Entries from March 18th, 2020

Our New Reality: Kenya in the Wake of Covid-19

Posted by on 18th March 2020

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It is official. Kenya has four confirmed cases of people infected with the coronavirus (COVID-19) and the numbers should be expected to rise going by the latest communication from the Health Cabinet Secretary Mutahi Kagwe.

Neighbours such as Tanzania, Rwanda, Somalia and Ethiopia have also shared in the dreaded news. It seems that the myth of our African immunity against the virus didn’t hold after all. The result of the news was a sudden sense of alertness and of course widespread panic. Kenyans, particularly the middle-class swarmed in supermarkets to stock up on house supplies in the wake of a possible nationwide lockdown.

Businesses have and will be forced to adapt to the current situation. Some have instructed their staff to work remotely to avoid subjecting them to physical contact with crowds as they make their way to the office while others have chosen to adjust the working hours. Most businesses whose offices are still in operation have scaled up their hygiene measures by providing sanitizers and constantly communicating with their staff on ways to prevent the spread of the virus.

Despite all these measures being put in place, businesses are about to go through a really trying moment for them. Most enterprises, both local and international are already experiencing a dip in their profits. The lockdown being enforced almost at a global scale is has greatly affected the aviation, tourism and exports industries.

The implications of this virus spread wide almost leaving nothing untouched.

An article on the World Health Organization (WHO) website titled ‘Coronavirus disease (COVID-19) advice for the public: Myth busters’ notes that “People of all ages can be infected with the new coronavirus (2019-nCoV). Older people and people with pre-existing medical conditions (such as asthma, diabetes, heart disease) appear to be more vulnerable to becoming severely ill with the virus.” Terminally ill people who require regular medical will surely experience more difficulty during this period. In the face of our new reality, the government should quickly find a solution for such patients lest they succumb first to these illnesses they suffer from.

For the rest of Kenyans, it should be remembered that Health CS Mutahi Kagwe advised on social distancing as one of the measures to prevent the spread of the virus. This will call on a deliberate effort by a society that is largely social to adapt and unlearn the norms in their various settings. Things as simple as handshakes are now being advised against.

Being a country that is deeply rooted in religion, the masses may be tempted to seek solace in their places of worship as they drive the fear of the virus away. Now is the time to rethink this. Religious leaders should now reassess their modes of delivering sermons otherwise this could be one sure way that the numbers can escalate from the current four cases to the hundreds. Beliefs should not precede logic if we want to fight this virus.

For those who love to indulge in some good music and booze, it may be time to put a pause on the ‘enjoyment call’. Do not risk your life and that of the next person. As witnessed in some of the most affected countries in Europe, it is because of disregarding calls for social distancing that the numbers of infected persons have shot up. Let us not stand in the way of our own safety.

All eyes are on the government right now. Citizens watching its preparedness, responsiveness and their speed of sharing information. The latter if not well executed creates loopholes that crooks can take advantage of. In the era of massive misinformation, Kenyans may likely buy any information (factual or not) just to be safe. The ministry should go out of their way to ensure a nationwide sensitization on the virus. Kenyans should also be on the lookout for suspicious people offering solutions, vaccines or testing kits. In addition to this, national and county governments coordination is crucial right now to figure out the next steps.

In the face of this pandemic, any government tactics can only be foolproof if we the citizens work hand in hand with them to fight this. Each of us has a responsibility to ensure their personal safety and that of their family, community, estate, office, town, city and country at large. It takes only one case to spread it all over the country. Let’s be vigilant and responsible during this crisis, it’s the least we can do.

Dear Women, Go Forth and Take Up Spaces

Posted by on 12th March 2020

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Equality for women. This was the resounding message that was sent out to the world as women celebrated yet another international women’s day.

The call for equality and inclusion has been made for decades but it is perhaps the slow pace its attainment has taken that has warranted these renewed efforts to see it come to fruition for the gender that accounts for more than half of the Kenyan population. These calls for equality have been echoed by actors in the political, social and corporate spaces.

So why have the scales on representation remained unbalanced even when women continue to make tremendous contributions in various sectors?

As pointed out in the three-day People Dialogue Festival, that preceded the International Women Day, the political goodwill to actualize equal representation of both genders has been lacking. Article 81 (b) of the Constitution provides, “Not more than two-thirds of the members of elective or appointive bodies shall be of the same gender.” It is on this backdrop that Parliament has come under fire over its unconstitutionality.

In a study we conducted last year, the representation of women in the current Parliament stands at 22%. Despite being the highest representation the country has recorded; Kenya still falls behind on the average 24% women representation in Sub-Saharan Africa. Several attempts by members from both Houses of Parliament to amend the Constitution have been shot down. The Executive on the other hand still has a long way to go with its appointments that have largely favoured men and political cronies.

This being the case, one would wonder whether there is a shortage of qualified women who can head ministerial and ambassadorial jobs or those who can be fielded by political parties for elective positions? It certainly isn’t true. Kenyan women have come a long way in their education. They are at par with their male counterparts if not ahead of them and have proven to be just as good if their innovativeness is anything to go by.

Unfortunately, leadership in our country has less to do with merit and capabilities and focuses more on things that don’t matter. Women especially are subjected to higher and intrusive standards to be considered worthy of leadership. Upon expressing interest to run for an elective position, a woman is bound to have her life put under a microscope and picked apart like vultures would on prey. Women have to fight through financial barriers, electoral violence, gender biases, media stereotyping and what not to make it past the post. The bar for the men, however, is quite low making it easy for them to breeze through the process.

That being said, women leaders (seasoned and young) during the People Dialogue Festival had one message to other women, be not afraid to take up spaces.

“Let’s not soft-pedal here. Leadership is never given. Inanyakuliwa (it’s grabbed),” said Narc-Kenya’s Chair, Martha Karua while addressing the crowd during a panel discussion. Being ‘nice’ isn’t likely to solve the issue of lack of political goodwill and bad attitude towards women leadership. Women are now being encouraged to kick down doors, to be louder and to demand more. Women are being encouraged to be fearless when they make the bold move of stepping in the line of fire.

Inclusion under the Sustainable Development Goals (SDGs) talks about leaving no one behind. Failure to attain equality and inclusion for Kenyan women would be a message to over 50% of the population that, women are less Kenyan. Let’s not allow that to be the case.

Citizens Duty-Bound to Safeguard Data Rights

Posted by on 24th February 2020

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The Government, respectively through the Ministry of Interior and Coordination of National Government and Ministry of Information, Communication, Technology, Innovation and Youth Affairs, has placed a call to the public, inviting them to air their views on two critical regulations: Registration of Persons (National Integrated Identity Management Systems (NIIMS) Regulations, 2020 and Data Protection (Civil Registration) Regulations, 2020. The former seeks to operationalize Registration of Persons Act, and in particular section 9A of the Act, whereas the latter seeks to operationalize the Data Protection Act, 2019.

Partly emboldened by the recent High Court ruling, which paved way for the implementation of Huduma Namba, the Government appears keen to reciprocate the favourable ruling, by complying with the directed conditions which include, inter alia, establishing applicable regulations. The High Court ruling has since been appealed at the Court of Appeal, with the appellant, the Nubian Community, raising concerns of privacy violations. The concern of the Nubian Community is not isolated. It is, in fact, reflective of the rising concern among the public regarding the safety of their data and indeed the use to which it is put.

Granted that the Government may have an undeniable justification on the need to regulate informational transaction, especially in the era of data misuse for insidious ends, such as terrorism, care must be taken to ensure that the regulator itself does not betray the trust of the regulated. In the case of NIIMS, the first issued that would perhaps need proper redress and reconciliation would be whether or not it would be mandatory to be registered into the System.

In April 2019, a three-judge bench of the High Court ruled that the exercise not to be made mandatory. It needs to be clarified whether the recent ruling, giving the Government the green light to proceed with the project, effectively reverses the earlier ruling that allowed for registration to be on a voluntary basis. A look at the NIIMS Regulations, for instance, leaves one wondering whether failure to register would leave them vulnerable, especially in so far as access to public services is concerned.

Section 10 of the Regulation provides that ‘A Government agency requiring personal particulars of an individual shall, at the first instance, rely on the NIIMS database to authenticate the foundational data of an enrolled resident individual.’ Foundational data, according to the Regulations, is defined as ‘the basic personal data of an individual for attesting the individual’s identity and includes biometric data and biographical data’. If NIIMS database becomes the primary reference source for basic information for government agencies, would anyone who opted not to register be denied services dispensed by or assigned to that office or agency?

An even more concerning issue would be the willingness by the government to duly comply with existing information related laws. The Constitution, in Article 31, provides that ‘Every person has the right to privacy, which includes the right not to have (c) information relating to their family or private affairs unnecessarily required or revealed; or (d) the privacy of the communication infringed. Article 35 guarantees access to information: ‘Every citizen has the right of access to (a) information held by the State. To pump life into various information related provisions of the Constitution, a number of legislations have since been passed, including Access to Information Act, 2016 and Data Protection Act, 2019. Compliance with the laws by government is a sustained challenge.

The question that begs is: What options remain to the public to enjoy their right to privacy and access information? Response lies in eternal vigilance. Vigilance during the preparation of the laws and also during their implementation and enforcement. Surrendering can never be an option. It is exactly for that reason that citizens of goodwill must go through the two legislations lined up for public participation on 26th and 27th February 2020 and turn out to share their views, including justified reservation they may have thereof. Citizens are duty-bound to shape the society in the manner they wish to have it serve them.

Blog by Alex Ogutu, Programme Officer at Mzalendo Trust.

What Moi’s Legacy Means to the Parliament

Posted by on 19th February 2020

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Kenya’s second and longest-serving President Daniel Toroitich arap Moi was laid to rest in his Kabarak home on Wednesday marking the end of an era for the country.

“When an old man dies, a library burns to the ground,” reads a popular African saying. One cannot think of truer words when they remember Moi. The life of the late president had a big impact, both positive and negative, in the direction this country took from independence. A fact that was echoed by MPs as they gave glowing tributes during the Parliament special sitting last week.

His demise has forced the country to reflect upon his contribution, his impact and the future of this country. While his 24-year reign elicits both feelings of admiration and bitterness, it also reminds Kenyans of heroes and heroines who shaped Kenyan politics within and outside his government. People who through their sacrifice and determination led the country to the democratization of the state that saw increased political space, freedom of speech and association and the clamour for a new constitutional dispensation.

This mourning period should then mark a defining moment for the future of Kenya. That in memory of Moi, Kenyans and their leaders should borrow lessons from his tenure and start drawing a blueprint to attain Kenya’s vision for the future.

Given the long journey, it took for the country to get to the 2010 Constitution, it should be a collective duty to uphold and promote the spirit of the Constitution. Leaders in all arms of government should stand guided by the principles and values of the Constitution that speak highly of integrity, accountability and patriotism. The law of the land remains the true north if ever we want to win the fight against the vices that ail our country.

Moi’s tenure also marks the reintroduction of multiparty democracy. This milestone was a great reminder that Kenyans regardless of the social or political class had a right of say in the political fate of the country. It set grounds to recognize that power emanates from the people and should therefore not be abused or used to the detriment of Wanjiku. If power belongs to Wanjiku, then it is upon the leaders to work every day to ensure that the law and government systems work to the benefit of the citizenry. It should never be lost on them that they work for the mwananchi.

It should also be remembered that during Moi’s era, the executive wielded more power. The current Constitution gives Parliament and the Judiciary the power to check the executive. This, therefore, means that the corruption that has thrived under the Executive for decades can be curbed with robust oversight. A strong, unbiased Parliament backed by a strong legal system equates a thriving government that works for the people.

Moi’s era was also tainted by gross violation of human rights. Even with the talks of correcting historical injustices through the BBI, the Parliament in its current form can do so through legislative processes. Parliament can prevent more violations of Wanjiku’s rights and freedoms and in turn grant her dignity through motions, statements, petitions and sponsoring bills that directly speak to the electorate’s needs.

It was during the post-Moi period that Kenya decentralized power from the national government to county governments. The transition from 8 provinces to 47 counties presented an opportune moment for services to be tailor-made to specialized needs covering all bases in the country. Parliament, particularly the Senate have a duty to protect and promote devolution. Ensuring that devolution works to the letter levels the playing for all Kenyans and makes inclusion and equality a not-so-far-fetched dream.

Moi’s life, leadership, lessons should not be in vain. Neither should the lives of those who sacrificed their lives and freedom under Moi. Beyond giving glowing tributes, leaders now have a duty to take leadership to a whole different level and leave a legacy of their own.

The Safety of Learners Shouldn’t be Taken Lightly

Posted by on 14th February 2020

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The cost of basic education in present-day Kenya seems to be life and is one that has left most parents wondering why they chose to take their children to school in the first place.

Schools that were formerly considered second homes and safe grounds for children have now become death traps. A series of tragedies emanates from our schools almost every 3 months. Each time an incident occurs, the pain incurred through loss of lives then wakes our consciousness to the monster that we have been feeding daily. What proceeds is a typical series of knee jerk reactions by the government through the Ministry of Education, which has now turned out to be that barking dog that never bites. Quickly after a tragedy we quickly return to the default mode where not much follow up is carried out and life continues as normal, but not for the immediate families.

Once more young and innocent lives in Kakamega Primary School are paying off, for what might also have been as in the past years, the mistake of a few adults. The incident adds to the pile of other ghastly incidents such as the Precious Top Talent school that cost 8 lives and other disasters in waiting such as St. Charles Mutego Educational Centre which seats just kilometres away from Precious Top Talent. These tragedies eventually lead to the disruption of training and learning in these institutions apart from exposing children to great hazards and trauma causing injustice to young children who entrust their security to adults.

The government of Kenya just like any other government globally invests a lot of resources in the attainment of basic education and promotion of education as a fundamental right. In its pursuit to improve the standards of education, it has appointed various committees, commissions and task forces to address major challenges faced by the sector. These bodies have come up with tons of reports and national standards where school safety is concerned, notably the Safety Standards Manual for Schools released in 2008 as a blueprint for enhancing school safety with a variety of safety measures to help schools improve the safety of learners. In addition, being a signatory to international conventions such as the UN Convention on the Rights of the Child alongside other protocols that dictate international standards and regulations for access, equity and quality of education.

The current state of school safety cites huge gaps in both the implementation of and adherence to these policy guidelines by relevant stakeholders. On top of that, the government is well aware that most if not all of the legal frameworks set out as guidelines for registering schools have not been fully implemented. Either way, there has not been much of an indicator that the Ministry recognizes the importance of school safety when it comes to attainment and provision of quality education contravening The Children’s Act (2001).

With schools still operating in dilapidated states and cases of overcrowding in classrooms, it is evident that even with the issuance and existence of safety manuals and measures very little seems to be happening to tackle these disasters.

The issue of safety and security is not one to be taken lightly as it is the case. For a while, the government has been pussyfooting around this issue at the expense of innocent lives. The most it has offered is threats and promises all year round with no action.

The Kakamega Primary School stampede once again turns the spotlight on how unsuccessful the ministry has been in achieving schools’ safety precaution. In a quick response to the matter, the Ministry of Education directed that the school be closed for further investigation. This comes months after the unfortunate tragedy at the Precious Top Talent School, where a similar directive was given at a nationwide scale to ensure no future casualties. It is on the same backdrop that concerns were raised in both houses of Parliament on how well the ministry is addressing school safety and security. However, not a single report has been tabled by the respective committees since the September 2019 incident.

It is also on record that CS Magoha, speaking at the scene of the collapsed classrooms in Dagoretti, Nairobi, assured Kenyans that their children are safe stating that, “The children of Kenya are safe in schools. This single tragic incident must not be used by anyone to instil fear in our children in both public and private schools.” Further promising that the national government through the ministry of education was going to monitor all schools to ensure the safety of the students.

The presence of inappropriate school facilities and infrastructure countrywide that is; poorly constructed classrooms and playing grounds, insufficient and broken-down toilet facilities, and inadequate and inappropriate furniture is not only a clear indication of lack of value for our children’s welfare but also a great sense of lack of citizenship and deep-rooted corruption within the Ministry and respective local government offices. Which has led to a general disregard of professional practice, inadequate proper and frequent supervision and open defiance by school owners and managers that our own Ministry of Education is so fearful to face head-on.

While the ministry needs to pull up its socks on this matter, the Parliament on its resumption of sittings should fast track the committee reports and compel the government to implement the recommendations that emerge from them.


~ Guest blog by Victor Werimo

Should Deputy Governors Be Forced to Vacate Office in the Event their Bosses (Governors) are Impeached?

Posted by on 3rd February 2020

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During the debate on the impeachment of former Kiambu Governor Ferdinand Waititu, Kakamega Senator Cleophas Malala made clear his intentions to propose amendments to the Constitution on the basis of lessons he drew from the process.

When a governor is elected, he’s elected on a joint ticket with his deputy but when he’s impeached, he’s impeached alone. We will be making proposals to the Constitution that when you impeach a governor since he was elected on a single ticket with his deputy then both are deemed to be impeached (sic),” said Malala.

He went ahead to note that his proposal intends to deter temptation by deputy governors to maliciously engineer the removal of their bosses with an objective of succeeding them.  While the concerns raised are valid and indeed conceivable, the proposed solutions seem unreasonable and unfair for a number of reasons.

Firstly, this proposal will force the deputy governors to erroneously assume responsibility for violations over which they exercise virtually no control. According to the Constitution, the Executive authority at the County Government is domiciled at the Governor’s Office. The powers of the deputy are in fact limited so much so that there are some functions that he/she cannot execute even in an acting capacity as Governor. They are exclusively within the Governor’s domain. Despite being elected jointly, they assume different responsibilities, naturally implying that the power to control an undesirable outcome in which one is implicated might not necessarily be the same. It would, therefore, be logically unsound to commit both of them to the same guillotine yet the degree of responsibility differs. A popular song by the Arusha choir says, Kila mtu atauchukua mzigo wake mwenyewe, to mean everyone will carry their own load come judgment. In the spirit of fairness and justice, any governor involved in malpractice should be held accountable without tarnishing a deputy’s reputation and costing them their job.

Secondly, the impeachment of a deputy governor is provided for in the law. This mechanism ensures that deputy governors are themselves not immune from the force of the law should they contravene any of its provisions, and which would qualify for removal from office. As a matter of fact, the law anticipates that Deputy Governors would have to be accountable for any wrongdoing independently from the Governors. Their removal from office were it to get to such a point, would not rope in the Governors, except of course, to the extent that the Governors share in the violation. Just like governors, deputies can be impeached by the county assembly and the Senate if proven to be guilty of the charges levelled against them.

Thirdly, Article 182 (2) of the Constitution states that if a vacancy occurs in the office of county governor, the deputy county governor shall assume office as county governor for the remainder of the term of the county governor. Through this provision, taxpayers are cushioned from the expensive cost of elections. To imagine a by-election in the second-most populous county, or indeed any other county, under the current economic conditions is unfathomable. Besides, the status quo guarantees continuity and stability necessary for orderly administration and attendant benefits. Such would face potential interruption were affected counties to be subjected to disruptive elections in the course of the term.

If the fear is that the current framework would be subject to abuse, especially by deputy governors keen to sabotage their bosses so they succeed them, then the fear of manipulation and abuse would even be more compounded by the suggested amendment. It is not entirely inconceivable that interests alien to a particular administration would artificially generate a crisis, whose sole objective is to implicate the governor and by extension his/her deputy with an objective of removing them both by a single process to pave way for an election to install their preferred interests.

It is therefore wise to let the current law to take its course and justice be dispensed equally. After all, a joint ticket means that the pair on the ballot has proven to have the capability to attain the vision of the county. When the holder of the top county seat is impeached, it should be possible for their number two to oversee the completion of that term to the satisfaction of their electorate.

In the case of Kiambu County, Dr James Nyoro will now serve as governor until 2022 barring any radical dynamic.  Kiambu is looking to him to right the wrongs of his predecessor.

Leadership and Patriotism Over Camaraderie

Posted by on 31st January 2020

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January 29th 2020 will certainly be a day to remember for the former Kiambu Governor Ferdinand Waititu alias Baba Yao after the Senate voted to impeach him. This was the second time the Senate chose to oust a Governor after Embu Governor Martin Wambora was served the same fate in the House. He, unlike Waititu, was able to find refuge in the appellate court that overturned the Senate’s decision.

Waititu’s attempt to fight the charges on a procedural technicality seemed to have worked against him as a majority of the Senators faulted his rather casual approach to the grave accusations. This perhaps speaks to the mindset that politicians have. That they can get away with anything without facing the consequences of their actions. Perhaps it was the narrative that the Senate sought to change having been accused previously of being a rubberstamping institution with no firm stand against the violation of laws.

In his statement, Waititu highlighted the issues of lack of quorum in the County Assembly when the motion to impeach him was tabled and the delay in submission of the charges by the County Assembly’s Speaker to the Speaker of the Senate Ken Lusaka as reasons to throw out the charges and the case altogether.

“When you query the quorum of the Kiambu County Assembly, I expected that the governor and his team would provide an affidavit of the people who did not attend that function,” said Kisii Senator Sam Ongeri. What Waititu and his counsel failed to note was that the burden of proof of innocence was on him and he failed to give a solid rebuttal.

Article 159 (2) (d) of the Constitution says,” In exercising judicial authority, the courts and tribunals shall be guided by the following principles, justice shall be administered without undue regard to procedural technicalities.” The Senate by a vote prioritized justice towards the people of Kiambu County. A majority spoke to their dedication to protecting the Constitution and devolution by ensuring that the counties are led and managed by law-abiding people.

Senate had a moral, ethical and legal obligation to carefully assess Waititu’s statement and evidence to reach a logical conclusion that made sure to protect Wanjiku’s interests. Their decision sent a sounding warning to other Governors to uphold the law. Neither partisanship nor comradeship will save them if ever called upon to take the stand over any accusations.

In as much as the impeachment process is a constitutional process, it is also a political process. It became apparent that the political inclination of the senators was a big contributor to their decision at the vote. But like Nairobi Senator Johnson Sakaja urged, “Protecting devolution is not protecting an individual. The stakes are the lives of millions of residents of Kiambu.”

As Parliament resumes in the coming month, this what they need to live by even as they undertake their roles of legislation, oversight and budgeting. All decisions should be guided by the interests of Kenyans. The Senate should note that the impeachment of Waititu not only strengthens and affirms their role of oversight and protecting devolution but also boldens County Assemblies to hold the County Executives to a high standard.

The bar has already been set high for what may be a defining year in the political and governance space. Parliament should maintain this energy and choose to be a House that refuses to condone that which is corrupt and immoral.

No Health Without Mental Health

Posted by on 22nd January 2020

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The conversation on mental health has slowly but surely been gaining momentum in Kenya. In November 2019, President Uhuru Kenyatta directed the Ministry of Health to establish a task force that would investigate the current mental health status in the country and report back within 90 days. After which, the task force is expected to provide recommendations, in the form of new or revised policies, to address what seems to be a dire situation.

The timing of this directive by the President couldn’t have been better seeing that the media is awash with reports of suicide, violence and substance abuse. To this effect, the task force has set out to receive views from the public across the country. This public participation process is seeking submissions that will touch on; mental health priority issues in Kenyans’ respective areas, proposals on practical solutions to the priority mental health issues and the level of preparedness to address these mental health issues.

Through an SMS question, we sought to get a pulse of the nation on mental health. Some of the major concerns that emerged from the responses were; lack of awareness, stigma, inadequate mental health facilities and staff, accessibility and affordability of mental health services, availability of mental health facilities in counties and the current economic state and corruption as catalysts to mental illnesses.

These responses mirror some of the issues highlighted in the 2015 Kenya Mental Health Policy that was drafted by the James Macharia-led team. The 32-page document set out to achieve these four objectives; strengthen effective leadership and governance for mental health; ensure access to comprehensive, integrated and high quality, promotive, preventive, curative and rehabilitative mental health care services at all levels of healthcare; implement strategies for promotion of mental health, prevention of mental disorders and substance use disorders; and strengthen mental health systems.

Unfortunately, the rising cases of suicide countrywide paint a grim picture of the ineffectiveness of this policy. Access to comprehensive mental health care services remains a luxury yet health is a devolved function. Even with the expansion of referral hospitals and setting up of clinics, mental health is still neglected and overlooked. Perhaps this taskforce would fuel the much-needed enactment of the 2015 policy and beef it up with new recommendations to give the mental health status of Kenya the attention it deserves.

Health is among the pillars of the President’s Big 4 Agenda under Universal Healthcare. It comes as no surprise that the Ministry of Health has been put to task to find a lasting solution to what is now being termed as a “national disaster”. For a government that has anchored a good part of its legacy on youth empowerment, it would be a great loss if said youth are lost to more and more cases of depression, suicide and substance abuse.

As it has been said before, Kenya ails not from a lack of legislation or policy but from the reluctance to implement them to the letter. The fire that the task force has ignited should not die down along the way. Many Kenyans who have been suffering in silence are hoping that the task force brings practical outcomes that will save them from the shame and pain that has for long been associated with mental illnesses.

By putting measures in place both at the Ministry and County levels, the government will go a long way in attaining the preventive healthcare approach that has proven to be most effective.

Just as the Executive, the 12th Parliament has the task to leave a legacy. To consider and pass the Mental Health (Amendment) Bill, 2018 into law would be a significant way to cement this House as champions for a healthy Kenya.

The Irony of Universal Healthcare in Kenya

Posted by on 13th January 2020

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The recently released guidelines by the National Hospital Insurance Fund (NHIF) on 7th January 2020 provide a bleak picture into the future that envisioned Universal Healthcare Coverage (UHC) in Kenya. One of the changes is the reduction of the waiting period for new members from the current 60 day period to 90 days. There is also a mandatory 1 year upfront payment. For those defaulting on the payments, the changes provide for a penalty of 50% of each monthly contribution paid late for up to 11 months. Where the contributor has defaulted for 12 months, they will be required to start payments afresh and will only be eligible to benefits after 90 days from the date of resumption of payment. They will also pay a 1 year upfront payment. The rationale behind these changes is to marshal the efforts of NHIF towards the achievement of sustainable UHC and to enhance member retention. But is this really so?

Article 43(1) of the Constitution of Kenya 2010 provides that every person has the right to the highest attainable standard of health that includes the right to healthcare services. This is reiterated in the African Charter for Human and People’s Rights under Article 16.

The right to health is crucial to the realization of other fundamental rights and freedoms envisaged by the Constitution. Without it, one cannot be able to fully to enjoy their right to live fully. This right has four key elements that determine whether it can be enjoyed to the fullest. These are availability, accessibility, acceptability and quality. Availability connotes the present functioning public health and healthcare facilities for the use by the public. Accessibility takes different forms; the main ones being non-discrimination, physical accessibility and economic accessibility. Acceptability is with regard to being respectful of culture, minorities, peoples and communities. Quality relates to the scientific and medical appropriateness of the labour, equipment and drugs in the facility.

However, this is not the case as we know it. Almost daily, there are cries and complaints regarding the shortage of drugs in hospitals, shortage of beds in wards leading to even more deadlier cross-infections, lack of proper equipment to either detect or control certain diseases, long lines and wanting customer service to patients seeking assistance in healthcare facilities.

We acknowledge that indeed the realization of economic and social rights is contingent upon the availability of resources at the State’s disposal. Some might argue that limited financial resources at NHIF have necessitated these changes. However, what the Ministry of Health and its parastatal have shown Kenyans in the past 3 years is that there is little regard for taxpayers’ money. The much that has been given before has been mismanaged, misused and plundered massively leading to the current sad state of healthcare. A healthcare for the select few.

At the 2019 Kenya Health Forum convened by the Ministry of Health between the 14th and 15th of August, Health Cabinet Secretary Sicily Kariuki stated that, “UHC means much more than healthcare. It means ensuring that all Kenyans can get quality health services; where and when they need them, without suffering financial hardship. This has also been a key objective of UHC under the Big 4 Agenda that the Government is currently driving: that there may be a realization of a society where no one is ‘left behind.’

These changes are discriminatory not just to those who are not able to afford these services under this punitive regime, but also to women. Most new members of NHIF during the financial year 2017/2018 were citizens from the informal sector with a 13% increase from the previous year. It is evident that people in informal sectors and those struggling financially will be the first casualties. Their inability to meet these high costs will certainly leave them behind and result in unnecessary deaths that can be prevented through proper treatment. On the other hand, for voluntary members, access to maternity will be restricted to 6 months post card maturity. What then happens to expectant mothers who cannot afford the exorbitant costs of private hospitals? They will be denied adequate health services or pay hefty prices and end up suffering financial hardship in their quest for better healthcare.

The question that therefore arises is, who then speaks for citizens’ welfare? There exists, in both the National Assembly and the Senate, a Departmental Committee on Health that deals with matters of national health. These Committees are mandated to cover the functions of the Ministry of Health alongside its semi-autonomous Government agencies including the National Hospital Insurance Fund. Besides that, the Committee has a duty to investigate, inquire into, and report on all matters relating to the Ministries and departments as they deem necessary and as may be referred to them by the House. It also has a duty to study the programme and policy objectives of the agency and the effectiveness of the implementation.

Once Parliament resumes from recess, Members of the Health Committee in the National Assembly should take up this matter and represent the interests of the people. Some of the recommendations the Committee can propose to NHIF include; reduction of the premiums and elimination of the 1-year upfront payment, reduction of the waiting period, promotion of prompt disbursements of payments to healthcare providers, regular monitoring on the quality of services offered in accredited healthcare facilities and stringent rules on the management of financial resources at the Fund.

According to the Kenya National Bureau of Statistics, the overall membership of NHIF in the year 2017/2018 increased from a total of around 6.8million to 7.7 million. There is a high probability that the number is much higher now following the 2019 population census. These new changes spell doom for healthcare in Kenya and are actually parallel to the efforts of attaining UHC. The State in itself has an obligation to take necessary measures to protect the health of its people and to ensure that they receive proper medical attention. More can be done if there is right leadership and proper public participation.

Let healthcare be affordable for all; not just a select few. That is the Universal Health Coverage that Kenyans deserve.

May 2020 Bring a Change of Leadership

Posted by on 7th January 2020

Categories: Uncategorized

The festive season has over time evolved from just being a period of celebration and fun to being a time of self-evaluation and reflection on the just concluded year. As Mzalendo wound up its calendar of activities in 2019 we engaged our audience through an SMS question.

“What do you think has been 2019’s Parliament success story as the year comes to a close?”

The feedback painted a citizenry that had lost faith in its representatives. Some Kenyans thought that Parliament was no longer an independent institution and had instead morphed into the Executive’s puppet. Others felt that MPs were self-serving people who prioritized their interests over Kenyans’ needs, while others simply thought that Parliament generally underperformed in its role of legislation, oversight and budgeting. These responses might just represent a few Kenyans but their thoughts mirror the general mood on the ground.

“There’s never been a Christmas that has felt this un-Christmas-sy,” read a post on Twitter. The replies under the tweet were from Kenyans who largely attributed the slow death of the ‘Kenyan Christmas’ to the tough economic times the country is currently struggling with.

There is indeed a general sense of hopelessness in the electorate that would form a good business of objective inward-looking by Parliamentarians. 2019 was quite an eventful year for Parliament that had more lows than highs. From the standoff between the Senate and National Assembly over the DORA Bill, to 2022 political formations, to unpleasant comments on and off social media between MPs and the touchy subject of money. Parliament sure did make headlines this past year.

With such an integral role in the attainment of the vision of Kenya, it’s only prudent that MPs undertake in a SWOT analysis for the just-concluded year. Highlighting what succeeded, the challenges that emerged in their work and what failed will make room for strategic planning even as the year begins. Not only does this present an opportunity to restore public faith through value and impact-driven work, but it also gives Kenyan governance an opportune moment for a much-needed facelift. This, however, cannot be attained without deliberate effort from MPs.

2019 was a year that really put to test leadership expectations as envisioned in Chapter 6 of the Constitution. Besides the political drama between MPs from opposing camps several state officers were embroiled in graft cases that are yet to be concluded. Countless headlines made their way to the front pages of local dailies over billions of taxpayers’ money lost in looting. Systems exposed failure in the management of state agencies and as a result, put Parliament on the spot over its oversight role.

This should be a wakeup call for Parliament to step up in 2020 as it has previously been accused of rubberstamping the Executive’s wishes. MPs should objectively vet all appointed officials, hold state agencies to account and ensure that laws passed are enacted to the letter. Without a doubt, there will be a significant improvement in governance and service delivery if Parliament unbiasedly plays its watchdog role.

In the spirit of making new year resolutions, Parliament needs to only commit to protecting the Constitution to achieve the legacy that they wish to leave behind as the 12th House.