    and applies, we would interview and

    post him or her there.

    Therefore, we are putting a stop to

    that idea of getting financial

    clearance and just posting medical

    doctors anywhere that they need to

    go, while some do not go. So, they

    would sit at home and look at

    advertisements for vacancies and if

    they are interested, we would send

    them there. If they are not interested,

    we cannot continue to add on to those

    in the Teaching Hospitals and the big

    cities like Accra. That is a stopgap

    measure that we are adopting until we

    finish this particular policy, we have

    embarked on and are engaging

    ourselves in.
    Mr Speaker 11:28 a.m.
    Hon Member, any
    further supplementary question
    before I listen to others?
    Dr Apaak 11:28 a.m.
    Mr Speaker, I think
    this would be sufficient for me.
    Dr Nawaane 11:28 a.m.
    Mr Speaker, I
    would like the Hon Minister for
    Health to know that the medical
    doctors who are supposed to be
    posted to these deprived areas are not
    the doctors who require financial
    clearance. The very deprived areas
    where we have the “one-man doctor”
    or the “two-men doctors” are areas
    that require doctors who have got at
    least, five years' experience.
    Therefore, these doctors should be
    doctors in the system who already

    Urgent Questions

    have financial clearance to perform

    duties at that level. I would like to

    know what incentives there are for

    such doctors who have practised for

    four or five years and have finished

    all their rotations, probably,

    including the regional rotations and

    some aspects of the district rotations?
    Mr Agyeman-Manu 11:28 a.m.
    Mr
    Speaker, the doctors who are easily
    available to be posted to deprived
    areas are the newly qualified doctors
    who have finished their first and second
    year horsemanship. Regarding those
    who are already in the system and
    have served in places for five years,
    we would not even know who would
    like to be moved or not. We would
    not even know what programmes
    they are engaged in, so we cannot just
    pick their contact numbers or their
    list and begin posting them or
    transferring them elsewhere.
    I believe that the new strategy we
    are adopting, that is, advertising
    vacancies would mean that if a doctor
    has served somewhere for five years
    and is interested in moving, the
    advertisement would give him the
    indication of where there is a vacancy
    and when he or she applies, it would
    be seriously considered, and we
    would take that doctor there.
    However, this is a stopgap measure
    until we finish the type of work that
    we are doing. Probably, when we
    finish and kick in the incentive
    packages and so on, that is, if we
    could fund it, that would also attract
    some of these senior doctors to move
    to these deprived areas that we want
    them to go to.
    Dr Sandaare 11:28 a.m.
    Mr Speaker, in the
    Answer of the Hon Minister,
    considering the financial incentives,
    he classified deprived areas as mild,
    moderate and severe. I would like the
    Hon Minister to clarify these
    classifications. What does he mean
    by mildly, moderately and severely
    deprived areas? I would also like to
    find out under which of these categories
    the Hon Minister would put
    Daffiama/Bussie/Issa Constituency.
    Mr Agyeman-Manu 11:38 a.m.
    Mr
    Speaker, we are still working in this
    area and if the Hon Member listened
    to my Response to the Question, I
    mentioned that we are doing
    validation of deprived districts at the

    Urgent Questions

    regional level. We have asked the

    regional directors to give us areas that

    could be classified as deprived. That

    would make the distinction between

    mild, moderate and severe clearer.

    The regional directors know what

    elements would constitute that.

    Mr Speaker, in our view, there are

    places in our country that we cannot

    even sight a building that, would even

    be decent for a medical doctor to

    accept to go and live there. So, these

    things may be taken into

    consideration. However, as I said, I

    would not like to pre-empt the work

    that we are doing and have not

    completed.

    When we come out with the

    Cabinet memorandum, we would

    find a way to describe these terms

    very well. This cannot be within the

    remit of the Hon Minister alone, so

    we would continue to do

    consultations.

    .
    Mr David Vondee 11:38 a.m.
    Mr Speaker,
    thank you for the opportunity to ask a
    supplementary question. I think that
    the subject matter that is being
    discussed is very important as it is a
    really serious challenge which is
    perennial in nature.
    Mr Speaker, I would like to find
    out from the Hon Minister whether
    the Ministry has taken any steps to
    find out from the doctors what would
    make them stay, and whether the
    motivation package that the Hon
    Minister has outlined has been
    adjourned. This is because I feel that
    we need a scientific outcome to really
    take measures that are concrete
    enough to address this challenge.
    Mr Agyeman-Manu 11:38 a.m.
    Mr Speaker,
    my answer is yes. Actually, we
    conducted a survey to solicit the
    views of health workers on the
    measures to attract and retain them to
    work in deprived areas. So, we have
    actually done a lot of consultations
    with their associations and even
    individuals; we also had a technical
    working group of the consultants
    themselves. So, the consultations to
    find out what is actually taking them
    away and not allowing them to go to
    places they are posted, are all parts of

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    the inputs in the recommendations

    that the consultants gave us.

    Mr Speaker, I have engaged a

    young doctor in Sunyani Hospital. I

    asked him why they would not like to

    go beyond Sunyani Hospital. The

    only response he gave me was, “Hon

    Minister, if you add a little more

    money to our salaries, you would be

    able to attract us to the smaller areas.”

    That was a conversation between one

    doctor and I. It might not have been

    captured in the Answer I gave to the

    substantive Question. However, if we

    look at the Answer I gave about

    salary incentives, that was one of it.

    So, we have done adequate

    consultations with the health

    workers.
    Mr Yusif Sulemana 11:38 a.m.
    Mr Speaker,
    if I heard the Hon Minister right, he
    said that the Ministry now advertises
    for doctors who are willing to work in
    deprived communities to apply so
    that they post them there. Therefore,
    my supplementary question is to find
    out from the Hon Minister what
    would happen in the event that no
    doctor applies to work in those
    deprived communities?
    Mr Agyeman-Manu 11:38 a.m.
    Mr Speaker, we believe that this is a better option than doing nothing at all. In the past, we posted them to the deprived communities and no doctor went at all. However, now, after advertising, we have been able to get 110 doctors who have applied to go to certain areas where there were vacancies but no doctors went there after being posted. However, if we are not able to get doctors to apply even after advertising, we would do the normal things to try to see how we could get other doctors to go there. That is why we are bringing the incentive package.
    Mr Speaker, I must be very honest
    with the House. I go around the country from time to time, and there are some facilities where we have the ‘one hospital one doctor syndrome'. However, some places do not have at all, so we bridge it with the physician assistants that we train to do those things, and we also do referrals to districts or larger towns where we have more numbers of doctors. So, if it continues in that same process, we would know how we would solve the problem.
    Mr Speaker, this is not a current
    challenge and as you have been in the Ministry before and are well aware of it, it has always been there. However,

    Urgent Questions

    we try to find innovative ways to see how we could put some of these doctors there.
    Mr Speaker 11:38 a.m.
    Hon Minister, I
    think that you need to go beyond
    what you tabled just to inform the
    House. We have a lot of patriotic
    medical officers in this country. It is
    not just a monetary matter or a matter
    of comfort but also even the tools to
    work with. Doctors are trained to
    save lives; however, when they go to
    work and see lives, they could save
    but do not have the tools to save the
    lives, it kills them. So, even though
    for some years, we have had this
    experience of doctors not willing to
    go to some deprived areas, it is too
    acute this time.
    Hon Minister, also, the brain drain
    in the health sector is now alarming.
    Just a week and half ago, I met my
    Hon Colleague Speaker of the
    Parliament of Barbados, who
    informed me that last year and this
    year, they have been able to recruit
    400 nurses from Ghana to Barbados.
    I also met some medical officers in
    Canada who told me that they were
    no longer interested in returning to
    Ghana because of the lack of tools in
    the health facilities. So, in discussing
    this matter, I think that you have to go
    beyond what you just stated, and see
    how you could also equip the health
    facilities.
    Hon Minister, a few years ago, we
    had what we called “brain gain”;
    health personnel returned to the
    country to work because things had
    greatly improved. I think that the
    sustenance has gone down, so you
    would have to sit up; it is not just you
    but the country. It is a very serious
    matter. As of now, I know a number
    of district hospitals being manned by
    doctors who are not even paid. The
    new doctors whose financial clearance
    you just spoke about are unemployed and
    have just volunteered to go to those
    district hospitals to offer their services for
    free.
    Hon Minister, so, it is an urgent
    matter, and you need to bring the
    Public Services Commission into
    these negotiations. Their conditions
    of service in the public sector is very
    important. In a unitary state like
    Ghana, you cannot just allow medical
    doctors to decide where they should
    be posted. I do not think that is done
    in the Public Service of Ghana; there
    is some control, so you could post
    them and outline consequences for
    their refusal to accept the posting.

    Urgent Questions

    However, definitely, because of the

    scarcity, we are also aware that there

    is the need for these incentives. So, if

    you could expedite action, I am sure

    that this House would always be

    ready and prepared to support you to

    get these things resolved.

    Hon Members, we would now

    move on to the next Question

    numbered 5(b) on the Order Paper,

    which stands in the name of the Hon

    Member for Keta, Mr Kwame

    Dzudzorli Gakpey.

    Measures by FDA to address the

    Fallen Standards of Palm Oil

    Mr Kwame Dzudzorli Gakpey

    (NDC—Keta): Mr Speaker, I beg to

    ask the Hon Minister for Health the

    measures the Food and Drugs

    Authority (FDA) is taking to address

    the fallen standards of palm oil on

    local markets.
    Mr Agyemang-Manu 11:48 a.m.
    Mr
    Speaker, to ensure the safety and
    quality of food in trade, one of the
    regulatory measures employed by the
    FDA is the sampling and testing of
    products in trade. The issue of the
    adulteration of palm oil with Sudan
    dye is coming to the fore.
    In the year 2015, the FDA,
    through its monitoring activities,
    found the level of adulteration to be
    98 per cent. Due to key regulatory
    interventions implemented by the
    FDA, the level of adulteration has
    generally decreased from 98 per cent
    in the year 2015 to 23 per cent in the
    year 2021. An increase of seven per
    cent in the year 2018 to 26 per cent in
    the year 2020 was also observed.
    However, this dropped again to 23
    per cent in the year 2021.

    Mr Speaker, some of the key

    regulatory interventions employed

    included the following:

    1. Intensified monitoring of product

    safety in transit and trade,

    including annual nationwide

    sampling and testing of products;

    2. Detention, seizure, and

    mandatory disposal of adulterated

    palm oil.

    3. Public education at the palm

    oil production sites and

    markets, and the sensitisation

    of consumers.

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    4. Sanctioning and blacklisting of

    some of these culprits.

    Other initiatives taken by the

    FDA include the following:

    Training

    In collaboration with Solidaridad

    West Africa, 5,472 stakeholders,

    millers, DHOs, fabricators, and mill

    owners along the oil palm value chain

    in four major palm oil producing

    regions — Western, Eastern, Central, and Ashanti, have been trained in

    food safety, food manufacturing, and

    hygiene from August to December

    2020. This was to improve food

    handling practices and the safety of

    finished products.

    In collaboration with the artisanal

    millers and out-growers association,

    992 oil palm processors and mill

    owners were sensitised on food

    safety, adulteration, and good

    hygiene practices among others from

    23rd May to 3rd June, 2022, to

    improve compliance.

    Traceability Systems

    Development of a traceability

    concept to facilitate the indentation of

    sources of adulteration along the

    palm oil supply chain has been

    initiated. Piloting of the concept has

    commenced at the Dome and Mallam

    Attah Markets.

    FDA's Progressive Licensing Scheme

    Mr Speaker, enrolment of the oil

    palm milling facilities into the FDA's progressive licensing schemes in the

    various FDA regional offices has also

    commenced.

    Public Education Programmes

    Mr Speaker, more creative and

    innovative means of awareness

    creation: electronic and print, are

    being developed to deepen awareness

    of the dangers of the Sudan dye in

    palm oil. Public education and

    community engagement in

    collaboration with the NCCE is

    ongoing in the various metropolis in

    the Greater Accra Region at least.

    Mr Speaker, awareness creation at

    the markets, schools, lorry stations,

    churches, mosques, and other public

    places and engagements in the

    electronic media, radio, television,

    and social media to address this

    malpractice and the negative impact

    on consumer health is on-going.

    Urgent Questions

    The Way Forward and Resources

    Required

    Mr Speaker, the current 23 per

    cent level of Sudan dye adulteration

    indicates that though the malpractice

    has reduced considerably, it has not

    been eliminated, and therefore

    persists. It is imperative to continue

    and intensify enforcement activities

    to further reduce the level of

    adulteration to the barest minimum to

    safeguard public health and safety.

    This would require a number of

    resources and Government

    interventions, some of which are

    listed below:

    i. Rapid test kits for Sudan dyes

    to facilitate monitoring and

    training;

    ii. Vehicles for the inspection of

    production sites and

    monitoring;

    iii. Laboratories, equipment, and

    chemicals for the testing of

    Sudan dyes; and

    iv. Control or regulate the

    importation and distribution

    of Sudan dyes.

    Mr Speaker, we have the following

    programmes that are upcoming:

    • Engagement with market

    queens, and aggregators to

    enrol them into the

    traceability system;

    • Continuous monitoring of

    palm oil supply chain actors

    for compliance, food safety,

    traceability, and record

    keeping;

    • Collaboration with the

    Artisanal Palm Oil Millers and

    Out-growers Association to

    initiate all its members into the

    progressive licensing scheme;

    and

    • Liaising with environmental

    health departments of the

    Various MMDAs at the

    regional and district levels

    to put in place a continuous

    monitoring system for oil

    palm processing activities to

    ensure practices are

    constituent with GMP

    requirements.

    Mr Speaker, I thank you.

    Urgent Questions
    Mr Speaker 11:48 a.m.
    Hon Member, any
    supplementary question?
    Mr Gakpey 11:48 a.m.
    Yes, Mr Speaker.
    Mr Speaker, thank you very much
    for the opportunity and I thank the
    Hon Minister for answering the
    Question.
    Mr Speaker, the fallen standard of
    palm oil is about 23 per cent as the
    Hon Minister alluded to, and these
    are serious issues. As we consume
    palm oil in this country, I would like
    to find out from the Hon Minister,
    since the FDA does not have offices
    in the districts, does the Ministry
    have any plans for FDA's representation in the districts for this
    kind of monitoring?
    Mr Speaker 11:48 a.m.
    Yes, Hon Minister?
    Mr Agyeman-Manu 11:48 a.m.
    Mr Speaker,
    the FDA does not have offices and
    representation in the districts, but we have
    representation in all regions, and they
    have teams that visit the districts. So, we
    have the presence of the FDA almost
    in every district in the country.
    Mr Speaker, one would see them
    visiting the markets on market days'
    one would see them visit where palm
    oil is manufactured, and that is how
    they deal with traceability issues. So,
    the FDA is present in most places.
    However, the typical Ghanaian
    challenges, when we have identified
    this, despite numerous adverts,
    despite a lot of engagements, despite
    all of the media work that we do, you
    would still have recalcitrant and
    culprits that we would chase.
    So, we have not completed that
    yet. If you look at, between 2015 and
    close to 2022, we have only managed
    to bring it down from 98 per cent to
    23 per cent. As I have said in my
    Answer, the problem still persists,
    and we would continue to work
    assiduously to see how best we can
    bring this down.
    Mr Speaker 11:48 a.m.
    Hon Members, any
    more supplementary?
    Mr Gakpey 11:48 a.m.
    Mr Speaker, as these
    fallen standards have security
    implications, I would like to find out
    from the Hon Minister, if he is
    working with the security agencies to
    clamp down on this kind of threat.
    Mr Speaker 11:48 a.m.
    Yes, Hon Minister.

    Urgent Questions
    Mr Agyeman-Manu 11:48 a.m.
    Mr Speaker,
    we work with the security agencies.
    However, traceability of these
    contaminated products cannot be the core
    duty of these security agencies. We
    collaborate and they accept us; when we
    have challenges, we call them. So, we are
    working together with them to do this
    exercise.
    Mr Speaker, the only thing is that
    we cannot renege on our duty and
    pass it on to the security agencies.
    They do not even have what it takes
    to do this work for us, but anytime
    their services are needed, they are
    ready for us, and we work with them.
    Mr Speaker, we have even set up
    what we call the Health Intelligence
    Unit (H.I.U.) with the Ministry that
    has some aspect of well-trained
    security personnel who collaborate
    with our various agencies to do a lot
    of monitoring and inspection in our
    work. So, it looks like we are doing
    some intelligence work to track the
    culprits.
    Mr Speaker, I thank you.
    Mr Frank Annoh-Dompreh —
    rose—
    Mr Speaker 11:48 a.m.
    Hon Leader, I
    thought the Hon Member has one
    more supplementary and that ends it?
    Mr Gakpey 11:48 a.m.
    Mr Speaker, the Hon
    Minister mentioned in his Answer
    provided to the House that the
    Government is yet to procure
    laboratory reagents and equipment,
    as well as, Rapid Diagnostic Test
    (R.D.T) kits for testing palm oil in
    our markets. That would be easier to
    address the fallen standard. I would
    like to know from the Hon Minister,
    when that would be available.
    Mr Speaker 11:48 a.m.
    Yes, Hon Minister.
    Mr Agyaman-Manu 11:48 a.m.
    Mr
    Speaker, we would work on these as
    soon as resources are readily
    available. We search for resources to
    do some of these things, and when we
    lay hands on them, we would roll out
    and work very quickly with them.
    Mr Speaker 11:58 a.m.
    Yes, Hon Majority
    Chief Whip.
    Mr Frank Annoh-Dompreh
    (NPP — Nsawam/Adoagyiri): Mr
    Speaker, I would like to tease the
    mind of the Hon Minister.

    Urgent Questions

    Mr Speaker, there is a concept of

    traceability; in developed

    jurisdictions standards go hand-in-

    hand with traceability. I do not know

    if it has come up to the notice of the

    Hon Minister, and in the scheme of

    things, it is one of the things he

    considers appropriate regardless of

    the fact that the percentage of

    adulteration is reducing. Would the

    Hon Minister consider traceability as

    one of the solutions?

    Mr Speaker, finally, the Ministry

    cannot have the strength, the

    financial muscle, to be in all the

    districts. However, fact be told, in the

    Eastern Region, for instance, the

    production of palm oil is largely

    concentrated in some parts of the

    region.

    So, more or less and for want of a

    better expression, does the Hon

    Minister consider building some

    cluster of his officers who could

    concentrate on some of the strongly-

    populated areas where palm oil is

    produced? I do not know if it has

    come up to him and he would want to

    deal with it in that approach.
    Mr Speaker 11:58 a.m.
    Yes, Hon Minister?
    Mr Agyeman-Manu 11:58 a.m.
    Mr
    Speaker, the second part of the Hon
    Majority Chief Whip's comment is just for me to take notice and see how
    best we could incorporate that into
    our work. For traceability issues, I am
    very happy to announce that we have
    actually started with a project called
    Traceability Project 1. We are doing
    that in consultation and collaboration
    with USAID. The Americans have
    trained a couple of our young
    pharmacists who are now even doing
    presentations outside within the
    ECOWAS Sub-Region for the
    Traceability Projects to take off. So,
    we have taken that issue very
    seriously and started working to
    ensure that we can do the Traceability
    Projects in-country and not only for
    palm oil, but for all other medical and
    food products.
    Mr Speaker 11:58 a.m.
    Hon Members, we
    would now move to the last Urgent
    Question which stands in the name of
    the Hon Member for Central Tongu,
    Mr Alexander Roosevelt Hottordze.
    The Hon Member may ask his
    Question now.
    Mr Kwame D. Gakpey 11:58 a.m.
    Mr
    Speaker, my Hon Colleague is out of
    the jurisdiction; he is currently in
    Israel and I have his mandate to ask

    Urgent Questions

    the Question on his behalf. I would

    please like to ask for your leave to ask

    the Question on his behalf.
    Mr Speaker 11:58 a.m.
    Yes, please go
    ahead.
    Reasons for Shortage of
    Essential Drugs in Health
    Facilities in Ghana
    Mr Kwame D. Gakpey on behalf
    of Mr Alexander Roosevelt
    Hottordze (NDC - Central Tongu):
    Mr Speaker, I beg to ask the Minister
    for Health what has accounted for the
    shortage of essential drugs in health
    facilities across the length and
    breadth of Ghana?
    Mr Agyeman-Manu 11:58 a.m.
    Mr
    Speaker, the Ministry of Health has a
    standing one-year framework
    contract and arrangement with some
    pharmaceutical companies, to supply
    selected essential medicines to all
    Regional Medical Stores and
    Teaching Hospitals across the
    country. The pharmaceutical
    companies have currently halted the
    supply of the medicines to the
    beneficiary institutions. They have
    indicated the huge indebted of the
    Regional Medical Stores and
    Teaching Hospitals to them as the
    main reason for the non-supply of the
    medicines.
    The Regional Health Administration
    and Teaching Hospitals, have in turn
    attributed their huge indebtedness to
    the pharmaceutical companies to the
    delayed reimbursement of the National
    Health Insurance Authority (NHIA) to
    health facilities. The Ministry of
    Health, as part of efforts to avert the
    disruption in the supply of essential
    medicines, has engaged the various
    pharmaceutical governing bodies in the
    country; the Ghana National Chamber of
    Pharmacy, the Pharmaceutical
    Manufacturers Association of Ghana,
    the Pharmaceutical Importers and
    Wholesalers Association of Ghana and
    the Pharmacy Council among other
    stakeholders.
    They have indicated that aside
    their foremost challenge which is the
    high level of indebtedness by the
    Regional Medical Stores and
    Teaching Hospitals, the non-supply
    of the medicines is also greatly
    impacted by the current
    overwhelming economic challenges
    that I am trying to list below:
    • The rapid depreciation of the Ghanaian cedi against the
    United States dollar;

    Urgent Questions

    • Increase of cost of sea and air freights;

    • Increase of cost of raw materials;

    • Increase on the interest on the cost of borrowing; and

    • Increase in cost of fuel.

    The Ministry is working earnestly

    with all stakeholders, particularly the

    pharmaceutical companies, to ensure

    the availability and easy accessibility

    of medicines in the country. On our

    last check in the course of the week,

    it came to our notice that a number of

    them have started supplying the

    medicines as of Monday. Mr

    Speaker, I thank you very much.
    Mr Speaker 11:58 a.m.
    Hon Member, any
    supplementary question?
    Mr Gakpey 11:58 a.m.
    Yes, Mr Speaker.
    In the Answer provided, the Hon
    Minister mentioned high cost of fuel
    and high cost in terms of imported
    materials for the pharmaceutical
    industry. I would like to find out from
    the Hon Minister what steps he is
    taking to mitigate, on behalf of the
    pharmaceutical industry, to bring the
    cost down?
    Mr Speaker 11:58 a.m.
    Yes, Hon Minister?
    Mr Agyeman-Manu 11:58 a.m.
    Mr
    Speaker, we have submitted some
    proposals to the Ministry of Finance
    to see how best they can help us to
    bring down the cost of medication in
    the country.
    I would want to believe that when
    the budget is read, some of these
    policy initiatives may be announced
    for the approval of the House. When
    that is done, we would altogether
    succeed to bring down the cost of
    some of these medications for our
    use.
    Mr Speaker 11:58 a.m.
    Hon Member, your
    last supplementary question?
    Mr Gakpey 11:58 a.m.
    Mr Speaker, the Hon
    Minister mentioned high
    indebtedness at the regional and
    national levels, as well as the
    Ministry. What accounted for this
    delay in payment to the various
    pharmaceutical industries in terms of
    supply of essential drugs?
    Mr Speaker 11:58 a.m.
    Yes, Hon Minister?

    Urgent Questions
    Mr Agyeman-Manu 11:58 a.m.
    Mr
    Speaker, we are working with the
    Regional Medical Stores to ensure
    that this indebtedness is brought
    down to manageable levels. We have
    challenges; they rely on
    reimbursements of health insurance
    claims. I would not say that we have
    done perfectly or very well, but we
    continue releasing reimbursements to
    the facilities. In some instances, when
    they get their reimbursed payments,
    they refuse to pay the pharmacists
    and that is causing a big problem for
    us.
    We are looking at innovative ways
    to try to see how best this could be
    resolved. We have asked the
    pharmacists after we engaged with
    them not too long ago, to give us the
    indebtedness of the various hospitals
    such that we would begin to do
    deductions at source from their health
    insurance claims, which would
    enable them get their moneys
    promptly to continue our supply.
    That is what we are now working on
    and I believe that things would be
    fine.
    We have a list of hospitals that
    owe these pharmacists and any time
    we confront them, they talk about
    reconciliation and that has become a
    bit bulky. However, we are working
    seriously to facilitate and get these
    things down to manageable levels in
    order to enable the pharmacists
    continue to supply the medications.
    So, we are working on this as well.
    rose
    Mr Speaker 11:58 a.m.
    Yes, Hon Ranking
    Member?
    Mr Kwabena Akandoh 11:58 a.m.
    Mr
    Speaker, in Section 52(1) of the
    National Health Insurance Act, 2012,
    (Act 852), it is clear as to when the
    collections should be lodged into the
    National Health Insurance Fund. Mr
    Speaker, what has been the challenge
    that the Authority would always have
    to owe the service providers in
    multiples of months — sometimes six
    or nine months and that trickles down
    to the importers and manufacturers of
    the pharmaceutical products?
    I would like to ask, the Hon
    Minister also stated that the
    pharmaceutical producers have
    started supplying since Monday, 14th
    November, 2022. I am aware that the
    Private Health Facilities Association
    of Ghana (PHFAoG) has also come

    Urgent Questions

    out to say that they are not supplying

    them with medicine, so what would

    the Hon Minister do to ensure that

    indeed, the health facilities are

    receiving medicines from the

    pharmaceutical industry.
    Mr Speaker 11:58 a.m.
    Yes, Hon Minister?
    Mr Agyeman-Manu 11:58 a.m.
    Mr Speaker, if
    I heard my Hon Colleague right, when he was talking about private health facilities. Unfortunately, the framework contracting agreement that we have with these manufacturers and pharmaceutical suppliers only takes care of the public sector facilities. The private healthcare facilities are supposed to procure their own medications and equipment, and do their work privately and charge for what it is. So, these arrangements we have are only for those government hospitals that are within the control of the Ministry of Health and Christian Health Associations and the Teaching Hospitals that we collaborate with.
    These are the ones that we have
    engaged to do that because we cannot procure for the private sector.
    Mr Akandoh 12:08 p.m.
    Mr Speaker, this is
    a very critical issue in the country; if
    we are not very careful, it would lead
    to high morbidity and mortality. The
    private health association or private
    health facilities are not able to
    purchase their own medicines or
    drugs because the National Health
    Insurance Authority is owing them.
    So, if they are left to purchase their
    own medication, how do they do
    that? I want the Hon Minister to
    indicate what he is doing. That is why
    I linked it with the National Health
    Insurance Act because they are
    supposed to pay them within 30 days
    after the collection of the levies. How
    would they be able to purchase? This
    is because the teaching and
    government hospitals alone cannot
    take care of the people in this country
    - so, he must be concerned. He should tell us what he is doing in
    order to ensure that these people get
    the medicines to take good care of the
    good people of this country.
    Mr Speaker 12:08 p.m.
    Hon Minister, I am
    sure you got the question. If you got
    it, please respond.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    probably, if I explain the framework
    contract arrangement, my Hon
    Colleague would understand better.
    What we do is that we advertise for
    people who can supply about 06 of
    the essential medicines, through the

    Urgent Questions

    procurement system; then we engage

    them through the procurement

    authority and central tender and we

    lock them into certain prices that they

    cannot easily change. We then tell

    our doctors that we have signed

    agreements with these particular

    pharmacy suppliers to sell

    paracetamol or a particular drug to

    them at a particular price. We do not

    stop the private sector people from

    buying from them. The benefit is that

    they can also go and buy from them

    at the same price that we have

    arranged to get for our facilities. That

    is the benefit of it.

    We do not cut them off but they

    are not directly part of the framework

    agreement that we engage in because

    they run their own private facilities,

    they know where they procure their

    things. However, we create an

    opportunity for them to actually take

    prices the way we have arranged with

    the suppliers and that is what we

    actually —
    Mr Speaker 12:08 p.m.
    Hon Minister, he
    has gone beyond that. He says the
    money the private practitioners
    would use to buy those medicines
    that you have directed them to buy is
    locked up at the National Health
    Insurance Scheme. They have not
    been given their moneys so they do
    not have money now to buy or
    procure the medication. So, what are
    you doing to help or support them to
    do so? That is all.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    just like you were doing when you
    were the former Hon Minister for that
    sector.
    Mr Speaker 12:08 p.m.
    No! I did not have
    this challenge. At the time that I was
    the Hon Minister in 2012, this
    challenge was not there.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    all the poor Hon Minister does is to
    do follow-ups with the Finance
    Ministry to give us releases of the
    National Health Insurance levies that
    we collect and anytime these things
    come, we push Health Insurance to
    do reimbursement and they pay them.
    This idea of the Ministry of
    Finance owing Health Insurance over
    a number of months, I do not think it
    is a very new phenomenon. We have
    all gone through that.
    Mr Speaker 12:08 p.m.
    No! He is not
    talking about the Ministry of Finance;
    he is talking about the Ministry of
    Health.

    Urgent Questions
    Mr Agyeman-Manu 12:08 p.m.
    We have all
    gone through all of that. We continue
    following up and chasing them to
    make sure things are done in that
    respect. We pay them from time to
    time; we do not black out completely
    like that but there are some parts of it
    - they get their money and do certain things as priority away from what
    they should do to take their medicines
    but we are working on that. We will
    see how best these things can go.
    Mr Speaker 12:08 p.m.
    Let us take the last
    supplementary question.
    Dr Sebastian Ngmenenso Sandaare 12:08 p.m.
    Mr Speaker, from the Hon Minster's
    explanation that health facilities are
    paid, and that it is just that some of
    these health facilities do not pay the
    pharmaceutical companies - because
    the question is on essential drugs, I
    would want to find out from the Hon
    Minister whether he knows that
    essential drug availability is one of
    the most important indicators that the
    Ministry of Health measures. I also
    want to know what the Ministry is
    doing if he says some health facilities
    are paid, yet they do not ensure that
    essential drugs are available in our
    health facilities, knowing very well
    that the drug fund is a revolving fund
    that no health facility manager should
    touch.
    Mr Speaker 12:08 p.m.
    The question is,
    what is the Ministry doing, knowing
    that in spite of the payment of money
    to some of these facilities, they are
    not using it to buy the essential
    drugs?
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    what the Ministry is doing is what I
    mentioned earlier that we have
    actually started taking indebtedness
    based on pharmaceutical companies
    to do deductions at source from
    reimbursement that belong to some of
    these facilities that are not paying us.
    Moreover, we are working on
    auditing reports to look at what some
    of them are using their drug funds for
    - for possible sanctioning and et
    cetera. These are the only remedies
    that I have that we can look at. We are
    doing a lot of persuasion and
    pushing; we are upping our game to
    sanction some of these facilities that
    are not utilising their drug funds
    adequately.
    Mr Speaker 12:08 p.m.
    Hon Members,
    before we proceed, I would be
    handing over to the Hon First Deputy

    Urgent Questions

    Speaker but before I do that, we just

    laid a Paper under the item numbered

    8, “National Vaccine Institute Bill,

    2022.” I have just been given a copy.

    Hon Minister, it is not gazetted or is

    that not the Bill you laid? It is not

    gazetted and it is neither an urgent

    nor financial Bill. Is that the correct

    one? This is because what I have just

    been given is not gazetted.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    to the best of my knowledge, when
    the Bill was laid in the House, it was
    done under a Certificate of Urgency
    by the Hon Majority Leader.
    Mr Speaker 12:08 p.m.
    No! The one that
    was laid, which you referred to in
    July, is what you withdrew.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    yes.
    Mr Speaker 12:08 p.m.
    So, you have withdrawn
    it. It is no longer in existence.
    Mr Agyeman-Manu 12:08 p.m.
    Then we
    have to lay this one —
    Mr Speaker 12:08 p.m.
    The new one has to
    be gazetted before it is laid and what
    we have is not gazetted.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker,
    due to the urgency with which we are
    working with this, I would seek leave
    to actually do this under a Certificate
    of Urgency.
    Mr Speaker 12:08 p.m.
    What I can simply
    do is to ask you to withdraw it and if
    you want to come under a Certificate
    of Urgency, the procedure is in the
    Standing Orders. You can do so, and
    would then we consider it as one of
    the urgent Bills. As it is now, it is not
    properly so called a “Bill” to be laid in the House. Please, you may
    withdraw that and go and put your
    house in order.
    Hon Members, item numbered 8
    in the Order Paper, the “National Vaccine Institute Bill, 2022” is hereby withdrawn and the referral to
    the Committee on Health for
    consideration and report is also
    withdrawn. The reason being that,
    what was laid is actually not a Bill; it
    is a draft Bill. In fact, it is titled
    “Revised Version - National Vaccine Institute Bill, 2022” and it has not been gazetted. It is neither a financial
    nor an urgent Bill and so I
    accordingly direct that all the actions
    and directives given in connection
    with this matter, be withdrawn.
  • [Bill withdrawn by leave of the House]
  • Mr Speaker 12:08 p.m.
    Hon Members, with
    this, the Hon First Deputy Speaker
    would take the Chair. If you read
    Standing Order 120, 132 and the
    others on urgent Bills, you would
    understand the reason for this
    withdrawal.
    Hon First Deputy Speaker to take
    the Chair.
    12.18 p.m. — [MR FIRST DEPUTY
    Mr First Deputy Speaker 12:08 p.m.
    Yes,
    Hon Majority Chief Whip?
    Mr Annoh-Dompreh 12:08 p.m.
    Mr
    Speaker, I would like to seek your
    leave for us to vary the order of
    Business. Instead of continuing with
    the Questions, the Rt Hon Speaker
    had earlier admitted a Statement; if
    we could go and take the Statement
    after which we would come back to
    the Questions. I have related duly
    with my Hon Colleague.
    Mr First Deputy Speaker 12:08 p.m.
    Which one is the Statement, please?
    Hon Member, kindly wait. I would
    try and get a copy of the Statement.
    [Pause]—
    Very well. Hon Members, the
    Statement is on “World Toilet Day”.
    Hon Member for Sissala East, you
    may read your Statement. [Pause]—
    Mr First Deputy Speaker 12:08 p.m.
    Hon
    Members, you have sought
    permission to vary the Business with
    the consent of the Hon Majority
    Chief Whip and I have called the
    Statement. Kindly let us do the
    Statement and let us admit one
    contribution.
    Alhaji Muntaka 12:08 p.m.
    Mr Speaker, my
    Hon Colleague said the Hon Minister
    had rushed to the washroom; we did
    not know the circumstances that
    made him rush to the washroom. So,
    I said, if the Hon Minister is not
    around, definitely, we cannot just
    wait endlessly; but in the process, the
    Hon Minister started walking back to
    the Chamber and I drew his attention
    for us to finish with the Questions.
    This is because, if we open up to a
    Statement now, with the

    contributions among others, the Hon

    Minister would be left hanging and

    Hon Members who have Questions to

    ask are in the Chamber so we should

    finish that Business and move to the

    next.

    Mr Speaker, I thought that was a

    very fair way of conducting the

    Business instead of asking the Hon

    Minister to hang on while we take

    another Business. When the Hon

    Minister was going out, we did not

    know how long he may take because

    we did not know the circumstances

    that made him rush out. However, on

    his way back to the Chamber, I drew

    my Hon Colleague's attention to let him continue so that we could finish

    with one Business and start with

    another.

    Thank you.
    Mr First Deputy Speaker 12:08 p.m.
    Yes,
    Hon Majority Chief Whip?
    Mr Annoh-Dompreh 12:08 p.m.
    Mr
    Speaker, let him have the day because I do not get the point but whatever we would do to ensure that we have a smooth conduct of Business, I would defer to him to have his day and let us revert to the Hon Minister.
    [Interruption] — Yes, because I related to him so what is the argument about?
    Mr First Deputy Speaker 12:08 p.m.
    So,
    has it been concluded that we revert to Question time?
    Mr Annoh-Dompreh 12:08 p.m.
    Yes, Mr
    Speaker.
    Mr First Deputy Speaker 12:08 p.m.
    Very
    well, so the Statement would wait and we would revert to Question time.
    Which Question is next? Hon
    Majority Chief Whip, kindly guide me. Which was the last Question?
    Mr Annoh-Dompreh 12:08 p.m.
    Mr Speaker, I
    recall we had dealt with the last Urgent Question so we were moving on to Question *455, if my memory serves me well.
    Mr First Deputy Speaker 12:08 p.m.
    Very
    well.
    Question numbered the 455,

    Very well, I would proceed to

    Question numbered 570, which stands in the name of the Hon Member for Nalerigu/Gambaga.

    Hon Member, please ask your

    Question.
    ORAL ANSWERS TO 12:08 p.m.

    QUESTIONS 12:08 p.m.

    MINISTRY OF HEALTH 12:08 p.m.

    Mr Seidu Issifu (NDC— Nalerigu/Gambaga) 12:08 p.m.
    Mr Speaker, I beg
    to ask the Minister for Health if there are
    plans to build CHPS Compounds in the
    following communities in the
    Nalerigu/Gambaga Constituency
    to ensure access to healthcare: (i)
    Kpikparigbini (ii) Dabari (iii) Gurugu (iv)
    Soansobigi (v) Sumnibomah No. 1 (vi)
    Naminyala (vii) Nayoku (viii) La-
    Atarigu.
    Minister for Health (Mr Kwaku
    Agyeman-Manu): Mr Speaker, I
    wish to state that currently the areas
    listed in the Question have not been
    captured in our 2022 plans and
    budget for construction of CHPS
    Compounds.
    However, Dabari, Soansobigi, and Sumniboma No. 1 are all demarcated
    CHPS zones in the Sakogu sub- district prioritized for CHPS earmarked to be constructed in 2024. Similarly, La-Atarigu is a community under the Nanori-Tinsungu CHPS Zone which is also prioritised for construction in 2025.
    On the other hand, Gurugu is a
    community under Gadantinga CHPS Zone which has a compound which was operationalised in 2021.
    Additionally, Naminyala and
    Nayorku are not currently demarcated CHPS Zones. They both form part of the Bongbini CHPS Zone which has been prioritised to be constructed in 2028. This is because they are more accessible comparatively to Gambaga Health Centre, Langbinsi Health Centre, Gbangu CHPS, and the Baptist Medical Centre in Nalerigu.
    Our ability to implement these
    will also largely depend on the quantum of budgetary allocation to the Ministry in subsequent years.
    Mr Speaker, I thank you.
    Mr First Deputy Speaker 12:08 p.m.
    Yes,
    Hon Member, any subsequent questions?

    Oral Answers to Questions
    Mr Seidu Issifu 12:08 p.m.
    Mr Speaker, I
    thank you. I do not have any follow
    up questions. I am grateful.
    Mr First Deputy Speaker 12:08 p.m.
    Very
    well. I would proceed to the Question
    numbered 573, which stands in the
    name of the Hon Member for Akan,
    Mr Yao Gomado.
    Plans to Upgrade Selected Health
    Centres in Akan Constituency to
    Polyclinics
    Mr Yao Gomado (NDC — Akan) 12:08 p.m.
    Mr Speaker, I beg to ask the
    Hon Minister for Health the plans the
    Ministry has to upgrade the following
    into polyclinics: (i) Kadjebi Health
    Centre (ii) Ahamansu Health Centre
    (iii) Dodo-Amanfrom Health Centre.
    Mr Agyeman-Manu 12:08 p.m.
    Mr Speaker, we wish to state that the above-named health centres have not been captured in our 2022 plans and for that matter our budget for an upgrade this year is not feasible. We will, however, liaise with the Ghana Health Service to carry out an assessment based on this request and evaluate the facility for consideration and budgeting in the ensuing years' budgets. Our ability to implement this will largely depend on the
    quantum of budgetary allocation to the Ministry in subsequent years.
    Mr Gomado 12:08 p.m.
    Mr Speaker, the
    Hon Minister's Answer is well understood, but I would just want to plead with him to consider giving priority to, at least, one of these three health centres in the next year's budget so it could be upgraded to polyclinics in order to reduce the pressure on the St Theresa Hospital which is the only hospital in the whole Constituency. The population is about 60,000 and it is sad to say it in the House that since the independence of this nation, the Constituency has never had any polyclinic. The situation in the Constituency is so bad. One goes to the hospital and would see people that the doctors are not even able to finish —
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Member, thank you, but if you would want to ask a question, please formulate a question.
    Mr Gamado 12:28 p.m.
    Mr Speaker, I am only pleading with the Hon Minister to consider converting, at least, one of these three health centres to a polyclinic for us.

    Oral Answers to Questions
    Mr Agyeman-Manu 12:28 p.m.
    Mr Speaker, I try not to pledge or promise or even make assurances in the Chamber because I do not control the national purse, but, if we are able to source funding, I would take his plea into consideration.
    However, Mr Speaker, with your
    indulgence, I would like my Hon Colleague to try and identify which one, out of the three, is his priority so that I note it down. In case we source funding, then I would not have to come to him again to ask which one is his priority.
    Mr Gamado 12:28 p.m.
    Mr Speaker, I am most grateful.
    Mr First Deputy Speaker 12:28 p.m.
    Very well.
    Hon Member, talk to the Hon
    Minister quietly about which one is your priority.
    I would proceed to the Question
    numbered 738 which stands in the name of the Hon Member for Nabdam, Dr Mark Kurt Nawaane.

    Very well, I would continue to the

    Question numbered 1043 which

    stands in the name of the Hon

    Member for Zabzugu, Mr John

    Jabaah Bennam.

    Provision of Zabzugu District

    Hospital with a Mortuary

    Mr John Jabaah Bennam (NPP

    — Zabzugu): Mr Speaker, I beg to ask the Minister for Health when the

    Zabzugu District Hospital would be

    provided with a mortuary to reduce

    the challenge of depositing dead

    bodies at Yendi and Tamale which

    are considerable distances from

    Zabzugu.
    Mr Agyeman-Manu 12:28 p.m.
    Mr Speaker, I
    wish to state that the Ministry is
    aware of the challenges with the
    Mortuary at Zabzugu District Hospital.
    Unfortunately, the construction of a
    mortuary has not been captured in our
    2022 plans and budget.
    We will do a detailed assessment
    for consideration and budgeting in
    the ensuing years' budgets. Our ability to implement this would
    largely depend on the quantum of
    budgetary allocation to the Ministry
    in subsequent years.
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Member, any follow-up questions?

    Oral Answers to Questions
    Mr Bennam 12:28 p.m.
    Mr Speaker, it looks
    like the Hon Minister is not very sure
    when they would be working towards
    getting the mortuary for the hospital,
    but it is a very serious challenge. May
    I know from the Hon Minister when
    precisely or could he give me
    timelines when he would be able to
    do that?
    Recently, to be precise, on the 4th
    of November, 2022, I was in the
    Constituency, and there was a visitor
    that was on his way to Togo. He fell
    sick and was rushed to the hospital,
    but he passed on. The body was left
    in the corridors of the hospital for
    almost eight good hours. I had to
    arrange with the Zabzugu police to
    carry the body in their pick-up truck
    from Zabzugu to Tamale. These are
    issues that we face on a daily basis. Is
    it possible for the Hon Minister to
    consider factoring it into the 2023
    budget?
    Mr Agyeman-Manu 12:28 p.m.
    Mr Speaker, it is
    very difficult to answer some parts of
    my Hon Colleague's question. It
    would be difficult for me to answer
    the parts of the question on timelines.
    However, what I will tell my Hon
    Colleague is that I have taken note of
    his issues. Mortuaries have been a big
    challenge across the entire breadth of
    the country, not only Zabzugu, but
    we have started talking and planning
    about how we can fit some of these
    facilities with mortuaries. Therefore,
    anytime we source for funding, I
    would mark it and see what we can do
    for Zabzugu.
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Member, do you have any more
    questions?
    Mr Bennam 12:28 p.m.
    Mr Speaker, I still
    insist that the hospital is incomplete
    and the Hon Minister knows that. We
    cannot have a district hospital
    without a mortuary. If the Hon
    Minister knows where Zabzugu is —
    It is far away from other areas, at the
    extreme east of the Northern Region.
    Can the Hon Minister do something?
    Can he fast-track something for us?
    Not just Zabzugu, but also its twin
    district, Tatale. The two districts are
    in the same soup.
    Mr Speaker, I am pleading with
    the Hon Minister to do something for
    us.
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Minister, the Hon Member says you
    should do something.

    Oral Answers to Questions
    Mr Agyeman-Manu 12:28 p.m.
    Mr Speaker, I
    share in the frustration of my Hon
    Colleague and the way he is
    hammering and asking me to do
    something. He is a friend of the
    Ministry, and he quietly comes there
    from time to time. I have taken his
    plea into consideration, and I would
    ask one of the Hon Deputy Ministers
    who is available here, Mrs Tina
    Mensah, to also note our Hon
    Friend's passionate appeal for a
    mortuary so that even if I forget and
    do not find my Order Paper on which
    I am making my notes, my Hon
    Deputy Minister would remind me.
    We would try. I do not want to
    face the Committee on Government
    Assurance - [Laughter] - so, he
    should cool down a little bit. That is
    all I can say so that they do not call
    me to face the Committee on
    Government Assurance in case we
    are not able to fix anything.
    Mr Bennam 12:28 p.m.
    Mr Speaker, is the
    Hon Minister, therefore, telling me
    that he is assuring you and the entire
    House that he is going to try so that
    on his failure to do that, we could
    bring him to the Committee on
    Government Assurance?
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Member, that is precisely what he is
    trying to avoid. He says he does not
    want to give assurances which may
    land him before the Committee on
    Government Assurance, but he would
    try. So, please take his word and keep
    reminding him at the Ministry. He
    says he will give you assurance

    Very well, I would proceed to the

    next Question. It stands in the name

    of the Hon Member for Anyaa

    Sowutuom, Dr Dickson Adomako

    Kissi.

    Alhaji Muntaka Mohammed-

    Mubarak: Mr Speaker, you skipped

    the Question numbered 738.
    Mr First Deputy Speaker 12:28 p.m.
    Hon
    Member, it was not skipped. It was
    called, but there was nobody to ask
    the Question so I moved on. I would
    proceed, and at the end of it, I would
    come back if the Hon Member is in
    the Chamber.
    The next Question stands in the
    name of the Hon Member for Anyaa
    Sowutuom.
    Mr Kwadjo Asante 12:28 p.m.
    Mr Speaker,
    my Hon Colleague, the Hon Member

    Oral Answers to Questions

    for Anyaa Sowutuom, did indicate to

    me that I should read his Question on

    his behalf but I know I cannot do that

    without your consent. I therefore rely

    on your usual magnanimity to seek

    your permission; to ask the Question

    on his behalf.
    Mr First Deputy Speaker 12:38 p.m.
    Very
    well. You may proceed.

    Improvement of Blood Donation

    and available Benefits to Donors

    Mr Kwadjo Asante on behalf of

    (Dr Dickson Adomako Kissi) (NPP

    — Anyaa Sowutuom): Mr Speaker, I beg to ask the Hon Minister for

    Health, what activities the Ministry is

    engaged in to improve blood

    donation in the country and what

    benefits are available to donors.
    Mr Agyeman-Manu 12:38 p.m.
    Mr Speaker,
    the Ministry's priority is to improve voluntary blood donation and reduce
    the over-reliance on replacement
    donations by family relations and
    friends of patients who require blood
    transfusion therapy. In line with this,
    the National Blood Service (NBS)
    undertakes continuous public
    education programmes in the print
    and electronic media to heighten
    public awareness of voluntary blood
    donation. Simple but meaningful
    information on blood donation is
    published daily in the Daily Graphic
    and also through social media. There
    are also plans to engage the
    Information Services Department to
    disseminate messages on blood
    donation in the various dialects.
    Mr Speaker, the NBS has also
    established close collaboration with
    religious bodies, educational
    institutions, traditional authorities,
    and corporate organisations to
    organise blood donation drives on
    periodic basis to stock hospital blood
    banks with safe blood for transfusion.
    Blood donation activities also take
    place in some closely-knit
    communities in urban areas such as
    fishing communities and zongos. The
    Ministry has also reached out to all its
    agencies and other MDAs to
    incorporate blood donation into their
    annual work programmes. The
    response by the agencies has been
    very encouraging.
    Mr Speaker, blood donors are
    educated and encouraged to maintain
    healthy lifestyles to avoid diseases
    and to be able to donate regularly at
    least once every four months. They

    Oral Answers to Questions

    receive free blood group tests and

    medical examinations or health

    checks, and those with medical

    conditions unknown to them are

    referred to the nearest health facility

    for appropriate management. Regular

    blood donation is known to lower

    blood pressure and reduce risk of

    cardiovascular conditions such as

    heart attacks. A donation of one unit

    of blood could save up to three lives.

    People who regularly donate

    blood feel very good about their

    altruistic acts which is known to have

    positive health outcomes such as

    lower risk of depression and greater

    longevity. In addition, voluntary

    blood donors are publicly appreciated

    during the annual World Blood

    Donor Day in June, and National

    Blood Day in November, where

    deserving blood donors are awarded.
    Mr Asante 12:38 p.m.
    Mr Speaker, I am
    very grateful.
    Mr First Deputy Speaker 12:38 p.m.
    Very
    well. I will proceed to Question
    numbered 1145, which stands in the
    name of the Hon Member for New
    Juaben South, Mr Michael Okyere
    Baafi.
    Mr Alexander Acquah 12:38 p.m.
    Mr
    Speaker, I have the explicit
    permission from Mr Michael Okyere
    Baafi, the Hon Member of Parliament
    for New Juaben South to ask his
    Question, if it pleases you.
    Mr First Deputy Speaker 12:38 p.m.
    Yes,
    Hon Member, please proceed.
    Provision of Additional
    Infrastructure to the Koforidua
    Regional Hospital
    Mr Alexander Akwasi Acquah
    on behalf of (Mr Michael Okyere
    Baafi) (NPP — New Juaben South): Mr Speaker, I beg to ask the
    Hon Minister for Health, what
    additional infrastructure has been
    provided to the Koforidua Regional
    Hospital to enable it operate
    effectively as a regional hospital.
    Mr Agyeman-Manu 12:38 p.m.
    Mr
    Speaker, the Ministry of Health is in
    the process of addressing the
    challenges of the Eastern Regional
    Hospital, to provide quality
    healthcare for the people of Eastern
    Region and beyond, to include even
    those of us from far away. We are not
    only adding anything, but we are
    trying to construct a completely new
    regional hospital for Koforidua.

    Oral Answers to Questions

    Currently, the construction and

    equipping of the new Eastern

    Regional Hospital in Koforidua, is

    ongoing and at about 50 per cent

    complete. This project is expected to

    be completed by December 2023. I

    have been encouraged with pictures

    that I have seen and the site visits that

    my Hon Colleagues attend.

    Fortunately, H.E. the President went

    there and was amazed at the progress

    we have made on the construction of

    that hospital.
    Mr First Deputy Speaker 12:38 p.m.
    Yes,
    any follow-up question?
    Mr Acquah 12:38 p.m.
    Mr Speaker, thank
    you very much. That is all.
    Mr First Deputy Speaker 12:38 p.m.
    Very
    well. The next Question is numbered
    1147 which stands in the name of the
    Hon Member for Okaikwei South,
    Ms Dakoa Newman.
    Handing Over of COVID-19 Block
    of the Kaneshie Polyclinic
    Ms Dakoa Newman (NPP —
    Okaikwei South): Mr Speaker, I beg
    to ask the Hon Minister for Health,
    when the COVID-19 Block of the
    Kaneshie Polyclinic will be handed
    over to the people of Okaikwei South
    Constituency to help ease congestion
    and improve healthcare.
    Mr Agyeman-Manu 12:38 p.m.
    Mr Speaker,
    the construction of a COVID-19
    block at the Kaneshie Polyclinic is
    currently ongoing and nearing
    completion. The Ghana Health
    Service (GHS), through its Greater
    Accra Regional Directorate is
    engaging the Accra Metropolitan
    Assembly, who are the implementors
    of the project to expedite the
    completion. I would also join hands
    with them to see how the Assembly
    can quickly complete the project.
    Mr First Deputy Speaker 12:38 p.m.
    Yes,
    any follow-up question, please?
    Ms Newman 12:38 p.m.
    Mr Speaker, the
    Block has been handed over, so we
    are just waiting for when it would be
    commissioned, so that the people
    could have access to it.
    Mr First Deputy Speaker 12:38 p.m.
    Sorry.
    You are suggesting that work is
    actually completed and you are
    waiting for commissioning, is that
    right?
    Ms Newman 12:38 p.m.
    Mr Speaker, yes.

    Oral Answers to Questions
    Mr First Deputy Speaker 12:38 p.m.
    Hon
    Minister, your information does not
    appear to be sufficient.
    Mr Agyeman-Manu 12:38 p.m.
    Mr Speaker,
    that is all the information that I have.
    However, now that the Hon Member
    who is from that area has informed
    me, I would get people to go and
    inspect. When they finish the civil
    works, we would be left with
    equipment and that is what may
    probably hold off the commissioning
    a little bit, but we are in the process
    of procuring some equipment with
    time. We would look at what
    specifically we would need to put in
    there and we would try and
    commission the place.
    Mr Speaker, I would not give
    assurances but I would talk to my
    Hon Colleague outside the Chamber
    to see how best we can solve the
    problem.
    Mr First Deputy Speaker 12:38 p.m.
    Very
    well. I will proceed to the Question
    numbered 1446 which stands in the
    name of the Hon Member for Gomoa
    East, Mr Desmond De-Graft Paitoo.
    Plans to Expand Infrastructure in
    the Potsin Polyclinic
    Mr Desmond De-Graft Paitoo
    (NDC — Gomoa East): Mr Speaker, I beg to ask the Hon Minister for
    Health if there are plans to expand
    infrastructure in the Postin Polyclinic
    in the Gomoa East Constituency to
    meet the demands of the residents.
    Mr Agyeman-Manu 12:38 p.m.
    Mr
    Speaker, I wish to state that the Potsin
    Polyclinic was part of the 10
    polyclinics that were built for the
    Central Region by the Ministry of
    Health. This was commissioned for
    use in 2018, by my good self, and is
    currently in full operation, with all
    services being provided as a
    polyclinic. The theatre of the facility
    has been expanded and fully
    equipped for general surgery services
    to service the people better.
    According to the Ghana Health
    Service and the Central Regional
    Health Directorate, there are no
    immediate plans for expansion of
    infrastructure of the Polyclinic. We
    would, however, do an assessment
    based on the request, and evaluate the
    facility for consideration of further
    expansion, and budgeting in the
    ensuing years' budgets. Our ability to

    Oral Answers to Questions

    implement this will largely depend on

    the quantum of budgetary allocation

    to the Ministry in subsequent years.
    Mr Paitoo 12:48 p.m.
    Mr Speaker, I would
    like to find out from the Hon Minister
    for Health — Gomoa East in the Central Region is densely populated.
    According to the recent population
    census, it has over 308,000 people,
    and it is without any district hospital
    apart from this polyclinic.

    Currently, the polyclinic serves a

    lot of people because of where it is

    situated, mostly, accident victims

    because of the Accra-Takoradi

    stretch. The polyclinic is without any

    proper blood bank, so much of the

    blood is not stored in their facility. I

    would like to know from the Hon

    Minister if he would consider, as a

    matter of urgency, the provision of

    blood bank for the polyclinic.
    Mr Agyeman-Manu 12:48 p.m.
    Mr
    Speaker, if my Hon Colleague had
    actually let me know that the critical
    thing needed immediately is a blood
    bank, I would probably not have even
    come here to answer any Question.
    However, now that he has made his
    demand very specific, I would
    continue to say I cannot assure, but I
    will see how best I would link with
    the facility and the regional
    directorate to see how we can create
    some semblance of a blood bank for
    their use.
    Mr First Deputy Speaker 12:48 p.m.
    Yes,
    Hon Member?
    Mr Paitoo 12:48 p.m.
    Mr Speaker, I have no
    further questions to ask.
    Mr First Deputy Speaker 12:48 p.m.
    Very
    well, we would continue with the
    next Question numbered 1447.
    Plans to Upgrade Nyanyano
    Health Centre to a Polyclinic
    Mr Desmond De-Graft Paitoo
    (NDC — Gomoa East): Mr Speaker, I beg to ask the Minister for Health
    the measures or plans the Ministry is
    putting in place to upgrade Nyanyano
    Health Centre to a polyclinic due to
    the current rise of population in the
    community.
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker,
    the Ministry of Health is aware that
    the Nyanyano Health Centre lacks the
    needed infrastructure for a polyclinic,
    and have plans to upgrade the facility
    to a polyclinic. The facility currently

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    has uncompleted buildings such as

    the maternity ward, theatre and others,

    that were initiated by the chief of the

    community. However, the Ministry,

    through the Regional Directorate for

    Health Services, is engaging with

    relevant stakeholders, including the

    Gomoa East District Assembly, to

    complete these abandoned projects to

    improve upon the infrastructure to

    benefit a polyclinic standard.
    Mr Paitoo 12:48 p.m.
    Mr Speaker, from the
    Hon Minister's Answer, he said there are plans underway to upgrade the
    facility to a polyclinic. As I said,
    Gomoa East is densely populated.
    Nyanyano alone has about 75,000
    people living in that area. I would like
    to know from the Hon Minister when
    this upgrade would be done, so that
    Nyanyano Health Centre would have
    a befitting polyclinic.
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker, I
    try to shy away from questions that
    begin with ‘when' because it is difficult for me to answer those types
    of questions precisely, but that does
    not mean and imply that nothing
    would be done about it.
    Mr Speaker, I would plead with
    my Hon Colleague to take it in faith,
    and see the outcome of the
    stakeholder engagement that we are
    having. There are certain things that
    are done in some parts of the country
    in some hospitals by the Assemblies,
    individuals and philanthropists that
    do not come to the attention of the
    Ministry until they begin to face
    certain challenges, and I think this is
    one of them. As I said earlier, we
    know about the population in
    Nyanyano, and we know that it is
    ready for expansion, but resources
    have become a constraint. Going
    forward, we would see how quickly
    we can move in to solve the problem
    by engaging with the Assembly and
    chiefs, to see how best we can
    collaborate and support to get the
    place properly situated for the people
    of Nyanyano.
    Mr Paitoo 12:48 p.m.
    Mr Speaker, I would
    like to draw the attention of the Hon
    Minister to a portion in his Answer
    that says that there are facilities out
    there that have been initiated by the
    late chief - he is no more; he has passed away, so may his soul rest in
    peace. It is said that those facilities
    would serve as maternity ward,
    theatre and others, so I would like the
    Hon Minister to expedite action on it
    to make sure that this facility is
    completed to serve the people of
    Nyanyano.

    Oral Answers to Questions

    Mr Speaker, I do have any

    question for the Hon Minister again;

    it was just a contribution I made.
    Mr First Deputy Speaker 12:48 p.m.
    Very
    well, I would proceed to the next
    Question numbered 1448, which stands
    in the name of the Hon Member for
    Klottey Korle, Dr Zanetor Agyeman-
    Rawlings.
    Upgrade of Adabraka Polyclinic to
    a District Hospital
    Dr Zanetor Agyeman-Rawlings
    (NDC — Klottey Korle): Mr Speaker, I beg to ask the Minister for
    Health when the Adabraka Polyclinic
    would be upgraded to a district
    hospital to cater for the increased
    population density and demands on
    the facility.
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker,
    the Ghana Health Service has not yet
    decided to upgrade the polyclinic to a
    district hospital as the Question
    refers. However, there are a number
    of infrastructure provisions towards
    the facility to enable it deliver quality
    services to the people within its
    catchment area.
    Mr Speaker, currently, the Coastal
    Development Authority (CODA) is
    funding the Adabraka Polyclinic to
    expand the Out Patient Department
    (OPD), provision of conference
    facilities, and construction of a
    theatre and offices.
    Dr Agyeman-Rawlings 12:48 p.m.
    Mr Speaker,
    could the Hon Minister give timelines
    on when these would be completed?
    Mr First Deputy Speaker 12:48 p.m.
    Hon
    Minister, are you able to give
    timelines for what CODA is doing?
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker, I
    would not be able to give timelines,
    but I would implore my Hon
    Colleague to be talking to those of us
    from the Ministry here, myself and
    the Hon Deputy Ministers, from time
    to time, and we would keep updating
    her.
    Dr Agyeman-Rawlings 12:48 p.m.
    Mr Speaker,
    in the Hon Minister's response, he
    mentioned that the funding for the
    polyclinic is to “expand the OPD,
    provision of conference facilities and
    construction of theatre and offices”. I
    would like to find out whether the
    provision of an incinerator has been
    added to this upgrade that has been
    done because the polyclinic is in
    desperate need of one.

    Oral Answers to Questions
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker,
    from my Answer, I would
    immediately say no, but I would do
    some checks to find out. There is no
    incinerator there, so we would see
    how we can manage medical waste in
    the facility. We are mounting a
    project that would enable the
    collection of medical waste instead of
    putting incinerators in all the
    facilities, but we would check and see
    whether that arrangement would be
    more feasible for the polyclinic,
    looking at the incinerator situation.
    For now, these additions we are
    putting onto the facility does not
    include an incinerator.
    Dr Agyeman-Rawlings 12:48 p.m.
    Mr Speaker,
    I would like to inquire whether in the
    process of deciding what the priority
    was for the polyclinic, the
    administrators of the polyclinic were
    consulted on what they really needed,
    as opposed to what has been provided
    as part of the plan.
    Mr Agyeman-Manu 12:48 p.m.
    Mr Speaker, I
    am afraid I would not be able to
    answer this question; I have not been
    privy to that discussion. I do not
    know what informed the selection of
    these facilities for expansion, so I
    would not know exactly, whether the
    administrator was consulted or who
    in-charge there granted audience for
    CODA to do anything in the facility.
    I am afraid that cannot be done, but
    my Hon Colleague can always
    enquire.
    Mr Speaker, my Hon Colleague is
    an MP, so she could walk into a
    facility in her constituency and talk to
    them, and they would listen and
    answer some of the questions. She
    should be friendly with them; after
    all, she is also a doctor, and they
    would listen to her.
    Mr First Deputy Speaker 12:48 p.m.
    Very
    well, I would proceed to the Question
    numbered 1546, which stands in the
    name of the Hon Member for Ketu
    South, Ms Abla Dzifa Gomashie.
    Urgent Need for an Neonatal
    Intensive Care Unit at the Ketu
    South Municipal Hospital
    Ms Abla Dzifa Gomashie (NDC
    — Ketu South): Mr Speaker, I beg to ask the Minister for Health when
    the Ketu South Municipal Hospital
    would be given the urgently needed
    neonatal intensive care unit.
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    information gathered indicates that

    Oral Answers to Questions

    the current space of the Neonatal

    Intensive Care Unit (NICU) of Ketu

    South Hospital is inadequate to

    provide adequate service to the

    number of patients they receive. The

    Ministry plans to expand the unit, and

    is engaging the relevant stakeholders

    and partners to solicit for support for

    the expansion of the NICU at Ketu

    South Hospital.

    Mr Speaker, our ability to

    implement this will largely depend on

    the quantum of support we receive,

    and the budgetary allocation to the

    Ministry in subsequent years.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, I
    filed this Question before we rose a
    couple of months ago. This morning,
    I am very emotional because I did not
    even see this coming. I lost a baby at
    the NICU on the 30th of last month,
    and that would have been my
    nephew's daughter. I would like to ask the Hon Minister for Health
    whether he ever visited the Ketu
    South Municipal Hospital before
    answering this Question.
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    this has become a personal question,
    but I would like to inform my Hon
    Colleague that I have been to the
    Ketu South Municipal Hospital on
    two occasions. That is the day I
    toured Weta; I have walked through
    all the hospitals and facilities in that
    enclave. I would want to inform my
    Hon Colleague and others that this
    idea of NICU was not considered
    when hospitals were built in our
    country, so if one enters old hospitals
    like Ketu South Municipal Hospital
    and others, one would realise that
    NICU came on board when we
    concentrated on the maternal and
    neonatal childcare policy. The
    NICUs available are makeshifts in
    almost all hospitals.
    I visited the Korle-Bu NICU, and
    I could not believe it. They had beds
    and other things that they did not
    have space for. It is not very peculiar
    to the Ketu South Municipal
    Assembly, but I share in her
    emotions, and I wish her well. There
    are things that come up, and we
    continue to try to resolve the matter
    from time to time. Again, the
    constraints that we face is budget and
    when we get the budget, we do not let
    some of these things sit by so, we
    would see how best we can work on
    it.
    Mr Speaker, one of our challenges
    is the fact that over the past few years
    since I joined the Ministry, capital

    Oral Answers to Questions

    expenditure that is given to us only

    comes from the Annual Budgetary

    Funding Amount (ABFA) and Public

    Interest Accountability Committee

    (PIAC) that is to sit on the oil

    revenues law insists that one has to do

    something physical for us to identify

    what the money was used for. Thus,

    when we try and put things like NICU

    in hospitals, or supplementary things

    like refurbishing and maintenance,

    they do not pass the audit queries.

    Therefore, the little capital

    expenditure we get cannot be used for

    some of these things. That is why our

    efforts to upgrade these things do not

    come until we get some donor funds

    or a World Bank money or

    programme is tailored for this

    specifically, but I would take note of

    this and see how best things can go.

    We are sourcing some new World

    Bank project, PforR, that would

    strengthen the Community Health-

    based Planning Services (CHPS)

    compounds, and then do practice for

    network. We would see how best we

    can put in some maternal-child and

    neonatal issues in there and see if we

    can incorporate some of these things,

    including the provision of a NICU for

    the Ketu South Municipal Assembly.

    We have it on board; it is part of our

    plans, but money has become a

    challenge. We would see how best we

    move when we get resources. I will

    note this down and see how best we

    can support the hospital.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, the
    Hon Minister said that he visited the
    hospital. Between then and now, has
    there been any particular efforts that
    the Ministry has put in place, and
    could he kindly share that with me?
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    this is still becoming very personal,
    and I would beg to defer this question
    of hers to when we meet in the café.
    Mr First Deputy Speaker 12:58 p.m.
    Hon
    Minister, excuse me. When you meet
    where?
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    the coffee shop.
    Mr First Deputy Speaker 12:58 p.m.
    Well,
    the question was for the House. If you
    think that —
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    she is asking personally what efforts
    I have put in place.
    Mr First Deputy Speaker 12:58 p.m.
    No, it
    is in your capacity as the Hon
    Minister, not as the Hon Member for

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    Dormaa Central. As the Hon

    Minister, have you done anything

    differently?
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    there have been some interventions,
    but it is not in my capacity to actually
    apply or roll out what little
    interventions have been done since I
    visited there. I quite remember that
    the facility used its Internally
    Generated Funds (IGF) to do certain
    things in there and definitely, that has
    been done. I cannot say no to this
    question.
    Mr First Deputy Speaker 12:58 p.m.
    Very
    well. I would proceed to the last
    Question numbered 1547, and it is
    also in the name of the Hon Member
    for Ketu South.
    Expansion of the Ketu South
    Municipal Hospital
    Ms Abla Dzifa Gomashie (NDC
    — Ketu South): Mr Speaker, I beg to ask the Hon Minister for Health when the
    Ketu South Municipal Hospital would
    receive the needed expansion to cater for
    the ever-growing population in the
    Constituency.
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    the Ministry is aware that currently,
    the Ketu South Municipal Hospital
    serves a large population, but does
    not have the requisite infrastructure
    to provide better health care services
    to the people within its catchment
    area.
    Mr Speaker, the Ministry, through
    its Volta Regional Directorate, has
    plans to expand the Hospital, and is
    currently engaging all the relevant
    stakeholders and partners to solicit
    support for its expansion. Our ability
    to implement this would largely
    depend on the quantum of budgetary
    allocation to the Ministry in
    subsequent years.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, is the
    Hon Minister assuring this august
    House that this request would find space
    in the coming Budget Statement?
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker, I
    am afraid no.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, in the
    response of the Hon Minister, he
    indicated that:
    “The Ministry, through its Volta
    Regional Directorate, has plans to
    expand the hospital, and is currently
    engaging all the relevant
    stakeholders and partners to solicit

    Oral Answers to Questions

    support for its expansion. Our ability

    to implement this would largely

    depend on the quantum of budgetary

    allocation to the Ministry in

    subsequent years.”

    If the answer to my question is no,

    I am trying to marry the two; the

    Answer I have here and what he just

    gave me. That leaves me uncertain.
    Mr First Deputy Speaker 12:58 p.m.
    What
    in the Answer leaves them divorced?
    It says “in subsequent years” and not
    “subsequent year”.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, the
    coming Budget Statement would be
    for the coming year. It is inclusive of
    the year —
    Mr First Deputy Speaker 12:58 p.m.
    Yes,
    but it is not the only year but
    subsequent years.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, very
    well. May I ask my follow up
    question?
    Mr Speaker, would the Hon
    Minister consider giving us a couple
    of incubators for the NICU in the
    interim?
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker,
    my Hon Colleague is pushing me to
    do what I have vowed not do in the
    Chamber, but to rest assure her, we
    are sourcing for some funding for
    some equipment. If we get the
    ventilators, I will mark the Hon
    Member down, and see how best we
    can support her, but it is not an
    assurance. I want it to be on record.
    Mr First Deputy Speaker 12:58 p.m.
    The
    record is that if you get them; we keep
    that record.
    Mr Agyeman-Manu 12:58 p.m.
    Mr Speaker, if
    I get them. It is conditional.
    Ms Gomashie 12:58 p.m.
    Mr Speaker, I
    would like to now thank you most
    sincerely for the opportunity to ask
    the Questions, and to assure the Hon
    Minister that I would be waiting for
    him in the café.
    Mr First Deputy Speaker 1:08 p.m.
    That
    is not in the record.
    Hon Member for Nabdam, you
    may ask your Question.

    Oral Answers to Questions

    Causes of Co-Payments by NHIA

    Registered Members and Measures to

    Curtail Them

    Dr Mark Kurt Nawaane (NDC

    — Nabdam): Mr Speaker, I beg to

    ask the Hon Minister for Health what

    the possible causes of “co-payments”

    by the National Health Insurance

    Authority (NHIA) registered

    members at health facilities are and

    what concrete measures the Ministry

    is putting in place to curtail them.
    Mr Agyeman-Manu 1:08 p.m.
    Mr Speaker,
    Section 37 of Act 852 spells out the
    provider payment systems as: a) Fee
    for service; b) Diagnosis-related
    groupings; c) Capitation; or d) A
    payment mechanism that the Board,
    in consultation with healthcare
    providers and the Minister, may
    determine. The current payment system
    by the NHIA is fee-for-service for
    medicines and Ghana Diagnostic Related
    Groupings (G-DRG) for service.
    Co-payment or top-ups are not part of
    the payment at the moment. However, it
    persists, and the following have been
    given as some of the reasons for its
    occurrence:
    • Delays in claims payment;
    • Perception of unrealistic tariffs; and
    • Irregular review of tariffs (medicines and services).
    The practice has led to member
    dissatisfaction of the scheme and the
    common language being, “the NHIS is not working”.
    In addressing the issues stated above,
    the NHIA is collaborating with the
    Ministry of Finance to ensure regular
    reimbursement to service providers.
    There will be regular reviews of the tariffs
    in response to economic conditions. The
    current review was done in July, 2022 and
    the process has commenced for the next
    review. The perception of unrealistic
    tariffs will be curtailed by strengthening
    stakeholders' engagements during the process of deriving the tariffs to ensure
    acceptability and compliance.
    Mr Speaker, furthermore, in
    addressing this menace, the Ministry
    of Health (MoH), in collaboration
    with the NHIA, has undertaken the
    following measures:
    • The formation of MoH Inter- Agency Co-payment Committee

    Oral Answers to Questions

    made up of representatives from

    all provider groups to sensitise

    providers on the negative effects

    of co-payments.

    • The formation of NHIA national, regional and district

    co-payment committees to

    promptly identify and

    administer the prescribed

    punitive measures. These

    committees have been sworn

    into office and mandated to

    receive complaints on illegal

    payments, investigate, resolve

    and/or recommend offenders

    for the appropriate sanctions.

    NHIA is working towards full

    automated claims management,

    to reduce the turnaround time.

    Mr Speaker, the NHIA has

    introduced a Customer Service Desks

    currently which are operational at five

    health facilities, of which Princess

    Louis Hospital in Accra is one. The

    customer desk easily picks up member

    concerns and immediately addresses

    them. NHIA is in the process of

    introducing “The NHIA Pulpit”,

    where a branded NHIA pulpit would

    be mounted at major health facilities

    with staff to educate members and

    address the challenges of members.

    The NHIA call centre, which

    operates 24/7 and communicates with

    stakeholders in eight different

    languages, also receives member

    complaints and acts appropriately.

    Members of the Scheme are also

    issued with membership handbooks,

    which address frequently-asked

    questions on the benefit package of

    the NHIS, amongst others.
    Dr Nawaane 1:08 p.m.
    Mr Speaker, for any
    social health insurance system,
    creditability of the cost and payment
    by clients are important. With co-
    payments or top-ups, the cost to the
    end user varies from one institution to
    the other.
    To avoid all these, and to be able
    to pay realistic tariffs, Hon Minister,
    what is your opinion on the need to
    amend the law to find extra resources
    to implement the scheme?
    Mr First Deputy Speaker 1:08 p.m.
    Hon
    Member, opinions are not admissible.
    Ask questions on facts, and not
    opinions.
    Dr Nawaane 1:08 p.m.
    Alright. Does the
    Hon Minister find the need to amend
    the law for us to find extra resources
    to implement the scheme?

    Oral Answers to Questions
    Mr Agyeman-Manu 1:08 p.m.
    Mr Speaker, I
    believe my Hon Colleague is very
    much aware that we have always
    been exploring opportunities and
    avenues through which we can
    actually find a way to increase the
    resources that get into NHIA.
    Mr Speaker, my Hon Colleague
    knows, as much as I do, that the major
    sources for NHIA to run efficiently
    come from the NHIA Levy, the
    pension scheme moneys that we
    deduct and the premiums that we pay
    from individuals. We also take
    donations and contributions from
    philanthropists and donors.
    All of these are moneys that come
    from individuals. The levy is a tax.
    We do not need to amend the law to
    increase that if we all accept that that
    is the way we should go. The pension
    schemes from which we deduct two-
    and-a-half per cent was very controversial
    when we were beginning the scheme's
    setup, and, so, since we introduced it, we
    have not changed from two-and-a-half to
    anything.
    So, these are challenges for all of us,
    but if we get resources, I believe and
    know that the NHIA would work better.
    We are only praying for the day that we
    would all accept that this is the way we
    should go, and when I bring something
    based on stakeholder engagement as
    acceptable, we would move in that
    direction.
    Dr Nawaane 1:08 p.m.
    Mr Speaker, in the
    Hon Minister's Answer, he stated
    that the practice has led to members'
    dissatisfaction of the Scheme, and the
    common language is that “NHIS is
    not working”.
    I would like to tell the Hon Minister
    that this is very true. The NHIS is not
    working. Considering the fact of the
    reasons given: “delays in claims
    payment; perception of unrealistic
    tariffs; and irregular review of tariffs
    (medicines and services)” have existed
    for the past five years, does the Hon
    Minister think that there is the need for
    a national dialogue on the way forward?
    Mr Agyeman-Manu 1:08 p.m.
    Mr Speaker,
    my Hon Colleague is, again, soliciting
    my opinion. Do I think that there is the
    need for a national dialogue?
    I pause for your guidance, Mr
    Speaker.

    Oral Answers to Questions
    Mr First Deputy Speaker 1:08 p.m.
    If I
    understand you, you are saying that
    what you think does not matter. Is
    that it?
    Very well. Hon Member, you
    would have a one more opportunity.
    Dr Nawaane 1:18 p.m.
    Mr Speaker, what I
    wanted to know is — because there is
    the need, something has to start from
    somewhere, and I believe that with
    the situation that we find ourselves in
    now, the Executive wing of
    Government should be prompted to
    think of starting a dialogue that
    would either regularise the co-
    payment or remove it, or do
    something about it because it is
    making the NHIS not to work as we
    expect.

    My last question is in paragraph

    six: the Hon Minister stated that in

    addressing the issue, the NHIA is

    collaborating with the Ministry of

    Finance to ensure regular reimbursement

    to service providers. However, in reality,

    for the past five years, the Ministry of

    Finance has delayed the transfer of

    moneys belonging to the NHIA into its

    accounts as stipulated by the 30 days.

    What extra measures does the Hon

    Minister intend to take to ensure that the

    Hon Minister for Finance carries out this

    aspect of the law?
    Mr Agyeman-Manu 1:18 p.m.
    Mr Speaker,
    as an Hon Minister, I am doing all the
    best that I can do to ensure that the
    Hon Minister for Finance gives us the
    funds that we need; so, I will continue
    pressing.
    Dr Sebastian N. Sandaare 1:18 p.m.
    Mr
    Speaker, in the Hon Minister's
    Answer, specifically in paragraph 3,
    where he gives the reasons for co-
    payments, he listed delays in claims
    payment, perception of unrealistic
    tariffs and irregular review of tariffs,
    and he goes on to give the measures
    that the Ministry is taking. But if we
    look at it, it is only on the issue of the
    delays in claim payment. I would like
    to find out what he is doing to address
    the other two reasons he has listed as
    causes of co-payments?

    Oral Answers to Questions
    Mr Agyeman-Manu 1:18 p.m.
    Mr Speaker,
    the last two causes - perception of
    unrealistic tariffs and irregular
    review of tariffs - are closely knitted.
    They imply the same thing. However,
    if you go to the next two paragraphs,
    I put it in there that there would be
    regular reviews of tariffs in response
    to economic conditions.
    Mr First Deputy Speaker 1:18 p.m.
    That brings us to the end of Question time. Hon Minister, thank you for attending upon the House to answer Questions. You are discharged.
    Mr Annoh-Dompreh 1:18 p.m.
    Mr Speaker,
    we are billed to have a Committee of the Whole, but as it was earlier agreed, we would take a Statement by the Hon Deputy Minister for Sanitation and Water Resources, after which we would break into a Committee of the Whole. We are expecting the Ghana Enterprises Agency and the Ministry of Finance to give us some briefing on the ‘YouStart'. So, if you may, we should now take the Statement by the Hon Deputy Minister.
    Mr First Deputy Speaker 1:18 p.m.
    Yes,
    Hon Member for Sissala East, you may read your Statement now.
    STATEMENTS 1:18 p.m.

    Mr First Deputy Speaker 1:38 p.m.
    Hon
    Members, that was a rather long one,
    but I hope you concentrated, and are
    ready to contribute.
    Dr Zanetor Agyeman-Rawlings
    —rose—
    Mr First Deputy Speaker 1:38 p.m.
    Yes,
    Hon Member for Klottey-Korle?
    Dr Zanetor Agyeman-Rawlings
    (NDC — Klottey Korle): Mr Speaker, I thank you for the opportunity to
    contribute to the Statement made by the
    Hon Colleague on World Toilet Day.
    Mr Speaker, the theme for this
    year, which is about making visible
    the invisible is mainly about the
    impact of the sanitation crisis on
    groundwater. One of the reasons
    groundwater is so important is the
    fact that we talk about the drilling of
    boreholes, which tap directly into
    groundwater. The expectation is that
    groundwater should not be
    contaminated, as it is a source of
    drinking water for various
    communities. Therefore, in dealing
    with the impact of sanitation above
    ground, it has a knock-on effect on
    communities that may be far removed
    from these areas, but are tapping into
    groundwater which ultimately, will
    affect their health.
    Mr Speaker, in looking at some of the
    technologies available with regard to
    toilet facilities —
    Mr First Deputy Speaker 1:38 p.m.
    Hon
    Member, hold on. There is too much
    noise in the Chamber. Hon Member
    for Tema West, Mr Kingsley Carlos
    Ahenkorah, kindly resume your seat.
    An Hon Member 1:38 p.m.
    Mr Annoh-
    Dompreh, stop showing your back to
    the Hon First Deputy Speaker.
    Mr First Deputy Speaker 1:38 p.m.
    Every
    Hon Member in the Chamber must
    please resume their seats - [Pause] -
    Hon Member for Bortianor-Ngleshie
    Amanfro, Mr Sylvester Tetteh, I

    Statements

    asked that everybody resume their

    seats. Please resume your seat.
    Mr First Deputy Speaker 1:38 p.m.
    Can
    we have some silence in the House,
    please? Hon Member for Klottey
    Korle, please continue.
    Dr Agyeman-Rawlings 1:38 p.m.
    Mr Speaker.
    With regard to the issue of
    groundwater and preserving and
    protecting it as a source of drinking
    water, it is important to note that as
    we look at various technologies that
    are employed in how we expand the
    access to toilets in homes and in
    communities, we remember that with
    the crisis that we are witnessing with
    climate change, protecting and
    preserving our water bodies is key,
    and groundwater forms an important
    source of this.
    Mr Speaker, as we celebrate this
    day, it is an important thing to
    recognise the fact that access to
    sanitation and good toilet facilities
    for communities across the country is
    still not equitable, and there is not
    enough access as well. Therefore, it is
    important that we accelerate the
    access that various communities have
    to toilet facilities that are acceptable
    for all persons and does not put
    anyone at a disadvantage.
    Mr Speaker, in the Statement that
    was made, it was clear that there is a
    dissonance between the provision of
    services, and some of the needs that
    some women and girls face,
    especially around the time of their
    menstrual period. We still have a lot
    of communities where there is the
    stigma with regard to what girls do at
    this time of the month, and therefore,
    are missing several days of school,
    which also affects their
    representation growing up in terms of
    the educational access and capacity.
    Mr Speaker, it is important that the
    Government really intensifies its
    efforts to provide the toilet facilities
    in houses. Yes, the concept of One
    Household-One-Toilet is laudable,
    but one household having one toilet is not
    enough. That should be the minimum
    requirement for households. In terms of
    the provision of toilet facilities, it has
    to be based on the number of people
    who live in the house, because we can
    only have so many people using one
    particular toilet facility.
    Mr Speaker, the use of sewage as
    a source of energy should also be

    Statements

    looked at as we consider some of the

    constraints that we have in energy

    production in various communities.

    In some communities, since there is

    no access to proper toilet facilities,

    the technology that is available to be

    able to turn waste water into energy

    or to clean it up and use it as a source

    of fertiliser for the crops in the

    community. This needs to be looked

    at so that we can actually make use of

    the waste facilities in the various

    communities to support the

    communities that we are referring to;

    those that need help in terms of the

    provision of toilets.
    Mr First Deputy Speaker 1:38 p.m.
    Yes,
    Hon Member for Kwadaso?
    Dr Kingsley Nyarko (NPP — Kwadaso) 1:48 p.m.
    Mr Speaker, I am
    grateful to you for the opportunity to
    add my voice to the Statement ably
    made by Mr Amidu Issahaku
    Chinnia, who is the Hon Deputy
    Minister for Sanitation and Water
    Resources, on World Toilet Day,
    which falls on the 19th of November
    each year.
    Mr Speaker, this is a very
    important Statement, and I need to
    pat the Hon Deputy Minister on his
    back for making the Statement. We
    would either live long or die early
    based on the nature of our
    environment. If we leave in a society
    where we have a very good
    environment with proper sanitation
    and hygiene, it is more likely that we
    can guarantee longevity of our
    lifespan. That is why all steps and
    efforts must be put in place to ensure
    that the sanitation that surrounds us is
    something that will promote our well-
    being and also protect our health.
    Making provision for toilets in
    households is very important because
    in some homes and communities,
    they do not have toilet facilities and
    that is injurious to the health of those
    who live within those environments.
    Mr Speaker, at pages 7 and 8 where
    the Hon Member who made the
    Statement enumerated steps that the
    Ministry is putting in place to ensure that
    we have a clean environment, and also the
    availability of toilets in households and
    communities, it was conspicuously
    missing. The need to have public place of
    convenience in communities —

    Mr Speaker, if you go to some areas,

    especially in the new developing areas,

    Statements

    there are no public place, of

    convenience in those places. So, as

    much as we are thinking about

    families and households, we must

    also be thinking about guests, people

    who visit these communities. How do

    they get place of convenience, and

    how do they get toilets if some are not

    built there?

    So, I am thinking that the Ministry

    must also address their minds to these

    areas in ensuring that we have public

    places of convenience in

    communities which will not only

    serve the inhabitants of those areas,

    but also people who visit them.

    Mr Speaker, I think that it is

    something that is note-worthy and

    must be done. It is also painful to me

    that in this day and age, we are

    talking about the fact that we need but

    do not have household toilets. We are

    in the 21st Century, and I think that

    we need to hasten our steps and

    efforts and ensure that every

    household will have a decent place of

    convenience, mostly because of its

    health implication.

    Mr Speaker, in this country, one

    goes to buy food and sees vendors

    selling along gutters and in open

    drains. One goes to buy food and buys

    diseases; one buys food and buys his or

    her death warrant. In some areas, you

    will see that faecēs are emptied into

    open drains (gutters) and people still

    buy from such environments. So, I think

    that we need to do much to forestall

    these negative health consequences on

    our being.

    Mr Speaker, on that note, I want to

    once again, commend the Hon

    Member who made the Statement and

    also thank you for the opportunity

    given to me to add these few words to

    the Statement.

    Ms Abla Dzifa Gomashie (NDC

    — Ketu South): Mr Speaker, thank you very much.

    Mr Speaker, permit me to

    acknowledge and applaud the Hon

    Member who made the Statement,

    Hon Member for Sissala East, Mr

    Amidu Chinnia, and to say that it is a

    well-researched paper, and I

    associate myself with a lot of the

    things that he has mentioned most

    especially, the part that affects

    women and especially girls, who

    every month by nature have to

    menstruate, and I am sure that I am

    about to embarrass some people in

    the House.

    Statements

    Mr Speaker, every month, whether

    a woman likes it or not, nature will

    make you lose three or five days, and

    for some, it comes with a lot of pain,

    for others, it is longer days whereas it

    is shorter days with others.

    Mr Speaker, it is unfortunate that

    in 2022, we still do not have places of

    convenience, where a woman could

    go and change her sanitary towel

    because nature demands that she

    does.

    Mr Speaker, earlier contributors

    have also mentioned the fact that this

    keeps our girls away from school.

    The part that also saddens me greatly

    is the luxury tax on the sanitary

    towels which our girls need.

    So, you may even provide the

    facility for them to go and change

    their sanitary towels, but the cost of

    that towel itself is an issue that we

    have to deal with.

    Mr Speaker, imagine if you have

    to wrap toilet roll around your hand

    to use in place of a pad, and you do

    not even have a proper, decent toilet

    facility to use, it is most

    embarrassing, it is uncomfortable,

    and it reduces ones' dignity.

    Mr Speaker, I am truly grateful for

    this message and would like to use

    the opportunity to draw our attention

    to the Sustainable Development

    Goals (SDGs) 3 and 6. Goal 3 which

    says: “Good Health and Wellbeing” Looking up for our wellbeing as

    women, is ensuring that all our

    market places have toilet facilities

    and that our schools have toilet

    facilities, so that our girls can have a

    decent place to use not only for

    nature's call [I mean going to urinate and the second one], but also to have

    a sense of dignity to take care of

    themselves. Goal 6, “Clean Water and Sanitation”. We have fallen short of expectation.

    Mr Speaker, I would want to urge

    the House to do whatever it can to

    support this call by the Hon Member

    for Sissala East, and to finally say

    that in this country, we did have a

    policy that ensure that fuel stations

    had toilets. We can do it again. We

    can provide toilet facilities in all our

    public spaces, so that we can end the

    shame that women go through when

    they have their menstrual cycle.

    Mr Speaker, I thank you very

    much for this opportunity and urge

    the Hon Member for Sissala East to

    continue with his good work.

    Statements
    Mr First Deputy Speaker 1:48 p.m.
    Yes, Leadership?
    Mr Ahmed Ibrahim (NDC—
    Banda): Mr Speaker, thank you very much for giving me the opportunity to make few comments on the Statement ably made by the Hon Deputy Minister for Sanitation and Water Resources.
    Mr Speaker, in making these few
    comments —
    Mr First Deputy Speaker 1:48 p.m.
    Hon
    Leader, kindly permit me to extend the Sitting. Hon Members, having regard to the Business of the House, I direct that Sitting is extended.
    Please continue.
    Mr A. Ibrahim 1:48 p.m.
    Mr Speaker,
    when it comes to the provision of toilet, I think in 2017, as a country, we started very well and I make reference to us recognising that there were deficits in the provision of toilets in most of our communities.
    Mr Speaker, the Ministry of Local
    Government and Rural Development signed a memorandum of understanding with the Ghana First Company to provide toilet facilities to a number of communities.
    Mr Speaker, in 2017/2018 alone, about 2000 toilet facilities were started, and about 1,486 contractors were involved. But when the Ministry was divided into two, ownership of those facilities became a problem, and as I speak to you, most of those toilets have been abandoned.
    Mr Speaker, when one is
    travelling from Accra to Kumasi or to the Brong Ahafo Region, one would realise that there are uncompleted toilet facilities on both sides of the road. If we are able to complete the 2000 toilets alone, it will help a lot in closing the gap between the “haves” and the “have nots” in terms of the provision of those toilets.
    Mr Speaker, one mistake that we
    did as a country was that because it was a private company that signed the memorandum of understanding with the ministry to do this project, we did not take into consideration the needs, of the number of people in some of the communities. So, you go to a small community with a population of about 500, and they were given a 20-seater toilet facility of about two or three. As a result of this, these toilet facilities are not economically viable because there would be operation at costs as we operate them.

    Statements

    Mr Speaker, in commending the

    Maker of the Statement for bringing

    this to our attention, I would like to

    draw the attention of the Ministry of

    Local Government, Decentralisation

    and Rural Development and the

    Ministry of Sanitation and Water

    Resources that they should liaise or

    continue with the memorandum of

    understanding that was signed,

    though the matter is with the

    Attorney-General, to make sure that

    the company is able to secure funding

    to complete them.

    If the company is unable to secure

    funding, the Ministry should adopt all

    those 2000 toilets for us to see a way

    of completing them because it is part

    of our national resources, whether

    which private or public, was used to

    provide them. If we allow them to

    stay uncompleted, the company does

    not win, the contractors do not win,

    the nation does not also win, and the

    communities where they are located

    also do not benefit from them.

    Mr Speaker, therefore, with these

    few comments, I would once again

    like to commend the Maker of the

    Statement and to call on those two

    Ministries concerned to liaise with

    the Ghana First Company Ltd for us

    to complete those abandoned toilets

    enable us eradicate open defecation

    in our society. I thank you for the

    opportunity.
    Mr First Deputy Speaker 1:48 p.m.
    Very
    well. Yes, Majority bench?
    Mr Kwabena Okyere Darko-
    Mensah — rose —
    Mr First Deputy Speaker 1:58 p.m.
    Yes,
    Hon Minister for Western Region?

    Mr Kwabena Okyere Darko-

    Mensah (NPP — Takoradi): Mr Speaker, I believe that the Hon

    Member who made the Statement,

    the Hon Deputy Minister, has done a

    yeoman's job. The basic fact is that there are some things that we do not

    want to talk about. However, I

    believe that this Statement has made

    the invisible visible.

    Mr Speaker, if one looks at

    sanitation and ground water, clearly,

    we would all understand that when

    somebody practises open defecation,

    he endangers everybody, and that is

    the reason we need to look at this

    Statements

    business of toilets, especially at home.

    It is key in national development.

    Mr Speaker, I remember when I

    first came to Parliament. I thought the

    business of talking about toilets was

    a big taboo till the Hon Prof Aaron

    Mike Oquaye broached the matter as

    a major Statement on the floor of this

    House, and I believe that till date, we

    have all tried every year to celebrate

    it.

    Mr Speaker, I believe that in the

    same way we have the energy, the

    power, and the resources to organise

    funerals in our homes and for our

    homes, we should have the same

    energy to build toilets at home for

    ourselves and our family. In the same

    way we have energy to organise big

    parties, birthdays, five-year

    celebrations, among others, every

    year, we should have the same energy

    to build toilets in our homes.

    Mr Speaker, when I was the

    Chairman of the Finance Committee

    of the Metropolitan Assembly of

    Sekondi-Takoradi, I always insisted

    that I would not build community

    toilets. The toilets have to be built at

    home. I would like to tell the House

    that people were eager to pay the 50

    per cent cost towards the Urban

    Environmental Sanitation Project

    (UESP) to get a toilet in their homes,

    and it was always oversubscribed.

    Therefore, I believe that if we put our

    national energy towards making sure

    that the 18 per cent of Ghanaians who

    do not have toilets have toilets, we

    would be able to cross over the

    bridge.

    Mr Speaker, one of the biggest

    challenges is that when there are no

    toilets in homes and in schools, it

    becomes a problem, especially for the

    girl child, because they have special

    needs. Sometimes, in the coastal

    areas of this country, when one sees

    the way we have openly defecated

    and made those places tourist-

    unattractive, clearly, I believe that we

    have to do something more than what

    we are currently doing to make sure

    that the 18 per cent of Ghanaians who

    do not have toilets in their homes do

    have it.

    Mr Speaker, there are also public

    toilets that already existed. I believe

    that if one looks at what Ghana First

    Company Ltd was trying to do, which

    has not been successful, we might

    have to relook at the package and see

    whether the Assemblies can value

    them at their level, not at those

    expensive levels that those projects

    Statements

    were built, and, maybe, absorb them

    and make sure they become

    productive. This is because we also

    have the 2007 Jubilee Year toilets,

    which are also scattered across the

    length and breadth of the country.

    That also needs to be done so that

    they are productive because we

    cannot keep that capital sitting idle. It

    is better we complete them, generate

    some revenue out of them, and use it

    in maintaining them or even use the

    proceeds that we get out of it to

    support those who want to build

    toilets in their homes.

    Mr Speaker, I believe that by now,

    as a country, we should demarcate

    that for all Metropolitan and

    Municipal areas, there should not be

    public toilets, unless, maybe, they are

    building it in a school or at lorry

    parks, so that whatever revenues or

    moneys they have, they should be

    able to use that to support households

    to make a contribution as well and be

    able to use that to build toilets in their

    homes. This is because sanitation at

    home is always better than communal

    sanitation; if one is not careful, one

    might pick diseases from the

    communal toilet, which he does not

    want to bring home. I believe that

    even if a disease starts from homes

    and people use home toilets, we are

    clearly sure that it can be contained at

    that level and not spread to the larger

    community.

    Mr Speaker, with these few words,

    I believe that the call by the Ministry

    of Sanitation and Water Resources is

    key in making sure that we provide or

    get our own toilets and make sure that

    sanitation and health are upheld in

    our communities, in our institutions,

    and in our country. I thank you for the

    opportunity to add my voice.
    Mr First Deputy Speaker 1:58 p.m.
    Very
    well.
    Mr Yelviel Baligi Bakye — rose —
    Mr First Deputy Speaker 2:08 p.m.
    Hon
    Member, I was looking for you
    earlier. I did not know you had
    moved forward, but when I came to
    the Majority bench, you deferred to
    the Hon Regional Minister. So, I am
    sorry, you have lost your chance.
    Hon Members, this Statement
    brings up an important issue which
    we must all pay attention to. By and
    large, many communities appear to
    be ceding the personal responsibility
    to provide toilets for their homes to

    Statements

    the public, so to speak, and we Hon

    Members of Parliament have

    unfortunately become the whipping

    boys and girls for communities where

    those facilities are not provided.

    Our focus should be to encourage

    and orientate people to understand

    that it is first and foremost their

    personal responsibilities to provide

    toilet facilities in their homes. If, as

    individuals, they may not be able to

    afford it, as a group, they should be

    able to pull resources together and

    provide it for themselves. There are

    communities that have no business

    calling on Metropolitan, Municipal

    and District Chief Executives

    (MMDCEs) or Hon Members of

    Parliament to provide them with

    public toilets, but, unfortunately, they

    have become the electoral deciders.

    What is sometimes frustrating is

    that when an Hon Member of

    Parliament manages to mobilise

    resources to build a facility for a

    community, they use it for five years

    and they tell him that it is full or it is

    broken down, and that he has to come

    back and repair it. Often, the

    community actually sells the

    services: people pay for the use of the

    facility, and they convert that cash

    and call it community resources, but

    the Hon Member of Parliament or

    Metropolitan Chief Executive is

    supposed to find resources to build

    another one for them.

    It is high time we political actors

    stood together and insisted that

    people must take responsibility for

    their personal hygiene and sanitation.

    Of course, there is always room to

    support the truly needy, but we

    should not permit entire communities

    to shirk their responsibility of

    providing toilet facilities for

    themselves.

    On that note, I thank the Hon

    Deputy minister and congratulate

    him for bringing this matter up and to

    Hon Members for contributing so

    strongly to support the Statement.

    Hon Members, it is time to revert

    to a Committee of the Whole. I will

    suspend Sitting and come back so

    that the Committee of the Whole will

    continue.

    Mr Kyei-Mensah-Bonsu — rose —
    Mr Second Deputy Speaker 2:08 p.m.
    Yes, Hon Majority Leader?
    Mr Kyei-Mensah-Bonsu 2:08 p.m.
    Mr
    Speaker, may I plead that we take an
    adjournment and after the
    adjournment, we reconverge into a
    Committee of the Whole. I think that
    would be better than suspended
    Sitting.
    Mr Second Deputy Speaker 2:08 p.m.
    Very well.
    In that case, the House is
    adjourned till Thursday, 17th
    November, 2022 at 10.00 a.m. in the
    forenoon.
    ADJOURNMENT 2:08 p.m.