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Ministry of Health
Transforming Healthcare The Government aims to provide Kenyans access to uninterrupted, quality, healthcare services regardless of their locations in Kenya by equipping 2 hospitals in each county and 4 referral hospitals with state of the art medical equipment.
Message from the President To guarantee every Kenyan’s right to the highest attainable standard of health regardless of their location, my government committed to upgrading and equipping hospitals with state of the art diagnostic and clinical care equipment. The signing of Managed Equipment Service Contracts today, marks a major milestone towards the realization of our vision of transforming the health sector to meet the existing health care challenges and lay the foundation for our development into a middle income country in line with the national economic blueprint, Vision 2030. The Government will invest KShs. 38 billion over the next 10 years to finance this innovative medical equipment service. This will ensure that Kenyans lead healthy and productive lives with dignity, equity and opportunity.
H.E Hon. Uhuru Kenyatta, C.G.H President and Commander in Chief of the Defence Forces of the Republic of Kenya
Categories of equipment being supplied to counties 1
Theatre equipment
4
Kidney Dialysis equipment
2
Surgical instruments and sterilization equipments
5
ICU equipment
6
Digital X-Ray machines, Ultrasound and imaging equipment
3
Laboratory equipment
Message from the Cabinet Secretary The Managed Equipment Services project is our key flagship project that will greatly impact lives of Kenyans by decentralising specialised healthcare services from national referral hospitals to county hospitals. This is in line with the national government’s commitment and support to counties, to ensure continuous improvement of health services within the devolved health system. Managed Equipment Services project provides a strategic approach to accessing and managing equipment while ensuring improved quality of care for Kenyans and saving taxpayers money. James W. Macharia Cabinet Secretary Ministry of Health
38
billion shillings spent on medical equipment over 7-10 years
5
dialysis machines for each of the 47 counties
Ministry of Health
Central imaging and command centre
Theatre equipment
98
hospitals equipped with state of the art digital x-ray, ultrasound and other imaging equipment
ICU equipment
Managed Equipment Services Project For Level 4 & 5 Hospitals The Government of Kenya is committed to the realization of the right to health as outlined in the Bill of Rights in Article 43 of the Constitution. Under this provision, every Kenyan is guaranteed the right to the highest attainable standard of health throughout the country regardless of location. Article 21(2) further confers the obligation to achieve the progressive realisation of the rights guaranteed under Article 43 to the State.
Ultrasound equipment
specialised medical care, the ministry of health initiated a program to ensure that every county has two well equipped hospitals. The ministry therefore adopted the Managed Equipment Services contracts, in an effort to ensure that patients and clinicians have state of the art diagnostic and clinical services in all the 47 counties.
Managed Equipment Services(MES) project, is the outsourcing of all aspects of medical equipment to a third party company that specialises in providing the type of service. The outsourced companies provide the expertise to purchase, install, train users, manage and maintain a portfolio of medical equipment on a long-term basis.
In line with the Jubilee manifesto, the Ministry of Health is committed to ensuring that we have well equipped health facilities in every county. To determine county needs, an assessment of infrastructure, equipment and human resource requirements was conducted in level 4 and 5 hospitals countrywide by a joint team from the counties and the national ministry of health in March 2014. To address the identified critical gaps in terms of access to diagnosis and treatment for persons requiring
James W. Macharia, Cabinet Secretary, Ministry of Health and members of Parliamentary Committee on Health during a due diligence visit to China.
94
hospitals fully kitted with theatre equipment
11
hospitals equipped with ICU facilities
94
hospitals equipped with state of the art sterilising equipment and complete surgical sets for all operations
94
hospitals equipped with state of the art laboratory equipment
List of the hospitals identified for the Managed Equipment Services (MES)
Kidney Dialysis Machine Laboratory equipment
Innovative acquisition of medical equipment The Managed Equipment Services have been procured through international competitive bidding. The tenders were strictly restricted to reputable original equipment manufacturers and due diligence carried out to ensure that the successful bidders have the capacity to deliver on their obligations. The MES project will be fully financed by the national government through the Ministry of Health to the tune of kshs. 38 billion over a period of ten years. Counties will be responsible for the cost of utilities such as water and electricity and for putting in place the infrastructure for utilities such as the back-up generators and boreholes among others. Vendors will provide direct infrastructure for the installation of the medical equipment. The project will be rolled out over a 12 month period.
The MES providers shall be required to provide training to key users of the equipment including medical engineers, health workers, ICT experts among others. Through the project, citizens shall enjoy access to uninterrupted, quality specialised health services regardless of location within Kenya. The Health Sector will experience long term savings due to integrated service provision strategy and economies of scale. The MES project is sustainable as it allows for payments to
be staggered over a long time as opposed to upfront payment as is the case with outright purchase. This allows immediate access to state of the art diagnostic and patient care equipment and specialised services in all counties. Today therefore marks a great milestone in the MES project as His Excellency the President, presides over the signing ceremony of the first contracts with the successful bidders for the supply of the managed equipment services.
Winning bidders EQUIPMENT
COUNTY
LEVEL V
LEVEL IV
1
Garissa
PGH Garissa
Masalani
2
Tana River
Hola DH
Garsen Health centre
3
Lamu
Lamu DH
Faza
4
Mandera
Mandera DH
El Wak SDH
5
Wajir
Wajir DH
Griftu SDH
6
Busia
Busia DH
Kocholia SDH
7
Vihiga
Vihiga DH
Emuhaya
8
Kakamega
Kakamega PGH
Malava SDH
9
Bungoma
Bungoma DH
Webuye SDH
10 Muranga
Muranga DH
Muriranjas SDH
11 Kirinyaga
Kerugoya DH
Kianyaga DH
12 Nyeri
Nyeri PGH
Karatina DH
13 Homabay
Homabay DH
Rachuonyo DH
14 Kisii
Kisii DH
Gucha DH
15 Kisumu
JOOTRH
Kisumu East DH
16 Siaya
Siaya DH
Bondo DH
17 Migori
Migori DH
Kehancha SDH
18 Nakuru
Nakuru PGH
Naivasha DH
19 Uasin Gishu
Ziwa SDH
Burnt Forest SDH
20 Nandi
Kapsabet DH
Nandi hills SDH
21 Kericho
Kericho DH
Sigowet SDH
22 Bomet
Longisa DH
Ndanai SDH
23 Narok
Narok DH
Transmara SDH
24 Embu
Embu PGH
Ishiara SDH
25 Kitui
Kitui DH
Mwingi DH
26 Makueni
Makueni DH
Makindu SDH
27 Machakos
Machakos level V
Kangundo DH
28 Turkana
Lodwar DH
Lopiding SDH
29 West Pokot
Kapenguria DH
Kacheliba SDH
30 Trans Nzoia
Kitale DH
Endebes SDH
31 Nyandarua
OlKalau
Engineer SDH
32 Marsabit
Marsabit DH
Kalacha SDH
33 Isiolo
Isiolo DH
Garbatulla SDH
34 Meru
Meru level V
Nyambene SDH
35 Tharaka- Nithi
Chuka DH
Tharaka SDH
36 Nyamira
Nyamira DH
Keroka SDH
37 Kwale
Kinango
Msambweni
38 Kilifi
Malindi
Kilifi
39 Taita Taveta
Voi District Hospital Taveta DH
40 Laikipia
Nanyuki DH
Mama Lucy Hospital Mbagathi Hospital
Nyahururu DH
WINNING BIDDER
COUNTRY
41 Nairobi
1. Theatre
Mindray Biomedical Co. Ltd
China
42 Baringo
Kabarnet DH
Eldama Ravine SDH
2. Theatre CSSD
Esteem Co. Ltd
India
43 Elgeyo-Marakwet
Iten DH
Chebiemit DH
3. Renal dialysis
Bellco SRL
Italy
44 Samburu
Maralal DH
Baragoi SDH
4. ICU
Philips
Netherlands
45 Kiambu
Kiambu Hospital
5. Radiology
General Electric
US
Thika District Hospital Coast PGH Kajiado District Hospital
Loitokitok Hospital
46 Mombasa 47 Kajiado
Likoni
