Taxpayers have over the previous 4 years spent their hard-earned cash to pay for the leasing of mattresses, child cots, basins, microwave ovens in addition to razor blades within the controversial medical tools leasing scheme imposed on counties.Surprising particulars have emerged over the listing of merchandise that had been leased to well being amenities within the counties with some objects equivalent to syringes, bed-side lockers, fridges, electrical kettles, trolleys, stethoscopes, drip stands and different objects that ordinarily should have been bought by the counties or the Ministry of Well being.Investigation by Saturday Customary reveals that some tools was overpriced, but many had brief lifespan or had been even disposable defeating the aim of a programme initially set as much as keep away from a state of affairs the place counties function with out commonplace tools however is more and more trying like a bottomless pit during which taxpayers may doubtlessly lose billions of shillings.


In one of many agreements, a duplicate of which Saturday Customary obtained, counties needed to pay Sh14 million for a easy working theatre lamp. For an devices’ trolley, counties had been billed some Sh560,000 whereas resuscitators devoured up Sh11.2 million.Counties will likely be billed Sh1,050,000 for a stretcher whereas surgical instrument units are Sh14 million and a linen trolley was billed at Sh280,000 on the finish of the interval.The Managed Gear Providers (MES) Challenge was awarded in 5 slots for theatre tools, theatre instrument and CSSD, renal tools, radiology tools and ICU tools.Notably, although counties had been having these quantities debited from their accounts yearly, a big variety of tools are but to be delivered begging the query why the billing was taking place earlier than the supply of the tools.For the primary time, stress from senators who staged a walk-out on the Well being Cupboard Secretary Sicily Kariuki, Chief Administrative Secretary Rashid Aman, and Principal Secretary Peter Tum yielded some outcomes, they revealed the main points of the cope with the 5 firms supplying numerous medical tools to counties.

Hiked prices

Senators, in a heated Home session attended by the CS poked holes on the scheme, questioning the hike in value from an estimated Sh38 billion to the present Sh63 billion. Whereas showing earlier than the Senate, Ministry of Well being officers defined away the Sh25 billion variance, arguing that they’d meant to equip further 21 hospitals. The Cupboard Secretary additionally attributed this variance to the fluctuating efficiency of the greenback towards the shilling.It has additionally emerged that there are counties which have been persistently billed by the nationwide authorities but no medical tools has been delivered to this point.In Trans Nzoia, no single machine has been delivered regardless of the county authorities paying for a similar since 2015. Even Bomet the place the previous Governor Isaac Ruto declined to signal the MoU has acquired no tools however paid for a similar upfront.


Additionally Kacheliba, Kabarnet, Baragoi and Garbatula in West Pokot, Baringo, Samburu and Isiolo counties have tools delivered however they aren’t operational.However this success comes with challenges of lack of certified personnel, a scarcity of electrical energy connection and a scarcity of water dents on certainly one of President Uhuru Kenyatta’s pet tasks.The unique scheme, at a price of Sh38 billion, would see every county pay Sh665 million on the finish of leasing interval. Nevertheless, the numerous determine the place every county is paying Sh200million, will see it pay Sh1.three billion to the top of seven years.In 2015, the counties had estimated that in the event that they had been to do an outright buy of all of the tools leased, assembly the US/EU requirements, it might value every county Sh181.6 million on the then prevailing market charges for 2 hospitals in the identical interval.


They argued {that a} six yr 7.5 per cent Worth Service Contract would whole Sh41.three million every bringing the general value of the tools to Sh 223 million over the seven years.In 2015, then chair of Council of Governors Isaac Ruto went to court docket to oppose the involvement of nationwide authorities in what was a purely devolved perform. His predecessor then, who’s the present Cupboard Secretary for Commerce Peter Munya wrote to Ethics and Anti-Corruption Fee (EACC) Chief Government Workplace Halaque Wako, elevating a purple flag over the topic.Mr Munya had sought EACC involvement to verify whether or not the contractual agreements met financial and ethics guidelines and different legal guidelines as specified by the Structure.“This may make sure the Governors are usually not held accountable for any misdeeds associated to this mission. It is very important notice that the Nationwide Authorities has uncared for to make out there the primary contract with contractors which might be offering the tools and different companies throughout the lifetime of the mission,” he faulted then. “The Nationwide Authorities has nonetheless forwarded an MoU to every county to signal. As soon as the county indicators, the MOoU turns into biding and efficient. The MoU is comparable for all of the counties and the listing of apparatus is similar,” acknowledged Munya.He complained that the complete course of had been undertaken by the ministry with out session with counties as required by legislation.“Nevertheless as a result of stress, the council has agreed to signal the MoU as they await solutions to the excellent points,” he mentioned.As he and his counterparts gave in, tenders had been being awarded.


Amongst those that bought the profitable offers embody Shenzen Midray Bio-Electronics Firm of China which coping with theatre tools equipped to 96 hospitals at a price of Sh47 billion, whereas Esteem Industries of India coping with CSSD and surgical devices was awarded a contract of Sh9 billion to provide to 96 hospitals full with sterilising and surgical units for all operations.

Referral hospitals

Others embody Bello SRL of Italy coping with renal and dialysis machines which bought a contract of Sh2.four billion to provide the machines to the 47 counties and two nationwide referral hospitals. Philips Medical Methods of Netherlands secured a Sh3.7 billion deal to provide ICU tools to 11 hospitals.Whereas Common Electrical (GE) of USA gained a Sh25.5 billion contract to provide radiology tools the place 98 hospitals are anticipated to be outfitted with X-rays, ultrasounds and different imaging tools.The CS defined that the contract for laboratory and well being ICT has not been accomplished. The laboratory contract to value Sh1.1 billion whereas HICT will value Sh4.7 billion with counties paying Sh970,000 yearly for 5 years.“Final yr in October the tendering means of HICT went by and the paperwork are nonetheless with Nationwide Treasury and the Workplace of the Legal professional Common. As soon as the data is availed to the ministry, we’ll proceed to award,” mentioned the CS.


Despite this admission by the CS, her ministry wrote to Nyamira County introducing an extra two suppliers, Neusofi Medical Methods Firm Restricted and Megascope Healthcare Kenya Restricted for the set up of the computerised tomography CT Scan, which should be a part of the HICT mission nonetheless underneath tendering. Senators questioned why the 2 weren’t awarded alongside others.“The method of procurement delays was not anticipated. The companies for the laboratory and well being know-how was unnoticed to make sure due course of is attained,” defined Well being PS Peter Tum.As extra particulars emerge over the now controversial scheme, senators are demanding an itemised schedule exhibiting the precise prices of all tools equipped, and the place they had been equipped.“The doc supplied is incomplete. It doesn’t state the counties equipped,” mentioned Majority chief Kipchumba Murkomen.The contract particulars that suppliers ought to provide, set up, take a look at, keep and change faulty machines and in addition prepare personnel.

[email protected]