The Senate Committee on Health, chaired by Uasin Gishu Senator Jackson Mandago, conducted an oversight visit to Bungoma and Kakamega County Referral Hospitals, as well as other health facilities in the two counties, on Saturday, November 15, 2025.

The visit is part of the Committee’s mandate to assess the status of healthcare service delivery, infrastructure and resource utilisation in public health institutions.

In their findings regarding both counties, the lawmakers observed significant understaffing among healthcare workers, a challenge that continues to hinder effective service delivery. The Committee recommended that all county executives convert Universal Health Coverage (UHC) staff into permanent and pensionable terms, noting that the national government has already provided resources to support this transition.

Staff shortage

“We have noted shortages of staff across facilities in the country, and that is why, as a committee, we want a conversation with the unions, the SRC and the Public Service Board to address this issue. We have enough well-trained personnel; our challenge is resources, but we can still do better with what we have to improve service delivery for our people,” Mandago stated..

The Committee also raised concern over the state of the morgue in Bungoma County, which has a capacity of 20 bodies but is currently holding more than 50. In contrast, the Kakamega County facility was commended for its improved standards and its ability to generate revenue sufficient to pay its own workers.

Additionally, the lawmakers noted widespread system failures across facilities, leading to service delays and poor records management. “We urged county governments to fully digitalise their health records and invest in stable, efficient systems to enhance service delivery.” Senator Omar Mariam said.

Teenage pregnancies surge

The Committee further observed alarmingly high rates of teenage pregnancies across all facilities. “The statistics show that out of every ten pregnant women, eight are under 18 years. I am calling on the people of Bungoma and all Kenyans to take action, because if this continues, the lives of future generations will be greatly affected,” Bungoma Senator David Wakoli said.

The Committee will retreat to compile a comprehensive report, which will be tabled in the Senate for further action.