28/07/2026
ASSEMBLY TAKES ON EXECUTIVE OVER FUNDING OF COUNTY TOP HOSPITAL
County Assembly Committee on Health Services on Tuesday engaged officials from the Department of Health Services in what appeared to be a way of finding a solution to issues affecting operations at the County General Hospital (CGH).
The two departments are headed by the County Executive Committee Member (CECM) CPA Livingstone Imbali and his counterpart Mr. Benjamin Andama, respectively.
Chaired by Idakho North Member of the County Assembly (MCA) Hon. Gladys Omukongolo, the Committee demanded clarification on how much was appropriated and released to the CGH in the Financial Year (FY) 2025/2026 and an explanation for the soaring pending bills on the Utilities Vote Head.
“We are here to look at issues being raised in the health sector at the CGH regarding finance,”said the Chairperson in her opening remarks, adding, “and therefore we need to do the right thing and help our people,” she added.
Her sentiments were echoed by Kisa North MCA Hon. James Etabale, who noted that the said facility was on the verge of collapsing and that the blame lay with both the Assembly and the Executive, calling for a better way to salvage the situation.
In response, the CEC in charge of Finance informed the Committee that there was a budget for the facility in the year under review up to the Supplementary Budget.
“I did facilitate the CGH,” noted Mr. Andama. “I provide the budget, but the real utilization is done by the Consumer Ministry,” reaffirmed the CEC.
According to the County Budget Director, CPA Herman Dennis Lusuli, who accompanied the CEC, the Health Department was allocated Kshs. 1.295 billion, out of which the Sub-County MOH, County Medical Operations, Health Centers, and Dispensaries utilized Kshs. 20.3 million, Kshs. 27.5 million, Kshs. 60 million, and Kshs. 82.8 million respectively.
Public Health utilized Kshs. 315.6 million while the Health Services sub-sector had Kshs. 788 million.
CPA Lusuli told the Committee that the CGH has no budget directly from the County Treasury and that it has to be funded under the Facility Improvement Fund (FIF) according to the FIF Act, an observation that was sharply objected to by the Committee, with members arguing that FIF was only supposed to supplement hospital funding.
“This is misleading,” stated Hon. Kevin Mahelo. “FIF is supposed to supplement 30%,” clarified the Butali/Chegulo Ward representative.
In a quick rejoinder, the CEC for Health, CPA Livingstone Imbali, told the Committee that CGH was the main victim, with pending bills skyrocketing to over Kshs. 300 million, citing water and sewerage services pending bills at Kshs. 36 million.
“Our facilities need an equitable share of resources because they have not reached the level of being independent,” decried CPA Imbali.
According to Medical Superintendent Dr. Lamba Christian, CGH's pending bills stand at Kshs. 317 million; SHA owes the hospital Kshs. 217 million while NHIF has Kshs. 121 million.
The Chief Officer in charge of Medical Services, Dr. David Alila, attributed the ongoing crisis at CGH to very low monthly collections and receivables (about Kshs. 30 million), which are far below the required monthly operational costs of Kshs. 83 million.
The CEC further proposed two ways of funding CGH to help offset the alarming pending bills: one being capitation by releasing funds appropriated in the budget to CGH or allocating funds to specific departmental vote heads to allow them to pay the bills.
CPA Lusuli opined that it was important to know how much it costs to run CGH, Level IV, and Level III hospitals and that once the variables are known, it will guide how to budget for them.
The Committee resolved that the budget for the CGH should be included in the 1st Supplementary Budget for FY 2026/2027.
Regarding the purchase of ambulances, the Committee demanded answers as to why they had not been purchased despite an allocation of Kshs. 40 million, with an additional amount of the same figure in the Supplementary Budget.
There was a stalemate as the two departments from the Executive could not explain the whereabouts of the said amount. The CEC of Finance, in what appeared to be a blame game, stated that facilitation was made but that the money was not utilized, while Chief Officer of Medical Services Dr. Alila noted that, as an accounting officer, he made the requisition but was informed that there were specific specifications to be met.
It was resolved that written correspondence from the two departments on this matter be provided to the Committee.
As per the concerns at the mortuary, the Committee was informed that the CGH mortuary has its own bank accounts to enable the funds to run its operations, and on average, collections range between Kshs. 2.2 million and 2.3 million. Fifty percent of the collections is retained at the CGH mortuary, while the remaining half goes to support those in Likuyani and Butere until they become independent.
Present at the meeting was the Chief Officer in charge of Public Health, Ms. Rose Muhanda, among other officers from various departments.
The Committee is scheduled to conduct an oversight visit to the three mortuaries next week to ascertain their status.