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Leader18 June 2026 - 05:15

EDITORIAL: County hospitals expose a crisis of governance

Senators expose poor conditions in county hospitals, raising alarm over Kenya’s devolved health system and deepening governance crisis.

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by STAR EDITOR
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Kocholia Subcounty Hospital gate in Teso North constituency. County hospitals are in a state of dire crisis, according to a Senate committee /FILE
A team of senators has only recently completed a round of fact-finding trips to a number of key hospitals in western Kenya.

The Senate Health Committee, chaired by Jackson Mandago (Uasin Gishu), had earlier, in their investigations, visited hospitals in Machakos, Makueni and Kitui.

As is to be expected, the hospitals are in a terrible state of disrepair, some virtually falling apart.

Cracked floors, broken furniture, peeling paint, leaking ceilings and overcrowded wards are a common feature.

The hospitals pose a health hazard to patients and staff because of exposed cables and, worse, asbestos roofs, which pose a serious environmental and even occupational danger.

At the Kakamega County Referral Hospital, 65 mothers shared 45 beds in the labour ward. They also unearthed a trend in Bungoma in which patients from Uganda have jammed the hospital and crowded out Kenyan taxpayers.

Governors like to remind all and sundry that health is a devolved function and that they are capable of carrying out one of the most key responsibilities of any government, but the evidence points to a duty they are desperately scrambling to understand.

Perhaps it is time that MPs revived the Building Bridges Initiative proposal to create a health commission to manage hospitals and the doctors and nurses that run our health services.

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