
On Wednesday,9th April Uasin Gishu County hosted an interdepartmental meeting that brought together stakeholders from the County Treasury, Department of Health, Council of Governors, and AMREF Health Africa. The primary focus was to enhance public financial management practices across health facilities.
Focus on Level 4 and 5 Facilities
Key discussions revolved around the adaptation and adoption of the PFM Procedures Manual, with a special focus on resolving audit issues in Level 4 and Level 5 health facilities within the county.
The session included a comprehensive review of existing financial practices and outlined solutions to improve transparency, accountability, and autonomy at the facility level.
Training of Trainers (TOTs) Identified
The forum also selected Trainers of Trainers (TOTs) who will lead capacity-building efforts in the coming weeks. These sessions will empower facility managers with knowledge on:
- Health financing autonomy
- Revenue management
- The County Facility Improvement Fund (FIF) Act
- Interpretation of audit findings
FIF Framework to Enhance Autonomy and Efficiency
Dr. Abraham Serem, County Executive Committee Member (CECM) for Health Services, emphasized the importance of the Facility Improvement Fund (FIF) in strengthening the county’s health system.
“With the implementation of FIF, our facilities will enjoy greater autonomy. The funds they generate will be reinvested back into their operations, allowing for timely and effective service delivery,” he said.
Expanding Access to Quality Healthcare
Finance CECM Micah Rogony underscored the importance of ensuring the FIF model delivers real results for residents.
“FIF must work—and it must deliver the best for our people. We’re laying the groundwork for ward-level referral hospitals and stronger community health systems,” he noted.
Rogony also emphasized increased budget allocations and genuine stakeholder engagement, aligning with Governor Dr. Jonathan Bii’s health agenda.
Looking Ahead: A Model for Kenya
Dr. Paul Wangwe (Chief Officer, Preventive and Promotive Health) and Eliud Chemaget (Chief Officer, Finance) both expressed optimism in the county’s path forward.
They believe the enhanced collaboration, policy reforms, and training initiatives will position Uasin Gishu County as a national benchmark in health sector financial management.
Tags: Uasin Gishu County, Health Financing, PFM, FIF Act, Public Financial Management, Kenya Health Sector, County Government, Health Audit, AMREF, Council of Governors