The Board of the Kenya Medical Supplies Authority (KEMSA) confirms that organisational reform efforts have been stepped up to position the Authority as an effective player in the local healthcare system.
As an institution, KEMSA is a strategic State Corporation mandated to undertake roles and responsibilities to ensure supply chain excellence for Health Products and Technologies (HPTs). Currently, KEMSA serves over 8,000 health facilities from the Embakasi National Supply Chain Centre complemented by an additional devolved network of 11 warehouses, four in Nairobi and seven spread across the towns of Eldoret, Kakamega, Kisumu, Meru, Mombasa, Nakuru and Nyeri. These facilities provide last-mile delivery services for our national medical supplies serving communities as close as Mukuru Kwa Njenga in Nairobi County and as far as Manda Bay in Lamu County or Kibish in Turkana County.
The Board was appointed vide a Gazette Notice on April 28th, 2021 and inaugurated early May 2021. Following the inauguration, the Board immediately commenced a process to institute an organisational rejuvenation strategy. The formulation of this strategy has been widely consultative internally and externally. Indeed, the Board is grateful for the support provided by the Public Service Commission (PSC), State Corporations Advisory Committee (SCAC), Ministry of Health, Ministry of Public Service and Gender Affairs, KEMSA Staff and Management, among other stakeholders.
In early July, a multi-agency Taskforce was formed to provide an independent operating recovery strategy for KEMSA to facilitate organisational effectiveness. The KEMSA Immediate Action Plan and Medium-Term Reforms Working Committee (KIAPRWC) comprised a panel of local public service administration experts backed by international counterparts drawn from the World Bank and the Africa Resource Centre.
The Committee has now completed its assignment and has provided a detailed report to the Board. The report has revealed challenges in critical functions within the Authority that deserve to be expeditiously addressed. The challenges identified in the report confirm that KEMSA is currently grossly underperforming and largely unable to meet clients’ urgent needs, particularly the delivery of essential Medicines and Products to the Counties, Referral Hospitals and Programs. This has endangered the lives of Kenyans and is gravely threatening the realisation of Universal Health Coverage (UHC), which is critically predicated on a successful and optimally operating KEMSA.
The key challenges are that we are looking at are financial crisis, supply chain crisis, warehousing and distribution, and procurement chaos. After a review of the report, the Board holds that these challenges will require further review of KEMSA around three key areas: structure, Governance, and process.
As the review gets underway and in compliance with legal requirements governing labour management, the Board has issued General Notice Letters to all staff working with KEMSA this morning. As per the General Notice Letters issued, all non-core staff members have been released to work from home with immediate effect as the necessary consultations progress. The core operating teams under a caretaker management team have been notified, appointed and mobilised to ensure seamless operations in the intervening period. The Board confirms that the necessary interventions have been put in place to avoid undue disruptions to service delivery and day to day operations.
The release of all staff to work from home is a procedural formality to facilitate the review of the organisational structure and will be undertaken expeditiously to ensure that the staff complement is fit for purpose and within the approved staff establishment levels. Attendant sensitivity and empathy will be maintained as the Board is committed to ensuring a smooth review, and the following support measures have been put in place:
The Board is committed to facilitating the necessary reforms to ensure that KEMSA challenges are sufficiently addressed. This commitment includes aligning the organisational structure to industry-accepted standards for a health commodities and technologies procurement organisation. It also calls for the introduction of global best practices, which include: acceptable span of control, transparent reporting relationships and command structures, compounding related functions for strengthened accountability and a re-determination of optimal staffing levels and norms.
Ultimately, I am encouraged that the KEMSA staff, management, and other operating partners have expressed a commitment to supporting the envisaged reforms. These reforms will provide the foundation for achieving the Big Four Health Goals, including the realisation of President Uhuru Kenyatta’s much cherished UHC programme.