The United States government has frozen
its funding of key Ministry of Health programmes, signalling a possible
withdrawal of some life-saving services dependent on donor funds.
The
United States Agency for International Development (USAid) said in a
statement on Monday evening that it had indefinitely suspended its
funding of Afya House programmes.
USAid did not
initially offer any explanation for its action. But the US ambassador to
Kenya, Robert Godec, later explained that the decision was linked to
massive wastage and theft of funds at Afya House — including donor
funds.
“We took this step because of ongoing concerns
about reports of corruption and weak accounting procedures at the
ministry,” Mr Godec said, adding that the action is intended “to ensure
that healthcare spending reaches those in need, and to protect US
taxpayers’ money.”
The decision came only seven months after the Business Daily reported a multi-billion shilling scandal at the ministry.
An
internal audit of the ministry’s finances revealed that top officials
had inflated prices of medicine and equipment, forged entries in the
Integrated Financial Management System, diverted funds and irregularly
awarded contracts to relatives of powerful politicians, causing heavy
losses to the taxpayers.
President
Uhuru Kenyatta’s government dismissed the reports as false and has
since held no one to account for the massive theft of public funds and
associated criminal activities such as tax evasion.
USAid
has been a key financier of basic healthcare programmes such the
prevention and treatment of malaria and maternal health, and the
withdrawal of funding is expected to significantly affect availability
and quality of these services.
The US agency has also
partnered with Afya House in financing and supporting technical working
groups, co-ordination committees and steering committees that are key to
execution of the programmes.
"No reimbursement"
USAid
warned that “any activities conducted with the Ministry of Health
during the period of suspension will not be reimbursed by the US
government.”
Withdrawal of the support means that
hundreds staff working on USAid-backed programmes could go without
salaries and wages besides paralysing procurement of supplies and
equipment that the ministry has been buying with the support of the
American agency.
Sources close to USAid said the
suspended programmes were expected to benefit from a Sh2.1 billion
support, including the funding of the Walter Reed Programme and Centres
for Disease Control and Prevention.
All costs for
management and operations at the ministry, domestic and international
travel for attendance of conferences and conventions are also frozen.
Mr Godec said funding of the programmes would resume “when appropriate progress is made.”
USAid
had in the notice dated May 8 and signed by its Kenya and East Africa
contracting officer, Brian Woody, that the suspension impacts all
Ministry of Health departments “until such a time specific conditions
have been met”.
Mr Woody said USAid would hold an
information session in Nairobi this morning to clarify issues relating
to the suspension notice.
HIV programmes spared
The
suspension of USAid support also means salaries of all Global Health
Security Agenda (GHSA) and the US President’s Emergency Plan for AIDS
Relief (PEPFAR) staff have been affected.
However,
key programmes such as procurement of commodities and equipment related
to life-saving prevention, treatment such as antiretroviral drugs for
HIV/Aids patients, and support to Kenya during disease outbreaks or
emergency response have, however, been spared the funds freeze.
Activities that directly strengthen county health systems, surveillance and service delivery have also been spared.
Some
of the USAID programmes spread across the country include Tuberculosis
Accelerated Response and Care; Health, Population and Nutrition Activity
Fact Sheets Academic Model Providing Access to Healthcare (AMPATH),
APHIAplus (AIDS, Population and Health Integrated Assistance), and
Applying Science to Strengthen and Improve Systems (ASSIST).
USAid’s
HIV care and support programme has been focusing on palliative care,
orphans and vulnerable children, nutrition, home-based care and TB/HIV
services.
The agency has been largely supporting
maternal health programmes in areas grappling with high prevalence of
HIV/Aids and malaria.
Health secretary Cleopa Mailu
yesterday sought to assure the public that the ministry was addressing
matters raised in an internal audit report that was leaked last October,
revealing massive theft and wastage of public funds.
“We
wish to assure our development partners and Kenyans of our commitment
to prudent financial management and accountability of the resources
placed under our stewardship,” said Dr Mailu.
He said
that the Kenya National Audit Office and the Ethics and Anti-Corruption
Commission were independently investigating the scandal and that the
outcomes of their probe would inform further action.
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