Wednesday 7 February 2024

10 Machakos Inspectorate suspects released on bond

By Anchor Reporter


The 10 County Askaris held over the assault of a civic leader Boniface Maeke have been released.
They are to pay a cash bail of Kes 20,000 each or execute a bond of Kes 100,000.

This is as they await the outcome of police investigations into the incident that happened within the precincts of the Machakos Law Courts.
 Askaris pull off MCA's trousers

Senior Principal Magistrate Magistrate James Ombirah also ordered the suspects to appear in court on February 29 for mention of the case.

Notoriety: The cars that the askaris used to capture the MCA

 suspects were also ordered to report to the Machakos Police Station on today to resume interrogation in the case where the MCA was stripped of his trousers and violently robbed of cash and a mobile phone.

Sunday 4 February 2024

Top health officials moved amid deep rot, drama in L5 hospital

Understanding the drift
facing all public hospitals



By Martin Masai,
Editor/ Publisher

It is now emerging that the rot at Machakos Level 5 hospital is deeper than earlier thought as the Machakos County Government puts up a grand cover-up show.

Dirty linen at the hospital
As we went to press, The Anchor can confirm from multiple sources that the Hospital's Medical Superintendent Dr Benjamin Nzomo was demoted and transferred as an ordinary medical officer in Kathiani Hospital after he wrote a two page unflattering letter that concluded that the hospital services were collapsing. 
He listed the theatre and ICU as having stopped operations due to continuously running out of critical consumables. 
His replacement is yet to be found as prospective candidates are unwilling to jump into the raging inferno at the hospital where survival is based on see no evil, say no evil policy. 
Letter from Dr Nzomo
Yet, County Health Minister Daniel Yumbya claims that all is well at the hospital and has refused to respond to documentary evidence from disgruntled officials. Yumbya went ahead to deny knowledge of the letter in a radio interview on Mbaitu FM this morning and flatly refused to acknowledge that there was any problem at the hospital or that anyone had been demoted due to the letter.
It leaves no doubt therefore that either the government of Governor Wavinya is under some sort of capture that is making it difficult to act and change the state of healthcare in the county's biggest hospital. This is as reports emerge that other hospitals in the sub-counties are facing the same administrative malaise and nothing is being done given the level and tenacity of denial by Wavinya's Chief Health Adviser- Dr. Daniel Munyao Yumbya, a holder of a honorary PhD degree.
Others removed and demoted are Halima Adan, who was Director of Nursing, who was posted to Matuu Hospital to serve as a nursing officer. Her deputy- Faith Mutisya, will succeed her.
Director of Public Health - Dr Kimuyu was demoted and sent to Kathiiani as an ordinary doctor. He was replaced by a nurse- Anne Wanyaga.
Mr. John Nyamboga is the new director of Programmes and Partnerships, taking over from Dr Muthama, who was demoted and sent to Athi River as a medical officer. 
No official posting order was published, but the affected officials were given the marching orders individually. 
The new directors have been picked from unions of health officials after a night meeting with nurses at White House last Wednesday.
Multiple sources say the transfers were effected without involvement of  Dr.Yumbya, an indication of a power struggle between Dr Yumbya on the one hand, and union chiefs led by Mr. Mike Saka, Medical Services Chief Officer Dr Miyenda-  the personal doctor of the governor whom she hand picked from Mater Hospital and a powerful unseen hand that manipulates hospital procurement to stock-out levels, on the other.
The multiple sources say the situation is so pathetic that a consultant medic once told a formal meeting that patients who get admitted to the medical wards face 40 per cent probability of dying.
" Doctors sending patients for lab tests wait in vain, or weeks if they are lucky for results to be provided," said a doctor who prefers to remain unnamed. 
The sources say that though the hospital may have working equipment, it is the consumables for use for clinical investigation, radiology, surgery, ICU, and maternity. 
" Patients at the wards can wait for weeks before drugs come around. They parade empty cartons to flatly lie that there are drugs on the store, the sources say, adding that that is the same trick used when the governor came calling last Friday.
Governor Wavinya  had a rude shock herself when she was given a prescription for three drugs at the labour ward only to find them to be out of stock at the pharmacy. 
The county owes Kenya Medical Supplies Kes 137m and was last supplied in December 2023.






Friday 2 February 2024

Services in Machakos Hospital go into a coma amid drama,denials

By Martin Masai


Services at Machakos Level 5 hospital are gradually collapsing even as Governor Wavinya Ndeti stormed the hospital for a unspecified mission.
Notwithstanding , Health Minister Daniel Yumbya and Gov. Wavinya today called a Media conference to deny that the hospital was crumbling. They made no reference of a self explanatory letter from the medical Superintendent that gives a user inside view of the state of the hospital. 
Incognito: A camouflaged Gvn Ndeti tours Machakos L5 facility

The situation at the facility is best stated by the outgoing Medical Superintendent Dr Benjamin Nzomo, who has reportedly been not only transferred but also demoted after detailing the pathetic status in a letter dated January 25,2024.
Dirty linen at the laundry 

The letter to the Director of Medical Services is aptly tited : " Hospital in crisis due to lack of commodities". Highlighting the communication as of 'outmost urgency and importance, Dr Nzomo lists four reasons as the contributor of the crisis: - Inconsistent,untimely and inadequate supplies of health products and supplies needed.

"Among the sizeable number of major challenges in the delivery of health services in Machakos Level 5 hospital is the inconsistent, untimely and inadequate supply of health products and supplies needed in the facility. This has been the case for the big chunk of last calendar year except on short spells when KEMSA or MEDS supplies land"

He contnued "The magnitude of the crisis at hand is as follows:
ICU: We have interrupted services here and cannot admit patients due to complete stock outs of critical items such as HME and bacterial filters, catheter mounts, perfusor lines, breathing circuits etc
Radiology: There is very little service delivery here as there are no ultrasound gel and thermal paper, contrast for CT Scan and films for x-ray and CT Scans.
Food & Ratios: The framework supplier is adamant not to provide additional ratios for dry foods and vegetables henceforth owing to delayed payment since September, 2023.
No food stuff for patients as from tomorrow 26th January, 2024 and patients risk missing meals.
Theatres: services are bound to be interrupted from today due to absence of many items including, X-ray gauze, haemostat spones, HME’S for pediatric and adults, sutures etc.
Additionally, general anaethesia agents such atracurium, suxamethonium, nitrous oxide are lacking.
Wards: Nasal progs, non-rebreather masks, infusion sets, catheter, strapping etc are basic suppliers that are unfortunately out of stock.
Renal Centre: Many challenges abound here including unserviced machines, lack of concentrate, bicarbonate etc
Oncology Department: For sometimes the staff here have been exposed to toxic oncology drugs as there is no N-95 masks in stock.
The Hospital Management Team (HMT) sitting bon 17/1/2024 rated the current performance of the facility at a mere 10% (Minutes of the meeting attached), mostly occasioned by these frequent stock-outs for commodities and the demotivation of the staff as a consequence. Watching this deterioration in the level of services and care is not only hear-breaking but also tantamount to tolerating it.

Kindly note that we have in the past and even currently continue to develop and timely transmit requisitions to the relevant offices to facilitate supply but nothing is forth-coming. 
 We are left to engage loyal local suppliers for limited supplies to continue running the hospital but this option is no longer feasible as we have accumulated substantial credit with them.

This is to let you know the facility is at critical point as departments are slowly closing down due to commodity shortages. This is a clear sign of an impending collapse!" ,the Medsup concluded. 
The letter is copied to
CECM –HEALTH Dr Daniel Yumbya and the Chief Officer-Medical Services- Dr Miyenda.

Thursday 1 February 2024

Wavinya's askaris ordered detained for five days

Ten bulky county askaris who manhandled an MCA will remain in detention for five days.
Machakos Principal Magistrate Mary Otindo declined a request from crime busters to hold them for 14 days. 
Principal Magistrate Mary Otindo 


The second respondent- Joshua Mutiso is a brother of the driver of Governor Wavinya Ndeti's lead escorted car and was recently conscripted to the enforcement unit.

The officers working under the inspectorate department were  arraigned in court over the incident where the Kalama MCA Boniface Maeke was left injured after an ugly confrontation with the said officers.
 The askaris did not take plea after the prosecution requested for 14 days to complete investigations.

The 10 officers will be charged with robbery with violence,assault and causing disturbance within the court premises.

The court ordered their detention at the  Machakos Police Station,waiting determination of whether they will be detained for the 14 days the prosecution side requested for or they will be released on bond a ruling that is expected to be made on Friday at 9.00 am.
Today's application was based on an affidavit sworn by DCI officer Nancy Muturia which The Anchor publishes in full in this article. 
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