Kemsa chief executive Jonah Manjari. FILE PHOTO | NMG
Narok, Murang’a and Nairobi counties have been barred from drugs
from the Kenya Medical Supplies Authority (Kemsa) for non payment as
four other counties stop seeking drugs from the agency.
Data
from Kemsa reveals that Nairobi, which has a debt of Sh84 million,
Murang’a (Sh21 million) and Narok (Sh104.5 million) have been denied
fresh supplies over the past three months because of the unpaid bills.
The
drugs agency says Kwale, Kericho, Kilifi and Makueni counties have not
ordered fresh drugs from Kemsa in the three months. The four counties
have a combined debt of Sh113 million.
This signals pain to the residents of seven counties who had relied on low cost State hospitals for medicine.
Kemsa
chief executive Jonah Manjari says the counties in debt had breached
repayment agreements that demanded partial clearance of the bills as a
condition to reopen supplies.
Nairobi had committed to
pay Sh30 million monthly while Murang’a promised to pay Sh5 million
monthly until their debt was cleared.
“Some say they
have not been given funds by the Treasury to sort the matter while
others like Narok maintain that this is old debt which they have to
authenticate yet nothing has been forthcoming,” he said.
Counties
tapped for State driven universal health coverage plan have been spared
from the blockade because the national government is making direct
payments to Kemsa for medicine.
Nyeri, Kisumu Machakos and Isiolo were in December selected for
the pilot phase of the universal health coverage—whose residents receive
affordable healthcare by paying little to nothing for certain services.
Nyeri has a clean book, but Kisumu, Machakos and Isiolo owe Kemsa Sh77 million, Sh34 million and Sh2.3 million respectively.
Dr
Manjari said the three counties with debts, but selected for the UHC
pilot, receive supplies from Kemsa within seven days despite the unpaid
bills
“Under the UHC the money is sent to us directly
from the Ministry of Health and so the counties are not using their
money and are not paying their debt either,” he said.
The
medical agency has sought help from Senate to recover a total of Sh2.3
billion debts from various counties after efforts to recover the debt
through intervention of Council of Governors (CoG), the Treasury and the
Controller of Budget (CoB) bore no fruit.
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