Uasin Gishu to establish chronic disease centre of excellence at Kesses Hospital

Uasin Gishu County is set to establish an integrated centre of excellence for the chronic disease clinic at Kesses Sub-County Hospital.

Governor Jonathan Bii has described the move as a transformative step in healthcare delivery.

The facility will be upgraded into a specialised hospital for the management of chronic illnesses through collaboration between the county, national government and development partners.

“This initiative will focus on screening, diagnosis and management of non-communicable diseases such as diabetes, hypertension and mental health conditions, alongside comprehensive HIV care,” Bii said.

He directed the county health department to fast-track the process.

The plan was announced during a meeting between county officials and representatives from Ampath Kenya, a long-standing partner in health systems strengthening.

Health executive Joseph Lagat said the centre will position Kesses as a regional leader in chronic care.

“This facility will bring together a multidisciplinary team of experts in HIV and NCD care, supported by modern systems and technology,” he said.

Lagat said integration of artificial intelligence and digital tools would enhance data capture and improve decision-making.

Ampath Uzima’s chief of party Sylvester Kimaiyo said the centre’s strategic importance, saying it will act as a referral hub for complex cases while supporting lower-level facilities.

“We envision streamlined care pathways from community health units to high-volume facilities for severe NCDs and advanced HIV cases,” he said.

Kimaiyo said the partnership will also work to ensure sustainable access to essential medications and diagnostics.

Preventive and promotive health chief officer Paul Wangwe said the department is ready to commit to the project.

“We are fully committed to this integration because it aligns with our long-term vision to strengthen primary healthcare and deliver people-centred care,” he said.

The Kesses Centre of Excellence is expected to play a pivotal role in reducing preventable deaths, improving the quality of life for patients and serving as a model for chronic disease management across the region.

The meeting was also attended by director of health services Dr Evans Kiprotich and Kara Wools-Kaloustian.

 Instant analysis

The planned Kesses Centre of Excellence signals a major policy shift in Uasin Gishu’s healthcare strategy, prioritising long-term management of chronic illnesses over short-term interventions. By integrating non-communicable disease care with HIV services, the county is aligning with global best practices that emphasise comprehensive, people-centred systems. The use of digital tools and AI also reflects an embrace of innovation in healthcare delivery. However, sustainability will depend on consistent funding and reliable access to essential medicines, areas that have historically hampered progress. If successful, the centre could serve as a regional model for tackling the dual burden of HIV and NCDs.