WEBVTT

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Kila uchao hapa nchini,

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familia wanalazimika kufanya 
maamuzi magumu sana

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yanayohusu huduma yao ya afya

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Kama Kimberly, aliyesema,

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"Kuna wakati nafanya maamuzi
kati ya chakula changu na vidonge"

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Haikuwa raha
sababu kipato changu ni duni.

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Mfano,"Naweza nunua shampu ama kiyoyozi ?"

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Vitu tunachukulia kua ya kawaida"

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Na Debbie,aliyesema,

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"Unaweka dawa kwa mkono mmoja,

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na mahitaji ya maisha kwa mwingine.

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Sawa, ntafanya nini ?

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Nitanunua dawa

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ama kulipa bili zangu?

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Na siwezi ishi bila dawa zangu,

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na sitaishi bila kulipa bili zangu."

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Watu elfu kumi wanafariki 
kila mwezi hapa nchini,

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kwa sababu hawatumii
dawa inavyostahili,

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Watu wengi hufa
kwa kutomeza dawa

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kuzidi utumizi wa afyuni kupita kiwango
na ajali za barabara zikijumuishwa

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Lakini huwezi meza tembe
kama hutamudu gharama yake.

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Leo hii,familia ya kawaida
inatumia dola 3000 kila mwaka

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kwa matibabu.

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Takriban thuluthi moja ya wasio na bima

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walisema waliacha
kutumia dawa walivyoagizwa

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kwa ajili ya gharama ya juu

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Hata wenye bima,

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na kipato chini ya dola 35,000 kwa mwaka

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nusu yao walisema
walirukisha kumeza dawa

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kama bima haitagharamia

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Kunao watu wazima milioni kuni
kama Kimberly na Debbie

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amabao wanalazimika 
kufanya maamuzi magumu kilasiku,

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Sote tunafahamu madawa
ya kuagizwa ni bei ghali mno.

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Na mfumo wetu wa huduma za afya,

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inayobagua wengine kutopata bima
na wengineo kupata bima ya chini,

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haipi kipaombele
watu wanaohitaji usaidizi kwa sasa

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na matibabu sasa.

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Milioni kumi---- hiyo ni idadi kubwa,

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lakini ni nambari lina suluhu,

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kwa sababu pia kuna dola bilioni 10

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ya madawa mazuri haijatumika

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yanayoharibika.

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Hii ni udhalimu kwa pande mbili:

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watu kutopata madawa
wanayohitaji kua hai na kustawi,

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na ni dawa hivi
vinatumwa kasha moto la madawa

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kuharibiwa.

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Huu uharibifu unapumbaza,
lakini pia unatoa fursa.

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Nilianzisha SIRUM,

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Kiwanda cha teknolojia isio ya faida,
na wanzilishi wenza Adam na George,

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kuibadili madawa yanayotupwa
kua na manufaa

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kama vile madawa 
yaliyo kwa hili ghala

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Labda hatutaweza rekebisha

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yote yanayotufeli
katika mfumu wetu ya huduma za afya

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lakini hili tunaweza tengeneza.

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Madawa hutoka viwandani
na wauzi jumla wanao hifadhi salama

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na wakati wa kuraribika ikiwadia
wanatofua

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Wakati mwingine, hutoka vituo vya afya

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kama hospitali, famasia,na
uguzia

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wanaobaki na ziada,
zisizomezwa

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au wakati wagonjwa wanapofariki.

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Tweza nufuika na haya
madawa ziada

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kusambazia watu milioni kumi
wanaohitaji haya madawa.

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Na tunaweza fanya hivyo leo.

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SIRUM inapata madawa ziada

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kwa kuweka chombo cha matumizi tena
kwa haya majumba

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yenye ziada

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Chombo
linapojaa

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SIRUM inatuma gari
kuchukua hayo madawa,

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tunashughulikia usafirishaji,ufuatiliaji,
dhihirisho, na risiti ya kodi.

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Wafadhili wa madawa wanataka kutoa 
kwa sababu ni nafuu na rahisi

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kuliko kutofoa madawa
yenye kanuni mingi

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Na pia kunayo motisha kikodi
kutoa

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Baadaye tunafikisha haya madawa
kwa watu wazozihitaji.

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Pendekezo mpya inapokuja,

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jukwaa letu inaambatanisha matakwa 
ya mgonjwa na dawa ilioko

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Jukwaa letu basi inatoa
orodha ya kuchukua dawa bohari

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madawa yanachukuliwa
na mapendekezo kuandikwa

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Tunajega duka ya kisasa
wenye uzoefu ya karne 21

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Wanayostahili familia wenye mapato madogo

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Wagonjwa wanaweza jiandikisha
chini ya dakika tano

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na kufikia
zaidi ya madawa 500,

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yenye orodha toka
afkani

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mpaka kichaa

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Kiukweli imewakilisha asilimia 75
ya madawa yanayoagizwa

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Amerika leo.

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Pia tunashirikiana na mtandao wa madaktari
wauguzi na wasimamizi wa kesi

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katika hospitali
na kliniki huru

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wanaopendekeza wagonjwa kwetu

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Tunarahisishia wadumu wa afya
kazi

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kwa kutoa madawa
yaliyoagizwa

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kwa vile kuituma kwa famasia ya mtaa

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Na wagojwa kuchukulia
kwa moja wa washirika wetu

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ama kupelekewa madawa
nyumbani

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Kwa kutofualitia
njia ya kawaida

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tunaweza dai bei sawa na
ilio wazi -

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kama dola mbili kila mwezi
kununua takriban madawa zote

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Hii inadhihirisha bei
inayotabirika na nafuu

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ambayo watu wanaweza bajetia.

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Tumegawa dawa za kutosha
kwa takriban watu 150,000

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Lakini tunaweza fanya zaidi.

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Lengo letu ni kufikia watu milioni

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na madawa ya
dola takriban bilioni

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kwa miaka tano ijayo,

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kupanua miradi yetu hadi majimbo 12

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Kwa kiwango hii,kufikia
jamii ambao ni

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asilimia 40 kwa hao milioni 10

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waliokosa ufikavu thabiti na nafuu

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Huduma yetu moja kwa moja kwa watu milioni

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itashusha bei chini
kwa watu wengi

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Ni Walmart pekee wamezindua
bei ya dawa

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mnamo mwaka 2016,

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kwa kutoa orodha finyu wa madawa

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kwa bei iliyosimama ya dola nne

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Huu ulizindua mabadiliko makubwa,

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Kupelekea washindani wake
kutoa orodha zao

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na bei wangeshusha,

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Kwa malengo ya madawa
yenye uwazi na nafuu

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kwenye majimbo haya mapya,

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tunaweza shawishi
bei kwenye maeneo haya

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kushuka kwa jamii
wenye mapato ya chini

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Mfumo wetu wa hali ya afya ni changamani

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Inachosha,

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Ni kama hayamkini kupiga hatua.

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Tweza badili
kufikia dawa.

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Kwa kutunia madawa ya ziada
kama kigezo cha kushinikiza mabadiliko

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katika hii sekta wenye bilioni kadha

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tunaweza pindua ufikaji
kwa madwa

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kwa kuegemea msingi thabiti

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kwamba watu waoishi moja ya
nchi tajiri duniani

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wanaweza na wanafaa wafikie
kila aina ya dawa wanahitaji

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kuishi wa kunawiri

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Sitadanganya nina suluhu zote

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kurekebisha shida ilioko
katika mfumo wetu wa afya

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Lakini kufikishia mamilioni
ya watu dawa

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wanayohitaji kuishi kwa afya,

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kuokoa madawa ili kuokoa maisha -

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hio tunaweza fanya leo.

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Ahsanteni