Bring quality back to public health facilities


KMET CEO Monica Oguttu (centre) presenting the safe care approach in Kisumu county. To the left is the Minister for health Mrs Ogaja

Public hospitals are always characterized with long queues and grumpy clients with some people even viewing it as a place for only the poor in the society.

It is worse when even the very health providers within the public sector prefer to seek for medical care in private facilities. What went wrong in the public health facilities?

According to KMET CEO Monica Oguttu, reinstating quality is all that is needed to bring back the good name and trust in public facilities.


“Quality is a software that is very important in service delivery but very neglected and never budgeted for” said Monica.

Due to the grave emerging issues in the public health sector as a result of no quality in service delivery, KMET’s safe care initiative to the counties couldn’t be so timely.


KMET has been focusing on quality and health financing issues but in the private sector. However, the glaring need in the public facilities cannot be overlooked.

KMET is therefore currently engaging Kisumu, Siaya, Trans Nzoia and Kakamega counties as a pilot to adopt the safe care model to improve quality in service delivery.

For instance Siaya County has already agreed to start with the county referral hospital before scaling up to six other facilities that were selected for the pilot phase.

Kisumu County on the other hand is in the process of forming a quality improvement team which will oversee the implementation of quality standards in the selected pilot facilities.


During a meeting to discuss the way forward in terms of quality in Kisumu County, the health Minister Mrs. Ogaja ackno

wledged the need to address quality issues in public facilities within

the county.
She complemented the timely venture of KMET and noted that quality improvement actually starts with the management. She also promised her support hoping that Kisumu gets to embrace a culture of quality in service provision.

The journey to bring quality back to public health facilities has already began within the four counties. With the support of policy makers and health stake holders, the light at the end of the tunnel looks so bright.

By Lynette Ouma