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 Health Cabinet Secretary Susan Nakhumicha briefs the media after touring Mwai Kibaki teaching and referral hospital and holding consultative meetings with area leaders, January 9, 2022. [Mose Sammy, Standard]

Over the last 12 months, the health sector has been marred by damning scandals, even as it struggles to implement the much-hyped Universal Health Coverage (UHC).

The Kenya Kwanza government, under President William Ruto, has been struggling with scandals reported in various agencies within the Ministry of Health.

The agencies which have been rocked by scandals include the National Health Insurance Fund (NHIF) and the Kenya Medical Supplies Authority (Kemsa). 

President Ruto went on to sack Health Principal Secretary(PS) Josephine Mburu, and suspended Kemsa Chief Executive Officer (CEO) Terry Ramadhani after the two were implicated in a Sh3.7 billion mosquito nets scandal. Ruto, who appeared agitated in an interview in a local media station after the scandal came to light, assured Kenyans that he planned to restore order at Kemsa.

“Watch this space, what you have said is correct. I am doing something about it, and I do not want to speak it now, you will see results,” said Ruto.

For emphasis, he added: “I want to give you my commitment that I will clean Kemsa, whatever it takes, whatever it costs, I will clean up Kemsa.”

Ms Mburu became the first high-ranking government official to be sacked, just a few months after taking office.

Irregularities witnessed in procurement of mosquito nets at Kemsa saw the donor withdraw the tender, which was handed over to Wambo.Org.

In the scam, Kemsa’s technical evaluation committee had identified Partecea East Africa as the winning bidder. However, in its review, the Global Fund found that none of the bids were responsive.

In the tender, Kemsa was to earn Sh74 million, Sh111 million and Sh185 million for procurement, warehouse services and distribution services respectively.

Officers suspended alongside Ramadhani were Martin Wamwea, Lenson Kariuki, Dr Pauline Duya, Livingstone Njuguna, Dr Charles Kariuki, Justus Kinoti, Cosmas Rotich and Anthony Chege.

Investigation into the matter is ongoing by parliamentary and senate health committees, and the Ethics and Anti-Corruption Commission (EACC).

Ruto appointed Dr Andrew Mulwa as the acting Kemsa CEO, and Irungu Nyakera as the chairperson. The two were appointed alongside Hezbon Omollo, Bernard Bett, Dr Jane Masiga and Ms Jane Mbatia, who are all board members.

Health Cabinet Secretary (CS) Susan Nakhumicha has maintained that she is determined to fight corruption at Kemsa.

“I will not stop at anything, even if it means sending home an entire department, I am ready to do it. This institution must be clean. We are going to uproot all the roots, all the evil spirits that have been planted in this institution - nitazing’oa (I will uproot them),” said Nakhumicha during inauguration of the new CEO and board at the authority.

But to stop corruption at the authority, Prof XN Iraki, an economist and a professor at the University of Nairobi, said monopoly should be done away with.

Lack of competition, he said, has continued to affect smooth flow of work at Kemsa, resulting into substandard work.

“Kemsa should not be a monopoly. Anyone willing to buy medical commodities should buy from an open market so that Kemsa is just a supplier, just like any other,” said Iraki. “Anytime there is competition, people will improve on quality, efficiency, delivery. But without competition, it is natural we shall have substandard work."

According to Iraki, once the monopoly status is done away with, there will be transparency and efficiency in service flow at the authority.

James Kamau, a health economist, and the CEO of Kenya Treatment Access Movement said Kemsa should be an independent authority. Mr Kamau said Kemsa operating under the Ministry of Health affects its independence.

“Kemsa is influenced by individuals at the ministry, a move that has led it into trouble as it has to play to tunes of individuals with interests,” he said.

Also, to avoid misappropriation of funds and irregularities in distribution, Kamau observed that Global Fund and other donors should procure commodities directly and hand them to the Kenyan government, instead of providing the country with tenders for supplies.

“We get allocated Global Fund money to buy medical commodities, but we ‘steal’ it. Why can’t we then receive commodities instead?” posed Kamau.

Wrangling at NHIF has also seen its managers in Nairobi and Meru Counties suspended over alleged minting of millions of shillings through hospitals in their areas.

Hospitals under probe in the scandal include Jekim Medical Centre in Meru, St Peter’s Orthopaedic and Surgical Hospital in Kiambu, and Afya Bora Hospital in Mwea, Meru.

Others are Joy Nursing and Maternity Hospital in Kamukunji Nairobi, Jekim Hospital in Imenti South, and Beirut Pharmacy and Medical Centre.

It is alleged that the hospitals were paid at least Sh1.54 billion for  3,011 claims made between July 2022 and June 2023.

Nakhumicha admitted that corruption at NHIF was deep-rooted.

“We have a big problem. How is it over 60 per cent of payment goes to private facilities,” she said while appearing before the National Assembly Health committee led by Robert Pukose. The CS asked the committee to support her in the fight to align the Health system.  By Mercy Kahenda, The Standard

'Send them back!' Chaos erupts on streets of New York as protesters heckle Democrats over migrant crisis© GB News

Democrats in New York City have been heckled by protestors who are calling for an end to the migrant crisis, chanting “send them back!”

Alexandria Osasio-Cortez (AOC), Jerry Nadler and Adriano Espaillat alongside other democrats were heckled during a press conference on the city’s migrant crisis.

One protestor, Johnathan Rinaldi, who is a Queens City Council candidate, shouted “send them back!”

Another cried: “Close the border, close the border. Respect the constitution AOC. I am your constituent.”

 
 
An asylum seeker looks out a window of a school bus as he arrives with others at a tent shelter built to house newly arrived migrants
An asylum seeker looks out a window of a school bus as he arrives with others at a tent shelter built to house newly arrived migrants© GB News

The Democrats spoke outside of the Roosevelt Hotel in Manhattan, which has become a relief centre for migrants. 

“What we seek to do is to make sure that all the resources are necessary and that we are joining with the city and state,” Ocasio-Cortez said to the unruly crowds.

She was quickly interrupted by a man wielding a megaphone, who shouted “Illegal immigration is not right! Respect the constitution, close the border”.

Espaillat said: “We see so many stories, heartbreaking stories manifest itself here. What I think, these are folks that will take New York City to a better place," he said as people kept shouting out in the background.

“Every crisis presents great opportunity. There's hope and opportunity in this building," Espaillat continued, noting that "this is a contentious issue," gesturing toward the protesters who broke out in another chant of "close the border!”

The city has received more than 110,000 migrants in the past year. The Recount (Video)Rep. Nadler (D-NY) at a protest outside a Manhattan shelter for asylum-seekers urges Congress to address the crisis.

 

“I think that there are three points of consensus here that are very important in getting a solution to that issue," Ocasio-Cortez then said, despite the heckling. "The first is that there is consensus here across geographies and state on increased federal resources to cities and municipalities dealing with this issue.”

“The second is to allow for work authorizations so that folks in here can get to work and start supporting themselves as soon as possible. They are prevented from getting jobs. They are prevented from employment and that is part of the strain on our public systems,” she added.

“The faster that folks can access the work that they're asking for, legally, the better we can solve this problem.”

David Re, 59, a protestor, insisted that migrants had “jumped” the immigration line.

“My wife’s children, Diego and Lina, have been waiting seven long years in Medellin, Colombia, to come to this country legally. They have paid all the immigration fees and have been fingerprinted by the FBI. They have done everything right — they have been waiting and they haven’t broken federal law by crossing the border illegally, so why not them?” he told the New York Post.

“From the bottom of my heart, I implore Biden to close the border. It’s two years overdue. If you keep rewarding people for breaking federal law by crossing the border and coming to New York illegally, it’s never going to stop,” he said.

New York City’sMayor Eric Adams has warned that the crisis has the power to “destroy” the city.

The mayor said at a town hall meeting last week: “I’m gonna tell you something, New Yorkers, never in my life have I had a problem that I didn’t see an ending to. I don’t see an ending to this.

He stressed: “This issue will destroy New York City. Destroy New York City.”

The Mayor also slammed the Governor of Texas Greg Abbot who has run a high-profile campaign to send migrants to New York, Los Angeles and other cities via bus.

A bus filled with migrants sent up from Texas first arrived in New York in August 2022.

Since then, 13,0000 more asylum seekers originally located in Texas, have arrived by bus to the city, according to data shared by Adams. GB News

 

JUBA, SEPTEMBER 14, 2023 (SUDANS POST) – South Sudan’s main armed opposition Sudan People’s Liberation Movement in Opposition (SPLM-IO) has warned against holding elections without the prerequisites provided for in the revitalized peace deal.

In an interview with Sudans Post on Thursday, SPLM-IO member of the National Liberation Council (NLC) and chairperson of RRC in Northern Bahr el Ghazal state Dut Majokdit warned that holding elections without implementing the peace agreement would be a “ticking bomb”.

Majokdit said that the SPLM-IG is reluctant to implement key provisions of the agreement, such as the permanent constitution, population census, security arrangements, and electoral laws.

He also said that the National Election Commission is not reconstituted and that there is no election budget.

“So, the election without the above mentioned [requirements] is a ticking bomb,” Majokdit said.

“So, for the IG that they want to go for elections, then it is up to them. But the country is not ready for election now and I don’t know which party will go to election with the SPLM-IG in this volatile situation,” he added.

Majokdit called for the full implementation of the peace agreement in letter and spirit before holding elections.

He said that the SPLM-IO and its leader Riek Machar will be ready for elections once the 2018 peace deal is fully implemented.

“The time for elections to be met is very important, but the SPLM in government, which are the key partner to peace, are lacking the political will to implement the peace agreements,” Majokdit said.

“So, you implement the peace agreement first before you are calling for elections,” he added.

Majokdit also said that elections are the end of the transitional period and that all political parties must respect the end of the transition.

He said that the SPLM-IO is ready to implement the peace agreement and to go for elections.

“So, we are not afraid of elections but let the key provisions of the agreement be implemented,” Majokdit said. - Sudans Post

 

The Federation of drivers and conductors in Kenya (FEDCO) has asked its members to increase transport fees by 30 percent, following the new drastic fuel prices.

The price hike includes a Sh16.61 increase for unleaded fuel, a Sh20.98 increase for diesel and a staggering Sh33.35 increase for Kerosene.

The Federation said the new fuel prices as announced by the Energy and Petroleum Regulatory Authority, "have sent shockwaves through the transport sector and wider economy."

In a statement, the Federation President Calvin Nyaure said their members should increase transport fees, to mitigate the owners from the adverse impact of the fuel price hike on their daily income.

Nyaure called on quick government's intervention, by among other things reviewing the taxes imposed on fuel products.

The calls from the federation came hours after Matatu Owners Association announced that they would increase fares immediately.

MOA chairman Albert Karakacha said just like EPRA blamed the fuel increase on inflation, they also had no option but to increase the fares.

‘We as businessmen, as inflation goes up, we also have to increase so that we do not operate at loss,’’ said Karakacha.

He said when the fuel goes up, everything including fuel, tyres goes up and they can justify the 20 percent increase.

Karakacha said they have been spending around Sh14,000 to fill a 33-seater tank and with the increase, it will go to around Sh16,000.

‘‘The cost of operating a matatu, which is a 14-seater right now with an increase of around Sh17 for diesel,” the Chairman explained.

But the drivers and conductors’ federation said it is committed to engage in talks with government and other stakeholders, to find an amicable solution to the current situation. - Patrick Vidija, The Standard

Channel migrants are being deported within 48 hours of arriving in the UK, the Daily Express can reveal.

A Home Office flight which landed in Tirana, Albania, last week was carrying five men, aged 25, 20, 28, 27 and 22 who had been on UK soil for less than two days.

The Albanians had crossed the Channel in small boats on September 5, but were removed on September 7.

The Daily Express understands these are some of the fastest deportations on record.

Immigration minister Robert Jenrick, speaking from Albania, told the Daily Express: "Albanians crossing illegally in small boats are being returned back to Tirana in a matter of days.

"As we've done so, we have seen a more than 90 percent reduction in the number of Albanians arriving illegally, and overall small boat arrivals are down by 20 percent despite significant increases in illegal arrivals into Europe.

 

"It shows that swift returns deliver the deterrent effect that is so vitally needed to stop the boats - and it reinforces why delivering on our partnership with Rwanda is critical to securing our borders."

Mr Jenrick met with Albanian interior minister Taulant Balla yesterday to discuss the deal struck by Prime Minister Rishi Sunak in December. London and Tirana have agreed to expedite the removal of Albanians who arrive in small boats, hoping to deport them within weeks instead of months or years, in a bid to deter more people from making the crossing.

Some 3,529 Albanian migrants have been deported back to Albania since December, the Daily Express understands.

A Government source told the Daily Express: "Whilst Labour bang on about returning to the broken Dublin Convention - which saw us regularly take back more people than we returned - this Conservative Government has delivered a gold-standard returns agreement with Albania to create the crucial deterrent effect to stop small boat crossings."

Dan O'Mahoney, the former Clandestine Channel Threat Commander charged with tackling the small boats crisis last Summer, said up to two per cent of Albania's entire adult male population crossed the English Channel last year.

Some 12,301 Albanians arrived in the UK on small boats last year, fuelling fears organised crime groups were bringing over new recruits.

Many vanished from hotels to work in the UK's 'black economy', for example on building sites, while some were brought over to work in cannabis farms.

Mr O'Mahoney warned MPs that 10,000 of the Albanian arrivals were single men and "large numbers...are deliberately gaming the system" by claiming asylum before disappearing.

But only 148 Albanians have arrived in the first half of this year, according to the latest Home Office figures, giving ministers confidence their deterrence policy will work on a wider scale.

 
 
Robert Jenrick
Robert Jenrick© Shutterstock

Border Force sources also believe a change in TikTok's approach to adverts by people smugglers - where migrants are now diverted to a charity website warning them not to make the crossing - has also contributed to the fall.

And Mr Jenrick will on Thursday insist EU safety laws could be used to seize migrant boats before they reach the Channel.

The Daily Express understands Mr Jenrick will meet representatives from the German, Bulgarian, Italian and Croatian Governments to press for greater cooperation between European nations in the war against people smugglers. The UK believes the boats can be confiscated and destroyed because they are so unsafe.

The vast majority of the dangerously flimsy vessels are driven across the continent after being constructed in Turkey.

Many are believed to be stored in Germany until the day before they are needed to cross the English Channel.

 
 
Jenrick calls for boats to be seized
Jenrick calls for boats to be seized© Getty

Mr Jenrick said: "We will continue to press our European partners to seize small boat equipment on the continent.

"These consignments are directly linked to deadly organised immigration crime and these flimsy dinghies are also clear breaches of EU directives on safety. Nobody is using these death traps for recreational purposes."

Many of the smuggling networks run through these countries and ministers want European law enforcement agencies to destroy the gangs' supply routes.

This would drive up the price for migrants to cross the Channel as the smugglers attempt to recoup their costs.

Graeme Biggar, the Director General of the National Crime Agency, said last week: ""Their greatest vulnerability is the small boats themselves and the engines that power them so a lot of our effort at the moment is clearly focused on arresting the smugglers, the organisers, but very much on the small boats themselves and the engines.

"We know broadly where and how they are produced and the routes that they are coming in, so we are working with our international partners right up those routes to try to disrupt it."

Former Prime Minister Theresa May yesterday warned climate change could fuel the migration crisis for years to come.

Asked if Britain needs a new returns agreement with the EU, Mrs May told LBC: "Yes. Most of the people who arrive, particularly those coming in small boats have been through other European countries.

"Somebody who is genuinely fleeing persecution, would be claiming asylum in the first safe country that they get to.

"But we do need to be talking to our European allies about this issue, which potentially will be exacerbated by climate change. We know significant numbers are spoken of in future migration and climate change could exacerbate that problem."

 
 
Former Prime Minister Theresa May
Former Prime Minister Theresa May© Getty

"What we see from a lot of people migrating to the country illegally is they are economic migrants.

"They're not fleeing persecution in the sense that one would normally recognise a refugee. I said, when I was Prime Minister at the United Nations, I think we need internationally to have a better way of differentiating between those who are refugees, and those who are economic migrants.

"And we need to have a look again at some of the rules that we all operate on internationally."

 
 
 
 
 
 
 

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