Report Of The Health Committee On The County Oversight And Networking Engagements In Kitui, Makueni And Machakos Counties

A report of Health (Senate)

Published: June 2026 · 13th

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REPUBLICOFKENYA

THIRTEENTHPARLIAMENT

THESENATE

THESTANDINGCOMMITTEEONHEALTH

REPORTONTHECOUNTYOVERSIGHTANDNETWORKING ENGAGEMENTSINKITUI,MAKUENIANDMACHAKOSCOUNTIES

Clerks Chambers, ParliamentBuildings, NAIROBI.

February,2026

THE SENATE RECEIVED

25FEB2026

SPEAKER'SOFFICE

| PRELIMINARIES | PRELIMINARIES | PRELIMINARIES | 3 | |---------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|-------------------------------------------------| | EstablishmentandMandateoftheCommittee | EstablishmentandMandateoftheCommittee | EstablishmentandMandateoftheCommittee | 3 | | CommitteeMembership | CommitteeMembership | CommitteeMembership | 3 | | CHAIRPERSON'SFOREWORD | CHAIRPERSON'SFOREWORD | CHAIRPERSON'SFOREWORD | 4 | | CHAPTERONE | CHAPTERONE | CHAPTERONE | 6 | | 1.Introduction | 1.Introduction | 1.Introduction | 6 | | 1.1. Purposeand Objectives | 1.1. Purposeand Objectives | 1.1. Purposeand Objectives | 6 | | 1.2. | ScopeoftheEngagements | ScopeoftheEngagements | 6 | | 1.3. | Methodology | Methodology | | | 1.4. | COUNTYPROFILES | COUNTYPROFILES | 7 | | 1.4.1. | Kitui County | Kitui County | 7 | | 1.4.2. | Makueni County | Makueni County | 7 | | 1.4.3. | Machakos County | Machakos County | 8 | | CHAPTERTWO | CHAPTERTWO | CHAPTERTWO | 9 | | 2. | COMMITTEEOBSERVATIONSANDSTAKEHOLDERSUBMISSIONS9 | COMMITTEEOBSERVATIONSANDSTAKEHOLDERSUBMISSIONS9 | COMMITTEEOBSERVATIONSANDSTAKEHOLDERSUBMISSIONS9 | | 2.1 | KITUICOUNTY | KITUICOUNTY | 9 | | | 2.1.1 | Meetingwith the CountyExecutive | 9 | | | 2.1.2 | Visit toKitui County Teaching and Referral Hospital | 10 | | 2.2 | MAKUENICOUNTY | MAKUENICOUNTY | 21 | | | 2.2.1 | MukuyuniLevel 4Hospital | 21 | | | 2.2.2 | Makueni CountyReferral Hospital(MCRH) | 22 | | | 2.2.3 | Meetingwiththe CountyExecutive | 29 | | | 2.3MACHAKOSCOUNTY | 2.3MACHAKOSCOUNTY | 32 | | | 2.3.1 | Oversightvisit toAthiRiverLevel 4Hospital | 32 | | | 2.3.2 | OversightVisittoMwalaLevel 4Sub-CountyHospital | 36 | | | 2.3.3 | Oversightvisit to theMachakosCountyReferral Hospital | 39 | | | 2.3.4 | MeetingwiththeGovernor,MachakosCounty | 45 | | CHAPTERTHREE | CHAPTERTHREE | CHAPTERTHREE | 47 | | 3.ANALYSISOFCOMMITTEEOBSERVATIONS | 3.ANALYSISOFCOMMITTEEOBSERVATIONS | 3.ANALYSISOFCOMMITTEEOBSERVATIONS | 47 | | 3.1. | CriticalHealthcareInfrastructure | CriticalHealthcareInfrastructure | 47 | | 3.2. | MedicalEquipmentandTechnology | MedicalEquipmentandTechnology | 48 | | 3.3. | HumanResourcesforHealth (HRH) | HumanResourcesforHealth (HRH) | 49 | | 3.4. | Health Products and Technologies (HPTs) and Supply Chain | Health Products and Technologies (HPTs) and Supply Chain | 51 | | 3.5. | Universal Health Coverage(UHC);Financial and Operational Challenges | Universal Health Coverage(UHC);Financial and Operational Challenges | 52 | | CHAPTERFOUR | CHAPTERFOUR | CHAPTERFOUR | 53 | | 4. COMMITTEERECOMMENDATIONS | 4. COMMITTEERECOMMENDATIONS | 4. COMMITTEERECOMMENDATIONS | 53 | | 4.1. | ChiefExecutiveOfficer,theSocialHealthAuthority | ChiefExecutiveOfficer,theSocialHealthAuthority | 53 | | 4.2. | Councilof Governors | Councilof Governors | 53 | | 4.3. | Governor,Kitui CountyGovernment | Governor,Kitui CountyGovernment | 54 | | 4.4. | Governor,Makueni County | Governor,Makueni County | 55 | | 4.5. | Governor,Machakos County | Governor,Machakos County | 56 |

7

LISTOFABBREVIATIONS

A&E

Accident and Emergency

CARM

Computer-AidedRiskScoreforMortality

CECM

CountyExecutiveCommitteeMember

CHS

CommunityHealthService

CHP

CommunityHealthPromoter

CIHEB

CenterforInternational Health,Education andBiosecurityKenya

CPSB

CountyPublic ServiceBoard

CSSD

CentralSterileServicesDepartment

CT

Computed Tomography

EMR

ElectronicManagementRecords

FIF

Facilities Improvement Financing

GCP

GrossCountyProduct

HDU

High Dependency Unit

HMIS

HealthManagementInformationSystem

HPTs

HealthProductsandTechnologies

HRH

HumanResourceforHealth

ICT

Information Communication andTechnology

ICU

Intensive Care Unit

KEMSA

KenyaMedical SuppliesAgency

KMPDU

KenyaMedicalPractitionersandDentistUnion

MEDS

Mission for Essential Drugs Supplies

MES

Medical Equipment Service

MoH

Ministry of Health

NHIF

National HealthInsuranceFund

OPG

Orthopantomography

PSC

PublicService Commission

SHA

Social HealthAuthority

SHIF

Social HealthInsuranceFund

UHC

UniversalHealthCoverage

WHO

World HealthOrganization

PRELIMINARIES

EstablishmentandMandateoftheCommittee

TheStandingCommitteeonHealthisestablishedpursuanttostandingorder228(3) and theFourthScheduleof theSenateStandingOrders andismandated toconsiderall mattersrelatingtomedicalservices,publichealthandsanitation.

Pursuant toStandingOrder228(4),theCommitteeis specificallymandatedto-

1)investigate,inquireinto,andreportonallmattersrelatingtothemandate management,activities,administrationandoperationsoftheMinistryofHealth anditsdepartments;
2)studytheprogrammeandpolicyobjectivesoftheMinistryofHealth andits departments,andtheeffectivenessoftheimplementationthereof;
3)studyandreviewalllegislationreferredtoit;
4)study,assessandanalyzethesuccessoftheMinistryofHealthanddepartments assignedtoitasmeasuredbytheresultsobtainedascomparedwiththeirstated objectives;
5 considertheBudgetPolicyStatementinlinewiththeCommittee'smandate;
6 reportonallappointmentswheretheConstitutionoranylawrequirestheSenate toapprove;
7 makereportsandrecommendationstotheSenateasoftenaspossible,including recommendationsforproposedlegislation;
8 considerreportsofCommissionsandIndependentOfficessubmittedtothe SenatepursuanttotheprovisionsofArticle254oftheConstitution;
9)examineanystatementsraisedbySenatorsonamatterwithinitsmandate;and
10)followupandreportonthestatusofimplementationofresolutionwithinits mandate;and
11)followupandreport onthestatusofcommitmentsmadebytheCabinet SecretariesintheirresponsetoquestionsunderStandingOrder51C.

CommitteeMembership

The Committeeiscomprised ofthefollowingmembers-

1.Sen.Jackson K.Mandago,EGH, MP

Chairperson

2.Sen.MariamSheikh Omar,MP

Vice-Chairperson

3.Sen.Justice(Rtd.)Stewart Madzayo,EGH,MP-

Member

4.Sen.Ledama Olekina,CBS,MP

Member

5.Sen.DavidWakoli,CBS,MP

Member

6.Sen.Richard Onyonka,MP

Member

7.Sen.TabithaMutinda,CBS,MP

Member

8.Sen.Hamida Kibwana,MP

Member

9.Sen.Joseph Githuku,MP

Member

CHAIRPERSON'SFOREWORD

Atits Sitting held on 25th September,2025,theStanding CommitteeonHealth deliberatedonthestateofprovisionofhealthcareservicesathealthfacilitiescountrywide andresolved to conduct oversightvisitstoKitui,MakueniandMachakos Counties toacquaintitselfwiththeprovisionofhealthcareservicesaspartofitsoversight function.

Theseoversightvisitstookplacefrom21stto25thOctober,2025andtheyweredesigned toprovidefirsthandinsightsintothestateofhealthcareinfrastructure,servicedelivery and thechallengesfacedbyhealthcareproviders and thecommunitiestheyserve.

The Committee engagements involved site visits tokey healthcare facilities, direct interactionswithcountyleadership,healthcareworkersandmembersofthepublic. Throughtheseinteractions,theCommitteegatheredcritical evidenceontheadequacy ofhealthcarepersonnel,thestatus ofmedical equipment and supplies,theeffectiveness ofemergency andreferral systems and theimplementation of digitalhealthrecords.

The Committeealsosoughtto acquaintitselfwith theinformation and understand the operationalizationof healthfinancingmechanismsincludingthe SocialHealth Insurance Fund(SHIF)and theFacilityImprovementFund (FIF).The Committee further sought to assess thecountiescompliancewithrelevant healthsector policiesand regulations.

TheCommitteenotednumerous significantandwidespreadfactors thathinder the provisionof healthcareservices acrossthe County.TheCommittee observed that there waswidespreaddeteriorationofphysicalstructuresstructuraldeficiencies,poor maintenance andresultingsafetyriskswerewidespreadin all the threecounties.This wascompoundedbyasystemicfailurein environmentalandbiomedicalwaste managementinfrastructureinallthethreecountiesvisited.Anothercriticalcrosscutting deficiencynoted bytheCommitteewas isthe lackof safedisposal mechanisms, particularlyfunctionalincinerators.

Acrossthevisitedcounties,expensive,specializedmedical equipment,including those supplied under theManaged Equipment Services (MES)program,were frequently foundtobedefectiveorcompletelynon-functional,hinderingdiagnosticandhigh-level careservices.The Committeefurther observed a significantcross-cutting technological issuewas theunreliability andinconsistentdeploymentofdigitalhealthmanagement systems andaccessdevices,forcingfacilitiesbacktoinefficientmanualprocesses.

TheoverarchingobjectivesoftheCommitteerecommendationsarethereforeto strengthenexistinghealthcaresystems,enhance accountabilitymechanismsandensure thatinvestmentsinhealthcare translate directlyinto tangibleimprovementsin service delivery andultimately,publichealthoutcomes.

Acknowledgements

Onbehalfof the Committee,Iwish to thankSen.EnochKiioWambua,MPSenator, Kitui County;Sen.Dan Maanzo,MP,Senator Makueni County and Sen.Agnes KavinduMuthama,MP,SenatorMachakosCountyforthewarmwelcomeextendedto the Committee by theirrespectiveofficesduring the oversightvisits.Theirinput and contributionsenabled theCommitteecarryoutitsoversightmandateandfunctions effectivelyinthethreecounties.

The Committeewishestoextendits-appreciationtotheGovernorsofKitui,Makueni andMachakosCountiesand theirrespectiveExecutiveCommitteesMembersfortheir input,submissions andevidenceproduced during the oversight tours.

Further,the Committee extends the appreciation to the Speakers of the County AssembliesinthethreecountiesandMembersof theCountyAssemblycounterpart committees onHealthfor theirfacilitationandparticipation.

TheCommitteeisalsograteful tothemembersofstaffandotherstakeholdersin the healthcarefacilitiesvisitedduringthetourfortheirsubmissions,whichhavegreatly enhanced the evidence analyzed duringprocessing of thisreport.

Finally,I acknowledge and appreciate the Membersof the Committee for their dedicationand commitmentduringgatheringof evidence,drafting of thisreport and settingoutconclusionsandrecommendations.

FurtherappreciationgoestotheOfficeof theSpeakerof theSenateandtheOfficeof the Clerkof theSenatefor their continuoussupport tothe Committee duringexecution ofitsmandate.

It isnowmypleasant duty andprivilegetopresent thisreportoftheStandingCommittee onHealth,forconsideration and approval by theHousepursuant toStanding OrderNo. 223(6)oftheSenateStandingOrders.

2026

SIGNED....

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

1.Introduction

1.TheStandingCommitteeonHealthisestablishedpursuant toStandingOrder228 (3) and theFourth Schedule of the Senate Standing Orders and is mandated to considerallmattersrelatingtomedicalservices,publichealthandsanitation.
2.Atitsmeetingheldon Thursday,25thSeptember,2025,theCommittee resolved to undertake County Oversight and Networking Engagements (CONE) in Kitui, Makueni andMachakoscountiesto acquaintitselfwith theprovisionof healthcare servicesin the counties aspart ofits oversightfunction.

1.1.Purpose and Objectives

3.The specific objectives of these engagementswere to-
a) assess the state and quality of theinfrastructure,facilities,hospitalequipment and provision ofemergency services;
assess the automation of healthcare provision systemsfor patient,drugs and commoditymanagement;
assess the availability ofrequisitehealthcarepersonnel,thegaps and challenges, if any,these countiesface inregard to healthcareworkers;
d assess the availability of training and capacity building programs and avenues for healthcare workers in emergency healthcare, specialized services and referrals;
assess the availabilityofdrug andmedical suppliesin healthcarefacilitiesinthe counties;and
f obtain information on the Social Health Authority (SHA)reimbursements, facility accreditations andpending billswith the KenyaMedical Supplies Agency (KEMSA).

1.2.Scope oftheEngagements

4.The Committeeselected thefollowingfacilitiesfor assessment-
a) Kitui Teaching County Referral Hospital in Kitui County;
b) MukuyuniLevel 4Hospital andMakueni CountyReferralHospitalin Makueni County;and
Athi RiverLevel4Hospital,Mwalalevel 4HospitalandMachakos CountyReferral Hospital in Machakos County.

CHAPTER ONE

1.3.Methodology

5.The Committeeconducted sitevisitsto theidentifiedfacilities.Duringthesevisits, Membersengagedwithrelevantcountygovernment officials,hospital management and other stakeholders,andgathered oral andwrittensubmissions.The Committee also conductedphysicalinspections ofpremises,reviewed documentationand observedworkingconditions and challengesfirsthand.
6.Thefindings,analyses,and recommendations setoutin thisReport arebasedon evidence collected during these engagements and aim to support the improvement of healthsectorgovernance,accountabilityandservicedeliverywithin thecontext ofKenya'sdevolvedgovernanceframework.

1.4.COUNTYPROFILES

1.4.1.Kitui County

TheCountyisclassified asanAridand Semi-Arid Land(ASAL)characterized by lowrainfall,vulnerabilitytoclimateshocks,andhighpovertylevelswhich are estimatedat63.1%,significantly abovethenational average.
8.In the FY2024/25,the County was allocatedKshs.14.31 billion,withKshs.4.75 billion allocatedfor developmentprograms andKshs.9.55billion for recurrent expenditures.Consequently,the CountyallocatedKshs.4.465billion,withKshs 3.98billionforrecurrentexpenditureandKshs.385millionfordevelopment expendituretothehealthcareprovision.
9.Further,facilitieswere abletocollectKshs.754millionastheFacilityImprovement Financing(FIF)against an allocation target ofKshs.904 million.The County health facilitiesalsohadunsettled claimsbytheSocialHealthAuthority(SHA)ofKshs. 63.35million,outofwhichKshs.28.69millionwasattributed toSHAandKshs. 27.95millionwas attributed to the defunct National HealthInsuranceFund (NHIF).

1.4.2.Makueni County

10.MakueniCounty coveringan areaofapproximately8,034.7squarekilometerswith aprojectedpopulationofoverO.9millionpeople.TheCountybordersKajiado County to theWest,TaitaTaveta to theSouth,Kitui to theEast,and Machakos to the North.Its terrain includes key physical features such as the volcanic Chyulu Hills alongtheSouthwestborder,aswellastheMbooni andKilunguhills.
11.In theFY2024/25,the County was allocatedKshs.11.58billion,withKshs.3.68 billion allocated for development programs andKshs.7.90 for recurrent expenditures.TheCountyGovernmentallocatedKshs.4.2billion tohealthcare provision outofwhichKshs.3.114billionwas allocatedforrecurrent andKshs. 1.085billion allocatedfordevelopment.
12.Further,the Countyhealthfacilities collectedKshs.773.6million as the Facility ImprovementFinancing thatwasretained and absorbedwithin thefacilities.

1.4.3.MachakosCounty

13.Machakos County borders Nairobi,Kiambu,Embu,Kitui,Makueni,Kajiado Murang'a and Kirinyaga Counties. The County has a population of about 1.42 million accordingto2019populationcensusandfeaturesa semi-arid climatewith hilly terrain and altitudesrangingfrom1000to2100metersabovesealevel.
14.The County has prioritized expanding and modernizingits healthcareinfrastructure aspart of broader infrastructure enhancement efforts.The CountyAnnual DevelopmentPlans(2024/2025and2025/2026)highlightplanstoimproveaccess toqualityhealth services throughfacilityupgrades,construction ofnewhealth centers,andstrengtheninghealthsystemstomeetthepopulation'sneedseffectively.
15.In theFY2024/25,the Countywas allocatedKshs.15.62billion,withKshs.10.87 billion allocatedfordevelopmentprograms andKshs.4.75billionforrecurrent expenditures.TheCountyallocatedKshs.5.155billiontohealthcareprovisionwith Kshs.4.547billionbeingallocated for recurrentexpenditureandKshs.607.6 milliontothedevelopmentexpenditure.
16.Further,the Countyhealth facilities collectedKshs.755.68million againstKshs. 903.88million.Itisreportedthatthemoniescollectedwereretainedbythefacilities andspentatthefacility.ThefacilitieshadclaimstoSHAamountingtoKshs.340.7 million,ofwhich Kshs.229.52million was attributed toSHA andKshs.111.18 millionattributedtothedefunctNHIF.

CHAPTERTWO

2.COMMITTEEOBSERVATIONSANDSTAKEHOLDERSUBMISSIONS

2.1KITUICOUNTY

2.1.1Meetingwith theCountyExecutive

17.TheCommitteepaidacourtesycalltotheGovernorofKitui CountyGovernment Dr.JuliusMalombe,EGHonWednesday,22ndOctober,2025.TheCommitteewas accompanied bythecounterpart CommitteeoftheKitui CountyAssembly.During the courtesy call the Governor presenteda comprehensive overview of healthcare provisionintheCounty.Acopyofthewrittensubmissionisannexed tothisreport.
18.The Committeewasinformed that theDepartmentof Health andSanitationwasin chargeof326healthfacilities,whichincluded3levelIVhospitals,9level3B,54 level3A,and260level2healthcarefacilities.TheDepartmenthademployeda total of 1,940 healthcare workers across these facilities,encompassing a broadrange of cadres such as clinical officers,dentists,medical officers,nurses,nutritionists, pharmaceuticaltechnologistsandphysiotherapists.
19.TheGovernorinformed theCommitteethatpublichealthcarefacilitieshadbecome heavily strained as they served not only local residents but alsoan increasing number of patients from neighboring counties including Garissa,Machakos, Makueni andEmbu.
20.The Committeewasfurtherinformed thatrecently,thepublichealthcarefacilities in the County experienced a significant influx ofpatients following a standoff between theprivatehealthcareprovidersand theSocialHealthAuthority(SHA). patientstopaycashforservices.
21.The County Governmenthad takenmajorsteps toinvestinitshealthcarepersonnel with astrong emphasis onconverting staffon fixed-term contracts especially those under theUniversal Health Coverage (UHC) scheme.In the currentFY2025/2026, theCountyhassetasideabudgetofKshs.236millionforrecruitingadditionalhealth workers in order to strengthen the county's healthcare workforce and enhance service delivery.
22.As of 31st July2025,Kitui County had successfullyregistered365,613persons, which amounted to32.2%of the county's total target population of 1,136,187.On 2ndJune 2025,the Countylaunchedanenhanced SHAregistration strategywhich successfullyincreasedmonthlySHAregistrationratetoanaverageof36,025 persons,arisefrom thepreviousmonthlyaverageof29,497.Thesteadygrowth achieved through thisstrategydemonstrated theCounty'scommitmentand sustainedmomentumtoexpandSHAcoverage.

23.To supportSHAregistrationprocess,the Countyhadreceived213SHAgadgets including tablets and power banks.However,despite this allocation,101 public healthfacilities were still withoutSHA gadgets,limiting their ability to submit claimsandaccesstimelyreimbursements.Asof30thSeptember2025,theCounty had submitted claims totaling Kshs.643,360,501.31.Of this amount,Kshs. 355,949,011.86 had been reimbursed,while Kshs.287,411,489.45 remained outstanding.
24.TheCommitteewasinformed that TheCountyGovernmenthasdeployed 2,470 CommunityHealthPromoters(CHPs),distributed ataratioof ten(10)CHPsper village across all 247villages within the County.Each CHPispaidKshs.3,000 as a stipend ofwhichKshs.2,0o0 is paid in their personal accounts and the remainder Kshs.1,ooo is deposited to the community unit'sincome generating activity account;
25.TheCommitteewasinformedthatKEMSAremainedtheprimarysupplierof essential healthproducts and technologiesto the County.However,theCountyhad alsobeen affected bypersistent drug supply challengesfromKEMSA,experiencing order fill rates that typically range between 50% and 70%.Further, the County Government was actively upgrading itshealthcarefacility infrastructure and broader service deliverycapacitiesand hadprocured anew laundrymachineforhospital use.

2.1.2Visit toKitui CountyTeaching and Referral Hospital

26.The Committee conducted an oversightvisit to theKitui County Teaching and ReferralHospital(KCTRH)on22ndOctober,2025andwasreceived byMs.Ruth Koki,the CountyExecutive Committee.Member(CECM) Department ofHealth and Sanitation,Dr.Benson Musyoka,Chief Officer;Medical Services,Mr.Aggrey Kamba;Chief Officer,Drugs and Medical Supplies,Ms.Lynn Kitwan;Chief Officer,PublicHealth and Sanitation.
27.During the visit, the Committee was informed that the Hospital gained recognition throughout the County and its environs as a preferred diagnostic,treatment and referral centre.In the preceding years,it witnessed expansive investments in the latest technology,systems,procedures,drugs,non-pharmaceuticals,healthexpertise specializedhealthservices.
.28.The Committee was informed that the facility offeredarange of specialized department and unitsincluding the outpatient,inpatient,Intensive CareUnit (ICU), radiology,laboratory,maternity,renal unit,pharmacy,bloodbank,Tuberculosis (TB)clinicand specializedclinics such as thedentalunit.Duringthevisitit was reported that thefacilityhadabedcapacityof320beds.InFY 2022/2023, 2023/2024,and2024/2025,thefacilityrecordedariseintotalworkloadof299,195, averagedailyworkloadof1,121patients.

29.TheCommitteewasfurtherinformed that thefacility has31 consultants,19medical doctors,70RegisteredClinicalOfficers,185nurses,10pharmacists,7radiographers, 18nutritionists,12anesthetists,7physiotherapists and 4occupational therapists. The hospital hadrecentlyconstructed a newmortuarywing thatcould hold60more bodies.The hospital admittedpatients beyond its capacity as most private hospitals hadturnedawaypatientsfollowinga standoffbetweentheprivatehealthcare Practitioners and theSHA.
30.During the tour of thefacility,the Committeemade thefollowing observations-
a)That each patient requires at least four different records to be kept,a responsibility thatisreportedly overwhelmingforthe availablestaff,especially with the shortage of both healthrecords andnursingpersonnel;
b)At theradiology unit,theX-raymachine had broken downfor about threeweeks andpatientshadbeenreferredtoprivatefacilitiesoutside thehospital.However, during thevisit,theX-raymachine had been repaired and was operational;

Picturel: TheX-raymachineatKituiCountyReferral Hospitalthathadreportedlybrokendownforover threeweeksandonlystartedfunctioningpriortothe

oversightvisit.

? However,the facility did not have a functional mammogram,a specialized X ray devicedesignedforbreast imaging,primarily used toscreenfor and detect breast cancer in its early stages;
d TheRenal Unit at thehospital hadfivefunctionaldialysismachinesofferingat least ten (10) sessions per day.The Committee was informed that the County Government wasin theprocess ofprocuring twenty(20)more dialysis machinestosetup anewrenal centre;
TheMaleGeneralWardhadadmittedpatientsbeyonditsdesignatedcapacity leading tomultipleincidents ofpatients sharingbeds.The Committee observed that TBpatientshadbeenaccommodatedinacubiclein thesamewardwhich couldheighteninfectionrisksinadditiontopossiblyviolatinginfection preventionand control standards.TheCommitteewasinformed that theCounty Government hadprioritizedconstructionof sixteen(16)bed capacityisolation serviceswardsfor thehighlyinfectious andmultidrug-resistantpatientswho wereisolatedinimprovisedisolationrooms;

Picture2: ThedysifunctionalMamogramatKituiCountyReferalHospital leadingtodelaysindiagnosisandtreatmentofbreastcancerin theCounty.

Picture3: Therenalwashingareawasinadeplorablestate, characterizedbydirtaccumulation,oldandrustywashing sinksandcorrodedsurfaces.

f)The Hospital's TB Clinic was responsible for managing approximately 400 patients butcriticallylacked a dedicatedTB-specificlaboratory.Diagnostic and laboratory services for TB, such as sputum microscopy, GeneXpert molecular tests and cultures are typically conducted in general labs,which risked contamination and delays in diagnosis;
The hospital faced challengesin proper drugs recordsmanagementwithin its pharmacycharacterized byinadequate capacityof records officers'.Therewere toofew staff handling documentation forhigh patientvolume and managing majorityoftherecordsmanuallywithoutuniformstandards.Someofficeswere congested withnon-currentrecords and lackedsufficient storage facilities, increasingvulnerability tophysical loss and damage;
h)Some departments andunitsin thehospital such as theTB Clinic,theblood bank and thematernitywardswere severelyunderstaffed leading to challenges in servicedeliveryandoverallfunctioningofthefacility.However,theCommittee observedthathealthcarepersonnelhadbeenassigneddutiestoworkevenatnight in theradiology unit even when themachine was not working;

Picture4: MembersoftheCommitteeattheMaleGeneralWard,thathad admittedpatientsbeyonditsdesignatedcapacity.

Thematernitywardswere severely overcrowded,forcing somemothersto share singlebeds,a situationthat substantiallyincreases theriskofhospital-acquired infections and leadstoconsiderablephysical andpsychological discomfort for bothmothers and newborns.This congestion was associated with high patient load,especially given the county's expanded role in serving neighboring counties and the strain on regional healthcare delivery systems;
D Thelaborward and delivery room werefound tobe open and directly accessible from the general wards,with only curtainsused aspartitions instead ofsolid doors.The Committee observed that this configuration caused significant privacy concerns.However,the Committee wasinformed thatthe County Government hadprioritized theconstruction of a 276-bed capacitymother and child block to accommodatematernity,labor andpediatric units.

Picture5: Thedeliveryroomthatusescurtainpartitionsinsteadofsolid wallsanddoors.

Picture6: The"LittleAngelsNewbornUnit"thathasmademajor improvements,includingnewequipmentlikeradiant warmers,incubators,laundryandintensivecarespace.

k) The hospital faced significant challenges regarding proper drugs records management in its pharmacy.There were discrepancies between the physical drugsand therecords at thePharmacy;

2. D) The hospital had a dysfunctional incinerator,resulting in the improper disposal of hazardous and toxicwastes,including biomedical wastes,whichraises concerns about contamination andinfection; 3. m)The hospital mortuary stood out as well-maintained,clean and equipped with modern refrigeration systems,including newly installed refrigerators and upgradedcold roomswhichprovided hygienic,dignifiedstoragefor deceased and comfortforbereaved families.Nonetheless,the Committee wasinformed by the morticianincharge that theyfacedchallengesrelated toworkload and thelack of promotional opportunities; 4. n)Kitui CountyReferralHospitalfacesgeneral severalinfrastructuralmaintenance challengesincludingwindowpanes,brokentiles andfailingceilingsinthewards all ofwhichwouldnegativelyimpact thequality andsafety ofpatientcare.The Committee observed that thiswould expose wards to dust,wind,rain and increasedriskoftheft orunauthorizedentry;

Picture7: TheHospitalMortuarywhichappearedtobewellmaintained cleanandequippedwithmodernrefrigerationequipmentand providehygienic,dignifiedstoragefordeceasedandcomfortfor bereavedfamilies.

Picture8:Thesection of theceilingatKituiReferralHospitalwhich had fallenoffandceilingpanelsaremissing,exposingtheinternal framework,woodenbeams,electricalwiringandtheunderlying metalroofingsheets.

Picture9:

ThebathroomsattheHospitalweredilapidatedwithvisible cracks,peelingpaintsonthewall andsignsofprolonged waterdamageonthewallsandfloorsuggestingpoor maintainance.

o)Thehospital'soverall CCTVcamera systemwasreported asmalfunctioning whichcompromisedthesecurityandheightenedrisksrelatedtobothpatient safetyandassetprotection.TheCommittee noted thatfunctional security cameras arecrucial formaintaining order,monitoringsensitive spaceslikedrug storesandmortuariesandprovidingevidenceincaseofsecuritybreaches or disputes;

Picture10:TheHospital CCTVcamera systemwasfound tobemalfunctioning whichcompromisedthesecurityandheightenedrisks.

p)Thehospital'sbloodbankwas domiciled in avery small roomwith limited storage space and it faced operational challenges,with itsmainblood storage fridgereported tohavebeen out of order since2024;

Picture1l:Thehospital'sbloodbankwasinasmallroomand themain bloodstoragereportedtohavebeenoutofordersince2024.

q)Therewere some healthcareworkers whohadworkedfor aninordinate long workedforovertwentyyearswithoutadvancement;
Somedepartments andunitsin thehospital such as theTB Clinic,theblood bank and thematernitywardswere severelyunderstaffedwhichled tochallengesin servicedeliveryandoverall functioningofthefacility.However,theCommittee observed thathealthcarepersonnelhadbeen assigneddutiestoworkatnightin theradiologyunitevenwhen themachinewasnotworking;and
S Expired drugswere found in thepharmacy.However,management informed the Committeethatthedrugshadbeendonatedtothecountygovernmentduringa medical camp.Notably,therewasno supporting documentation confirming the hospital'sofficial acceptanceofthesedrugs.

2.2MAKUENICOUNTY

2.2.1 Mukuyuni Level 4Hospital

31.TheCommitteeconductedanoversightvisit toMukuyuni Level 4Hospitalon Thursday,23th October,2025.The Committee was informed thatMukuyuni Sub CountyHospitalwas a level-4facility that had abed capacity ofeight(8)inpatient beds andoffered awiderangeofhealth servicesincluding Outpatient Curative Services,Inpatient Care,EmergencyServices,Tuberculosis treatment,HIVTesting and Treatment,Maternal and Child Health Services,Family Planning,Mental Health Services,Dental Services among others.However,the only ambulance that hadbeen assignedtothefacilityhasbeenwithdrawnand assignedtoanotherfacility, thus adversely affecting emergency response capacity at the facility.

32.DuringthetourtheCommitteeobservedthat-

a)Therewas absence of critical healthcare personnel and supervisors at thefacility indicatinga criticalsystemicfailurethatcouldpossiblylead topoorstaff performance,compromisepatientsafety andleadtogeneral declineinservice quality at thefacility;
b)Thehospital mortuary received three(3) coolers,thatwould havebeen used in preservationsof thebodies,procured bytheuseof theNational Governments ConstituencyDevelopmentFund (NG-CDF)in2013.However,the coolers had
c)The facilitywasinadequately staffedwith critical areas such as thelaboratory facingthegreatest challenges.Further,some staffmembers suchasthemortuary attendantinformedtheCommitteethattheyhadservedforatleasttwelve(12) yearswithoutapromotionorcareer advancement;
d)Therewas poorrecord keeping of drugs notably characterized by the lack of clear andupdatedtransfer recordsofdrugsfrom themainpharmacyto the dispensingpharmacieswhichundermined effectivedruginventorymanagement and accountability,potentiallyleadingto stockdiscrepancies;
e)Thefacilitylackedan operationalincinerator andwas insteadutilizinga deterioratedoldcombustionchamberwithbrokendoorstodisposemedical wasteduringtheCommitteevisit.TheCommitteeobservedbiomedicalwaste wasbrown around thesurrounding areas,posinglikelyhealthrisks tobothstaff and thecommunity;
Thematernityunit had sixfunctional beds,however,theyhadwhat appeared likeagedlinenandoldmosquitonets.Further,theContinuousPositiveAirway Pressure(CPAP)medical device for newborns was dysfunctional,potentially resulting in inadequate respiratory support for the neonates and possibly compromisingthequalityofcare;and

g)CommunityHealthPromoters(CHPs)informed the Committee that they hadnot signedanyformalagreementwiththeCountyGovernmentandhadnotreceived theirwages for thepreceding seven months.Additionally,they lackedproper workinggears/kitslikegumboots andumbrellas toprotectwhileworkingin rough terrainsoradverseweather.

2.2.2 Makueni CountyReferral Hospital (MCRH)

33.The Committee conducted an oversightvisit to the Makueni County Referral HospitalonThursday23thOctober,2025accompanied byDr.JustineKyambi,the County Secretary,Makueni County;Ms.Joyce Mutua,the County Executive Committee Member (CECM);Ms.Damaris Kavoi,the County Executive Committee Member -Finance and Dr. Geoffrey Muthoka in charge of Health Services and host officersfrom the Health Department in the County.
34.During the tourof thefacility,the Committeemade thefollowing observations-
a) The Radiology Department had one (1) x ray machine, one (1) CT scan, two (2) ultrasound,one(1)mammogram machine,one(1) OPGmachine,ComputerAided Risk Score for Mortality (CARM)machine in the Theatre,one (1) Laparoscopic tower in the Theatre,4 Renal Dialysis machines and a Telemedicine for teaching and consultations;

Picture12:

AfullyoperationalRadiologyDepartmentattheMakueni Countywith all functionalmachines,includingX-ray machines,ComputedTomography(CT)scanners, mammographyunits,andultrasoundmachines.

b)Whereas the Countywas in theprocess of constructing a newmorgue it was notedthattheexistingfacilityhadalimitedcapacityof24bodieshadbroken glasswindows,exposedpoorlyinstalledelectricalwires,dilapidatedfloorsand weakrefrigeration units;

MORTUARYI

Picture13and14: ThedilapidatedmortuaryinfrastructureattheMakueni

CountyReferral Hospital.

c)There was only one functional laundrymachine,and thelinen awaiting cleaning were notproperly sorted,indicatinginadequatehygienepractices.Additionally, theunitwasoperatedbytwocasualworkerswhodidnothavesignedcontract agreements,raising concerns about staffing and compliancewith employment regulations.

Picture15and16:

MembersoftheCommitteeatthelaundryunit wheretherewasonlyonefunctional laundry machineoperatedbycasuallabourers

dThe Mother and Child Unit was spacious,clean,and well-ventilated,with adequatebed capacity.However,the Committeeobserved that theunitfaced challenges such as insufficient supply of mosquito nets and linen.It was also reportedthattheUnitwas alsounderstaffedandfacedasevereshortageof nursingpersonnel;
e)The kitchen infrastructure was significantly deteriorated,with notable issues such as cracked flooring,poor drainage systems,rusty sinks,chipped walls, damaged work surfaces,and old,soiled food preparation equipment,which posedariskoffoodcontaminationandcompromisedbothsafetyandhygiene standards;

Picture17: dilapidatedascharacterizedbycrackedflooringand

TheMakueniCountyReferralHospitalkitchenwas unfunctionalcoldroom.

Picture18:TheKitchenhadrusty sinks,chippedwalls,damagedwork surfaces.

Thehospitalhad several ambulances,however,mostofthem weregrounded, with onlyone operational.Additionally,it wasnoted that the ambulances interiorsincludedbroken oldbedswithrugged,worn-outcovers;
Thehospital compoundnear theparkinglotwas dottedwith abandoned,unused and broken-down motor vehicles posing significant health,safety and environmentalconcerns.TheCommittee observed thatthe derelictvehicles and machinerywere an eye sore and a source ofpollution and hazard to both staff and thepublic since theywereparked alongthehospital busypaths andwalk ways;

Picture19:

TheCommitteeMembersatoneofthemanyunfunctional ambulancesattheMakueniHospitalthathadbeen grounded.

h)While the hospital had removed the asbestosroofing,theyhadbeen disposed in anopenfield andpiled alongthefencetothewardsexposingthepatients,their families and healthcare personnel to significant health problems related to asbestos fibres;
i Patients informed the Committee that they had been directed to purchase prescriptiondrugsfrom externalpharmacy storeslocatedalong the hospital road indicating inadequate supply of essential drugs and medicine at the hospital;
D At the Pharmacy,there wereno bin cards and record keeping waspoorly done makingitunreliable to trackdrugmovement and therebyincreasingrisksof pilferage,waste and loss ofmedicine through expiry and mismanagement.There were discrepancies between bin card entries andphysical counts for instance there were excess stockof Tradmin,a brand of the prescription drug,on the shelves as opposed in therecorded stocks;and
k)There wasno functional incinerator at the facility and both medical andnonmedical waste was being disposed in an open field next to residential and commercial buildingsand during thevisit somerecentlyused bandages and blood-stained linen were found strewn all over the said fieldposing serious healthriskstohumanhealthand theenvironment.TheCommitteeobservedthat thisviolated theregulatory standardsfor safewastemanagement andpromoted spread ofdangerouspathogenstonearbyresidents.

Picture20: Theshedsandtrashbagsusedforstoringemptyboxes, pharmaceuticalandnon-pharmaceutical wastesatthehospital.

Picture21: TheCommitteeMembersatanopenfieldusedinsteadofan incineratorleadingtoimproperbiomedicalwastedisposal.

2.2.3 Meetingwith the CountyExecutive

35.The Committee helda de-briefingmeetingwith the Governor,Makueni County to presentitspreliminaryreport andinformed the Governor thatduring the oversight visit to thehealthcarefacilitiesin theCounty,thefollowingobservationshadbeen made-
a)There were expired drugs andreliance ofmanual andpaper-based record keeping systemsin thehospitalpharmacywhich sloweddownpharmacy workflows andincreased therisks;
b)Theemployees exhibited high levelof positive attitude andmotivation towards work.However,there were some extreme cases where the personnel demonstrated somelethargy and lackluster attitude such as theradiology unit. Further there were complaints that somehealthcarepersonnelhadnotbeen promotedforinordinatelongperiods.Itwasobservedalsothatsometime some cadreswere beingremuneratedbelow therecommendedminimumwage bill;

c)TheMakueniHospital Mammogrammachine to supportearlybreast cancer detectionwas operational.However,lowutilizationwasreported suggesting barriers including limited communityawareness.The Committeeobserved thattherewerealsodedicateddesksforgender-basedviolenceandmental healthwhichis a significantstepinstrengtheningcareforsurvivors ofviolence and individualswith psychiatricneeds;
d)There waspresenceofold,stalled andnon-operationalambulances at the MakueniReferralHospitalwhiletherewasnofunctionalambulanceinthe facilitiesvisitedrepresentinga critical gapin emergencymedical response capacity anddirectly threateningpatientsafetyand ability todeliverurgent medical care.Further,themortuaryrefrigeratorspurchasedforMukuyuniSubCountyHospitalin2013requiredinstallationtoensuretheeffective functioningofthe coolingsystem;
e)Thetwohospitalsvisitedexperiencedgenerallowdrugstocklevels,which compelledpatientstoprocuremedicationsoutofpocket.However,thehospital wardsweregenerallyclean,uncongested and had cleanbeds;
f)TheMakueni CountyReferralHospital lackedafunctionalincineratorand hazardous medical wastes including sharps, contaminated materials, pharmaceuticalswerefound disposed improperly exposingpatients,staff and theneighboringcommunitytoinfectious agents andtoxicsubstances;and
g)Patientshad informed theCommittee that they facedchallengesof long delayedCT scan imagingreports due to shortageofRadiologistsforcing patientstowaitfortheirreportstobesenttoKenyattaNationalHospital (KNH)for analysis.Further,theCommitteehadobservedgeneral shortageof nurses across all the departments and unitsin thefacilitiesvisited.

36.TheGovernorinformedtheCommitteethat-

a)All healthcare workers hired by the Makueni CountyPublic ServiceBoard holdpositions onPermanent and Pensionable terms,ensuring job security andaccess toretirementbenefitsasmandatedby countypublicservice employmentregulations;
b) TheCountyGovernmentwilladdressconcernsthatsomeemployeeswere receivingaminimumwagebillandensurethatcasualworkersemployedby healthcare facilities receive fair and adequate remuneration in line with Kenyanlabourlaws andgovernmentguidelines;
Further,the County Government will address the attitude of Human Resources for Health(HRH)staffand strengthen supervision toensure consistent,accurate record keeping,therebyimproving administration, accountabilityandservicedeliveryinhealthcarefacilities;

d)Makueni Countyhad a huge pending disbursement from the Social Health Authority(SHA) due tohighnumberofrejectedclaims,aproblem thatwas disruptingfinancialflowsat thehealthcarefacilitiesandaffected timely paymentforhealthservices;
The Countyhad achieved a significantreductioninmaternal mortalitycaused byhemorrhageduringchildbirthbyintroducingheat-stablecarbetocinto prevent and treatpostpartumhemorrhage,theleading cause of maternal deaths intheCountry;
f The County Government faced severeresources drain resultingfrom serving alargeinflux ofpatients from otherparts of the Country arisingfrom its proximity to Mombasa-Nairobi Highway and attendant socio-economic activities;
g The County Government ofMakueni has allocated funds in its budget specifically toclear all outstandingarrearsanddelayedpaymentsowed to CommunityHealthPromoters(CHPs),aiming tostrengthengrassrootshealth outreach;and
h TheCountywas activelytransitioningfromamanualpaper-basedsystemto adigital health information system,aiming toimprove efficiencyin recordkeeping,service delivery and resource management across itshealthcare facilities.

2.3MACHAKOSCOUNTY

2.3.1 Oversightvisit toAthiRiverLevel 4Hospital

37.TheCommitteeconductedanoversightvisittotheAthi-RiverLevel4Hospitalin MavokoSub-CountyonFriday24thOctober,2025.TheCommitteewasreceivedby Mr.Benjamin Mwongela,the Mavoko Sub-County Public Health Officer;Dr. Catherine Kilonzo,the Mavoko Sub-County Medical Officer of Health;Dr. Jemimah Ndila,the Hospital Administrator alongside Ms.Mary Mutua,the OutpatientDepartmentHeadinchargeofclinical officers;Mr.MarkNdambuki,the Sub-CountyNutritionist.
38.Duringthevisit,the Committeewasinformed thatAthiRiverLevel 4Hospitalis a publicprimaryreferral hospital servingAthiRiver,Mavokoandsurrounding areas. The facilityprovides awide range ofinpatient and outpatient services,including general consultations, diagnostic services,maternity care and pediatrics.However, the facilityhad a relatively small inpatient bed capacity of twenty(20)beds.
39.The Committeewas furtherinformed that there areplans toexpand thefacility throughinfrastructuralimprovementsatthehospital.constructionofanewMother and Child Unit,X-ray unit and a theatre block to enhance healthcare delivery and expand diagnostic and surgical capacity.Further, the management had conducted staffpromotionsinMay,2025andorganized trainingsessionstoenhanceworkforce capacity and skills.

40.During thevisit theCommittee observed that-

a)The online health management system,AFYA 1,was not functional and had reportedlycollapsedfor over twoweeksforcing operations torevert to slow and inefficientmanual,paper-basedrecords.The Committee observed that this had severely impacted patient registration,pharmacy inventory,laboratory results and general data retrieval contributing to delays and long queues;
b Thehospital facedsignificantchallengesincludinginsufficientprocedurebeds witholdrustybeds,uncleanlinenandlackofworkingsurfaces and equipment. Bedsusedatthematernitywardsappearedold andwererusty,withworn-out mattresses and linen.Additionally,the beds lacked mosquito nets,posing significantrisksforpatientsafetyandincreasingvulnerability tomosquitoborne diseases;
Thelaboratory at thefacilityis currentlyunderstaffed andhasbeenfacing C persistentshortage ofessential reagents.Itwasreported that thelaboratoryhad six(6)staffmembersagainstanestablishmentofeleven(11)staffmembers which was associated with overwhelming workloads and disruptionof diagnostic services;

d Therewasnofunctional laundry unit toensurepatients alwayshad access to cleanlinenat thefacilityriskinginfections,general hygiene and compromised patientcomfort and dignity;
Thehospitalkitchen was extremely small and lackedrunningwater supply. Water bottles used tofetchwaterwerefound strewnall over thefloor.Further, the kitchen was inadequately equipped and lacked modern equipment and essential toolsnecessaryforefficient operation;
Thefacilityfacedchallengesrelated topoorphysicalinfrastructure conditions includingcrackedfloors,fadedandpeelingwall paints,looseelectrical sockets andexposed electriccablesanddamagedceilingsthatexposepatients and staff touncomfortableandpotentiallyunsafeconditions;
Thefacilityfacedsignificantsanitation and cleanliness challengeswith thelack ofreliablewater supply andpoormaintenanceof hygiene standards.Itwas reportedthatforthepastsix(6)months,therehasbeennorunningwaterinthe maternitywardsandpatientshad torelyonbuckets andbasinsfortheirbasic cleaningneeds;

Picture22:AWardat theAthiRiverLevel4Hospitalfacewithpoorphysical infrastructureconditionsincludingcrackedfloors.

Picture23:Abucketinuse.at theAthiRiverLevel4Hospitalduetolackof reliablewatersupply andpoormaintenanceofhygienestandards.

h)There were old,rusty beds at the facility,with worn-out mattresses and linen. Additionally,thebeds lackedmosquito nets,posing significant risksfor patient safety and increasing vulnerability tomosquito-borne diseases such asmalaria;

Picture24and25: ACommitteeMemberengagingthehospitalstaffatAthi RiverLevel4Hospitalwheresignificantchallenges includinginsufficientprocedurebedswitholdrustybeds, uncleanlinenandlackofworkingsurfacesandequipment wasnoted.

There wasno functional laundryunit to ensure patients always had access to clean linen at the facilityrisking infections,general hygiene and compromised patientcomfort and dignity;and
There was poor waste disposal at the facility due to lack of a functional incinerator,which posed significant health risks to both the hospital environmentand thesurroundingcommunity.

2.3.2OversightVisittoMwalaLevel4Sub-CountyHospital

41.The Committeeconducted an oversightvisit toMwalaLevel4Hospital onFriday, 24th October,2025 and was received by Dr.Emmanuel Wambua the hospital's Medical Superintendent and Ms.EuniceManuna,theNursingServiceManager.The Committeewasinformed thatMwalaLevel4Hospitalhasmoderninfrastructure whichincludes a16-bedmaternitywing,10-bedgeneralward,pediatricwardanda fully equipped laboratory and surgical theater.
42.The Committeewasfurtherinformed that theHealthRecordsUnitwasoperatedby four(4) contracted employees two ofwhom were contracted by the facility while the other twowerecontracted underpartnershipwith theserviceprovider.Thefour weresupported by studentson attachmentandindustrial attachmentatthefacility. Nonetheless, the facility experienced challenges related to understaffing,which adverselyaffectedservicedeliveryandcompromised thequalityofcare.

TheMwalaLevel4Hospitalwhichoffersmaternity,emergency,

Picture26: specializedtreatments,andlaboratorydiagnostics.

43.TheCommitteewasalsoinformed thatMwalaLevel4Hospitalhasbeenidentified as having asbestos roofing,which hasbeenflagged as amajor publichealthhazard due to the well-documented cancer risks associated with asbestos exposure. However,planshad beenmootedtoensuresaferemoval anddisposal of asbestos beforetheendofthe2024/2025FinancialYear.

Picture 27: AroofwithasbestosattheMwalaLevel4Hospitalwhichis scheduledtoberemoved anddisposedbeforetheendofthe 2024/2025FinancialYear.

44.During the oversightvisit,the Committee observed that-

a)TheHealthRecordManagementSystemwas experiencinga failure over two weeksbeforethevisit,forcingstaff torevert tomanual,paper-basedrecording forallpatientdataand administrativetasks.Thissystemdowntimehadresulted in service delays,increased risk of record errors and omissions and greater administrativeburdensforhealthcarepersonnel;
b)At the pharmacy,expired drugs and certain hazardous medicines were found on the shelves,with some medicines not securely stored in the refrigerators as required by their respective manufacturers.Additionally,there was a faulty refrigerator;
c)MwalaLevel 4Hospital currentlylacksafunctionalincinerator,resultingin significant challenges for proper biomedicalwaste management.As a result, biomedical wastes including sharps,syringes and other possible infectious materials arebeingtemporarilystoredinold,rusty containers on-site,awaiting periodiccollectionand disposal by the County Government;

d)The laboratory equipment,including theFull hemogramMachine,Centrifuge, Liver Function Machine,and Tuberculosis (TB)machine,were observed to be ingoodworkingcondition.The Committeeobserved that this allows thehospital tomaintain essentialdiagnostic services for abroad range of conditions supporting effective patientmanagement;and
e)The kitchenwasfound to be small,poorly equipped and inadequatelyventilated, lacking critical fixtures such as smoke extractors and essential cooking equipment.It was observed that charcoal was used for food preparation fire hazards and poor air quality,which could negatively impact patients and staff.

Picture28:ThecharcoalusedforfoodpreparationattheMwalaLevel4Hospital presentingsignificanthealthrisksfromsmokeandcarbonmonoxide exposure.

Picture29: Therustycontainerusedfortemporallyholdingofbiomedical wastesatMwalaLevelIVHospital.

2.3.3Oversightvisitto theMachakosCountyReferralHospital

45.The Committeeconducted an oversightvisittoMachakosCountyTeachingand Referral HospitalonFriday 24th October,2025andwasreceivedbyDr.Muya Ndambuki,the County Secretary Machakos County;Mr.JustusKasivu, the County Executive Committee Member(CECM)Health;Ms.Winfred Nzuki,theHospital's ChiefExecutive Officer;and Dr.Daniel Katua,theMedical Superintendent besides a hostofofficersfrom theHealthDepartmentin theCounty.
46.During the oversightvisit,the Committee was informed that Machakos Level5 Hospitalis thelargestgovernment healthfacility andmainreferralhospital in Machakos County serving as theprimary centerforadvanced carein theregion and neighboring counties.The hospital provides curative,palliative,rehabilitative and specialized referrals,including surgery,maternity and outpatient services.The hospitalhadabedcapacityof541beds,including123maternitybeds.Additionally, theNewbornUnitaccommodatedatotalof75cotsand10KangarooMotherCare (KMC)beds.

47.TheCommitteewasinformed thatthefacilityhademployedatotalofforty-nine (49) consultants,withforty-seven(47)onPermanent and Pensionable(PNP) terms andtwo(2)locums,alongside.twenty-four (24)medicalofficers comprising clinical officers,including 21 general and forty(40) specialist officers on PNP terms,two(2)underUniversalHealth Coverage(UHC),fifteen(15)general officers under the Center for International Health,Education and Biosecurity Kenya (CIHEB) and one(1) locum.Nursing staff totaled three hundred and fifty-five(355), madeupof threehundredand thirty-three(333)general and specialistnurseson PNP terms,fourteen(14)underUHC,two(2)general nurses under CIHEB and six (6)locums.
48.The pharmacy department had 14 pharmacists,all employed on PNP terms. Radiographyservicesweresupportedby14radiographers,ofwhom8were onPNP terms,three(3)underUHCand three(3) locums.Nutrition servicesincluded seven (7)nutritionists all on PNP terms and 1 locum psychologist.The hospital also employed10anesthetists(clinicalofficers)onPNPterms,15physiotherapy staff with thirteen(13)onPNPterms and two(2)locums,and8occupational therapists, including seven(7)onPNP terms and one (1)underUHC.
49.During the tour,the Committee observed that-
a)Thehospitalwas equippedwithahigh-resolution CCTVcamera system that comprehensivelymonitorsall departmentswithin thefacility.The Committee wasinformed thattheinstallationincludeswirelesssurveillance cameras and a moderncontrolcentre,whichhas significantlyenhancedsecurityforpatients, staff andvisitorsby deterring and detectingincidents such as theft and other unauthorized activities;
b)Thehospital has anICTlaboratorydedicated tostaff training,wherehealthcare workers and administrative personnel acquire essential skillsfor operating the hospital'sintegrateddigitalsystems.TheCommitteewasinformed that the facility supports ongoing professional development, boosting staff capacity to manage electronic health records,digital financial operations and other automated services thatimprove overall hospitalefficiency and service delivery;
c)Thehospitalis equippedwith amodernincinerator designedfor thesafeand efficientdisposalofbiomedicalandclinicalwaste.TheCommitteewas informed that theincineratorispart of thehospital's advancedmedical facilities for managing toxic andinfectious materials.However,it was noted that the incineratorneededrepairs,specificallyits entrancedoortoensure continued optimaloperationandsecurity;

Picture30: Theincinerator atMachakosCountyReferralHospitalwhich doesnothaveafunctionalentrancedoor.

Picture31:TheCommitteeMembersbeingconductedonatourofthemodern incineratorat theMachakosCountyReferralHospital.

d)Duringthevisit,theAFYA1HealthManagementSystemutilizedin theCounty wasreportedasnotworking,hinderingitsintendedsupportforservicedelivery andoperational efficiency.Thisoutage contributed to challengesinpatient processing,recordmanagement andgeneralhospitaladministration andresulted in delays and need formanual interventions;
e)The hospital has two well-established mental health wards that separately accommodate male and femalepatients,supporting both inpatient psychiatric care and specialized mental healthinterventions.This arrangement enablesthe hospital toprovidegender-sensitive treatmentanda safer environmentfor individuals with acute psychiatric conditions,ensuring proper supervision and tailoredpsychosocial support for each group;
f However,itwasobservedthat thewardswereequippedwithold,rustyhospital beds and worn-out linen,which reflected a lack ofproper maintenance and timelyreplacementof these essentialitems.These conditions alsopointed to persistent infrastructural and supply challenges within the unit,affectingboth patient comfort and the overall quality of care;
g)Thehospital laundryunitwasequippedwith onlyonefunctional washing machine,significantly limitingits capacity toprocess the substantial volume of linens andmedical garmentsgenerated daily.The Committee noted that this hampered efficientlaundry operations and contributed to delaysin supplying cleanlinen to theinpatientwards;

Picture32:Therustybedsatthementalhealthunit.

Picture33: CommitteeMembersatthelaundryunitattheMachakos CountyHospitalwhichwasequippedwithonlyone functionalwashingmachine,significantlylimitingits capacitytoprocessthesubstantialvolumeoflinensand medicalgarmentsgenerateddaily.

h)Atthemedicalwards,somepatientsinformed the Committeethat theyhadbeen compelledtobuy drugsoutofpocketfromprivatepharmacies.The Committee observed that some of the said drugs or their generic equivalentswere available and access. This also suggested shortcomings in dispensing practices or systemicinefficienciesin the distribution of stocked medicines,leading to unnecessary expenses forpatients;
i)Therewas alocked containerfilledwithexpired drugswas observed,which had notyetbeen collected for safedestruction.This situation indicateslapsesin compliance,underscoringtheneedfortimelyremoval andproper disposalof expiredmedicationstoavoidpotentialmisuse orenvironmental hazards;
j) TheHospital facessignificantinfrastructural challengesinitswards,where only two toiletswerefunctionalforlargenumbersofpatientsinoneof thefemale wards.Additionally,themedical wardslackmosquito nets,exposingpatients to increasedrisksofmosquito-bornediseases andreducingoverall comfortand safety.These gapshighlighted the urgent needs for sanitation and infection preventionimprovementswithin thefacility;

k)Atthetime ofvisit,Machakos CountyReferralHospitalwasintheprocessof finalizingestablishmentofamodernkitchen.Itwasobservedthatupgraded kitchen is designed toenhance foodservice quality for patients with improvementsincludingmorehygienicfoodpreparation andnew equipment; and
ContractedstaffmembersinformedtheCommittee thattheyhadexperienced payment delaysofupto three months,resultingin considerablehardship as they struggle tomeet theirdailysubsistenceneeds.TheCommitteewasinformed that these delayshadnegativelyimpacted staff morale.Some casualsnarrated totheCommitteehowtheyhadbeencompelled toeatleftoverfooddueto delayedpayments andfinancial hardship

Picture34: TheCommitteeatthemodernkitchenattheMachakos CountyReferralHospitalsaidtobepartofwider healthcareupgrades at thehospital.

2.3.4 Meetingwith the Governor,Machakos County

50.The Committee held ameetingwith the Governor Machakos County onFriday24th October,2025. The Governor was accompanied by the Deputy Governor,the CountySecretary,theCountyExecutiveCommitteeMember(CECM),theCounty Secretary(CS),theCountyChiefOfficerofHealth,ChiefOfficerintheDepartment ofHealthServices and othersenior officialsfrom the CountyGovernmentHealth Department.
51.During the meeting the Committee informed the Governor and the County Executivethat-
There is need to urgently address the issue of asbestos roofing in order to ensure thesafetyofpatients,staff,andvisitors.TheCommitteeobserved thatprompt replacementof the asbestosmaterialswith safer,modernroofingis essential tomeetoccupationalhealth standardsandprotectpublichealthwithin the facility;
b) Although the County had made substantial investments in upgrading healthcarefacilities,apersistent challengeremainsinensuringareliablewater supply,especiallyatAthiRiverLevelHospital.Thelackofconsistentwater access undermined the effectiveness of infrastructure improvements and affects criticalfunctions such asinfection control,sanitation anddailypatient care;
Therewereconcerns thatinpatientsatMachakos Level5 Hospitalhave experiencedsituationswheretheywereinstructedtopurchasemedicinesfrom outsidevendors andpharmacies,despite the same drugs being availablein the hospital'spharmacystock.TheCommitteeobserved that thisreflectedissues in accountability and theinternal distributionofpharmaceuticals,resultingin anunnecessaryfinancial burden for patients and inefficientuse ofpublic resources;
d There is an urgent need to install incinerators at the sub-CountyLevel 4 Hospitals withinMachakos County to ensure safe and efficient disposal of biomedicaland clinicalwasteastheabsenceofincineratorsatthesefacilities poseshealth,safety,andenvironmental risks;
Healthcare facilities in Machakos County including sub-county Level 4 Hospitals encountered considerable challengesinrecordkeeping andhealth informationmanagement.Discrepancies andinconsistenciesin health records wereobserved,underminingreliablepatienttracking,pharmacyinventory and servicedelivery;and

f CasualcleanersatMachakosLevel5Hospitalhadnotreceivedpaymentfor fivemonthsand theydidnothaveformalcontractswiththeiremployer,Ms. NathifuCleanersLimitedCompany.Thislackofcontractualagreement contributedtopoorjobsecurityandwelfareforthecleaningstaff,whowere alsonotprovidedwithmeals,leading some to consumepatientfood.It was observed thattheseconditionshighlightseriousdeficienciesthatrequireurgent redressforethicalandoperationalreasons.

52.During themeeting,the Governorinformed the Committee that-

a)MachakosCountyhasinvestedinupgradingand equippingMachakos County ReferralHospital to enhanceits ability to deliver specialized andreferral services.The County is actively working on further improvements,notably upgrading the Mother and Child unit, Cancer unit and Renal unit,aiming to expand access to advancedhealthcare servicesandreducepatientreferrals to hospitalsoutsidethe County;
b)The County has outlined plans to hire additional nurses,pharmacists and pharmaceutical technologists,withongoing efforts totrain and deploy more healthcare personnel to critical service areas.These measures are aimed at addressing workforce shortages,enhancing service delivery and ensuring adequatestaffinglevelsinspecialized and high-demandhospital units;
c)Further,theCounty Governmentof Machakoshadpromoted 422doctors aspart ofefforts torecognize andrewardstaff for theirserviceandqualifications.The promotionprocess wasongoing,with additionalhealthcare staffexpected to benefitaspartofthecounty'sbroaderworkforcedevelopmentandretention strategy;
d)TheSHAhadnotremittedall duesowed tocountyhospitals,withoutstanding payments amounting to approximately Kshs.600 million.This significant financial shortfall hashindered theefficientdeliveryofhealthcareservicesand stalled the upgradingof facilities.The lack of timely disbursementshas strained hospitaloperations,affected procurementofessential suppliesand delayed criticalinfrastructure projects;and
e)TheCountyGovernmentof Machakoshascommitted to addresstheattitude and professionalism of Human Resources for Health (HRH) staff,alongside strengthening supervision throughoutitshealthcarefacilities.Thesemeasures are aimed at ensuring consistent and accurate recordkeepingwhich will enhance administration,improve accountability andraise theoverall quality ofservice deliverywithinthecounty'shealthsector.

CHAPTERTHREE

3.ANALYSISOFCOMMITTEEOBSERVATIONS

53.Having undertaken the oversight visit and reviewed submissions from the stakeholders,theCommitteemadethefollowingobservations.

3.1.CriticalHealthcareInfrastructure

54.Thereiswidespreaddeterioration of physical structures and thenon-functionality of critical specialized and non-specialized equipment,compounded bya systemic failure in environmentaland biomedical waste management infrastructure.This manifestsinseveralkey areasin all thethree countiesvisited.

a)FailureofBiomedicalWasteManagementInfrastructure

55.A critical cross-cutting deficiency is the lack of safe disposal mechanisms, particularlyfunctionalincinerators,across thecounties.Theincinerator at theKitui CountyReferral Hospital (KCRH)was dysfunctional,leadingtoimproperdisposal of hazardous and toxic biomedical wastes,which posed severe health and environmental risks.Mukuyuni Sub-County Hospital lacked an operational incinerator,utilizing a deteriorated old combustion chamber instead,with biomedicalwastefoundstrewnaroundthe surrounding areas.
56.Makueni CountyReferralHospitalalsolackedafunctionalincinerator,resultingin medical andnon-medical waste,includingrecentlyusedbandages andblood-stained linen,beingimproperly disposed ofin an open field next toresidential and commercialbuildings.BothAthi RiverLevel4HospitalandMwalaLevel4 Hospital lackedfunctionalincinerators.AtMwala,biomedical wasteswerebeing temporarily stored in old,rusty containers on-site.

b)BreakdownandNon-FunctionalityofEssentialEquipment

57.Facilities across all three countieshadnon-functional crucial specialized and nonspecialized equipment which compromised service delivery.In Kitui,the mammogram machine,essential for breast cancer screening,was non-functional. OtherManaged Equipment Services(MES)machinesincluding thePortableX-ray, OPGMachine and C-Arm werereported as faulty,needing calibration,orhaving brokencomponents.Atheatretablewas alsonon-functional duetotheunavailability ofspareparts.
58.InMakueni,the ContinuousPositive AirwayPressure(CPAP) medical devicefor newbornsat MukuyuniSub-CountyHospitalwasdysfunctional.Mortuary refrigeratorsboughtforMukuyuniin2013hadbeenleftuninstalled.Ambulancesat Makueni Referral Hospital were grounded or stalled,with only one reported operational.Further,a mainblood storagefridge atKitui CountyReferral Hospital inKituiwasreportedtobeoutofordersince2024.

C StructuralDefectsandHazards

59.Structural deficiencies,poormaintenance andresultingsafetyriskswerewidespread inall the threecountiesvisited.Kitui CountyReferralHospitalexhibitedgeneral maintenance challenges,includingbroken windowpanes,broken tiles andfailing ceilingsin thewardswhichimpactpatientcarequality andsafety.Thelabour ward anddeliveryroominKituiwerenotedasbeingopentogeneralwards,usingonly curtains aspartitions,raisingsignificant privacy concerns.
60.InMakueni,general dilapidation was noted at the Referral Hospital,including leakingpipes,wetpathways,naked andexposed electricalwires,broken windows at themortuary andnon-functionalcoldroomsin thekitchen.Machakosfacilities sufferedfromcrackedfloors,fadedandpeelingwallpaints,looseelectricalsockets, exposed electriccables anddamagedceilings.

d OutdatedFittingsandUnsafeConditions

61.Across the counties,old,rustyhospital beds and worn-outmattresses/linen were observed.ThekitchenfacilitiesinAthiRiverandMwalawerereportedasextremely small,poorlyequippedandinadequatelyventilated,withMwalaspecificallyusing charcoalforfoodpreparation,presentinghealth andfirehazards.MachakosCounty faced thepublichealthhazardof asbestosroofingatfacilitieslikeMwalaLevel 4 Hospital,requiring urgent safe removal and disposal.
62.Thepervasive natureofnon-functional criticalequipment(medical and waste management)alongside thedilapidated stateof thehospitalbuildingshighlights a healthcareinfrastructure across all threecounties.

3.2.Medical Equipmentand Technology

63.During theinquiry,the Committeeobserved widespread non-functionality and maintenance challengesaffecting critical diagnostic equipment;thesystemicfailure andpoorrollout of digital healthinformationsystems;and thecollapse ofessential supportingclinical technology,particularlyforwastemanagement.

α Non-FunctionalandFaultySpecializedEquipment

64.Across thevisited counties,expensive,specializedmedical equipmentincluding thosepotentiallysuppliedunderthe.ManagedEquipmentServices(MES)program werefrequently found tobe defectiveor completely non-functional,hindering diagnostic andhigh-level care services.InKitui CountyReferral Hospital,several specializedmachineswerereportedasfaultyornon-functional.Thisincludedthe mammogram machine, essential for breast cancer screening,which was nonfunctional and needed system calibration.Other faulty equipment included a PortableX-raymachine and anOrthopantomography(OPG)Machine;

65.A renal dialysis machine was reported as non-functional in Kitui County and labelledobsolete.Thetheatredepartmentreported anoperatingtable thatwasnot functional because the sparepart was not locally available.At Mukuyuni SubCounty Hospital in Makueni County,the Continuous Positive AirwayPressure (CPAP)medical devicefornewbornswasdysfunctional.

b DigitalHealthSystemFailuresandTechnologyAccessGaps

66.Asignificantcross-cutting technologicalissueis theunreliability andinconsistent deployment of digital health management systems and access devices,forcing facilities torevert toinefficientmanualprocesses.Theonline healthmanagement system,AFYA1,wasreportedasnon-functionalorcollapsedforovertwoweeksat bothAthi River Level4Hospital andMachakos CountyTeachingandReferral Hospital.This downtime forced staff torevert to slow,inefficientmanual,paperbased records,impacting patient registration,pharmacy inventory and laboratory results.
67.In Kitui County,although 213 SHA gadgets (tablets and power banks) were received,101publichealthfacilitiesstilllackthesegadgets,limitingtheircapacity tosubmit claims and access timely reimbursements under the SocialHealth Authorityframework.

C Non-FunctionalityofSupportInfrastructureEquipment

68.Beyond clinicalequipment,theessential technological toolsrequired for basic sanitation,hygiene andlogistics areeither dysfunctionalorinsufficient.Themost criticalinfrastructurefailureobserved across allcountiesrelatestobiomedicalwaste disposal technology.The incinerator atKitui County Referral Hospal,Makueni County Referral Hospital,Mukuyuni Sub-County Hospital,Athi River Level 4 Hospital and Mwala Level 4 Hospital inMachakos Countylacked functional incinerators,leadingtotemporary,unsafestorageofinfectiousmaterials.
69.Themainblood storagefridgewas out oforder since2024inKitui CountyReferral Hospital.In Makueni,most acquired ambulances were groundedwith only one reported operational at the Referral Hospital.Both Makueni County Referral Hospital andMachakos Level 5Hospital had only onefunctional washingmachine, hampering theprovision of clean linen.AthiRiverLevel4Hospital alsolacked a functionallaundryunit.

3.3.HumanResourcesforHealth(HRH)

70.All the threecountiesreportedorexhibited significantchallengesrelatedtochronic understaffingcoupledwithhighworkload,persistentfailuresinstaffwelfare and compensation and systemic issues regarding career progression and staff professionalism.

a)ChronicStaffingShortages

71.All the three counties reported shortagesin specialized and clinical cadres,leading topressureonexistingstaffandcompromisedservicedelivery.Departmentssuch as the TB Clinic,theblood bankandmaternity wardsinKitui County Referral Hospital were reported as severelyunderstaffed.Similarly,Makueni County Referral Hospital faced ageneral shortage of nurses across all departments,as well as a lackof specialistslikeRadiologists,leadingtolongdelaysin CT scanreports
72.ThelaboratoryatAthiRiverLevel4HospitalinMachakosCountywassignificantly understaffed,operating with only six staffmembers against an establishmentof eleven.InKitui,staffhandlingpatientdocumentationwereoverwhelmedduetothe highpatientvolume and theinadequacy ofrecords officers,especially since each patientrequires atleastfour differentrecords tobekept.
73.The absence ofcritical healthcarepersonnel and supervisorsobservedatMukuyuni Sub-CountyHospitalinMakueniCountyindicatedasystemicfailurethatcould compromise patient safety.Furthermore,healthcare personnel in Kitui were assigned duties,such as night shiftsin theradiology unit,evenwhen therequired machinerywasnon-functional.

b)PersistentIssueswithWelfare,Compensation,andPaymentDelays

(CHPs)andcasualworkersfaced significant financial hardship and lackof employment security across the visited counties.Contracted staff members, including casual cleaners atMachakosLevel5Hospital,reported payment delays of upto threetofivemonths.Thislackoftimelypaymentresultedinconsiderable hardship.
75.In Makueni,CommunityHealthPromoters (CHPs)reported that they had not receivedtheirwagesfortheprecedingsevenmonthsandlackedformal agreements with the County Government.They also lackedproperworkinggears/kitslike gumboots and umbrellas.Somecasual workers employed byhealthcarefacilitiesin Makueniwerereportedtobereceivingaminimumwagebill.
76.InMachakos,thedelayedpaymentsledsomecasual workerstobecompelledtoeat leftoverpatientfoodduetofinancialhardship.Theyreportedthattheywerenot providedwithformal contractsormeals.

c)CareerStagnationandLimitedPromotionalPathways

77.Akeyfactor affecting staff moraleandretentionis thelackofformalmechanisms orbudgetaryallocationforpromotions,leavinglong-serving employeesstuckinthe sameposition for decades.SomehealthcareworkersinbothKitui andMakueni reported havingworkedforinordinatelylongperiodswithoutpromotion.InKitui,a mortuaryattendantreportedworkingforovertwentyyearswithoutcareerwhole on advancement.In Makueni,a mortuary attendant at Mukuyuni Sub-CountyHospital hadservedforatleast twelve(12)yearswithout career advancement.
78.Across the three counties,the healthcareworkforcerelies on staff under Universal Health Coverage programs,on hospital contracts and locums,indicating dependence onnon-permanent staffingmodels tobridgegaps.

3.4.Health Products and Technologies (HPTs)and Supply Chain

79.The three counties encompass chronic deficiencies in supply chain reliability, critical failuresin high-value medical equipmentmaintenance,andwidespread gaps in pharmaceutical management and safety.

a.PersistentSupplyChainInstabilityandStockouts

80.Afundamental challenge acrossthe countiesisthe unreliable andinsufficient supply of essential health products,leading directly tofinancial burdens onpatients.Kitui Countyreportedpersistent drug supply challengesfrom theKenyaMedical Supplies Authority (KEMSA),with orderfill rates typically rangingbetween50% and70%. This highlights a major gap in the supply chain reliability.Nonetheless,Kitui CountyholdsanoutstandingdebtbalancetoKEMSAtotalingKshs36,396,245.78 as of30thJune,2025,withlargeportions exceeding90 days outstanding.Machakos CountyalsoreportedanoutstandingdebtowedtoKEMSAamountingtoKshs. 49,100,422.04sinceFY2022/2023.
81.Hospitalsfrequentlycompelledpatients topurchasenecessary drugs externally. PatientsatMakueni CountyReferral Hospital andMachakos CountyReferral Hospitalweredirected tobuyprescription drugsfromprivatepharmacies,even thoughtheCommitteeobserved thatgenericequivalentswere availablein the hospital'spharmacy stock.This practice reflects systemic failures in internal distribution andpharmacymanagement.
82.Hospitals inMakueni experiencedgeneral low drug stock levels,which contributed to the necessity for patients toprocure medicationsout ofpocket.Kitui County reportedthatKshs424,864,566hadbeenallocatedforSpecializedMaterialsand Supplies,pharmaceuticals andnon-pharmaceuticalsinFY 2024/2025,indicating significantfinancial commitmentamidstthesesupplyproblems.

b.Inventory Mismanagement andPharmaceuticalSafety Gaps

83.The Committee observedpoorrecord-keeping across the three counties leading to stockdiscrepanciesandunsafestorageofpharmaceuticalsposingrisks topatient safetyandregulatorycompliance.At theMakueni CountyReferral Hospital Pharmacythelackofbincardsmadetrackingdrugmovementunreliable,increasing the risks of pilferage,waste and loss through expiry.The hospitals in Machakos
84.MwalaLevel 4HospitalinMachakosCountywasfoundtohaveexpireddrugsand certainhazardous medicines on shelves,with some notsecurely stored in the requiredrefrigerators.Thisfacility alsohad afaultyrefrigerator.MachakosLevel5 Hospitalhad a locked containerfilledwithexpireddrugsawaitingsafe destruction, highlightinglapses inpharmaceuticalwastemanagementand regulatory compliance.

3.5.Universal Health Coverage(UHC);Financial and Operational Challenges

85.Aprimary cross-cuttingobservationrelatesto thefinancial strainon healthfacilities duetochallenges in theUniversal Health Coverage(UHC)and Social Health Authority(SHA)framework,particularlyconcerningreimbursementsandservice access.

a. DelayedandOutstandingReimbursements

86.HealthfacilitiesinKitui Countyreported thattheyhadsubmittedclaims totalingto Kshs.631,765,540 by 18th August,2025,with Kshs.293,381,362 (46.5%) remaining astheoutstandingbalance.Similarly,Machakos Countyfacessignificant delayed SHA reimbursements,totaling approximately Kshs.600million across countyhospitals,hinderingservice deliveryandfacilityupgrades.Makueni County reported ahugependingSHA disbursement due toa highnumberof rejectedclaims.
87.KituiCountyreported thatalthoughtheyreceived213SHAgadgets(tabletsand power banks),101publichealth facilities are still without SHA gadgets,limiting theirabilitytosubmitclaims and accesstimelyreimbursements.
88.Despiteeffortstodigitizehealthrecords,systemdowntimeforcesfacilitiesbackinto cumbersome and risky manual procedures,severelyundermining efficiency and datareliability.Theuseofmanualsystemsslowedpharmacyworkflows, complicated druginventory management and contributed to discrepancies and long queuesforpatientregistration and data retrieval acrossvarious hospitals.

CHAPTERFOUR

4.COMMITTEERECOMMENDATIONS

89.With theforegoing,the Committeemakes thefollowingrecommendations-

4.1.ChiefExecutive Officer,theSocial HealthAuthority

90.TheCommitteemakesthe followingrecommendations to theChiefExecutive Officer oftheSocial HealthAuthority(SHA)-
1.Toprioritizeand release allverifiedoutstanding claims owed topublic healthcarefacilities andstandardizeandexpeditetheclaimverificationprocess todrasticallyreduce thehighrateofrejectedclaimsreportedbythecountiesin order toensurefuturedisbursementsarepredictableandtimelytomaintain hospital liquidity;and
2.To ensure that all publichealthfacilities still operatingwithoutSHAgadgets are immediately suppliedwith thenecessary equipment such as tablets andpower banks toenablethemtosubmitclaimselectronicallyand access timely reimbursements.

4.2.Councilof Governors

91.The Committee makes the following recommendations to the Council of Governors-
1.Toestablish specificproject timelines for the saferemoval andregulatorycompliant disposal of hazardous materials such as asbestos roofingat allpublic healthcarefacilitiesin the counties;
2.To ensure that all county governments have ring-fenced emergency capital funds andenforceanon-negotiabledeadlinefortheinstallationorfunctionalrepairof certifiedbiomedical wasteincinerators at all publichealthcarefacilities;
3.Toensure thatall CountyGovernmentsstrictlyadheretothelawrequiringthe ring-fencingofFacilityImprovementFund(FIF)revenuestoensurethesefunds areretained andusedexclusivelyatthefacilitylevelforserviceimprovement;
4.Tocoordinate all county governments to conclude individual debt settlement agreementswithKEMSA specifyingmonthly or quarterly instalments that clear allverified arrears withina maximumof six(6)months,with prioritygiven to debtsoutstandingformore thanninety(90)days;
5.Toensure that all counties immediatelyclear alloutstandingwage arrearsfor Community HealthPromoters(CHPs)and casual/contracted staffandensure timelypaymentsand adequatecompensationinlinewithminimumwageand laborlaws;and

6.Toensure that CountyPublicServiceBoards(CPSBs)mustimplementbinding policiestoresolvecareerstagnationby finalizing androllingoutannual promotion schedulesforlong-serving staffwhohaveworkedforinordinately longperiodswithoutadvancement.

4.3.Governor,Kitui CountyGovernment

92.The Committee makes the following recommendations to the Governor,Kitui County-
1)Todirect urgentcapitalinvestment andmaintenance efforts torectify severe infrastructural deficiencies,particularly those compromisingpatient safety and environmental compliance;
offunctionalbiomedical wasteincinerators and therepairof themalfunctioning overall CCTVcamera system;
3)Tourgently allocatefundsfor.therepair,calibrationorreplacementofkeynonfunctionalequipment specifically themammogrammachine,thePortableX-ray and OPGMachine and themainblood storagefridge;
4)ToexpeditetheconstructionoftheprioritizedMotherandChildBlockandthe isolationserviceswardstoaddress.thesevereovercrowdingandincidentsof patientssharingbedsobservedintheMaleGeneralWardandMaternityWards and to properly isolate Tuberculosis (TB),highly infectious and multidrugresistantpatients;
5)Toaccelerateeffortstoobtainthereimbursementoftheoutstandingbalanceon claimssubmitted toSHA andensure thatallFacilitiesImprovementFinancing (FIF)are utilized lawfully within the PublicFinance Management (PFM) Frameworkandspendingarrangementscomplywith thePFMAct;
6)ToexecutetheplannedKshs.236Mbudgetforrecruitingadditionalhealth workers inFY 2025/2026,prioritizing the filling of severe staffinggapsin criticalareassuchas theTB Clinic,bloodbank,maternitywardsand increase thenumberofrecordsofficers andnurse tomanage thehighpatientworkload;
7)Toinitiate animmediate audit andimplement apromotionscheduletoaddress cases where healthcareworkers,have stagnatedforover twentyyears;and
8)Toconvertall UHCStaff,includingthoserecruitedunder thedefunct donor programs on fixed-term contracts,toPermanent and Pensionable (PNP) terms to enhancejobsecurityandmorale.

4.4.Governor,Makueni County

93.The Committeemakes thefollowingrecommendationsto the Governor,Makueni County-
1.To prioritize the immediate acquisition,repair or installation of functional incinerators at theMakueni County ReferralHospitalandMukuyuni Subhazardous medical and non-medical waste inopenfields next toresidential and commercialbuildings;
2.To ensure the safe and compliant removal and disposal of the asbestos roofing materialsthatwereobservedpiled along thefencenearthemedicalwardsas these exposepatients,families,andhealthcarepersonnel to significanthealth risks;
Toensuretheimmediateinstallationandfunctionalcommissioningofthe mortuaryrefrigerators thatwerepurchasedin 20i3buthave remained unutilized atMukuyuniSub-CountyHospital;
4.Toimmediately repair the dilapidated infrastructure,including leakingpipes, wetpathways,naked andexposedelectrical wiresinside wards andcorridors, brokenwindowsatthemortuaryandnon-functionalcoldroomsinthekitchen atMakueniReferralHospital;
5.Toreviewandadjust theremuneration ofcasualworkersemployedby healthcarefacilities to ensure theyreceivefair and adequateremunerationin linewithKenyanlaborlaws andaddressconcernsthatsomecadreswerebeing paidbelowtheminimumwagebill;

6. healthcare workers,such as the mortuary attendant who had served for inordinatelongperiodswithout apromotionor career advancement;

7.To prioritizethe repairand functional commissioning of the grounded ambulances atMakueni CountyReferral Hospital torestoreemergencyfleet;
8.To ensure that essential drug stocklevels aremaintained and immediately enforce accountabilitymeasures topreventpatients frombeingdirected to purchaseprescriptiondrugsfrom externalpharmacy stores evenwhen generic equivalentsare availableinthehospitalpharmacystock;
9.To institute strict inventory management protocols,specifically mandating the useofbin cardsin thepharmacydepartmenttoeliminatepoorrecordkeeping andreliably trackdrug movement,thereby reducing risks of pilferage and loss through expiry;

10.Toimmediatelyclear alloutstandingarrearsanddelayedpaymentsowed to CommunityHealthPromoters(CHPs);
11.Toaddress theinternal administrativefailurescontributingtothehighnumber ofrejectedclaimswhichresultsinahugependingdisbursementfrom theSocial HealthAuthority(SHA),disruptingfinancial flows;and
12.Tostrengthen supervision and address theobservedinstancesoflethargy and lackluster attitude among some personnel (suchas thosein theradiology unit) to ensure consistent,accuraterecord keeping and improved service delivery.

4.5.Governor,Machakos County

94.TheCommitteemakesthefollowingrecommendationstotheGovernor,Machakos County-
1.Torectifythedeplorablewelfaresituationofthecontractedhealthcare personnel by ensuring that they areprovided with formal contracts,paid fairly,above the recommended minimum wage bill,and suppliedwith necessaryprovisionsandequipment;
2.To resolve the critical sanitation challenges in healthcare facilitiesby guaranteeing areliablewater supplyandurgentlyrepair or replace dilapidatedsanitaryinfrastructurein allhealthcarefacilitiestoensure there arefunctionaltoiletfacilities availableforthelargenumbers;
3.To allocate sufficientresources to immediatelyrepair the defectiveMRI machine atMachakosLevel5Hospitaland ensuremaintenanceprotocolsare consistentlyenforcedforall specializedequipment;
4.To allocate sufficient resources to enable the acquisition of functional laundry equipment and address theovercrowdinghazard by expanding the smallinpatientbedcapacityatAthiRiverLevel4Hospital;
5.Toexpedite theplans tohire andpromotehealthcarepersonnel suchnurses, pharmacistsandpharmaceutical technologistsinordertoaddressimmediate shortages andensurepublicfacilitiesare adequatelystaffed;
6.Tomandateimmediate actionforthesafedestruction ofthelocked container filled with expired drugs at Machakos Level5Hospital and reinforce protocolstopreventtheunsafestorage ofexpired andhazardousmedicines onopenshelvesatfacilitieslikeMwalaLevel 4Hospital.
7.Toimmediately ring-fence funds andimplement the planfor the safe removal anddisposalofasbestosroofinginallpublichealthcarefacilities.

Annex 1:

Minutes of the Committee Sittings

13TPARLIAMENTI5TSESSION

MINUTESOFTHEFIRST(1SI)SITTINGOFTHESTANDINGCOMMITTEEON HEALTH HELD ON TUESDAY,17T FEBRUARY,2026 AT 11.00 AM AT COMMITTEEROOM6,BUNGETOWER,NAIROBI

MEMBERSPRESENT

1.Sen.JacksonK.ArapMandago,EGH,MP

-Chairperson

2.Sen.MariamSheikhOmar,MP

-Vice-Chairperson

3.Sen.David Wakoli,CBS,MP

-Member

4.Sen.Richard Onyonka,MP

-Member

5.Sen.Tabitha Mutinda,CBS,MP

-Member

6.Sen.Hamida Kibwana,MP

-Member

ABSENTWITHAPOLOGY

1.Sen.Justice(Rtd)Stewart Madzayo,EGH,MP-Member

2.Sen.LedamaOlekina,CBS,MP

-Member

3.Sen.Joseph Githuku Kamau,MP

-Member

SENATESECRETARIAT

1.Mr.Humphrey Riingera

-SeniorResearch Officer

2.Mr.DavidNgamate

-Clerk Assistant

3.Mr.Gilbert Juma

-Legal Counsel

4.Ms.Lilian Onyari

-Fiscal Analyst

5.Mr.David Munene

-Research Officer

6.Mr.Ian Otieno

-AudioRecording Officer

7.Mr.Jack Lemeteki

-MediaRelations Officer

MIN/SEN/SCH/001/2026

PRELIMINARIES

The Chairperson called the meeting to order at twenty-fiveminutespast eleven o'clock and the proceedings commencedwitha word of praycr andbriefintroductions of thosepresent. Thereafter,the Chairpersonmade some shortwelcome remarks to theMembersof the Committee and theSecretariat.

MIN/SEN/SCH/002/2026

ADOPTIONOFTHEAGENDA

CBSMPndsndbynMaamhimaPlisd

a.Prayer
1.Preliminaries;
b.Introductions
3.Consideration of pending legislative business before the Committee and the Committee Workplan for the Third Quarter of Financial Year 2025/2026 (CommitteePaperNo.158);
2.Adoption of the Agenda;
4.Consideration and Adoption of the Committee report on the County Oversight and Networking Engagements in Kitui,Makueni and Machakos Counties (Committee Paper No. 159);
6.Adjournment/Dateof theNextMeeting
5.Any other Business;and

MIN/SEN/SCH/003/2026

CONSIDERATIONOFPENDINGLEGISLATIVE BUSINESSBEFORE THECOMMITTEEAND THECOMMITTEE(COMMITTEEPAPERNO. 158)

1.The CommitteeSecretariatpresented the scheduleof thependinglegislativebusiness beforetheCommittee ascontainedinCommitteePaperNo.158forconsideration.
2.During deliberations,Members observed that-
1)There aretwoBillspendingbefore theCommitteenamely
a)TheAutism ManagementBill,2025(SenateBillsNo.19of2025)which management of autism inKenya;and
b)The Assisted Reproductive Technology Bill,2022 (National Assembly BillsNo.61),2022which seeks to seeks toprovidea legal frameworkforthe provision of assisted reproductive technology services,prohibit certain practices in connection with assisted reproductive technology and regulate surrogacy arrangements
2) There are two petitions pending before the Committee namely
a)petition toprotect andpropagate commercialization of thenewgeneration (Muthea)antivenom inKenya;and
petition by theKenya Union of Clinical Officers (KUCO) on discrimination interference andviolation ofclinical officers'practicerightsby theMinistry of Health,theCouncil of Governors and theSocial HealthAuthority

3) Pursuant to the provisions of standing order 228(4) of the Senate Standing Orders, theCommitteeismandatedtofollowupandreportonthestatusofimplementation ofresolutionswithinitsmandate.Withtheforegoing,duringthefourthsession,the Committeesoughtreportsfrom different stakeholders on theimplementation status of the report on thePetition on the Management and use of Kenyatta University Teaching, Research and Referral Hospital by Medical Students of Kenyatta University;

2. 4)During theFirst andSecond QuartersforFY2025/2026,theCommitteeundertook five CountyVisitstoKitui,Makueni,Machakos,Kiambu,Bungoma andKakamega counties.

Committee Resolutions

3.TheCommittceresolved asfollows-
1) tofast-trackconsiderationof thependinglegislativebusinessespecially thatwhich is subject to timelinesprovided under theStanding Orders and to beholding all meetingsin HybridForimat;
2)toseekresponse from theKenyaUnionof Clinical Officers(KUCO)on thestatus of theissuesraisedin theirpetition ondiscriminationinterference andviolationof clinical officers'practicerights;
3) to undertakeCounty Oversights andNetworking Engagement from 5th to8hMarch, 2026inLamu Countytoacquaint theCommitteewith theprovisionof healthcare services in the County as part of its oversightfunction;
4)to consider thereportsreceivedfrom the stakeholderin the petition to propagate commercializationof thenewgenerationMuthea antivenom,anddecideon theway forward;
5)towrite totheCabinetSecretary,MinistryofHealthrequestingtheCStosubmit the operational report for theSocial HealthAuthority (SHA) since inception
1.The Committee Secretariatpresented the Committee report on the oversight and networking engagement held inKitui,Makueni and Machakos counties as contained in CommitteePaperNo.159 forconsiderationand adoption;

| MIN/SEN/SCH/004/2026 | CONSIDERATION AND ADOPTIONOF THE COMMITTEEREPORT ONTHECOUNTY | |------------------------|----------------------------------------------------------------|

2.The Committeeobserved that the Councilof Governorsshouldbecompelledto ensure county governments provide time-bound resolution and signs individual debt settlement agreementswithKEMSAtoclear all verified arrearsprioritizing debts older than90 days
3.Following consideration,the Committee report was adopted with amendments after beingproposed by Sen.HamidaKibwana,MP and seconded and Sen.MariamSheikh Omar,MP.

MIN/SEN/SCH/005/2026 ANYOTHERBUSINESS

1)The Committee resolved torequest the schedule of request and attendantpayments made by counties on pharmaceutical andnon-pharmaceutical supplies from the ControllerofBudgetforFY2023/24,2024/25and2025/26;and
2)The Committeetowritea letter to theCabinetSecretary,MinistryofHealthseeking compliancewith the statutoryrequirement tosubmit an operational report onSocial HealthAuthority(SHA)toParliament

MIN/SEN/SCH/006/2026 ADJOURNMENT

There being no other business, the meeting ended at thirty minutes past twelve o'clock. The next meetingshall beheld on notice.

SIGNER...

...DATE......

SEN.JACKSONK.ARAPMANDAGO,EGHMP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENT4THSESSION

MINUTES OF THE FIFTY-SIXTH (56TH)SITTING OF THE STANDING COMMITTEEONHEALTHHELDONFRIDAY,24THOCTOBER,2025AT6.00 PMINTHEGOVERNORSOFFICEINMACHAKOSCOUNTY

MEMBERSPRESENT

-Vice-Chairperson

1.Sen.Mariam Sheikh Omar,MP

-Member

2.Sen.Richard Onyonka

-Member

3.Sen.David Wakoli,MP

-Member

4.Sen.Tabitha Mutinda,MP

-Member

5. Sen.HamidaKibwana

-Member

6.Sen.Joseph GithukuKamau,MP

ABSENTWITHAPOLOGY

-Chairperson

1.Sen.Jackson K.Arap Mandago,EGH,MP

-Member

2.

Sen.Justice(Rtd)StewartMadzayo,EGH,MP

-Member

3.Sen.Ledama Olekina,MP

INATTENDANCE

-Senator,Machakos County

1.Sen.AgnesKavindu Muthama,MP

SENATESECRETARIAT

-SeniorResearch Officer

1.Mr.Humphrey Ringera

-ClerkAssistant

2.Mr.David Ngamate

-Legal Counsel

3.Mr.Gilbert Juma

-Research Officer

4.Mr.David Munene

-Audio Assistant

5.Mr.Ian Otieno

-SerjeantAt Arms

6.Mr.Ibrahim Odindo

MACHAKOSCOUNTYEXECUTIVE

-Governor,Machakos County

1.Hon.Wavinya Ndeti,EGH

2.Mr.FrancisMwangangi

-Deputy Governor,MachakosCounty

-CountySecretary

3.Dr.MuyaNdambuki

-CountyExecutive CommitteeMember

4.Mr.JustusKasivu

(CECM)DepartmentofHealth

5.Mr.Rashid Kala

-Chief Officer,HealthFacilities andInfrastructure Development

6.Mr.Simon Mwaka

-Chief Officer,PublicHealth

7.Dr.CatherineKilonzo

-MavokoSub-CountyMedical Officer of Health

8.Dr.DanielKatuakasungwa

-Medical Superintendent-Machakos County

Teaching and Referral Hospital

9.Dr.Jemimah Ndila

-Medical SuperintendentAthi-RiverSub-County Hospital

10.Ms.Winfred Nzuki

-Chief Executive Officer-Machakos County Referral Hospital

11.Mr.Richard Yutta

-HospitalAdministrative Officer

MACHAKOSCOUNTYASSEMBLYMEMBERS

12.Hon.Vincent Mutie Nzioka -Chairperson,

CommitteeonHealth&EmergencyServices

13.Mr.Philip Ndolo

-Member,CommitteeonHealth&Emergency Services

14.Mr. Justus Kasanga

-Member,CommitteeonHealth&Emergency Services

15.Ms.Caroline Mutuku

-Member,CommitteeonHealth&Emergency Services

MIN/SEN/SCH/286/2025

PRELIMINARIES

Themeetingwas called to order atten minutespast sixo'clock and theproceedings commencedwith awordofprayerfollowedbyintroductionsofthosepresent.

MIN/SEN/SCH/287/2025

MEETINGWITHTHE GOVERNOR, MACHAKOSCOUNTYGOVERNMENT

1.The Committeeheld a de-briefingmeetingwith the Governor,Machakos County to presentitspreliminaryreport andinformedtheGovernorthatduringtheoversightvisit to thehealthcarefacilitiesin the County,thefollowingobservationshadbeenmade-
a) Thereisneed to urgently address theissueofasbestosroofingin order to ensure thesafetyofpatients,staff,andvisitors.The Committeeobserved thatprompt replacementof the asbestosmaterialswithsafer,modernroofingis essential to meet occupational health standards andprotectpublichealthwithin thefacility;
b Although the Countyhadmadesubstantialinvestmentsinupgradinghealthcare facilities,a persistent challenge remains in ensuring a reliable water supply, especiallyatAthi RiverLevelHospital.Thelackofconsistentwater access undermined the effectivenessofinfrastructureimprovements and affectscritical functions such asinfection control,sanitation,and dailypatientcare;

There were concerns that inpatients at Machakos Level 5 Hospital have experienced situationswhere theywereinstructed topurchasemedicinesfrom outsidevendors andpharmacies',despitethosesame drugsbeing availablein the hospital'spharmacystock.TheCommitteeobserved thatthisreflectedissuesin accountability and the internal distribution of pharmaceuticals,resulting in unnecessary financial burdens for patients and inefficient use of public resources;
d Thereis apressingneed toinstall incinerators at the sub-CountyLevel 4 Hospitals withinMachakos Countytoensuresafe and efficientdisposalofbiomedical and clinical waste.Currently,the absence ofincinerators at these facilities poses health,safety,and environmentalrisks;
e) Healthcare facilities in Machakos County,including sub-county Level 4 Hospitals,encountered considerable challenges in record keeping and health informationmanagement.Discrepancies and inconsistencies in healthrecords were observed,underminingreliable patient tracking,pharmacyinventory and service delivery;
f Casual cleanersatMachakosLevel5Hospitalhadnotreceivedpaymentforfive months,and no formal contracts existed with their employer.This lack of contractualagreementcontributedtopoorjobsecurityandwelfarefor the cleaningstaff,whowerealsonotprovidedwithmeals,leadingsometoconsume patientfoodoutofnecessity.TheCommitteeobserved thattheseconditions highlightseriousdeficienciesinlabormanagementand worker support that requireurgentredressforethical andoperationalreasons

2.TheGovernorinformedtheCommitteethat-

a)Machakos Countyhasinvested in upgradingand equippingMachakos County ReferralHospital (MCRH) toenhance its ability todeliver specialized and referral services.The Countyis activelyworking onfurtherimprovements, notably upgrading the Mother and Child unit, Cancer unit,and Renal unit, aiming toexpandaccesstoadvancedhealthcareservicesandreducepatient referralstohospitalsoutsidetheCounty;
b)The County has outlined plans tohire additional nurses,pharmacists,and pharmaceuticaltechnologists,withongoingeffortstotrainanddeploymore healthcarepersonnel to critical service areas.These measures are aimed at addressing workforce shortages,enhancing service delivery,and ensuring adequate staffing levels in specialized and high-demand hospital units;
c)Further,TheCountyGovernmentofMachakoshadpromoted422doctors as part ofeffortstorecognize andrewardstafffortheirserviceandqualifications. The promotion process remained ongoing,with additional healthcare professionalsexpectedtobenefitaspartofthecounty'sbroaderworkforce developmentandretentionstrategy;

d)The Social HealthAuthority(SHA) had not remitted all dues owed to county hospitals,with outstandingpayments amounting to approximatelyKES 600 million.Thissignificantfinancial shortfall hashindered the efficientdelivery of healthcare services and stalled the upgradingof facilitieswithinMachakos County.The lack of timely SHA disbursements has strained hospital operations,affected procurement of essential supplies,and delayed critical infrastructureprojects,underscoring the urgentneed forresolution to ensure sustainability and improvements in healthcare delivery;
e)The CountyGovernmentofMachakoshascommitted to addressing theattitude and professionalism of Human Resources for Health (HRH) staff,alongside strengtheningsupervision throughoutitshealthcarefacilities.Thesemeasures are aimed at ensuring consistentand accurate record keeping whichwill enhance administration,improve accountability andraise the overall quality of service deliverywithinthecounty'shealthsector.

MIN/SEN/SCH/288/2025 ADJOURNMENT/ANYOTHERBUSINESS

Therebeingno otherbusiness,themeetingwas adjourned athalfpastseveno'clockin the evening.

UO

SIGNED

.DATE..

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENT4THSESSION

MINUTESOFTHEFIFTYFIFTH (55TH) SITTING OFTHESTANDING COMMITTEE ON HEALTHHELD ON FRIDAY,24TH OCTOBER,2025 AT HEALTHCAREFACILITIESINMACHAKOSCOUNTY

MEMBERSPRESENT

1.Sen.Mariam Sheikh Omar,MP

-Vice-Chairperson

-Member

2.Sen.Richard Onyonka

-Member

3.Sen.David Wakoli,MP

-Member

4.Sen.Tabitha Mutinda,MP

-Member

5.Sen.HamidaKibwana

-Member

6.Sen.Joseph GithukuKamau,MP

ABSENTWITHAPOLOGY

-Chairperson

1.Sen.Jackson K.Arap Mandago,EGH,MP

-Member

2. Sen.Justice(Rtd)Stewart Madzayo,EGH,MP

-Member

3.Sen.Ledama Olekina,MP

INATTENDANCE

-Senator,Machakos County

1.Sen.AgnesKavinduMuthama,MP

SENATESECRETARIAT

-SeniorResearch Officer

1.Mr.Humphrey Ringera

-Clerk Assistant

2. Mr.David Ngamate

-Legal Counsel

3. Mr.Gilbert Juma

-Research Officer

4.Mr.David Munene

-AudioAssistant

5.Mr.Ian Otieno

-Serjeant At Arms

6.Mr.Ibrahim Odindo

INATTENDANCE

MACHAKOSCOUNTYEXECUTIVE

1.Mr.Justus Kasivu

-CountyExecutiveCommitteeMember(CECM)Health Services

2.Mr.Rashid Kala

-ChiefOfficer,HealthFacilitiesandInfrastructure Development

3.Mr. Simon Mwaka

-Chief Officer,PublicHealth

4.Dr.Catherine Kilonzo

-MavokoSub-CountyMedical Officer of Health

5.Dr.Daniel Katua kasungwa -Medical Superintendent-Machakos County Teaching andReferral Hospital

6.Dr.JemimahNdila

-Medical SuperintendentAthi-River Sub-County Hospital

7.Ms.Winfred Nzuki

-ChiefExecutive Officer-Machakos CountyReferral Hospital

8.Mr.Richard Yutta

-Hospital Administrative Officer,Machakos County Referral Hospital

MACHAKOSCOUNTYASSEMBLYMEMBERS

9.Mr.VincentMutieNzioka

-Chairperson,Health&EmergencyServices Committee

10.Mr.PhilipNdolo

-Member,Health&EmergencyServicesCommittee

11.Mr.Justus Kasanga

-Member,Health&EmergencyServices Committee

12.Ms.Caroline Mutuku

-Member,Health&EmergencyServices Committee

MIN/SEN/SCH/281/2025

PRELIMINARIES

TheCommitteedelegationcommenced thetouroftheMachakosCountyHealthfacilities at10.00 a.m.byvisitingtheAthi-RiverLevel4Hospital,andthereafterproceeded to the MwalaSub-CountyHospital andlater toMachakosCountyReferralHospital.

MIN/SEN/SCH/282/2025

OVERSIGHTVISITTO ATHI-RIVER LEVEL4HOSPITAL

1.TheCommitteeconductedanoversightvisit to theAthi-RiverLevel 4Hospitalin MavokoSub-County onFriday24thOctober,2025.The CommitteewasreceivedMr. BenjaminMwongela,theMavoko Sub-CountyPublicHealth Officer,Dr.Catherine Kilonzo,theMavokoSub-CountyMedical OfficerofHealth,Dr.JemimahNdila,the HospitalAdministratoralongsideMs.MaryMutua,theOutpatientDepartmentHeadin chargeofclinicalofficersandMr.MarkNdambuki,theSub-CountyNutritionist.
2.DuringthevisittheCommitteewasinformed thatAthiRiverLevel4Hospitalisapublic primaryreferralhospitalservingAthi River,Mavoko andsurroundingareas.Thefacility provides a wide range of inpatient and outpatient services,including general consultations,diagnosticservices,maternity care andpediatrics.However,thefacility had a relatively small inpatient bed capacity of twenty(20)beds.

3.TheCommitteewasinformed that there areplanstoexpand thefacility through infrastructuralimprovementsatthehospitalconstructionofanewMotherandChild Unit,X-rayunit and a theatre block toenhance healthcare deliveryandexpand diagnostic and surgical capacity.Further,the management had conducted staff promotions in theMay,2025 and organized training sessions to enhance workforce capacityandskills.
4.Duringthetour of thefacility,theCommitteeobserved that-
a) The online health management system,AFYA 1,was not functional and had reportedly collapsed orbeen disconnected forover twoweeksforcing operations to revert to slow and inefficient manual,paper-based records. The Committee laboratoryresults andgeneral dataretrieval contributingtodelays andlongqueues;
b)The facility faced significant sanitation and cleanliness challenges.Thehospital lacked reliable water supply and poormaintenance of hygiene standards.It was reported thatfor thepastsix(6)months,therehasbeennorunningwaterin the maternitywardsandpatientshadtorelyonbucketsandbasinsfor theirbasic cleaning needs;
C )Thelaboratoryat thefacilityis currentlyunderstaffedand hasbeenfacingpersistent shortageofessentialreagents.During thevisititwasreportedthatthelaboratory had six (6) staff members against an establishment of eleven (11) staff members whichwasassociatedwithoverwhelmingworkloadsand disruptionofdiagnostic services;
d)Thefacility faced challengesrelated topoorphysical infrastructure conditions includingcracked floors,fadedandpeelingwall paints,looseelectrical socketsand exposedelectriccablesanddamagedceilings thatexposepatientsandstaff to uncomfortableandpotentiallyunsafeconditions;
The Hospital faced significant challenges including insufficient procedure beds with oldrustybeds,uncleanlinen and lackofworkingsurfaces and equipment.Beds used at the maternity wards appeared old andwererustybeds,with worn-out mattresses and linen.Additionally,thebedslackedmosquitonets,posingsignificant risksforpatient safety andincreasingvulnerability tomosquito-borne diseases;
Therewas no functional laundry unit to ensurepatients alwayshad access to clean linen at the facility risking infections,general hygiene and compromised patient comfort and dignity;
g)Thehospital kitchenwas extremely small and lacked runningwater supply.Water bottleswereusedtofetchwaterwerefoundstrewn alloverthefloor.Further,the kitchen was inadequately equipped and lacked modern equipment and essential toolsnecessaryforefficientoperation;and

h)There was poor waste disposal at thefacility due to lack ofafunctional incinerator, whichposedsignificanthealthrisks toboth thehospitalenvironment and the surroundingcommunity.

MIN/SEN/SCH/283/2025

OVERSIGHTVISITTOMWALALEVEL4 HOSPITAL

1.The Committee conducted an oversight visit toMwalaLevel 4 hospital onFriday,24th October,2025andwasreceivedbyDr.EmmanuelWambuatheHospital'sMedical Superintendent,Ms.Eunice Manuna,the Nursing Service Manager,Mr.BrianMulwa, MemberoftheCountyAssemblyMwalaMakutanoWard andJustusKasanga,Member oftheCountyAssemblyWamunyu/YathuiWard.
2.The Committeewas informed thatMwalaLevel 4Hospital offers avariety of services, modern infrastructure includes a16-bed maternitywing,10-bed general ward,pediatric ward,and a fully equippedlaboratory andsurgical theater.
3.TheCommitteewasfurtherinformed that theHealthRecordsUnitwasoperatedbyfour (4)contractedemployeestwoofwhomwerecontractedby thefacilitywhiletheother twowerecontracted underpartnershipwith theserviceprovider.Thefourweresupported by students on attachmentand industrialattachmentat the facility.Nonetheless,the facility experienced challengesrelated tounderstaffing,which adversely affectedservice delivery and compromised the quality of care;
4.TheCommitteewasfurtherinformed thatMwalaLevel 4 Hospital hasbeenidentified as havingasbestosroofing,which hasbeenflagged asamajorpublichealth hazarddueto thewell-documented cancerrisksassociatedwithasbestos exposure.However,plans hadbeenmooted to ensuresaferemoval anddisposalofasbestosbeforetheendofthe 2024/2025FinancialYear.
5.Duringthetour ofthefacilitytheCommitteemadethefollowingobservations-
a)Mwala Level 4 Hospital currently lacks a functional incinerator,resulting in significant challengesforproperbiomedical wastemanagement.As aresult, biomedical wastes including sharps, syringes and other possible infectious materials arebeingtemporarily stored inold,rustycontainers on-site,awaiting periodiccollectionand disposal by the County Government;
b)The HealthRecord Management Systemwas experiencinga failure over two weeksbeforethevisit,forcingstafftoreverttomanual,paper-basedrecording forallpatientdata and administrativetasks.Thissystem downtimehadresulted inservice delays,increasedriskofrecord errors and omissionsandgreater administrativeburdensforhealthcarepersonnel;
? Thelaboratory equipment,including theFull hemogramMachine,Centrifuge, LiverFunctionMachine,and Tuberculosis(TB) machine,were observed to be ingoodworkingcondition.The Committee observed that thisallows the hospital tomaintain essentialdiagnostic servicesfor abroadrangeof conditionssupportingeffectivepatientmanagement;
p At thepharmacy,expireddrugs andcertain hazardousmedicineswerefoundon the shelves,with some medicinesnot securely stored in therefrigerators as required by their respectivemanufacturers.Additionally, there was a faulty refrigerator;
The kitchen was found to be small,poorly unequipped and inadequately ventilated,lacking critical fixtures such as smoke extractors and essential cooking equipment.It was observed that charcoal was used forfoodpreparation presentinga significant healthrisksfromsmoke andcarbonmonoxide exposure, fire hazards, and poor air quality,which could negatively impact patients and staff; and
f) Thefacilitywasgenerallywellmaintained,withthemajorityofserviceunits fully operational.Notably,thematernityunit was observed tobein good condition,possessingadequateventilation,asufficientnumberofbeds,clean washrooms,andprovisionofmosquitonets,therebypromotingpatientcomfort and ensuringsafetyinlinewithestablishedhealthcarestandards.

MIN/SEN/SCH/284/2025

OVERSIGHTVISITTOMACHAKOS REFERRALHOSPITAL

1.The Committee conductedan oversightvisit toMachakos CountyTeaching and Referral Hospital on Friday 24th October,2025 and was received by Dr.Muya Ndambuki, the County Secretary Machakos County,Mr.Justus Kasivu, the County Executive Committee Member (CECM),Ms.Winfred Nzuki, the Hospital's Chief Executive Officer and Dr.Daniel Katua,theMedical Superintendent besides a host of officersfrom theHealthDepartmentin the County.
2.The Committeewas alsoaccompanied byMr.VincentMutieNzioka,Memberof the CountyAssembly-UpperKaewa/Iveti Ward and Chairperson,Committee of Health andMr.PhilipNdoloMemberof the CountyAssemblyMitamboni Ward,and a memberof CommitteeofHealth.
3.TheCommittee wasinformed thatMachakosLevel5 Hospitalisthelargest government health facility and main referral hospital in Machakos County serving as theprimarycenter for advanced carein theregion andneighboring counties.The hospital provides curative,palliative,rehabilitative,and specialized referrals, includingsurgery,maternity andoutpatientservices.

4.TheCommitteewasinformed that theHospital had a bedcapacityof541 beds, including123maternitybeds.Additionally,theNewbornUnit accommodatedatotal of 75 cots and 10 Kangaroo Mother Care (KMC) beds.Further, the Hospital employed a total of forty-nine(49) consultants,with forty- seven (47)on Permanent and Pensionable (PNP) terms and two (2) locums, alongside seventy-four (24)medical officers comprising eighteen(18) PNP and six(6) locums.
5.The Committee was further informed that therewere seventy-nine(79)registered clinical officers,including 21 general and forty(40) specialistofficers onPNP terms, two(2)underUniversal Health Coverage(UHC),fifteen(15)general officers under the CenterforInternational Health,Education and BiosecurityKenya(CIHEB),andone (1)locum.Nursing staff totaled threehundred and fifty-five(355),made upof three hundred and thirty-three(333) general and specialist nurses on PNP terms, fourteen (14) under UHC,two(2) general nurses under CIHEB,and six(6) locums.
6.Further, the pharmacy department had 14 pharmacists, all employed on PNP terms. Radiography serviceswere supportedby14radiographers,ofwhom8were onPNP terms, three (3)under UHC,and three(3) locums.Nutrition services included 7 nutritionistsall onPNPtermsand 1locumpsychologist.Thehospital alsoemployed 10 anesthetists(clinical officers)onPNP terms,15physiotherapy staffwith thirteen (13) on PNP terms and two (2) locums, and 8 occupational therapists, including 7 on PNPtermsand1underUHC.
7.The Committeewas informed that thehospitalwas equippedwithninedialysis machines,and itsmortuaryhad a capacitytohold twenty-four(24) bodies.However, duringthevisit,theCommitteewasinformedthat45bodieswerepreservedatthe mortuary,exceedingitsstoragecapacity.
8.Thefacility had specialized equipment,including one (1) MRI machine (defective), two (2) X-ray machines (one fixed and one portable), one (1) OPG machine (dental Xray),one (1) CT scan machine,four(4) Ultrasound machines,and one(1) C-Arm machinein the theatre(all machinesfunctional except theMRI).
9.TheCommitteewasinformed thatthehospitalfaced challengesrelated todelayedSHA reimbursementsamountingto250million,whichhadadverselyaffectedthedelivery ofeffectiveservices.Further,intheFY2023/2024,thefacilitycollected 141million FacilityImprovementFund(FIF)revenues.

10.During the tour of the facility the Committeemade thefollowing observations-

a)TheHospitalwasequippedwithahigh-resolution CCTVcamera system that comprehensivelymonitorsalldepartmentswithinthefacility.TheCommitteewas informed that theinstallation includeswirelesssurveillancecamerasand amodern control centre,which has significantly enhanced security forpatients,staff,and visitorsbydeterringand detectingincidentssuchas theft andother unauthorized activities;

b)TheHospital has an ICT laboratorydedicated to staff training,wherehealthcare workersand administrativepersonnelacquire essential skills for operating the hospital'sintegrated digital systems.The Committeewasinformed that thefacility supports ongoing professional development,boosting staff capacity to manage electronichealthrecords,digitalfinancial operations,andotherautomatedservices thatimproveoverallhospital efficiency andservicedelivery;
c)During thevisit,theAFYA 1HealthManagementSystemutilizedin theCounty wasreported asnotworking,hinderingitsintendedsupportforservicedeliveryand operational efficiency. This outage contributed to challenges in patient processing, record management, and general hospital administration and resulted in delays and needformanualinterventions;
d)The Hospital hastwo well-establishedmental health wards that separately andspecializedmental healthinterventions.This arrangement enables thehospital toprovidegender-sensitivetreatmentandasaferenvironmentforindividualswith acutepsychiatric conditions,ensuringproper supervision and tailored psychosocial supportforeachgroup;
e)However,it wasobserved that thewards were equippedwithold,rustyhospital beds andworn-out linen,whichreflectedalackofpropermaintenance and timely replacementoftheseessentialitems.Theseconditions alsopointedtopersistent infrastructural and supply challenges within the unit, affecting both patient comfort and the overall quality of care;
f)TheHospital is equippedwitha modermincinerator designed for the safe and efficientdisposalofbiomedicalandclinicalwaste.TheCommitteewasinformed that the incineratoris part of the hospital's advancedmedicalfacilitiesformanaging toxicandinfectiousmaterials.However,itwasnoted that theincineratorneeded repairs,specificallyitsentrance door to ensure continued optimal operation and security;
g)The Hospital laundry unit was equipped with only one functional washing machine, significantlylimitingitscapacity toprocessthe substantialvolume oflinens and medical garments generated daily.The Committee noted that thishampered efficientlaundryoperationsandcontributed todelaysinsupplyingcleanlinen to theinpatientwards;
h)Atthemedicalwards,somepatientsinformed the Committeethattheyhadbeen compelled tobuydrugsoutofpocketfromprivatepharmacies.TheCommittee observed that some of the said drugs or their generic equivalentswere available in the hospital pharmacy indicating gaps in pharmacy inventory management and access.This also suggested shortcomings in dispensing practices or systemic inefficienciesin thedistribution of stockedmedicines,leading tounnecessary expensesforpatients;
i)Therewas alockedcontainer filled with expired drugswas observed,which had not yet been collected for safe destruction.This situation indicates lapses in pharmaceutical wastemanagementand poses a risk to safety and regulatory compliance,underscoring the need for timely removal and proper disposal of expiredmedications to avoidpotential misuse or environmental hazards;
D The Hospital faces significant infrastructural challengesin its wards,where only twotoiletswerefunctionalforlargenumbersofpatientsinone ofthefemalewards. Additionally,themedical wardslackmosquitonets,exposingpatients toincreased risks ofmosquito-borne diseasesandreducing overall comfortandsafety.These gaps highlighted the urgent needs for sanitation and infection prevention improvementswithinthefacility;
k) Contractedstaffmembersinformed the Committee that theyhad experienced payment delays ofupto three months,resulting in considerable hardship as they struggletomeet theirdailysubsistenceneeds.TheCommitteewasinformed that thesedelayshadnegativelyimpactedstaffmorale.Somecasualsnarrated to the Committeehowtheyhadbeencompelledtoeatleftoverfoodduetodelayed payments and financial hardship;
)TheCommitteewasinformedthatpaymentforcasualworkersattheHospitalwas processed through theHealthSuperintendent'svote,withwages disbursed directly intoindividual staff accounts.

MIN/SEN/SCH/285/2025 ADJOURNMENT/ANYOTHERBUSINESS

Therebeingnootherbusiness,thetourof thehealthcarefacilitieswasconcluded atthirty minutes past five o'clock in the evening.

SIGNED...

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENT4THSESSION

MINUTES OF THE FIFTY FOURTH(54TH)SITTINGOF THE STANDING COMMITTEEONHEALTHHELDONTHURSDAY,23RDOCTOBER,2025AT 5.00PMATGOVERNORSOFFICE,MAKUENICOUNTY

MEMBERSPRESENT

1.Sen.Mariam Sheikh Omar,MP

-Vice-Chairperson

2.Sen.Richard Onyonka

-Member

3. Sen.David Wakoli,MP

-Member

4.Sen.Tabitha Mutinda,MP

-Member

5. Sen.HamidaKibwana

-Member

6.Sen.Joseph GithukuKamau,MP

-Member

ABSENTWITHAPOLOGY

1.Sen.Jackson K.Arap Mandago,EGH,MP

-Chairperson

2.Sen.Justice(Rtd)StewartMadzayo,EGH,MP

-Member

3.Sen.Ledama Olekina,MP

-Member

INATTENDANCE

1. Sen.DanMaanzo,MP

-Senator,Makueni County

SENATESECRETARIAT

1.Mr.Humphrey Ringera

-SeniorResearch Officer

2.Mr. David Ngamate

-Clerk Assistant

3.Mr.Gilbert Juma

Legal Counsel

4.Mr.David Munene

-Research Officer

5.Mr.Ian Otieno

-Audio Assistant

6.Mr.Ibrahim Odindo

-SerjeantAtArms

INATTENDANCE

MAKUENICOUNTYEXECUTIVE

1.Hon.MutulaKilonzo,CBS

-Governor,Makueni County

2.Ms.Joyce Mutua

-CountyExecutiveCommitteeMember(CECM) Department of Health

-County Executive Committee Member(CECM) FinancePlanning,Budget&Revenue

3.Ms.Damaris Kavoi

4.Dr.Harvey Mulei

-Chief Officer,HealthHumanResource and

Administration

5.Dr.Geoffrey Muthoka

-Ag.Chief Officer,HealthServices

-Chief Executive Officer,

6.Ms.Martha Munyao

Makueni CountyReferral Hospital

7. Dr.Daniel Gichogo

-Director, Clinical Services

Makueni County Referral Hospital

8.Dr.Solomon Mutiso

-Medical Superintendent

Mukuyuni Sub-CountyHospital

9. Mr. Joseph Musango

-Nursing Officer In- Charge

Mukuyuni Sub County Hospital

MEMBERSOFTHECOUNTYASSEMBLY

10.Mr.JacksonMbalu

-Chairperson,Committee ofHealthServices

11.Mr.KyaloMumo

-Member,CommitteeofHealthServices

12.Ms.ElizabethMutinda

-Member,CommitteeofHealthServices

MIN/SEN/SCH/278/2025

PRELIMINARIES

Themeetingwas called to order at ten minutespastfiveo'clock and theproceedings commencedwith awordofprayerfollowedbyintroductionsofthosepresent.

MIN/SEN/SCH/279/2025

MEETINGWITHTHE GOVERNOR, MAKUENICOUNTYGOVERNMENT

The Committeeheld a de-briefingmeetingwith theGovernor,Makueni County to present its preliminaryreport and informed the Governor that during the oversight visit to thehealthcarefacilitiesinthe County,thefollowingobservationshad beenmade-
a)Therewere expired drugs and reliance ofmanual andpaper-basedrecordkeeping systemsinthehospitalpharmacywhichsloweddownpharmacyworkflowsand increased the risks;
b)Theemployeesexhibitedhighlevelofpositiveattitudeandmotivationtowards work.However,there were some extreme cases where the personnel demonstratedsomelethargyandlackluster attitudesuchastheradiologyunit. Further therewere complaints thatsomehealthcarepersonnel hadnotbeen promotedforinordinatelongperiods.Itwasobservedalsothatsome timesome cadreswere beingremunerated below therecommendedminimumwage bill;

c)TheMakueni Hospital Mammogrammachine to supportearlybreastcancer detection was operational.However,lowutilization was reported suggesting barriersincludinglimited community awareness.The Committee observed that therewerealsodedicated desksforgender-basedviolenceandmentalhealth which is a significant stepin strengtheningcare for survivors ofviolence and individualswithpsychiatricneeds;
d) There was presence of old,stalled and non-operational ambulances at the Makueni Referral Hospital while there was no functional ambulance in the capacity and directlythreateningpatient safety and ability todeliverurgent medical care.Further, the mortuary refrigerators purchased for Mukuyuni SubCountyHospital in 2013required installation toensure the effectivefunctioning ofthecoolingsystem
)The hospitalsvisited experienced general low drug stock levels,whichcompelled patients to procure medications out of pocket.However, thehospital wards were generally clean, uncongested and had clean beds;
f)The Makueni County Referral Hospital lacked a functional incinerator and hazardous medical wastes including sharps, contaminated materials, pharmaceuticalswerefound disposed improperly exposing patients,staff and the neighbouring community to infectious agents and toxic substances;
g)Patientshad informed the Committee that theyfaced challenges of long delayed CT scan imagingreportsdue to shortage of Radiologistsforcingpatients towait fortheirreportstobe sent toKenyattaNational Hospital(KNH)for analysis. Further,the Committeehad observedgeneral shortage ofnurses across all the departments andunitsin thefacilitiesvisited.

2.TheGovernorinformed theCommitteethat-

a)All healthcare workers hired by the Makueni CountyPublicServiceBoard holdpositionsonPermanentandPensionableterms,ensuringjobsecurity and access toretirementbenefitsasmandated bycountypublic service employmentregulations;
b)The County Governmentwill addressconcerns that some employeeswere receiving aminimumwagebill and ensure thatcasualworkersemployed by healthcare facilities receive fair and adequate remuneration in line with Kenyanlaborlawsandgovernmentguidelines;

c)Further,the County Governmentwill address theattitude of HumanResources for Health (HRH) staff and strengthen supervision to ensure consistent, accuraterecordkeeping,therebyimproving administration,accountability and service deliveryinhealthcare facilities;
d) Makueni County had a hugepending disbursement from the Social Health Authority(SHA) duetohighnumber ofrejected claims,a problem thatwas disruptingfinancialflowsatthehealthcarefacilities andaffectedtimely paymentfor health services;
e) )The County had achieved a significantreduction inmaternalmortalitycaused byhemorrhageduringchildbirthbyintroducing heat-stablecarbetocinto preventand treatpostpartumhemorrhage,theleadingcauseofmaternal deaths in the Country;
f) Faced severeresources drainresultingfromservinga largeinfluxofpatients from other parts of the Country arising from its proximity toMombasa-Nairobi Highway and attendant socio-economicactivities;
The CountyGovernment ofMakueni hasallocated fundsin itsbudget specificallytoclearalloutstanding arrears anddelayedpaymentsowed to CommunityHealth Promoters(CHPs),aiming to strengthen grassroots health outreach and motivation;
h)The Countywas actively transitioningfrom a manual paper-based system toa digital health information system,aiming toimprove efficiencyinrecordkeeping,service delivery and resource management across its healthcare facilities.

MIN/SEN/SCH/280/2025 ADJOURNMENT/ANYOTHERBUSINESS

Therebeingnootherbusiness,themeetingended at thirtyminutespastsixo'clockin the evening.

Sm

SIGNED..

....DATE.

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENT4THSESSION

SITTINGOFTHESTANDING MINUTES OF THEFIFTY-THIRD(53RD) COMMITTEEONHEALTHHELDONTHURSDAY,23RDOCTOBER,2025AT HEALTHCAREFACILITIESINMAKUENICOUNTY

MEMBERSPRESENT

1.Sen.Mariam Sheikh Omar,MP
2.Sen.Richard Onyonka
3.Sen.David Wakoli,MP

4. Sen.TabithaMutinda,MP 5. Sen.Hamida Kibwana

6.Sen. Joseph Githuku Kamau, MP

ABSENTWITHAPOLOGY

-Chairperson

1.Sen.JacksonK.ArapMandago,EGH,MP

-Member

2. Sen.Justice(Rtd)StewartMadzayo,EGH,MP

-Member

3.Sen.Ledama Olekina,MP

INATTENDANCE

1.Sen.Dan Maanzo,MP

SENATESECRETARIAT

1.Mr.Humphrey Ringera
2.Mr.David Ngamate
3.Mr.Gilbert Juma
4.Mr.David Munene
5.Mr.Ian Otieno
6.Mr.Ibrahim Odindo

INATTENDANCE

-Vice-Chairperson
-Member
-Member
-Member
-Member
-Member
-Senator,Makueni County
-SeniorResearch Officer
-Clerk Assistant
Legal Counsel
-Research Officer
-AudioAssistant
-Serjeant At Arms

MAKUENICOUNTY

-CountyExecutiveCommitteeMember(CECM)

1. Ms. Joyce Mutua

DepartmentofHealth

-County Executive Committee Member(CECM)

2.Ms.Damaris Kavoi

FinancePlanning,Budget&Revenue

3.Dr.Harvey Mulei

-Chief Officer,

HealthHumanResourceandAdministration

4.Dr. Geoffrey Muthoka

-Ag.Chief Officer,Health Services

5.Ms.Martha Munyao

-ChiefExecutive Officer,MakueniReferralHospital

6. Dr.Daniel Gichogo

-Director Clinical Services,Makueni Referral Hospital

7.Dr.SolomonMutiso

-Medical Superintendent-MukuyuniHospital

MEMBERSOFTHECOUNTYASSEMBLY

8.Mr.JacksonMbalu

-Chairperson,Committee ofHealth Services

9.Mr.KyaloMumo

-Member,CommitteeofHealthServices

10.Ms.ElizabethMutinda

-Member,CommitteeofHealthServices

MIN/SEN/SCH/274/2025

PRELIMINARIES

The Committee delegation commenced the tour of theMakueni CountyHealthfacilities at 10.00 a.m.byvisiting theMukuyuni Sub-County Hospital

MIN/SEN/SCH/275/2025

OVERSIGHTVISITTOMUKUYUNISUBCOUNTYHOSPITAL,MAKUENI

1.The Committeeconducted anoversightvisit to theMukuyuniSub-CountyHospital on Thursday 23rd October,2025 accompanied Dr.Solomon Mutiso,the Hospital administrator alongside Mr. Joseph Musango the nursing officer in charge.
2.TheCommitteewasinformed thatMukuyuni Sub CountyHospitalwasa level-4facility that had a bed capacityof eight(8) inpatientbeds andoffered awide range of health services including Outpatient Curative Services,Inpatient Care,Emergency Services, Tuberculosis treatment,HIV Testing and Treatment,Maternal and Child Health Services,Family Planning,Mental Health Services,Dental Services among others. However,the only ambulancethathadbeen assigned to thefacilityhasbeenwithdrawn and assignedtoanotherfacility,KilunguSub-CountyHospitalheadquartersadversely

3.Duringthetourofthefacility,theCommitteeobservedthat:

a)During the visit,there was absence of critical healthcare personnel and supervisors at thefacilityindicatingacritical systemicfailure thatcouldpossiblylead topoor staffperformance,compromisepatientsafety and leadtogeneral declineinservice quality at thefacility;
b )Thehospital mortuaryreceived three(3)coolers,thatwouldhavebeenused in preservationsof thebodies,procuredbytheuseof theNational Governments Constituency Development Fund (NG-CDF) in 2013. However, the coolers had beenleftuninstalledsinceandwerenowlyingunutilizedinthefacility;

c)Thefacility was inadequately staffed with critical areas such as thelaboratory facing the greatest challenges.Further, some staff members such as the mortuary attendant informed theCommitteethattheyhadservedforatleasttwelve(12)yearswithout apromotion or career advancement;
d)There was poor record keeping of drugs notably characterized by the lack of clear and updatedtransferrecordsofdrugsfrom themainpharmacyto thedispensing pharmacies which undermined effective drug inventory management and accountability,potentiallyleadingtostockdiscrepancies;
Thefacilitylacked an operational incineratorandwasinstead utilizing a deteriorated oldcombustionchamberwithbrokendoorstodisposemedicalwasteduring the Committeevisit.TheCommitteeobserved biomedicalwastewasbrown around the surrounding areas,posing likely healthrisks to both staff and the community;
Thematernityunithad sixfunctional beds,however,theyhadwhat appearedlike aged linen andold mosquitonets.Further,the ContinuousPositiveAirwayPressure (CPAP)medicaldevice fornewbornswas dysfunctional,potentiallyresultingin inadequaterespiratory supportfor theneonates andpossiblycompromising the quality of care;
g)Community HealthPromoters(CHPs) informed the Committee that theyhad not signed anyformalagreementwiththeCountyGovernmentandhadnotreceived their wages for the preceding seven months.Additionally,they lacked proper workinggears/kitslikegumbootsandumbrellastoprotectwhileworkinginrough terrainsoradverseweather.

MIN/SEN/SCH/276/2025

OVERSIGHTVISITTOMAKUENI TEACHINGANDREFERRALHOSPITAL MAKUENICOUNTY

1.TheCommitteeconducted anoversightvisittoMakueni CountyReferralHospital on Thursday 23tOctober,2025 accompanied byDr.JustineKyambi,the CountySecretary Makueni County,Ms.Joyce Mutua,the County Executive Committee Member (CECM),Health Services,Ms.Damaris Kavoi,the County Executive Committee Member,Finance,Planning,Budget and Revenue,Ms.Martha Munyao thehospital's Chief Executive Officer,Dr.Daniel Gichogo, the hospital Director of Clinical Services andDr.GeoffreyMuthokainchargeofHealthServicesandhostofficersfrom the HealthDepartment in the County.

2.The Committee was accompanied by Hon.JacksonMbalu,Member of the County AssemblyrepresentingKikumbulyuNorthWard and Chairpersonof thecounterpart Committee of Health andHon.Kyalo MumoMemberof the County Assembly representingTulimaniWard and aMember of CountyAssembly Committee of Health.
3.The Committee wasinformed thatMakueni CountyReferral Hospital(MCRH) is a level5facility thatoffersspecialist andgeneral servicesincludingEmergency,Mental Health,Nutrition Care,and had facilities for advanced surgeries such as neurosurgery andobstetricsafesurgery.TheFacilityhad abedcapacity435bedsincluding the Maternity that had a bed capacity of 129 beds.
4.The Committeewasinformed that thestaffingstructure at thehospitalincludedvarious cadreswitha totalof225staffonpermanent andpensionableterms,supplemented by 15 staff under the Universal Health Coverage (UHC) program, 2 partners, and 109 on hospital contracts.Additionally,the cadres were composed of 16 Consultants,10 Medical Officers,14 General ClinicalOfficers,18 Specialist Clinical Officers,56 Specialist Nurses,5 Nurse Anesthetists,65 General Nurses,3 Pharmacists,7 Pharmaceutical Technologists,3Radiographers,3Nutritionists,9Physiotherapists,5 Psychological Counsellors, 4 Occupational Therapists, and 7 RCO Anesthetists.
5.During thetour ofthefacility,the Committeemade thefollowingobservations-
a)The Radiology Department was adequately equipped with one (1) x ray machine, one(1) CT scan,two(2)ultrasound,one(1)mammogram machine,one(1) OPG machine,Computer-Aided Risk Score for Mortality (CARM)machinein the Theatre,one(1) Laparoscopic tower in theTheatre,4Renal Dialysismachines and a Telemedicinefor teachingand consultations;
b) There was no functional incinerator at the facility and bothmedical and non-medical wastewasbeingdisposedinanopenfieldnexttoresidentialandcommercial buildings and during the visit some recently used bandages and blood-stained linen werefoundstrewn all overthesaidfieldposingserioushealthriskstohumanhealth and theenvironment.TheCommitteeobserved thatthisviolatedtheregulatory standardsforsafewastemanagement andpromoted spread of dangerouspathogens tonearbyresidents;
While theHospital hadremovedthe asbestosroofing,theyhad beendisposedin an openfield andpiled alongthefencetothewardsexposingthepatients,theirfamilies andhealthcarepersonneltosignificanthealthproblemsrelatedtoasbestosfibres;

d)There was only one functional laundrymachine,and the linen awaiting cleaning werenotproperlysorted,indicatinginadequatehygienepractices.Additionally,the unitwasoperatedbytwocasualworkerswhodidnothaveanysignedcontractual agreements with either the facilityor the Government,raising concernsabout staffing and compliance with employment regulations;
The Hospital had acquired an adequate number of ambulances, however,most of them hadbeengrounded andonlyonewasreportedtobeoperational.Additionally, itwasnoted thatthe ambulances'interiorsincludedbrokenoldbedswithrugged, worn-outcovers;
f) Thehospital compoundnear theparkinglotwasdottedwith abandoned,unused and broken-down motor vehicles posing a significant health, safety and environmental concerns.The Committeeobserved thatthederelictvehicles andmachinerywere an eyesoreand a sourceofpollution andhazardtobothstaffand thepublicsince they were parked along the hospital busy paths and walk ways;
g TheMotherandChildUnitwasspacious,clean,andwell-ventilated,withadequate bed capacity.However,the Committee observed that the unitfaced challenges such as insufficient supply of mosquitonetsand linen.Itwas alsoreported that the Unit was also understaffed andfaced a severe shortage of nursingpersonnel;
h) )Patientsinformed theCommitteethattheyhadbeendirected topurchase prescription drugs from external pharmacy stores located along the hospital road indicating inadequate supply of essential drugs and medicine at the hospital;
i At thePharmacy,therewerenobin cards andrecordkeepingwaspoorlydone making it unreliable to track drug movement and thereby increasing risks of pilferage,waste and loss of medicine through expiry andmismanagement.There were discrepancies betweenbin card entries andphysical countsforinstance there wereexcessstockof Tradmin,abrandof theprescription drugon theshelves as opposedintherecordedstocks;
j) General dilapidated infrastructure at the facility which included leaking pipes and wetpathwaysincreasingtheriskofslipsandfallsforbothpatients andhospital staff,naked and exposed electrical wires inside wards and corridors posing immediate hazards,broken windows at the mortuary compromising building security and hygiene and non-functionalcold rooms inthekitchen which underminedfoodsafetyandstorage.

MIN/SEN/SCH/277/2025 ADJOURNMENT/ANYOTHERBUSINESS

There beingno other business,theHospital tour was concluded at thirtyminutespastfour o'clockin theevening

2025

SIGNED...

.DATE....

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENTI4THSESSION

MINUTES OF THE FIFTY-SECOND(52ND)SITTING OFTHESTANDING COMMITTEEONHEALTHHELDONWEDNESDAY,22NDOCTOBER,2025AT 12.0O NOON AT KITUI TEACHING AND REFERAL HOSPITAL,KITUI COUNTY

MEMBERSPRESENT

-Vice-Chairperson

1.Sen.Mariam Sheikh Omar,MP

-Member

2.Sen.Richard Onyonka

-Member

3.Sen.David Wakoli,MP

-Member

4.Sen.Tabitha Mutinda,MP

-Member

5.Sen.Joseph Githuku Kamau,MP

ABSENTWITHAPOLOGY

1.Sen.JacksonK.ArapMandago,EGH,MP
2.Sen.Justice(Rtd)StewartMadzayo,EGH,MP
3.Sen.Ledama Olekina,MP
4.Sen.HamidaKibwana

SENATESECRETARIAT

-SeniorResearch Officer

1.Mr.Humphrey Ringera

-Clerk Assistant

2.Mr.David Ngamate

Legal Counsel

3.Mr.Gilbert Juma

-Research Officer

4. Mr.David Munene

-Audio Assistant

5.Mr.Ian Otieno

-Serjeant At Arms

6.Mr.Ibrahim Odindo

INATTENDANCE

KITUICOUNTYEXECUTIVE

-CountyExecutive CommitteeMember,(CECM)

1.Ms.Ruth Koki

DepartmentofHealth andSanitation

2.Dr.Benson Musyoka

-Chief Officer,Medical Services

-ChiefOfficer,Drugs andMedical Supplies

3.Mr.AggreyKamba

-Chairperson
-Member
-Member
-Member

4.Ms.Lynn Kitwan

-Chief Officer,PublicHealth andSanitation

5.Dr.John Mungai

-Medical Superintendent-KituiReferral Hospital

6.Ms.Florence Munyithia

-Deputy County Nursing Officer

KITUICOUNTYASSEMBLYMEMBERS

7.Dr.ErastusMbuno

-DeputyMajority Leader

8.Mr.Bernard Munyasya

-Chairperson,Health and Sanitation Committee

9.Mr.KyaloKimuli

-Vice Chairperson,Health and Sanitation Committee

10.Mr.MathewN.Vuthi

-Member,Health and Sanitation Committee

11.Mr.HusseinMwandia

-Member,HealthandSanitation Committee

12.Ms.MuniraMohamed

-Member,HealthandSanitation Committee

MIN/SEN/SCH/271/2025

PRELIMINARIES

TheCommitteecommenced thetourofKituiTeachingandReferralHospitalattwelve noon.

MIN/SEN/SCH/272/2025

OVERSIGHTVISITTOKITUICOUNTY TEACHINGANDREFERRALHOSPITAL

1.The Committee conducted an oversight visit toKitui County Referral on Wednesday,22nd October,2025andwasreceivedbyMs.RuthKoki,theCountyExecutiveCommittee Member (CECM) Department of Health and Sanitation,Dr.Benson Musyoka,Chief Officer,Medical Services,Mr.Aggrey Kamba, ChiefOfficer,Drugs and Medical Supplies, Ms.LynnKitwan,Chief Officer,PublicHealth and Sanitation and Dr.John Mungai,the Medical Superintendent at the Hospital;

2. The Committeewasinformed thatKitui CountyReferral Hospitalwasopenedin1905as a localnativehospital.Ithassinceevolvedto afully-fledgedreferalhospitalwithhealth expertise andspecializedservicesandhasdeservedlyearnedrecognitionthroughoutKitui County and its environs as a preferred diagnostic,treatment,and referral centre.The Hospital has in the previous years witnessed expansive investment in the latest technology, systems,procedures,drugs,non-pharmaceuticals,healthexpertise andmedical equipment thathaveenabled adequateprovision of mostofthespecializedhealthservices.

3.The Committeewas taken through a presentation on the operationof thefacility and the services offeredinits differentdepartments and units.TheCommitteewasinformed that the facility offers a range of specialized department and units including the outpatient, inpatient,IntensiveCareUnit(ICU),radiology department,thelaboratory,thematernity, therenal unit,thepharmacy,theblood bank,the Tuberculosis(TB) clinic and specialized clinics such as dental units;
4.TheCommitteewasinformed thatKitui CountyReferral Hospitalcurrentlyhasabed capacityof320beds.InFY2022/2023,2023/2024,and2024/2025,thefacilityrecordeda riseintotalworkloadof299,195,358,340,and409440patients,respectively.Thisimplies that thefacilityhasan average dailyworkloadof1,121patients

5.The Radiology Departmentis equippedwith the 4X-ray machines,1 CT scan,5 Ultrasound machines and1 C-ArmX-raymachine housed inits General Theatre.The Committeewas furtherinformed that thefacilityhas 31consultants,19medical doctors,70Registered Clinical Officers, 185 nurses, 10 pharmacists,7 radiographers, 18 nutritionists,12 anesthetists,7physiotherapists and 4occupational therapists.TheHospitalhadrecently constructedanewmortuarywingthatcouldhold60morebodies;
The Committeewasinformed thatthehospital had admittedpatientsbeyonditscapacity as most private hospitalshad turned awaypatientsfollowing a standoff between theprivate healthcarepractitioners and theSocial HealthAuthority(SHA).
7.Duringthetourofthefacility,the Committeemadethefollowingobservations-
a)At theradiologyunit,itwasreported that theX-raymachinehad broken downfor aboutthreeweeks andpatientshadbeenreferred toprivatefacilities outside the Hospital.However,during the visit the X-ray machine had been repaired and commenced operations.Nonetheless,the mammogram machine essential for breast cancer screeningwasnon-functional;
b The absenceofafunctional mammogram machinemeanswomenmust travel outside the County for breast cancer screening,risking delaysin diagnosis and treatment;
? The Male General Ward,(Ward No.6),had admitted patients beyond its designated capacity leading to multiple incidents of patients sharing beds.The Committee observed thatTuberculosis(TB)patientshad been accommodatedin a cubiclein the same ward whichcouldheighten infectionrisksin addition to possibly violating infection prevention and control standards.However,the Committeewasinformed that the County Government hadprioritized construction ofsixteen(16)bedcapacityisolationserviceswardsfor thehighlyinfectious and multidrug-resistantpatientswhowereisolatedinimprovisedisolationrooms;
p The Hospital's TB Clinic is currently responsiblefor managing approximately 400 patientsbutcriticallylacksa dedicatedTB-specificlaboratory.Diagnosticand laboratory services for TB,such as sputummicroscopy, GeneXpert molecular tests and cultures are typically conducted in general labs,risking contamination and delaysin diagnosis;
Maternitywardshavebeenseverelyovercrowdedforcingsomemotherstoshare singlebeds,asituationthatsubstantiallyincreasestheriskofhospital-acquired infections and leads to considerable physical and psychological discomfort for both mothers and newborns.This congestion was associated with high patient load especially given county's expanded role in serving neighboring counties and strain onregional healthcaredelivery systems;

f)The laborward anddelivery room werefound tobe open and directly accessible from thegeneralwardswith only curtainsused aspartitions instead of soliddoors. The Committee observed that this configuration caused significantprivacy concerns.However,the Committeewasinformed thatthe County Government hasprioritizedconstructionof a276-bedcapacitymotherandchildblockto accommodate maternity,labour and pediatricunits.Further,the Hospital's new "Little Angels Newborn Unit"had made major improvements,includingnew equipment likeradiant warmers,incubators,laundry,and intensive care space.
g TheHospital faces challenges inproper drugsrecordsmanagementwithin its handling documentation for high patientvolume and managingmajority of the recordsmanuallywithoutuniform standards.Some officeswere congestedwith non-current records and lacked sufficient storage facilities, increasing vulnerabilitytophysical loss and damage;
h) TheCommitteeobserved thateachpatientrequiresatleastfourdifferentrecords tobekept,aresponsibility thatisreportedlyoverwhelmingfortheavailablestaff,
i) The Hospitalmortuary stood out as well-maintained,clean,and equipped with modernrefrigeration systemsincludingnewlyinstalledrefrigerators and upgraded coldroomswhichprovided hygienic,dignified storagefor deceased and comfort forbereavedfamilies.Nonetheless,theCommitteewasinformed bythemortician incharge that theyfacedchallengesrelatedtoworkloadandthelackof promotionalopportunities;
j Thefacility faces general several infrastructural maintenance challenges including windowpanes,broken tilesandfailingceilingsin thewards allofwhichwould negativelyimpactthequalityandsafetyofpatientcare.TheCommitteeobserved that this would exposewardsto dust,wind,rain,and increased risk of theft or unauthorizedentry;
k The Hospital's overall CCTV camera system was reported as malfunctioning whichcompromised thesecurity andheightenedrisksrelated tobothpatientsafety and assetprotection.The Committeenoted thatfunctional securitycamerasare crucialformaintaining order,monitoring sensitive spaceslike drug stores and mortuaries andprovidingevidenceincase of securitybreachesor disputes;
TheHospital'sbloodbankispresentlydomiciledinaverysmall room with storagefridgereportedtohavebeenoutofordersince2024;

m)TheRenal Unitat theHospital hasfivefunctional dialysismachines offering at least ten (10) sessions per day.The Committee was informed that the County Governmentwas in theprocess of procuring twenty(20)more dialysismachines and consequently set up a newrenal centre;
n) Theincineratorwasdysfunctionalwhichled toimproperdisposalofhazardous and toxic biomedical wastesposing severe health and environmentalrisksfor hospital staff,patients and surrounding eco system;
Thereweresomehealthcareworkerswhohadworkedforinordinatelongperiod withoutpromotionsuch asthemortuaryattendantwhohadreportedlyworkedfor overtwentyyearswithoutadvancement;
p Some departments and unitsinthehospital such as theTB Clinic,theblood bank and thematernitywardswere severelyunderstaffed leading tochallengesin servicedeliveryandoverallfunctioningofthefacility.However,theCommittee observed thathealthcarepersonnel hadbeen assigneddutiestoworkevenatnight in the radiology unit even when themachinewasnotworking.

MIN/SEN/SCH/273/2025 ADJOURNMENT/ANYOTHERBUSINESS

Therebeingnootherbusiness,the oversightvisitwasconcluded at thirtyminutespastsix o'clockintheevening

nm

SIGNED

...DATE....

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

13THPARLIAMENT4THSESSION

MINUTESOFTHEFIFTY-FIRST(51S)SITTING OF THE STANDING 11.00AMINGOVERNORSOFFICE,KITUICOUNTY

MEMBERSPRESENT

-Vice-Chairperson

1.Sen.Mariam Sheikh Omar,MP

-Member

2.Sen.David Wakoli,MP

-Member

3. Sen.Richard Onyonka,MP

-Member

4. Sen.Tabitha Mutinda,MP

-Member

5.Sen.Joseph GithukuKamau,MP

ABSENTWITHAPOLOGY

1.Sen.JacksonK.ArapMandago,EGH,MP
2.Sen.Justice (Rtd) Stewart Madzayo, EGH,MP
3.Sen.Ledama Olekina,MP
4.Sen.Hamida Kibwana,MP

SENATESECRETARIAT

1.Mr.Humphrey Ringera
2.Mr.David Ngamate
3.Mr.David Munene
4.Mr.Ian Otieno
5.Mr.Ibrahim Odindo
6.Mr.Jack Lemeteki

INATTENDANCE

-Chairperson
-Member
-Member
-Member
-SeniorResearch Assistant
-ClerkAssistant
-Research Officer
-Audio Assistant
-Serjeant atArms
-MediaRelations Officer

KITUICOUNTYEXECUTIVE

1.Dr.JuliusMalombe,EGH

-Governor,Kitui County Government

-County Executive Committee Member,(CECM)

2.Ms.Ruth Koki

DepartmentofHealthandSanitation

3.Dr.Benson Musyoka

-ChiefOfficer,Medical Services

4.Mr.Aggrey Kamba

-Chief Officer,Drugs andMedical Supplies

5.Ms.LynnKitwan

-Chief Officer,PublicHealth and Sanitation

6.Dr. John Mungai

-Medical Superintendent-Kitui Referral Hospital

7.Ms.Florence Munyithia

-Deputy CountyNursing Officer

KITUICOUNTYASSEMBLYMEMBERS

8.Dr.Erastus Mbuno

-DeputyMajority Leader

9.Mr.BernardMunyasya

-Chairperson,Health and Sanitation Committee

10.Mr.KyaloKimuli

-ViceChairperson,Health andSanitation Committee

11.Mr.MathewN.Vuthi

-Member,HealthandSanitation Committee

12.Mr.Hussein Mwandia

-Member,Health andSanitation Committee

13.Ms.MuniraMohamed

-Member,Health and Sanitation Committee

MIN/SEN/SCH/266/2025

PRELIMINARIES

Themeetingwas called toorder ateleveno'clockand theproceedingscommencedwith a wordofprayerandbriefintroductions.

MIN/SEN/SCH/267/2025

ADOPTIONOFTHEAGENDA

Theagendaof themeetingwas adoptedwith amendmentsafterbeingproposed bySen. David Wakoli,MP,and seconded byen.TabithaMutinda,MP,aslisted below-

2. Adoption of the Agenda; 2. 1.Preliminaries; 3. Meetingwith GovernorKitui County Government- 4. 5.Adjournment/Date of the Next Meeting. 4. Any otherBusiness;and

MIN/SEN/SCH/268/2025

MEETINGWITHTHEGOVERNOR, KITUICOUNTYGOVERNMENT

1.TheCommitteepaid a courtesy call on the Governor,Kitui CountyGovernmenton Wednesday,22ndOctober,2025andbriefedhimabouttheobjectiveoftheoversight visit.

2.TheGovernorinformed theCommitteethat-

a)Kitui Countyhas a totalof326publichealthcarefacilities,comprising3LevelIV hospitals,9LevelBacilities,54Level3Afacilities,245Level2facilities,and3 Beyond-Zero mobile clinics;
b Recently,thepublichealthcarefacilitiesinthe Countyhadexperienced asignificant influxofpatientsfollowingastandoffbetweentheprivatehealthcareprovidersand the Social Health Authority(SHA).This crisis reportedly beganwhen private and faith-basedhospitalsstartedrequiringpatients topaycashforservices;

c)As of 31st July2025,Kitui Countyhad successfully registered365,613persons, accounting for 32.2% of the county's total target population of 1,136,187. On 2nd June 2025,the County launched an enhanced SHA registration strategy. This strategyincreasedmonthlySHAregistrationstoanaverageof36,025persons,arise from the previous monthly average of 29,497. This steady growth demonstrates the County's commitment andsustainedmomentuminexpandingSHAcoverage;
p To support SHA registration process,the County received 213 SHA gadgets including tablets and power banks.However, despite this allocation,101 public health facilities are still without SHA gadgets,limiting their ability to submit claims and access timely reimbursements;
As of18thAugust2025,healthfacilitiesin the Countyhad submitted claims totaling Kshs.631,765,540.Of this amount,Kshs. 338,384,178 (53.5%) had been reimbursed,while Kshs.293,381,362 (46.5%) remained as the outstanding balance.
f TheKenya Medical Supplies Authority (KEMSA) remains the primary supplier of essential HealthProducts and Technologiesto the County.However,the County has also been affected by persistent drug supply challenges from KEMSA),
g The Countypublichealthcarefacilitieshavebecomeheavily strained as theyserve not only local residents but also an increasing number ofpatientsfrom neighboring countiesincluding Garissa,Machakos,Makueni,and Embu;
h The County Governmenthad takenmajor steps to invest in itshealthcare personnel with a strong emphasis on converting staff on fixed-term contracts especially those under theUniversal Health Coverage(UHC)scheme.Currently,theDepartmentof HealthandSanitationhasa workforceof 1,943;1,794 onpermanentand pensionable terms,143 UHC staff, six (6) on contracts.In the current FY 2025/2026,the Countyhas setaside abudgetofKshs.236M forrecruiting additional healthworkers in order to strengthen thecounty'shealthcareworkforce and enhance service delivery;
i) TheCounty Governmentis activelyupgradingitshealthcarefacilityinfrastructure and broader service delivery capacities and had procured a new laundry machine for hospitaluse.

MIN/SEN/SCH/269/2025

ANYOTHERBUSINESS

The Committee expressed concern regarding the ongoing medical doctorsstrike in KiambuCounty,whichlastedforanunprecedented151days,makingitoneofthelongest county-levelmedical industrial actionsinKenya'srecenthistory.With theforegoing,the CommitteeresolvedtoundertakeacountyoversightvisittoKiambu Countytoacquaint itselfwiththehealthcareprovisionintheCounty.

MIN/SEN/SCH/270/2025 ADJOURNMENT

There being no other business, the meeting ended at thirty minutes past eleven and the Committee proceeded to undertake oversightvisits in the healthcare facilities.

SIGNED.

...DATE..

SEN.JACKSONK.ARAPMANDAGO,EGH,MP (CHAIRPERSON,COMMITTEEONHEALTH)

Annex 2: Stakeholder Submissions

KITUICOUNTYMINISTRYOFHEALTHANDSANITATION

1.0 OVERVIEW

TheMinistryhasa total of326facilities distributed asfollows:3level IVhospitals,9 level3B,54level3A,and260level2healthcarefacilities.

TheMinistryhasa totalof1,940healthcareworkers.Outofthis,43(Clinical Officers8, Dentist 1,Medical Officers18,Nurses 10,Nutritionists 1,Pharmaceutical Technologists 3,Physiotherapists2)arecurrentlyonstudyleave.

Table 1:HumanResource forHealth

| HUMANRESOURCEBREAKDOWN | HUMANRESOURCEBREAKDOWN | HUMANRESOURCEBREAKDOWN | |--------------------------|----------------------------------------|--------------------------| | S/NO | COUNTYGOVERNMENTOFKITUI DESIGNATION | INPOST | | 1 | ACCOUNTANT | 8 | | 2 | ADMINISTRATIVEOFFICER | 1 | | 3 | ADMINISTRATOR | 2 | | 4 | CECM | 1 | | 5 | CHIEFOFFICER | 3 | | 6 | CLERICALOFFICER | 68 | | 7 | CLINICALOFFICER | 202 | | 8 | COMMUNICATIONSOFFICER | 1 | | 9 | COMMUNITYHEALTHASSISTANT | 1 | | 10 | COMMUNITYORALHEALTHASSISTANT | 7 | | 11 | DENTALTECHNOLOGIST | 4 | | 12 | DENTIST | 4 | | 13 | ORALANDMAXILLOFACIALSURGERYSPECIALISTS | 2 | | 14 | DRIVER | 57 | | 15 | FINANCEOFFICER | 2 | | 16 | HEALTHADMINISTRATOR | 16 | | 17 | HEALTHPROMOTION | 1 | | 18 | HEALTHRECORDS | 49 | | 19 | HOSPITALITYOFFICER | 1 | | 20 | HUMANRESOURCEOFFICER | 3 | | 21 | ICTOFFICER | 3 | | 22 | LABORATORYSCIENTIST | 137 | | 23 | MEDICALENGINEER | 24 | | 24 | MEDICALOFFICER | 83 |

| HUMANRESOURCEBREAKDOWN | HUMANRESOURCEBREAKDOWN | HUMANRESOURCEBREAKDOWN | |--------------------------|----------------------------|--------------------------| | 25 | ANAESTHESIOLOGIST | 1 | | 26 | ENTSURGEON | 1 | | 27 | EPIDIMIELOGY | 1 | | 28 | FAMILYPHYSICIAN | 2 | | 29 | GENERALSURGEON | 2 | | 30 | OBSTETRICIAN/GYNAECOLOGIST | 8 | | 31 | OPHTHALMOLOGIST | 1 | | 32 | ORTHOPAEDICSURGEON | 3 | | 33 | PAEDIATRICIAN | 6 | | 34 | PATHOLOGIST | 1 | | 35 | PHYSICIAN | 3 | | 36 | PSYCHIATRIST | 1 | | 37 | PUBLICHEALTHSPECIALIST | 1 | | 38 | RADIOLOGIST | 3 | | 39 | UROLOGIST | 2 | | 40 | MEDICALSOCIALWORKER | 12 | | 41 | MORTUARYATTENDANT | 3 | | 42 | NURSE | 677 | | 43 | NUTRITIONANDDIETETICS | 57 | | 44 | OCCUPATIONALTHERAPIST | 8 | | 45 | OFFICEADMINISTRATOR | 9 | | 46 | ORTHOPAEDICTECHNOLOGIST | 3 | | 47 | ORTHOPAEDICTRAUMA | 10 | | 48 | PHARMACEUTICALTECHNOLOGIST | 58 | | 49 | PHARMACIST | 16 | | 50 | CLINICALPHARMACY | 2 | | 51 | HEALTHECONOMICSANDPOLICY | 1 | | 52 | PHARMACOLOGYANDTOXICOLOGY | 1 | | 53 | PHYSIOTHERAPIST | 19 | | 54 | PSYCHOLOGIST | 1 | | 55 | PUBLICHEALTH | 88 | | 56 | RADIOGRAPHER | 24 | | 57 | STATISTICIAN | 1 | | 58 | SUPPLYCHAIN | 33 | | 59 | SUPPORTSTAFF | 48 | | 60 | TELEPHONEOPERATOR | 1 | | 61 | SECURITYOFFICER | | | | Sub Total | 1,788 |

| HUMAN RESOURCE BREAKDOWN | HUMAN RESOURCE BREAKDOWN | HUMAN RESOURCE BREAKDOWN | |----------------------------|--------------------------------------|----------------------------| | S/NO | NATIONAL GOVERNMENT(UHC) DESIGNATION | INPOST | | 1 | CLINICALOFFICER | 15 | | 2 | COMMUNITYHEALTHEXTENSIONWORKER | 10 | | 3 | COMMUNITYORALHEALTHOFFICER | 2 | | 4 | HEALTHRECORDSOFFICER | 3 | | 5 | LABORATORYSCIENTIST | 13 | | 6 | NURSE | 82 | | 7 | NUTRITIONIST | 3 | | 8 | OCCUPATIONALTHERAPIST | 2 | | 9 | ORTHOPAEDICTRAUMATECHNOLOGIST | 1 | | 10 | PHARMACEUTICALTECHNOLOGIST | 10 | | 11 | PHYSIOTHERAPIST | 1 | | 12 | RADIOGRAPHER | 1 | | | Sub Total | 143 | | | NATIONALGOVERNMENT(COVID-19) | | | 1 | CLINICALOFFICER | 1 | | 2 | CLINICALPSYCHOLOGIST | 1 | | 3 | LABORATORYSCIENTIST | 4 | | 4 | MEDICALDOCTOR | 1 | | 5 | NURSE | 1 | | 6 | PHARMACIST | 1 | | | Sub Total | 9 | | | Grand Total | 1,940 |

Table 2:Social HealthAuthority(SHA)Summary

| HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | |-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------| | S/No | Facility | AmountClaimed | AmountPaid | Amount NotPaid | | 1 | Kitui CountyReferral Hospital | 376,859,610.31 | 221,393,918.66 | 155,465,691.65 | | 2 | Mwingi LevelIVHospital | 150,879,632.00 | 69,962,672.00 | 80,916,960.00 | | 3 | IkuthaSub-CountyHospital | 18,283,605.00 | 10,851,352.00 | 7,432,253.00 | | 4 | Kanyangi Sub-CountyHospital | 14,673,480.00 | 9,468,000.00 | 5,205,480.00 | | 5 | TseikuruSub-CountyHospital | 14,636,033.00 | 7,700,565.00 | 6,935,468.00 |

| HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | HOSPITALSSHASTATUSASAT30THSEPTEMBER2025 | |-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------| | | S/NoFacility | AmountClaimed | Amount Paid | Amount Not Paid | | 6 | KauwiSub-CountyHospital | 13,493,565.00 | 6,810,741.00 | 6,682,824.00 | | 7 | Migwani Sub-County Hospital | 11,687,430.00 | 6,999,092.50 | 4,688,337.50 | | 8 | KyusoSub-CountyHospital | 9,744,963.00 | 3,938,656.00 | 5,806,307.00 | | 9 | MutituSub-CountyHospital | 8,056,705.00 | 2,694,985.00 | 5,361,720.00 | | 10 | MutomoSub-CountyHospital | 6,721,726.00 | 4,815,019.85 | 1,906,706.15 | | 11 | Ikanga Sub-County Hospital | 7,908,336.00 | 4,422,457.85 | 3,485,878.15 | | 12 | KatulaniSub-CountyHospital | 4,543,556.00 | 3,232,296.00 | 1,311,260.00 | | 13 | ZombeSub-CountyHospital | 3,253,020.00 | 2,022,910.00 | 1,230,110.00 | | 14 | NuuSub-CountyHospital | 2,618,840.00 | 1,636,346.00 | 982,494.00 | | | Total | 643,360,501.31 | 355,949,011.86 | 287,411,489.45 |

2.0KITUICOUNTY REFERRALHOSPITAL

2.1INTRODUCTION

Kitui CountyReferral Hospital wasopenedin1905asalocalnativehospital.Ithassince evolvedtoafully-fledgedlevel IVhospitalwithhealthexpertiseandspecializedservices andhasdeservedlyearnedrecognition throughoutKitui Countyand itsenvirons asa preferreddiagnostic,treatment,andreferral center.

The hospital has,in the previousyears,witnessed expansive investmentin the latest technology, systems,procedures, drugs,non-pharmaceuticals,health expertise,and medicalequipmentthathaveenabledadequateprovisionofmostofthespecializedhealth services.

OUR VISION

Tobe theleadingcountyhospital intheprovision ofqualityclient-centeredhealthcare services inKenya.

OUR MISSION

Toprovideaccessibleandaffordablequalityhealthcareservicestoallandfacilitate training,research,andpolicy development.

2.2CURRENTSTATUS

Thefacilityhasa320-bedcapacityacrossdifferentdepartments.InFY2022/2023, 2023/2024,and2024/2025,thefacilityrecordedarise intotalworkloadof299,195, 358,340,and409,440patients,respectively(KHIS,2024).This implies that thefacility has anaverage dailyworkloadof1,121patients.

2.3SERVICESOFFERED

2.3.1GENERALOUTPATIENTDEPARTMENT

Thefollowingservicesareofferedatthegeneraloutpatientdepartment.

i.Customercareservices
ii.The24-hourAccidentand Emergency(A&E)services
ili.Doctorsandclinical officers'consultation
iv.Emergencytreatment,Emergencyadmissionsandreferrals
v.Genderbasedviolencereception,counseling,and treatment
vi.Minor surgeries

2.3.2RADIOLOGYDEPARTMENT

Ageneraloutpatientdepartmentthatoffersthefollowingservices;

i.One(1) CT-Scan
lil.One(1) X-ray machine
ili.One(1) Ultrasound
replacement)

2.3.3DENTALDEPARTMENT

Thisdepartmentoffersthefollowingservices:

i. One(1)dental chair offering conservative treatment, Minor and major oral surgeries,Maxillofacial surgeries

2.3.4NURSINGDEPARTMENT

In thehospital,thenursing departmentprovidesthefollowing services:

i. Diagnosing,treating,evaluating,and managing acute and chronic illnesses and diseases
ii. Obtaininghealthhistoriesandconductingphysical examination
ili. Generaladministrativesupport
iv. Careofpatientsintheambulance

2.3.5MATERNALCHILDHEALTHANDFAMILYPLANNING(MCH/FP)

Thedepartmentoffersthefollowingservices:-

i. Mother and Child healthcare and family planning services,Growth and monitoring

2.3.6 COMPREHENSIVE CARE,CHEST,SKIN,AND LEPROSY CLINIC ISOLATIONWARD

Thedepartmentoffersthefollowingservices:

Isolation services ward(the highlyinfectious and multidrug-resistant patients areisolated in improvised isolationrooms).

2.3.7NUTRITIONDEPARTMENT

Thedepartmentoffersthefollowingservices:-

i. s
ii. Conductingnutritionassessment,counseling,andsupportinspecialized clinics (TB, CCC, MCH, DM)

2.3.8DEPARTMENTOFSURGERY

Thedepartmentoffersthefollowingservices:

i.One(1) theatre with two(2)operating tablesoffering general and specialized surgical services.

2.3.9DEPARTMENTOFINTERNALMEDICINE-MEDICALWARDS

(ECHO),Specialized Diabetic Care Clinic,Kidney Care with dialysis, Specialized Gastroenterologist Care,Oncology(Cancer)Care,Medical Output Care,and General Medical Care.

2.3.10 RENAL UNIT

Five(5)functional machinesoffering 10sessions per day,60perweek,and3,120 annually.

2.3.11 DEPARTMENTOFOBSTETRICSANDGYNAECOLOGY

Servicesofferedinclude:majorandminor gynecological surgeries;managementof normal labor,delivery,andtheircomplications;managementofantenatalcomplications; andPost-natalcareservices.

2.3.12REHABILITATIVE SERVICES(PHYSIOTHERAPY,ORTHOPAEDIC TECHNOLOGY,ANDOCCUPATIONALTHERAPYDEPARTMENTS)

There isone (1) each of trademeal, staticbike,parallel bars, and two(2) pulling systems, andhydrotherapyequipment,andtwo(2)electricstimulationdevices,one(1)seteach and treatmentservicesformovementissues,providetreatmentforpeoplesufferingfrom physical problemsarisingfrominjury,disease,illness,andageing.

2.3.13HEALTHRECORDSANDINFORMATIONDEPARTMENT

Servicesoffered are:Registration ofpatient,openingof in/outpatientfile,Booking and preparing ofconsultantclinics,issuing ofbirthanddeath notifications.

2.3.14PATHOLOGYDEPARTMENT

Servicesoffered are:Filling ofP3forms,Postmortem services,performing clinical and forensic autopsies, and Forensic, Clinical,Anatomic, and Hematopathology.

2.3.15AMENITYDEPARTMENT

allthe other departments,i.e.,obstetrics/gynecology,surgical,pathology,medicine, neonatal,andpediatric.

2.3.16LABORATORYDEPARTMENT

ThefacilityhasaclassEmedical laboratoryequippedwithone(1)biochemistry,two(2) 5-part full hemogram, two(2) electrolyte analyzers,two(2) immunoassay machines, three(3)microscopes,one(1)fluorescentmicroscope,two(2)biosafetycabinets,one (1)incubator,one(1)freezer,four(4)fridges,one(1)microtome,one(1)waterbath, three(3)centrifuges.

Itoffersclinical laboratory assayson specimens,completebloodcount,coagulation hemoglobintest,HemoglobinAiC,transfusionservices,spinal fluidanalysis,glucose level,ESR,HCG,andhistologyservices.

2.3.17SPECIALOUTPATIENTCLINICS

The services offered include:Hemophilia,Diabetic,surgical,medical,obstetric,and HealthServicestoKeyPopulations

2.3.17 PROVIDER-INITIATED HIV TESTING AND COUNSELLING (PITC) DEPARTMENT

HIV testing and services, Referral and Linkage, External and Internal referrals, Psychosocial Supportservices,Facilitatesupported disclosure,HealthTalks-Information CancerScreening,TBScreening,IntimatePartnerViolencescreening

2.3.18 PALLIATIVE CAREUNIT

Thisunitoffersservicestopatientswith life-limiting and life-threateningconditions.

2.3.19PSYCHIATRICDEPARTMENT

Services offered are Community mental health,mental status assessment,Diagnosis, treatment,and referrals,Counseling,Control of substance abuse,linkageswithother departments

2.3.20OTHERDEPARTMENTSINCLUDE

i. ENT(Ear,Nose,and Throat) department
ii. PhangisileMtshali CancerCenter
ili. Departmentof Pediatrics (Little AngelsNewBornUnit andkangaroomother care) withabedcapacityof70,witha1-bedNeonatalIntensiveCareUnit
iv. Pharmacydepartment
V. ProcurementandStoresDepartment
vi. Information,CommunicationTechnology(ICT)Department
vi. TransportDepartment-3ambulancesand2utilityvehicles
vii. PublicHealthDepartment-1incinerator
ix. Hospital Maintenance Unit(HMU)
X. AccountingandRevenueDepartment

xi. Funeral Home(Mortuary)-2 mortuaries(old mortuary-12 body capacity) and(new 64bodycapacity mortuary 24body freezers installed inphase1inthenew64 body capacity mortuary)
xii. SecurityDepartment

3.0HUMANRESOURCEFORHEALTH

Kitui CountyReferral Hospital has415permanentandpensionable staffdistributedas showninthetablebelow;

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| BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | |-------------------------------|--------------------------------|-------------------------------|-------------------------------|-------------------------------| | S/NO | CADRE | TOTAL | GENERAL | NUMBER OFSPECIALISTS | | 1 | DOCTORS | 46 | 24 | 29 | | 1 | DOCTORS | 46 | 24 | ORTHOPEADICSURGEON=2 | | 1 | MEDICALOFFICERSONSTUDYLEAVE=11 | 46 | 24 | OBSY/GYN=4 | | 1 | SPECIALISTSONSTUDYLEAVE=2 | 46 | 24 | ONCOLOGIST=3 | | 1 | DOCTORS | 46 | 24 | ORTHAMOLOGIST=1 | | 1 | DOCTORS | 46 | 24 | PAEDIATRICIAN=4 | | 1 | DOCTORS | 46 | 24 | PATHOLOGIST=1 | | 1 | DOCTORS | 46 | 24 | PHYSICIAN=3 | | 1 | DOCTORS | 46 | 24 | RADIOLOGIST=3 | | 1 | DOCTORS | 46 | 24 | UROLOGIST=2 | | 1 | DOCTORS | 46 | 24 | ANAESTHESIOLOGIST=1 | | 1 | DOCTORS | 46 | 24 | PSYCHIATRIST=1 | | 1 | DOCTORS | 46 | 24 | FAMILYMEDICINEPHYSICIAN=1 | | 1 | DOCTORS | 46 | 24 | CARDIOLOGIST=1 | | 1 | DOCTORS | 46 | 24 | GENERALSURGEON=2 | | 2 | NURSES STUDYLEAVE-5 | | 100 | 39 | | | NURSES STUDYLEAVE-5 | | | NEPHROLOGY=7 | | | NURSES STUDYLEAVE-5 | | | CRITICALCARENURSE=10 | | | NURSES STUDYLEAVE-5 | | | PAEDIATRICCRITICALCARE=3 | | | NURSES STUDYLEAVE-5 | | | REPRODUCTIVEHEALTH=2 | | | NURSES STUDYLEAVE-5 | | | PERIOPERATIVENURSE=7 | | | NURSES STUDYLEAVE-5 | | | ACCIDENT&EMERGENCY=1 | | | NURSES STUDYLEAVE-5 | | | OPTHALMICNURSE=1 | | | NURSES STUDYLEAVE-5 | | | PALLIATIVECARENURSE=2 | | | NURSES STUDYLEAVE-5 | | | ONCOLOGYNURSE=3 | | | NURSES STUDYLEAVE-5 | | | MENTALHEALTH=2 | | 3 | CLINICALOFFICERS | 139 54 | 20 | 34 | | 3 | CLINICALOFFICERS | 139 54 | 20 | ORTHOPAEDIC=3 | | 3 | CLINICALOFFICERS | 139 54 | 20 | REPRODUCTIVEHEALTH=3 |

| BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | BREAKDOWNOFOFFICERSBYCADRES | |-------------------------------|----------------------------------|-------------------------------|-------------------------------|-------------------------------| | S/NO | CADRE | TOTAL | GENERAL | NUMBER OFSPECIALISTS | | | | | | ENT=2 | | | | | | ANAESTHETISTS=12 | | | | | | OPTHALMOLOGIST=3 | | | | | | PAEDIATRICS=2 | | | | | | DERMATOLOGY=2 | | | | | | CHEST=2 | | | | | | MENTALHEALTH=1 | | | | | | ONCOLOGY=2 | | | | | | AUDIOLOGIST=1 | | | | | | FAMILYMEDICINE=1 | | 4 | DENTALOFFICERS | 7 | 0 | 7 | | | | | | MAXILLOFACIALSURGEON=2 | | | | | | DENTALSPECIALIST=1 | | | | | | COHO=2 | | | | | | DENTALTECHNOLOGIST=2 | | 5 | PHARMACISTS | 6 | 4 | 2 | | | | | | PHARMACEUTICALSPECIALIST=1 | | | | | | CLINICALPHARMACIST-1 | | 6 | PHARMACEUTICALTECHNOLOGISTS | 14 | 14 | 0 | | 7 | HEALTHADMINISTRATIVEOFFICERS | 3 | 3 | 0 | | 8 | DIRECTORADMINISTRATION | 1 | 1 | 0 | | 9 | OFFICEADMINISTRATOR | 1 | 1 | 0 | | 10 | HUMANRESOURCE | 1 | 1 | 0 | | 11 | ICT | 1 | 1 | 0 | | 12 | RADIOGRAPHERS | 6 | 6 | 0 | | 13 | DRIVERS | 13 | 13 | 0 | | 14 | MEDICALLABORATORYTECHNOLOGISTS | 28 | 28 | 0 | | 15 | PUBLICHEALTHASSISTANT | 1 | 1 | 0 | | 16 | MEDICALSOCIALWORKERS | 4 | 4 | 0 | | 17 | PSYCHOLOGISTS | 2 | 2 | 0 | | 18 | OCCUPATIONALTHERAPISTS | 2 | 2 | 0 | | 19 | ORTHOPAEDICTRAUMA | 2 | 2 | 0 | | 20 | ORTHOPAEDICTECHNOLOGISTS | 2 | 2 | 0 | | 21 | MEDICALENGINEERINGTECHNOLOGISTS | 8 | 8 | 0 | | 22 | SUPPLYCHAINMANAGEMENTOFFICERS | 13 | 13 | 0 | | 23 | PHYSIOTHERAPISTS(STUDYLEAVE | 5 | 5 | 0 | | 24 | HEALTHRECORDSINFORMATIONOFFICERS | 9 | 6 | 0 | | 25 | NUTRITIONISTS | 10 | 10 | 0 | | 26 | ACCOUNTANTS | 1 | 1 | 0 | | 27 | MORTUARYATTENDANTS | 1 | 1 | 0 | | 28 | TELEPHONEOPERATORS | 1 | 1 | 0 | | 29 | SUPPORTSTAFF | 11 | 11 | 0 | | 30 | REVENUECLERICALOFFICERS | 12 | 12 | 0 | | 31 | CLERICALOFFICERS | 10 | 10 | 0 | | 32 | HOSPITALITYOFFICERS | 1 | 1 | 0 | | | TOTAL | 415 | 311 | 104 |

3.1SHAREIMBURSEMENT

| SHASTATUSASAT22-10-2025 | SHASTATUSASAT22-10-2025 | SHASTATUSASAT22-10-2025 | |---------------------------|---------------------------|---------------------------| | S/NO | ITEM | AMOUNT | | 1 | TOTALINVOICEDAMOUNT | 424,817,394.31 | | 2 | TOTALPAYMENTS | 239,854,773.66 | | 3 | TOTALUNPAID | 184,962,620.65 |

OPERATIONALPUBLIC HEALTHCARE FACILITIES

| SNOFACILITY | LEVEL COUNTYVILLAGE | WARD | SUB-COUNTY | |--------------------------------------------------|----------------------------------------------------|---------------------------------|---------------------------| | 1KASYALAHEALTHCENTRE | LEVEL3A AIVAINI | KYANGWITHYAEAST KYANGWITHYAEAST | KITUICENTRAL KITUICENTRAL | | 2WANZUADISPENSARY 3MUSEVEDISPENSARY | LEVEL2 IVAINI LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 4KYALILINIDISPENSARY | LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 5WALUKUDISPENSARY | LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 6NZUNGUNIDISPENSARY | LEVEL2 MISEWANI | KYANGWITHYAEAST KYANGWITHYAEAST | KITUICENTRAL KITUICENTRAL | | 7KABAADISPENSARY 8MULUNDIDISPENSARY | LEVEL2 KALAWA/KABAA LEVEL2 MULUNDI | KYANGWITHYAEAST | KITUICENTRAL | | 9MUTUNIDISPENSARY | LEVEL2 MUTUNE | KYANGWITHYAEAST | KITUICENTRAL | | 10TUNGUTUHEALTHCENTRE | LEVEL3A TUNGUTU | KYANGWITHYAWEST | KITUICENTRAL | | 11TIVADISPENSARY | LEVEL2 KYAMATHYKA/NDUUMONI/TIVA LEVEL2 KAVUTA | KYANGWITHYAWEST KYANGWITHYAWEST | KITUICENTRAL KITUICENTRAL | | 12KAVUTADISPENSARY 13ITOLEKADISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 14KAKUUNIDISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 15KALIAKAKYADISPENSARY | LEVEL2 UTOONI/MBUSYANI | KYANGWITHYA.WEST | KITUICENTRAL | | 16KALIKUVUDISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 17KISYOKADISPENSARY | LEVEL2 KAVUTA | KYANGWITHYAWEST | | | 18 MANGINADISPENSARY | LEVEL2 KAVUTA | KYANGWITHYAWEST | KITUICENTRAL KITUICENTRAL | | 19MULUTUDISPENSARY | LEVEL2 MULUTU/UNYAA | KYANGWITHYAWEST | KITUICENTRAL | | 20 NDUMONIDISPENSARY | LEVEL2 KYAMATHYKA/NDUUMONI/TIVA | KYANGWITHYAWEST | KITUICENTRAL | | 21 MIAMBANIHEALTHCENTRE | LEVEL3A MUNGANGA | | | | | | MIAMBANI | KITUICENTRAL | | 22 KAMANDIODISPENSARY | LEVEL2 KAMANDIO/NDIANI/NZUNE | MIAMBANI | KITUICENTRAL | | 23 MUTUKYADISPENSARY | LEVEL2 MUTULA/MUTUKYA | MIAMBANI | KITUICENTRAL | | 24MAKAANIDISPENSARY 25 MIKUYUNIDISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | | LEVEL2 KANZAU/MALILI/MIYUKUNI | MIAMBANI MIAMBANI | KITUICENTRAL KITUICENTRAL | | 26MWANYANIDISPENSARY 27USIANIDISPENSARY | LEVEL2 KANZAU/MALILI/MIYUKUNI LEVEL2 KAVALO/USIANI | MIAMBANI | KITUICENTRAL | | 28KAVALODISPENSARY | LEVEL2 KAVALO/USIANI | MIAMBANI | KITUICENTRAL | | 29KIVIU DISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | 30KATULANISUBCOUNTYHOSPITAL | LEVEL3B KATULANI | MULANGO | KITUICENTRAL | | 31KYANGUNGAHEALTHCENTRE | LEVEL3A KYANGUNGA | MULANGO | KITUICENTRAL KITUICENTRAL | | 32KANGALUDISPENSARY | LEVEL2 WIKILILYE | MULANGO | KITUICENTRAL | | 33KATHUNGIDISPENSARY | LEVEL2 KATHUNGI | MULANGO | | | 34KITUNDUDISPENSARY | LEVEL2 KYANGUNGA KYAMBITI | MULANGO | KITUICENTRAL KITUICENTRAL | | 35KYAMBITIDISPENSARY | LEVEL2 | MULANGO | | | 36KYANDUIDISPENSARY | LEVEL2 WII | MULANGO | KITUICENTRAL | | 37WIIDISPENSARY | LEVEL2 WII | MULANGO | KITUICENTRAL | | 38YAKALIADISPENSARY | LEVEL2 KWAMULI | MULANGO | KITUICENTRAL KITUICENTRAL | | 39KITUICOUNTYREFERRALHOSPITAL TOWNSHIPDISPENSARY | LEVEL4 TOWN LEVEL2 MAJENGO/MANYENYONI | TOWNSHIP TOWNSHIP | KITUICENTRAL | | 40 41SYONGILADISPENSARY | LEVEL2 KAVETA/SYONGILA | TOWNSHIP | KITUICENTRAL | | 42KITUIGKPRISONDISPENSARY | LEVEL2 TOWN | TOWNSHIP | KITUICENTRAL | | 43VINDADISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | | LEVEL3A ITHUMULAVILLAGE | NZAMBANI | KITUIEAST | | 44 4YANZUUHEALTHCENTRE 45NZANGATHIHEALTHCENTRE | LEVEL3A KYALELEVILLAGE | CHULUNI | KITUIEAST | | 46 KATUMBUDISPENSARY | LEVEL2 KANDUTIVILLAGE | CHULUNI | KITUIEAST | | 47 KALULUDISPENSARY | LEVEL2 KANDUTIVILLAGE | CHULUNI | KITUIEAST | | 48 KAMAEMBEDISPENSARY | LEVEL2 KYANZAIVILLAGE | CHULUNI | KITUIEAST | | 49 KANZAUWUDISPENSARY | LEVEL2 KYALELEVILLAGE | CHULUNI | KITUIEAST | | 50 KIONGWEDISPENSARY | LEVEL2 NGUNGIVILLAGE KANDUTIVILLAGE | CHULUNI | KITUIEAST KITUIEAST | | 51 KANDUTIDISPENSARY | LEVEL2 | CHULUNI | | | 52 MALALANIHEALTHCENTRE | LEVEL3A SYOU | ENDAUMALALANI | KITUIEAST | | 53 ENDAUDISPENSARY | LEVEL2 NDETANIVILLAGE | ENDAUMALALANI | KITUIEAST | | 54 TWAMBUIDISPENSARY | LEVEL2 TWAMBUI/MAKUKA | ENDAU MALALANI | KITUIEAST | | 55 YIUKUDISPENSARY | LEVEL2 YIUKU/KATHUAVILLAGE | ENDAUMALALANI | KITUIEAST | | 56 MUTITUSUBCOUNTYHOSPITAL | LEVEL3B KITOO | MUTITO/KALIKU | KITUIEAST | | 57 KALIKUDISPENSARY | LEVEL2 KAWALA/KAVUTEI | MUTITO/KALIKU | KITUIEAST | | 58 ITIKODISPENSARY | LEVEL2 KYAIMU/ITIKO | MUTITO/KALIKU | KITUIEAST | | 59 YOONYEDISPENSARY | LEVEL2 MUSUKINI | MUTITO/KALIKU | KITUIEAST | | 60 MANYOENI | LEVEL2 MANYOENI/MASASANI | MUTITO/KALIKU | KITUIEAST | | 61 CHULUNIHEALTHCENTRE | LEVEL3A KILONZOVILLAGE | NZAMBANI | KITUIEAST | | 62 KAKUNGUDISPENSARY | LEVEL2 KAVALULA/NGENGIVILLAGE | NZAMBANI | KITUIEAST | | 63 IKUYUNIDISPENSARY | LEVEL2 IKUYUNIVILLAGE | | KITUIEAST | | 64 KILONZODISPENSARY | LEVEL2 KILONZOVILLAGE | NZAMBANI NZAMBANI | KITUIEAST | | 65 | LEVEL2 KANGWENIVILLAGE | NZAMBANI | | | KAMUUNGUDISPENSARY | | | KITUIEAST | | 66VOOHEALTHCENTRE | LEVEL3A KASASI | VOO/KYAMATU | KITUIEAST |

| 67KINAKONIDISPENSARY | LEVEL2 KASASI | VOO/KYAMATU | KITUIEAST | |--------------------------------------------------|-----------------------------------------------|-------------------------------|-----------------------| | 68KYAANGODISPENSARY | LEVEL2 KYAANGO | VOO/KYAMATU | KITUIEAST | | 69KYAMATUDISPENSARY | LEVEL2 KYAMATU/NZANZU | VOO/KYAMATU | KITUIEAST | | 70KYUUKUNIDISPENSARY | LEVEL2 KYAMATU/NZANZU | VOO/KYAMATU | KITUIEAST | | 71 MATUNDUDISPENSARY. | LEVEL2 MUTHUNGUE | VOO/KYAMATU | KITUIEAST | | 72 MUTHUNGUEDISPENSARY | LEVEL2 MUTHUNGUE | VOO/KYAMATU | KITUIEAST | | 73ZOMBESUBCOUNTYHOSPITAL | LEVEL3B MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 74 INYUUHEALTHCENTRE | LEVEL3A THUA | ZOMBE/MWITIKA | KITUIEAST | | 75 MWITIKAHEALTHCENTRE | LEVEL3A ILAA/KATIKONI | ZOMBE/MWITIKA | KITUIEAST | | 76KAUMUHEALTHCENTRE | LEVEL3A THUA | ZOMBE/MWITIKA | KITUIEAST | | 77 MAKONGODISPENSARY | LEVEL2 MAKONGO/KAVINGO | ZOMBE/MWITIKA | KITUIEAST | | 78 NGAAKAYAKWADISPENSARY | LEVEL2 MAKONGO/KAVINGO | ZOMBE/MWITIKA | KITUIEAST | | 79 KASUNGUNIDISPENSARY | LEVEL2 NGUNGI/KASUNGUNI | ZOMBE/MWITIKA | KITUIEAST | | 80NGELANIDISPENSARY | LEVEL2 MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 81 KABATIDISPENSARY(MOBILECLINIC) | LEVEL2 MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 82 KIKUUDISPENSARY | LEVEL2 KIKUU | ZOMBE/MWITIKA | KITUIEAST | | 83 NGUNGIDISPENSARY | LEVEL2 NGUNGI/KASUNGUNI | ZOMBE/MWITIKA | KITUIEAST | | 84 KANGUUDISPENSARY | LEVEL2 KENZE | CHULUNI | KITUIEAST | | 85KATUMBIDISPENSARY | LEVEL2 KATUMBI/KOI | ENDAU/MALALANI | KITUIEAST | | 86MAKUKADISPENSARY | LEVEL2 TWAMBUI/MAKUKA | ENDAU/MALALANI | KITUIEAST | | 87 KASANG'UDISPENSARY | LEVEL2 NZUNGUNI | VOO/KYAMATU | KITUIEAST | | 88KANYANGISUBCOUNTYHOSPITAL | LEVEL3A KANYANGI | KANYANGI | KITUIRURAL | | 89 KALULINIHEALTHCENTRE | LEVEL3A KALULINI | KANYANGI | KITUIRURAL | | 90 KISEUNIDISPENSARY | LEVEL2 KISEUNI | KANYANGI | KITUIRURAL | | 91 KANYONGONYODISPENSARY 92 MASIMBADISPENSARY | LEVEL2 KANYONGONYO LEVEL2 KITOONI | KANYANGI KANYANGI | KITUIRURAL KITUIRURAL | | 93 SYOMUNYUDISPENSARY | LEVEL2 KALULINI | KANYANGI | KITUIRURAL | | 94 NZAMBIA 95 NGOMONI | LEVEL2 NZAMBIA | KANYANGI | KITUIRURAL | | 96KISASIHEALTHCENTRE | LEVEL2 KALULINI LEVEL3A MASIMBINI | KANYANGI KISASI | KITUIRURAL | | 97MALIKUHEALTHCENTRE | MALIKU | KISASI | KITUIRURAL | | 98 MOSADISPENSARY | LEVEL3A LEVEL2 MOSA | KISASI | KITUIRURAL KITUIRURAL | | 99 KAVISUNIDISPENSARY | LEVEL2 KAVISUNI | | KITUIRURAL | | | | KISASI | | | 100 MBUSYANIDISPENSARY 101 MUKAMENIDISPENSARY | LEVEL2 MBUSYANI LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI KISASI | KITUIRURAL KITUIRURAL | | 102 NGUUNIDISPENSARY | LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI | KITUIRURAL. | | 103 UNGAATUDISPENSARY | LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI | KITUIRURAL | | 104 NGILUNIDISPENSARY-KITUIRURAL | LEVEL2 NGILUNI(KISASI) | KISASI | KITUIRURAL | | 105 BOARDERPATROLHOSPITAL | LEVEL5 KANYONYOO | KWAVONZA/YATTA | KITUIRURAL | | 106 YATTAHEALTHCENTRE | LEVEL3A MAKUSYA | KWAVONZA/YATTA | KITUIRURAL | | 107 KATHOMEHEALTHCENTRE | LEVEL3A KAWONGO/NTHONGONI | KWAVONZA/YATTA | KITUIRURAL | | 108 NTHONGONIHEALTHCENTRE 109 KWAVONZADISPENSARY | LEVEL3 KAWONGO/NTHONGONI LEVEL2 KWAVONZA | KWAVONZA/YATTA KWAVONZA/YATTA | KITUIRURAL KITUIRURAL | | 110 ILIKADISPENSARY | LEVEL2 ILIKA | KWAVONZA/YATTA | KITUIRURAL | | 111 KAMANYIDISPENSARY | LEVEL2 KAWONGO/NTHONGONI | KWAVONZA/YATTA | KITUIRURAL | | 112 KWAKILUIDISPENSARY | LEVEL2 MAKUSYA | KWAVONZA/YATTA | KITUIRURAL | | 113 MUSELELEDISPENSARY | LEVEL2 ILIKA | KWAVONZA/YATTA | KITUIRURAL | | 114APKANYONYOODISPENSARY | LEVEL2 KANYONYOO | KWAVONZA/YATTA | KITUIRURAL | | 115 MBITINIHEALTHCENTRE | LEVEL3A MBITINI | MBITINI | KITUIRURAL KITUIRURAL | | 116NGANGANIDISPENSARY | LEVEL2 NGANGANI | MBITINI | | | 117KANZAUDISPENSARY | LEVEL2 KANZAU | MBITINI | KITUIRURAL | | 118 KATWALADISPENSARY 119KITUNGATIDISPENSARY | LEVEL2 KATWALA LEVEL2 KITUNGATI | MBITINI | KITUIRURAL KITUIRURAL | | 120 KIVUUNIDISPENSARY | LEVEL2 KIVUUNI | MBITINI MBITINI | KITUIRURAL | | 121 KITOONIDISPENSARY | LEVEL2 KITOONI | KANYANGI | KITUIRURAL | | 122 KAMUTEIHEALTHCENTRE | LEVEL3A MALUMA | ATHI | KITUISOUTH | | 123 KATILINIHEALTHCENTRE | LEVEL3A KATILINI | ATHI | KITUISOUTH KITUISOUTH | | 124ATHIDISPENSARY 125ILENGIDISPENSARY | LEVEL2 KILAWA LEVEL2 | ATHI ATHI | | | 126KALIVUDISPENSARY | MUAMBANI/MONGUNI LEVEL2 KALIVU | ATHI | KITUISOUTH KITUISOUTH | | 127KILAWADISPENSARY 128MONGUNIDISPENSARY | LEVEL2 KILAWA | ATHI | KITUISOUTH | | 129KITUTIDISPENSARY | LEVEL2 MUAMBANI/MONGUNI LEVEL2 UPPERKITUTI | ATHI ATHI | KITUISOUTH KITUISOUTH | | 130MUKUANIMADISPENSARY 131NGATIIEDISPENSARY | LEVEL2 KISIIO LEVEL2 LOWERKITUTI | ATHI | KITUISOUTH | | | | ATHI | KITUISOUTH | | 132KATULUDISPENSARY | LEVEL2 MAKAIYI | ATHI | KITUISOUTH KITUISOUTH | | 133MWATHEDISPENSARY 134GOSHENIDISPENSARY | LEVEL2 LOWERKITUTI | ATHI ATHI | KITUISOUTH | | 135MALUMADISPENSARY | LEVEL2 MUAMBANI/MONGUNI LEVEL2 MALUMA | ATHI | KITUISOUTH | | | LEVEL3 KYATUNE | | | | 136KYATUNEHEALTHCENTRE | | IKANGA/KYATUNE | KITUISOUTH |

| 137NDATANIDISPENSARY | LEVEL2 NDATANI/VOTE | IKANGA/KYATUNE | KITUISOUTH | |--------------------------------------------------|---------------------------------------------|-------------------------------|-----------------------------| | 138 NDUU NDUNEDISPENSARY | LEVEL2 NDUUNDUNE/KWASONGE/ILUSYA | IKANGA/KYATUNE | KITUISOUTH KITUISOUTH | | 139 TUVILADISPENSARY | LEVEL2 MAKELE/KIANGWA | IKANGA/KYATUNE | KITUISOUTH | | 140YAATHIDISPENSARY 141 YONGELADISPENSARY | LEVEL2 NGWANI/YONGELA LEVEL2 NGWANI/YONGELA | IKANGA/KYATUNE IKANGA/KYATUNE | KITUISOUTH | | 142 VOTE | LEVEL2 NDATANI/VOTE | IKANGA/KYATUNE | KITUISOUTH | | 143MESILYA | LEVEL2 NGWANI/YONGELA | IKANGA/KYATUNE | KITUISOUTH | | 144 IKANGASUBCOUNTYHOSPITAL | LEVEL3B NDUUNDUNE/KWASONGE/ILUSYA | IKANGA/KYATUNE | KITUISOUTH | | 145IKUTHASUBCOUNTYHOSPITAL | LEVEL3B MAAINI/NGAUWUNI | IKUTHA | KITUISOUTH | | 146KASAALAHEALTHCENTRE | LEVEL3A KASAALA/UUINI LEVEL2 KASAALA/UUINI | IKUTHA IKUTHA | KITUISOUTH KITUISOUTH | | 147KALULUINIDISPENSARY 148KIMWELIDISPENSARY | LEVEL2 KASAALA/UUINI | IKUTHA | KITUISOUTH | | 149KYOANIDISPENSARY | LEVEL2 KYOANI | IKUTHA | KITUISOUTH | | 150KASARANI | LEVEL2 NZAMBA | IKUTHA | KITUISOUTH | | 151KANZIKUHEALTHCENTRE | LEVEL2 KEUTUNDA/KYANYAA | KANZIKU | KITUISOUTH | | 152MUTHUEDISPENSARY | LEVEL2 KIVANDENI/MWANIANGA | KANZIKU | KITUISOUTH | | 153EKANIDISPENSARY | LEVEL2 EKANI/SIMISI | KANZIKU | KITUISOUTH | | 154KALIANIDISPENSARY | LEVEL2 NDILILI/MIVUNI | KANZIKU | KITUISOUTH | | 155KITUVWIDISPENSARY 156MIKONGOONIDISPENSARY | LEVEL2 KITUVWI/ILAMBA LEVEL2 EKANI/SIMISI | KANZIKU KANZIKU | KITUISOUTH KITUISOUTH | | 157MUTHAHEALTHCENTRE | LEVEL3B NGAANI | MUTHA | KITUISOUTH | | 158 KATYETHOKAHEALTHCENTRE | LEVEL3A KIVYUNI/KIIMANI | MUTHA | KITUISOUTH | | 159 9KAATENEDISPENSARY | LEVEL2 KAATENE/KALAMBANI | MUTHA | KITUISOUTH | | 160 KALAMBANIDISPENSARY | LEVEL2 KAATENE/KALAMBANI | MUTHA | KITUISOUTH | | 161 KIATIDISPENSARY | LEVEL2 KENGO/KIATI/MWENGEA | MUTHA | KITUISOUTH | | 162 SYAMATANIDISPENSARY | LEVEL2 NDAKANI | MUTHA | KITUISOUTH | | 163 MUTOMOSUBCOUNTYHOSPITAL | LEVEL2 KAWELU | MUTOMO | KITUISOUTH | | 164 KISAYANIHEALTHCENTRE | LEVEL3A KIBWEA | MUTOMO | KITUISOUTH | | 165 KAYANG'OMBEDISPENSARY | LEVEL2 MWALA | MUTOMO | KITUISOUTH | | 166 MAKONGONIDISPENSARY | LEVEL2 KANDAE | MUTOMO | KITUISOUTH | | 167 MUAMBADISPENSARY | LEVEL2 UAE | MUTOMO | KITUISOUTH KITUISOUTH | | 168 MUVUKODISPENSARY 169 MWALADISPENSARY | LEVEL2 KITOO LEVEL2 MWALA | MUTOMO MUTOMO | KITUISOUTH | | 170 MWENGEADISPENSARY | LEVEL2 KAWELU | MUTOMO | KITUISOUTH | | 171 UAEDISPENSARY | LEVEL2 UAE | MUTOMO | KITUISOUTH | | 172KIVIUDISPENDARY | LEVEL2 UAE | MUTOMO | KITUISOUTH | | 173KATHUNGUDISPENSARY | LEVEL2 KATHUNGU | IKANGA/KYATUNE IKUTHA | KITUISOUTH KITUISOUTH | | 174NGWATEDISPENSARY | LEVEL2 NGWATE | MUTHA | KITUISOUTH | | 175ISAADISPENSARY | LEVEL2 ISAA | | | | 176KAUWISUBCOUNTYHOSPITAL 177KATUTUHEALTHCENTRE | LEVEL3B KAUWI LEVEL2 KATUTU | KAUWI | KITUIWEST KITUIWEST | | 178KISEVENIDISPENSARY | LEVEL2 MUTINI | KAUWI | KITUIWEST | | 179KIVANIDISPENSARY | LEVEL2 KIVANI | KAUWI | KITUIWEST | | 180 KYONDONIDISPENSARY | LEVEL2 KAUWI | KAUWI | KITUIWEST | | 181MUTANDADISPENSARY | LEVEL2 MUTANDA(KAUWI) | KAUWI | KITUIWEST | | 182KWAMUTONGAHEALTHCENTRE | LEVEL3A MUTONGA | KWAMUTONGA/KITHUMULA | KITUIWEST | | 183NDIUNIHEALTHCENTRE | LEVEL3A KASAINI | KWAMUTONGA/KITHUMULA | KITUIWEST | | 184KWAMULUNGUDISPENSARY | LEVEL2 KWAMULUNGU | KWAMUTONGA/KITHUMULA | KITUIWEST | | 185 MITHIKWANIDISPENSARY | LEVEL2 MITHIKWANI | KWAMUTONGA/KITHUMULA | KITUIWEST | | 186 SYOKITHUMBIDISPENSARY | LEVEL2 MUTONGA | KWAMUTONGA/KITHUMULA | KITUIWEST | | 187 MATINYANIHEALTHCENTRE | LEVEL3A KATHEUNI/KALIAKAYA | MATINYANI | KITUIWEST | | 188 KAUMAHEALTHCENTRE | LEVEL3 KAUMA/MUSOSYA | MATINYANI | KITUIWEST | | 189 9KALIMANIDISPENSARY | LEVEL2 KALIMANI | MATINYANI | KITUIWEST | | 190 MASEKIDISPENSARY-KITUIWEST | LEVEL2 MASEKI | MATINYANI | KITUIWEST | | 191 KATHUMADISPENSARY | LEVEL2 KATHUMA | MATINYANI | KITUIWEST | | 192 TULIAHEALTHCENTRE | LEVEL3A MITHINI | MUTONGUNI | KITUIWEST | | 193 KAKEANIHEALTHCENTRE | LEVEL3A KAKEANI | MUTONGUNI | KITUIWEST | | 194 KITAMWIKIDISPENSARY | LEVEL2 MITHINI | MUTONGUNI | KITUIWEST | | 195 NZINIADISPENSARY | LEVEL2 MUTONGUNI | MUTONGUNI | KITUIWEST | | 196 SYATHANIDISPENSARY | LEVEL2 MUSENGO | MUTONGUNI | KITUIWEST | | 197 YALATANIDISPENSARY | LEVEL2 YALATANI | MUTONGUNI | KITUIWEST KITUIWEST | | 198 KILIMUDISPENSARY | LEVEL2 KITHUMULA | KWAMUTONGA | | | 199 KYENG'EDISPENSARY | LEVEL2 KYENG'E | KAUWI | KITUIWEST | | 200 | LEVEL4 MWINGICENTRAL | CENTRAL | | | MWINGISUBCOUNTYHOSPITAL 201 KALISASIHEALTHCENTRE | LEVEL3A KALISASI | CENTRAL | MWINGICENTRAL MWINGICENTRAL | | 202 MATIHYAKANIDISPENSARY | LEVEL2 MATHYAKANI(MWINGICENTRAL) | CENTRAL | MWINGICENTRAL | | MUSUKINIDISPENSARY | LEVEL2 KANZANZANZU | CENTRAL | MWINGICENTRAL | | 203 | | KIVOU | MWINGICENTRAL | | 204 KANYUNGAHEALTHCENTRE | LEVEL3A KANZUI ENZIU | KIVOU | MWINGICENTRAL | | 205 THITHADISPENSARY 206 KANZUIDISPENSARY | LEVEL2 | KIVOU | MWINGICENTRAL | | 207KARUNG'ADISPENSARY | LEVEL2 KANZUI LEVEL2 | | MWINGICENTRAL | | | ENZIU | | | | | | KIVOU | |

| 208MATHUKIHEALTHCENTRE | LEVEL3A KITISE | MUI | MWINGICENTRAL | |---------------------------------------------------------------------|------------------------------------------------|-------------------|-----------------------------| | 209 MUIDISPENSARY | LEVEL2 NGILUNI | MUI | MWINGICENTRAL | | 210 KALITINIDISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 211 KAMULEWADISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 212 LUNDIDISPENSARY | LEVEL2 NGOO | MUI | MWINGICENTRAL | | 213 MUYUNIDISPENSARY | LEVEL2 NGUNGI | MUI | MWINGICENTRAL | | 214 NDUVANIDISPENSARY | LEVEL2 NGUNGI | MUI | MWINGICENTRAL | | 215 YUMBUDISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 216 NGUNIHEALTHCENTRE | LEVEL3A MWASUMA | NGUNI | MWINGICENTRAL | | 217 UKASIMODELHEALTHCENTRE | LEVEL3A UKASI | NGUNI | MWINGICENTRAL | | 218 IVUUSYADISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL. | | 219 KALANGADISPENSARY | LEVEL2 MBUVU | NGUNI | MWINGICENTRAL | | 220 MAAIDISPENSARY | LEVEL2 MAAI | NGUNI | MWINGICENTRAL | | 221 MULINDEDISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL | | 222 NGILUNIDISPENSARY-MWINGICENTRAL | LEVEL2 MBUVU | NGUNI | MWINGICENTRAL | | 223 KAVISUDISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL | | 224 KAWALADISPENSARY-NGUNI | LEVEL2 MWASUMA | NGUNI | MWINGICENTRAL | | 225 NUUSUBCOUNTYHOSPITAL | LEVEL4 NUU | NUU | MWINGICENTRAL | | 226 KAVINDUHEALTHCENTRE | LEVEL3A KYANGATI | NUU | MWINGICENTRAL | | 227 WINGEMIHEALTHCENTRE | LEVEL3A WINGEMI | NUU | MWINGICENTRAL | | 228 NYAANIDISPENSARY | LEVEL2 NYAANI | NUU | MWINGICENTRAL | | 229 KYUMBEDISPENSARY | LEVEL2 WINGEMI | NUU | MWINGICENTRAL MWINGICENTRAL | | 230MATULANIDISPENSARY 231 MUTYANGOMEDISPENSARY | LEVEL2 NUU LEVEL2 MUTYANGOME | NUU NUU | MWINGICENTRAL | | 232NGIENICOMMUNITYDISPENSARY | LEVEL2 MUTYANGOME | NUU | MWINGICENTRAL | | 233TUVAANIDISPENSARY | LEVEL2 WINGEMI | NUU | MWINGICENTRAL | | 234YATWADISPENSARY | LEVEL2 NGUUNI | NUU | MWINGICENTRAL | | 235MWAMBIUDISPENSARY | LEVEL2 MWAMBIU | NUU | MWINGICENTRAL | | 236WAITAHEALTHCENTRE | LEVEL3A WAITA | WAITA | MWINGICENTRAL | | 237ENZIUDISPENSARY | LEVEL2 NYANYAA | WAITA WAITA | MWINGICENTRAL MWINGICENTRAL | | 238MUONODISPENSARY 239 MUTWANGOMBEDISPENSARY | LEVEL2 NYANYAA LEVEL2 KATHOKA | WAITA WAITA | MWINGICENTRAL MWINGICENTRAL | | 241NYANYAADISPENSARY | LEVEL2 MWAMBUI/IKUUSYA LEVEL2 NYAANYA/KATITIKA | WAITA | | | 240MWAMBUIDISPENSARY | MAAI | | MWINGICENTRAL MWINGICENTRAL | | 242 MASAVIDISPENSARY 243 SOSOMADISPENSARY | LEVEL2 LEVEL2 SOSOMA/MWANZELE | NGUNI NGUNI | MWINGICENTRAL | | 244 | LEVEL3B KYUSO | KYUSO | MWINGINORTH | | KYUSOSUBCOUNTYHOSPITAL 245KAMUWONGOHEALTHCENTRE | LEVEL2 KAMUWONGO | KYUSO | MWINGINORTH | | 246 MIVUKONIHEALTHCENTRE 247 KANDWIADISPENSARY | LEVEL2 MIVUKONI LEVEL2 KIMU | KYUSO | MWINGINORTH MWINGINORTH | | 248MATOONIDISPENSARY | LEVEL2 KYUSO | KYUSO KYUSO | MWINGINORTH | | 249 MATAKADISPENSARY | LEVEL2 MIVUKONI | KYUSO | MWINGINORTH MWINGINORTH | | 250 NGAIEDISPENSARY 251 TIIDISPENSARY | LEVEL2 NGAAIE LEVEL2 ITIVANZOU | KYUSO KYUSO | MWINGINORTH | | 252 TWIMYUADISPENSARY | LEVEL2 TWIMYUA | KYUSO | MWINGINORTH | | 253 MASEKIDISPENSARY-MWINGINORTH 254 KAIRUNGUDISPENSARY-MWINGINORTH | LEVEL2 KIMANGAO | KYUSO | MWINGINORTH | | | LEVEL2 KAMULA | KYUSO | MWINGINORTH MWINGINORTH | | 255KILULUDISPENSARY 256KATSEHEALTHCENTRE | LEVEL2 TWIMYUA LEVEL3A | KYUSO MUMONI | MWINGINORTH | | 257TYAAKAMUTHALEHEALTHCENTRE | KATSE LEVEL3A TYAA | MUMONI | MWINGINORTH | | 258KALATINEDISPENSARY | LEVEL2 KAKUYU/KYANDALI | MUMONI | MWINGINORTH | | 259KANZINWADISPENSARY 260MUKONG'ADISPENSARY | LEVEL2 KATSE LEVEL2 MUKONG'A | MUMONI MUMONI | MWINGINORTH MWINGINORTH | | 261MUMONIDISPENSARY 262NGUUKUDISPENSARY | LEVEL2 NGUUKU LEVEL2 NGUUKU | MUMONI MUMONI | MWINGINORTH MWINGINORTH | | 263NGUUNGANIDISPENSARY | LEVEL2 NGUNGANI | MUMONI | MWINGINORTH MWINGINORTH | | 264NGOMENIHEALTHCENTRE | LEVEL3A KALWA/KAVUTI | NGOMENI | | | 265 | LEVEL2 NDATANI/KAMUSILIU | | MWINGINORTH | | KAMUSILIUDISPENSARY | LEVEL2 KAVAANI/IKIME | NGOMENI NGOMENI | MWINGINORTH | | 266KASILUNIDISPENSARY 267MITAMISYIDISPENSARY | LEVEL2 MITAMISYI/KATHAANI | NGOMENI | MWINGINORTH | | 268 THARAKAHEALTHCENTRE 269 KONYUDISPENSARY | LEVEL3A GAKOMBE LEVEL2 KAMAINDI | THARAKA THARAKA | MWINGINORTH MWINGINORTH | | 270KAMAYANGIDISPENSARY | LEVEL2 GACIGONGO LEVEL2 KANTHUNGU | THARAKA THARAKA | MWINGINORTH MWINGINORTH | | 271NTHANGANIDISPENSARY | | | | | 272 TSEIKURUSUBCOUNTYHOSPITAL | LEVEL3A TSEIKURU/NZIITU | TSEIKURU | MWINGINORTH | | 273 MASYUNGWAHEALTHCENTRE | LEVEL3A MASYUNGWA | TSEIKURU | MWINGINORTH | | 274 KANINGOHEALTHCENTRE | LEVEL3A KANINGO | TSEIKURU | MWINGINORTH | | 275MULANGONIDISPENSARY | LEVEL2 MULANGONI | TSEIKURU | MWINGINORTH | | | | | MWINGINORTH | | 276MUSAVANIDISPENSARY | LEVEL2 MUSAVANI | TSEIKURU TSEIKURU | MWINGINORTH | | 277NDOONIDISPENSARY | LEVEL2 MULANGONI | TSEIKURU | MWINGINORTH | | 278 USUENIDISPENSARY | LEVEL2 MUSAVANI | TSEIKURU | MWINGINORTH | | 279 NGONGONIDISPENSARY-MWINGINORTH | LEVEL2 KAIVIRYA/NGONGONI LEVEL2 KATUMBI | TSEIKURU | MWINGINORTH | | 280KATUMBIDISPM.NORTH | | | |

| 281 | GATORONIDISPENSARY LEVEL2 | KANYENGA/GATORONI | THARAKA | MWINGINORTH | |----------------------------------|-----------------------------|-----------------------------------|----------------|---------------| | 282 KIMELADISPENSARY | LEVEL2 | KIMELA/SYUMANI | NGOMENI | MWINGINORTH | | 283 KYETHANIHEALTHCENTRE | LEVEL3A | KYETHANI | KIOMO/KYETHANI | MWINGIWEST | | 284 MBONDONIHEALTHCENTRE | LEVEL3A | MBONDONI | KIOMO/KYETHANI | MWINGIWEST | | 285 ITONGOLANIDISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 286 KAVUVWANIDISPENSARY | LEVEL2 | KAVUVWANI | KIOMO/KYETHANI | MWINGIWEST | | 287 KIIODISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 288 KIOMODISPENSARY | LEVEL2 | KIOMO | KIOMO/KYETHANI | MWINGIWEST | | 289 MUKUTHUDISPENSARY | LEVEL2 | KYETHANI | KIOMO/KYETHANI | MWINGIWEST | | 290 WIKITHUKIDISPENSARY | LEVEL2 | KARURA/WIKITHUKI | KIOMO/KYETHANI | MWINGIWEST | | 291 ITENDEUDISPENSARY | LEVEL2 | KYETHANI | KIOMO/KYETHANI | MWINGIWEST | | 292 KARURADISPENSARY | LEVEL2 | KARURA/WIKITHUKI | KIOMO/KYETHANI | MWINGIWEST | | 293MULILUNIDISPENSARY | LEVEL2 | KIOMO | KIOMO/KYETHANI | MWINGIWEST | | 294KAIRUNGUDISPENSARY-MWINGIWEST | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 295KAKONGODISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 296 THITANIHEALTHCENTRE | LEVEL3A | THITANI | KYOME/THAANA | MWINGIWEST | | 297 WINZYEEIHEALTHCENTRE | LEVEL3 | WINZYEEI | KYOME/THAANA | MWINGIWEST | | 298 THAANANZAUDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 299 KAVAINIDISPENSARY | LEVEL2 | THITANI | KYOME/THAANA | MWINGIWEST | | 300 KYUSYANIDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 301 MAVUIDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 302 THONZWENIDISPENSARY | LEVEL2 | KYOME | KYOME/THAANA | MWINGIWEST | | 303 KANYAADISPENSARY | LEVEL2 | KANYAA | KYOME/THAANA | MWINGIWEST | | 304 KANYEKINIDISPENSARY | LEVEL2 | MUSUANI | KYOME/THAANA | MWINGIWEST | | 305 KASEVIDISPENSARY | LEVEL2 | THOKOA | KYOME/THAANA | MWINGIWEST | | 306 MIGWANISUBCOUNTYHOSPITAL | LEVEL4 | MIGWANI/ITOLONI | MIGWANI | MWINGIWEST | | 307 NZELUNIHEALTHCENTRE | LEVEL3A | NZELUNI/MUNG'ALU | MIGWANI | MWINGIWEST | | 308 NZATANIDISPENSARY | LEVEL2 | | MIGWANI | MWINGIWEST | | 309 KATALWADISPENSARY | LEVEL2 | NZATANI/ILALAMBYU KATALWA/MUMBUNI | MIGWANI | MWINGIWEST | | 310ILALAMBYUDISPENSARY | LEVEL2 | NZATANI/ILALAMBYU | MIGWANI | MWINGIWEST | | 311 ITHENG'ELIDISPENSARY | LEVEL2 | KISOVO | MIGWANI | MWINGIWEST | | 312 ITOLONIDISPENSARY | LEVEL2 | MIGWANI/ITOLONI | MIGWANI | MWINGIWEST | | 313 KISOVODISPENSARY | LEVEL2 | KISOVO | MIGWANI | MWINGIWEST | | 314KYAMBOODISPENSARY | LEVEL2 | KYAMBOO/KALILUNI | MIGWANI | MWINGIWEST | | 315MUMBUNIDISPENSARY | LEVEL2 | KATALWA/MUMBUNI | MIGWANI | MWINGIWEST | | 316KILULUDISPENSARY | LEVEL2 | KISOVO | MIGWANI | MWINGIWEST | | 317 KWAKAVOODISPENSARY | LEVEL2 | MUMBUNI | MIGWANI | MWINGIWEST | | 318ITUMBIDISPENSARY | LEVEL2 | KYAMBOO/KALILUNI | MIGWANI | MWINGIWEST | | 319 NZAWAHEALTHCENTRE | LEVEL3A | KATOTENI/MUTYONI | NGUUTANI | MWINGIWEST | | 320 MATHUNZINIDISPENSARY | LEVEL2 | NGONGONI/MUTHUNZINI/KAVOLOI | NGUUTANI | MWINGIWEST | | 321 KAKULULODISPENSARY | LEVEL2 | KAKULULO/NZALAE | NGUUTANI | MWINGIWEST | | 322 KEADISPENSARY | LEVEL2 | MUIVU | NGUUTANI | MWINGIWEST | | NZALAEDISPENSARY-MWINGIWEST | LEVEL2 | NZALAE/KAKULULO | NGUUTANI | MWINGIWEST | | 323 324 NZAUNIDISPENSARY | LEVEL2 | KIKINI/NZAUNI | NGUUTANI | MWINGIWEST | | 325 KIKIINIDISPENSARY | LEVEL2 | KIKINI/NZAUNI | NGUUTANI | MWINGIWEST | | 326NGONGONIDISPENSARY-MWINGIWEST | LEVEL2 | NGONGONI/MUTHUNZINI/KAVOLOI | NGUUTANI | MWINGIWEST |

COUNTYGOVERNMENTOFKITUI

COUNTYMINISTRYOFHEALTHANDSANITATION

SENATE RESPONSES ON THE IMPLEMENTATION STATUS OF UNIVERSALHEALTHCOVERAGE(UHC)INKITUI COUNTY

| 1.DetailedreportonthepercentageofKitui CountyBudgetdedicatedto thehealthsector, highlighting theamountand/orpercentagespecificallyearmarkedfordevelopment expenditureandrecurrentexpenditure.... | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | 2.TheproportionofKituiCountyResidentswhohavebeenregisteredwiththeSocialHealth InsuranceAuthority(SHA)asof31stJuly2025... | | 3.ThoroughbreakdownofthetotalamountreimbursedbySHAtohealthcarefacilitiesin yourCountysinceitsinception,providingabreakdownofreimbursementsmadetoeach healthcarefacilityandanyoutstandingordelayedpayments.... | | 4.Specificmeasuresand strategiesbeing appliedbyyourcountyGovernmentto track Universal HealthCoverage(UHC) fundflows,highlighting challenges,if any,experiencedwith timelydisbursementfromthenationalgovernmentforUHC-relatedservices.. .11 | | 5.BreakdownoftotalamountofmoneyreceivedineachhealthcarefacilityintheFY 2024/2025pursuanttotheprovisionsoftheFacilityImprovementFinancingAct,2023, detailingtheamountscollected,retained,and/orring-fencedandusedexclusivelyforthe improvementofhealthservices... .13 | | 6.StrategiesemployedbyyourCountyGovernmenttoaddressstaffingrequirementsto meetincreasedservicedemandunderUHC,detailingspecificstepsbeingtakentotrainand continuouslyupskillhealthcarepersonnel;.. ....16 | | 7.TheKenya Medical SuppliesAuthority(KEMSA)official fillrateforordersplacedbyKitui outstandingdebtowedbytheCountyGovernmenttoKEMSAandotherHealthProductsand Technologies(HPTs)suppliers... ..21 | | 8.The type,the total,and operational status of medical equipment supplied inpublic hospitalsinKitui CountyundertheManagementEquipmentServicesprogramme,the Global funding,andGavisinceFY2022/2023,includingtheirrecipientfacilities... ..23 | | 9.Detailedandcomprehensivedataand informationontheprivately-operatedhealthcare facilitiesinyourCountyasat3othJune2025,highlightingthefollowingspecificparticulars...26 10. Comprehensivereportonthecompliancewiththeprofessionalstandardsforlaboratory | | practiceofall medical laboratoriesinhealthcarefacilitiesinyourCounty,includingadetailed reporton.... .29 | | 11. healthcarefacilitiesinKitui County,providingregistrationandaccreditationstatus,including PharmacyandPoisonsBoardLicenseasat3othJune2025 ..34 |

ListofTables

| Table1:DetailedMinistryBudgetBreakdown. | |--------------------------------------------------------------------| | Table2:KituiCountyVulnerablepopulation.... | | Table3:SHAclaimsandreimbursements..... 9 | | Table4:FY2024/2025FundsreceivedinHospitals .14 | | Table5:FY2024/2025FundsreceivedinHealthCentreandDispensaries .14 | | Table6:SummaryofStaffReleasedandBondedforLong-TermTraining... ..17 | | Table7:ListPromotedHealthcareworkers.. .18 | | Table8:ListofRedesignatedHealthcareWorkers. ..19 | | Table9:SummaryofIn-ServiceTrainings... .20 | | Table10:SummaryofprocurementfromKEMSA. .21 | | Table11:SummaryofdebtowedtotheCounty. 22 |

1.Detailed reporton the percentage ofKitui County Budgetdedicated to the health sector,highlighting the amount and/or percentage specifically earmarked for development expenditure andrecurrent expenditure.

Response

TheCountyMinistryof HealthandSanitationwas allocated Ksh. 4,364,650,271inFY2024/2025,accountingfor30.5%ofthetotalcounty budget.

BelowisadetailedbreakdownoftheMinistry'sbudget,indicatingPersonnel s

Table 1:DetailedMinistryBudgetBreakdown

| S/No. | Item | FY2024/2025 Budget(Ksh.) | Percentage | |------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------|--------------| | | 1Total CountyBudget | 14,305,355,310 | 100% | | 2.TotalMinistryofHealth&SanitationBudget | 2.TotalMinistryofHealth&SanitationBudget | 4,364,650,271 | 30.5% | | BreakdownoftheHealth&SanitationBudget | BreakdownoftheHealth&SanitationBudget | FY2024/2025 Budget(Ksh.) | Percentage | | i. | Personnel Emoluments (Gross salaries/pension/NsSF/house levy, promotion,gratuity,transfer allowances,replacement of the exits, recruitment,annual increment,leave,anduniformallowances) | 2,677,992,383 | 61.4% | | ii. | Operations&Maintenance(FacilitiesImprovementFinancing,Pharms& non-pharmaceuticals,StipendsforCommunityHealthPromoters,Transfers offundstosupportlevelI,II,andIIIfacilities,aintenanceofmedical equipmentandbuildings,maintenanceofambulancesandutilityvehicles, supportsupervisionforfacilities,stafftrainingsandcapacitybuilding,etc.) | 1,301,520,879 | 29.8% | | iii. | Development(Non-ResidentialBuildings (hospitals,offices), Refurbishment of Buildings,Other Infrastructure and Civil Works, PurchaseofMedical andDental Equipment) | 385,137,009 | 8.8% | | | TOTAL | 4,364,650,271 | 100.0% |

SeeAnnexesIandIIfortheMinistryBudgetBreakdown and EstimatesforFY 2024/2025.

2.TheproportionofKitui CountyResidentswhohavebeenregistered with theSocial Health Insurance Authority(SHA)as of 31st July 2025

Response

a.SHA RegistrationStatus

Asof31stJuly2025,KituiCountyhad successfullyregistered 365,613 persons,accounting for 32.2% of the county's total target population of 1,136,187.

strategy.Thisstrategyincreased monthlySHAregistrationstoan averageof steadygrowthdemonstrates theCounty'scommitment andsustained momentuminexpandingSHA coverage.

TheProgressofregistrationisasindicatedinFigure1.

Figure 1:SHAregistrationstatus

b.StrategiestoIdentify and Enrol VulnerablePopulations,especially inHardto-ReachAreas

i.Community Health Promoters(CHPs) as Frontline Agents

Engagementof2,470 CommunityHealth Promoters(CHPs)actively Supporting household-levelregistrationacrossall247villagesinthecountythrough;

·EngagingtheCHPstoregisteratleast1oindividualsperdayduringtheirroutine householdvisitationincludingPersonswithDisabilities(PWDs),elderlyresidents,and hidden/isolatedhouseholdsgearedtowardsensuringinclusivity.

ii. CollaborationwithLocal Leadership

EngagementofChiefs,AssistantChiefs,VillageAdministrators,ReligiousLeaders,and ward leaderstoactivelyparticipate incommunitymobilizationandsensitization.Theyalso

ii.Awareness Creation and CommunityOutreach

·Vernacular radio programs,social media campaigns, and Information Education and Communication(IEC)materialshavebeendeployed toenhancecommunity understandingofSHAbenefits.
UseofvernacularradiotalksandsocialmediatosensitizethepopulationonSHAwith testimonialsfromthebeneficiaries.
Activeregistrationhelpdesksestablishedatall311healthfacilitiesandregistrationof clientsseekingservicesinhealthcarefacilities.

Labour and Social Protection,2022).

Belowisa table showing the number ofvulnerablepopulationsper sub-county(national administrativesubdivisions).

Table 2:Kitui CountyVulnerablepopulation

| | S/NoNational Sub-Counties | Registered | |----|-----------------------------|--------------| | 1 | Mwingi Central | 12,781 |

| S/No | National Sub-Counties | Registered | |--------|-------------------------|--------------| | 2 | KituiCentral | 11,198 | | 3 | Mutomo | 11,063 | | 4 | Migwani | 9,482 | | 5 | KituiWest | 9,129 | | 6 | MwingiEast | 8,932 | | 7 | Kyuso | 8,681 | | 8 | Ikutha | 8,195 | | 9 | LowerYatta | 7,079 | | 10 | Katulani | 6,365 | | 11 | Matinyani | 6,209 | | 12 | Kisasi | 5,945 | | 13 | Mutitu | 5,923 | | 14 | Nzambani | 5,126 | | 15 | Tseikuru | 4,831 | | 16 | Mumoni | 3,719 | | 17 | MutituNorth | 3,405 | | 18 | Thagicu | 1,579 | | | Total | 129,642 |

3.Thorough breakdown of the total amountreimbursed by SHA to healthcare facilities in your County since itsinception,providing a breakdownofreimbursementsmadetoeachhealthcarefacility and anyoutstandingordelayedpayments.

Response

KituiCountyhasatotalof311publichealthcarefacilities,comprising3Level IVhospitals,9Level3Bfacilities,54Level3Afacilities,245Level2facilities, and3Beyond-Zeromobileclinics.ForafacilitytobereimbursedbytheSocial HealthAuthority(SHA),claimsmustberaisedandsubmittedonline through theSHAportal usingdesignatedSHAgadgets.

Tosupportthisprocess,theCountyreceived213SHAgadgets(tabletsand powerbanks)from theDigital HealthAgency.The distributionwasas follows:

a.3LevelIVhospitals.

b.9 Level3Bfacilities.
C.53Level3Afacilities
d.145Level2facilities.
e.3Beyond-Zeromobileclinics.

Despitethis allocation,1o1publichealthfacilities arestillwithoutSHA gadgets, limiting their ability to submit claims and access timely reimbursements.

Asof18thAugust2025,healthfacilitiesintheCountyhadsubmittedclaims totaling KShs. 631,765,540.Of this amount, KShs. 338,384,178 (53.5%o) had been reimbursed,while KShs.293,381,362 (46.5%) remainedastheoutstandingbalance.

Table3:SHAclaimsandreimbursements

| S/No | NameofFacility | Submitted Claims | Reimbursed Claims | Outstanding Balance | |--------|-----------------------------|--------------------|---------------------|-----------------------| | 1 | KituiCountyReferralHospital | 351,556,136 | 201,062,660 | 150,493,475 | | 2 | Mwingi LevelIV.Hospital | 130,892,782 | 62,240,555 | 68,652,227 | | 3 | TseikuruSub-CountyHospital | 12,851,259 | 7,166,608 | 5,684,651 | | 4 | KyusoSub-CountyHospital | 7,074,764 | 3,971,277 | 3,103,487 | | 5 | MigwaniSub-CountyHospital | 9,887,160 | 6,239,092 | 3,648,068 | | 6 | NuuSub-CountyHospital | 2,324,930 | 1,076,868 | 1,248,062 | | 7 | KauwiSub-CountyHospital | 9,319,355 | 5,681,785 | 3,637,570 | | 8 | KanyangiSub-CountyHospital | 13,536,697 | 9,468,000 | 4,068,697 | | 9 | KatulaniSub-CountyHospital | 4,612,536 | 2,368,056 | 2,244,480 | | 10 | MutituSub-CountyHospital | 7,212,905 | 3,443,777 | 3,769,128 | | 11 | ZombeSub-CountyHospital | 3,079,510 | 2,087,036 | 992,474 | | 12 | Ikanga Sub-County Hospital | 5,896,256 | 2,795,397 | 3,100,859 | | 13 | MutomoSub-CountyHospital | 6,870,306 | 5,374,866 | 1,495,440 | | 14 | IkuthaSub-CountyHospital | 23,000,625 | 11,660,689 | 11,339,936 | | 15 | Healthcentres(42) | 25,047,290 | 10,067,714 | 14,979,576 | | 16 | Dispensaries(108) | 18,603,030 | 3,679,798 | 14,923,232 | | | Total(164) | 631,765,541 | 338,384,178 | 293,381,362 |

SeeAnnexIIIforadetailedbreakdownofSHAclaimsandreimbursementsto eachprimaryhealthcarefacilities.

andReimbursements

4.Specific measures and strategies being applied by your county Governmentto trackUniversal Health Coverage(UHC) fund flows, highlighting challenges, if any, experienced with timely disbursement fromthe national government for UHC-related services.

Response

Governmenthasputinplacethefollowingmeasuresandstrategies;

i. Implementation of the Facilities Improvement Financing Act,2023, effective 15th May, 2025.
ii. Semi-automationandintegrationofhealthservices,includingtrackingoffundsflow.
ili. Expenditures(AIEs)beforeissuingsubsequentAIEs.
iv. Sensitizationandtrainingofhealthcareworkers,facilityin-chargesonfinancial managementandreporting.
V. Internalauditsatthefacilities'level.
vi. Supportivesupervisiontoensureprudentuseandaccountabilitymeasuresare adheredto.

7. vii. 8. vili.

However,despite theseefforts,thecountycontinuestofacechallengesrelatedto delays andinconsistenciesinthetimelydisbursementoffundsfromtheNationalGovernment,

a.Financial/ClaimProcessing ofUHCfunds

i. Limited transparency and feedbackon submitted claims-Health s submitted to SHA through the system.In addition,there is noreliable

mechanism for tracking,confirming,or receiving timely feedback on whetherclaimsareapproved,rejected,orpending.
ii. Delays in claim processing by SHA - Claims submitted by county flowgapsthat affecttheoperational efficiencyof facilities.
ili. Delayed disbursementsofSHAfunds-There aresignificantdelays in the release of reimbursements, limiting facilities' ability to finance essentialservicesandcommodities.
iv.Delayed disbursement ofother grants-Disbursements ofDANIDA and Community Health Promoters(CHPs)grants from the National Governmentarealsodelayed,furtherstraining servicedelivery atthe primaryhealthcarelevel.
V. Impactonfacilityoperations-The cumulativeeffectof thesedelays and inefficiencies includes stock-outs of essential medicines,delayed payments for contracted services,and reduced ability to implement plannedactivitiesatthefacilitylevel.
Out of 2,470 CHPs,97 of them are notregistered for the National
vii. Forty-nine (49) health facilities that received SHA gadgets are still Council (KMPDC) online portal credentials, which have hindered their abilitytoprocessandsubmitclaims.

b.System and InfrastructureInefficiencies

i.FrequentSHA system downtimes-Challenges such as One-Time Password(OTP)failures and delaysingenerating logincredentials disrupt claim submission andprocessing.

ii.Introduction and Use of Biometric Gadgets-Primaryhealthcare facilities areyettobeequippedwith thebiometricdevicesnecessaryfor client registration and identificationduring service delivery.
imi. InadequateICTresources-ThenumberofSHAgadgets(tablets and powerbanks)providedisinsufficienttocoverallpublichealthfacilities. Inaddition,limitedorinconsistentprovisionofdatabundlesfurther constrainseffectivesystemuse.
iv. Network connectivity challenges -Persistent network outages, particularlyinremoteandhard-to-reachareas,hinderfacilitiesfrom accessingtheSHAportalinrealtime,therebyslowingdownregistration, claimprocessing,andservicereporting.
Limited Information Communication Technology (ICT) support andmaintenance capacity-Facilities oftenlack timely technical support to troubleshoot gadget malfunctions,system errors,or connectivity problems, leading to prolonged service interruptions.
5.Breakdownoftotalamountofmoneyreceivedineachhealthcare facilityintheFY2024/2025pursuanttotheprovisionsofthe FacilityImprovementFinancing Act,2023,detailing the amounts collected,retained,and/orring-fenced andused exclusivelyforthe improvementofhealthservices

Response

InFY2024/2025,theCountyGovernmenthadnotoperationalizedthe this period,healthcare facilities were funded directly through the County hospitals had generated a total of Kshs.468,243,193 on an accrual basis.

FollowingtherolloutoftheFIFAct,2023,healthfacilitieswereallowedto retainrevenueatsource.Between15thMayand30thJune2025,healthcare facilitiesgenerated Kshs.241,633,621onanaccrual basis,whichwas retained at thefacility level, as detailed in the table below.

Table4:FY2024/2025FundsreceivedinHospitals

| Name of Facility | Total Revenue collected FY 2024/2025 | Revenue collected from 1stJuly2024to14thMay 2025 | Revenue Collected from 15thMay 2025to30thJune 2025 | |-----------------------------|----------------------------------------|----------------------------------------------------|------------------------------------------------------| | KituiCountyReferralHospital | 417,871,071 | 300,712,166 | 117,158,905 | | Mwingi LevelIVHospital | 159,560,934 | 84,466,660 | 75,094,275 | | IkuthaSub-CountyHospital | 23,510,880 | 16,886,955 | 6,623,925 | | KanyangiSub-CountyHospital | 20,648,801 | 5,277,948 | 15,370,853 | | TseikuruSub-CountyHospital | 11,691,400 | 9,349,626 | 2,341,774 | | KauwiSub-CountyHospital | 10,517,559 | 7,082,839 | 3,434,720 | | Migwani Sub-CountyHospital | 13,418,400 | 10,372,242 | 3,046,158 | | KyusoSub-CountyHospital | 8,579,220 | 7,209,066 | 1,370,154 | | MutituSub-County Hospital | 8,399,155 | 3,246,438 | 5,152,717 | | MutomoSub-CountyHospital | 11,252,391 | 8,850,322 | 2,402,070 | | Ikanga Sub-CountyHospital | 6,391,764 | 4,116,553 | 2,275,212 | | KatulaniSub-CountyHospital | 9,442,493 | 6,777,300 | 2,665,193 | | ZombeSub-CountyHospital | 5,450,071 | 3,118,531 | 2,331,540 | | NuuSub-County Hospital | 3,142,675 | 776,548 | 2,366,127 | | Total | 709,876,814 | 468,243,193 | 241,633,621 |

Additionally,34healthcentresand57dispensariesclaimedKShs.31,503,811 sincetheinceptionofSHAinNovember2024.From15thMay2025to30thJune 2025,theprimaryhealthcarefacilitieshavebeenreimbursed KShs.6,110,512 (19.4%).

Table5:FY2024/2025FundsreceivedinHealthCentreandDispensaries

| Name ofFacility | TotalRevenueclaimedfor FY2024/2025 | Revenue Retained from 15th May2025to30thJune2025 | |--------------------|--------------------------------------|----------------------------------------------------| | Health centres(34) | 16,356,536 | 5,007,341 | | Dispensaries(57) | 15,147,275 | 1,103,171 | | Total | 31,503,811 | 6,110,512 |

SeeAnnexIVforadetailedreportonfundsreceivedinhealthcare facilities.

2024-2025HealthCe

6.Strategies employed by your County Government to address staffingrequirements to meet increased service demand under UHC, detailing specific steps being taken to train and continuously upskill healthcare personnel;

Response

The successful implementation of Universal Health Coverage(UHC) inKitui Countyreliesheavilyontheavailabilityofawell-trained,motivated,and equitably distributed health workforce. Currently, the County Ministry of Health and Sanitation has a workforce of 1,943(1,794 on permanent and pensionable terms,143 UHC staff, six(6) on contractual basis).

Toaddressstaffingrequirementsand meet the increasedservicedemand onlyon fillingexisting staffing gapsbutalso on ensuringcontinuous workersacrossall levelsofservicedelivery.Thesestrategiesinclude:

a.Recruitment

InFY2023/2024,theCountyMinistryofHealthandSanitationrecruited 13 healthcareworkers.In the currentFY2025/2026,theMinistryhasset aside abudgetofKsh.236Mforrecruitingadditionalhealthworkers.This recruitmentwillstrengthenthecounty'shealthcareworkforceandenhance servicedelivery.

b.Upskilling and Specialized Training

The County has progressively released officers for specialized training. SinceFY2022/2023,atotalof62healthcareworkershavebeenreleased andbondedtopursuevariouscourses inlinewith theTrainingNeeds Assessment.Thecourses are expected to enhance the officers' competencies and contribute significantly to strengthening healthcare service deliverywithin the county.

Table6:SummaryofStaffReleased andBondedforLong-TermTraining

| S/No | Course | No.ofStaff | |--------|-----------------------------------------------------------|--------------| | 1 | AdvancedRadiationOncology | 1 | | 2 | BachelorofNursing | 9 | | 3 | BachelorofPharmacy | 2 | | 4 | BachelorOfScienceinClinical MedicineandCommunity Health | 1 | | 5 | BachelorofScienceinHealthRecordsandInformation Management | 2 | | 6 | BachelorofScienceinHumanNutritionandDietetics | 1 | | 7 | DegreeofClinicalFellowshipandCardiology | 1 | | 8 | DiplomainCommunityHealthNursing | 2 | | 9 | DiplomainMedical Engineering | 1 | | 10 | FellowshipPediatricNeurology | 1 | | 11 | HigherDiplomainMental Health | 1 | | 12 | HigherDiplomain(Ear,ThroatandNose) | 1 | | 13 | HigherDiplomainAnaesthesia | 1 | | 14 | HigherDiplomainCritical CareNursing | 1 | | 15 | HigherDiplomainDermatology&Venereology | 3 | | 16 | HigherDiplomainLowVisionandAssistiveTechnology | 1 | | 17 | HigherDiplomainNephrology | 1 | | 18 | HigherDiplomainOncology&PalliativeCare | 1 | | 19 | HigherDiplomainOrthopaedicandTrauma | 1 | | 20 | HigherDiplomainRenal Nutrition | 1 | | 21 | HigherDiplomainRenalPharmacy | 3 | | 22 | HigherDiplomainSpeech and LanguagePathology | 1 | | 23 | MasterInHealthSystemManagement | 1 | | 24 | MasterOfClinical MedicineinOncology | 1 | | 25 | MasterofDentalSurgeryinperiodontology | 1 |

| S/No | Course | No.of Staff | |--------|-------------------------------------------------------------------|---------------| | 26 | MasterofMedicineGeneralSurgeon | 1 | | 27 | MasterofMedicineinInternal Medicine | 2 | | 28 | MasterOfMedicineinOrthopaedicSurgery | 4 | | 29 | MasterofMedicineinPaediatricsandChildHealth | 1 | | 30 | MasterofMedicineinRadiationOncology | 1 | | 31 | MasterOfMedicineinUrology | 2 | | 32 | MasterofRespiratoryPhysiotherapy | 1 | | 33 | MasterofScienceinInfectiousDiseases | 1 | | 34 | MasterinPublicHealth | 1 | | 35 | MasterofMedicineinAnaesthesia | 1 | | 36 | MasterofMedicineinFamilyMedicine | 1 | | 37 | MasterOfMedicineinObstetricsandGynaecology | 1 | | 38 | MasterOfMedicineinPsychiatry | 1 | | 39 | Master OfMedicineinThoracicandCardiovascular Surgery | 1 | | 40 | Master Of Science inNursing Midwifery and ReproductiveHealth | 1 | | 41 | MasterOfScience einPublicHealthPromotion and CommunityDevelopment | 1 | | 42 | PaediatricfellowshipinCardiology | 1 | | | Grand Total | 62 |

C. Career Progression forHealthcare Workforce

The County Ministry of Health and Sanitation has effected timely promotions,witha total of741HealthWorkerspromoted and100officers redesignatedsinceFY2022/2023aspertheindicatedtable.

Table7:ListPromoted Healthcareworkers

| S/NO | Cadre | Number | |--------|----------------------------|----------| | 1 | ClericalOfficer | 11 | | 2 | ClinicalOfficer | 73 | | 3 | CommunityOralHealthOfficer | 5 | | 4 | DentalTechnologist | 3 | | 5 | Dentist | 2 | | 6 | Driver | 13 | | 7 | HealthAdministrator | 4 | | 8 | HealthRecords | 19 | | 9 | HumanResourceOfficer | 2 |

| S/NO | Cadre | Number | |--------|------------------------------|----------| | 10 | LaboratoryTechnologist | 44 | | 11 | Medical Engineer | 9 | | 12 | MedicalOfficer | 85 | | 13 | Nurse | 346 | | 14 | NutritionAndDietetics | 16 | | 15 | Occupational Therapist | 3 | | 16 | OfficeAdministrator | 2 | | 17 | OrthopaedicTechnologist | 3 | | 18 | PharmaceuticalTechnologist | 19 | | 19 | Pharmacist | 11 | | 20 | Physiotherapist | 5 | | 21 | PublicHealth | 36 | | 22 | Radiographer | 3 | | 23 | SocialWorker | 6 | | 24 | SupplyChainManagementOfficer | 7 | | 25 | SupportStaff | 11 | | 26 | PublicCommunication | 1 | | 27 | Administration | 2 | | | Total | 741 |

Table8:ListofRedesignatedHealthcareWorkers

| S/No | Cadre | Number | |--------|-------------------|----------| | 1 | ClericalOfficer | 1 | | 2 | ClinicalOfficers | 11 | | 3 | Medical Engineer | 1 | | 4 | Nurses | 76 | | 5 | OrthopaedicTrauma | 3 | | 6 | PublicHealth | 7 | | 7 | Physiotherapist | 1 | | | Total | 100 |

d.Capacity Building and Continuous Professional Development (CPD)

The County Ministry of Health and Sanitation has progressively strengthened theknowledgeandcompetenciesofhealthworkersthrough Continuous Professional Development(CPD) initiatives, with a focus on emerging health priorities such as Chronic Disease (CD) management, digital health systems, Reproductive,Maternal, Newborn,Child and AdolescentHealth(RMNCAH),Mental Health,and Antimicrobial Resistance (AMR).

e. Strengthening In-Service Training Structures

The CountyMinistry of Health and Sanitation hasprogressively sponsored officerstoundertakevariouscoursesattheKenyaSchoolofGovernment ( sinceFY2022/2023asperthetablebelow:

Table9:SummaryofIn-ServiceTrainings

| S/No | Course | No.ofStaff | |--------|-----------------------------------------|--------------| | 1 | SeniorManagementCourse | 21 | | 2 | StrategicLeadershipDevelopmentProgramme | 11 | | 3 | SupervisorySkillsDevelopment | 5 | | 4 | PublicRelationsandCustomerCare | 1 | | 5 | DefensiveDrivingforDriversatKIHBIT | 3 | | | Total | 41 |

f. Supportby theNational GovernmentwithUHCstaff

TheCountyMinistryofHealthandSanitationhasreceived supportfrom the National Governmentthroughtherecruitmentof143UHCstaff,whohave beendeployed acrossvarioushealthfacilitiestoenhanceserviceefficiency andimprovehealthcare.

7.The Kenya Medical Supplies Authority(KEMSA)official fill rate for orders placed by Kitui County Government, FY 2022/2023, FY2023/2024,FY2024/2025,andthecurrenttotaloutstanding debt owed by the County Government to KEMSA and other Health Products and Technologies(HPTs)suppliers.

Responses

The KenyaMedicalSupplies Authority(KEMSA)remains the primary supplierofessential HealthProductsand Technologies toKitui County. TheKEMSAnon-suppliesareprocuredfrom theMissionforEssential Drugs andSupplies(MEDS),withwhich theCountyhasa formal Memorandum of Understanding (Mou). Any additional non-supplies from MEDS are sourcedfrompre-qualifiedlocal suppliers.

Toensureuninterruptedservicedelivery,theCountyMinistryofHealth andSanitationordersDrugsandMedicalSuppliesquarterly.

BelowisasummaryshowingKEMSAordersandsuppliesforthethree financial years;

Table10:SummaryofprocurementfromKEMSA

| Financial Year | HPTAllocation | KEMSA OrderValue | SuppliedOrderValuesNon-Supplies | | Fill Rate | |------------------|-----------------|--------------------|-----------------------------------|-------------|-------------| | 2022/2023 | 390M | 329,826,657 | 239,423,329 | 133,017,503 | 72.59% | | 2023/2024 | 350M | 289,501,730 | 189,023,596 | 119,383,559 | 65.29% | | 2024/2025438M | | 234,669,317 | 193,272,336 | 70,419,829 | 82.36% |

OrderingfromKEMsAisinformedbyfacilitystocklevelsandcommodity availability, as guided by the KEMSA Logistics Information Management System (LMIS). However, the KEMSA fill rate has remained a major concern,not only forKitui County but nationwide.

SeeAnnexV for adetailedreporton theKEMsAIssuereport.

Currently,theCountyhasthefollowingdebtsrelated toHealthProducts and Technologies;

a.KEMsA-KShs.6,290,264(the productswere supplied as back orders by the end of June 2025, and the Ministry is processing the payment).
b.Otherhealth products and technologies suppliers-Kshs.4,481,352(the processingthepayment).

Table11:SummaryofdebtowedtotheCounty

| S/No | Facility | Amount (Kshs.) | |--------|------------------------|------------------| | 1 | KEMSA | 6,290,264 | | 2 | Blachal CompanyLimited | 2,501,204 | | 3 | HalmerSolutions | 1,561,009 | | 4 | JacdenEnterprises | 419,319 | | | Total | 10,771,796 |

8.The type,the total, and operational statusofmedical equipment supplied in public hospitals in Kitui County under the Management Equipment Services programme, the Global funding,and Gavi since FY2022/2023,including theirrecipient facilities.

Response

a.Managed EquipmentServices(MEs)

TheManaged EquipmentServices(MES)programwasintroduced asa NationalGovernmentinitiativein2016andstartedequippingthe hospitals inMarch2017.

The program wastobridge gaps in diagnostic, surgical,renal,imaging, and critical care services, thereby enhancing access to specialized healthcare at the county level. Theprojectwas implemented toplay a critical role in advancing Universal Health Coverage (UHC) by improving deliveringqualityhealthcaretoallcitizens.

In the County, the MES project was implemented in Kitui County Referral Hospital and Mwingi Level IV Hospital. The equipment were distributed in Lots in the following departments: theatre, renal, radiology, Central functionalandinuse.

SeeAnnexVIforMEsEquipment.

b.GAVIColdChain EquipmentDistributionOverview

TheGlobal AllianceforVaccinesand Immunization(GAVI)supported Cold Chain Equipment (CCE) distribution across Kitui County. The equipmentweredistributedinmultiplebatchesbetween2023and facility cold chain infrastructure.The distribution includes both on-grid centers,dispensaries,and sub-countyhospitals.

SeeAnnexVIIforGAVIEquipmentdistribution.

Equipmentpdf

c.Global Fund EquipmentStatus Report

The GlobalFund has beenakeypartner in strengthening health tuberculosis, and malaria. The project covers equipment ranging from Differentiation 4 (CD4) and viral load testing platforms, as well as hospital-grade diagnostic and treatment tools. It has significantly enhancedthecapacityofhealthfacilitiestodeliverqualityandtimely

In Kitui County, the project supplied;

i.61,560kg of bulky liquid oxygen,

iil.540 oxygen cylinders (300units of 8,500L cylinders, 170 units of 3,400Lcylinders,and70unitsof1360Lcylinders),
iii.Seven(7) patient monitors,
iv. Fourteenoxygensplitters,
v.Six(6) manifolds together with oxygen piping.

SeeAnnexVITIforGlobalFundEquipment.

9.Detailed and comprehensive data and information on the privately-operated healthcare facilities in your County as at 30th June 2025,highlighting the following specificparticulars
a.Date of registration and current registration status;
b. Accreditation statuswith therelevantinstitutions;
C. Copies of the latest inspection report; and
d.Details of registered practitioner and/or proprietors.

Response

Theregistrationandaccreditationofhealthfacilitiesisgovernedby differentbodieslike theKenyaMedicalPractitionersandDentists Laboratory Technicians and Technologists Board (KMLTTB), Nursing Council of Kenya (NCK), Clinical Officers Council (COC), among others.

thefacilities and submission of thereportsto theregulatorybodiesfor furtherevaluationandconsiderationforregistration.There are 125 privatelyownedhealthfacilitiesintheCounty.Incollaborationwith relevant regulatory bodies, the County Ministry of Health and Sanitation continuously undertakes supportive supervision.

a.Date ofregistration and currentregistration status;

KituiCountyhas 125privatelyoperatedandfaith-basedhealthcare facilities.Theregistration of healthcarefacilitiesspansfrom asearly as

1964(Our Lady of Lourdes Mutomo Hospital inKitui South) to as recent asJuly2025(JackalMedicalCareinKituiEast).

82.4%(N=103)ofthetotalfacilitiesareactiveandhaveup-to-date registrations. However,17.4%(N=22) of the private health facilities are marked as not active,often due to non-renewal of licenses, closures,orpending approvals.

b.Accreditationstatuswiththerelevantinstitutions

90%(N=112)of the private healthfacilities are accredited by recognizedregulatorybodiessuchastheKenyaMedicalPractitioners andDentistsCouncil(KMPDC),Clinical OfficersCouncil(COC)and the Nursing Council of Kenya (NCK). This reflects compliancewith national standards.However,10%(N=13)of the private health facilities lack accreditation.

c.Copiesofthe latestinspectionreport

Copiesofthelatest inspectionreportareattached inAnnexIx.

d.Detailsofregisteredpractitioner and/orproprietors

Privatefacilitiesareindividuallyownedbypractitionerswhousually providehealthcareservices,includingNurses,Clinical Officers,etc. Othersarerunbycompaniesorfaith-basedorganizations.

See Annex x: indicating privately owned facilities, accreditationstatus,andregisteredpractitioners/proprietors.

10.Comprehensive report on the compliance with the laboratories in healthcare facilities in your County,including a detailedreporton
a)Licensing, certification,and accreditation;
b) Compliance with set requirements on infrastructure, personnel,andstandard operatingprocedures

Response

Kitui Countyhas81publiclaboratories inthefollowingcategories:

i.Class Elaboratories-InKitui CountyReferral Hospital and Mwingi Level IV Hospital;
ii. 12Sub-Countyhospital laboratories;
ili.51 health centre laboratories;
iv.16 dispensary laboratories.

SeeAnnexXI,indicating the listof laboratories inpublic healthcarefacilities.

a.Licensing and Certification

TheKenya Medical LaboratoryTechnicians and TechnologistsBoard (KMLTTB) is the statutorybody mandated to register and license medical laboratorypractitionersandlaboratories.

InFY2025/2026,theCounty GovernmentofKituihasbudgetedfor inspection, licensing, certification, and accreditation of all public healthcarelaboratories.Consequently,thecountyMinistryofHealth and Sanitation has applied for the inspection, classification, and remaininglaboratorieswillbetakeninaphasedmanner.

b.Infrastructure

Medical laboratory infrastructure is designed to uphold accuracy, efficiency, biosafety, and compliance with national and international standards(e.g.,WHO).In Kitui County,medical laboratories have sufficient structural capacity, with safety measures in place to ensure compliance and safeguardbothstaff andpatients,asoutlinedbelow:

i. Physical infrastructure

Laboratorylayoutanddesign

Thereare:-

·Clearseparationofcleanandcontaminatedareas.

·Adequateventilation(withfumehoods orbiosafety cabinets, depending on the infectiousmaterials handled in the specific laboratory).
·Smooth,washable surfaces for walls,floors,and benches to allow easy cleaning.
·Controlledaccesstoauthorizedstaffonly.

Utilities

·Stable electricity supply withbackup(generators/UPs).
·Safewatersupply(piped andrainwater).
·Reliable waste disposal system (biohazard bins, incinerators, sharps containers).
·Fire extinguishers,fire assembly points, fire exits,and sand buckets.
·Amenities:sufficientstafftoiletsandpatienttoilets.

ii.Essential Equipment

Thelaboratories are equippedwithgeneralequipmentand These do include, but are not limited to, Microscopes, centrifuges, refrigerators, freezers, incubators, automated clinical and haematology analyzers, Polymerase Chain Reaction (PCR)

machines,biosafety cabinets,etc.

ii.HealthWorkforce

Thelaboratoriesaremannedbyadedicatedskilledworkforceof 152 medical laboratory officers, with different qualifications and transfusions science, Histopathology, Biochemistry, and Parasitology.Theofficers areregisteredby theKMLTTB andhold validpracticinglicenses.

iv.Standard Operating Procedures(soPs)

Thelaboratorieshaveprepared SOPsbased onauthoritative, evidence-basedinferencesfromtheInternationalOrganizationfor Standardization(IS0 15189-2022).The standards provide requirements for the quality and competence of medical laboratories, ensuring they provide reliable results that support patient care and public health.

General/Administrative SoPs

·Documentcontrol andrecordkeeping.
·Specimenrequest and acceptance/rejection criteria.
Chainofcustodyforclinicalspecimens.
·Stafftrainingandcompetencyassessment.
·Equipment calibration, maintenance, and repair logs.
·Inventory and reagent management.

Pre-AnalyticalphaseSoPs

·Patientidentificationandconsentprocedures.
·Phlebotomyandbloodcollectionprocedures.

·Specimen handling, transport, and storage.
·Criteria for handling compromised specimens.

AnalyticalPhaseSoPs

·Operationofmachinesand equipment.
·TestprocedureSOPs.
·Internal quality control (IQC) procedures and proficiency testing.

PostAnalytical PhaseSoPs

·Validationandverificationofresults.
·Result entry,review,and approval.
·Critical value reporting.
·Recordretentionandarchivingofreports.
·Confidentialityanddataprotectionmeasures.

QualityandSafetySoPs

·Biosafety guidelines (use of PPE, Biosafety cabinet use).
·Wastemanagementanddisposal(sharps,biohazards,chemical waste).
·Exposure management.
·Fire safety, evacuation, and first aid procedures.
·Occurrence/incidentreporting and investigation.

11.Detailed report on legal compliance and licensing of all pharmacies within publichealthcare facilities in Kitui County, providing registration and accreditation status, including Pharmacy andPoisonsBoard License asat3othJune2025

Legal Backing of Registration of Pharmacies in Public Hospitals

The Pharmacy and Poisons Board, established under the Pharmacy and technologies (HPT) and the profession of pharmacy. The board is mandated to carry out inspection and licensing of pharmacies, including those in hospitals and clinics, and license the practice of pharmacistsandpharmaceutical technologistsunderCAP244PartII, section 9 (1) and (2).

Theboardrequiresthat all hospitalshave a superintendent overseeing the running of the hospital pharmacy. The superintendent should be a pharmacistorapharmaceutical technologistregisteredor enrolled, respectively,with theboard.

Thepharmacists or pharmaceutical technologistsincharge of the hospitalpharmaciesinthecountyarerequiredtoattachtheir practicing licenses to theirrespectivehospitals,and this should be renewedannually.

Thehospital should alsohave avalid licensefrom theKenyaMedical Practitioners andDentistsCouncil.

Kitui CountyReferral Hospitalpharmacyhasbeen licensedby the boardsinceJanuary2025.InFY2025/2026,theCountyhasbudgeted for thelicensingof thepublichealthfacilities'pharmacies through FacilitiesImprovementFinancing.

| | M | | ≤. | | N | 三 =: | | 2 | | S/No. | |--------------------------------------------------|---------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------|----------------------------|----------------------|--------------------------------------| | Basic Wages - Temporary Employees (CHMT casuals) | centres and dispensaries) County Primary Health Care facilities funding (health | Support. To supplement Donor funding Primary Health Facility (Health Centres & dispensaries) | facilities+water andseweragecharges) Utilities Supplies and Services( Electricity for all health | Promoters grant) Other Current Transfers-Other (Community Health | Promoters) Casual Labour - Others (Stipends for Community Health | FIF (A-in-A Budget for Public Healthcare Facilities) Other CurrentTransfers,Grants and Subsidies(FIF) | non-pharmaceuticals) Specialized Materials and Supplies (pharmaceuticals and | Operations and Maintenance | Personnel Emoluments | Item Description | | 3,000,000 | 38,526,245 | 15,066,000 | 30,193,913 | 74,100,000 | 88,920,000 | 156,379,117 350,000,000 | 424,864,566 | 1,301,520,879 | 2,677,992,383 | Allocation (Ksh.) FY 2024/2025Budget |

Annex I: Detailed Budget Breakdown

| | | xvili | xvii | | | | | ×. | × | S/No. | |--------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------|--------------------------------|------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|---------------------------------------| | purchaseoftyresandtubes) Equipment ( Utility vehicles, ambulances including Routine Maintenance -Vehicles and Other Transport | Subscriptions to Professional and Trade Bodies, legal fees) Other Operating Expenses(Membership Fees, Dues and | Fuel Oil and Lubricants Office and General Supplies and Services | HospitalitySuppliesandServices | Training Expense (including capacity building) | reporting tools for all facilities Services including printing of assorted registers and Printing , Advertising and Information Supplies and | costs Foreign Travel and Subsistence, and other transportation | of projects) meetings, data quality audits, monitoring and evaluation and activities including support supervision, data review Transportation Costs (Funds to support various programs Domestic Travel and Subsistence, and Other | Communication, Supplies and Services | facilities for )) manned by 1person,lab techs and RCOsfor level 2&3 Casual Labour-Others (Locum for nursesfor dispensaries | Item Description | | 10,252,500 | 590,000 | 9,743,900 2,620,069 | 10,362,000 | 9,110,000 | 8,597,540 | 1,084,906 | 25,648,069 | 1,021,589 | 16,556,000 | Allocation (Ksh.) FY 2024/2025 Budget |

| 三 | =: | | 3 | xxvi | XXV | xxiv | xxii | xxii | . | S/No. | |-------------------------------------|----------------------------|---------------------------------------------------------------|----------------------------|-----------------------------------------------------|----------------------------------------------------|-------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------|-------------------------------------| | OtherInfrastructure and Civil Works | Refurbishment of Buildings | Non-Residential Buildings (offices, schools, hospitals, etc.) | DEVELOPMENT TOTALRECURRENT | programme Sub-County Health Management Team support | Pre-feasibility, Feasibility and Appraisal Studies | including computers, printers and other IT equipment Purchase ofOfficeFurniture and General Equipment | (PurchaseofBicyclesand Motorcycles) PurchaseofVehiclesandOtherTransportEquipment | dialysis unit) analyser, ECG machines, water purification machine at the generators, renal dialysis machine, anaesthesia, oxygen sound machines, mortuary coolants, washing machines, (maintenance of hematology, biochemistry, CT scan, Ultra Maintenance ofMedical andDental Equipment | Maintenance of Buildings and Stations -Non-Residential | Item Description | | 4,279,362 | 4,600,000 | 255,316,947 | 3,979,513,262 385,137,009 | 5,697,500 | 2,145,552 | 5,555,000 | 1,851,800 | 9,500,000 | 134,613 | Allocation (Ksh.) FY2024/2025Budget |

| | | | S/No. | |---------------|-------------------|------------------------------------------|-------------------------------------| | TOTAL BUDGET | DANIDA PHCProgram | Purchase of Medical and Dental Equipment | Item Description | | 4,364,650,271 | 13,916,808 | 107,023,892 | Allocation (Ksh.) FY2024/2025Budget |

CER

HEALTH

AND

| | | CHIEF | OFFICE | KITUI COUNTY 22AUG 2025 | | | | | |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------| | | | 2210404 | BoX | 6 | 200 KYTU | | 0001 01 | Head APPROVEDH Sub-HeadItem | | 2210710 2210700 committees) Healthfacility management capacitybuilding+Trainingof Training Expense(including reaisters_andreportina_tools) Campaigns(printing of assorted | 2210504 2210502 2210500 Advertising,AwarenessandPublity Publishing andPrintingServices InformationSuppliesandServices Printing,Advertising and etc... | 2210403 2210400 2210303 2210302 SundryItems(e.g.airport tax,taxis, DailySubsistenceAllowance andothertransportationcosts Foreign Travel andSubsistence, DailySubsistenceAllowance Accommodation-DomesticTravel 833,200 | 2210301 2210300 2210203 mileaqe allowances,etc.) TraveCostsairlines,bus,rawy andOtherTransportationCosts DomesticTravelandSubsistence, Courier andPostalServices | 2210202 2210201 Internet Connections PhoneServices Telephone,Telex,FacmileandMobile | 2210200 Services Communication,Suppliesand by1nurse)) Smonthsinthe112facilitiesmanned CHMT)+(Stipendsforlocumnursesfor | 2110202 2110200 2110101 Casual Labour-Others(Locum+ Employees BasicWages-Temporary BasicSalaries-CivilService Employees | 2110100 0401013710SP1.1HUMANRESOURCEMANAGEMENTGENERALADMINISTRATIONANDPUBLICPARTICIPA 0401003710P1GENERALADMINISTRATION,PLANNING&SUPPORTSERVICES MEDICALSERVICES VOTE3716:MINISTRYOFHEALTHANDSANITATION BasicSalaries-Permanent | Code KITUICOUNTYSUPPLEMENTARYIIBUDGETFY2024/2025 ItemDescription | | 2,210,000 | 3,672,988 72,762 3,745,750 | 368,106 276,800 644,906 | 550,000 989,612 2,372,812 38,540 | 39,107 230,260 | 307,907 | 12,656,000 12,656,000 891,170,557 | 891,170,557 | 2024/25 Estimates Budget | | | | | | | | | | Revote Actual | | | | | | | | 14,200,000 14,200,000 48,369,350 | 48,369,350 | Revenue Reductionin Addition/ | | | | | | | | | | Reallocations | | 2,210,000 | 3,672,988 3,745,750 72,752 | 368,106 276,800 | 644,906 833,200 550,000 989,612 | 2,372,812 38,540 39,107 230,260 | 307,907 | 939,539,907 26,856,000 26,856,000 | 939,539,907 | Budget2024/25CARA/CGAAB, SupplementaryI | | | | | | | | (8,500,000) (8,500,000) | (27,000,000) | 2025 Changein | | 100,000 | | | 1,150,000 500,000 300,000 350,000 | | | (27,000,000) | | Reallocations | | 2,310,000 | 3,672,988 72,762 3,745,750 | 368,106 276,800 90 | 1,333,200 850,000 1,339,612 | 3,522,812 38,540 39,107 | 230,260 307,907 | 912,539,907 18,356,000 18,356,000 | 912,539,907 | Budget2024/25 SupplementaryII |

| SupplementaryII Budget2024/25 1,600,000 | | 800,000 1,510,320 | 000'008 | 578,381 | | 2,000,000 2,000,000 | 590,000 0000 | 000000 | 4,600,000 | 2,500,000 | 600,000 | ,500,000 105,306 | 105,306 | 3,900,552 | 760,000 000566 | 2,145,552 | 957,823,461 | 15,000,000 | |--------------------------------------------------------------------------------------------------------------|-----------------------------------|--------------------------------------------------------------------------------------------------------|--------------------------|-----------------------------------------|-----------------------------------------------------------------|---------------------------------------------------------|------------------------------------------------|-----------------------------------|------------------------------------------------------------------------------|----------------------------------|-------------------------------------------------------------|-----------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|--------------------------------|-------------------------------------------------|-------------------------------------------------------------------|---------------------------|-----------------------------------------------------------------| | Reallocations | | | | | | | | | | | | | 450,000 | | | 450,000 | 1,700,000 | | | CARA/CGAAB, Changein 2025 | | | | | | | | | | | | | | | | | (35,500,000) | | | Budget2024/25 1,600,000 | | 000'008 1,510,320 | 000'008 | 578,381 | | 2,000,000 2,000,000 | 000065 290,000 | 000000 | 4,600,000 | 2,500,000 | 600,000 | 1,500,000 105,306 | 105,306 3,450,552 | 760,000 | 000566 | 1,695,552 | 991,623,461 | 15,000,000 | | SupplementaryI Reallocations | | | | | | | | | | | | | 1,080,456 | | | 1,080,456 | 1,080,456 | 4,532,380 | | Reductionin Addition/ Revenue | | | | | | | | | | | | | 615,096 | | | 615,096 | 63,184,446 | 8,310,413 | | Actual Revote | | | | | | | | | | | | | | | | | | | | 1,600,000 Budget Estimates 2024/25 | | 800.000 1,510,320 | 000'008 | | 131,939 | 2,000,000 2,000,000 | 000065 290,000 | 00000 | 4,600,000 | 2,500,000 | 000'009 | 1,500,000 105,306 | 105,306 1,755,000 | 760,000 | 995,000 | | 927,358,559 | 2,157,207 | | Accommodation,Gifts,FoodandDrinks &-OutstandingCommitmentsfor Catering Services(receptions), ItemDescription | BudgetedWorks/ServicesDone,Valued | Office and General Supplies and Pending bill-CateringServices General OfficeSupplies(papers, Services | pencilsormsmallfficeqpmn | Supplies and Accessoriesfor Computers ) | Sanitary andCleaning Materials, SuppliesandServices andPrinters | Refined Fuels and Lubricants for Fuel Oiland Lubricants | OtherOperatingExpenses Membership Fees,Duesand | Legal Dues/fees,Arbitration and s | Routine Maintenance-Vehicles andOtherTransportEauipment CompensationPayments | Maintenanceexpenses-motorvehide( | Pending bill-Maintenance expenses- motorvehicle(ambulances) | Routine maintenance-Tyres&Tubes Routine Maintenance-OtherAssets | MaintenanceofBuildingsandStations PurchaseofOfficeFurnitureand General Equipment Non-Residential 2220205 | PurchaseofOfficeFurnitureand s | PurchaseofComputersPrintersand otherITEauipment | Governmentin theinstallationofAfya KeSoftwareinthetwelvesubcounty | Hospitals. Total Recurent | Purchase ofSpecialised Plant, EquipmentandMachinery Development | | 2210803 Code | | 2210803 2211100 | 2211101 | 2211102 | 2211103 | 2211200 2211201 | 2211300 2211306 | 2211308 | 2220100 | 2220101 | 2220102 | 2220105 2220200 | 3111000 | TOOTTTE | 3111002 | 3111401 | | 3111100 | | | | | | | | | | | P2200 | | 拉 | | | | | | | 0001 |

| 0002 | | | | | 0001 | | Head | |-------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------| | 01 3110202 | 2211201 2211200 2210303 2210302 | 2210301 2210300 | 2210201 2210200 2210102 | 01 2210106 2210106 2210101 2210100 2110101 otherHealthFacilities) Utilites,Suplies-Other(Electricityor | 01 2210303 2210300 | | Sub-Head Code Item | | Development(040102) Total Recurrent schools,hospitals,et..) Non-Residential Buildings(offices, | Transport RefinedFuelsandLubricantsfor Fuel Oil andLubricants DailySubsistenceAllowance AccommodationDomesticTravel mileaqe allowances,etc.) | 2210202 TraveCostsairlinesbusrw andotherTransportationCosts DomesticTravel andSubsistence, InternetConnections PhoneServices | Telephone,Telex,FacsmileandMobile Services Communication,Suppliesand Water andseweragecharges | 2110100 0401023710SP.1.2HEALTHPOLICY,PLANN KCRHandMwingi Level4Hospitals) Utilities,Supplies-Other(Electricityfor Electricity UtilitiesSuppliesandServices BasicSalaries-CivilService Employees BasicSalaries-Permanent | TOTAL-SUB-PROGRAMME:SP.1.2HEALTHS 0401033710SP.1.3HEALTHSTANDARDS, supportproqramme Sub-County HealthManagementTeam andOtherTransportationCosts DomesticTravel andSubsistence, | TOTAL-SP1.1(040404)HUMANRESOURCE TotalDevelopment 3111112 internet_connection storesdashboards,networkingand printersinterlinkingofthefacilities desktopcomputers,Epos so,Tsekuru,Kanyangi)Thisncus Mutituatulaniawi,igwaniuu hospitals(Ikutha,Mutomo,Ikanga,Zombe, Automationof12sub-county | ItemDescription | | 102,617,939 101,507,362 | 1,500,000 ,500,000 1,228,305 1,211,696 910,331 | 3,350,331 21,589 | 378,598 400,186 93,637 | 10,000,000 20,000,000 100,275 30,193,913 66,062,932 66,062,932 | QUALITYASSURANCE&STANDARDS(SUB-COUNTYSUPPORTSU 3,000,000 3,000,000 3,000,000 | 929,515,766 2,157,207 | 2024/25 Estimates Budget 2,157,207 | | 14,235,425 | | | | | | | Revote Actual | | 163,522,931 | | | | | | 71,494,859 8,310,413 | Revenue Reduction in Addition/ 8,310,413 | | (32,723,249) | | | | | | 5,612,836 4,532,380 | Reallocations 4,532,380 | | 247,653,046 101,507,362 | 1,500,000 1,500,000 1,228,305 1,211,696 | 910,331 3,350,331 21,589 | 378,598 400,186 93,637 | 10,000,000 20,000,000 100,275 30,193,913 66,062,932 66,062,932 | 3,000,000 3,000,000 3,000,000 | 1,006,623,461 15,000,000 | Budget2024/25 SupplementaryI 15,000,000 | | (40,500,000) | | | | | | (35,500,000) | 2025 CARA/CGAAB, Changein | | 4,300,000 700,000 | 200,000 300,000 200,000 | 700,000 | | | | 1,700,000 | Reallocations | | 211,453,046 102,207,362 | 1,500,000 1,500,000 1,428,305 1511,696 1,110,331 | 4,050,331 21,589 | 378,598 400,186 93,637 | t 10,000,000 20,000,000 100,275 30,193,913 66,062,932 66,062,932 | 3,000,000 3,000,000 3,000,000 | 972,823,461 15,000,000 | Budget2024/25 SupplementaryII 15,000,000 |

| SupplementaryII Budget2024/25 | 2,000,000 | 10,400,000 | 000'000'6 | | 24,718,966 | 12,502,315 | 5,000,000 | 2,000,000 | 2,000,000 4,450,000 | 2,000,000 | 5,000,000 | 2,000,000 | 2,000,000 | 4,000,000 | 2,044,690 | |-----------------------------------------------------|----------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------|-------------------|-------------------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------|-------------------------------------------|-------------------------------------------------------|------------------|------------------------------------------------------|-------------------------------------------------------| | Reallocations | | | | | | | | | | | | | | 2,000,000 | | | CARA/CGAAB, Change in 2025 | | | | | | (17,355,453) | | | | | | | | | | | Supplementary I Budget2024/25 2,000,000 | 10,400,000 | 000000'6 | | 24,718,966 | 29,857,768 | 5,000,000 | 2,000,000 | 2,000,000 4,450,000 | 2,000,000 | 000'000's | | 2,000,000 | 2,000,000 | 2,000,000 | 2,044,690 | | Reallocations (500,000) | | (000'00E) | (000'000's) | (000'000'9) | (1,000,000) | | | | | | | | | | | | Reduction in Revenue | | | | 10,150,000 | 21,850,000 | | | | | | | | | | | | Actual Revote | | | | 4,568,966 | 7,768 | | | | | | | | | | | | 2,500,000 Budget Estimates 2024/25 | 10,400,000 | 0000006 | 5,000,000 | 16,000,000 | 000'000'6 | 5,000,000 | 2,000,000 | 2,000,000 4,450,000 | 2,000,000 | 5,000,000 | 2,000,000 | | 2,000,000 | 2,000,000 | 2,044,690 | | Completion andoperationalizationof Item Description | Construction ofMwingi NorthSubcounty 3110202 | toLevelIV-general theatreand Subcounty Headquarter Hospital- ConstructionofKyusofemaleWardand Construction of Mwingi North UpgradingKyuso toLevel IV- Kitchen. | Continuationofconstruction of stalled paedriaticward | ContinuationofconstructionofNzamba OutstandingCommitmentsforBudgeted Works/ServicesDone,ValuedandNot KitongaMemorial Hospital+ PaidbyCloseofFY2023/24 SuraicaLWard | ContinuationofConstructionofrenal CommitnentsforBudgetedWorks/ ServicesDone,ValuedandNotPaidby centreKCRH+-Outstanding | medicalfemalewardatMwingiLevelIV Continuation ofConstructionof CloseofFY2023/24 | hospital(stalled) | Completion ofMusovo dispensary InitiateconstructionofMwakini toalevel3B | Continuation of upgradingof Mbitini health centretoalevel38 | ConstructionofKyusoOutpatient Block | Continuationof UpgradingofKanziko 3110202 | InitiateupgradingofKatsehealth healthcentretoalevel38 | centretoalevel3B | Continuationof UpgradingofEndau dispensarytoalevel3B | Continuation of Upgrading ofTiva dispensarytoalevel38 | | Code | 3110202 | 3110202 | 3110202 | 3110202 | 3110202 | 3110202 | 3110202 | 3110202 3110202 | 3110202 | 3110202 | | 3110202 | | 3110202 | 3110202 | | | | | | | | | kng | kng | kng | kng | kng | kng | kng | kng | kng |

| | | | | Head | |--------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------| | 3110202 | 3110202 | 3110202 | 3110202 | Sub-Head Code Item | | electricalworks) installatonasuianagn Hospitaltheatrealkwaywatertank CompletionofKauwiSub-County | Dispensary KatumbiDispensaryTseikuru,Nzanzeni Dispensary,KaliwaDispensary CentralosmaDispensary,Maong Kasarani Dispensary-Mwingi Dispensary,Kitoonidispensary DisensaryhiDinsary,a Dispensary,itoisnsay,angn Dispensay,ilimuinsary,asa Dispensary,NgwateDispensary,Ia Disensayisiinsary MalalaniMunyuniDisensar,Kasangu Dispensary,atumbiDispensary-Endu need facelifting).These areKatyethoka facilities(Currentlywithstructuresthat Renovation/Operationalizationof19 | Mavuni oroni,Nguutani/Katuyu/MukauniNzawa/ Nguni,imela/SyumaniKanyengya/at Katheuni,Mulanga,Kyanika,Mathyakanl, Kaliakatue,yeng'e,aiakaty hungu,Ndili Tayari,Nyanyaa/NdunguniIthumulaa Kenze,Kyanika/Mwembe villagesareKalundu villageswithnohealthfacilities.The Constructionofdispensariesin17 | Kaliwa,Muthaand Kavumbuni Mikauni,Kimangao,Mwambuni,Yumbu, Kamanyi,uvaani,KwaSong'e,Kawa, Nzunguni-kasang'o,Kathithu,Thitha, Nguutani/Katuyu/Mukauni,Kangondi, Ngwate,gatroni,imela,iu, Kimangao,Katumbi(Endau/Malalani), dispensaries atkatumbi(Tseikuru), Construction/operationalizationof | ItemDescription | | 2,000,000 | | | 19,923,249 | 2024/25 Estimates Budget | | | | | | Revote Actual | | | 30,000,000 | 63,022,931 | | Revenue Reductionin Addition/ | | | | | (19,923,249) | Reallocations | | 2,000,000 | 30,000,000 | 63,022,931 | | Budget2024/25 | | | (8,000,000) | (12,144,547) | | 2025 CARA/CGAAB, Change in | | | | (1,200,000) | | Reallocations | | 2,000,000 | 22,000,000 | 49,678,384 | | Budget2024/25 SupplementaryII |

| Supplementary II Budget2024/25 27,658,691 Reallocations | ...21,000,000 | 4,600,000 4,600,000 | 4,279,362 3,000,000 | 1,279,362 | | 220,332,408 322,539,770 | 1,298,363,231 1,670,000 | 1,670,000 1,670,000 1,670,000 | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|---------------------------|-----------------------------------|----------------------------------------------------------------------------------------------------|------------------------------------------| | | 3,500,000 | 1,000,000 1,000,000 | | | 000000S | 000'000'9 7,700,000 | 300,000 | 300,000 00000 | | CARA/CGAAB, (3,000,000) Changein 2025 | | | | | (40,500,000) (40,500,000) | (0000009) | | | | Supplementary Budget2024/25 30,658,691 | 17,500,000 | 3,600,000 3,600,000 | 4,279,362 3,000,000 | 1,279,362 | 255,532,408 357,039,770 | 1,366,663,231 | | 1.370,000 1,370,000 1,370,000 | | Reallocations | | | (000000's) | (000'000') | (35,723,249) (35,723,249) | (30,110,413) | | | | Reductionin 21,000,000 Addition/ Revenue | 17,500,000 | | | | 163,522,931 163,522,931 | 235,017,790 | | | | 1698596 Actual Revote | | | 1,279,362 | 1,279,362 | 15,514,787 15,514,787 | 15,514,787 | | | | Budget s 2024/25 | | 000009 3,600,000 | 6,000,000 3,000,000 | 3,000,000 | 112,217,939 213,725,301 | 1,146,241,067 | 1,370,000 | 1,370,000 1,370,000 1,370,000 | | Outstanding Commitmentsfor BudgetedWorks/ServicesDone,Vld constructionworksRe-roofingofcancer centreatKCRH,constructionof KanyangiThearte,Completionof KyanduDisensay,chainlinkfenng andgateatkawala,renovationof Endau Dispensary,constructionof placentapitatTharaka HealthCentre, constructionofmaternitytheatreat Kanzikuhealthcentre,roofingofkitchen blockatKCRH,completionand extensionoftheatreatMutomosub- blockattivadispensary,constructionof constructionofKitoodispensary, | Construction/UpgradingofMusavaniin Ikanga/Kyatunedispensariestohealth CompletionofKituiCountyblood Satelite centre(Floor,internal painting centres. | RefurbishmentofBuildings Renovationsofprimaryhealthfacilities andceilina) | OtherInfrastructure andCivil Continuation of constructionof perimeterwallandchain-linkFencingat Mwinoi level1Vhospital(stalled) Works | perimeterwall andchain-linkFencing at Installationofsolarflood lightsatCHMT- pendingbill KCRH | TotalDevelopment | TOTAL-PROGRAMM:P.1GENERALADMINIST | 0402023710SP3.2 County ReferralServices DomesticTravel andSubsistence, andOtherTransportationCosts | DailySubsistenceAllowance TotalRecurrent | | ItemDescription 3110202 Code | 3110202 3110300 | 3110302 3111500 | 3111504 3111504 | Continuation ofconstructionof 3111504 | | | 2210300 | 2210303 | | 92200, | 460 Box 0 | | | | | | 01 0002 | |

| | 0004 | | | | 0004 | | | | 0002 Head | |-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------|--------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|-------------------------------------------------| | TOTAL CAPITALGRANTS | 2640503 TOTAL | | 2640499 2640499 | 2640499 | 01 | 2640499 2640499 2640499 2640499 2640499 IKANGA HOSPITAL KATULANIHOSPITAL | 2640499 2640499 2640499 | 264099 2640499 2640400 | 01 Sub-HeadItem Code | | TotalRecurrentMedicalServices | 0402013710OTHERCAPITALGRANTSANDTRANSFERS forHealthcentres&dispensaries SystemProgramfromDANIDA-support UniversalHealthcareinDevolved | ) cleanertlanittnt dispensariesfor5months(watchman, foroperationalizationof thenew34 operationalfacilties+5,935,995tocater &dispensaries)-Countyfunding forthe Primary HealthFacility(Health Centres HealthFacilities | OperationalizeA-in-ABudgetforPublic Donorfunding | &dispensaries)SupportTo supplement Primary HealthFacility(Health Centres | 0402013710OTHERCURRENTTRANSFERS-OTHER 2640499 2640499 2640499 2640499 2640499 2640499 2640499 ZOMBEHOSPITAL MUTOMOHOSPITAL IKUTHASUBCOUNTYHOSPTTAL TSEIKURUSUBCOUNTYHOSPTTAL KAUWISUBCOUNTYHOSPITAL KYUSOSUBCOUNTYHOSPITAL KANYANGISUBCOUNTYHOSPITAL NUUSUBCOUNTY.HOSPITAL | MUTTTUSUBCOUNTYHOSPITAL MIGWANISUBCOUNTYHOSPITAL MWINGISUBCOUNTYHOSPITAL andNotPaidbyCloseofFY2023/24 BudgetedWorks/ServicesDone,Valued -OutstandingCommitmentsfor MWINGISUBCOUNTYHOSPITAL KITUICOUNTYREFERRAL-AMENITY | KTTULCOUNTYREFERRAL andNotPaidbyCloseofFY2023/24- BudgetedWorks/ServicesDone,Valued -OutstandingCommitmentsfor KITUICOUNTYREFERRAL andSubsidies | HOSPITALFIF/COSTSHARINGREFUndsFORTHE14COUNTYHOSPITALS 0402033710OtherCurrentTransfers OtherCurrentTransfers,Grants | ItemDescription | | 1,432,892,171 10,044,000 | 10,044,000 49,656,250 | 34,590,250 | | 15,066,000 | 6,158,801 7,390,562 12,531,308 9,854,083 7,390,562 7,390,562 5,649,774 6,158,801 5,649,774 6,083,413 5,938,867 13,976,773 | 8,488,599 99,769,428 29,930,828 | 7,329,999 110,307,864 | 350,000,000 | 2024/25 Estimates Budget | | 315,558 | 315,558 | | | | | | | | Revote Actual | | 69,120,441 | 5,935,995 | 5,935,995 | | | | | | | Revenue Reduction in Addition/ | | 1,080,456 | | | | | | | | | Reallocations | | 1,503,093,067 10,359,558 | 10,359,558 55,592,245 | | 40,526,245 | 15,066,000 | 6,158,801 7,390,562 12,531,308 9,854,083 7,390,562 | 7,390,562 5,649,774 6,158,801 5,649,774 6,083,413 5,938,867 13,976,773 8,488,599 | 99,769,428 29,930,828 7,329,999 110,307,864 | 350,000,000 | Budget2024/25CARA/CGAAB, SupplementaryIChangein | | 118,879,117 | 154,379,117 | (2,000,000) | 156,379,117 | | | | | | 2025 | | 2,700,000 | | | | | | | | | Reallocations | | 1,624,672,184 10,359,558 | 209,971,362 10,359,558 | 38,526,245 | 156,379,117 | 15,066,000, | 6,158,801 7,390,562 12,531,308: 9,854,083 7,390,562 7,390,562 5,649,774 6,158,801 5,649,774 6,083,413 5,938,867 13,976,773 | 8,488,599 99,769,428 29,930,828 | 7,329,999 110,307,864 | 350,000,000 | Budget2024/25 SupplementaryII |

| SupplementaryII Budget2024/25 245,691,966 Reallocations | 1,870,364,150 | 893,379,774 893,379,774 | 88,920,000 88,920,000 | 123,398 | 115,910 | 7,488 | 1,184,606 647,500 | 537,106 | | 1,500,000 | 116,000 1,500,000 | 287,000 116,000 170,226 839,774 87,000 892,831 892,831 | 500,000 | 238,358 | 228,536 | |---------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------------------------|------------------------------------------------------|-------------------------------------------------------|--------------------------------------------------------------------------------|---------------------------------|--------------------------------------------------------------------------------------------|---------------------------------------------------------------|--------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------|---------------------------------------------------|------------------------------------------------------| | 5,300,000 8,000,000 | | | | | | | | (00008) | (000060) (000'06) | | | | | | | | (40,500,000) 78,379,117 2025 | | (12,000,000) | (12,000,000) | | | | | | | | | | | | | | Budget2024/25CARA/CGAAB, Changein SupplementaryI 280,891,966 1,783,985,033 | | 905,379,774 905,379,774 | 88,920,000 88,920,000 | 123,398 | 115,910 | 7,488 1,184,606 | 647,500 | 537,106 480,000 | 000'06 | 1,500,000 | 116,000 1,500,000 | 287,000 116,000 170,226 839,774 87,000 892,831 892,831 | 500,000 | 238,358 | 228,536 | | Reallocations (31,190,869) (30,110,413) | | | | | | | | | | | | | | | | | 171,833,344 240,953,785 Reduction in Addition/ Revenue | | | | | | | | | | | | | | | | | 15,830,345 15,830,345 Actual Revote | | | | | | | | | | | | | | | | | 124,419,146 1,557,311,317 Budget Estimates 2024/25 | | 905,379,774 905,379,774 | 88,920,000 88,920,000 | 123,398 | 115,910 | 7,488 1,184,606 | | 537,106 480,000 | 000060 000'06 | 1,500,000 | 116,000 1,384,000 1,500,000 | 287,000 116,000 170,226 839,774 87,000 892,831 892,831 | 500,000 | 238,358 | 228,536 | | Total DevelopmentMedicalServices ItemDescription TOTALMEDICALSERVICES Item Code | PUBLICHEALTHANDSANITATION 0403003710P2:PREVENTIVE&PROMOTIVE BasicSalaries-Permanent 0403023710 2110100 | BasicSalaries-CivilService BasicWages-Temporary Emplovees | Casual Labour-Others(Stipents for Community HealthVolunteers)(247 Emplovees | monthlystipendfor12months) Communication,Suppliesand | TelephoneTelex,FacmileandMobil PhoneServices Services | DomesticTravel andSubsistence, andotherTransportationCosts InternetConnections | Sub-County HealthManagementTeam | DailySubsistenceAllowance 2210400ForeignTravel andSubsistence, andothertransportationcosts | DailySubsistenceAllowance Sundry Items(e.g.airport tax,taxis, | InformationSuppliesandServices PublishingandPrintingServices | Advertising,AwarenessandPublicity Campaigns(printingof assorted registersandreportingtoolsfor Training Expense(including capacitybuilding) 2210700 | KenyaSchoolofGovernment TrainingExpenses-Other HospitalitySuppliesandServices Catering Services(receptions), Accommodation,Gifts,FoodandDrinks TraineeAllowance Training Fees | Office andGeneral Suppliesand &Pening bills Services | General OfficeSupplies(papers, penilsmsallffequpn | Supplies andAccessoriesforComputers andPrinters etc) | | - | TO | 2110101 2110200 | 2110202 | 2210200 | 2210201 | 2210202 2210300 | 2210301 | 2210303 | 2210403 2210404 | 2210500 | 2210502 2210504 | AccommodationAllowance 2210710 2210711 2210712 2210715 2210799 2210800 2210803 | 2211100 | 2211101 | 2211102 |

CHIEF

AND

COUNTY

KITU

| 3110202 3110202 mortuarybymilleniumstoresItd Pending bill-Construction ofKCRH Mwinqi levelIVmortuaries Completion and equipping ofKCRHand | schools,hospitals,etc..) | 3110202 Non-Residential Buildings(offices, atMutomoSub-Countyhospital | 3111101 Pendingbill-Repairofmortuarycoolers | 3111101 3111101 | 3111101 | 0003 3111100 3110300 | TotalRecurent | 3111002 3111001 | 2AUG2025 3111000 | 80 3110704 sub-counties) | 460 3110700 TransportEquipment PurchaseofVehiclesandOther | 2640499 ((CommunityHealthPromotersqrant) OtherCurrentTransfers-Other | 200, KI 2640400 andSubsidies OtherCurrentTransfers,Grants | 2220205 RoutineMaintenance-OtherAssets | ☆ 2220200 2220105 2220101 2220100 2211201 Routinemaintenance-Tyres&Tubes Maintenance expenses-motorvehicle andOtherTransportEquipment Routine Maintenance-Vehicles | 2211103 Sanitary andCleaningMaterials, | Head Sub-Head Code Item | |---------------------------------------------------------------------------------------------------------------------------------------------|----------------------------|-------------------------------------------------------------------------|-----------------------------------------------|--------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------|------------------|------------------------------------------------------------------------|-----------------------------------------------|------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------|---------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|-------------------------------| | | | | mortuary Purchaseof2coolersforKyuso | Procurementofpaqua lab(waterquality Llsueni disnensary | dispensary,mbondoni dispensary.and healthcentre,Mwaladispensary,Nyaani dipensary,Ilikadisnary,akni forUsianidispensary,Makongo Procurementofcoldchain equipment | Equipment PurchaseofMedicalandDental RefurbishmentofBuildings | otherITEauipment | PurchaseofComputers,Printersand Fittings Purchase ofOfficeFurnitureand | GeneralEquipment PurchaseofOfficeFurnitureand | Purchaseof BicyclesandMotorcycles5 | | | | Non-Residential MaintenanceofBuildingsandStations | 2211200 Transport RefinedFuels and Lubricantsfor Fuel Oil andLubricants SuppliesandServices | | ItemDescription | | 2,061,165 | 6,200,000 | 12,261,165 1,950,000 | 1,000,000 | 1,200,000 | 3,000,000 | 7,150,000 | 1,065,101,854 | 1,050,000 950,000 | 2,000,000 | 1,701,800 | 1,701,800 | 58,050,445 | 58,050,445 | 105,000 105,000 472,607 | 1,894,000 1,421,393 870,000 870,000 | 2024/25 33,106 | Estimates Budget | | | | 7,945,736 | | | | | | | | | | | | | | | Revote Actual | | | 18,000,000 | 18,000,000 | | | | | | | | | | | | | | Revenue. | Reductionin Addition/ | | | | | | | | | | | | | | | | | | | Reallocations | | 2,061,165 | 24,200,000 | 38,206,901 1,950,000 | 1,000,000 | 1,200,000 | 3,000,000 | 7,150,000 | 1,065,101,854 | 1,050,000 950,000 | 2,000,000 | 1,701,800 | 1,701,800 | 58,050,445 58,050,445 | 105,000 | 1,421,393 105,000 472,607 | 1,894,000 870,000 870,000 | 33,106 | Budget2024/25 SupplementaryI | | | | | | | | | 4,049,555 | | | | | 16,049,555 | 16,049,555 | | | | 2025 CARA/CGAAB, Changein | | | (2,880,000) | (850,000) (115,000) | 500,000 | 900,000 | | 1,285,000 | (435,000) | | | 150,000 | 150,000 | | (105,000) | (105,000) | | | Reallocations | | 2,061,165 | 21,320,000 | 37,356,901 1,835,000 | 1,500,000 | 2,100,000 | 3,000,000 | 8,435,000 | 1,068,716,409 | 1050000 950,000 | 2,000,000 | 1,851,800 | 1,851,800 74,100,000 | 74,100,000 | | 1,421,393 472,607 | 1,894,000 870,000 870,000 | 33,106 | Budget2024/25 SupplementaryII |

| SupplementaryII Budget2024/25 Reallocations | | 1,499,230 | 6,446,506 | 0000090 | 1,200,000 45.791,901 1,114,508,310 | 1,084,100 534,000 300,000 250,100 872,000 872,000 43,900 | 43,900 | 2,000,000 | 3,557,250 3,557,250 | | 2,004,170 | 2,004,170 440,000 | 440,000 800,000 550,000 | 250,000 | |--------------------------------------------------------------------------------------|--------------------------------------------|----------------------|---------------------------------------------------|---------------------------------------------------------------------------------------------|--------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|---------------------|--------------------------------------------------------------------------------------------------------------|--------------------|-------------------------------------------------------------|-----------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|---------------------------------------------| | 200,000 | | | 000029 | 1,200,000 | 435,000 | | | | | | | | | | | Changein 2025 | | | | | 4,049,555 | | | | | | | | | | | Budget2024/25CARA/CGAAB, 4,000,000 | 1,499,230 | | 6,446,506 | | 45.356,901 1,110,458,755 | 1,084,100 534,000 300,000 250,100 872,000 | 872,000 43,900 | 43,900 2,000,000 | 3,557,250 | 3,557,250 | 2,004,170 | 2,004,170 440,000 | 440,000 800,000 550,000 | 250,000 | | Reallocations Reductionin Addition/ Revenue | | | | | 18,000,000 18,000,000 | | | | | | | | | | | Actual Revote | | 1,499,230 | 6,446,506 | | 7,945,736 7,945,736 | | | | | | | | | | | 4,000,000 s 2024/25 Budget | | | | | 19,411,165 1,084,513,019 | 1,084,100 534,000 300,000 250,100 872,000 | 872,000 43,900 | 2,000,000 | 3,557,250 3,557,250 | | 2,004,170 | 2,004,170 440,000 | 440,000 000'008 550,000 | 250,000 | | Constructionofpit latrinesforhealth carefailities-atZombe sub-county ItemDescription | Central),NgaakaYakwa dispensaryand Wiidiso | PROPOSEDCOMPLETIONOF | MORTUARYBLOCKATKITUIREFERRAL HOSPITAL-Pendinabill | Purchaseofsparepartsequipmentfor Purchaseof equipmentforThitaniand IYattaMortuaries 3110202 | Totaldevelopment TotalSP | andOtherTransportationCosts TravelCosts(airlines,bus,railway, Accommodation-DomesticTravel HospitalitySuppliesandServices Boards,Committees,Conferencesand mileaqe allowances,etc.) DailySubsistenceAllowance | Refined Fuels and Lubricantsfor Fuel Oil and Lubricants s | Sub-Total Recurrent | 0402013710OTHERCAPITALGRANTSANDTR Universal HealthcareinDevolved supoortlevel1facilities Development 2640503 | TOTALCAPITALGRANTS | DomesticTravel andSubsistence, andOtherTransportation Costs | InformationSuppliesandServices DailySubsistenceAllowance Printing,Advertising and | PublishingandPrintingServices RefinedFuels and Lubricantsfor Fuel Oil andLubricants | OtherFuels(wood,charcoal,cooking lqasetc?) | | 3110202 Item | | 3110202 | 3110202 | 3110202 | | 2210300DomesticTravelandSubsistence, 2210301 2210302 2210303 2210800 2210802 | 2211200 2211201 | | | | 2210300 | 2210303 2210500 | 2210502 2211200 2211201 | 2211204 | | Sub-Head | | | | | | | | | 01 0004. | | 000 | | | |

HEALTH

| KITU CONTY 22AUG 2025 | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | ★ 0003 0003 0. Box 460 20 0005 Head | | 01 01 01 Sub-HeadItem Code | | 2210800 2210303 2210302 2210301 2210300 SUBPR0GRAMME:2.5(040302)NON-COMM SubTotal 2220101 2220100 2211201 2211200 2211101 2211100 2210303 2210300 SUBPR0GRAMME:2.4(040301)COMMUNIC 2210803 2210800 2210303 2210302 2210301 2210300 2210201 2210200 0403033710SP2.3HEALTHPROM0TIONSU HospitalitySuppliesandServices DailySubsistenceAllowance Accommodation-Domestic.Travel mileaqe allowances,etc.) TraveCostsairlinesbus,ralway, programme(VitaminA fives)andmalezi bora promotion activitiesforunder- Initiative(BFCI-Nutrition (BabyFriendlyCommunity andotherTransportation Costs DomesticTravelandSubsistence, Maintenance expenses- motor cycles andOtherTransportEquipment Routine Maintenance-Vehicles Transport RefinedFuelsandLubricantsfor Fuel Oil and Lubricants etc) pencils,forms,smallofficeequpment General OfficeSupplies(papers, Services officeandGeneralSuppliesand DailySubsistence Allowance andotherTransportationCosts DomesticTravelandSubsistence, TotalSp Total Recurrent andNotPaidbyCloseofFY2023/24 BudgetedWorks/ServicesDone,Valued &-OutstandingCommitmentsfor Accommodation,Gifts,FoodandDrinks Catering Services(receptions), HospitalitySupplies andServices DailySubsistenceAllowance Accommodation-DomesticTravel mileaqe allowances,etc.) TravelCosts(airlines,bus,raiway, andotherTransportationCosts DomesticTravel andSubsistence, PhoneServices Telephone,Telex,FacsmileandMobile UtilitiesSuppliesandServices TotalRecurrent ItemDescription | | 2024/25 Estimates Budget 181,200 605,000 345,000 550,000 1,500,000 4,042,443 2,758,500 2,758,500 750,000 750,000 109,749 109,749 424,194 424,194 2,659,869 2,659,869 525,969 525,969 748,000 490,000 835,000 2,073,000 60,900 60,900 3,244,170 | | Revote Actual | | Revenue Reduction in Addition/ | | Reallocations | | Budget2024/25 SupplementaryI 1,500,000 4,042,443 2,758,500 2,758,500 2,659,869 2,659,869 2,073,000 3,244,170 181,200 605,000 345,000 550,000 750,000 750,000 109,749 109,749 424,194 424,194 525,969 525,969 748,000 490,000 835,000 60,900 60,900 | | 2025 CARA/CGAAB, Change in | | Reallocations | | Budget2024/25 SupplementaryII 1,500,000 4,042,443 2,758,500 2,758,500 2,659,869 2,659,869 2,073,000 3;244,170 750,000 750,000 109,749 109,749 424,194 424,194 525,969 525,969 748,000 490,000 835,000 60,900 60,900 | | 550,000 | | 345,000 | | 605,000 | | 181,200 |

1ANO

| SupplementaryII Budget2024/25 | 181,200 | 1,681,200 1,681,200 | 556,784 1,445,790 | 31,212 297,440 | 1,117,138 | 300,000 300,000 2,302,574 | | 000968 | 780,000 780,000 3,627,337 3,627,337 | 1,088,274,003 49,349,151 | 1,137,623,154 | | 762,253,076 | |-----------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|------------------------------------|---------------------------------|--------------------------------------| | Reallocations | | | | | | | | | | 435,000 | | | | | CARA/ CGAAB, Changein 2025 | | | | | | | | | | 4,049,555 4,049,555 | | 33,756,694 | (00000000) | | Supplementary I Budget2024/25 181,200 | 1,681,200 1,681,200 | 556,784 | 556,784 1,445,790 | 31,212 297,440 | 1,117,138 | 300,000 | 2,302,574 2,847,337 | 896,000 970,000 981,337 | 780,000 780,000 3,627,337 3,627,337 | 1,084,659,448 48,914,151 1,133,573,599 | | 772,253,076 | 772,253,076 | | Reallocations | | | | | | | | | | | | | | | Reductionin Revenue | | | | | | | | | | 18,000,000 18,000,000 | | | | | Actual Revote | | | | | | | | | | 7,945,736 7,945,736 | | | | | 181,200 Budget Estimates 2024/25 | 1,681,200 1,681,200 | 556,784 | 556,784 1,445,790 | 31,212 | | 0000000 00000 | 2,302,574 2,847,337 | 000'968 970,000 981,337 | 780,000 780,000 3,627,337 3,627,337 | 1,084,659,448 22,968,415 1,107,627,863 | | 772,253,076 | 772,253,076 | | Accommodation,Gifts,FoodandDrinks Catering Services(receptions), ItemDescription | &-OutstandingCommitmentsfor BudgetedWorks/ServicesDone,Valued DailySubsistenceAllowance TotalRecurrent SUB-TOTAL | DomesticTravel andSubsistence, andOtherTransportationCosts 2210300 | InformationSuppliesandServices Printing,Advertising and | Advertising,AwarenessandPublicity Publishing andPrintingServices Campaiqns(Radio Talkshows) | (CommemorateWorld Healthdays, TradeShows andExhibitions aariculturalshowandtradefair) | HospitalitySuppliesandServices Accommodation,Gifts,FoodandDrinks -OutstandingCommitmentsfor BudgetedWorks/ServicesDone,Valued Catering Services(receptions), TOTAL-HEALTHPROMOTION | DomesticTravel and Subsistence, andOtherTransportationCosts 2210300 | TravelCosts(airlinesbus,railway, Accommodation-DomesticTravel DailySubsistenceAllowance mileaqeallowances,etc.) 2210301 2210302 2210303 | TotalrecurrentPublicHealthandSanitation Fuel Oil and Lubricants RefinedFuelsandLubricantsfor TotalRecurrent TotalSp3.3 | Total developmentPublicHealthandSanitatid TOTALPUBLICHEALTHANDSANITATION DRUGSANDMEDICALSUPPLIESMANAGEMEN | 0402003710P.3CURATIVEHEALTHSERVICE | BasicSalaries-Permanent 2110100 | BasicSalaries-CivilService Employees | | Code | 2210801 | TO | 2210303 2210500 | 2210502 2210504 | 2210505 | 2210800 2210801 | TO | | 2211200 2211201 | | | 01 | 2110101 | | | | 0005- | | | | 一 | 10000 | | | | | 9000 | |

| 2211001 2211002 2211001 newlyoperationalizedfacilities_ the34facilitiestobeoperationalized+5 Health.products and technologiesfor Pharmaceutical MedicalItems Dressings and Other Non- | 2211000 2210803 | 2210803 2210802 2210800 2210799 2210715 2210712 Seminars Trainee Allowance | 2210711 2210710 2210700 Boards,Committees,Conferencesand Training Expenses-Other KenyaSchoolofGovernment TrainingFees AccommodationAllowance capacitybuilding) | 0. Bo 90 2210504 2210502 2210500 Printing,Advertising and | 3520 2210404 2210403 2210400 etc...) Sundry Items(e.g.airport tax,taxis DailySubsistenceAllowance andothertransportationcosts ForeignTravel andSubsistence, | 2210303 Daily Subsistence Allowance | 2210302 2210301 mileaqeallowances,etc.) Travel Costs(airlines,bus,railway, | 2210300 2210202 andotherTransportationCosts Internet Connections PhoneServices | 2210201 2210200 Telephone,Teex,FacsmileandMobile Services | 2110202 | Head Sub-HeadItem 2110200 2110102 Code | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------|------------------------------------------------------------------------------|----------------------------------------------------------------------------------|-------------------------------------------------------------|------------------------------------------------------------------------------------|--------------------------------------------------------| | PharmaceuticalMedicalItems | SpecialisedMaterials andSupplies Pendingbill-CateringServices | andNotPaidbyCloseofFY2023/24 BudgetedWorks/ServicesDone,Valued &-OutstandingCommitmentsfor Accommodation,Gifts,FoodandDrinks Catering Services(receptions), | HospitalitySupplies andServices | Training Expense(including assortedRegistersandSummary tools) Campaigns(Printing andDistribution of Advertising,AwarenessandPublicity PublishingandPrintingServices InformationSuppliesandServices | | | supportproqramme Sub-County HealthManagementTeam | DomesticTravel andSubsistence, | Communication,Suppliesand Casual Labour | Employees BasicWages-Temporary GovernmentHealthWorkers BasicSalaryArrearsforCounty | ItemDescription | | 115,393,939 224,606,061 | 340,000,000 800,000 | 600,000 | 1,900,000 500,000 98,000 804,000 145,000 290,000 163,000 | 1,500,000 500,000 616,000 | 1,116,000 128,234 | 311,766 440,000 1,678,234 | 1,000,000 1,900,000 | 4,578,234 13,198 | 116,000 129,198 1,200,000 | 1,200,000 | 2024/25 Estimates Budget | | | | | | | | | | | | | Revote Actual | | 10,664,566 35,000,000 | 98,964,566 53,300,000 | | | | | | | | | | Revenue_ Reductionin Addition/ | | | | | | | | | | | | | Reallocations | | 150,393,939 277,906,061 10,664,566 | 438,964,566 800,000 | 600,000 | 1,900,000 500,000 98,000 804,000 145,000 290,000 163,000 | 1,500,000 500,000 616,000 | 1,116,000 128,234 | 1,678,234 311,766 440,000 | 1,000,000 | 1,900,000 4,578,234 13,198 | 1,200,000 116,000 129,198 | 1,200,000 | Budget2024/25CARA/CGAAB, Supplementary I|Changein | | | | | | SIA | | | | 14r9%' | | | 2025 43,756,694 | | (2,100,000) (6,000,000) (6,000,000) | (14,100,000) | | 2,000,000 2,000,000 550,000 1,300,000 800,000 1,150,000 | 350,000 3,800,000 | 350,000 | 650,000 | 1,050,000 1,150,000 | 2,850,000 | | | Reallocations | | 8,564,566 144,393,939 271,906,061 | 424,864,566 800,000 | 600,000 | 2,500,000 3,900,000 648,000 804,000 1,445,000 1,090,000 1,313,000 5,300,000 | 850,000 616,000 | 1,466,000 128,234 311,766 | 440,000 2,328,234 | 2,050,000 3,050,000 | 7,428,234 13,198 | 116,000 129,198 1,200,000 | 1,200,000 43,756,694 | Budget2024/25 Supplementary II |

| Supplementary II Budget2024/25 Reallocations | 500,000 | 278,358 | 161,136 | 60,506 | 3,000,000 000000 1,000,000 | 737,749 262,251 9,529,307 | 9,500,000 | 29,307 | 000008 | 000056 | 000'058 1,266,567,074 | | 83,588,892 | 4,700,000 | 3,610,000 | 4,400,000 | |------------------------------------------------|-------------------------------------------------------------------------|-----------------------------------|--------------------------------------------|------------------------------------------------------|----------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------|--------------------------------------------------------------------------|-----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------| | | | | | | | 3,000,000 | 3,000,000 | | | | (0000007) | (000201') | (500,000) | 3,610,000 | | 200,000 | | CARA/CGAAB, Change in 2025 | | | | | | | | | | | 33,756,694 | | | | | | | Supplementary I Budget2024/25 500,000 | 278,358 | 161,136 | 60,506 | 000000 0000000 | 1,000,000 | 737,749 262,251 6,529,307 | 6,500,000 | 29,307 | 000008 | 000056 | 000'058 1,234,910,380 | 86,695,892 | 5,200,000 | | | 4,200,000 | | | | | | | | | | | | | | (4,500,000) | | (3,000,000) | (452,400) | | | Reallocations Reductionin Revenue | | | | | | | | | | | 98,964,566 | 0 | | | | | | Actual Revote | | | | | | | | | | | | 17,501,724 | | | | | | 500,000 Budget Estimates 2024/25 | | 278,358 | 161,136 60,506 | 3,000,000 | 3,000,000 1,000,000 | 737,749 262,251 6,529,307 | 6,500,000 | 29,307 | 1,800,000 | 000'056 850,000 | 1,135,945,814 | 43,287,168 | 5,200,000 | 3,000,000 | 452,400 | 4,200,000 | | ItemDescription | Office and General Supplies and General OfficeSupplies(papers, Services | pencilsormsmallfficeequpment etc) | Sanitary andCleaningMaterials, andPrinters | RefinedFuelsandLubricantsfor Fuel Oil and Lubricants | RoutineMaintenance-Vehicles andOtherTransportEquipment 2220100 | Maintenanceexpenses-motorvehicdle Routinemaintenance-Tyres&Tubes Routine Maintenance-OtherAssets MaintenanceofMedicalandDental | coolants,washingmachines,generators, machine,anaesthesiaoxygenanalyser, Ultrasoundmachines,mortury ECGmachines,waterpurification Equipment(maintenanceof renaldialysis | MaintenanceofBuidingsandStations Non-Residential | Purchase ofOfficeFurniture and General Eauipment | PurchaseofOfficeFurnitureandFittings | PurchaseofComputers,Printersand otherITEquioment Total Recurrent 3111002 | PurchaseofMedical andDental Development | hematology analyser.Thefaalitiesare: Mutomo,Katulani,KanyangiandKyuso EquippingLaboratory Units in4 hospitalswith:Semiautomated Equipment 3111101 | cabinetseachatKshs.1,S00,000.These incudeKCRH,Mwingilevelivhospital hosnitalsforallrounddiaanosis | Purchaseof2microscopesforMutitu hospitalandMwitikahealthcentre forscreeningofTBandother contaniousdiseases | Purchaseof laundrymachineforKCRH (electroluxwasher45kgs)toreplacethe obsoleteone | | Item Code | 2211100 | 2211101 | 2211102 2211103 | 2211200 2211201 | | 2220101 2220105 2220200 | 2220203 | 2220205 | 3111000 | 3111001 | | 3111100 | | 3111101 | 3111101 | 3111101 | | Head | | | | | | | | | | | | | | 01 9000 | | |

净

HITV3H

KTUI COUNTY

2AUG2025

| 3111101 operationallzation of34dispensariesin Purchaseofbasicequipmentforthe MwinqilevelIVhospital | 3111101 | 3111101 | | 3111101 | | 3111101 | Box 460 200, K | 3111101 3111101 | 3111101 3111101 | Purchaseofmedical equipmentfor | 3111101 3111101-. | 3111101 | Head Sub-HeadItem Code | |------------------------------------------------------------------------------------------------------|-------------------------------------|-----------------------------------------|--------------------------------------------|-----------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------|-------------------------------| | the_34villaaes | Purchaseoftheatreoperating tablefor | machine Purchaseofx-raytubeforKCRHX-ray | 3111101 PurchaseofvaporizersforKCRHtheatre | KCRH Purchaseoftwodialysismachinesfor diaital toconvert theX-Ray from analogue to | forMigwaniSubCounty Hospital (3.5M) ComputedRadiography(CR)Processor hospitals (4.38M)and Purchase of Kanyangi,mbe,KatulaniandK for X-Rayspower.protectionat Purchaseofvoltagestabilizers50KVA | 3111101 healthcentreandTseikuruhospital | ProcurementofdeliverybedsforNguni dispensary,gilunidisensary,anzi healthcentre,Tivadiensary,Endu Thitanihealthcentre,KwaMutonga healthcentre,Waita healthcentre, scales andStethoscopes,etc)Tharaka weighingscale,Newbornweighing Thermometers,PulseOximeters,Adult (Blood PressureMachines needswithessential basicequipment onepersub-county basedonpriority Equippingof8primaryhealthfacilities | KanvanaiKauwiand Tseikuru newborn unitsKCRH,Mwingi levelIV PurchaseofCPAPmachinesforfive KCRH(1).Tseikuru(1) | levelivhospital(1), Purchaseof3incubatorsforMwingi inthefacility IVhospitalenhancehealthcaredelivery | surgical/amenitywardatmwingilevel Continuationofequippingof IV Hospital for orthopaedictechnology rehabilitationdepartmentsMwingiLevel | Kaumahealth centre) healthcentre,Ngunihealthcentre, completedmaternityunits(Malalani Equipmenttooperationalize3 | replacethecurrentobsoletedentalchair Purchaseof:dentalchairforKCRHto | ItemDescription | | | | | | 4,900,000 | 7,880,000 | 600,000 | 2,500,948 | 2,750,000 | 3,250,000 | 2,500,000 2,053,820 | 2,000,000 | 2,000,000 | 2024/25 Estimates' Budget | | | | | | | | | | | | | | | Revote Actual | | 18,207,000 | 400,000 | 2,800,000 | 1,300,000 | | | | | | | | | Revenue_ | Reduction in Addition/ | | | | | | | | | | | (1,047,600) | | | | Reallocations | | 18,207,000 | 400,000 | 2,800,000 | 1,300,000 | 4,900,000 | 7,880,000 | 600,000 | 2,500,948 | 2,750,000 | 2,202,400 | 2,500,000 2,053,820 | 2,000,000 | 2,000,000 | Budget2024/25 SupplementaryI | | | | | | | | | | | | | | 2025 | CARA/CGAAB, Changein | | (8,000,000) | (400,000) | (2,800,000) | (1,300,000) | (1,200,000) | (863,000) | 270,000 | (971,000) | | | | | | Reallocations | | 10,207,000 | | | | 3,700,000 | 7,017,000 | 870,000 | 1,529,948 | 2,750,000 | 2,202,400 2,500,000 | 2,053,820 | 2,000,000 | 2,000,000 | Budget2024/25 SupplementaryII |

10N

| SupplementaryII Budget2024/25 | 8,875,040 | 300,000 | 845,000 | 00000 | 500,000 | 2,993,000 | 2,509,000 | 16,326,684 | 000059 | | 3,807,000 | | |---------------------------------|----------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------|--------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------|-----------------------------------------------|--------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------| | Reallocations | | 300,000 | 845,000 | 1,700,000 | 500,000 | 2,993,000 | 2,509,000 | | | | (00061) | (00000ET) | | CARA/CGAAB, Changein 2025 | | | | | | | | | | | | | | Budget2024/25 | 0 | | | | | | | 16,326,684 | | 000000060 | 4,000,000 | 000000 | | Reallocations | | | | | | | | | | | | | | Reduction in Addition/ Revenue | 7,700,000 | | | | | | | | | | | | | Actual Revote | 1,175,040 | | | | | | | 16,326,684 | | | | | | Budget Estimates 2024/25 | | | | | | | | | 8,000,000 | | 4,000,000 | 1,300,000 | | ItemDescription | PROPOSEDINSTALLATIONOFSOLAR POWERSYSTEMFORKAMUWONGO, KwavonzaandYalataniDISPENSARIES OutstandingCommitmentsfor | PurchaseofwheelchairsforKauwi, MwingiandKituiCountyReferral | Solarizationofmathukihealthcentre supportrefrigerationofimmunization hospitals | Purchaseoftheatreequipmentfor Kanyangimaternity theatreinoderto operationalizethetheatre commodities. | InstallationofCCTVcamerasatKCRH maindruqstore | ProcurementofDRScannerforX-ray machineatmigwaniSub-County Hosoital | ProcurementofX-rayservice,work stationdesktop,CR-scannerejectortray cablesandintergratedbipolartransistor circuitboards(igbts)forZombe, | Kyuso,NuuandMutituSub-County Procurementofrawmaterialsand Kshs4661,525;Procurementof PaidbyCloseofFY2023/24: | OutstandingCommitmentsforBudgeted Works/ServicesDoneValuedandot screening thermometersforKCRHKshs 1,889,910andProcurementofICU equipmentsforKCRHKshs8,627,900 | Non-Residential Buildings(offices, schools,hospitals,etc.. | doorandceiling)MwingileveV airconditioning),Migwani sub-county hospital(shelving,permanentdoorand (shelving,pemanentdoorandtiling) andZombesub-countyhospital hospital(shelving,ceilingand | Continuationofconstructionofa | | Code | 3111101 | 3111101 | 3111101 | 3111101 | 3111101 | 3111101 | 3111101 | 2211023 | | 3110202 | 3110202 | 3110202 | | | | | | | | COUNTY | | 00200, 460 xog '0 22 AUG 2025 KITUI | | | | |

TVH

| TotalVote3716 TotalDevelopment | TOTALDRUGSANDMEDICALSUPPLIESMANA TotalDevelopment | | 3110302 Kauwisub-countyhospitalto | Sub-HeadItem 3110202 Code | |-------------------------------------------------|-----------------------------------------------------|---------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------| | | Total Recurrent | loperstionalizetheatre_andX-ray | Installationof3-phaseelectricityat storeatKCRH Completionandequippingofamedical | Item Description | | 3,852,172,162 198,674,729 41,277,805 41,277,805 | 3,653,497,433 1,187,232,982 17,501,724 | 51,287,168 17,501,724 | 2,700,000 | 2024/25 Estimates Budget Revote Actual | | | 129,371,566 | 30,407,000 | Revenue_ | Reductionin Addition/ | | 388,325,351 220,240,344 | 168,085,007 | | 1,300,000 | | | (33,310,413) (34,390,869) | 1,080,456 (3,200,000) | (3,200,000) | | Reallocations | | 4,248,464,905 425,802,009 | 3,822,662,895 1,330,906,272 | 95,995,892 | 1,300,000 2,700,000 | Budget2024/25CARA/CGAAB, SupplementaryI Change in | | 116,185,366 (40,500,000) | 156,685,366 33,756,694 | | | 2025 | | (165,000) | (8,000,000) 165,000 | (5,900,000) | (1,300,000) | Reallocations | | "4,364,650,271 | 3,979,513,261 1,356,662,966 | 90,095,892 | | Budget2024/25 | | 385,137,009 | | | 2,700,000 | Supplementary II |

AnnexIII:SHA Claimsand Reimbursementsto Health Centres and Dispensaries.

| Health Centres | Health Centres | Health Centres | Health Centres | Health Centres | |------------------|------------------------|------------------|-------------------|------------------| | S/No | Facility Name | Amount Claimed | Amount Reimbursed | Outstanding Debt | | 1 | Kyatune Health Centre | 2,345,080 | 915,572 | 1,429,508 | | 2 | KisayaniHealthCentre | 1,700,000 | 1,000,000 | 700,000 | | 3 | Kamutei HealthCentre | 2,600,000 | 1,400,000 | 1,200,000 | | 4 | KasaalaHealthCentre | 2,200,000 | 1,080,000 | 1,120,000 | | 5 | Mutha Health Centre | 1,541,440 | 792,160 | 749,280 | | 6 | KatyethokaHealthCentre | 800,000 | 710,000 | 90,000 | | 7 | KatiliniHealth Centre | 687,000 | | 687,000 | | 8 | MatinyaniHealthCentre | 550,000 | 182,281 | 367,719 | | 9 | KakeaniHealthCentre | 675,250 | 38,514 | 636,736 | | 10 | Ndiuni Health Centre | 716,400 | | 716,400 | | 11 | KatutuHealth Centre | 843,000 | L | 843,000 | | 12 | Tulia Health Centre | 412,700 | " | 412,700 | | 13 | Kyethani Health Centre | 350,000 | 2,450 | 347,550 | | 14 | Nzawa HealthCentre | 532,000 | 383,000 | 149,000 | | 15 | MbondoniHealthCentre | | 9,948 | 9,948 | | 16 | NzeluniHealth Centre | 900,000 | 600,000 | 300,000 | | 17 | Thitani HealthCentre | 733,800 | 2,783 | 731,017 | | 18 | Kalisasi HealthCentre | 130,400 | | 130,400 | | 19 | Waita HealthCentre | 80,000 | | 80,000 | | 20 | Ukasi HealthCentre | 130,400 | | 130,400 |

| Health Centres | Health Centres | Health Centres | Health Centres | Health Centres | |------------------|-------------------------|------------------|------------------|------------------| | S/No | Facility Name | Amount Claimed | AmountReimbursed | Outstanding Debt | | 21 | Nguni Health Centre | 33,200 | | 33,200 | | 22 | Mathuki Health Centre | 6,200 | | 6,200 | | 23 | KatseHealth Centre | 1,450,050 | 364,400 | 1,085,650 | | 24 | NgomeniHealthCentre | 70,800 | | 70,800 | | 25 | Kaningo Health Centre | 112,000 | L | 112,000 | | 26 | Masyungwa HealthCentre | 40,000 | | 40,000 | | 27 | TharakaHealthCentre | 82,000 | | 82,000 | | 28 | Mivukoni Health Centre | 155,000 | 155,000 | | | 29 | YattaHealthCentre | 650,000 | | 650,000 | | 30 | MbitiniHealthCentre | 240,000 | 1,052,100 | 812,100 | | 31 | kisasi Health Centre | 160,000 | | 160,000 | | 32 | Kalulini Health Centre | 105,000 | | 105,000 | | 33 | YanzuuHealthCentre | 413,000 | | 413,000 | | 34 | NzangathiHealth Centre | 60,300 | 30 | 60,270 | | 35 | Inyuu Health Centre | 57,000 | | 57,000 | | 36 | KaumuHealthCentre | 1,200,000 | 350,000 | 850,000 | | 37 | MwitikaHealth Centre | 98,000 | 20,705 | 77,295 | | 38 | MalalaniHealthCentre | 1,400 | | 1,400 | | 39 | KasyalaHealthCentre | 533,300 | 342,071 | 191,229 | | 40 | Kyangunga Health Centre | 991,920 | 40,000 | 951,920 | | 41 | TungutuHealth Centre | | 263,000 | 263,000 |

| Health Centres | Health Centres | Health Centres | Health Centres | Health Centres | |------------------|------------------------|------------------|------------------|------------------| | S/No | FacilityName | Amount Claimed | AmountReimbursed | Outstanding Debt | | 42 | Miambani Health Centre | 660,650 | 363,700 | 296,950 | | | Total | 25,047,290 | 10,067,714 | 14,979,576 |

| Dispensaries | Dispensaries | Dispensaries | Dispensaries | Dispensaries | |----------------|------------------------|----------------|------------------|------------------| | S/No | Facility Name | AmountClaimed | AmountReimbursed | Outstanding Debt | | 1 | KanzikoDispensary | 350,000 | 136,000 | 214,000 | | 2 | MuvukoDispensary | 531,000 | | 531,000 | | 3 | Ndatani Dispensary | 389,000 | | 389,000 | | 4 | Muthue Dispensary | 99,900 | | 99,900 | | 5 | Ilengi Dispensary | 1,560,000 | 400,934 | 1,159,066 | | 6 | MalumaDispensary | 3,500 | | 3,500 | | 7 | UaeDispensary | 650,000 | 91,000 | 559,000 | | 8 | KiviuDispensary | 12,950 | | 12,950 | | 9 | MuambaDispensary | 11,250 | | 11,250 | | 10 | KalivuDispensary | 15,550 | 1 | 15,550 | | 11 | GoshenDispensary | 22,000 | | 22,000 | | 12 | Athi Dispensary | 13,000 | | 13,000 | | 13 | KimweliDispensary | 318,600 | 1 | 318,600 | | 14 | MwalaDispensary | 99,100 | | 99,100 | | 15 | Syamatani Dispensary | 100,000 | | 100,000 | | 16 | Kyoani Dispensary | 246,100 | 57,147 | 188,953 | | 17 | Monguni Dispensary | 345,000 | 140,400 | 204,600 | | 18 | Muangeni Dispensary | 600,000 | 402,791 | 197,209 | | 19 | MasekiDispensary | | 1,052,000 | -1,052,000 | | 20 | MutandaDispensary | 300,000 | 68,000 | 232,000 | | 21 | KwaMulunguDispensary | 717,000 | | 717,000 | | 22 | Syokithumbi Dispensary | | 234,000 | -234,000 | | 23 | Kiseveni Dispensary | 663,100 | 94,000 | 569,100 | | 24 | Kyondoni Dispensary | 720,000 | | 720,000 | | 25 | Syathani Dispensary | 1,200 | | 1,200 | | 26 | Kivani Dispensary | 750,000 | | 750,000 | | 27 | Yalatani Dispensary | 40,000 | | 40,000 | | 33 | Kea Dispensary | 1,500 | | 1,500 | | 34 | Kanyekini Dispensary | 80,000 | | 80,000 | | 35 | KavuvwaniDispensary | 127,000 | 47,000 | 80,000 | | 36 | Mumbuni Dispensary | 108,200 | | 108,200 | | 37 | ThonzweniDispensary | 500,600 | | 500,600 | | 38 | Ngongoni Dispensary | 79,100 | - | 79,100 |

| Dispensaries | Dispensaries | Dispensaries | Dispensaries | Dispensaries | |----------------|------------------------|----------------|------------------|------------------| | S/No | Facility Name | Amount Claimed | AmountReimbursed | Outstanding Debt | | 39 | KwaKavooDispensary | 500,000 | | 500,000 | | 40 | KakululoDispensary | 2,140,000 | | 2,140,000 | | 41 | Ithengeli Dispensary | 14,000 | | 14,000 | | 42 | Nzauni Dispensary | 1,500 | | 1,500 | | 43 | ThaanaDispensary | 120,000 | 90,000 | 30,000 | | 44 | Katalwa Dispensary | 76,000 | - | 76,000 | | 45 | NzalaeDispensary | 132,000 | | 132,000 | | 46 | Kasevi Dispensary | 13,280 | | 13,280 | | 47 | ThithaDisensary | 39,600 | | 39,600 | | 48 | Mutwangombe Dispensary | 128,600 | | 128,600 | | 49 | Muono Dispensary | 14,000 | | 14,000 | | 50 | Muyuni Dispensary | 26,400 | | 26,400 | | 51 | Kalitini Dispensary | 176,600 | | 176,600 | | 52 | KalangaDispensary | 10,400 | | 10,400 | | 53 | Ngiluni Dispensary | 20,000 | 、 | 20,000 | | 54 | KairunguDispensary | 190,000 | 4,678 | 185,322 | | 55 | TwimyuaDispensary | 8,500 | | 8,500 | | 56 | KwaVonzaDispensary | | 268,700 | -268,700 | | 58 | Ngomoni Dispensary | 1 | 20,000 | -20,000 | | 62 | SyomunyuDispensary | | 60,000 | -60,000 | | 63 | KatwalaDispensary | | 200,000 | -200,000 | | 66 | NzambiaDispensary | | 7,000 | -7,000 | | 67 | Kivuuni Dispensary | | 14,000 | -14,000 | | 69 | KitungatiDispensary | | 79,200 | -79,200 | | 70 | KanyongonyoDispensary | | 1,000 | -1,000 | | 73 | Kiseuni Dispensary | | 109 | -109 | | 76 | Ikuyuni Dispensary | 35,000 | | 35,000 | | 77 | KakunguDispensary | 35,000 | | 35,000 | | 78 | MakongoDispensary | 101,780 | | 101,780 | | 79 | EndauDispensary | 311,200 | | 311,200 | | 80 | KalikuDispensary | 133,000 | | 133,000 | | 81 | KanzauwuDispensary | 8,200 | - | 8,200 | | 82 | Kanduti Dispensary | 7,800 | | 7,800 | | 83 | KyaangoDispensary | 4,875 | | 4,875 | | 84 | WanzuaDispensary | 504,900 | | 504,900 | | 85 | Mutukya Dispensary | 184,000 | | 184,000 | | 86 | Kiviu Dispensary | 232,200 | | 232,200 | | 87 | Usiani Dispensary | 251,100 | | 251,100 | | 88 | Nzunguni Dispensary | 69,300 | 37,912 | 31,388 |

| Dispensaries | Dispensaries | Dispensaries | Dispensaries | Dispensaries | |----------------|----------------------|----------------|------------------|------------------| | S/No | FacilityName | AmountClaimed | AmountReimbursed | Outstanding Debt | | 89 | WiiDispensary | 6,425 | | 6,425 | | 90 | Kyandui Dispensary | 274,500 | - | 274,500 | | 91 | KangaluDispensary | 525,600 | 43,927 | 481,673 | | 92 | YakaliaDispensary | 361,800 | | 361,800 | | 93 | Kathungi Dispensary | 3,900 | | 3,900 | | 94 | Kyambiti Dispensary | 45,000 | | 45,000 | | 95 | KabaaDispensary | 353,700 | 130,000 | 223,700 | | 96 | MuseveDispensary | 78,300 | | 78,300 | | 97 | NdumoniDispensary | 93,600 | | 93,600 | | 98 | TivaDispensary | 341,820 | | 341,820 | | 99 | Kavuta Dispensary | 94,500 | | 94,500 | | 100 | Kakuuni Dispensary | 37,800 | | 37,800 | | 101 | Kalikuvu Dispensary | 14,400 | | 14,400 | | 102 | SyongilaDispensary | 16,200 | | 16,200 | | 103 | KaliakakyaDispensary | 103,000 | | 103,000 | | 104 | Itoleka Dispensary | 54,000 | | 54,000 | | 105 | KyaliliniDispensary | 37,800 | | 37,800 | | 106 | GKPrisonDispensary | 453,600 | | 453,600 | | 107 | TownshipDispensary | 738,900 | | 738,900 | | 108 | Mulutu Dispensary | 24,300 | | 24,300 | | | Total | 18,603,030 | 3,679,798 | 14,923,232 |

| 15 | | | | 6 | 8 | | 9 | 5 4 | 3 | | | S/No | |-------------------------------------------------------------|-------------------------|----------------------|------------------------|-----------------------|--------------------|--------------------------------------------|-----------------------|------------------------|-----------------------|-----------------------|---------------------|---------------------| | MatinyaniHealthCentre MwitikaHealthCentre KaumuHealthCentre | Nzangathi Health Centre | Yanzuu Health Centre | Kyethani Health Centre | Thitani Health Centre | Nzawa HealthCentre | Nzeluni Health Centre MbondoniHealthCentre | Tharaka Health Centre | Masyungwa HealthCentre | Kaningo Health Centre | Ngomeni Health Centre | Katse Health Centre | FacilityName | | 275,000 63,400 320,250 | 33,800 | 162,000 | 150,000 84,000 | 118,000 | | 145,000 | 82,000 | 600,000 | 50,000 | 1,900 | 969,000 | Claimed Amount | | 129,386 64,000 20,705 | | | 2,451 26,804 | 17,000 | 399,000 | 9,942 | | | | | | Reimbursed Amount | | 211,000 42,695 190,864 33,800 162,000 | | | 147,549 57,196 | 101,000 | | 135,058 | 82,000 | 600,000 | 50,000 | 1,900 | 000'696 | Balance Outstanding |

Health Centres

2024/2025.

Annex IV: A detailed report on funds received in health centres and dispensaries, FY

| Outstanding Balance | 687,866 | 364,500 | 000'09 | 345,400 | 130,000 | 74,503 30,000 | 160,000 160,110 | 951,920 925,846 | 169,500 | 310,000 | 1,312,000 | 325,000 | 150,000 | 918,013 | 226,474 | 1,663,000 | |-----------------------|--------------------------------------------|---------------------|--------------------|--------------------|-------------------------|-----------------------------------------------|-------------------------------------------|---------------------|------------------------|------------------------|-----------------------|------------------------|---------------------|----------------------|------------------------|-----------------------| | Reimbursed Amount | 38,514 | | | 400,000 | | | 310,490 40,000 | 9,954 | 70,000 | | 788,000 | 632,000 | | 719,070 | 630,026 | 700,000 | | Amount Claimed | 726,380 | 364,500 | 60,000 345,400 | 530,000 | 74,503 | 30,000 160,000 | 470,600 | 991,920 935,800 | 239,500 | 310,000 | 2,100,000 | 957,000 | 150,000 | 1,637,083 | 856,500 | 2,363,000 | | FacilityName | Kakeani Health Centre Ndiuni Health Centre | KatutuHealth Centre | TuliaHealth Centre | YattaHealth Centre | Nthongoni Health Centre | Kisasi Health Centre Mbitini Health Centre 23 | KyangungaHealthCentre KasyalaHealthCentre | TungutuHealthCentre | Miambani Health Centre | Katilini Health Centre | Kamutei Health Centre | Kisayani Health Centre | KanzikuHealthCentre | KyatuneHealth Centre | KatyethokaHealthCentre | Kasaala Health Centre | | S/No | 16 | | 18 6 | 20 | Z | 2 | | 7 | | 28 | 29 | 3 | 3 | 3 | 3 | 4 |

| 24 3 Mbusyani Dispensary Kavisuni Dispensary | Masimba Dispensary | Kanzau Dispensary | 2 6 KwaVonza Dispensary Kalimani Dispensary | Kitamwiki Dispensary | Kivani Dispensary | 9 SyathaniDispensary | 15 Kyondoni Dispensary | 切 Kiseveni Dispensary | 13 Syokithumbi Dispensary | 12 Dispensary KwaMulungu | MutandaDispensary | 10KalikuDispensary | 6 8 Maseki Dispensary EndauDispensary Makongo Dispensary | 9 5 KakunguDispensary ThaananzauDispensary | 4 KwaKavooDispensary | 3 ThonzweniDispensary | 2 Kalitini Dispensary KairunguDispensary | S/No Facility Name | |------------------------------------------------|----------------------|---------------------|-----------------------------------------------|------------------------|---------------------|------------------------|--------------------------|--------------------------|-----------------------------|----------------------------|---------------------|----------------------|------------------------------------------------------------|----------------------------------------------|------------------------|-------------------------|--------------------------------------------|----------------------| | 173,000 120,000 | 16,700 | 20,000 117,200 | 114 | 395,000 | 350,000 | 10,690 | 483,400 345,700 | 844,000 | | 454,600 | 400,800 68,600 | | 214,400 116,780 | 20,000 70,121 | 220,000 197,900 | | 190,000 | AmountClaimed | | | | | | | | | | 233,095 | | 67,938 | | 207,679 | | 47,721 | | | 139,000 | Reimbursed Amount | | 173,000 120,000 | 16,700 20,000 | 117,200 114 | 395,000 | 350,000 | 10,690 | 483,400 | 345,700 | 610,905 | 454,600 | 332,862 | | | 214,400 116,780 | 20,000 22,400 | 220,000 197,900 | | 190,000 | Outstanding Balance |

Dispensaries

| OutstandingBalance | 500 | 4,800 | 1,500 10,000 | 62,100 | 24,300 | 504,900 93,600 | 18,900 219,900 31,388 6,425 | 167,500 216,807 143,100 | 3,900 0006 | 100,800 | 134,976 | 16,200 15,000 | 2,700 162,000 | 316,800 | |--------------------------------------|--------------------|---------------------|------------------|------------------------|-------------------|-------------------------------------|------------------------------------------------------------------------|--------------------------------------------------------|----------------------------------------------------------|-----------------|--------------------|-------------------------------------------|--------------------|--------------------| | | | | | | | | 37,912 | 23,893 | | 170,124 | | | | | | Reimbursed Amount 500 Amount Claimed | | 4,800 | 1,500 10,000 | 62,100 | 24,300 | 504,900 93,600 | 18,900 219,900 69,300 6,425 | 167,500 240,700 143,100 | 3,900 0006 | 100,800 305,100 | 16,200 | 15,000 2,700 | 162,000 | 316,800 | | FacilityName Kivuuni Dispensary | Kathome Dispensary | Ngangani Dispensary | Ilika Dispensary | Kanyongonyo Dispensary | KatwalaDispensary | WanzuaDispensary Mutukya Dispensary | Nzunguni Dispensary Kiviu Dispensary Usiani Dispensary WiiDispensary 3 | Kyandui Dispensary KangaluDispensary YakaliaDispensary | KathungiDispensary KyambitiDispensary Kabaa Dispensary 4 | TivaDispensary | SyongilaDispensary | KaliakakyaDispensary Kyalilini Dispensary | GkPrisonDispensary | TownshipDispensary | | ON/S 25 | | 27 | 28 | 29 | 3 | 3 3 | 3 4 3 | 3 3 39 | 4 4 | 3 | 4 | 46 | 4 | 48 |

| | S | 9 | 5 | | 3 | | S 5 | | S/No | |------------|--------------------|--------------------------------------|---------------|--------------------|-------------------|---------------------|-------------------------------------|-----------|---------------------| | Total | Monguni Dispensary | Goshen Dispensary Kimweli Dispensary | UaeDispensary | Monguni Dispensary | MwengeaDispensary | Muangeni Dispensary | Kyoani Dispensary Ilengi Dispensary | | FacilityName | | 15,147,275 | 241,000 22,000 | 421,000 | 4,500,000 | 568,245 | 330,500 | 163,000 | 111,500 | 1,462,000 | AmountClaimed | | 1,103,171 | | | | 13,000 | 21,236 | | 41,573 | 100,000 | Reimbursed Amount | | 14,044,104 | 241,000 22,000 | 421,000 | 4,500,000 | 555,245 | 309,264 | | 163,000 69,927 | 1,362,000 | Outstanding Balance |

CommercialStreet,IndustrialArea,

0.Box47715,00100GPO

irobi,Kenya

rUICOUNTY

VNo:

P0514193720

「UICENTRAL

From:

01/07/2022

To:30/06/2025

| Date | Reference | Debit | Credit | Total | |------------|-----------------------------|---------------|---------------|----------------| | 01/07/2022 | OpeningBalance | | | 77,520,101.19 | | 07/07/2022 | InvoiceBatch:79649 | 2,100,000.00 | | 79,620,101.19 | | 17/08/2022 | CreditNote:79467 | 0.00 | 6,000.00 | 79,614,101.19 | | 17/08/2022 | CreditNote:79465 | 0.00 | 72,000.00 | 79,542,101.19 | | 17/08/2022 | CreditNote:79459 | 0.00 | 12,000.00 | 79,530,101.19 | | 17/08/2022 | InvoiceBatch:79733 | 87,978.00 | | 79,618,079.19 | | 24/08/2022 | InvoiceBatch:79743 | 396,000.00 | | 80,014,079.19 | | 03/10/2022 | InvoiceBatch:79878 | 11,984,072.00 | | 91,998,151.19 | | 03/10/2022 | InvoiceBatch:79875 | 7,147,416.64 | | 99,145,567.83 | | 03/10/2022 | InvoiceBatch:79880 | 24,512,506.00 | | 123,658,073.83 | | 03/10/2022 | InvoiceBatch:79874 | 5,413,536.56 | | 129,071,610.39 | | 03/10/2022 | InvoiceBatch:79877 | 4,230,818.00 | | 133,302,428.39 | | 03/10/2022 | InvoiceBatch:79879 | 8,521,840.34 | | 141,824,268.73 | | 03/10/2022 | InvoiceBatch:79876 | 8,547,868.00 | | 150,372,136.73 | | 03/10/2022 | InvoiceBatch:79873 | 20,028,739.00 | | 170,400,875.73 | | 06/10/2022 | Receipt:KEMSA-ARC-303-22/23 | 0.00 | 20,511,128.00 | 149,889,747.73 | | 06/10/2022 | Receipt:KEMSA-ARC-296-22/23 | 0.00 | 2,100,000.00 | 147,789,747.73 | | 21/10/2022 | Receipt:KEMSA-ARC-365-22/23 | 0.00 | 9,359,497.00 | 138,430,250.73 | | 21/10/2022 | Receipt:KEMSA-ARC-364-22/23 | 0.00 | 900,450.00 | 137,529,800.73 | | 21/10/2022 | Receipt:KEMSA-ARC-363-22/23 | 0.00 | 2,230,000.00 | 135,299,800.73 |

KENYAMEDICALSUPPLIESAUTHORITY

Tel:+254203922000,Fax:+25420558100,

GSM+254726618520/1,254733606600

Email:info@kemsa.co.ke

PINNo.:P051167338C

CUSTOMERSTATEMENT

| Date | Reference | Debit | Credit | Total | |------------|------------------------------|---------------|---------------|----------------| | 21/10/2022 | Receipt:KEMSA-ARC-362-22/23 | 0.00 | 43,163,523.00 | 92,136,277.73 | | 30/11/2022 | Credit Note:79875 | 0.00 | 1,250.00 | 92,135,027.73 | | 01/12/2022 | InvoiceBatch:80155 | 21,000.00 | | 92,156,027.73 | | 14/12/2022 | InvoiceBatch:80193 | 2,667,037.00 | | 94,823,064.73 | | 19/01/2023 | InvoiceBatch:80301 | 2,876,438.00 | | 97,699,502.73 | | 01/02/2023 | InvoiceBatch:80375 | 21,000.00 | | 97,720,502.73 | | 09/02/2023 | Receipt:KEMSA-ARC-748-22/23 | 0.00 | 47,386,000.05 | 50,334,502.68 | | 21/02/2023 | Receipt:KEMSA-ARC-806-22/23 | 0.00 | 43,000,793.55 | 7,333,709.13 | | 07/03/2023 | InvoiceBatch:80477 | 17,280,243.00 | | 24,613,952.13 | | 07/03/2023 | InvoiceBatch:80480 | 22,040,826.00 | | 46,654,778.13 | | 07/03/2023 | InvoiceBatch:80479 | 10,486,390.00 | | 57,141,168.13 | | 07/03/2023 | InvoiceBatch:80483 | 6,959,763.00 | | 64,100,931.13 | | 07/03/2023 | InvoiceBatch:80484 | 5,093,762.56 | | 69,194,693.69 | | 07/03/2023 | InvoiceBatch:80482 | 4,610,578.56 | | 73,805,272.25 | | 07/03/2023 | InvoiceBatch:80478 | 8,378,347.00 | | 82,183,619.25 | | 07/03/2023 | InvoiceBatch:80481 | 6,662,728.68 | | 88,846,347.93 | | 13/04/2023 | InvoiceBatch:80688 | 12,263,504.00 | | 101,109,851.93 | | 26/04/2023 | CreditNote:80484 | 0.00 | 8,500.00 | 101,101,351.93 | | 26/04/2023 | CreditNote:80478 | 0.00 | 4,250.00 | 101,097,101.93 | | 26/04/2023 | Credit Note:79459 | 0.00 | 12,000.00 | 101,085,101.93 | | 27/04/2023 | InvoiceBatch:80725 | 4,029,182.00 | | 105,114,283.93 | | 28/04/2023 | Credit Note:80484 | 0.00 | 46,750.00 | 105,067,533.93 | | 28/04/2023 | CreditNote:80483 | 0.00 | 19,550.00 | 105,047,983.93 | | 28/04/2023 | CreditNote:80478 | 0.00 | 41,650.00 | 105,006,333.93 | | 28/04/2023 | CreditNote:80477 | 0.00 | 45,900.00 | 104,960,433.93 | | 11/05/2023 | Receipt:KEMSA-ARC-1139-22/23 | 0.00 | 81,512,637.00 | 23,447,796.93 | | 18/05/2023 | CreditNote:80484 | 0.00 | 3,400.00 | 23,444,396.93 | | 09/06/2023 | Receipt:KEMSA-ARC-1300-22/23 | 0.00 | 483,978.00 | 22,960,418.93 | | 09/06/2023 | Receipt:KEMSA-ARC-1299-22/23 | 0.00 | 1,942,500.00 | 21,017,918.93 | | 12/06/2023 | Receipt:KEMSA-ARC-1308-22/23 | 0.00 | 2,897,438.00 | 18,120,480.93 |

| Date | Reference | Debit | Credit | Total | |------------|------------------------------|---------------|---------------|----------------| | 20/06/2023 | InvoiceBatch:80900 | 732,730.00 | | 18,853,210.93 | | 23/06/2023 | CreditNote:80483 | 0.00 | 850.00 | 18,852,360.93 | | 23/06/2023 | CreditNote:80478 | 0.00 | 850.00 | 18,851,510.93 | | 26/06/2023 | Credit Note:80484 | 0.00 | 4,250.00 | 18,847,260.93 | | 26/06/2023 | CreditNote:80483 | 0.00 | 1,700.00 | 18,845,560.93 | | 26/06/2023 | CreditNote:80477 | 0.00 | 4,250.00 | 18,841,310.93 | | 06/07/2023 | Receipt:KEMSA-ARC-1478-22/23 | 0.00 | 16,292,686.00 | 2,548,624.93 | | 31/07/2023 | CreditNote:79880 | 0.00 | 59,615.00 | 2,489,009.93 | | 28/08/2023 | InvoiceBatch:81209 | 7,950,800.00 | | 10,439,809.93 | | 28/08/2023 | InvoiceBatch:81215 | 5,568,232.00 | | 16,008,041.93 | | 28/08/2023 | InvoiceBatch:81217 | 9,915,159.00 | | 25,923,200.93 | | 01/09/2023 | InvoiceBatch:81229 | 183,424.00 | | 26,106,624.93 | | 01/09/2023 | InvoiceBatch:81210 | 4,328,743.40 | | 30,435,368.33 | | 01/09/2023 | InvoiceBatch:81216 | 14,966,716.80 | | 45,402,085.13 | | 01/09/2023 | InvoiceBatch:81213 | 6,574,156.00 | | 51,976,241.13 | | 01/09/2023 | InvoiceBatch:81214 | 5,150,889.00 | | 57,127,130.13 | | 01/09/2023 | InvoiceBatch:81212 | 6,475,082.00 | | 63,602,212.13 | | 01/09/2023 | InvoiceBatch:81211 | 17,096,508.00 | | 80,698,720.13 | | 14/09/2023 | CreditNote:80483 | 0.00 | 3,500.00 | 80,695,220.13 | | 14/09/2023 | CreditNote:80479 | 0.00 | 1,000.00 | 80,694,220.13 | | 05/10/2023 | InvoiceBatch:81396 | 4,679,649.00 | | 85,373,869.13 | | 30/10/2023 | InvoiceBatch:81450 | 337,500.00 | | 85,711,369.13 | | 20/11/2023 | InvoiceBatch:81525 | 524,196.00 | | 86,235,565.13 | | 07/12/2023 | InvoiceBatch:81574 | 11,791,423.00 | | 98,026,988.13 | | 07/12/2023 | InvoiceBatch:81594 | 5,558,037.00 | | 103,585,025.13 | | 07/12/2023 | InvoiceBatch:81579 | 6,240,610.00 | | 109,825,635.13 | | 07/12/2023 | InvoiceBatch:81582 | 6,531,386.00 | | 116,357,021.13 | | 07/12/2023 | InvoiceBatch:81586 | 5,802,974.00 | | 122,159,995.13 | | 07/12/2023 | InvoiceBatch:81583 | 5,478,745.00 | | 127,638,740.13 | | 07/12/2023 | InvoiceBatch:81580 | 8,497,963.00 | | 136,136,703.13 |

| Date | Reference | Debit | Credit | Total | |------------|------------------------------|---------------|---------------|----------------| | 07/12/2023 | InvoiceBatch:81578 | 5,348,178.00 | | 141,484,881.13 | | 07/12/2023 | InvoiceBatch:81577 | 14,938,423.00 | | 156,423,304.13 | | 11/12/2023 | InvoiceBatch:81601 | 704,880.00 | | 157,128,184.13 | | 13/12/2023 | Receipt:KEMSA-ARC-577-23/24 | 0.00 | 74,938,558.40 | 82,189,625.73 | | 10/01/2024 | InvoiceBatch:81629 | 340,800.00 | | 82,530,425.73 | | 22/01/2024 | InvoiceBatch:81663 | 675,000.00 | | 83,205,425.73 | | 06/02/2024 | InvoiceBatch:81693 | 822,950.00 | | 84,028,375.73 | | 09/02/2024 | Receipt:KEMSA-ARC-755-23/24 | 0.00 | 732,730.00 | 83,295,645.73 | | 09/02/2024 | Receipt:KEMSA-ARC-754-23/24 | 0.00 | 2,688,037.00 | 80,607,608.73 | | 09/02/2024 | Receipt:KEMSA-ARC-752-23/24 | 0.00 | 337,500.00 | 80,270,108.73 | | 09/02/2024 | Receipt:KEMSA-ARC-751-23/24 | 0.00 | 7,950,800.00 | 72,319,308.73 | | 09/02/2024 | Receipt:KEMSA-ARC-750-23/24 | 0.00 | 524,196.00 | 71,795,112.73 | | 27/02/2024 | InvoiceBatch:81747 | 838,730.00 | | 72,633,842.73 | | 07/03/2024 | InvoiceBatch:81771 | 473,800.00 | | 73,107,642.73 | | 12/03/2024 | Receipt:KEMSA-ARC-869-23/24 | 0.00 | 32,753,024.00 | 40,354,618.73 | | 22/04/2024 | Receipt:KEMSA-ARC-1002-23/24 | 0.00 | 38,450,515.00 | 1,904,103.73 | | 24/04/2024 | InvoiceBatch:81829 | 1,071,400.00 | | 2,975,503.73 | | 20/05/2024 | InvoiceBatch:81886 | 608,100.00 | | 3,583,603.73 | | 20/05/2024 | InvoiceBatch:81887 | 2,999,400.00 | | 6,583,003.73 | | 20/05/2024 | InvoiceBatch:81888 | 696,740.00 | | 7,279,743.73 | | 20/05/2024 | InvoiceBatch:81889 | 711,715.00 | | 7,991,458.73 | | 20/05/2024 | InvoiceBatch:81890 | 872,190.00 | | 8,863,648.73 | | 20/05/2024 | InvoiceBatch:81891 | 3,637,411.00 | | 12,501,059.73 | | 20/05/2024 | InvoiceBatch:81892 | 836,644.00 | | 13,337,703.73 | | 20/05/2024 | InvoiceBatch:81893 | 600,392.00 | | 13,938,095.73 | | 04/06/2024 | InvoiceBatch:81915 | 353,340.00 | | 14,291,435.73 | | 09/07/2024 | Receipt:KEMSA-ARC-46-24/25 | 0.00 | 11,315,932.00 | 2,975,503.73 | | 02/08/2024 | InvoiceBatch:82039 | 5,680,880.00 | | 8,656,383.73 | | 02/08/2024 | InvoiceBatch:82038 | 6,498,352.00 | | 15,154,735.73 | | 02/08/2024 | InvoiceBatch:82035 | 14,258,810.00 | | 29,413,545.73 |

| Date | Reference | Debit | Credit | Total | |------------|-----------------------------|---------------|---------------|---------------| | 02/08/2024 | InvoiceBatch:82032 | 6,453,385.00 | | 35,866,930.73 | | 02/08/2024 | InvoiceBatch:82033 | 5,045,446.00 | | 40,912,376.73 | | 02/08/2024 | InvoiceBatch:82034 | 6,196,522.00 | | 47,108,898.73 | | 02/08/2024 | InvoiceBatch:82037 | 22,095,603.00 | | 69,204,501.73 | | 02/08/2024 | InvoiceBatch:82036 | 9,128,707.00 | | 78,333,208.73 | | 13/09/2024 | InvoiceBatch:82080 | 1,133,885.00 | | 79,467,093.73 | | 16/09/2024 | CreditNote:82036 | 0.00 | 11,919.00 | 79,455,174.73 | | 16/09/2024 | CreditNote:82035 | 0.00 | 11,919.00 | 79,443,255.73 | | 04/10/2024 | InvoiceBatch:82108 | 1,152,830.00 | | 80,596,085.73 | | 15/10/2024 | InvoiceBatch:82130 | 1,322,290.00 | | 81,918,375.73 | | 16/10/2024 | InvoiceBatch:82133 | 479,370.00 | | 82,397,745.73 | | 28/10/2024 | InvoiceBatch:82185 | 1,202,530.00 | | 83,600,275.73 | | 28/10/2024 | InvoiceBatch:82184 | 501,200.00 | | 84,101,475.73 | | 28/10/2024 | InvoiceBatch:82187 | 2,883,860.00 | | 86,985,335.73 | | 28/10/2024 | InvoiceBatch:82186 | 1,655,950.00 | | 88,641,285.73 | | 28/10/2024 | InvoiceBatch:82181 | 4,325,984.00 | | 92,967,269.73 | | 27/11/2024 | Receipt:KEMSA-ARC-540-24/25 | 0.00 | 41,799,118.00 | 51,168,151.73 | | 01/12/2024 | InvoiceBatch:82233 | 1,120,000.00 | | 52,288,151.73 | | 03/12/2024 | Receipt:KEMSA-ARC-552-24/25 | 0.00 | 37,623,123.95 | 14,665,027.78 | | 14/12/2024 | InvoiceBatch:82266 | 13,751,610.00 | | 28,416,637.78 | | 14/12/2024 | InvoiceBatch:82268 | 4,779,910.00 | | 33,196,547.78 | | 14/12/2024 | InvoiceBatch:82299 | 3,010,714.00 | | 36,207,261.78 | | 14/12/2024 | InvoiceBatch:82270 | 8,938,288.00 | | 45,145,549.78 | | 14/12/2024 | InvoiceBatch:82271 | 4,590,216.00 | | 49,735,765.78 | | 14/12/2024 | InvoiceBatch:82272 | 4,319,612.00 | | 54,055,377.78 | | 14/12/2024 | InvoiceBatch:82273 | 3,287,651.00 | | 57,343,028.78 | | 14/12/2024 | InvoiceBatch:82274 | 4,207,522.00 | | 61,550,550.78 | | 28/01/2025 | InvoiceBatch:82350 | 3,360,000.00 | | 64,910,550.78 | | 11/02/2025 | InvoiceBatch:82373 | 2,776,282.00 | | 67,686,832.78 | | 13/02/2025 | InvoiceBatch:82382 | 1,511,800.00 | | 69,198,632.78 |

| Date | Reference | Debit | Credit | Total | |-----------------------|------------------------------|--------------|--------------------|-----------------------------| | 15/04/2025 | InvoiceBatch:82491 | 2,197,209.00 | | 71,395,841.78 | | 15/04/2025 | InvoiceBatch:82490 | 38,000.00 | | 71,433,841.78 | | 15/04/2025 | InvoiceBatch:82493 | 1,544,243.00 | | 72,978,084.78 | | 15/04/2025 | InvoiceBatch:82492 | 1,550,314.00 | | 74,528,398.78 | | 15/04/2025 | InvoiceBatch:82495 | 2,904,437.00 | | 77,432,835.78 | | 15/04/2025 | InvoiceBatch:82484 | 1,632,920.00 | | 79,065,755.78 | | 15/04/2025 | InvoiceBatch:82489 | 5,880,877.00 | | 84,946,632.78 | | 15/04/2025 | InvoiceBatch:82494 | 1,981,937.00 | | 86,928,569.78 | | 22/04/2025 | InvoiceBatch:82511 | 5,125,600.00 | | 92,054,169.78 | | 24/04/2025 | InvoiceBatch:82512 | 6,819,952.00 | | 98,874,121.78 | | 21/05/2025 | Receipt:KEMSA-ARC-1380-24/25 | 0.00 | 34,196,216.00 | 64,677,905.78 | | 21/05/2025 | Receipt:KEMSA-ARC-1379-24/25 | 0.00 | 473,800.00 | 64,204,105.78 | | 21/05/2025 | Receipt:KEMSA-ARC-1378-24/25 | 0.00 | 822,773.78 | 63,381,332.00 | | 21/05/2025 | Receipt:KEMSA-ARC-1377-24/25 | 0.00 | 1,071,400.00 | 62,309,932.00 | | 21/05/2025 | Receipt:KEMSA-ARC-1376-24/25 | 0.00 | 838,730.00 | 61,471,202.00 | | 27/05/2025 | InvoiceBatch:82596 | 2,441,928.00 | | 63,913,130.00 | | 30/05/2025 | InvoiceBatch:82600 | 1,194,277.00 | | 65,107,407.00 | | 05/06/2025 | Receipt:KEMSA-ARC-1461-24/25 | 0.00 | 11,689,524.00 | 53,417,883.00 | | 05/06/2025 | Receipt:KEMSA-ARC-1460-24/25 | 0.00 | 16,977,389.00 | 36,440,494.00 | | 05/06/2025 | Receipt:KEMSA-ARC-1378-24/25 | 0.00 | 176.22 | 36,440,317.78 | | | CreditNote:82495 | 0.00 | | | | 11/06/2025 20/06/2025 | CreditNote:82490 | 0.00 | 4,048.00 38,000.00 | 36,436,269.78 36,398,269.78 | | 30/06/2025 | CreditNote:82512 | 0.00 | 2,024.00 | 36,396,245.78 |

| 0-30DAYS | 31-60DAYS | 61-90DAYS | >90DAYS | Total | |--------------|---------------|--------------|--------------|---------------| | 3,410,005.00 | 26,851,331.00 | 2,774,909.78 | 3,360,000.00 | 36,396,245.78 |

| 1 | | 3 | 2 | I | | |----------------------------------|---------------------------------|-------------------------------------------------------------|----------------------------------------------|-----------------------------------------------------|--------------------------------------------------------------------------| | machine Digital Ultrasound | NOEQUIPMENT DESCRIPTION | Loading trolleys | Newautoclave | Autoclave | NOEQUIPMENT CENTRAL STERILIZATION SERVICES DEPARTMENT(LOT 2) DESCRIPTION | | GE Logiq | RADIOLOGYDEPARTMENT(LOT7) MODEL | | 108A ESTA- | 108A ESTA- | MODEL | | | QUANTITY | 2 | | | QUANTITY | | 2017 | DELIVERY YEAR OF | 2017 | 2021 | 2017 | DELIVERY YEAROF | | 10 | LIFE(YEARS) USEFUL | | 15 | 15 | (YEARS) USEFULLIFE | | Functional | STATUS | Functional | Functional | Functional | STATUS | | (GE) General Electric | CONTRACTOR | debra limited industries/ Esteem | debra limited industries/ Esteem | debra limited industries/ Esteem | CONTRACTOR | | Hospital doneby the Servicing is | REMARKS | bra LTD Industries/De Esteem servicedby Still being bra LTD | Industries/De Esteem serviced by Still being | bra LTD Industries/De Esteem servicedby Still being | REMARKS |

ANNEXVI:MES Equipment

| | 9 | 5 | 4 | 3 | 2 | |----------------------------------------------------------|-----------------------------------|-----------------------------------|-----------------------------------|----------------------------------|-----------------------------------| | machine PortableX-ray | machine BrivoX-ray | DryviewPrinter | Dry view printer | Dry view Printer | X-ray film printer | | 16A806 L3/S.NO 134140H S/NO E7894X; | OHL1 LX/13473 134984H S/NO Brivo; | 69530604 m; S/NO Carestrea 6950 | 59534908 S/NO imager; Laser 5950 | S/NO image; Laser 6950 | | | I | | | | | | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | | | 6 | 15 | 15 | 15 | 15 | | Faulty | functional | Functional | Faulty | Faulty | Functional | | (GE) General Electric | (GE) General Electric | (GE) General Electric | (GE) General Electric | (GE) General Electric | (GE) General Electric | | Hospital done by the Servicing is generator, FaultyX-ray | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital doneby the Servicing is | Hospital done by the Servicing is |

| 13 | | | 10 | 6 | 8 | |----------------------------------|---------------------------------|-----------------------------------------------------------------------------|----------------------------|------------------------------------------------------------|----------------------------------------------------| | IDIworkstation | Digitizer/ Scanner | ELITE Carm OEC9900 | Machine Digital Uitrasound | Machine Mammography | OPG Machine | | S01 KE1502W | 4002709 S/NO: CLASSIC, CR | 3418 S/NO.A36 02; 5336110- | 494898W S/NO | 671439B S/NO. | CS9000 DFBJ004, :ON/S | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | | 6 | 6 | | | 6 | | | Functional | Functional | Faulty | Functional | Faulty | Faulty | | (GE) General Electric | (GE) General Electric Hospital | (GE) General Electric Need system | (GE) General Electric | (GE) General Electric | (GE) General Electric | | Hospital doneby the Servicing is | Hospital donebythe Servicing is | done by the Servicing is the modules, nbetween communicatio no calibration, | Project From the MES | Hospital done by the Servicing is calibration. Need system | Hospital doneby the Servicing is tube. FaultyX-ray |

| N | 9 | 5 | 4 | 3 | 2 | | |------------------------------------------------|-----------------------------------|------------------------------|------------------------------|-------------------------------|-----------------------------------------------------------|-----------------------------------------------------------------| | Theatre table | machine Anaesthetic | trolley Instrument | trolley Instrument | Patient trolley Resuscitation | Patient trolley Resuscitation | NO THEATRE DEPARTMENT(LOT1) Defibrillator DESCRIPTION EQUIPMENT | | 6100 HyBase | EX55 Wato | IT061MH MES- | IT066MH MES- | RPT041M MES- | RPT033M MES- XL heartstat | Philips MODEL | | | | | I | I | T | QUANTITY | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 2017 | DELIVERY YEAR OF | | | | | | | 0 | LIFE(YEARS) USEFUL | | Functional Not | Functional | Functional | Functional | Obsolute | Functional Functional | STATUS | | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope Limited Healthcare Megascope | CONTRACTOR | | Servicing is available, not locally Spare part | Hospital done by the Servicing is | | | Obsolute | Hospital doneby the Servicing is Hospital done by the | Servicing is REMARKS |

| | 13 | 12 | | 10 | 6 | 8 | | |---------------------------------|------------------------------|------------------------------|-----------------------------------|------------------------------------|------------------------------------|---------------------------------|--------------------| | Patientstretcher | LinenTrolley | LinenTrolley | Resuscitaire | (Twin arm) operating Light Theatre | (twin arm) operating Light Theatre | Theatretable | | | PS099MH MES- | LT065MH MES- | 厂 LT066MH MES- | | LED760 730, Hy HyLED | LED 760 730, Hy HyLED | 6100 Hybase | | | | | I | T | T | | | | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | | | | | | 6 | 6 | | 6 | | | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | | | Hospital donebythe Servicing is | | | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital donebythe Servicing is | Hospital donebythe |

| 3 | 2 | | NO | 20 | 18 | | 15 | |-------------------|---------------------------------|---------------------------------|-----------------------|----------------------------------|-----------------------------------------|-----------------------------------|-----------------------------------| | HDmachine | HD machine | HDmachine | DESCRIPTION EQUIPMENT | Ultrasonicwasher | unit Electrosurgical machine/ Diathermy | PatientStretcher | Patient Stretcher | | 2000 plus Formula | 2000plus Formular | 2000 plus Formular | MODEL | S/NO:197 ESTI-101, | BN 16042 | PS097MH MES- | PS098MH MES- | | | | | QUANTITY | | | T | | | 2017 | 2017 | 2017 | DELIVERY YEAR OF | 2017 | 2017 | 2017 | 2017 | | | | | LIFE(YEARS) USEFUL | 6 | 6 | | | | Functional Not | Functional | Functional | STATUS | Functional | Functional | Functional | Functional | | Angelica Medical | Angelica Medical | Angelica Medical | CONTRACTOR | Debra Limited Industries/ Esteem | Limited Healthcare Megascope | Limited Healthcare Megascope | Limited Healthcare Megascope | | Obsolute | Hospital donebythe Servicing is | Hospital donebythe Servicing is | REMARKS | Hospital doneby the Servicing is | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital done by the Servicing is |

| | 10 | 6 | 8 | N | 9 | 5 | 4 | |----------------------------------|----------------------------------|-----------------------------------|-----------------------------------|---------------------------------|-----------------------------------|---------------------------------|----------------------------------| | dialysisbeds | dialysisbeds | Dialysis chair | Dialysis chair | Dialysis chair | plant Watertreatment | HD machine | HDmachine | | 2 ANG0330 Ap10-b- | 1 ANGO330 Apa-a- | 1-3 ANGO260 Apa-c- | 1-2 ANG0260 Apa-b- | 1-1 ANGO260 Apa-a- | modula1 | 2000plus formular | 2000plus formular | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | | 15 | 15 | 15 | 15 | 15 | 2 | 6 | 6 | | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | Angelica Medical | Angelica Medical | Angelica Medical | Angelica Medical | Angelica Medical | Angelica Medical | Angelica Medical | Angelica Medical | | Hospital doneby the Servicing is | Hospital doneby the Servicing is | Hospital done by the Servicing is | Hospital done by the Servicing is | Hospital donebythe Servicing is | Hospital done by the Servicing is | Hospital donebythe Servicing is | Hospital doneby the Servicing is |

| 5 | 4 | NO | RADIOLOGY DEPARTMENT(LOT7) | 3 | 2 I | NO | |-----------------------------------|-----------------------------------|-----------------------|-----------------------------------|-----------------------------------|-----------------------------------|-------------------------------------------------------| | carestream Dry view Printer | machine Ultrasound | DESCRIPTION EQUIPMENT | Loading trolleys | Autoclave | Autoclave | DESCRIPTION EQUIPMENT | | 69530620 image; S/NO 6950Laser | GE Logiq F6 | MODEL | | ESTA-108A | ESTA-108A | CENTRAL STERILIZATION SERVICES DEPARTMENT(LOT2) MODEL | | 3 | | ITY QUANT | 2 | 1 | | ITY QUANT | | 2027 | 2017 | Y DELIVER YEAR OF | | 2017 | 2017 | DELIVER YEAR OF | | 15 | 0 | (YEARS) LIFE USEFUL | | 15 | 15 | (YEARS) LIFE USEFUL | | Functional | Functional | STATUS | Functional | Functional | Functional | STATUS | | General Electric(GE) | General Electric(GE) | CONTRACTOR | Debra Limited EsteemIndustries/ | Debra Limited EsteemIndustries/ | Debra Limited EsteemIndustries/ | CONTRACTOR | | by the hospital Servicing is done | by the hospital Servicing is done | REMARKS | by the hospital Servicing is done | by the hospital Servicing is done | by the hospital Servicing is done | REMARKS |

| 4 | 3 | 2 | | NO | 8 | | 9 | |----------------------------------|-----------------------------------|----------------------------------|----------------------------------|---------------------------------|----------------------------------------------------------|-----------------------------------|-----------------------------------| | Instrumenttrolley | Instrument trolley | machine Anaesthetic | machine Anaesthetic | DESCRIPTION EQUIPMENT | machine (OPTIMA) PortableX-ray | machine Brivox-ray | Dryviewprinter | | IT061MHL MES- | IT066MHL MES- | Watoex55 | 57002295 S/NO:ES- | THEATRE DEPARTMENT (LOT1) MODEL | 16A1360 S/NO: E7894X; | 134407HL6 Brivo; S/NO | 59534908 imager; S/NO 5950Laser | | | | | T | ITY QUANT | T | I | | | | | 2017 | 2017 | DELIVER YEAR OF | 2017 | 2017 | 2017 | | | | 6 | 0 | (YEARS) LIFE USEFUL | 6 | 6 | 15 | | Functional | Functional | Functional | Functional | STATUS | Functional Not | Functional | Functional | | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | CONTRACTOR | General Electric(GE) | General Electric(GE) | General Electric(GE) | | by thehospital Servicing is done | by the hospital Servicing is done | by thehospital Servicing is done | by thehospital Servicing is done | REMARKS | by the Hospital Servicing is done generator, FaultyX-ray | by the hospital Servicing is done | by the hospital Servicing is done |

| | | 10 | 6 | 8 | Z | 9 | 5 | |--------------------------------|-----------------------------------|------------------------------|------------------------------|------------------------------------|--------------------------------------|-----------------------------------|-----------------------------------| | PatientStretcher | Patientstretcher | Linen Trolley | Linen Trolley | Light (twin arm) Theatre operating | Theatretable | Theatre table | warmer Infant radiant | | PS098MHL MES- | PS099MHL MES- | LT065MHL MES- | LT066MHL MES- | HY LED760 HyLED730, | Hybase 6100 | HyBase6100 | 002E15073 S/NO:BNT20 | | | | | 2 | | | 2 | T | | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | 2017 | | | | | | 6 | 6 | 6 | 15 | | functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | Healthcare Limited Megascope | | by the hospital Servicing done | by the hospital Servicing is done | | | by the hospital Servicing is done | hospital done by the Servicing is is | by the hospital Servicing is done | by the hospital Servicing is done |

| | 16 | 15 | 3 | |-----------------------------------|-----------------------------------|-----------------------------------------|-----------------------------------| | Ultrasonicwasher | Ultrasonicwasher | Electrosurgical unit machine/ Diathermy | PatientStretcher | | | S/NO:19723 | BN16042 | PS097MHL MES- | | 2017 | 2017 | 2017 | 2017 | | 6 | 6 | | | | Functional | Functional | Functional Not | Functional | | Debra Limited EsteemIndustries/ | DebraLimited EsteemIndustries/ | Healthcare Limited Megascope | Healthcare Limited Megascope | | by the hospital Servicing is done | by the hospital Servicing is done | by the hospital Servicing is done | by the hospital Servicing is done |

| South Kitui | South Kitui | Kitui Rural | Kitui Rural | Kitui Rural | Kitui East | Kitui East | Kitui East | Central Kitui | Central Kitui | Central Kitui | County Sub | |----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|-----------------------|------------------------------|------------------|-------------------------------------| | HOSP IKUTHA | IKANGASCH | DISPENSARY NGANGANI | DISPENSARY MUKAMENI | DISPENSARY KISEUNI | KIKUU DISP | DISP MUTHUNGUE | VOOH/C | DISPENSARY GK-PRISONS | KASYALAH/C | DISP NZUNGUNI | FINANCIALYEAR2024/2025 FacilityName | | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | (Manufacturer) CCEallocated | | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | 2025 | Delivery Yearof | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | (Years) Life Useful | | AC TCW120 | AC TCW120 | TCW40R | AC TCW120 | SDD TCW40 | TCW120 | AC TCW120 | SDD TCW40 | TCW40R | AC TCW120 | AC TCW120 | Model | | Combo | Combo | tor Refrigera | Combo | tor Refrigera | Combo | Combo | tor Refrigera | tor Refrigera | Combo | Combo | Type | | ON-Grid | ON-Grid | ON-Grid | ON-Grid | SDD | ON-Grid | ON-Grid | SDD | ON-Grid | ON-Grid | ON-Grid | Source Power | | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution | ongoing Distribution ongoing | Distribution | Comment | | | | | | | | | | | | | Remarks |

ANNEXVII:GAVI Equipment

| Distribution | Distribution Distribution Distribution Distribution Distribution Distribution Distribution ongoing ongoing ongoing ongoing ongoing ongoing ongoing ongoing ON-Grid ON-Grid ON-Grid SDD SDD SDD SDD SDD | |------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | Distribution Distribution Distribution Distribution Distribution ongoing ongoing ongoing ongoing ongoing ON-Grid SDD SDD SDD SDD | | Refrigera Refrigera Combo tor tor | Refrigera Refrigera Refrigera Refrigera Refrigera Refrigera Refrigera Combo Combo Combo tor tor tor tor tor tor tor | | TCW120 TCW40 TCW40 SDD SDD | TCW120 TCW120 TCW120 TCW40 TCW40 TCW40 TCW40 TCW40 TCW40 TCW40 SDD SDD SDD AC SDD SDD SDD SDD AC A | | 15 15 15 | 15 15 15 15 15 15 15 15 15 15 | | 2025 2025 2025 | 2025 2025 2025 2025 2025 2025 2025 2025 2025 2025 | | BMedical Systems BMedical Systems BMedical | Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems BMedical Systems B Medical Systems | | FINANCIALYEAR2024/2025 MAKONGONI KIMWELI KAKEANI HEALTH DISP KituiWest South | DISPENSARY KANGONDI DISPENSARY NTHANGANI USUENIDISP KAMAYANGI KANINGO HC Dispensary Dispensary Mwambiu Dispensary Dispensary CENTER MASEKI Ngiluni Muyuni DISP Lundi DISP North | | GAVI-COLD CHAIN EQUIPMENT DISTRIBUTION Kitui South | KituiWest Kitui West Mwingi Central Mwingi Central Mwingi Central Mwingi Central Mwingi North Mwingi North Mwingi North Mwingi |

| South Kitui | Kitui Rural | Kitui Rural | Kitui Rural | Kitui Rural | Kitui East | Kitui East Central | Kitui | Central Kitui | Central Kitui | West Mwingi West Mwingi | North Mwingi | |----------------------------|-----------------|------------------|--------------------|---------------------|----------------------|----------------------|-------------------|------------------|-----------------------|-------------------------------------------|-----------------------------------------| | (Ikutha) Home FaithNursing | dispensary Mosa | Dispensary Ilika | dispensary Katwala | Centre Kisasihealth | dispensary Kasunguni | Dispensary Yoonye | Dispensary Mutuni | Dispensary Kiviu | Dispensary Kaliakakya | H/C WINZYEEI DISP MATHUNZINI | FINANCIALYEAR2024/2025 AICDISP KATAKANI | | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier Systems | BMedical Systems BMedical | Systems BMedical | | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2025 2025 | 2025 | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 15 | 15 | | HBC-80 | HTCD-90 | HTCD-90 | HBC-80 | HBC-80 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 AC | TCW120 SDD TCW40 | AC TCW120 | | tor Refrigera | tor Refrigera | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | Refrigera | Combo tor Refrigera | Combo | | On-Grid | SDD | SDD | On-Grid | On-Grid | SDD | SDD | SDD | SDD | SDD | ON-Grid SDD | ON-Grid | | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional ongoing | Distribution ongoing Distribution ongoing | Distribution |

| Functional | Functional | Functional | Functional | Functional | Functional Functional | Functional | Functional | Functional | Functional | Functional | |----------------------------------------------------|-------------------------|---------------|----------------|-------------------|--------------------------------|--------------------------------------|-------------------|-----------------------------|-------------------------------|---------------------| | On-Grid | On-Grid | On-Grid | On-Grid | SDD | SDD | On-Grid On-Grid | On-Grid | | On-Grid | SDD | | Refrigera tor | Refrigera tor | Refrigera tor | Refrigera tor | Refrigera tor | Refrigera Refrigera tor | Refrigera tor | Refrigera tor tor | Refrigera tor | Refrigera tor | Refrigera tor | | HBC-80 | HBC-80 | HBC-80 | HBC-80 | HTCD-90 | HTCD-90 HBC-80 | HBC-80 | HBC-80 | HBC-80 | HBC-80 | HTCD-90 | | 15 | 15 | 15 | 15 | 15 | 15 15 | 15 | 15 | 15 | 15 | 15 | | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | | Haier | Haier | Haier | Haier | Haier | Haier Haier | Haier | Haier | Haier | Haier | Haier | | FINANCIALYEAR2024/2025 dispensary Mwala | nursinghome Blue turtle | Mutomo SCH | dispensary Uae | dispensary Mwathe | Mikongooni dispensary Nazarine | Medical Clinic (Kitui West) KauwiSCH | Kwamutonga HC | Muthale East Medical Clinic | Medical Clinic Upendo (Kitui) | Dispensary Kiseveni | | GAVI-COLD CHAIN EQUIPMENT DISTRIBUTION Kitui South | Kitui South | Kitui South | Kitui South | Kitui South Kitui | KituiWest South | Kitui West | KituiWest | KituiWest | Kitui West | KituiWest |

| North Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | Central Mwingi | KituiWest | Kitui West | KituiWest FINANCIALYEAR2024/2025 | |----------------------|----------------------|--------------------|------------------|------------------|--------------------|-----------------------|----------------------|------------------|-------------------|--------------------|--------------------------------|------------------------------------| | dispensary Nthangani | HealthCentre Wingemi | Dispensary Ivuusya | Dispensary Yatwa | Dispensary Muono | Dispensary Mulinde | Dispensary Mathyakani | HealthCentre Kavindu | Dispensary Enziu | Dispensary Curran | dispensary Kathuma | Dispensary (Kyathani) Syathani | dispensary Yalatani | | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Haier | Dulas | Haier | Haier | | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | 2024 | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 5 | 15 | 15 | 15 | 15 | | HBC-80 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 | HTCD-90 | HBC-80 | HBC-80 | -1 VC60SDD | HTCD-90 | HTCD-90 | | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | Refrigera | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | Refrigera | | On-Grid | SDD | SDD | SDD | SDD | SDD | SDD | SDD | On-Grid | On-Grid | SDD | SDD | SDD | | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional |

| Functional | Functional Functional | Functional | Functional | Functional | Functional Functional Functional | Functional | |-----------------------------------------------------------|-----------------------------------|---------------------|----------------------|-------------------------------------------------------------------|------------------------------------|-----------------------------------------------------------------| | On-Grid | On-Grid SDD | SDD | SDD | On-Grid SDD | SDD SDD | SDD | | Refrigera tor | Refrigera Refrigera tor tor | Refrigera tor | Refrigera tor | Refrigera Refrigera | Refrigera Refrigera tor tor | Refrigera tor | | HBC-80 | HTCD-90 HBC-80 | HTCD-90 | HTCD-90 | VC60SDD HBC-80 | VC60SDD VC60SDD T- | VC60SDD -1 | | 15 | 15 15 | 5 | 15 | 15 15 | 15 15 | 15 | | 2024 | 2024 2024 | 2024 | 2024 | 2024 2024 | 2024 2024 | 2024 | | Haier | Haier | Haier | Haier | Haier Dulas | Dulas Dulas | Dulas | | FINANCIALYEAR2024/2025 Maternity and Nursing Home Muumoni | Health Centre dispensary Masungwa | Kairungu Dispensary | Mitamisyi Dispensary | ITONGOLANI St Monica Dispensary (ennbn) Catholic DISP Mwingi West | ITENDEU KAKONGO DISP DISP West | ITHENGELI DISP numberofgrid numberofsolar powered42 Mwingi West | | GAVI-COLD CHAIN EQUIPMENT DISTRIBUTION Mwingi North | North Mwingi North Mwingi | North | Mwingi North | Mwingi | West Mwingi West Mwingi | powered30 |

| | Kitui East | kituiEast | central Kitui | central Kitui | central Kitui | Kitui west South Kitui | Kitui East | county sub | | |----------------------------------------------------|-------------------|---------------------|-----------------|---------------------|--------------------|--------------------------|---------------------|--------------------------------------|-----------------------------------------------------------------------------| | Dispensary Kamaembe | Dispensary Kalulu | Dispensary Mikuyuni | Dispensary Tiva | Centre KavutaHealth | hospital Kauwi s.c | hospital Ikutha s.c. | hospital Zombe s.c. | FINANCIALYEAR2023/2024 name facility | totalnumber72 FINANCIALYEAR2024/2025 GAVI-COLD CHAIN EQUIPMENT DISTRIBUTION | | Meta fridge | Meta fridge | Meta fridge | Meta fridge | Meta fridge | Haier | Haier | Haier | er) (Manufactur allocated CCE | | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | RY DELIVE OF YEAR | | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | (YEARS) LIFE USEFUL | | | 50SDD CFD- | 50SDD CFD- | 50SDD CFD- | CFD-50 | 50SDD CFD- | HBD-265 | HBD-265 | HBD-265 | model | | | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | type | | | solar | solar | solar | On-Grid | solar | On-Grid | On-Grid | | source power | | | Functional Non- | Functional | Functional | Functional | Functional | Functional | Functional | Functional | comment | | | anewone issuedwith repair, awaiting warranty Under | | | | | | | | Remarks | |

| functioning equipment | warranty, awaiting Under repair | | | |-------------------------|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------| | Functional | functioning Non | Functional Functional Functional Functional Functional Functional Functional | Functional Functional | | On-Grid | solar | On-Grid On-Grid On-Grid On-Grid On-Grid On-Grid On-Grid | On-Grid On-Grid | | Refrigera tor | Refrigera tor | Refrigera Refrigera Refrigera Refrigera Refrigera Refrigera Refrigera tor tor tor tor tor tor tor | Refrigera Refrigera tor tor | | CFD-50 | 50SDD CFD- | TCW40R CFD-50 CFD-50 CFD-50 CFD-50 CFD-50 CFD-50 AC | TCW40R TCW40R AC AC | | 15 | | 15 15 15 15 15 15 | 15 15 | | 2023 | 15 | 15 | | | | 2023 | 2023 2023 2023 2023 2023 2023 2023 | 2023 2023 | | Meta fridge | Meta fridge | Meta fridge Meta fridge Meta fridge Meta fridge Meta fridge Meta fridge BMedical Systems Inyuu Health | BMedical Systems BMedical Systems | | S.c.Hospital Mutitu | Kamungu Dispensary | HealthCentre MalikuHealth HealthCentre Kisasi Health Dispensary Dispensary Mbusyani Dispensary Nthongoni Kilonzo Centre Kyango Mwitika Centre kitui Rural kitui Rural kitui Rural | HealthCentre Centre kamutei | | | Kitui East | Kitui East Kitui East Kitui East Kitui East kitui Rural | South Kitui | | Kitui East | | | |

| Kituiwest | | Kituiwest | Kituiwest | Kituiwest | Kitui west South Kitui | South Kitui | South Kitui | South Kitui | South Kitui | South Kitui | |---------------------------------------------------------|-----------------|---------------------|-------------------|----------------------|--------------------------|------------------------|--------------------------|-------------------|--------------------|-------------------------------------------| | Health Centre Kwa Mutonga | Clinic MamaVero | Dispensary Kyondoni | Dispensary Kivani | Centre katutu Health | Dispensary Vote | Health Centre Kisayani | Health Centre Katyethoka | Dispensary Maluma | Dispensary Yongela | FINANCIALYEAR2024/2025 Dispensary Mesilya | | Haier | Meta fridge | Haier | Haier | Haier | Haier | Systems BMedical | Systems BMedical | Meta fridge | Haier | Haier | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | | HBCD-90 | CFD-50 | HBCD-90 | HBCD-90 | HBCD-90 | HBCD-90 | TCW40R | AC TCW40R | CFD-50 | HTC-110 | HTC-110 | | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | | On-Grid | On-Grid | On-Grid | On-Grid | On-Grid | On-Grid | On-Grid | On-Grid | On-Grid | solar | solar | | functioning Non | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | anewone issued with repair,and awaiting warranty, Under | | | | | | | | | | |

| Functional | Functional | Functional Functional Functional Functional Functional | Functional Functional Functional | Functional | |------------------------------------------------------------|-----------------------------------|-----------------------------------------------------------------------------------------------------|---------------------------------------------|--------------------------------| | solar | solar solar | On-Grid On-Grid solar solar | On-Grid On-Grid On-Grid | On-Grid | | Refrigera tor | Refrigera Refrigera tor tor | Refrigera Refrigera Refrigera Refrigera tor tor tor tor tor | Refrigera Refrigera Refrigera tor tor tor | Refrigera tor | | HTC-110 | HTC-110 TCW40 SDD | HBCD-90 HBCD-90 TCW40 CFD50 TCW40 SDD SDD | HBCD-90 HBCD-90 | HBCD-90 | | 15 | 15 | 15 15 | | | | | 15 | 15 15 15 | 15 15 | 15 | | 2023 | 2023 2023 | 2023 2023 2023 2023 2023 | 2023 2023 | 2023 | | Haier | BMedical Haier | Meta fridge Systems BMedical Systems BMedical Systems Haier Haier | Haier Haier | Haier | | FINANCIALYEAR2024/2025 Ndiuni Health Mithikwani Dispensary | Dispensary Kanyunga Kyumbe Centre | HealthCentre Mutyangome community Dispensary Dispensary Dispensary Dispensary Nduvani Ngieni Muyuni | Nursing Home WaitaHealth Dispensary Mumbuni | Mivukoni Centre Healtrh Centre | | Kituiwest Kitui west | central Mwingi | Mwingi central | Mwingi | Mwingi North | | | Mwingi central | Mwingi central Mwingi central Mwingi central Mwingi | central Mwingi central | central |

| west mwingi | west mwingi | west mwingi | west mwingi | west mwingi | west mwingi | west Mwingi North | Mwingi | North wMingi | North Mwingi | North Mwingi | North Mwingi North Mwingi | |---------------------|-------------------|-------------------|-------------------|-------------------|-----------------------|---------------------|-----------------------|----------------------|--------------------------|--------------------------------|-----------------------------------------| | Dispensary Kairungu | Dispensary Karura | Dispensary Itumbi | Dispensary Kilulu | Dispensary Kanyaa | HealthCentre Mbondoni | Dispensary Kasevi | Dispensary Ngungani | Dispensary Kamusiliu | Dispensary Nguuku Centre | KatseHealth Dispensary Twimyua | FINANCIALYEAR2024/2025 Dispensary Ngaie | | Systems BMedical | Meta fridge | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Systems BMedical | Haier | Haier | Haier | Haier Haier | Systems BMedical | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 2023 | 2023 | 2023 | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 15 | 15 | 15 | | SDD TCW40 | CFD50 | 2000AC TCW | SDD TCW40 | 2000 AC TCW | 2000AC TCW | SDD TCW40 | HBCD-90 | HBCD-90 | HBCD-90 HBCD-90 | HBCD-90 | SDD TCW40 | | tor Refrigera | tor Refrigera | tor Refrigera | Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | Refrigera tor | Refrigera tor Refrigera | tor Refrigera | | solar | solar | On-Grid | solar | On-Grid | On-Grid | solar | On-Grid | On-Grid On-Grid | On-Grid | On-Grid | solar | | Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional Functional | Functional | Functional | Functional | Functional |

| Functional | Functional Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | Functional Functional | | Functional | |------------------------------------|-------------------------|-----------------------------|--------------------|----------------------|-------------------|-----------------|--------------|-------------------|---------------------|-------------------------|--------------------|---------------------| | On-Grid | On-Grid On-Grid | On-Grid | On-Grid | On-Grid | solar | On-Grid | solar | solar | solar | On-Grid | | On-Grid | | Refrigera tor | Refrigera Refrigera tor | Refrigera tor tor | Refrigera tor | Refrigera | Refrigera tor tor | combo | Refrigera | tor | Refrigera tor | Refrigera tor | combo | Refrigera tor | | 2000AC TCW | CFD50 CFD50 | HBCD-90 | HBCD-90 | HBCD-90 | TCW40 SDD | 2000AC TCW | TCW40 | SDD | TCW40 SDD | TCW40 SDD | 2000AC TCW | TCW40R | | 15 | 15 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | | 15 | | 2023 | 2023 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | | 2023 | 2023 | | BMedical Systems | Meta fridge Meta fridge | Haier | Haier | Haier | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | | B-Medical | | HealthCentre Nzeluni Kisovo | Dispensary Kea | Dispensary Dispensary Kiomo | Dispensary Nzatani | Kavuvwani Dispensary | Kyangunga H | Dispensary Tiva | Endau | Dispensary Kaliku | Dispensary Kinakoni | Dispensary | Dispensary Kyamatu | Dispensary Malalani | | FINANCIALYEAR2024/2025 mwingi west | mwingi mwingi west | mwingi west west | mwingi west | mwingi west | Central Kitui | Central Kitui | Kitui East | Kitui East | Kitui East | | Kitui East | Kitui East |

| South Kitui | South Kitui | South Kitui | South Kitui | South Kitui | South Kitui | South Kitui | Kitui Rural | Kitui Rural | Kitui Rural Kitui Rural | | Kitui East Kitui East | |---------------------|--------------------|--------------------------------------|------------------------------|---------------|--------------------|----------------------------|-----------------------|---------------------|---------------------------|----------------|---------------------------------------------| | Dispensary Muangeni | Dispensary Monguni | Centre Katilini Health Health centre | kasaala HealthCentre Kanziku | HealthCentre | Kamutei Dispensary | Ilengi Dispensary Muselele | Centre Mbitini Health | Dispensary KwaVonza | Kanyongonyo | HOSPITAL ZOMBE | FINANCIALYEAR2024/2025 Dispensary Muthungue | | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | | 15 | 15 | 15 | 15 15 | | 15 15 | 15 | 15 | 15 | 15 | 15 | 15 | | SDD TCW40 | SDD TCW40 | SDD TCW40 2000AC | TCW | TCW40R | TCW40R SDD TCW 40 | SDD TCW40 | TCW 40R | TCW40 | SDD TCW40 | TCW 40 | TCW40R | | tor Refrigera | tor Refrigera | tor Refrigera | combo tor Refrigera | | tor Refrigera tor | Refrigera tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | tor Refrigera | | solar | solar | solar | On-Grid | On-Grid | On-Grid | solar solar | On-Grid | solar | solar | solar | On-Grid | | Functional | Functional | Functional | Functional | Functional | Functional | Functional Functional | Functional | Functional | Functional | Functional | Functional |

| Functional | Functional | Functional | Functional | Functional | Functional | Functional | Functional | | | | |------------------------------------------|--------------------------|-------------------|---------------------|--------------------|-------------------|-----------------------|--------------|---------------|----------------------------|-------------------------| | solar | solar | solar | solar | solar | solar | solar | solar | | | | | Refrigera tor | Refrigera | Refrigera tor | Refrigera tor | Refrigera tor | Refrigera tor | Refrigera tor | tor | Refrigera tor | | | | TCW 40 SDD | TCW40 SDD | TCW40 SDD | TCW 40 SDD | TCW40 SDD | TCW40 SDD | | TCW40 SDD | TCW40 SDD | | | | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | | | | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | | | | | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | B-Medical | | | | | FINANCIALYEAR2024/2025 MuthaHealth Kitui | Dispensary Centre Yaathi | Dispensary Thitha | Kamuongo Dispensary | Dispensary Kandwia | Dispensary Mataka | Health Centre Tharaka | Kea | Dispensary | Number of solar- powered52 | Totalnumber89 powered37 | | GAVI-COLD CHAIN EQUIPMENT DISTRIBUTION | South Kitui South | Mwingi Central | Mwingi North | Mwingi North | Mwingi North | Mwingi | North | Mwingi West | Number of grid- | |

| | + | 3 | 2 | | NO. | | | | NO. | |---------------------------------|-------------------------------------------------------|------------------------------------------------------|----------------------------------------------|---------------------------------------------------------|--------------------|-----------------------------------------|-------------------------------------------|---------------------|-------------------------------------| | 5Tseikuru | Kyuso | Ikutha | Katulani | 1Ikanga | FACILITY | 2.OXYGENMANIFOLDS,SHEDS,ANDOXYGENPIPING | | Oxygencylinder | 1.OXYGEN CYLINDERS DESCRIPTION ITEM | | Not done | Notdone | Not done | Not done | Not done | SHED MANIFOLD | | 1360ltrs | 3400ltrs 8500Itrs | SIZE | | Done | Notdone | Not done | Not done | Done | PIPING OXYGEN | | | 170 300 | DELIVERED QUANTITY | | 31/2/2025 and 6/6/2025 | | | | 12/6/2025 and 5/6/2025 | DELIVERY YEAR OF | | 2023 | 2023 2023 | DELIVERY YEAR OF | | | | | | | (YEARS) USEFULLIFE | | | | (YEARS) USEFULLIFE | | constructed,but Manifold notyet | workhasnotstarted been delivered,and Materialshavenot | workhasnotstarted beendelivered,and Materialshavenot | hasnotstarted delivered,butwork materialsare | beendone oxygenpipinghas constructed,but Manifoldnotyet | REMARK | | Functional and inuse Functional and inuse | Functional andinuse | FUNCTIONALITY |

ANNEXVIII:Global Equipment

| NO. | | | 9 | S | 4 | 3 | | | NO. | | | | |----------------------------------------------------------------|-----------------------|---------|-----------------------|---------------------|-----------------------|-----------------------|----------------------------|-------------------------------|--------------------|-----------|-----------------------------------------------------|---------------------------| | FACILITY | Ikanga | Migwani | Tseikuru | Kyuso | Ikutha | 2 Hospital | Mwingi Sub County Hospital | Kitui CountyReferral FACILITY | 3.MEDICALEQUIPMENT | 9 Migwani | | | | DELIVERY DATE | | | | | | | | | MONITOR PATIENT | | Notdone | | | 4.BULKY LIQUID OXYGEN (A TOTAL OF 61,560Kg) DELIVERED QUANTITY | | 2 | 2 | 2 | | 2 | | 2 | SPLITTERS OXYGEN | | Notdone | | | | | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | 2023 | DELIVERY YEAR OF | | | | | | | | | | | | | | USEFULLIFE (YEARS) | | | | | REMARKS | Functional and in use | | Functional and in use | Functional andinuse | Functional and in use | Functional and in use | Functional and in use | Functional and in use | FUNCTIONALITY | | workhasnotstarted beendeliveredand Materialshavenot | beendone oxygen pipinghas |

| | | | | | | | Hospital Kitui County Referral | |------------|------------|------------|------------|-----------|------------|----------|----------------------------------| | 15/08/2025 | 31/07/2025 | 17/07/2025 | 29/06/2025 | 11/6/2025 | 15/05/2025 | 4/5/2025 | 31/03/2025 | | 4,697 | 5,361kg | 4,662kg | 3,659kg | 5,640kg | 4,815kg | 4,732kg | 8,687kg | | | | | | | | | confirmed Deliveries done and |

OPERATIONALPUBLIC HEALTHCAREFACILITIES

| SNOFACILITY | LEVEL COUNTYVILLAGE | WARD | SUB-COUNTY | |---------------------------------------------|--------------------------------------------------|---------------------------------|---------------------------| | 1KASYALAHEALTHCENTRE 2WANZUADISPENSARY | LEVEL3AIVAINI | KYANGWITHYAEAST KYANGWITHYAEAST | KITUICENTRAL KITUICENTRAL | | 3MUSEVEDISPENSARY | LEVEL2 IVAINI LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 4KYALILINIDISPENSARY | LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 5WALUKUDISPENSARY | LEVEL2 MUSEVE | KYANGWITHYAEAST | KITUICENTRAL | | 6NZUNGUNIDISPENSARY | LEVEL2 MISEWANI | KYANGWITHYAEAST | KITUICENTRAL | | 7KABAADISPENSARY | LEVEL2 KALAWA/KABAA | KYANGWITHYAEAST | KITUICENTRAL | | 8MULUNDIDISPENSARY | LEVEL2 MULUNDI | KYANGWITHYAEAST | KITUICENTRAL | | 9MUTUNIDISPENSARY | LEVEL2 MUTUNE TUNGUTU | KYANGWITHYAEAST | KITUICENTRAL KITUICENTRAL | | 10TUNGUTUHEALTHCENTRE 11TIVADISPENSARY | LEVEL3A LEVEL2 KYAMATHYKA/NDUUMONI/TIVA | KYANGWITHYAWEST KYANGWITHYAWEST | KITUICENTRAL | | 12KAVUTADISPENSARY | LEVEL2 KAVUTA | KYANGWITHYAWEST | KITUICENTRAL | | 13 ITOLEKADISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 14KAKUUNIDISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 15 5KALIAKAKYADISPENSARY | LEVEL2 UTOONI/MBUSYANI | KYANGWITHYAWEST | KITUICENTRAL | | 16KALIKUVUDISPENSARY | LEVEL2 ITOLEKA | KYANGWITHYAWEST | KITUICENTRAL | | 17 KISYOKADISPENSARY | LEVEL2 KAVUTA | KYANGWITHYAWEST | KITUICENTRAL | | 18MANGINADISPENSARY | LEVEL2 KAVUTA | KYANGWITHYAWEST | KITUICENTRAL | | 19 MULUTUDISPENSARY | LEVEL2 MULUTU/UNYAA | KYANGWITHYAWEST | KITUICENTRAL | | 20NDUMONIDISPENSARY 21 MIAMBANIHEALTHCENTRE | LEVEL2 KYAMATHYKA/NDUUMONI/TIVA LEVEL3A MUNGANGA | KYANGWITHYAWEST | KITUICENTRAL | | | LEVEL2 KAMANDIO/NDIANI/NZUNE | MIAMBANI | KITUICENTRAL | | 22 KAMANDIODISPENSARY | | MIAMBANI | KITUICENTRAL | | 23 MUTUKYADISPENSARY | LEVEL2 MUTULA/MUTUKYA | MIAMBANI | KITUICENTRAL | | 24 MAKAANIDISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | 25 MIKUYUNIDISPENSARY | LEVEL2 KANZAU/MALILI/MIYUKUNI | MIAMBANI | KITUICENTRAL | | 26MWANYANIDISPENSARY | LEVEL2 KANZAU/MALILI/MIYUKUNI | MIAMBANI | KITUICENTRAL | | 27 USIANIDISPENSARY 28 KAVALODISPENSARY | LEVEL2 KAVALO/USIANI LEVEL2 KAVALO/USIANI | MIAMBANI MIAMBANI | KITUICENTRAL KITUICENTRAL | | 29 KIVIUDISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | 30KATULANISUBCOUNTYHOSPITAL | LEVEL3B KATULANI | MULANGO | KITUICENTRAL | | 31 KYANGUNGAHEALTHCENTRE | LEVEL3A KYANGUNGA | MULANGO | KITUICENTRAL | | 32 KANGALUDISPENSARY KATHUNGIDISPENSARY | LEVEL2 WIKILILYE LEVEL2 KATHUNGI | MULANGO MULANGO | KITUICENTRAL KITUICENTRAL | | 34 KITUNDUDISPENSARY | LEVEL2 KYANGUNGA | MULANGO | KITUICENTRAL | | 35KYAMBITIDISPENSARY | LEVEL2 KYAMBITI | MULANGO | KITUICENTRAL | | 36KYANDUIDISPENSARY | LEVEL2 WII | MULANGO | KITUICENTRAL | | 37 WIIDISPENSARY | LEVEL2 WII | MULANGO | KITUICENTRAL | | 38YAKALIADISPENSARY 39 | LEVEL2 KWAMULI TOWN | MULANGO | KITUICENTRAL KITUICENTRAL | | KITUICOUNTYREFERRALHOSPITAL | LEVEL4 | TOWNSHIP | KITUICENTRAL | | 40 TOWNSHIPDISPENSARY 41SYONGILADISPENSARY | LEVEL2 MAJENGO/MANYENYONI LEVEL2 KAVETA/SYONGILA | TOWNSHIP TOWNSHIP | KITUICENTRAL | | 42 KITUIGKPRISONDISPENSARY | LEVEL2 TOWN | TOWNSHIP | KITUICENTRAL | | 43VINDADISPENSARY | LEVEL2 NZAYA | MIAMBANI | KITUICENTRAL | | 44 YANZUUHEALTHCENTRE | LEVEL3A ITHUMULAVILLAGE | | KITUIEAST | | | | NZAMBANI | | | 45 NZANGATHIHEALTHCENTRE KATUMBUDISPENSARY | LEVEL3A KYALELEVILLAGE LEVEL2 | CHULUNI | KITUIEAST | | 46 47 KALULUDISPENSARY | KANDUTIVILLAGE LEVEL2 KANDUTIVILLAGE | CHULUNI CHULUNI | KITUIEAST | | 48 3KAMAEMBEDISPENSARY | LEVEL2 KYANZAIVILLAGE | CHULUNI | KITUIEAST KITUIEAST | | 49 KANZAUWUDISPENSARY | LEVEL2 KYALELEVILLAGE | CHULUNI | KITUIEAST | | 50 KIONGWEDISPENSARY | LEVEL2 NGUNGIVILLAGE | CHULUNI | KITUIEAST | | 51 KANDUTIDISPENSARY | LEVEL2 KANDUTIVILLAGE | CHULUNI | | | | | | KITUIEAST KITUIEAST | | 52 MALALANIHEALTHCENTRE 53 ENDAUDISPENSARY | LEVEL3A SYOU LEVEL2 NDETANIVILLAGE | ENDAUMALALANI ENDAU MALALANI | KITUIEAST | | 54 TWAMBUIDISPENSARY | LEVEL2 TWAMBUI/MAKUKA | ENDAUMALALANI | KITUIEAST | | 55 YIUKUDISPENSARY | LEVEL2 YIUKU/KATHUAVILLAGE | ENDAUMALALANI | KITUIEAST | | 56 MUTITUSUBCOUNTYHOSPITAL | LEVEL3B KITOO | MUTITO/KALIKU | KITUIEAST | | 57 KALIKUDISPENSARY | LEVEL2 KAWALA/KAVUTEI | MUTITO/KALIKU | KITUIEAST | | 58 ITIKODISPENSARY | LEVEL2 KYAIMU/ITIKO | MUTITO/KALIKU | KITUIEAST | | 59 YOONYEDISPENSARY | | MUTITO/KALIKU | KITUIEAST | | 60 MANYOENI | LEVEL2 MUSUKINI LEVEL2 MANYOENI/MASASANI | MUTITO/KALIKU | KITUIEAST | | 61 CHULUNIHEALTHCENTRE | LEVEL3A KILONZOVILLAGE | NZAMBANI | KITUIEAST | | 62KAKUNGUDISPENSARY | LEVEL2 KAVALULA/NGENGIVILLAGE | NZAMBANI | KITUIEAST | | 63 IKUYUNIDISPENSARY | LEVEL2 IKUYUNIVILLAGE | NZAMBANI | KITUIEAST | | 64 KILONZODISPENSARY | LEVEL2 KILONZOVILLAGE | NZAMBANI | KITUIEAST | | 65KAMUUNGUDISPENSARY | LEVEL2 KANGWENIVILLAGE | NZAMBANI | KITUIEAST | | 66VOOHEALTHCENTRE | | | KITUIEAST | | | LEVEL3A KASASI | VOOJKYAMATU | |

| 67 KINAKONIDISPENSARY | LEVEL2 KASASI | VOO/KYAMATU | KITUIEAST | |-------------------------------------------------|-----------------------------------------------|-------------------------------|-----------------------| | 68KYAANGODISPENSARY | LEVEL2 KYAANGO | VOO/KYAMATU | KITUIEAST | | 69 KYAMATUDISPENSARY | LEVEL2 KYAMATU/NZANZU | VOO/KYAMATU | KITUIEAST | | 70 KYUUKUNIDISPENSARY | LEVEL2 KYAMATU/NZANZU | VOO/KYAMATU | KITUIEAST | | 71MATUNDUDISPENSARY | LEVEL2 MUTHUNGUE | VOO/KYAMATU | KITUIEAST | | 72MUTHUNGUEDISPENSARY | LEVEL2 MUTHUNGUE | VOO/KYAMATU | KITUIEAST | | 73ZOMBESUBCOUNTYHOSPITAL | LEVEL3B MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 74 INYUUHEALTHCENTRE | LEVEL3A THUA | ZOMBE/MWITIKA | KITUIEAST | | 75 MWITIKAHEALTHCENTRE | LEVEL3A ILAA/KATIKONI | ZOMBE/MWITIKA | KITUIEAST | | 76 KAUMUHEALTHCENTRE | LEVEL3A THUA | ZOMBE/MWITIKA | KITUIEAST | | 77 MAKONGODISPENSARY | LEVEL2 MAKONGO/KAVINGO | ZOMBE/MWITIKA | KITUIEAST | | 78 NGAAKAYAKWADISPENSARY | LEVEL2 MAKONGO/KAVINGO | ZOMBE/MWITIKA | KITUIEAST | | 79 KASUNGUNIDISPENSARY | LEVEL2 NGUNGI/KASUNGUNI | ZOMBE/MWITIKA | KITUIEAST | | 80NGELANIDISPENSARY | LEVEL2 MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 81KABATIDISPENSARY(MOBILECLINIC) | LEVEL2 MALATANI | ZOMBE/MWITIKA | KITUIEAST | | 82KIKUUDISPENSARY | LEVEL2 KIKUU | ZOMBE/MWITIKA | KITUIEAST | | 83NGUNGIDISPENSARY | LEVEL2 NGUNGI/KASUNGUNI | ZOMBE/MWITIKA | KITUIEAST | | 84KANGUUDISPENSARY | LEVEL2 KENZE | CHULUNI | KITUIEAST | | 85KATUMBIDISPENSARY | LEVEL2 KATUMBI/KOI | ENDAU/MALALANI | KITUIEAST | | 86 MAKUKADISPENSARY | LEVEL2 TWAMBUI/MAKUKA | ENDAU/MALALANI | KITUIEAST | | 87KASANG'UDISPENSARY | LEVEL2 NZUNGUNI | VOO/KYAMATU | KITUIEAST | | 88 KANYANGISUBCOUNTYHOSPITAL | LEVEL3A KANYANGI | KANYANGI | KITUIRURAL | | 89 KALULINIHEALTHCENTRE | LEVEL3A KALULINI | KANYANGI | KITUIRURAL | | 90 KISEUNIDISPENSARY | LEVEL2 KISEUNI | KANYANGI | KITUIRURAL | | 91 KANYONGONYODISPENSARY | LEVEL2 KANYONGONYO | KANYANGI | KITUIRURAL KITUIRURAL | | 92 MASIMBADISPENSARY 93 SYOMUNYUDISPENSARY | LEVEL2 KITOONI | KANYANGI KANYANGI | | | 94 NZAMBIA | LEVEL2 KALULINI LEVEL2 NZAMBIA | KANYANGI | KITUIRURAL KITUIRURAL | | 95 NGOMONI 96 KISASIHEALTHCENTRE | LEVEL2 KALULINI LEVEL3A MASIMBINI | KANYANGI KISASI | KITUIRURAL KITUIRURAL | | 97 MALIKUHEALTHCENTRE | | KISASI | | | 98 MOSADISPENSARY | LEVEL3A MALIKU LEVEL2 MOSA | KISASI | KITUIRURAL KITUIRURAL | | 99 KAVISUNIDISPENSARY | LEVEL2 KAVISUNI | | KITUIRURAL | | | | KISASI | | | 100 MBUSYANIDISPENSARY 101 MUKAMENIDISPENSARY | LEVEL2 MBUSYANI LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI KISASI | KITUIRURAL KITUIRURAL | | 102 NGUUNIDISPENSARY | LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI | KITUIRURAL | | 103 UNGAATUDISPENSARY | LEVEL2 NGUUNI/MUKAMENI/UNGATU | KISASI | KITUIRURAL | | | | KISASI | | | 104 NGILUNIDISPENSARY-KITUIRURAL | LEVEL2 NGILUNI(KISASI) LEVEL5 KANYONYOO | KWAVONZA/YATTA | KITUIRURAL KITUIRURAL | | 105 BOARDERPATROLHOSPITAL 106 YATTAHEALTHCENTRE | LEVEL3A MAKUSYA | KWAVONZA/YATTA | KITUIRURAL | | 107 KATHOMEHEALTHCENTRE | LEVEL3A KAWONGO/NTHONGONI | KWAVONZA/YATTA | KITUIRURAL | | 108 NTHONGONIHEALTHCENTRE | LEVEL3 KAWONGO/NTHONGONI | KWAVONZA/YATTA | KITUIRURAL KITUIRURAL | | 109KWAVONZADISPENSARY 110ILIKADISPENSARY | LEVEL2 KWAVONZA LEVEL2 ILIKA | KWAVONZA/YATTA KWAVONZA/YATTA | KITUIRURAL | | 111 KAMANYIDISPENSARY | LEVEL2 KAWONGO/NTHONGONI | KWAVONZA/YATTA | KITUIRURAL | | 112 KWAKILUIDISPENSARY | LEVEL2 MAKUSYA | KWAVONZA/YATTA | KITUIRURAL | | 113MUSELELEDISPENSARY | LEVEL2 ILIKA | KWAVONZA/YATTA | KITUIRURAL | | 114APKANYONYOODISPENSARY | LEVEL2 KANYONYOO | KWAVONZA/YATTA | KITUIRURAL | | 115MBITINIHEALTHCENTRE | LEVEL3A MBITINI | MBITINI | KITUIRURAL KITUIRURAL | | 116NGANGANIDISPENSARY | LEVEL2 NGANGANI | MBITINI | | | 117KANZAUDISPENSARY | LEVEL2 KANZAU | MBITINI | KITUIRURAL | | 118KATWALADISPENSARY 119KITUNGATIDISPENSARY | LEVEL2 KATWALA LEVEL2 KITUNGATI | MBITINI | KITUIRURAL KITUIRURAL | | 120KIVUUNIDISPENSARY | LEVEL2 KIVUUNI | MBITINI MBITINI | KITUIRURAL | | 121KITOONIDISPENSARY | LEVEL2 KITOONI LEVEL3A MALUMA | KANYANGI | KITUIRURAL | | 122KAMUTEIHEALTHCENTRE | | ATHI | KITUISOUTH | | 123KATILINIHEALTHCENTRE 124ATHIDISPENSARY | LEVEL3A KATILINI | ATHI | KITUISOUTH | | 125ILENGIDISPENSARY | LEVEL2 KILAWA LEVEL2 | ATHI ATHI | KITUISOUTH | | 126 KALIVUDISPENSARY | MUAMBANI/MONGUNI LEVEL2 KALIVU | ATHI | KITUISOUTH KITUISOUTH | | 127 KILAWADISPENSARY 128MONGUNIDISPENSARY | LEVEL2 KILAWA | ATHI | KITUISOUTH | | 129 KITUTIDISPENSARY | LEVEL2 MUAMBANI/MONGUNI LEVEL2 UPPERKITUTI | ATHI ATHI | KITUISOUTH KITUISOUTH | | 130MUKUANIMADISPENSARY 131 NGATIIEDISPENSARY | LEVEL2 KISIIO LEVEL2 LOWERKITUTI | ATHI | KITUISOUTH KITUISOUTH | | 132 KATULUDISPENSARY | | ATHI | | | 133 MWATHEDISPENSARY | LEVEL2 MAKAIYI | ATHI | KITUISOUTH KITUISOUTH | | 134 GOSHENIDISPENSARY | LEVEL2 LOWERKITUTI LEVEL2 MUAMBANI/MONGUNI | ATHI ATHI | KITUISOUTH | | 135MALUMADISPENSARY | LEVEL2 MALUMA | ATHI | KITUISOUTH KITUISOUTH | | | LEVEL3 KYATUNE | | | | 136KYATUNEHEALTHCENTRE | | IKANGA/KYATUNE | |

| 137NDATANIDISPENSARY | LEVEL2 NDATANI/VOTE | IKANGA/KYATUNE | KITUISOUTH | |----------------------------------------------------|---------------------------------------------|-------------------------------|-----------------------------| | 138NDUUNDUNEDISPENSARY 139TUVILADISPENSARY | LEVEL2 NDUUNDUNE/KWASONGE/ILUSYA | IKANGA/KYATUNE | KITUISOUTH KITUISOUTH | | 140YAATHIDISPENSARY | LEVEL2 MAKELE/KIANGWA | IKANGA/KYATUNE IKANGA/KYATUNE | KITUISOUTH | | 141YONGELADISPENSARY | LEVEL2 NGWANI/YONGELA LEVEL2 NGWANI/YONGELA | IKANGA/KYATUNE | KITUISOUTH | | 142VOTE | LEVEL2 NDATANI/VOTE | IKANGA/KYATUNE | KITUISOUTH | | 143MESILYA | LEVEL2 NGWANI/YONGELA | IKANGA/KYATUNE | KITUISOUTH | | 144IKANGASUBCOUNTYHOSPITAL | LEVEL3B NDUUNDUNE/KWASONGE/ILUSYA | IKANGA/KYATUNE | KITUISOUTH | | 145IKUTHASUBCOUNTYHOSPITAL | LEVEL3B MAAINI/NGAUWUNI | IKUTHA | KITUISOUTH | | 146KASAALAHEALTHCENTRE 147KALULUINIDISPENSARY | LEVEL3A KASAALA/UUINI KASAALA/UUINI | IKUTHA IKUTHA | KITUISOUTH KITUISOUTH | | 148KIMWELIDISPENSARY | LEVEL2 LEVEL2 KASAALA/UUINI | IKUTHA | KITUISOUTH | | 149KYOANIDISPENSARY | LEVEL2 KYOANI | IKUTHA | KITUISOUTH | | 150KASARANI | LEVEL2 NZAMBA | IKUTHA | KITUISOUTH | | 151 KANZIKUHEALTHCENTRE | LEVEL2 KEUTUNDA/KYANYAA | KANZIKU | KITUISOUTH | | 152 MUTHUEDISPENSARY | LEVEL2 KIVANDENI/MWANIANGA | KANZIKU | KITUISOUTH | | 153EKANIDISPENSARY | LEVEL2 EKANI/SIMISI | KANZIKU | KITUISOUTH | | 154KALIANIDISPENSARY | LEVEL2 NDILILI/MIVUNI | KANZIKU | KITUISOUTH | | 155 KITUVWIDISPENSARY 156MIKONGOONIDISPENSARY | LEVEL2 KITUVWI/ILAMBA LEVEL2 EKANI/SIMISI | KANZIKU KANZIKU | KITUISOUTH KITUISOUTH | | 157 MUTHAHEALTHCENTRE | LEVEL3B NGAANI | MUTHA | KITUISOUTH | | 158 KATYETHOKAHEALTHCENTRE | LEVEL3A KIVYUNI/KIIMANI | MUTHA | KITUISOUTH | | 159 KAATENEDISPENSARY | LEVEL2 KAATENE/KALAMBANI | MUTHA | KITUISOUTH | | 160 KALAMBANIDISPENSARY | LEVEL2 KAATENE/KALAMBANI | MUTHA | KITUISOUTH | | 161 KIATIDISPENSARY | LEVEL2 KENGO/KIATI/MWENGEA | MUTHA | KITUISOUTH | | 162 SYAMATANIDISPENSARY | LEVEL2 NDAKANI | MUTHA | KITUISOUTH | | 163 MUTOMOSUBCOUNTYHOSPITAL | LEVEL2 KAWELU KIBWEA | MUTOMO | KITUISOUTH | | 164 KISAYANIHEALTHCENTRE 165 KAYANG'OMBEDISPENSARY | LEVEL3A LEVEL2 | MUTOMO | KITUISOUTH | | | LEVEL2 MWALA | MUTOMO | KITUISOUTH | | 166 MAKONGONIDISPENSARY | LEVEL2 KANDAE | MUTOMO | KITUISOUTH | | 167 MUAMBADISPENSARY | LEVEL2 UAE | MUTOMO | KITUISOUTH KITUISOUTH | | 168 MUVUKODISPENSARY 169 MWALADISPENSARY | LEVEL2 KITOO LEVEL2 MWALA | MUTOMO MUTOMO | KITUISOUTH | | | | MUTOMO | KITUISOUTH | | 170 MWENGEADISPENSARY | LEVEL2 KAWELU | MUTOMO | KITUISOUTH | | 171 UAEDISPENSARY | UAE | | KITUISOUTH | | 172 KIVIUDISPENDARY 173 KATHUNGUDISPENSARY | LEVEL2 UAE LEVEL2 KATHUNGU | MUTOMO IKANGA/KYATUNE | KITUISOUTH KITUISOUTH | | 174 NGWATEDISPENSARY 175ISAADISPENSARY | LEVEL2 NGWATE LEVEL2 ISAA | IKUTHA MUTHA | KITUISOUTH | | | LEVEL3B KAUWI | | KITUIWEST | | 176KAUWISUBCOUNTYHOSPITAL 177KATUTUHEALTHCENTRE | LEVEL2 KATUTU | KAUWI | KITUIWEST | | 178K KISEVENIDISPENSARY | LEVEL2 MUTINI | KAUWI | KITUIWEST | | 179 KIVANIDISPENSARY | LEVEL2 KIVANI | KAUWI | KITUIWEST | | 180 KYONDONIDISPENSARY | LEVEL2 KAUWI | KAUWI | KITUIWEST | | 181 MUTANDADISPENSARY | LEVEL2 MUTANDA(KAUWI) | KAUWI | KITUIWEST | | 182 KWAMUTONGAHEALTHCENTRE | LEVEL3A MUTONGA LEVEL3A KASAINI | KWAMUTONGA/KITHUMULA | KITUIWEST | | 183 NDIUNIHEALTHCENTRE | | KWAMUTONGA/KITHUMULA | KITUIWEST | | 184 KWAMULUNGUDISPENSARY | LEVEL2 KWA MULUNGU | KWAMUTONGA/KITHUMULA | KITUIWEST | | 185 MITHIKWANIDISPENSARY | LEVEL2 MITHIKWANI | KWAMUTONGA/KITHUMULA | KITUIWEST | | 186 SYOKITHUMBIDISPENSARY | LEVEL2 MUTONGA | KWAMUTONGA/KITHUMULA | KITUIWEST KITUIWEST | | 187 MATINYANIHEALTHCENTRE | LEVEL3A KATHEUNI/KALIAKAYA | MATINYANI | | | 188 KAUMAHEALTHCENTRE | LEVEL3 KAUMA/MUSOSYA | | KITUIWEST | | 189 KALIMANIDISPENSARY | LEVEL2 KALIMANI | MATINYANI MATINYANI | KITUIWEST | | 190 MASEKIDISPENSARY-KITUIWEST | LEVEL2 MASEKI | MATINYANI | KITUIWEST | | 191 KATHUMADISPENSARY | LEVEL2 KATHUMA | MATINYANI | KITUIWEST | | 192 TULIAHEALTHCENTRE | LEVEL3A MITHINI | MUTONGUNI | KITUIWEST | | 193 KAKEANIHEALTHCENTRE | LEVEL3A KAKEANI | MUTONGUNI | KITUIWEST | | 194 KITAMWIKIDISPENSARY | LEVEL2 MITHINI | MUTONGUNI | | | 195 NZINIADISPENSARY | LEVEL2 MUTONGUNI | MUTONGUNI | KITUIWEST KITUIWEST | | 196 SYATHANIDISPENSARY | LEVEL2 MUSENGO | MUTONGUNI | KITUIWEST | | 197 YALATANIDISPENSARY 198 KILIMUDISPENSARY | LEVEL2 YALATANI LEVEL2 KITHUMULA | MUTONGUNI | KITUIWEST | | | | KWAMUTONGA | KITUIWEST KITUIWEST | | 199 KYENG'EDISPENSARY | LEVEL2 KYENG'E | KAUWI | | | 200 MWINGISUBCOUNTYHOSPITAL | LEVEL4 MWINGICENTRAL | CENTRAL | | | 201 KALISASIHEALTHCENTRE | LEVEL3A KALISASI | CENTRAL | MWINGICENTRAL MWINGICENTRAL | | 202 MATHYAKANIDISPENSARY | LEVEL2 MATHYAKANI(MWINGICENTRAL) | CENTRAL CENTRAL | MWINGICENTRAL MWINGICENTRAL | | 203 MUSUKINIDISPENSARY | LEVEL2 KANZANZANZU | | MWINGICENTRAL | | | KANZUI | KIVOU | | | 204 KANYUNGAHEALTHCENTRE 205 THITHADISPENSARY | LEVEL3A LEVEL2 ENZIU | KIVOU | MWINGICENTRAL | | 206 KANZUIDISPENSARY | LEVEL2 KANZUI | KIVOU | MWINGICENTRAL | | 207 KARUNG'ADISPENSARY | LEVEL2 | KIVOU | MWINGICENTRAL | | | ENZIU | | |

| 208MATHUKIHEALTHCENTRE | LEVEL3A KITISE | MUI | MWINGICENTRAL | |-------------------------------------------------------------------|------------------------------------------------|-------------------|-----------------------------| | 209 9MUIDISPENSARY | LEVEL2 NGILUNI | MUI | MWINGICENTRAL | | 210 KALITINIDISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 211 KAMULEWADISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 212 LUNDIDISPENSARY | LEVEL2 NGOO | MUI | MWINGICENTRAL | | 213 MUYUNIDISPENSARY | LEVEL2 NGUNGI | MUI | MWINGICENTRAL | | 214 NDUVANIDISPENSARY | LEVEL2 NGUNGI | MUI | MWINGICENTRAL | | 215 YUMBUDISPENSARY | LEVEL2 ITIKO/YUMBU | MUI | MWINGICENTRAL | | 216 NGUNIHEALTHCENTRE | LEVEL3A MWASUMA | NGUNI | MWINGICENTRAL | | 217 UKASIMODELHEALTHCENTRE | LEVEL3A UKASI | NGUNI | MWINGICENTRAL | | 218IVUUSYADISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL | | 219 KALANGADISPENSARY | LEVEL2 MBUVU | NGUNI | MWINGICENTRAL | | 220 MAAIDISPENSARY | LEVEL2 MAAI | NGUNI | MWINGICENTRAL | | 221 MULINDEDISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL | | 222 NGILUNIDISPENSARY-MWINGICENTRAL | LEVEL2 MBUVU | NGUNI | MWINGICENTRAL | | 223 KAVISUDISPENSARY | LEVEL2 IMBA | NGUNI | MWINGICENTRAL | | 224 KAWALADISPENSARY-NGUNI | LEVEL2 MWASUMA | NGUNI | MWINGICENTRAL | | 225 NUUSUBCOUNTYHOSPITAL | LEVEL4 NUU | NUU | MWINGICENTRAL | | 226 KAVINDUHEALTHCENTRE | LEVEL3A KYANGATI | NUU | MWINGICENTRAL | | 227 WINGEMIHEALTHCENTRE | LEVEL3A WINGEMI | NUU | MWINGICENTRAL | | 228 NYAANIDISPENSARY | LEVEL2 NYAANI | NUU | MWINGICENTRAL | | 229 KYUMBEDISPENSARY | LEVEL2 WINGEMI | NUU | MWINGICENTRAL | | 230MATULANIDISPENSARY 231 MUTYANGOMEDISPENSARY | LEVEL2 NUU LEVEL2 MUTYANGOME | NUU | MWINGICENTRAL MWINGICENTRAL | | 232 NGIENICOMMUNITYDISPENSARY | LEVEL2 MUTYANGOME | NUU NUU | MWINGICENTRAL | | 233TUVAANIDISPENSARY | LEVEL2 WINGEMI | NUU | MWINGICENTRAL | | 234YATWADISPENSARY | LEVEL2 NGUUNI | NUU | MWINGICENTRAL | | 235MWAMBIUDISPENSARY | LEVEL2 MWAMBIU | NUU | MWINGICENTRAL | | 236WAITAHEALTHCENTRE | LEVEL3A WAITA | WAITA | MWINGICENTRAL | | | | WAITA | MWINGICENTRAL | | 237ENZIUDISPENSARY 238MUONODISPENSARY | LEVEL2 NYANYAA | WAITA | MWINGICENTRAL | | 239MUTWANGOMBEDISPENSARY | LEVEL2 NYANYAA LEVEL2 KATHOKA | WAITA | MWINGICENTRAL MWINGICENTRAL | | 240MWAMBUIDISPENSARY 241 NYANYAADISPENSARY | LEVEL2 MWAMBUI/IKUUSYA LEVEL2 NYAANYA/KATITIKA | WAITA WAITA | MWINGICENTRAL | | 242 MASAVIDISPENSARY 243 3SOSOMADISPENSARY | LEVEL2 MAAI LEVEL2 SOSOMA/MWANZELE | NGUNI NGUNI | MWINGICENTRAL MWINGICENTRAL | | | LEVEL3B KYUSO | KYUSO | MWINGINORTH | | 244KYUSOSUBCOUNTYHOSPITAL 245KAMUWONGOHEALTHCENTRE | LEVEL2 KAMUWONGO | KYUSO | MWINGINORTH | | 246MIVUKONIHEALTHCENTRE 247KANDWIADISPENSARY | LEVEL2 MIVUKONI LEVEL2 KIMU | KYUSO | MWINGINORTH MWINGINORTH | | 248MATOONIDISPENSARY | LEVEL2 KYUSO | KYUSO KYUSO | MWINGINORTH | | 249MATAKADISPENSARY | LEVEL2 MIVUKONI | KYUSO | MWINGINORTH | | 250NGAIEDISPENSARY 251TIIDISPENSARY | LEVEL2 NGAAIE | KYUSO KYUSO | MWINGINORTH MWINGINORTH | | 252TWIMYUADISPENSARY | LEVEL2 ITIVANZOU LEVEL2 TWIMYUA | KYUSO | MWINGINORTH | | 253MASEKIDISPENSARY-MWINGINORTH 254KAIRUNGUDISPENSARY-MWINGINORTH | LEVEL2 KIMANGAO | KYUSO | | | | LEVEL2 KAMULA | KYUSO | MWINGINORTH MWINGINORTH | | 255KILULUDISPENSARY 256KATSEHEALTHCENTRE | LEVEL2 TWIMYUA LEVEL3A KATSE | KYUSO MUMONI | MWINGINORTH MWINGINORTH | | 257TYAAKAMUTHALEHEALTHCENTRE | LEVEL3A TYAA | MUMONI | MWINGINORTH | | 258KALATINEDISPENSARY | LEVEL2 KAKUYU/KYANDALI | MUMONI | MWINGINORTH | | 259KANZINWADISPENSARY | LEVEL2 KATSE | MUMONI MUMONI | MWINGINORTH MWINGINORTH | | 260MUKONG'ADISPENSARY | LEVEL2 MUKONG'A | | | | 261MUMONIDISPENSARY 262NGUUKUDISPENSARY | LEVEL2 NGUUKU LEVEL2 NGUUKU | MUMONI MUMONI | MWINGINORTH MWINGINORTH | | 263NGUUNGANIDISPENSARY | LEVEL2 NGUNGANI | MUMONI | MWINGINORTH | | 264NGOMENIHEALTHCENTRE | LEVEL3A KALWA/KAVUTI | NGOMENI | MWINGINORTH | | | LEVEL2 NDATANI/KAMUSILIU | NGOMENI | MWINGINORTH | | 265KAMUSILIUDISPENSARY | | NGOMENI | MWINGI NORTH | | 266KASILUNIDISPENSARY 267MITAMISYIDISPENSARY 268 | LEVEL2 KAVAANI/IKIME LEVEL2 MITAMISYI/KATHAANI | NGOMENI | MWINGINORTH MWINGINORTH | | THARAKAHEALTHCENTRE 269 KONYUDISPENSARY | LEVEL3A GAKOMBE LEVEL2 KAMAINDI | THARAKA THARAKA | MWINGINORTH | | 270KAMAYANGIDISPENSARY | LEVEL2 GACIGONGO | THARAKA | MWINGINORTH MWINGINORTH | | 271 NTHANGANIDISPENSARY | LEVEL2 KANTHUNGU | THARAKA | | | 272 TSEIKURUSUBCOUNTYHOSPITAL | LEVEL3A TSEIKURU/NZIITU | TSEIKURU | MWINGINORTH MWINGINORTH | | 273 MASYUNGWAHEALTHCENTRE | LEVEL3A MASYUNGWA | TSEIKURU | | | 274 KANINGOHEALTHCENTRE | LEVEL3A KANINGO | TSEIKURU | MWINGINORTH MWINGINORTH | | 275 MULANGONIDISPENSARY | LEVEL2 MULANGONI | TSEIKURU | | | | | | MWINGINORTH | | 276 MUSAVANIDISPENSARY 277 NDOONIDISPENSARY | LEVEL2 MUSAVANI LEVEL2 MULANGONI | TSEIKURU TSEIKURU | MWINGINORTH | | | | TSEIKURU | MWINGINORTH | | 278 USUENIDISPENSARY | LEVEL2 MUSAVANI | TSEIKURU | MWINGINORTH | | 279 NGONGONIDISPENSARY-MWINGINORTH | LEVEL2 KAIVIRYA/NGONGONI LEVEL2 KATUMBI | | MWINGINORTH | | 280 KATUMBIDISPM.NORTH | | | | | | | TSEIKURU | |

| 281GATORONIDISPENSARY | LEVEL2 | KANYENGA/GATORONI | THARAKA | MWINGINORTH | |----------------------------------|-------------------------------------------|-----------------------------|----------------|---------------| | 282KIMELADISPENSARY | LEVEL2 KIMELA/SYUMANI | | NGOMENI | MWINGINORTH | | 283KYETHANIHEALTHCENTRE | LEVEL3A KYETHANI | | KIOMO/KYETHANI | MWINGIWEST | | 284MBONDONIHEALTHCENTRE | LEVEL3A MBONDONI | | KIOMO/KYETHANI | MWINGIWEST | | 285ITONGOLANIDISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 286KAVUVWANIDISPENSARY | LEVEL2 | KAVUVWANI | KIOMO/KYETHANI | MWINGIWEST | | 287KIIODISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 288KIOMODISPENSARY | LEVEL2 | KIOMO | KIOMO/KYETHANI | MWINGIWEST | | 289MUKUTHUDISPENSARY | LEVEL2 | KYETHANI | KIOMO/KYETHANI | MWINGIWEST | | 290 WIKITHUKIDISPENSARY | LEVEL2 | KARURA/WIKITHUKI | KIOMO/KYETHANI | MWINGIWEST | | 291 ITENDEUDISPENSARY | LEVEL2 | KYETHANI | KIOMO/KYETHANI | MWINGIWEST | | 292KARURADISPENSARY | LEVEL2 | KARURA/WIKITHUKI | KIOMO/KYETHANI | MWINGIWEST | | 293MULILUNIDISPENSARY | LEVEL2 | KIOMO | KIOMO/KYETHANI | MWINGIWEST | | 294KAIRUNGUDISPENSARY-MWINGIWEST | LEVEL2 KAIRUNGU | | KIOMO/KYETHANI | MWINGIWEST | | 295KAKONGODISPENSARY | LEVEL2 | KAIRUNGU | KIOMO/KYETHANI | MWINGIWEST | | 296 THITANIHEALTHCENTRE | LEVEL3A THITANI | | KYOME/THAANA | MWINGIWEST | | 297 WINZYEEIHEALTHCENTRE | LEVEL3 | WINZYEEI | KYOME/THAANA | MWINGIWEST | | 298 THAANANZAUDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 299 KAVAINIDISPENSARY | LEVEL2 | THITANI | KYOME/THAANA | MWINGIWEST | | 300 KYUSYANIDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 301 MAVUIDISPENSARY | LEVEL2 | THAANANZAU | KYOME/THAANA | MWINGIWEST | | 302 THONZWENIDISPENSARY | LEVEL2 | KYOME | KYOME/THAANA | MWINGIWEST | | 303 KANYAADISPENSARY | LEVEL2 | KANYAA | KYOME/THAANA | MWINGIWEST | | 304 KANYEKINIDISPENSARY | LEVEL2 | MUSUANI | KYOME/THAANA | MWINGIWEST | | 305 KASEVIDISPENSARY | LEVEL2 | THOKOA | KYOME/THAANA | MWINGIWEST | | 306 MIGWANISUBCOUNTYHOSPITAL | LEVEL4 | MIGWANI/ITOLONI | MIGWANI | MWINGIWEST | | 307 NZELUNIHEALTHCENTRE | LEVEL3A | NZELUNI/MUNG'ALU | MIGWANI | MWINGIWEST | | 308 NZATANIDISPENSARY | LEVEL2 NZATANI/ILALAMBYU | | MIGWANI | MWINGIWEST | | 309 KATALWADISPENSARY | LEVEL2 | KATALWA/MUMBUNI | MIGWANI | MWINGIWEST | | 310 ILALAMBYUDISPENSARY | LEVEL2 | NZATANI/ILALAMBYU | MIGWANI | MWINGIWEST | | 311 ITHENG'ELIDISPENSARY | LEVEL2 KISOVO | | MIGWANI | MWINGIWEST | | 312 ITOLONIDISPENSARY | LEVEL2 MIGWANI/ITOLONI | | MIGWANI | MWINGIWEST | | 313 KISOVODISPENSARY | LEVEL2 KISOVO | | MIGWANI | MWINGIWEST | | 314 KYAMBOODISPENSARY | LEVEL2 KYAMBOO/KALILUNI | | MIGWANI | MWINGIWEST | | 315 MUMBUNIDISPENSARY | LEVEL2 | KATALWA/MUMBUNI | MIGWANI | MWINGIWEST | | 316 KILULUDISPENSARY | LEVEL2 KISOVO | | MIGWANI | MWINGIWEST | | 317 KWAKAVOODISPENSARY | LEVEL2 | MUMBUNI | MIGWANI | MWINGIWEST | | 318 ITUMBIDISPENSARY | LEVEL2 | | MIGWANI | MWINGIWEST | | 319 NZAWAHEALTHCENTRE | KYAMBOO/KALILUNI LEVEL3A KATOTENI/MUTYONI | NGUUTANI | | MWINGIWEST | | 320 MATHUNZINIDISPENSARY | LEVEL2 NGONGONI/MUTHUNZINI/KAVOLOI | NGUUTANI | | MWINGIWEST | | 321 KAKULULODISPENSARY | LEVEL2 KAKULULO/NZALAE | | NGUUTANI | MWINGIWEST | | 322 KEADISPENSARY | LEVEL2 MUIVU | | NGUUTANI | MWINGIWEST | | 323 NZALAEDISPENSARY-MWINGIWEST | LEVEL2 NZALAE/KAKULULO | | NGUUTANI | MWINGIWEST | | 324 NZAUNIDISPENSARY | LEVEL2 KIKINI/NZAUNI | | NGUUTANI | MWINGIWEST | | 325 KIKIINIDISPENSARY | LEVEL2 KIKINI/NZAUNI | NGUUTANI | | MWINGIWEST | | 326NGONGONIDISPENSARY-MWINGIWEST | LEVEL2 | NGONGONI/MUTHUNZINI/KAVOLOI | NGUUTANI | MWINGIWEST |

| | | | 15 | | 3 | | | | 6 | 8 | | 9 | 5 | 4 | 3 | 2 | | S/No | |-------------------------|--------------------------------|------------------------|--------------------------------------|-------------------------------|-----------------|-------------------------|------------------|---------------------------------|-----------------------------|-------------------------|----------------------|-----------------------------|----------------------|---------------------------|-------------------------------------|-----------------------|----------------------|------------------------------------| | Rural Kitui | Rural Kitui | West Mwingi | Kitui East | South Kitui | North Mwingi | Central Mwingi | Central Kitui | South Kitui | Kitui East | KituiWest | Central Mwingi | Rural Kitui | North Mwingi | Kitui East | Central Kitui | South Kitui | Central Mwingi | Name County Sub | | Dispensary Mbitini(Ack) | HealthCentre St JosephKavisuni | Fbo St Monica-Ngutani- | Centre AicZombe Health | Beacare Medical Clinic | Tei WaYesu H/C | Dispensary Nuu Catholic | Neema Hospital | MutomoHospital OurLadyOfLourdes | Centre MutitoCatholicHealth | Hospital MuthaleMission | Home Mumbuni Nursing | Clinic Kavisuni Health Care | Nursing RehobothMat& | KasililiMedical Clinic | Hospital Doctors Centre HomeLimited | Ikutha Faith Nursing | Curran Dispensary | Facilities Private/FBO Nameof | | 16996 | 16995 | 16657 | 12860 | 12810 | 12789 | 12680 | 12641 | 12604 | 12599 | 12587 | 12574 | 12260 | 12243 | 12209 | 12112 | 12013 | 11980 | MFLCode | | 28/07/2010 | 27/07/2010 | 10/06/2021 | 01/01/1992 | 07/09/2025 | 1996 | 15/05/2025 | 17/03/2016 | 1964 | 09/01/2005 | 12/02/2016 | 13/10/2006 | 31/10/2009 | 2006 | 31/03/2016 | 20/12/2021 | 16/03/2010 | 02/04/2023 | Registration Facility Date of | | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Status tion Registra Current | | Yes | | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Status ation Accredit | | KMPDC | KMPDC | KMPDC | KMPDC | Council Clinical Officers | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | ofKenya Nursing Council | KMPDC | Council Clinical Officers | KMPDC | KMPDC | KMPDC | Body Accreditation | | Mwongeli Magdaline | EvalyneJohn | Patricia Kanyolo | Lumumba BruceKuya | ChristineMumbi Elegwa Branham | Masika Winstone | Stephen Singi | Musembi Kinako | StephenKilu | Makau Sr.Catherine | Mukui SrMonica | Jane Munyua | RuthMwololo | CurtisKamau | Kimanzi Timothy | Mutisya Dr.Gerald | KasomoMasila Jeremiah | SamuelWmbua | Practitioners Registered Nameofthe | | Nurse | Clinical Officer | Clinical Officer | Nurse | Clinical Officer | ClinicalOfficer | Nurse | Clinical Officer | Technologist Laboratory | Nurse | Nurse | Nurse | Nurse | Medical Officer | Clinicai Officer | gist Obs/Gynaecolo | Nurse | Clinicai Officer | Practitioners Cadreofthe | | ofKenya Anglican Church | ofKitui CatholicDiocese | PatriciaKanyolo | Kenya Associationof Christian Health | BranhanElegwa | FBO(AEPC) | ofKitui CatholicDiocese | Kinako Musembi | ofKitui CatholicDiocese | Makau Sr.Catherine | ofKitui CatholicDiocese | JaneMunyua | RuthMwololo | JobMusyoki | | Dr.Gerald Mutisya | Masila JeremiahKasomo | Organization-UK Fame | Proprietor Name ofthe |

| 3 | | 3 | | 3 | | E | | | 2 | | | 25 | | 23 | | Z | | 6 | S/No | |----------------------|---------------------|------------------------------------|---------------------|----------------------------|----------------------------|---------------------------|-------------------------|---------------------|---------------------------|-----------------------------------------|-------------------------------|---------------------------------------|-------------------------------------|------------------------|--------------------------|---------------------------|------------------------------|---------------------------|------------------------------------| | Central Kitui | Central Mwingi | North Mwingi | North Mwingi | North Mwingi | South Kitui | Kitui East | Kitui East | Central Mwingi | Central Kitui | Central Kitui | Central Mwingi | Central Mwingi | Rural Kitui | South Kitui | South Kitui | Central Mwingi | Central Mwingi | Kitui East | Name County Sub | | Imani Medical Centre | Mumoni Nursing Home | HealthServices Kyuso Neema Medical | Mumoni Nursing Home | Clinic MephiboshethMedical | Services MutomoMedical Lab | Zombe Medical Clinic | KithitoMedical Centre | Tahidi Nursing Home | Central Medical Clinic | Hospital Satelite Clinic MuthaleMission | CareCentre Pona MedicalandEye | AndMaternity Family Nursing Home | CatholicDispensary Nyumbani Village | Ikutha Medicare Clinic | Clinic BlueTurtleMedical | FaithMedical Centre | Centre Mwingi Medicare | Dispensary Zombe Catholic | Facilities Private/FBO Nameof | | 22538 | 21320 | 21141 | 21120 | 20566 | 20341 | 20313 | 20021 | 19027 | 18903 | 18899 | 18573 | 18568 | 18199 | 17610 | 17609 | 17453 | 17055 | 16997 | MFLCode | | 09/09/2022 | 05/02/2024 | 2016 | 2015 | 2014 | 09/03/2020 | 19/05/2014 | 17/03/2016 | 28/09/2011 | 12/02/2016 | 10/04/2013 | 2001 | 13/09/2013 | 16/09/2011 | 15/03/2015 | 19/05/2005 | 17/03/2016 | 10/12/2024 | 28/07/2010 | Registration Facility Date of | | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Status tion Registra Current | | Yes | Yes | Yes | Yes | | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Status ation Accredit | | Kmpdb | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | Council Clinical Officers | ofKenya Nursing Council | KMPDC | Council Clinical Officers | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | ofKenya Nursing Council | Council Clinical Officers | KMPDC | KMPDC | Body Accreditation | | MervyneMuli | Kithome Mukora | Regina Mathuva | Kithome SimonMukora | DavidMbiti | DavidKibui | Josphat Rosatima | Kimwele PaulNgei | AntonyMbithi | Kasanduku Thorngood | Mukui Sr.Monica | FredrickMutie | Mathenge Kang'ang'i Karagania/ Karren | Muendo Evalyne | Musembi Mulu Joshua | Adhiambo Redemptor | Munyasia Daniel | Kyalo Richard Maingi | Musyoka AgnesNina | Practitioners Registered Nameofthe | | Clinical Officer | Nurse | Nurse | Nurse | (Paeds) Clinical Officer | Nurse | ClinicalOfficer | Nurse | Clinical Officer | Clinical Officer | Clinical Officer | Clinical Officer | Paeds Clinical Officer- | Nurse | Nurse | Nurse | Clinical Officer | Rh Clinical Officer- | Nurse | Practitioners Cadre ofthe | | MervyneMuli | Simon Mukora | ReginaMathuva | Simon Mukora | DavidMbiti | /LilianKaregi Brian Nganda | Rosatima Josphat | Paul Ngei Kimwele | Antony Mbithi | Kasanduku | ofKitui CatholicDiocese | FredrickMutie | Mathenge Kang'ang'i Karren Karagania/ | ofKitui CatholicDiocese | Mulu Joshua Musembi | Adhiambo Redemptor | Daniel Munyasia | Kyalo Richard Maingi Musyoka | AgnesNina | Proprietor Nameof the |

| 5 | 9 | 5 | | 3 | 2 | | | 9 | | | | 45 | | | 4 | | | 8 | S/No | |-----------------------|----------------------|-------------------------|----------------------------|----------------------|-------------------------|---------------------------|---------------------------|---------------------------|-------------------------------|------------------------|-------------------------------|-------------------------|-------------------------|-------------------------|-----------------------------------------|-----------------------------------|--------------------------------------------|---------------------------------|------------------------------------| | Central Mwingi | North Mwingi | West Mwingi | Central Mwingi | Central Mwingi | Rural Kitui | KituiWest | Kitui West | Central Kitui | Central | Kitui West | Mwingi Central Kitui | West Mwingi | Central Mwingi | Central Mwingi | Kitui East | Rural Kitui | Rural Kitui North | Mwingi Central Kitui | Name County Sub | | Jujani Medical Centre | KatseGraceMed.Clinic | Private StThomasBechet- | Hospital Mwingi Specialist | DosageMedical Centre | Dispensary Ikulumbutuni | KakumutiMedical Clinic | KakumutiMedical Clinic | Ltd.Annex Neema Hospital | Hospital TheKitui Family Care | Center Migwani Medical | Ltd(Kitui) BlissGvsHealthcare | Centre Polycare Medical | Kisumo Medical Centre | KisumoMedical Centre | Solutions(Nzangathi) NeemaDigitalHealth | JemaMedical Clinic Kisasi | ByGraceMedical Clinic Clinic KamuwongoHope | MedicalServices ItolekaSmartext | Facilities Private/FBO Nameof | | 26813 | 26804 | 25565 | 25336 | 24998 | 24935 | 24562 | 24562 | 24171 | 24092 | 23773 | 23584 | 23293 | 23277 | 23277 | 23162 | 23107 | 23102 23033 | 22918 | MFLCode | | 04/11/2024 | 2020 | 02/01/2024 | 2019 | 2019 | 25/06/2019 | 12/02/2019 | 12/02/2019 | 07/07/2023 | 15/02/2023 | 10/06/2021 | 25/01/2018 | 06/10/2021 | 10/10/2017 | 10/10/2017 | 11/01/2017 | 12/09/2017 | 08/09/2017 2016 | 28/09/2023 | Registration Facility Dateof | | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active Active | Active | Status tion Registra Current | | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes Yes | Yes | Status ation Accredit | | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | Council Clinical Officers | Council Clinical Officers | Council Clinical Officers | Council Clinical Officers | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | Council Clinical Officers | Council Clinical Officers Council | Clinical Officers KMPDC | Council Clinical Officers | Body Accreditation | | Nehemia Mainye | Kimanzi Bernard | Thomas Gichoni | DrMohamednur | DrAbdikadir | Hellen Nzuki | MorrisMulwa | MorrisMulwa | Musembi Kinako | Mutevu Nicholus | Musyoka Stephen | Rachael Maina | Pauline Monica | Paul Kisumo | Paul Kisumo | AlexMuthanya | PuritySyombua Mwangangi | Susan ElijahNgumbau | Munyao LinusWambua | Practitioners Registered Nameofthe | | Clinical Officer | Clinical Officer | Clinical Officer | Specialist Medical | Pharmacist | Clinical Officer | Clinical Officer | Clinicalofficer | Clinical Officer | Clinical Officer | Clinical Officer | Clinical Officer | Clinical Officer | Paeds Clinical Officer- | Paeds Clinical Officer- | Clinical Officer | Clinical Officer Clinical Officer | Nurse | Clinical Officer | Practitioners Cadre of the | | MainyeNehemia | BernardKimanzi | Thomas Gichoni | Ali DrMohamednur | DrAbdikadir | Church AfricanInland | MorrisMulwa | MorrisMulwa | KinakoMusembi | NicholusMutevu | Stephen Musyoka | Jayesh Saini | Pauline Monica | Paul Kisumo | Paul Kisumo | AlexMuthanya | PuritySyombua Susan Mwangangi | Martin Musunza | LinusWamibua | Proprietor Nameofthe |

| 4 | | 15 | 4 | 3 | | L | | 9 | 8 | 6 | 99 | | | 9 | | 19 | | | | S/No | |---------------------------|-------------------------|---------------------------|---------------------------|-----------------------------------------|----------------------------|----------------------------|----------------------|--------------------|-----------------------------------|----------------|------------------------------|---------------------------|---------------------|----------------------|----------------------------------|-------------------------------|---------------------------------------|-------------------------|----------------------------|------------------------------------| | Rural Kitui | Central Kitui | Rural Kitui | Central Kitui | Kitui East | Central Kitui | Central Kitui | Central Mwingi | KituiWest | Kitui East | Central Mwingi | North Mwingi | Central Kitui | Central Mwingi | Central Mwingi | Central Kitui | Kitui East | Kitui East | North Mwingi | Central Mwingi | Name County Sub | | Kanyangi Medical Clinic | JawamMedical Clinic | Centre Neska Medical Care | Limited Fraloma Hospital | Center Ltd(Kitui East) Nzambani Medical | Clinic Helper Hope Medical | Clinic GoodlifeGynaecology | EnyeweMedical Clinic | RohiMedical Centre | Hospital Limited TheModernLiberty | Dorjo Medical | Mangani Medicare | Wadi Medicare | Nuu Medicare Centre | Mwingi Doctors Plaza | DiagnosticCenntre TheKitui Royal | HealthSystems Uzima Med-Surge | CareServices NdetaniOliveHealth | Dispensary CareCatholic | Nguni Medicare | Facilities Private/FBO Nameof | | 30509 | 30410 | 30333 | 30219 | 30081 | 30079 | 30035 | 30034 | 29799 | 29670 | 29522 | 29521 | 29520 | 29519 | 29352 | 28548 | 28123 | 27610 | 27418 | 27180 | MFLCode | | 21/07/2023 | 27/03/2023 | 09/03/2023 | 14/02/2023 | 13/12/2022 | 05/06/2024 | 24/11/2022 | 31/12/2024 | 15/05/2020 | 08/11/2022 | 04/05/2022 | 2022 | 22/06/2022 | 22/01/2021 | 2022 | 19/08/2021 | 17/09/2024 | 04/06/2021 | 2004 | 2021 | Registration Facility Date of | | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Active | Status tion Registra Current | | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | | Yes | Yes | Yes | Status ation Accredit | | Council Clinical Officers | ofKenya Nursing Council | Council Clinical Officers | Council Clinical Officers | KMPDC | Council Clinical Officers | Council Clinical Officers | KMPDC | KMPDC | KMPDC | KMPDC | KMPDC | Council Clinical Officers | KMPDC | KMPDC | Council Clinical Officers | Council Clinical Officers | KMPDC | KMPDC | KMPDC | Body Accreditation | | Muendo Rapheal | Ann Musyoki | OscarLatebo | KennedyMulwa | Naftali Muriuki | Mutethya Magret | AbebiahMuoka | EdwineAmbani | BorisWamua | MilliscentJames | DorcasKyambi | Daniel Mutemi | Kilonzo Jeremiah | GeoffreyMuthui | DrMohamednur | Mwendwa Ronah | StephenMumo | MwanziaKituku Jackson | DennisRotich | Cynthia Akinyi | Practitioners Registered Nameofthe | | Clinical Officer | NursingOfficer | Clinical Officer | Clinical Officer | Technologist Laboratory | Clinical Officer | Clinical Officer | Nurse | Clinical Officer | Nurse | Nurse | Nurse | Clinical Officer | Nurse Specialist | Medical | ClinicalOfficer | Clinical officer | Clinical Officer | Clinical Officer | ClinicalOfficer | Practitioners Cadre of the | | Rapheal Muendo | Ann Musyoki | OscarLatebo | KennedyMulwa | Naftali Muriuki | MagretMutethya | AbebiahMuoka | Edwine Ambani | BorisWamua | MilliscentJames | DorcasKyambi | Wanyoike Omondi/Esther Kevin | JeremiahKilonzo | GeoffreyMuthui | DrMohamednur | RonahMwendwa | Stephen Mumo Kituku | Jackson Mwanzia Congregation) Clarist | FBO(Franciscan | EricMusyoki CynthiaAkinyi& | Proprietor Name of the |

| | 24 | | | 21 | 19 18MWITIKAHEALTHCENTRE | | | 16 | | 14 | 3 | = | 10 | 9 | | 6 | 5 TIVADISPENSARY KAVUTADISPENSARY | MUSEVEDISPENSARY | 3 | 2WANZUADISPENSARY | S/No | |---------------------|-----------------------|-----------------------|-------------------------------------------|----------------------|-----------------------------|---------------|----------------------------------------------------|---------------------|-----------------------|--------------------|-------------------|---------------------|---------------------------------------------------|-----------------------------|----------------------|----------------------------------|-------------------------------------|--------------------|-----------------|-----------------------------------|------------| | 25YATTAHEALTHCENTRE | NTHONGONIHEALTHCENTRE | KISEUNIDISPENSARY | KANYANGISUBCOUNTYHOSPITAL VOOHEALTHCENTRE | MALALANIHEALTHCENTRE | MUTITUSUBCOUNTYHOSPITAL | | KAUMUHEALTHCENTRE ZOMBESUBCOUNTYHOSPITAL KITUIEAST | 15INYUUHEALTHCENTRE | NZANGATHIHEALTHCENTRE | YANZUUHEALTHCENTRE | KAKUNGUDISPENSARY | KYULUNIHEALTHCENTRE | KITUICOUNTYREFERRALHOSPITAL KYANGUNGAHEALTHCENTRE | 8 KATULANISUBCOUNTYHOSPITAL | MIAMBANIHEALTHCENTRE | TUNGUTUHEALTHCENTRE | | KITUI CENTRAL | | 1KASYALAHEALTHCENTRE KITUICENTRAL | FACILITY | | KITUIRURAL | KITUIRURAL | KITUIRURAL | KITUIRURAL KITUIEAST | KITUIEAST | KITUIEAST KITUIEAST | KITUIEAST | | KITUIEAST | KITUIEAST | KITUIEAST | KITUIEAST | KITUIEAST | KITUICENTRAL KITUICENTRAL | KITUICENTRAL | KITUICENTRAL | KITUICENTRAL KITUICENTRAL | KITUICENTRAL | | KITUICENTRAL | | SUB COUNTY | | YATTA/KWAVONZA | YATTA/KWAVONZA | KANYANGI KANYANGI | VOO/KYAMATU | ENDAU/MALALANI | MUTITU/KALIKU ZOMBE/MWITIKA | ZOMBE/MWITIKA | ZOMBE/MWITIKA | ZOMBE/MWITIKA | KYULUNI | NZAMBANI | NZAMBANI | NZAMBANI | TOWNSHIP MULANGO | MULANGO | MIAMBANI | KYANGWITHYAWEST | KYANGWITHYAWEST KYANGWITHYAWEST | KYANGWITHYAEAST | KYANGWITHYAEAST | KYANGWITHYAEAST | WARD | | KIUSYANI | NTHONGONI | KISEUNI KANYANGI | NZUNGUNI | MALALANI/SYOU | KITOO KILAA/KATIKONI | THUA | MALATANI | THUA | KALUUA | IKUYUNI | KYANIKA/MWEMBE | KILONZO | TOWN KYANGUNGA | KATULANI | MUNGANGA | TUNGUTU KYAMATHYAKA/NDUMONI/TIVA | KAVUTA | MUSEVE | IVAINI | IVAINI | VILLAGE | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | STATUS |

ANNEX XI: Listof Public Healthcare Facilities Laboratories

| 51KALISASIHEALTHCENTRE | 50 MWINGISUBCOUNTYHOSPITAL | 49 KAUMAHEALTHCENTRE | 48 KALIMAIDISPENSARY | MATINYANIHEALTHCENTRE | 46 KWAMUTONGAHEALTHCENTRE NDIUNIHEALTHCENTRE | 45 | KAKEANIHEALTHCENTRE | 4 TULIAHEALTHCENTRE KATUTUHEALTHCENTRE | KAUWISUBCOUNTYHOSPITAL | # KISAYANIHEALTHCENTRE | IKANGASUBCOUNTYHOSPITAL | 8 3 MUTOMOSUBCOUNTYHOSPITAL KATYETHOKAHEALTHCENTRE | 36 3 MUTHAHEALTHCENTRE KANZIKUHEALTHCENTRE | 3 KASAALAHEALTHCENTRE KAMUTEIHEALTHCENTRE | 32 KATILINI HEALTHCENTRE | 31 IKUTHASUBCOUNTYHOSPITAL | KISASIHEALTHCENTRE | 30 MBITINIHEALTHCENTRE | 28 NGANGANIDISPENSARY | KWAVONZADISPENSARY | S/No 26 KATHOMEHEALTHCENTRE | FACILITY | |--------------------------|------------------------------|------------------------|------------------------|-------------------------|------------------------------------------------|------------|-----------------------|------------------------------------------|--------------------------|--------------------------|---------------------------|------------------------------------------------------|----------------------------------------------|---------------------------------------------|----------------------------|------------------------------|----------------------|--------------------------|-------------------------|----------------------|-------------------------------|------------| | MWINGICENTRAL | MWINGICENTRAL | KITUIWEST | KITUIWEST KITUIWEST | KITUIWEST | KITUIWEST | | KITUIWEST KITUIWEST | KITUIWEST | KITUIWEST | KITUISOUTH | KITUISOUTH KITUISOUTH | KITUISOUTH | KITUISOUTH KITUISOUTH | KITUISOUTH KITUISOUTH | KITUISOUTH | KITUISOUTH | KITUIRURAL | KITUIRURAL | KITUIRURAL | KITUIRURAL | KITUIRURAL | SUB COUNTY | | CENTRAL | CENTRAL | MATINYANI | MATINYANI MATINYANI | KWAMUTONGA | | KWAMUTONGA | MUTONGUNI | MUTONGUNI KAUWI | KAUWI | MUTOMO | IKANGA MUTOMO | MUTHA | MUTHA KANZIKU | IKUTHA/KASAALA ATHI | ATHI | IKUTHA | KISASI | | MBITINI | MBITINI | YATTA/KWAVONZA YATTA/KWAVONZA | WARD | | KISEVENI | KAUTHA | KAUMA | KALIMANI | KYONDONI KWAMUTONGA | | KASAINI | KAKEANI TULIA | KATUTU | KAUWI KIBWEA | ITHUMULA | KIBWEA | MATHIMA | NGAANI KYANYAA | KASAALA MALUMA | KATILINI | EMALE | | KISASI | MBITINI | NGANGANI KWAVONZA | KATHOME | VILLAGE | | | | | FUNCTIONAL | | | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | | | | | | FUNCTIONAL | | STATUS | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | | | FUNCTIONAL | FUNCTIONAL | | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | |

| 77THAANANZAUDISPENSARY | KYETHANIHEALTHCENTRE | 75 NZELUNIHEALTHCENTRE | 74 3 NZATANIDISPENSARY MIGWANISUBCOUNTYHOSPITAL | KONYUDISPENSARY | L THARAKAHEALTHCENTRE | 70 9 TYAAKAMUTHALE KATSEHEALTHCENTRE | NGOMENIHEALTHCENTRE | | MASYUNGWAHEALTHCENTRE | 6 KANINGOHEALTHCENTRE TSEIKURUSUBCOUNTYHOSPITAL | MIVUKONIHEALTHCENTRE | 3 KAMUWONGOHEALTHCENTRE | KYUSOSUBCOUNTYHOSPITAL | 19 NGUNIHEALTH CENTRE | 9 UKASIHELATHCENTRE WAITAHEALTHCENTRE | 5 KAVINDUHEALTHCNTRE WINGEMIHEALTHCENTRE | 9 NUUSUBCOUNTYHOSPITAL | 5 MUYUNIDISPENSARY | 54 MUIDISPENSARY | 53 MATHUKIHEALTHCENTRE | KANYUUNGAHEALTHCENTRE | S/No FACILITY | |--------------------------|------------------------|--------------------------|---------------------------------------------------|-------------------|-------------------------|----------------------------------------|-----------------------|------------|-------------------------|---------------------------------------------------|------------------------|---------------------------|---------------------------|-------------------------|-----------------------------------------|--------------------------------------------|--------------------------|----------------------|-----------------------|--------------------------|-------------------------|-----------------| | MWINGIWEST | MWINGIWEST | MWINGIWEST | MWINGIWEST MWINGIWEST | MWINGINORTH | MWINGINORTH | MWINGINORTH MWINGINORTH | MWINGINORTH | | MWINGINORTH | MWINGI NORTH MWINGINORTH | MWINGINORTH | MWINGINORTH | MWINGINORTH MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL | MWINGICENTRAL | SUB COUNTY | | KYOME/THAANA | KIOMO/KYETHANI | MIGWANI | MIGWANI MIGWANI | THARAKA | THARAKA | MUMONI MUMONI | NGOMENI | | TSEIKURU | TSEIKURU TSEIKURU | KYUSO | KYUSO | KYUSO NGUNI | NGUNI | WAITA | NUU NUU | NUU | MUI | MUI | MUI | KIVOU | WARD | | THAANA | KYETHANI | KILUNGU | NZATANI MIGWANI | KAMAINDI | GAKOMBE | TYAAKAMULALE KATSE | KAVUTA/KALUA | MASYUNGWA | KANINGO | NTHIITU/NGALANGE | MIVUKONI | KAMUWONGO | KYUSO KYAMBISU | SYOMATU | WAITA | KYANGATHI WINGEMI | LUULU | MUYUNI NGILUNI | | KITIISE | KANYUUNGA | VILLAGE | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL FUNCTIONAL | | FUNCTIONAL | STATUS |

| | | | | S/No | |-------------------------|-----------------------|---------------------|-------------------------|-----------| | 81 MBONDONIHEALTHCENTRE | 80 NZAAWAHEALTHCENTRE | THITANIHEALTHCENTRE | 78 WINZYEEIHEALTHCENTRE | FACILITY | | MWINGIWEST | MWINGIWEST | MWINGIWEST | MWINGIWEST | SUBCOUNTY | | KIOMO/KYETHANI | NGUUTANI | NGUUTANI | KYOME/THAANA | WARD | | MBONDONI | KATOTENI | THITANI | WINZYEEI | VILLAGE | | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | FUNCTIONAL | STATUS |

REPUBLICOFKENYA

GOVERNMENTOFMAKUENICOUNTY

OFFICE OF THE GOVERNOR

P.O.BOX78-90300-MAKUENI-TeINo.020-2068236

Email:governor@makueni.go.ke

Web:www.makueni.go.ke

REF:GMC/GVN/ADM/GVN/ADM/HS/34/VOL.6(78)

J.M. Nyegenye, CBs

ClerkoftheSenate/Secretary, ParliamentaryServiceCommission, D.O.BQx541842-00100,

Date:25th-August2

RECEIVED

27AUG2025

DEPUTYCLERK

SUBJECT:RESPONSE ON THE IMPLEMENTATION STATUS OF UNIVERSAL HEALTH COVERAGE(UHC)IN MAKUENI COUNTY

The abovematterrefers.

Weacknowledgereceiptofyourletter,Ref.No.SEN/DsEC/SCH/17o/2025,dated13th August 2o25,requesting submission ofresponses to queriesraised by the Standing CommitteeonHealth following itssitting on Tuesday,15th July2025,regarding the implementationof Universal HealthCoverage(UHC)policiesinMakueni County.

PleasefindattachedtheofficialresponsesfromtheCountyGovernmentofMakueni addressingtheissuesraised.

TMESENATE

RRCEOVEO

MUTULA KILONZO JUNIOR,CBS Copy tos

27AUG 2025

Sen.MaanzoDaniel Kitonga,MP Senator,Makueni County ParliamentBuildings,

CTORKXOMMTTPEISERVICRS

(DSEC)

Nairobi.

RESPONSEONTHEIMPLEMENTATIONSTATUSOFUNIVERSALHEALTHCOVERAGE (UHC)INMAKUENICOUNTY

QueryNo.1:Detailedreport on thepercentage ofMakueni Countybudgetdedicated tohealthsector highlighting theamount and/orpercentagespecifically earmarkedfor developmentexpenditure and recurrentexpenditure;

Makueni County Government's CommitmenttoHealth

TheMakueni County Government continues to demonstratestrongcommitment tohealth asafundamental rightforits citizens.This commitment isclearlyreflected in theFY2024/25SupplementaryBudget(2), where37%ofthetotalcountybudgethasbeen allocatedtothehealthsector.

FY2024/25SupplementaryBudget(2)Estimates

| Item | Amount(KES) | Percentage | |---------------------------|-------------------|--------------| | Total CountyBudget | 11,578,472,378.31 | 100% | | TotalHealthServicesBudget | 4,247,538,005.80 | 37% |

Further analysisof thehealthbudgetreveals a strongfocusnot only onrecurrent expenditure but alsoon development,whichincludes infrastructure upgrades and the acquisitionofmodernmedical technologies andequipment.

HealthBudgetBreakdown

| Item | Amount(KES) | Percentage | |-------------------------|------------------|--------------| | HealthRecurrentBudget | 3,114,502,327.70 | 73% | | HealthDevelopmentBudget | 1,133,035,678.10 | 27% | | Total | 4,247,538,005.80 | 100% |

This allocation underscores the county's dedicationtonotonlymaintainingcurrent health servicesbut also investinginsustainableimprovements andinnovation inhealthcare delivery.

QueryNo.2:ComprehensivedataontheproportionofMakuenicountyresidentswhohavebeenregistered withtheSocialHealthAuthority(SHA)asat31stJuly,2025andthestrategiesbeingappliedtoidentify and enrollvulnerablepopulationsespeciallyin hard-to-reach areas;

SHARegistrationand CoverageEffortsinMakueni County

According to the2009census,Makueni County has an estimatedpopulationof987,653.In linewithlegal requirements,all residents are expectedtoberegisteredunder theSocial HealthAuthority(SHA).As of July,theregistrationratestoodatonly31%,indicatinglowuptakeassociatedwithPoverty,low awareness,misinformation,ignorance and lackofnecessaryrequirements(E,GID cards,lackof phonenumberset)

.To address this,inthe2025/26FYbudget,thecountyhas allocatedkes.95millionformassmobilization of Makueni residents toregister toSocial HealthAuthority(SHA)andSocial HealthInsuranceFund(SHIF) premium paymentsforvulnerable andindigenthouseholds.ThestrategiestoenhanceregistrationtonSHA include:

a)Deploying CommunityHealthPromoters(CHPs) to conductdoor-to-door household outreach
c)Engaginglocal leaders tochampion andmarket theSHAprogram
b)Communitymobilizationthroughsensitizationforumsandevents
d)Partneringwithcommunity-basedorganizations and socialgroupsforgrassroots advocacy

Thecountytargetstoachieveover50%registrationcoverageinthe2025/26FY,withcontinuedeffortsto reachfull universalenrollmentinthelongrun.

QueryNo.3:Thoroughbreakdownofthetotal amountreimbursedbySHAtohealthcarefacilitiesin Makueni Countysinceitsinceptionprovidingabreakdown ofreimbursementsmadetoeachhealthcare facility andany outstandingordelayedpayments;

ThesubmissionforSHAclaimsandreimbursementshasbeencategorizedintoSHAClaimsand ReimbursementsforHospitals andSHAclaimsandreimbursementsforRuralHealthFacilities

SHAClaimsandReimbursementsforHospitals

Asofthelatestreporting,hospitalshavereceivedKES349.7million,representing69%ofthetotalKES 506.8millionclaimed.

The tablebelowindicatingthestatusofthecollectionsandreimbursementssincethestartofSHA operationalizationon1st,October,2024to30thJune2025asrequested.

HOSPITALSCLAIMS&REIMBURSEMENTS-MAKUENICOUNTY

| | HOSPITALS | HOSPITALS | HOSPITALS | | |-----|--------------------------------|--------------------------------------|----------------------------------------|---------------------------| | S/N | Facilityname | TotalAmount claimedasof30th June2025 | TotalAmount reimbursedasof 30tJune2025 | Total Outstanding payment | | 1 | MakueniCountyReferral Hospital | 192,478,579.00 | 142,803,766.00 | 49,674,813.00 | | 2 | Makindu Sub County Hospital | 92,630,123.00 | 44,315,255.00 | 48,314,868.00 | | 3 | KibweziSubCounty Hospital | 42,483,702.00 | 35,299,575.80 | 7,184,126.20 |

| 4 | Kambu Sub County Hospital | 16,491,334.00 | 9,063,568.65 | 7,427,765.35 | |-----|--------------------------------|-----------------|----------------|----------------| | 5 | SultanHamudSubCounty Hospital | 37,192,035.00 | 33,248,284.55 | 3,943,750.45 | | 6 | Kilungu Sub County Hospital | 16,923,904.00 | 11,358,325.5 | 5,565,578.75 | | 7 | Mbooni Sub County Hospital | 26,300,163.00 | 17,075,693.00 | 9,224,470.00 | | 8 | KisauSubCountyHospital | 13,450,924.00 | 8,621,841.55 | 4,829,082.45 | | 9 | Tawa Sub CountyHospital | 30,461,110.00 | 16,004,887.00 | 14,456,223.00 | | 10 | KalawaSub County Hospital | 6,284,919.00 | 6,260,127.00 | 24,792.00 | | 11 | MatilikuSubCounty Hospital | 20,375,454.00 | 14,614,914.00 | 5,760,540.00 | | 12 | Mukuyuni Sub County Hospital | 2,444,394.00 | 1,820,058.50 | 624,335.50 | | 13 | Emali Model SubCounty Hospital | 2,364,045.00 | 2,025,820.00 | 338,225.00 | | 14 | Nthongoni Sub County Hospital | 2,036,672.00 | 1,996,899.05 | 39,772.95 | | 15 | MtitoAndeiSubCounty Hospital | 5,741,920.00 | 3,773,574.60 | 1,968,345.40 | | 16 | MutyambuaSubCounty Hospital | 689,514.00 | | 689,514.00 | | 17 | Kyambeke sub county hospital | 4,952,840.00 | 1,466,683.50 | 3,486,156.50 | | | TOTAL | 513,301,632.00 | 349,749,273.45 | 163,552,358.55 |

Despite thisprogress,an outstanding balance of KES157.1million(31%) remains unreimbursed.This fundinggapis significant and continues to undermine the ability of hospitals to operate smoothly.Facilities experience challenges in purchasing essential medicines,paying suppliers,and meeting day-to-day operational costs,leadingtodisruptionsinservicedelivery.

ChallengesExperienced

Delayed orPartial Disbursements-Despite the14th-day cycle,reimbursements oftenfall short of thetotal claimed,leavingfacilitieswitharrears.
SystemInefficiencies-Verificationbottlenecks,rejectedclaims,anddelaystimely settlement.
OutstandingBalances-Thepersistent31%gaphascreatedfinancial strain,particularlyinhighvolume hospitals
ServiceDeliveryImpact-Thecashflowshortfallforcesfacilitiestodeferprocurementofdrugs and supplies,and in somecases,dependon county treasury support.

Recommendations

Expeditesettlementof theKES157.07Moutstandingbalance,prioritizingthemost affected hospitals.
Support smallerfacilities that havenotreceived any reimbursement(e.g.,Mutyambua).
Strengthen claimsmanagement atfacility level tominimizedelaysanddisputes.
Institutionalizeprompt disbursements tosustain andbuild upon the69%reimbursementmilestone.

SHAReimbursementsforPrimaryHealthCare(PHC)Facilities

| PRIMARYHEALTHFACILITIES | PRIMARYHEALTHFACILITIES | PRIMARYHEALTHFACILITIES | |---------------------------|---------------------------|---------------------------| | S/N | Facility name | Amountreimbursed | | 1 | KathonzweniHealth Centre | 3,191,862.62 | | 2 | Tulimani Health Centre | 2,654,617.00 | | 3 | KakoHealth Center | 2,570,042.78 | | 4 | Kyuasini Health Centre | 2,058,740.76 | | 5 | EbenezerDispensary | 2,052,757.28 | | 6 | Kaliani Health Centre | 1,979,174.44 | | 7 | Nziu Health Centre | 1,846,640.04 | | 8 | KanzokeaHealth Centre | 1,776,062.88 | | 9 | Ndovoini Dispensary. | 1,751,259.68 | | 10 | Kwale HC | 1,620,716.10 | | 11 | MasongaleniHealth Centre | 1,521,048.00 | | 12 | Kambi mawe Dispensary | 1,495,057.10 | | 13 | Miangeni Dispensary | 1,487,626.74 | | 14 | WaiaDispensary | 1,401,352.88 | | 15 | Kali Health Centre | 1,316,800.00 |

| 16 | Syotuvali Dispensary | 1,155,441.86 | |-------|------------------------------------------------|-----------------------| | 17 | Kavuthu Health Centre | 1,137,045.95 | | 18 | Katilini Dispensary | 1,136,771.76 | | 19 | liani/Kiatineni dispensary | 1,100,511.00 | | 20 | Ngai Health Centre | 1,009,929.31 | | 21 | KavumbuDispensary | 982,735.22 | | 22 | Kitundu GOKDispensary | 925,481.26 | | 23 | Kasikeu HC | 880,793.00 | | 24 | Itetani Dispensary | 859,115.96 | | 25 | KilalaHealth Centre | 837,195.18 | | 26 | UtangwaDispensary | 829,266.24 | | 27 | Kiboko Dispensary | 803,759.20 | | 28 | MavinduDispensary | 803,727.28 | | 29 | Kikumini Dispensary | 666,805.66 | | 30 | Mavindini Health Centre | 647,006.18 | | 31 | Kyaluma dispensary | 607,908.78 | | 32 | KambooHealth center | 577,953.00 | | 33 | Kisayani Health Centre | 574,235.59 | | 34 | Bosnia Dispensary | 557,269.52 | | 35 | Nduuni Dispensary | 533,776.70 | | 36 | Nzukini dispensary | 533,283.88 | | 37 | Kithyululu Health Centre | 527,000.00 | | 38 | Mbavani Dispensary | 525,949.86 | | 39 | Utwiini Dispensary | 509,149.06 | | 40 | MuteaDispensary | 480,946.62 | | 41 | MasumbaHealth Centre | 461,137.00 | | 42 | MuuaDisp | 449,863.30 | | 43 | MangalaDispensary | 443,122.30 | | 44 | Ukia Dispensary | 431,227.50 | | 45 | Kitise Health Centre | 430,867.36 | | 46 | Kitende dispensary | 422,172.58 | | 47 | KinyauDispensary | 407,211.70 | | 48 | ItumbuleHC | 397,814.65 | | 49 | MwanaDispensary | 385,316.08 | | 50 | Nzeveni Health Centre | 374,438.00 | | 51 52 | Kasunguni Dispensary (Kaiti) Yandue Dispensary | 374,357.18 370,000.00 |

| 53 | Kikumini health centre | 370,000.00 | |------|------------------------------|--------------| | 54 | Kaunguni health centre | 363,473.30 | | 55 | Kee Health Centre | 357,000.00 | | 56 | Kalulini HealthCentre | 335,770.94 | | 57 | Utuneni Dispensary | 318,724.82 | | 58 | Kwakalui Dispensary | 316,030.56 | | 59 | Uvaani dispensary | 313,198.70 | | 60 | Kyeeko Dispensary | 306,466.78 | | 61 | Kinyasye Dispensary | 302,693.00 | | 62 | Mathanguni Dispensary | 300,778.50 | | 63 | Mituvu Dispensary | 299,452.14 | | 64 | Kathyaka health centre | 281,817.00 | | 65 | Kisoi Munyao H/C | 272,450.00 | | 66 | Kathulumbi Health Centre | 271,534.00 | | 67 | Kalima Dispensary | 257,335.52 | | 68 | Nthangu Dispensary | 251,697.00 | | 69 | Kithoni Dispensary | 246,000.00 | | 70 | Kaia Dispensary | 239,409.06 | | 71 | Kyanganda Dispensary | 239,117.86 | | 72 | UveteHC | 225,514.00 | | 73 | Mbui nzau Dispensary | 225,454.25 | | 74 | Kyaani Health Centre | 220,000.00 | | 75 | Mwaani dispensary | 219,450.02 | | 76 | Usungu dispensary | 218,985.00 | | 77 | Masokani Disp | 196,617.00 | | 78 | Katangini Dispensary | 188,997.14 | | 79 | Tutini dispensary | 186,019.05 | | 80 | Ndunguni dispensary | 183,118.63 | | 81 | Ngini Disp | 182,889.00 | | 82 | MutembukuDispensary | 179,491.82 | | 83 | Kalungu Dispensary | 173,548.76 | | 84 | Kyau Dispensary | 169,590.20 | | 85 | Kiteng'ei Dispensary | 161,840.00 | | 86 | Maviaume Dispensary | 160,291.56 | | 87 | Athi Kamunyuni Health Centre | 152,620.00 | | 88 | VololoHealth Centre | 151,824.00 | | 89 | Kitonyoni Dispensary | 149,941.94 |

| 90 | Syumile health centre | 143,245.60 | |------|----------------------------|---------------------| | 91 | Mikuyuni dispensary | 142,170.82 | | 92 | Kithuni Dispensary | 141,753.22 | | 93 | Kwakotoe dispensary | 141,207.04 | | 94 | Ngwata Health Centre | 136,706.45 | | 95 | West Ngosini | 135,744.44 | | 96 | Kyenzenzeni dispensary | 134,701.28 | | 97 | Kalii dispensary | 128,306.90 | | 98 | MbuvoHealth Centre | 124,431.90 | | 99 | Kiimakiu Disp | 123,948.00 | | 100 | Ivinga Nzia Dispensary | 122,618.34 | | 101 | Nzouni Dispensary | 121,985.36 | | 102 | Nduluku Dispensary | 113,864.24 | | 103 | Kanthuni Dispensary | 113,592.32 | | 104 | Kai dispensary | 112,562.16 | | 105 | Kwakakulu dispensary | 108,883.04 | | 106 | liani Dispensary | 108,522.30 | | 107 | Miumoni Dispensary | 107,035.00 | | 108 | Makasa dispensary | 100,801.16 | | 109 | Mwasang'ombeDispensary | 100,049.00 | | 110 | Mavivye Disp | 100,000.00 | | 111 | liani Dispensary | 98,355.30 | | 112 | Kitikyumu Dispensary | 96,061.70 95,819.90 | | 113 | MusalalaDispensary | | | 114 | Kithuki Health Centre | 90,000.00 | | 115 | Muusini Dispensary | 89,377.22 | | 116 | IvoleniDispensary | 87,000.00 | | 117 | Yekanga Dispensary | 84,895.86 | | 118 | Kauti Dispensary | 80,951.78 | | 119 | Kavuko Disp | 80,721.30 | | 120 | Nyaani Dispensary (Kaiti) | 78,452.82 74,416.00 | | 121 | Kiaoni dispensary | 69,634.06 | | 122 | Ndauni Dispensary | | | 123 | Kathekani Dispensary | 57,040.00 | | 124 | Mulenyu Dispensary | 55,112.90 | | 125 | Mutulani Dispensary(Kaiti) | 52,661.02 | | 126 | Nzoila Dispensary | 52,624.85 |

| 127 | Matiku Dispensary | 51,405.80 | |-------|----------------------------|---------------| | 128 | Kiangini Dispensary | 50,664.20 | | 129 | Ndalani Dispensary | 48,932.92 | | 130 | Nzeeni Dispensary | 45,681.90 | | 131 | Mutiluni Disp | 45,251.00 | | 132 | Nthimbani Dispensary | 43,837.68 | | 133 | Mbukini Disp | 40,735.00 | | 134 | Ngalana Disp | 40,000.00 | | 135 | Mbuini Dispensary | 40,000.00 | | 136 | Yinthungu Dispensary | 35,897.64 | | 137 | Kamuthini Disp | 30,000.00 | | 138 | Muthingiini Dispensary | 30,000.00 | | 139 | Uviluni Dispensary | 27,697.52 | | 140 | Kanyungu Dispensary | 23,579.56 | | 141 | Mbiini Dispensary | 23,051.30 | | 142 | Mithumoni dispensary | 21,448.00 | | 143 | KawalaDispensary | 20,451.16 | | 144 | Maau eli Dispensary | 20,000.00 | | 145 | Kinyambu Dispensary | 18,635.80 | | 146 | Itithini Dispensary | 14,960.62 | | 147 | Katulye Dispensary | 14,168.98 | | 148 | Kituluku Dispensary | 11,556.10 | | 149 | Ivingoni Dispensary | 11,000.00 | | 150 | Ngiluni dispensary (Kaiti) | 9,942.00 | | 151 | NduumoniDispensary | 7,727.50 | | 152 | Kilisa Dispensary | 7,000.00 | | 153 | Kakutha Dispensary | 4,755.65 | | 154 | Syathani Dispensary | 4,371.10 | | 155 | Kyumbe Dispensary | 1,670.80 | | | TOTAL | 66,413,161.08 |

| ZEROREIMBURSEMENT | ZEROREIMBURSEMENT | ZEROREIMBURSEMENT | |---------------------|---------------------|---------------------| | 1 | Kalanzoni Disp | | | 2 | Kiou Top Disp | |

| 3 | Nduluni Disp | |-----|------------------------| | 4 | Kitivo Disp | | 5 | Enzai Disp | | 6 | Mwalano Disp | | 7 | Lumu Disp | | 8 | Malili Disp | | 9 | Kwakaluli Disp | | 10 | Ndumbi Dispensary | | 11 | Kathongo Dispensary | | 12 | Kivani Dispensary | | 13 | Kimeeni Dispensary | | 14 | Kaseveni Dispensary | | 15 | Mbenuu Health Centre | | 16 | MandoiDispensary | | 17 | KyaseDispensary | | 18 | Kaliini Dispensary | | 19 | Mutulani Dispensary | | 20 | Ikalaasa Dispensary | | 21 | Mathangathi Dispensary | | 22 | Mbitini Dispensary | | 23 | Miangeni Dispensary | | 24 | Mbulutini Dispensary |

| 25 | GK prison Dispensary | |------|-----------------------------| | 26 | Itumbule Dispensary | | 27 | Kathamboni Dispensary | | 28 | Matheani Dispensary | | 29 | Mutini Dispensary | | 30 | Yikiuuku Dispensary | | 31 | YeemulwaDispensary | | 32 | Kilili Health Centre | | 33 | Ngomano Dispensary | | 34 | Mumbuni Health Centre | | 35 | Mwania Dispensary | | 36 | Mungyani Dispensary | | 37 | Kathuma Dispensary | | 38 | Manza Dispensary | | 39 | KwakavisiDispensary | | 40 | MulataDispensary | | 41 | Ikalyoni Dispensary | | 42 | IuaniHealth Center | | 43 | KavataNzou dispensary | | 44 | Kivani Health Center | | 45 | KwamukutaDispensary (Kaiti) | | 46 | Kyang'a Dispensary |

| 47 | Yikivumbu dispensary | | |------|------------------------|----| | | Mwanyani health centre | 48 | | 49 | APSSCEmaliDispensary | | | 50 | llatu health centre | | | 51 | Mbulutini dispensary | | | 52 | Nthongoni dispensary | | | 53 | Ngakaa Dispensary | | | 54 | Kavete dispensary | | | 55 | MatutuDispensary | | | 56 | Katulani dispensary | | | 57 | Kasemeini Dispensary | | | 58 | MweiniDispensary | | | 59 | YimwaaDispensary | | | 60 | Yikivuthi Dispensary | | | 61 | Kyumani Dispensary | | | 62 | Kalimani Dispensary | | | 63 | Nthunguni Dispensary | | | 64 | Ngiluni Dispensary | | | 65 | Mang'eleteDispensary | | | 66 | Muthungue Dispensary | | | 67 | Katulye Dispensary | |

ThereimbursementofKES66,413,161.08toPHCfacilitiesmarks asignificantmilestoneinstrengthening community-level health services.However,despite this positive achievement,a three-month delay(June, July andAugust2025)insubsequentreimbursementshas createdfinancialstrain acrossfacilities.The irregularityof disbursementshas disruptedfinancial planning,constrainedprocurement ofessential supplies,anddelayedimplementationofkeyhealthinterventions.ThePHCreimbursementlacksclear criteria onhowreimbursementisbeingdoneand thishasseena largenumberoffacilitiesmissingout therefore affectingtheirfinancial standingandhenceservicedelivery

Query 4:Specificmeasures and strategiesbeing appliedbyMakueni County Government to track Universal Health Coverage(UHC)fund flows,highlighting challenges,if any,experiencedwith timely disbursementfrom thenational governmentforUHCrelated services;

Measures andStrategiesforTrackingUHCFund Flows inMakueni County

Makueni Countyhasputinplaceseveral measurestoensure accountability,transparency,andefficiencyin themanagement of fundsreceived under the Universal Health Coverage(UHC) programme.These measures are aimed at strengtheninghealthfinancing,ensuring timelyreimbursementstofacilities,and enhancingservicedelivery.

Key Measures and Strategies employed include;

·Automated ClaimsManagement

2.Facility in-charges are trained tocapture accurate data to reduce claim rejections.
1.Healthfacilitiessubmit claims through theSocialHealthAuthority(SHA)electronicportal, allowingforreal-timetrackingofclaimssubmitted,verified,andreimbursed.

·PeriodicFinancialReconciliation

2. TheDepartmentofHealthconductsmonthlyandquarterlyreconciliationofclaimsversus reimbursements,enablingearlydetectionofoutstandingbalancesandunderpayments. 2. 1.TheDepartmentofhealthconductsaweeklyassessmentofclaims andsendbacksclaimsto monitorqualityofclaimssubmitted andidentifygapsif anyto enhanceefficiency

Facility-LevelAccountabilityStructures

2. Regularreportingmechanisms ensure thatfundsreceived arealignedwith expenditure on essential health commodities,equipment,andservice delivery. 2. 1.Facility management committees and healthcentre boardsmonitor fund inflows and utilization.

·Data-DrivenMonitoringandEvaluation(M&E)

2.Dashboardsare used at countylevel togenerate reports on reimbursements and outstanding claims.
1.The county applieshealthinformation systems to trackservicevolumes,claims patterns,and financialinflows.

StakeholderEngagementandEscalation

2.Escalationchannels areutilizedwhendelaysthreatenservicecontinuity.
1.Continuous engagementwith theSocial HealthAuthority(SHA)both at local andnational levelundertakentofollowuponpendingdisbursements.

ChallengesExperienced

Despite thesestrategies,Makueni County continuestofaceseveral challengesrelated toUHCfundflows:

DelayedDisbursementsfromSHA

Reimbursements often lagbehind claim submissions,with delays rangingfromweeks to severalmonths.Thisdisruptscashflowandweakensservicecontinuityatthefacilitylevel.
OutstandingBalances
Significantportionsofclaimedamountsremain unreimbursed,leadingto operational deficits O infacilitiesthatdependheavily ontimelyreimbursements.
SystemicBottlenecks in ClaimsProcessing
Errorsinclaimsubmissions,portal downtimes,andlengthyverificationprocessescontribute O to delays andrejections.
UnevenDistribution ofFunds
High-volumefacilitiestendto absorblargerallocations,whilesmaller andremotefacilities oftenreceivelower ornoreimbursements,affectingequityinservicedelivery.
DependenceonCountyExchequerSupport
oIn thefaceofdelays,thecountytreasuryisforced tostepin andsupportfacilitieswith operationalfunds,straininglocalresources.

Query5:Breakdownof the totalamountofmoneyreceivedineachhealthcarefacilityin theFinancial theamountscollected,retainedand/orring-fencedandusedexclusivelyfortheimprovementofhealth services;

Thecountyenacted theMakueniHealthAct,2016,whichempoweredhealthfacilitiestocollect andretain ownrevenues.Theseretainedfunds are utilized to supportmaintenance,and development activities at facilitylevel,therebypromotingefficiency,accountability,andsustainabilityinhealthcare delivery. PursuanttothisprovisionallfundsreceivedthroughFacilityImprovementFinancingAct,2023areretained at the specifichealthfacility.The table belowpresents theamounts collected andretained by health facilitiesduringtheFinancialYear2024/2025.

Hospital collections

| S/N | FACILITYNAME | AMOUNT COLLECTED | REMARKS | |-------|---------------------------------|--------------------|------------------| | 1 | Makueni CountyReferral Hospital | 242,761,856.00 | Allfundsretained | | 2 | Makindu Sub CountyHospital | 120,744,752.00 | Allfundsretained | | 3 | Mbooni Sub CountyHospital | 32,227,457.20 | Allfundsretained | | 4 | SultanSub CountyHospital | 62,445,890.80 | Allfundsretained | | 5 | KibweziSubCountyHospital | 65,550,041.40 | Allfundsretained |

| 6 | Kilungu Sub County Hospital | 32,916,078.15 | Allfundsretained | |-------|-------------------------------|-----------------|--------------------| | 7 | TawaSub CountyHospital | 37,893,130.05 | All funds retained | | 8 | Kisau Sub CountyHospital | 25,400,151.00 | All funds retained | | 9 | MatilikuSub CountyHospital | 23,300,438.75 | Allfunds retained | | 10 | Kambu Sub CountyHospital | 20,512,229.05 | All funds retained | | 11 | Mukuyuni Sub CountyHospital | 5,354,381.00 | Allfundsretained | | 12 | Kalawa Sub CountyHospital | 9,529,884.35 | All funds retained | | 13 | MtitoAndei Sub CountyHospital | 10,940,540.40 | All fundsretained | | 14 | Nthongoni Sub CountyHospital | 5,854,934.25 | Allfundsretained | | 15 | Emali Sub CountyHospital | 9,151,885.00 | Allfundsretained | | 16 | MutyambuaSub CountyHospital | 1,803,389.00 | Allfundsretained | | Total | Total | 706,387,038.4 | |

LEVEL2&3FACILITIES

| /S N | Health Facility Name | Level ofHealth Facility | FIF collected | Remarks | |--------|------------------------|---------------------------|-----------------|------------------| | 1 | Ikalyoni Dispensary | Disp. | | | | 2 | Itithini Dispensary | Disp. | | | | 3 | Kaia Dispensary | Disp. | 234,334.85 | Allfundsretained | | 4 | Kasunguni | Disp. | 605,844.10 | Allfundsretained | | 5 | Kauti Dispensary | Disp. | 122,081.60 | Allfundsretained | | 6 | KavataNzou Dispensary | Disp. | 100,807.75 | Allfundsretained | | 7 | Kithuni Dispensary | Disp. | 210,278.00 | Allfundsretained |

| 8 | Kituluku Dispensary | Disp. | 66,823.05 | Allfundsretained | |-----|-----------------------------|---------|-------------|--------------------| | 9 | KwaMukuta Dispensary | Disp. | | | | 10 | Kyang'a Dispensary | Disp. | 28,940.00 | All fundsretained | | 11 | Kyanganda Dispensary | Disp. | 419,843.25 | Allfundsretained | | 12 | Kyau Dispensary | Disp. | 260,416.25 | Allfundsretained | | 13 | Kyenzenzeni Dispensary | Disp. | 241,643.75 | Allfundsretained | | 14 | Mangala Dispensary | Disp. | 642,458.95 | Allfundsretained | | 15 | Mbuini Dispensary | Disp. | 175,874.95 | Allfundsretained | | 16 | Musalala Dispensary | Disp. | 208,664.40 | Allfundsretained | | 17 | Mutulani Dispensary (Kaiti) | Disp. | 118,848.15 | All fundsretained | | 18 | Mwaani Dispensary | Disp. | 548,345.10 | All fundsretained | | 19 | Ngiluni Dispensary (Kaiti) | Disp. | 109,454.80 | Allfundsretained | | 20 | Nthangu Dispensary | Disp. | 271,518.95 | Allfundsretained | | 21 | Nthimbani Dispensary | Disp. | 104,345.40 | Allfundsretained | | 22 | Nyaani Dispensary | Disp. | 120,136.20 | Allfundsretained | | 23 | Nzouni Dispensary | Disp. | 185,703.90 | Allfundsretained | | 24 | Nzukini Dispensary | Disp. | 704,584.60 | Allfundsretained | | 25 | Syathani Dispensary | Disp. | 2,185.55 | Allfundsretained | | 26 | UkiaDispensary | Disp. | 528,094.40 | Allfundsretained | | 27 | lianiDispensary | Disp. | 262,529.25 | Allfundsretained | | 28 | Ivingoni Dispensary | Disp. | 44,104.05 | Allfundsretained | | 29 | Ivoleni Dispensary | Disp. | 109,858.35 | Allfundsretained |

| 30 | Kalimani Dispensary | Disp. | | | |------|-----------------------------------------------------|---------|------------|------------------| | 31 | Kathekani Dispensary | Disp. | 356,843.25 | Allfundsretained | | 32 | Katulye Dispensary | Disp. | 87,861.20 | Allfundsretained | | 33 | Kinyambu Dispensary | Disp. | 21,809.25 | Allfundsretained | | 34 | Kitengei Dispensary | Disp. | 336,441.60 | Allfundsretained | | 35 | Kyumani Dispensary | Disp. | 30,660.00 | Allfundsretained | | 36 | MangeleteDispensary | Disp. | | | | 37 | Miumoni Dispensary | Disp. | 153,137.85 | Allfundsretained | | 38 | Muthingiini Dispensary | Disp. | 75,218.85 | Allfundsretained | | 39 | Muthungue Dispensary | Disp. | | | | 40 | Ngiluni Dispensary (Kibwezi) | Disp. | 32,290.00 | Allfundsretained | | 41 | Nthunguni Dispensary | Disp. | | | | 42 | Nzoila Dispensary | Disp. | 51,351.05 | Allfundsretained | | 43 | Yikivuthi Dispensary | Disp. | | | | 44 | AdministrationPolice SeniorStaff College Dispensary | Disp. | | | | 45 | llatu Dispensary | Disp. | 79,440.00 | Allfundsretained | | 46 | Kai Dispensary | Disp. | 136,091.60 | Allfundsretained | | 47 | Kalii Dispensary | Disp. | | | | 48 | Kalungu Dispensary | Disp. | 126,074.40 | Allfundsretained | | 49 | Kamboo Dispensary | Disp. | | | | 50 | Kanyungu Dispensary | Disp. | 63,930.00 | Allfundsretained |

| 51 | Kasemeini Dispensary | Disp. | | | |------|------------------------|---------|------------|-------------------| | 52 | Kathyaka Dispensary | Disp. | | | | 53 | Katulani | Disp. | | | | 54 | KaveteDispensary | Disp. | 22,990.00 | Allfundsretained | | 55 | Kiaoni Dispensary | Disp. | 325,424.85 | Allfundsretained | | 56 | KibokoDispensary | Disp. | 874,024.90 | Allfundsretained | | 57 | Kisayani Dispensary | Disp. | 197,404.70 | Allfundsretained | | 58 | Kitende Dispensary | Disp. | 375,424.20 | Allfundsretained | | 59 | Kwa Kakulu Dispensary | Disp. | 121,736.95 | Allfundsretained | | 60 | kwa ndava | Disp. | | | | 61 | Kwakotoe Dispensary | Disp. | 1,199.93 | Allfundsretained | | 62 | Kyanginywa | Disp. | | | | 63 | Makasa Dispensary | Disp. | 251,969.65 | Allfundsretained | | 64 | Matiku Dispensary | Disp. | 132,871.15 | Allfundsretained | | 65 | MatutuDispensary | Disp. | 10,680.00 | Allfundsretained | | 66 | Mbui Nzau Dispensary | Disp. | 532,903.10 | Allfundsretained | | 67 | Mbulutini Dispensary | Disp. | 193,949.00 | Allfundsretained | | 68 | Mikuyuni Dispensary | Disp. | 107,356.95 | Allfundsretained | | 69 | Mithumoni Dispensary | Disp. | 39,294.90 | All fundsretained | | 70 | Mwasangombe Dispensary | Disp. | 38,915.75 | Allfundsretained | | 71 | MweiniDispensary | Disp. | 77,760.00 | Allfundsretained | | 72 | NdalaniDispensary | Disp. | 166,994.75 | Allfundsretained |

| 73 | Ndovoini Dispensary | Disp. | 1,144,388.60 | Allfundsretained | |------|-----------------------|---------|----------------|--------------------| | 74 | Ndunguni Dispensary | Disp. | 127,549.95 | Allfundsretained | | 75 | Ngaakaa Dispensary | Disp. | | | | 76 | Nthongoni Dispensary | Disp. | 78,625.45 | Allfundsretained | | 77 | Tutini Dispensary | Disp. | | | | 78 | Usungu Dispensary | Disp. | 129,974.75 | Allfundsretained | | 79 | Yimwaa Dispensary | Disp. | 21,940.00 | Allfundsretained | | 80 | Enzai Dispensary | Disp. | 72,026.00 | Allfundsretained | | 81 | Kalanzoni Dispensary | Disp. | | | | 82 | Kamuthini Dispensary | Disp. | 42,702.50 | Allfundsretained | | 83 | Kavuko Dispensary | Disp. | 107,383.25 | Allfundsretained | | 84 | Kiima Kiu Dispensary | Disp. | 266,431.75 | Allfundsretained | | 85 | Kiou Top | Disp. | | | | 86 | KitivoDispensary | Disp. | | | | 87 | Kwa Kaluli Dispensary | Disp. | | | | 88 | LumuDispensary | Disp. | | | | 89 | Malili Dispensary | Disp. | 84,120.00 | Allfundsretained | | 90 | Masokani Dispensary | Disp. | 411,656.55 | Allfundsretained | | 91 | Mbiini Dispensary | Disp. | 204,707.15 | All fundsretained | | 92 | Mbukuni Dispensary | Disp. | 52,200.75 | Allfundsretained | | 93 | Mutiluni Dispensary | Disp. | 177,188.10 | Allfundsretained | | 94 | MuuaDispensary | Disp. | 763,974.05 | Allfundsretained |

| 95 | MwalanoDispensary | Disp. | | | |------|---------------------------------|---------|--------------|-------------------| | 96 | Nduluni Dispensary | Disp. | 49,342.00 | Allfundsretained | | 97 | Ngalana Dispensary | Disp. | 301,204.55 | Allfundsretained | | 98 | Ngiini Dispensary | Disp. | 936,104.30 | Allfundsretained | | 99 | Bosnia Dispensaries | Disp. | 801,973.30 | Allfundsretained | | 100 | Chandaria Mwania Dispensary | Disp. | 314,536.90 | Allfundsretained | | 101 | liani Dispensary | Disp. | 101,940.35 | Allfundsretained | | 102 | Ikalaasa Dispensary | Disp. | 30,200.00 | Allfundsretained | | 103 | ItumbuleDispensary | Disp. | 63,820.00 | Allfundsretained | | 104 | Ivinga Nzia Dispensary | Disp. | | | | 105 | Kakutha Dispensary | Disp. | 196,582.95 | All fundsretained | | 106 | Kaliini (Kwa Mutula) Dispensary | Disp. | | | | 107 | KalimaDispensary | Disp. | 140,046.65 | Allfundsretained | | 108 | Kambi Mawe Dispensary | Disp. | 1,097,802.75 | Allfundsretained | | 109 | Kanthuni Dispensary | Disp. | 193,428.85 | Allfundsretained | | 110 | Kathamboni Dispensary | Disp. | 16,070.00 | Allfundsretained | | 111 | Kathuma Dispensary | Disp. | | | | 112 | Katulye Dispensary (Nzaui) | Disp. | 23,162.70 | Allfundsretained | | 113 | KawalaDispensary | Disp. | 26,377.80 | Allfundsretained | | 114 | Kiangini Dispensary | Disp. | | | | 115 | Kikumini Dispensary | Disp. | 840,811.85 | Allfundsretained | | 116 | Kilisa Dispensary | Disp. | | |

| 117 | Kitikyumu Dispensary | Disp. | 12,243.40 | Allfundsretained | |-------|-----------------------------------|---------|-------------|--------------------| | 118 | Kitonyoni Dispensary | Disp. | 343,225.95 | Allfundsretained | | 119 | Kwakalui Dispensary | Disp. | 376,599.55 | Allfundsretained | | 120 | Kwakavisi Dispensary | Disp. | 64,510.00 | All fundsretained | | 121 | Kyase Dispensary | Disp. | | | | 122 | Kyeeko Dispensary | Disp. | 175,872.80 | Allfundsretained | | 123 | kYUMBE Dispensary | Disp. | 835.40 | Allfundsretained | | 124 | Maau Eli Dispensary | Disp. | 83,073.50 | Allfundsretained | | 125 | Makueni GoK Prison Dispensary | Disp. | 5,440.00 | Allfundsretained | | 126 | Mandoi Dispensary | Disp. | 43,800.00 | Allfundsretained | | 127 | Manza Dispensary | Disp. | 112,615.00 | Allfundsretained | | 128 | Mathangathi Dispensary | Disp. | | | | 129 | Mathanguni Dispensary | Disp. | 291,698.30 | Allfundsretained | | 130 | MatheaniDispensary | Disp. | | | | 131 | Maviaume Dispensary | Disp. | 185,255.45 | Allfundsretained | | 132 | Mbitini Dispensary | Disp. | | | | 133 | Mbulutini Dispensary | Disp. | | | | 134 | Miangeni Dispensary | Disp. | | | | 135 | Mulata/ Ng'oi/Kathaatu Dispensary | Disp. | 17,962.00 | Allfundsretained | | 136 | MulenyuDispensary | Disp. | 83,469.20 | Allfundsretained | | 137 | MungyaniDispensary | Disp. | | |

| 138 | Mutini Dispensaryensary | Disp. | | | |---------|---------------------------------------|---------|--------------|------------------| | 139 | Mutulani Dispensary | Disp. | 15,560.00 | Allfundsretained | | 140 | Muusini Dispensary | Disp. | 68,969.65 | Allfundsretained | | 141 | Nduumoni Dispensary | Disp. | 49,201.85 | Allfundsretained | | 142 | Ngomano Dispensary | Disp. | | | | 143 | Nzeeni Dispensary | Disp. | 41,604.85 | Allfundsretained | | 144 | West Ngosini Dispensary | Disp. | 67,872.20 | Allfundsretained | | 145 | Yekanga Dispensary | Disp. | 54,828.00 | Allfundsretained | | 146 | Yemulwa Dispensary | Disp. | | | | 147 | Yikiuuku Dispensary | Disp. | 16,625.00 | Allfundsretained | | 148 | Yinthungu Dispensary | Disp. | 38,828.80 | Allfundsretained | | 149 | EbenezerDispensary | Disp. | | | | 150 | liani /Kiatine Dispensary | Disp. | | | | 151 | Itetani Dispensary | Disp. | 542,510.35 | Allfundsretained | | 152 | Kaseveni Dispensary | Disp. | | | | 153 | KatanginiDispensary | Disp. | 181,191.35 | Allfundsretained | | 154 | KathongoDispensary | Disp. | | | | 155 | KatiliniDispensary | Disp. | 1,028,156.25 | Allfundsretained | | 156 | Kavumbu Dispensary | Disp. | | | | | | Disp. | | | | 157 158 | Kimeeni Dispensary Kinyase Dispensary | Disp. | 313,243.90 | Allfundsretained | | 159 | KinyauDispensary | Disp. | 243,556.50 | Allfundsretained |

| 160 | Kithoni Dispensary | Disp. | 246,481.35 | All fundsretained | |-------|-------------------------------|---------|--------------|---------------------| | 161 | Kitundu GoK Dispensary Kivani | Disp. | 745,293.25 | Allfundsretained | | 162 | Dispensaryensary | Disp. | 46,030.00 | Allfundsretained | | 163 | Kyaluma | Disp. | | | | 164 | Kyaluma Dispensary | Disp. | 366,324.05 | Allfundsretained | | 165 | Mavindu Dispensary | Disp. | 663,180.30 | Allfundsretained | | 166 | Mbavani Dispensary | Disp. | 342,211.95 | Allfundsretained | | 167 | Miangeni Dispensary | Disp. | 944,943.50 | Allfundsretained | | 168 | Mituvu Dispensary | Disp. | 398,593.90 | Allfundsretained | | 169 | Mutea Dispensary Mutembuku | Disp. | 420,691.60 | Allfundsretained | | 170 | Dispensary | Disp. | 232,460.20 | Allfundsretained | | 171 | Mwana Dispensary | Disp. | 246,097.25 | Allfundsretained | | 172 | Ndauni Dispensary | Disp. | 58,429.25 | All fundsretained | | 173 | Nduluku Dispensary | Disp. | 140,556.75 | Allfundsretained | | 174 | Ndumbi Dispensary | Disp. | | | | 175 | Nduuni Dispensary | Disp. | 276,312.60 | Allfundsretained | | 176 | Ngai Dispensary | Disp. | 882,257.60 | Allfundsretained | | 177 | Syotuvali Dispensary | Disp. | 972,597.95 | Allfundsretained | | 178 | Utangwa Dispensary | Disp. | 818,855.35 | Allfundsretained | | 179 | Utuneni Dispensary | Disp. | 224,051.60 | All fundsretained | | 180 | Utwini Dispensary | Disp. | 874,615.50 | Allfundsretained | | 181 | Uvaani Dispensary | Disp. | 327,516.50 | Allfundsretained | | 182 | Uviluni Dispensary | Disp. | 15,138.75 | Allfundsretained |

| 183 | WaiaDispensary | Disp. | 926,805.60 | Allfundsretained | |-------|----------------------------|---------|--------------|--------------------| | 184 | Yandue Dispensary | Disp. | 374,833.80 | Allfundsretained | | 185 | Ulu Dispensary | Disp. | | | | 186 | Iuani Health Centre | H/Ctr | 32,120.00 | All fundsretained | | 187 | Kee Health Care | H/Ctr | 493,474.70 | Allfundsretained | | 188 | Kilala Model Health Centre | H/Ctr | 689,168.35 | Allfundsretained | | 189 | Kivani Health Centre | H/Ctr | 16,960.00 | Allfundsretained | | 190 | Kyuasini Health Centre | H/Ctr | 2,313,836.40 | Allfundsretained | | 191 | Athi Kamunyuni Dispensary | H/Ctr | 175,560.00 | Allfundsretained | | 192 | Kithyululu | H/Ctr | 895,608.75 | Allfundsretained | | 193 | Kyaani | H/Ctr | 421,771.00 | Allfundsretained | | 194 | Masongaleni Health Centre | H/Ctr | 1,814,768.55 | Allfundsretained | | 195 | Ngwata Health Centre | H/Ctr | 1,202,120.20 | Allfundsretained | | 196 | Nzeveni | H/Ctr | 682,536.20 | Allfundsretained | | 197 | Kalulini | H/Ctr | 509,370.10 | Allfundsretained | | 198 | Kaunguni | H/Ctr | | | | 199 | Kikumini Health Centre | H/Ctr | 840,663.65 | Allfundsretained | | 200 | Masumba | H/Ctr | | | | 201 | Mwanyani | H/Ctr | | | | 202 | Syumile | H/Ctr | | | | 203 | VololoHealthCentre | H/Ctr | | | | 204 | Yikivumbu | H/Ctr | | |

| 205 | ItumbuleHealth Centre | H/Ctr | 361,512.35 | Allfundsretained | |-------|------------------------------|---------|--------------|--------------------| | 206 | Kasikeu | H/Ctr | 1,132,165.30 | Allfundsretained | | 207 | Kwale | H/Ctr | 1,834,916.30 | Allfundsretained | | 208 | Mavivye Model Health Centre | H/Ctr | 227,678.40 | Allfundsretained | | 209 | Uvete | H/Ctr | 284,978.65 | Allfundsretained | | 210 | Kanzokea Health Centre | H/Ctr | 1,901,970.75 | Allfundsretained | | 211 | Kathonzweni Health Centre | H/Ctr | 2,181,938.25 | Allfundsretained | | 212 | Kavuthu Health Centre | H/Ctr | 527,269.60 | Allfundsretained | | 213 | KililiHEALTH CENTRE | H/Ctr | 682,811.40 | Allfundsretained | | 214 | Kithuki Health Centre | H/Ctr | 765,978.55 | Allfundsretained | | 215 | Kitise Health Centre | H/Ctr | 1,176,680.40 | Allfundsretained | | 216 | Mavindini Health Centre | H/Ctr | 1,201,592.90 | Allfundsretained | | 217 | Mbenuu Health Centre | H/Ctr | 71,041.85 | Allfundsretained | | 218 | MbuvoHealth Centre | H/Ctr | 918,038.80 | Allfundsretained | | 219 | MumbuniHealth Center-Makueni | H/Ctr | | | | 220 | Nziu Health Centre | H/Ctr | 2,601,913.00 | Allfundsretained | | 221 | Kako | H/Ctr | | | | 222 | Kali | H/Ctr | 1,757,747.55 | Allfundsretained | | 223 | Kaliani Health Centre | H/Ctr | 2,003,407.85 | Allfundsretained | | 224 | Kathulumbi | H/Ctr | 414,215.10 | Allfundsretained | | 225 | Kisoi Munyao Memorial | H/Ctr | 1,559,069.30 | Allfundsretained |

| 226 | Tulimani Total | H/Ctr | 2,349,168.55 | Allfundsretained | |-------|------------------|---------|----------------|--------------------|

QueryNo.6:Strategies employedbyyourCountyGovernment to addressstaffingrequirementstomeet increasedservice demand underUHC,detailingspecificstepsbeing taken to train and continuouslyupskill healthcare personnel;

The GovernmentofMakueni County,throughtheDepartmentof HealthServices,iscommitted toproviding high-qualityhealthservicesinaccordancewith theConstitutionofKenya,2010,andtoachievingSustainable Development Goal3(SDG3) ongood health andwell-being.Werecognize thecriticalroleof competent and motivatedhealthpersonnel,whichconstitutethehumanresourcesforhealth(HRH),akeypillarofthehealth othernationalandinternationalframeworks.

Sincedevolution,theDepartmentofHealthhasworkedcloselywiththeCountyPublicServiceBoard(CPSB) toprogressively address HRH concerns,including recruitment,redeployment,training,re-tooling,and promotionofhealthpersonnel.Atthedepartmental level,theDepartmental HumanResourceManagement Advisory Committee(DHRMAC)providesoversightandguidance onHRHmatters,meetingatleastmonthly or asrequired.

We arecommitted tothecontinuous upskillingofhealthcarepersonnel toensuredelivery ofspecialized,highquality,andevidence-based health services.TheDepartment undertakes annual trainingneeds assessments, gatheringstafffeedbacktoinformcapacity-buildinginitiatives.Followingthesemeasures,thefollowinghas been achieved;

1.Long-andshort-term specialized training:

Currently49staff areonlong-termspecializedtrainingcategorizedsince theFY2022/23asfollows;

| S/No | Cadre | No. | |--------|----------------------------|-------| | | EmergencyMedicalTechnician | 1 | | 2 | MedicalLaboratoryOfficer | 2 | | | Medical Officer | 12 | | 4 | Nurse | 18 |

| | Orthopedic Trauma | |-------|------------------------------------| | 6 | OrthopedicTechnologist I | | 7 | Pharmacist 2 | | 8 | Physiotherapist | | 9 | 11 Reproductive&ChildHealthOfficer | | Total | 49 |

2.SeniorManagementCourses

Further,77 staff have completed Strategic Leadership Development Programme(SLDP)and Senior Management Courses(SMC).Staffcompleting specialized training are deployed tofacilitiesaccordingto theiracquiredcialty,nludingansthesiologygecologyediatricscriticalcareanesthesia,andfami medicine.

3.Continuous skills upgrading in key health programs:

a.Reproductive,Maternal,Neonatal,Child,and AdolescentHealth:

·Jhpiego-supported trainings:40providerstrained onEmONC(Sept2023);436providers supported throughEMOTIVEmentorship
·JacarandaHealth-supportedmentorship:101providerstrainedonEmONC

b.NutritionTrainingforHealth CareWorkers (FY 23-24):

Baby-FriendlyHospitalInitiative(BFHIl):3-dayfacility-based trainingatMakueni CountyReferral Hospital and Makindu Sub-County Hospital,reaching 65 health providers(nurses,nutritionists, clinical officers,medicalofficers)topromoterecommendedinfantandyoungchildfeedingpractices

c.LaboratoryServices CapacityBuilding and HRDevelopment:

MalariaDiagnostics:36laboratoryofficerstrainedonblendedmalariamicroscopy(GlobalFund supported)
TuberculosisDiagnostics:28newly employedofficers trainedonTBrefreshermicroscopy
Quality ManagementSystems:30officers trainedon IS0 15189:2022;18officers trainedon Laboratory ContinuousQualityImprovement(LCQI)

Through these comprehensive human resource strategies,Makueni County is strengthening its capacity to deliverhigh-quality,accessible,andequitablehealthservicesinlinewith theprinciples of UniversalHealth Coverage (UHC).We remain committed to sustaining these measures,fostering a resilient health workforce, and ensuring that allresidentshave accessto essential healthserviceswithoutfinancial hardship,thus aligning withbothnationalpolicyframeworksandinternationalhealthstandards.

QueryNo.7:TheKenyaMedicalSuppliesAuthority(KEMSA)officialfill ratefor ordersplacedbyyour CountyGovernmentinFinancialYears2022/2023,2023/2024and2024/2025andthecurrenttotal outstandingdebtowedbytheCountyGovernmenttoKEMSAandotherHealthProducts andTechnologies suppliers;

Availabilityofsufficient,efficacious,andqualityHealthProducts andTechnologies(HPTs)isacritical pillar ofanyhealthsystem,asemphasizedbytheWHOandKenyaHealthPolicy2014-2030.TheGovernmentof Makueni County,through theDepartmentofHealthServices,hascontinuouslyensured theavailabilityof qualityHPTsbyprocuringfromnationally approved suppliers.In thefinancialyears2022/2023,2023/2024, and2024/2025,governmentofMakuenididnotprocurefromKEMSAduetolowfillrates.However,inthe financialyear2025/2026,thecountygovernmentresumedprocurementfromKEMSAfollowingimproved institutional capacity.Thereportedfill rates are asfollows:

Hospitals (17 facilities):Original order value-Ksh 35,562,222;Supplied commodities-Ksh 20,711,222;Fillrate-58.2%
Rural Health Facilities (Health centres and dispensaries,225facilities):Original order valueKsh 35,113,436;Supplied commodities -Ksh 30,205,277;Fill rate-86.0%

As of20thAugust 2025,the outstandingKEMSA debtforHPTs stands atKsh51,227,113.

hospitalsinthe county underMESprogramme,theGlobalFund and Gavi sinceFinancial Year2022/2023, includingtherecipientfacilities.

TheMedical EquipmentServices(MES)Programwaslaunchedin2015bytheNational Government of Kenya as a flagship initiative to improve access to specialized healthcare across the country.The program wasimplementedthroughaManagedEquipmentServicesmodel,wherethegovernmententeredintoa7yearleaseagreementwithinternational supplierstoprovide,install,andmaintainmodernmedical equipmentinpublichospitals.

The rollout targeted at least two hospitals;Makueni CountyReferral andMakindu Sub-CountyHospitals. Key equipment categories suppliedincluded:

Renal dialysismachinesforkidney care
Theatre equipmentforsurgical services ?
ICUandHDUequipmenttosupportcritical care
Radiology and imaging equipment (X-rays,ultrasound, CT scanners) ?
Sterilizationunitsforinfectioncontrol

Under theMES arrangement,supplierswere alsoresponsiblefor training biomedical staff andhealthcare workers,aswell as servicing andmaintaining the equipment to ensure functionality.

The tablebelowshowsthedistributionof theequipmentinthe twofacilities underMESprogram andstatus

| SERIALNO. | NAME | MODEL | STATUS | REMARKS | |---------------|-----------------------------------|------------------|-------------|-----------------| | 23XXXX054 | C-ARM | GE | NOT WORKING | Broken down | | 138161415 | DIGITALXRAY | BRIVODR-XR IECV3 | NOT WORKING | UPS broken down | | 641050 | DIGITALMOBILEXRAY | OPTIMAHR 220 | WORKING | | | E12355WXO | ULTRASOUNDMACHINE | LOCI QF6 | WORKING | | | ES-58002377 | ANAESTHETICMACHINEWITH VENTILATOR | MINDRAY WATOEX55 | WORKING | | | ES-58002455 | ANAESTHETICMACHINEWITH VENTILATOR | MINDRAY WATOEX55 | WORKING | | | BN-1600 | ECTROSURGICAL UNIT(DIATHERMY) | DGD300B-2 | WORKING | | | 16-58000834 | OPERATINGTHEATRELAMP | HYLED730 | WORKING | | | 16-55000611 | OPERATINGTHEATRELAMP | HYLED730 | WORKING | | | 22013 | RESUSCITAIVE | BN-2000-002 | WORKING | | | G9- 570044762 | OPERATINGTHEATRETABLE | HYBASE6100 | WORKING | | | G9- 570044782 | OPERATINGTHEATRETABLE | HYBASE6100 | WORKING | | | N/A | INSTRUMENTTROLLEY | N/A | WORKING | | | N/A | INSTRUMENTTROLLEY | N/A | WORKING | | | N/A | LINENTROLLEY | N/A | WORKING | | | N/A | LINENTROLLEY | N/A | WORKING | | | N/A | PATIENTSTRETCHER | N/A | WORKING | | | N/A | PATIENTSTRETCHER | N/A | WORKING | |

| N/A | RESUSCITAIVEPATIENT TROLLEY | N/A | WORKING | |-------|-------------------------------|-------|-----------| | N/A | RESUSCITAIVEPATIENT TROLLEY | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | SURGICALINSTRUMENTSET | N/A | WORKING | | N/A | AUTOCLAVEM/C | N/A | WORKING | | N/A | ULTRASONICWASHER | N/A | WORKING |

Makueni CountyReferral Hospital

| Name | SerialNO.ofthe Equipment | Model | Status | Remarks | |------------------------------|----------------------------|-----------------------------|----------|-----------| | Operating table | G9-58004559 G9-5400424 | Hybase-6,100 Hybase-6,100 | Ok | | | Operating theatrelights | 16-5800828 16-58000873 | Hyled-760/730 Hyled-760/730 | Ok | | | Anaesthetic machine | ES-58002431 ES-57002298 | WATO-EX-55 WATO-EX-55 | Ok | | | Infantradiant warmer | BNT20002E15072 | BNT-2000 | Ok | | | Electrosurgical unit | BN16020 | Beiline | Ok | | | Electrosurgical unit trolley | BN16032-T | | Ok | | | Instrument trolley | | | Ok | | | Patient stretchers hydraulic | | | Ok | | | Patienttrolley | | | Ok | | | Linen trolley | | | Ok | | | Patient monitor | 57026204 | | Ok | | | Autoclave | 19675 | Esta-108A | Ok | |

| | 14494 | Esta-108A | Ok | |---------------------------|----------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|------------------------| | Ultrasonic washer | 19729 15068 | Esta-101 Esta-101 | Ok Ok | | Dialysis Machine | 93160026 93160027 93160028 93160029 93160030 | Formula 2000plus IBFPBx710 Formula 2000plus IBFPBx710 Formula2000plus IBFPBx710 Formula2000plus IBFPBx710 Formula 2000 plus IBFPBx710 | 2 working 3not working | | Dialysis chairs | AP-10A AP-10B | | Ok | | Dialysis Bed | AP-9A AP-9B AP-9C | | Ok | | Sunction Machine | AP-930D | | Ok | | Vital signs monitor | AP-700plus | | Ok | | Oxygen Concentrator | AP-8F10 | | Ok | | Waterplant | | | Ok | | Defibrillator withtrolley | | | Ok | | General xray unit | 66189L42 | Brivo-DRF | Faulty | | Optimamobile unit | 1037368WK6 | Optima | Ok | | Mammogram | 664018B09 | | Ok | | OPG | DEDJO-10 | CS9000Carestream | Ok | | CARM | 03289142 | | Faulty | | Ultrasound Ultrasound | 494551WX5 6075537WX0 | Logiq-F8 Logiq-F6 | Ok |

GAVIand Global Fund has been supporting thevaccinationintervention throughcold chainsupport.The tablebelowindicatedistributionofKEPIfridgestorespectivefacilities and allarefunctional.

| | | WORLDBANKEQUIPMENT | WORLDBANKEQUIPMENT | WORLDBANKEQUIPMENT | WORLDBANKEQUIPMENT | WORLDBANKEQUIPMENT | |------|------------------------------|-------------------------------|-----------------------|----------------------|----------------------------------------------|----------------------| | S/ N | Facility Name | CCE Allocated (Manufacture r) | CCE Allocated (Model) | Type (WICR, WIFR) | Storage volume Categor y(10 cbm,20 cbm, etc) | QT Y (per site) | | 1 | MakinduSub-countyHospital | Haier | HBD-286 | Freezer | >1501 | 1 | | 2 | KyambekeHealthCentre | Aucma | CFD-50 | Refrigerat or | <601 | 1 | | 3 | Kyang'aDispensary | Aucma | CFD-50 | Refrigerat | <601 | 1 | | 4 | KavataNzouDispensary | Aucma | CFD-50 | Refrigerat or | <601 | 1 | | 5 | Kasunguni Dispensary (Kaiti) | Aucma | CFD-50 | Refrigerat or | 109> | 1 | | 6 | KeeHealth Centre | Aucma | CFD-50 | Refrigerat or | 109> | 1 | | 7 | Kivani Health Centre | Aucma | CFD-50 | Refrigerat or | 109> | 1 | | 8 | MangalaDispensary | Aucma | CFD-50 | Refrigerat | 109> | 1 | | 9 | Mutulani Dispensary (Kaiti) | Aucma | CFD-50 | Refrigerat or | 109> | 1 | | 10 | KwamukutaDispensary | Aucma | CFD-50 | Refrigerat or | 109> | | | 11 | Itithini Dispensary | Aucma | CFD-50 | Refrigerat or | <601 | 1 | | 12 | Kyuasini Health Centre | B-Medical | TCW40R AC | Refrigerat or | 109> | 1 | | 13 | Nthangu Dispensary | B-Medical | TCW40R AC | Refrigerat or | 109> | 1 | | 14 | Muthungue Dispensary | B-Medical | TCW40R AC | Refrigerat or | 109> | 1 | | 15 | Mang'eleteDispensary | B-Medical | TCW40R AC | Refrigerat or | 109> | | | 16 | Ivoleni Dispensary | B-Medical | TCW40R AC | Refrigerat or | 109> | |

| 17 | Kathekani Dispensary | B-Medical | TCW40R AC | Refrigerat | <601 | 1 | |------|-------------------------------------|-------------|-------------|---------------|--------|-----| | 18 | Miumoni Dispensary | B-Medical | TCW40R AC | Refrigerat or | <601 | 1 | | 19 | Nthunguni Dispensary (Kibwezi East) | Haier | HBCD-90 | Refrigerat or | 109> | I | | 20 | Kinyambu Dispensary | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 21 | MatikuDispensary | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 22 | Kiaoni Dispensary (Kibwezi) | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 23 | Kalulini Health Centre (Kibwezi) | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 24 | KambooHealth Centre | Haier | HBCD-90 | Refrigerat 10 | <601 | 1 | | 25 | KaveteDispensary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 26 | Kiboko Dispensary (Makindu) | Haier | HBCD-90 | Refrigerat JO | <601 | 1 | | 27 | llatu Health Centre (Makindu) | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 28 | Ndovoini nguumo | Aucma | CFD-50 SDD | Refrigerat or | 109> | 1 | | 29 | KwaleDispensary | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 30 | Masokani Dispensary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 31 | Nduluni Dispensary | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 32 | KavukoDispensary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 33 | KiimaKiu Dispensary | Haier | HBCD-90 | Refrigerat JO | 109> | I | | 34 | Malili Dispensary | Haier | HBCD-90 | Refrigerat 10 | 109> | | | 35 | MbuvoHealth Centre | Haier | HBCD-90 | Refrigerat | 109> | | | 36 | Kithuki Health Centre | Haier | HBCD-90 | Refrigerat 10 | <601 | 1 | | 37 | Kitise Health Centre | Haier | HBCD-90 | Refrigerat or | 109> | | | 38 | Mathangathi Dispensary | Aucma | CFD-50 SDD | Refrigerat or | <601 | | | 39 | Mbulutini Dispensary (Makueni) | Haier | HTC-110 SDD | Refrigerat or | <601 | |

| 40 | Kikumini Dispensary (Makueni) | Haier | HBCD-90 | Refrigerat or | 109> | | |------|-----------------------------------|-----------|-------------|-----------------|---------|----| | 41 | MatilikuSub CountyHospital | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 42 | Bosnia Dispensary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 43 | Kiangini Disepnsary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 44 | Katagini Dispensary | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 45 | KavumbuDispensary | Haier | HTC-110 SDD | Refrigerat or | 109> | 1 | | 46 | Kimeeni Dispensary | Haier | HBCD-90 | Refrigerat or | <601 | 1 | | 47 | MutembukuDispensary | B-Medical | TCW40 SDD | Refrigerat or | 109> | 1 | | 48 | Kisau Sub CountyHospital | Haier | HBCD-90 | Refrigerat or | 109> | 1 | | 49 | Ndumbi Dispensary | B-Medical | TCW40 SDD | Refrigerat or | 109> | 1 | | 50 | Tawa Sub County Hospial | B-Medical | TCW2000 AC | Refrigerat or | 601-901 | 1 | | 51 | KalianiHealth Centre | B-Medical | TCW2000 AC | Refrigerat or | 601-901 | 1 | | 52 | Kitundu(GOK)Dispensary | B-Medical | TCW2000 AC | Refrigerat or | 601-901 | 1 | | 53 | EbenezerDispensary | B-Medical | TCW2000 AC | Refrigerat or | 106-109 | 1 | | 54 | Mbooni Sub CountyHospital | B-Medical | TCW2000 AC | Refrigerat or | 601-901 | 1 | | 55 | Itetani Dispensary | B-Medical | TCW40 SDD | Refrigerat or | 109> | 1 | | 56 | KakoHealth Centre | B-Medical | TCW2000 AC | Refrigerat or | 106-109 | 1 | | 57 | KisoiMunyaoMemorial Health Centre | B-Medical | TCW2000 AC | Refrigerat or | 106-109 | |

QueryNo.9:Detailedandcomprehensivedataandinformationon theprivately-operated healthcare facilitiesin theCounty as at30thJune,2025highlighting thefollowingspecificparticulars:

a)dateofregistrationandcurrentregistrationstatus;
b)accreditationstatuswiththerelevantinstitutions;

c)copiesofthelatestinspectionreports;and
d)detailsofregisteredpractitionersand/orproprietors

Theregistration andlicensingofhealthfacilitiesisthemandateof theNational Government,undertaken through theKenyaMedical Practitioners andDentistsCouncil(KMPDC).In thecaseofregistered practitioners,theresponsibility lieswith theirrespectiveprofessional regulatorybodies.Theseregulators are alsomandated toconductroutineinspections toensurecompliancewithestablishedstandards.

Asa CountyGovernment,wehaveformallywrittentothesecompetentauthoritiesrequesting therelevant data asrequested.In themeantime,wehave attached alistofprivatehealthprovidersoperatingwithinour jurisdictionforreference.

| Regulatory body | Kenya MPDB | Kenya MPDB | Nursing Council of Kenya (Private | Clinical Officers Practice) Council | Nursing Council of Kenya (Private Practice) | Kenya MPDB | Kenya MPDB | Kenya MPDB | Clinical Officers Council | Nursing Council of Kenya (Private | Nursing Council of Kenya (Private Practice) Practice) | |----------------------|----------------------------------------|-------------------------------------------|-------------------------------------|---------------------------------------|-----------------------------------------------|----------------------------------------------|------------------------------------|--------------------------------------|------------------------------------|-------------------------------------|---------------------------------------------------------| | Owner type | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | Owner | Private Practice- Practitioner General | Private Practice- Practitioner General | PrivatePractice- Nurse/Midwifery | PrivatePractice- Clinical Officer | Private Practice- Nurse/Midwifery | PrivatePractice- PrivateInstitution Academic | Private Practice- Clinical Officer | Private Practice- Medical Specialist | Private Practice- Clinical Officer | Private Practice- Nurse/Midwifery | PrivatePractice- Nurse/Midwifery | | Registration_ number | 018189 | 020601 | None | 007063 | 002379 | 018532 | 018088 | None | None | None | None | | Official name | Kasanga Medical Clinic | Services Mukuyuni Universal Family Clinic | Neema Medical Clinic | WenisaMedical Center | Nunguni Medical Clinic | Lukenya University Medical Clinic | VimaRoyal Healthcare | Kibwezi DoctorsPlaza | Silva Community Medical Centre | GoodlifeMedical Centre Kambu | MutheuEdel Medical Clinic (Ulilinzi) | | Name | Kasanga Medical Clinic | Services Mukuyuni Universal Family Clinic | Neema Medical Clinic | WenisaMedical Center | Nunguni Medical Clinic | Medical Clinic(Kbz E) Lukenya University | Vima Royal Healthcare | Kibwezi Doctors Plaza | Silva Community Medical Centre | GoodlifeMedical Centre Kambu | Mutheu Edel Medical Clinic (Ulilinzi) | | Code | 33618 | 32688 | 22838 | 20838 | 18159 | 28734 | 28538 | 27262 | 23927 | 23340 | 20994 | | Code | | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 100 | 二 |

| Clinical Officers Council | Nursing Council of Kenya (Private Practice) | Kenya MPDB | Kenya MPDB | None | Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya MPDB | Nursing Council of Kenya (Private | Kenya MPDB Practice) | Clinical Officers Council | |------------------------------------|-----------------------------------------------|-------------------------------------------------|------------------------------------|---------------------------------------|-------------------------------------|------------------------------------|--------------------------------------|----------------------------------|-----------------------------------------------------|----------------------------------------|------------------------------------------------|-----------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | Private Practice- Clinical Officer | PrivatePractice- Private Institution Academic | Private Practice - Private Institution Academic | Private Practice - Private Company | PrivatePractice- Practitioner General | PrivatePractice- Medical Specialist | Private Practice- Clinical Officer | Private Practice- Medical Specialist | Private Practice- General | Private Practice- Medical Specialist Practitioner | PrivatePractice- Nurse / Midwifery | Private Practice- Practitioner General | PrivatePractice- Clinical Officer | | None | None | None | None | None | 020606 | 15702 | 020182 | 20563 | 019216 | 4/1/6158 | BN-MXCY5YB | None | | Machinery Health Care Centre | St MartinMedical Clinic | Kambu Integrated Health Clinic | Dwa Health Centre | AntokimMedi Care | Posha Medicina | SamuliMedical Centre | HlatuMedical Clinic | Equity Afia Medical CentreEmali | Trauma CentreLimited Orthofix Orthopaedic (Makindu) | Ebenezer Medical Clinic (Kibwezi West) | St Peters Optical & Dental Outpatient Services | Edelpert Medical Center | | MachineryHealth Care Centre | St Martin Medical Clinic | Kambu Integrated Health Clinic | Dwa Health Centre | AntokimMedi Care | Posha Medicina | Samuli | Ilatu Medical Clinic | Equity Afia Medical Centre Emali | TraumaCentreLimited Orthofix Orthopaedic (Makindu) | Clinic (Kibwezi West) Ebenezer Medical | St Peters Optical & Dental Outpatient Services | Edelpert Medical Center | | 19892 | 16644 | 12090 | 11991 | 33688 | 33376 | 33386 | 32285 | 31258 | 30738 | 31486 | 30429 | 28460 | | 22 | 3 | 4 | 5 | | 7 | 8 | 19 | | 2 | 2 | 23 | 24 |

| Kenya MPDB | Clinical Officers Council | Kenya MPDB | Nursing Council of Kenya (Private Practice) | Clinical Officers Council | Kenya MPDB None | Clinical Officers Council. | Kenya MPDB | Nursing Council of Kenya (Private Practice) | KenyaMPDB | Clinical Officers Council | Clinical Officers Council | |--------------------------------------|------------------------------------|----------------------------------------|-----------------------------------------------|------------------------------------|----------------------------------------------|-----------------------------------------------------------------------|----------------------------------------------------|-----------------------------------------------|----------------------------------------|------------------------------------|----------------------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | Private Practice- Medical Specialist | Private Practice- Clinical Officer | Private Practice- Practitioner General | PrivatePractice- Nurse /Midwifery | Private Practice- Clinical Officer | PrivatePractice- PrivateInstitution Academic | PrivatePractice- Medical Specialist PrivatePractice- | Clinical Officer PrivatePractice- Clinical Officer | Private Practice- Nurse / Midwifery | Private Practice- Practitioner General | Private Practice- Clinical Officer | Private Practice- Clinical Officer | | None | None | None | 015120 | 015186 | None | None None | None | None | None | None | None | | Bestcare Hospital Ltd | St.Donbosco Medical Centre | Oasis Medical Clinic (Kibwezi West) | Kiunduani Medical Clinic | Kiunduani Medical Centre | Bliss GVS Healthcare Limited | Kisayani Medical Clinic Makindu Medical& Sugical Centre (KibweziWest) | Kanaani Community Hospital | KibokoMedical Clinic | Mulatya Memorial Hospital (Mkd) | BarakaMedical Clinic (Makindu) | Tumaini Maternity And Nursing Home (Kibwezi) | | Bestcare Hospital Ltd | St.Donbosco Medical Centre | Oasis Medical Clinic (KibweziWest) | Kiunduani Medical Clinic | Kiunduani Medical Centre | Bliss GVSHealthcare Ltd Emali | Clinic-Kibwezi West Makindu Medical Kisayani Medical Centre 23359 | Kanaani Community Hospital-Kiboko | Kiboko Medical Clinic | MulatyaMemorial Hospital (Mkd) | Baraka Medical Clinic (Makindu) | TumainiMaternityAnd Nursing Home (Kibwezi) | | 27908 | 27613 | 24465 | 24315 | 24302 | 23740 | 21009 | 21008 | 19349 | 19320 | 19306 | 17917 | | | | 2 | 28 | 29 | 30 | 3 3 | 3 | 4 | 3 | | 3 |

38

| Clinical Officers Council | Kenya MPDB | Clinical Officers Council | Nursing Council of Kenya (Private | KenyaMPDB Practice) | Clinical Officers Clinical Officers Council | Nursing Council of Kenya (Private Council | Kenya MPDB Practice) | Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya MPDB | |------------------------------------|---------------------------------------|------------------------------------|----------------------------------------|-----------------------------------------------|-------------------------------------------------------------------------|----------------------------------------------|-----------------------------------------------|----------------------------------------|------------------------------------|------------------------------------|------------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | Private Practice- Clinical Officer | PrivatePractice- Practitioner General | Private Practice- Clinical Officer | Private Practice- Practitioner General | Private Practice- PrivateInstitution Academic | PrivatePractice- Clinical Officer Private Practice- Private Institution | Private Practice- Nurse / Midwifery Academic | PrivatePractice- Private Institution Academic | Private Practice- Practitioner General | Private Practice- Clinical Officer | Private Practice- Clinical Officer | Private Practice- Clinical Officer | | None | None | None | None | None | None None | None | None | BN/2015/388193 | 018618 | 019316 | 017572 | | Equity Medical Clinic | Tumaini HealthServices (Makindu) | Musau Medical Clinic | Mt.Zion Community Health Clinic | Emali Nursing Home | Makindu Pathology& KibweziHealth Care Clinic Lab | Medical Clinic And Kibwezi Huruma Laboratory | Kilome Maternity and Nursing Home Hospital | Emali Health Services | Khessed Chen Clinic | Teriann Medical Clinic | Wenisa Medical Centre | | Equity Medical Clinic | Services (Makindu) Tumaini Health | Musau Medical Clinic | MtZion Community Health Clinic | Emali Nursing Home | Makindu Pathology& Kibwezi Health Care Clinic Lab 12632 | Medical ClinicAnd Kibwezi Huruma Laboratory | Kilome MNH | Emali HealthServices | Khessed Chen Clinic | Teriann Medical Clinic | Wenisa Medical Centre | | 17916 | 17914 | 17507 | 17269 | 12002 | 12056 | 12063 | 12313 | 12467 | 31485 | 31262 | 29106 | | 3 | 3 | 4 | 4 | | 4 | $ | 46 | 4 | | 4 | |

| Kenya MPDB | Kenya MPDB | Nursing Council of Kenya (Private Practice) | Clinical Officers Council | Nursing Council of Kenya (Private Practice) | Nursing Council of Kenya (Private Practice) | Kenya MPDB | Kenya MPDB | Clinical Officers Council | Kenya MPDB | None | Kenya MPDB | Clinical Officers Council | |-------------------------------------|-----------------------------------|-----------------------------------------------|------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------|---------------------------|------------------------------------------------|----------------------------------------|------------------------------------|---------------------------|-------------------------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | PrivatePractice- Medical Specialist | PrivatePractice- Clinical Officer | Private Practice- Nurse/Midwifery | Private Practice- Clinical Officer | PrivatePractice- Nurse/Midwifery | Private Practice- Nurse / Midwifery | PrivatePractice- Clinical Officer | Private Practice- General | PrivatePractice- Clinical Officer Practitioner | Private Practice- Practitioner General | Private Practice- Clinical Officer | Private Practice- General | Private Practice- Clinical Officer Practitioner | | 51282 | 002889 | 4/1/6/5b | None | None | None | 015188 | None | 10263 | None | None | 019406 | | | MumwimumuMedical Services | Cool LifeMedical Clinic | St JuliansMedical Clinic | Eagles Health Solution Clinic | Kiima Kiu Health Care Services Dispensary | Enzai Afya Medical Clinic | BekoMedical Centre | Pona Haven Hospital | Hotlines All Hope Medical Center | TheBalmMedical Center | Mui Medical Centre | Equity Afia Wote | St Uguzo Medical Centre | | MumwimumuMedical Services | Cool LifeMedical Clinic | St.Julians Medical Clinic | Eagles Health Solution Clinic | Kiima Kiu Health Care Services Dispensary | Enzai Afya Medical Clinic | BekoMedical Centre | Pona Haven Hospital | Hotlines All Hope Medical Center | The Balm of Geliad Medical Center | Mui Medical Centre | EquityAfiaWote | St Uguzo Medical Centre | | 28114 | 27283 | 22166 | 20738 | 17443 | 17430 | 33468 | 32377 | 32027 | 32023 | 31588 | 30106 | 29329 | | 5 | | 3 | | 5 | 6 | | 8 | | 00 | 6 | | 3 |

| Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya MPDB | Kenya (Private | Kenya MPDB Practice) | Kenya MPDB | Nursing Council of Kenya (Private | Clinical Officers Practice) Council | Clinical Officers Council | Kenya MPDB | Kenya MPDB | |------------------------------------|-----------------------------------------------|-----------------------------------|-----------------------------------|-----------------------------------|-------------------------------------|--------------------------------------------------|--------------------------------------------|-----------------------------------------------------|---------------------------------------|------------------------------------|---------------------------------------------|----------------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private | Practice Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | | Private Practice- Clinical Officer | Private Practice- Private Company | PrivatePractice- Private Company | Private Practice- Private Company | Private Practice- Private Company | Private Practice- Nurse / Midwifery | Private Practice- Medical Specialist | Private Practice - | Private Company Private Practice- Nurse / Midwifery | Private Practice- Clinical Officer | Private Practice- Clinical Officer | Private Practice- Practitioner General | Private Practice- Practitioner General | | 017679 | 016276 | 017128 | 015755 | 017018 | 016083 | 015990 | 005758 | 008030 | None | None | None | 006065 | | Onewaywise Health Services Limited | Dr Teeth Rongai Dental CareLimited (Makueni) | InstituteKLimited MenorahMedical | TheMakueni Doctors PlazaLtd | Royalstar Family Hospital | Stanley Health Services | St Peters Optical And Dental OutPatient | Bliss GVS Heathcare Limited(Wote) Services | NeoSolution Medical Centre | Ngomannex Medcare Clinic | KalambaHealth Care Centre | Capital Memorial Nursing Home (Kathonzweni) | Rapha Nursing Home (Makueni) | | Onewaywise Health Services Limited | Dr Teeth Rongai Dental Care Limited (Makueni) | InstituteK Limited MenorahMedical | The Makueni Doctors PlazaLtd | Royalstar Family Hospital | Stanley Health Services | St.Peters Optical And Dental OutPatient Services | BLISS GVS Healthcare | Neo Solution Medical Center | Ngomannex Medcare Clinic | Kalmba Health Care Centre | Capital Memorial Nursing Home - Kathonzweni | Rapha Nursing Home (Makueni) | | 28760 | 28750 | 25810 | 25374 | 25386 | 24659 | 24441 | 24027 | 23344 | 23236 | 23188 | 21888 | 21676 | | | | 6 | 6 | | | 170 | | | 3 | | 5 | |

| Clinical Officers Council | Clinical Officers Council | Clinical Officers Council | Kenya MPDB | Nursing Council of Kenya (Private Practice) | Clinical Officers Council | Nursing Council of Kenya (Private Practice) | Kenya MPDB | Clinical Officers Council | Nursing Council of Kenya (Private Practice) | Clinical Officers Clinical Officers Council Council | |-----------------------------------|------------------------------------|------------------------------------|----------------------------------------|-----------------------------------------------|------------------------------------|-----------------------------------------------|---------------------------------------------------------|-----------------------------------------------------|-----------------------------------------------|-------------------------------------------------------| | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice | Private Practice Private | Practice Private Practice | Private Practice | Private Practice | | PrivatePractice- Clinical Officer | Private Practice- Clinical Officer | Private Practice- Clinical Officer | Private Practice- Practitioner General | Private Practice- Nurse / Midwifery | Private Practice- Clinical Officer | PrivatePractice- Nurse/Midwifery | Private Practice- PrivatePractice- Practitioner General | Clinical Officer Private Practice- Nurse /Midwifery | PrivatePractice- Clinical Officer | Private Practice- Clinical Officer | | None | None | None | None | None | None | None | None None | None | | None | | Kasarani Medical Clinic Wote | WoteMedical Clinic | Makueni Medical Centre | Sunshine Family Health MedicareCentre | Eunik Highway Medical Clinic | WoteHealth Clinic | Bethany Health Services Clinic | Barazani Medical Clinic Sunrise Medical Clinic | OurLady Of Mercy | InnocentMed Clinic | DGPetersMed Clinic | | Kasarani Medical Clinic Wote | Wote Medical Clinic | Makueni Medical Centre | Sunshine Family Health Medicare Centre | Eunik Highway Medical Clinic | WoteHealth Clinic | Bethany Health Services Clinic 17432 | Sunrise Medical Clinic | Our Lady Of Mercy | InnocentMed Clinic | DGPetersMed Clinic | | 18545 | 18144 | 18139 | 18138 | 18134 | 18133 | BarazaniMedical Clinic 11946 | 23346 | 20980 | 20977 | 20976 | | | | 79 | 00 | | | 8 | 8 | | | |

10.Comprehensivereport on compliancewith the professional standardsforlaboratorypracticeofall medical laboratoriesinhealthcarefacilitiesinMakueni Countyincludinga detailedreporton-
a)licensing,certification and accreditation;and

Accesstohigh-qualitylaboratoryservicesis afundamentalcomponentoftherightto thehighestattainable standard ofhealth,as guaranteed underArticle43(1)(a)of the Constitution ofKenya,2010,which affirms every individual'sright to healthcare services.Ensuringlegallycompliantand licensed laboratoriesis also central to therealizationof Universal Health Coverage(UHC),whichseeks toprovideequitable access to essential healthserviceswithoutfinancial hardship.

Medical laboratoryservicesare acornerstoneofaneffectivehealthcaresystem,providingaccurateandtimely diagnostic results essential for disease detection,clinical management,and treatment.High-quality laboratories enhancepatientoutcomes,support evidence-based medical decisions,and strengthen disease surveillance and publichealthresponse.

Makueni County Government haseighty-nine(89)medical laboratories embedded within its health facilities.

1.Licensing andregulatory oversight of medical laboratories inMakueni County

Belowisa summary ofthelicensingstatus of medical laboratoriesin the county:

All89publicmedical laboratories operate under themandateof theKenyaMedical LaboratoryTechnicians andTechnologistsBoard(KMLTTB).

OnlytwopubliclaboratoriesarefullylicensedbyKMLTTB:
2.Makindu Sub-County Hospital
1.Makueni CountyReferral Hospital
ThemajorityofLevel2,3,and4laboratoriesareunlicensedthoughundersupportivesupervision fromKMLTTBandKenyaAccreditationService(KENAS)
Private laboratoriesgenerallyholdKMLTTB licenses;however,compliance monitoringis uneven.
2.Certificationandaccreditationofmedical laboratoriesinMakueni CountyMakueni County Belowisasummaryof thecertificationandaccreditation status ofmedical laboratoriesinMakueni County Makueni County
1.Makueni CountyReferral Hospital
-TwolaboratoriesareIS015189:2022accredited:
2.Makindu Sub-County Hospital
3.Compliancewithinfrastructure,personnel,andStandard OperatingProcedures(SOPs)
a)Infrastructure
b)Personnel

Makueni Countyhas employed195registeredmedical laboratoryprofessionals acrossitssixsub-counties. Staffingremainsunevenlydistributed,withLevel5andLevel4facilitiessub-optimallystaffed,whileprimary healthcare facilities(health centers and dispensaries)areoften manned by a singlelaboratorypersonnel or relyonsamplenetworkingarrangements.

Attachedis anannex1 detailingthelicenses,certification,and accreditationstatusofall medicallaboratories inMakueniCounty.

QueryNo.11:Detailedreportonlegal compliance andlicensingofall pharmacieswithinpublichealthcare facilitiesin the Countyprovidingregistration and accreditation statusincludingPharmacyandPoisons Boardlicensenumbersasat30thJune,2025.

Thepharmacy andpoisonsBoardlicenses theindividual staffworkingin the public healthfacility pharmaciestoensurelegalcompliance

SOCIALHEALTHAUTHORITYMEMBERREGISTRATION

| No County | Total Registrations | TargetPopulation | XPopulationRegistered | |-------------------------|-----------------------|---------------------|-------------------------| | 1 MOMBASA | 776,485 | 1,190,987 | 65.2% | | 2 3 NYERI BOMET | 507,183 | 875,689 | 57.9% | | 4 KIRINYAGA | 427,917 | 759,164 | 56.4% | | 5 ELGEYOMARAKWET | 335,619 | 610,411 | 55.0% | | 6 KISUMU | 247,150 | 454,480 | S4.4% | | 7 EMBU | 597,072 | 1,155,574 | 51.7% | | 8 | 309,942 | 608,599 | 50.9% | | 9 KERICHO THARAKANITHI | 452,352 | 901,777 | 50.2% | | 10 LAMU | 196,422 | 393,177 | 50.0% | | 11 TAITATAVETA | 71,472 | 143,920 | 49.7% | | 12 NANDI | 163,533 | 340,671 | 48.0% | | 13 | 422,640 | 885,711 | 47.7% | | 14 HOMABAY | 520,482 | 1,131,950 | 46.0% | | NYAMIRA | 273,173 | 605,576 | 45.1% | | 16 15 KAKAMEGA LAIKIPIA | 224,022 | 518,560 | 43.2% | | 17 UASINGISHU | 763,403 | 1,867,579 | 40.9% | | 18 MIGORI | 473,626 | 1,163,186 | 40.7% | | 19 KISII | 454,013 | 1,116,436 | 40.7% | | 20 | 514,169 | 1,266,860 | 40.6% | | 21 NYANDARUA KIAMBU | 977,985 | 2,417,735 | 40.5% | | 22 KAJIADO | 256,954 | 638,289 | 40.3% | | 23 MACHAKOS | 448,243 569,082 | 1,117,840 | 40.1% | | 24 NAKURU | 829,581 | 1,421,932 | 40.0% | | 25 VIHIGA | 225,492 | 2,162,202 | 38.4% | | 26 BARINGO | | 590,013 | 38.2% | | 27 BUNGOMA | 250,200 | 666,763 | 37.5% | | 28 SIAYA | 626,006 | 1,670,570 | 37.5% | | 29 BUSIA | 309,288 369,870 | 993,183 | 37.2% | | 30 NAIROBI | 1,906,286 | 893,681 | 34.6% | | 31 MERU | 446,661 | 1,350,000 5,541,000 | 34.4% | | 32 MAKUENI | 318,960 | 987.653 | 32.3% 33.1% | | 33 KILIFI | 455,433 | 1,453,787 | 31.3% | | 34 KITUI | 343,189 | 1,136,187 | 30.2% | | 35 KWALE | 257,068 | 866,820 | 29.7% | | 36 MURANGA | 306,168 | 1,056,640 | | | 37 NAROK | 305,584 | 1,157,873 | 29.0% | | 38 TRANSZOIA | 258,095 | 990,341 | 26.4% | | 39 MANDERA | 217,172 | 867,457 | 26.1% 25.0% | | 40 SAMBURU | 73,852 | 310,327 | 23.8% | | 41 WAJIR | 181,842 | 781,263 | 23.3% | | 42 TANARIVER | 72,756 | 315,943 | 23.0% | | 43 MARSABIT | 94,998 | 459,785 | 20.7% | | 44 ISIOLO | 51,384 | 268,002 | 19.2% | | 45 WESTPOKOT | 116,890 | 621,241 | | | 46 TURKANA | 172,400 | 926,976 | 18.8% 18.6% | | 47 GARISSA | 162.182 | 905,000 | 17.9% |

HERUSLACOTKZVYA

TCCHNICIANS&TrCRNBLOGISTBOANO Arono

LICENSE

SRNo.G02/0474

(PUOLICMCOICALLADORArORICS)

TIISINTO CERTIY TIAT

MAKINDUSUBCOUNTYHOSPITAL

FACULIT

81-90138

STAL.ADORESS

MAKUENI

MAKINDU

TOWN

PHYSICALADDRESS

MOMBASA ROAD

STREET/ROAD'AVENUE

ISOLATED

PLOTNO.

Is Licensed ta operate thls publiemedical laboralory in accordance with the provisions of Cap 253A as

MEDICALLABORATORY

E

CLASS

1101161010

1311111212101214

DATKOPISSUC

EXPIRYDATR

G2276

D6595009

FILENO

RECEIPTNO.

40,000

13.09·2024

RRGISTRAR

DA'TE

13.09.024 DATE

IRMAN

POAANEA

Chtfonisnelihnfhdarterfen KeuvaAccrulation Service

CLASS

121

214101212101215

UDMM

EXPIRYDATE

DATEOFISSUE

60J573A

G3473

RECEIPTNO... 40,000

FILENO

FEES PAID KSH

Q4.02.Q025

REGISTRAR

DATE

Tnbnmcp:

24.0a.2025

DATE

Thisis to certify that

MAKUENI COUNTY REFERRAL HOSPITAL LABORATORY

is accredited as a Medical Testing Laboratory upon satisfying therequirementsof

ISO15189:2012

Medical Laboratories:Requirements forQuality and Competenceinrespect of the attached schedule

ef 1rdh2034

MushonedOtfcey Kenya AccredlatlonSerice

DATE OFISSUE

REG.NO.

THEKENYAMEDICALLABORATORY TECHNICIANS AND TECHNOLOGISTS BOARD

(MLTTACTNo.10of1999)

CERTIFICATE OF PUBLICLABORATORY REGISTRATION

This is to certify that

MAKUENI COUIHTYREFERRAL HOSPITALLABORATORY Situated at

HOSPITAL ROAD.WOTE MAKUENI

is registered and authorised to operate asa Class Laboratoryby the Board in couformity withi the provisions of the Act. This Certificate is issued under the seal of the Board.

17TH JUHE 2020

63473

RECIPIEN

SIGNATURE

RE

CHAIRMAN

FOR NOITIONSCFISSUESEEOVERLEAF

Machine-extracted text (docling) from a scanned document — may contain recognition errors. Original PDF — parliament.go.ke.

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Report Of The Health Committee On The County Oversight And Networking Engagements In Kitui, Makueni And Machakos Counties

TABLEOFCONTENTS

LISTOFABBREVIATIONS

PRELIMINARIES

EstablishmentandMandateoftheCommittee

CommitteeMembership

CHAIRPERSON'SFOREWORD

Acknowledgements

1.Introduction

1.1.Purpose and Objectives

1.2.Scope oftheEngagements

CHAPTER ONE

1.3.Methodology

1.4.COUNTYPROFILES

1.4.1.Kitui County

1.4.2.Makueni County

1.4.3.MachakosCounty

CHAPTERTWO

2.COMMITTEEOBSERVATIONSANDSTAKEHOLDERSUBMISSIONS

2.1KITUICOUNTY

2.1.1Meetingwith theCountyExecutive

2.1.2Visit toKitui CountyTeaching and Referral Hospital

2.2MAKUENICOUNTY

2.2.1 Mukuyuni Level 4Hospital

32.DuringthetourtheCommitteeobservedthat-

2.2.2 Makueni CountyReferral Hospital (MCRH)

2.2.3 Meetingwith the CountyExecutive

36.TheGovernorinformedtheCommitteethat-

2.3MACHAKOSCOUNTY

2.3.1 Oversightvisit toAthiRiverLevel 4Hospital

40.During thevisit theCommittee observed that-

2.3.2OversightVisittoMwalaLevel4Sub-CountyHospital

44.During the oversightvisit,the Committee observed that-

2.3.3Oversightvisitto theMachakosCountyReferralHospital

2.3.4 Meetingwith the Governor,Machakos County

52.During themeeting,the Governorinformed the Committee that-

CHAPTERTHREE

3.ANALYSISOFCOMMITTEEOBSERVATIONS

3.1.CriticalHealthcareInfrastructure

a)FailureofBiomedicalWasteManagementInfrastructure

b)BreakdownandNon-FunctionalityofEssentialEquipment

C StructuralDefectsandHazards

d OutdatedFittingsandUnsafeConditions

3.2.Medical Equipmentand Technology

α Non-FunctionalandFaultySpecializedEquipment

b DigitalHealthSystemFailuresandTechnologyAccessGaps

C Non-FunctionalityofSupportInfrastructureEquipment

3.3.HumanResourcesforHealth(HRH)

a)ChronicStaffingShortages

b)PersistentIssueswithWelfare,Compensation,andPaymentDelays

c)CareerStagnationandLimitedPromotionalPathways

3.4.Health Products and Technologies (HPTs)and Supply Chain

a.PersistentSupplyChainInstabilityandStockouts

b.Inventory Mismanagement andPharmaceuticalSafety Gaps

3.5.Universal Health Coverage(UHC);Financial and Operational Challenges

a. DelayedandOutstandingReimbursements

CHAPTERFOUR

4.COMMITTEERECOMMENDATIONS

4.1.ChiefExecutive Officer,theSocial HealthAuthority

4.2.Councilof Governors

4.3.Governor,Kitui CountyGovernment

4.4.Governor,Makueni County

4.5.Governor,Machakos County

Annex 1:

13TPARLIAMENTI5TSESSION

MEMBERSPRESENT

ABSENTWITHAPOLOGY

SENATESECRETARIAT

MIN/SEN/SCH/001/2026

PRELIMINARIES

MIN/SEN/SCH/002/2026

ADOPTIONOFTHEAGENDA

MIN/SEN/SCH/003/2026

Committee Resolutions

MIN/SEN/SCH/005/2026 ANYOTHERBUSINESS

MIN/SEN/SCH/006/2026 ADJOURNMENT

13THPARLIAMENT4THSESSION

MEMBERSPRESENT

ABSENTWITHAPOLOGY

INATTENDANCE