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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

Message from the Cabinet Secretary -

of infrastructure, equipment and human resource requirements was conducted .... health workers, ICT experts among others. Through the project, citizens shall.

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