A Senate committee chaired by Vihiga Senator Godfrey Osotsi has revealed alarming shortcomings in county hospitals, including understaffing, lack of essential equipment, stockouts of medical supplies, and questionable drug quality.
The findings, based on audit reports for the 2021–2022 financial year, paint a grim picture of healthcare in facilities such as Karatina, Kinango, Kwale, Longisa, and Migori hospitals.
Key issues highlighted include:
- Understaffing and Overwork:
- Karatina Hospital lacks ICU, HDU, and renal dialysis services.
- Kinango Hospital has a shortfall of 44 medical staff, including specialists like anesthesiologists and surgeons.
- Poor Drug Management:
- Reports of expired and substandard drugs from KEMSA were widespread.
- Hospitals like Kwale had drugs worth millions of shillings expire due to poor inventory practices.
- Financial Mismanagement:
- Kwale Hospital reported untraceable supplies worth Sh1.74 million.
- Longisa Hospital failed to account for Sh19.72 million spent on food.
- Revenue Leakages:
- Kwale and Migori hospitals reported significant revenue collection discrepancies and ICT system flaws.
- Inadequate Infrastructure:
- Migori Hospital faced a 27% budget deficit, severely affecting service delivery.
- Nyeri’s Mt Kenya Hospital is understaffed and lacks critical specialists and equipment.
The committee called on county governors to prioritize healthcare funding, address staffing gaps, and improve operational systems. Additionally, the Ethics and Anti-Corruption Commission was urged to investigate cases of financial mismanagement and ensure accountability.
The report underscores the urgent need for systemic reforms to ensure county hospitals can deliver quality healthcare to Kenyans.