• Launch of the MSc in Health Systems Management at University of Nairobi
  • Community Health Committee governance training in Migori
  • Group activity at the First National Conference on Health Leadership, Management and Governance
  • Community Health Workers sharing the importance of hospital deliveries with traditional birth attendants in Taita Taveta County
  • Medical students at Jaramogi Oginga Odinga Referral Hospital
  • Stakeholder engagement to create awareness on safe deliveries at Zhogato village, Kilifi County

By Plimun Web Design


In readiness for the ambulance lease or no lease debate

By Samuel Nyingi, Management Sciences for Health

Ambulances for counties

Kenyans expect fair and reasonably priced ambulance services to be provided by their county governments as Article 43(2) of the Constitution of Kenya grants that a person shall not be denied emergency medical treatment. This is a herculean responsibility for the county governments as statutory responsibility for emergency medical services rests with them. Sections 23 and 28 of Part 1 and section 2 of Part 2 of the Fourth Schedule to the Constitution of Kenya, categorizes the functions of the national and county governments with regards to health. These functions include “county health facilities and pharmacies” as well as “county ambulances” while the national government is assigned “national referral health facilities” and “health policy.”  Following the setting up of the county governments, the government confirmed transferred functions, guided by the Transition to Devolved Governments Act 2012, through Legal notices numbers 137-182 of 9th August 2013.

Debate on the pros and cons of the lease or buy ambulances alternative decisions being undertaken by counties is rife. At the same time, details are progressively emerging on the choices that the county governments continue to make. Bomet, Kisii and Kakamega have opted to lease while Machakos, Nyamira and Embu have opted to own ambulances. Read more ...

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About HSM-Kenya

This website is intended to support the development of a community of practice for leaders and managers in the Kenyan health sector.

It is managed by the Leadership, Management and Sustainability program in Kenya (LMS/Kenya) which is a USAID-funded project implemented by Management Sciences for Health. This website is made possible by the generous support of USAID.


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