In a strategic move to enhance accountability and improve the efficiency of healthcare delivery, the County Government of Uasin Gishu—working in partnership with the Council of Governors and AMREF has successfully concluded a two-day intensive financial management training for health facility in-charges.
The training aimed to equip facility administrators with the critical knowledge and tools needed to manage public funds responsibly, in alignment with the county’s newly developed Operational and Financial Procedures Manual.
The initiative is a key component of the county’s broader agenda to institutionalize a strong financial management framework under the Facilities Improvement Fund (FIF)—a policy designed to streamline budgeting, procurement, and expenditure across healthcare facilities to ensure better service delivery.
Importance of early budgeting for hospitals
Speaking during the training, Dr. Abraham Serem,County Executive Committee Member for Health Services, stressed the importance of early budgeting and strict compliance with the Public Finance Management (PFM) Act.

“If you spend in the facilities, you must adhere to the PFM Act. Proper planning and financial discipline are non-negotiable,” said Dr. Serem.
He further announced that, for the first time, Level 4 facilities in the county will be subjected to audits to ensure adherence to financial regulations. Dr. Serem urged health officers to uphold their responsibilities diligently, adding that the Department of Health is committed to delivering quality healthcare through transparency and efficient management.
In a strong call for accountability, Dr. Serem also directed procurement officers to thoroughly inspect drug consignments delivered by KEMSA, emphasizing the need to verify deliveries against orders to reduce wastage and prevent mismanagement.
How many Uasin Gishu residents have registered for SHA?
Highlighting the growing success of the Social Health Authority (SHA), Dr. Serem noted that over 387,000 residents have already registered, encouraging facility heads to further mobilize community members to enrol and access the broad range of healthcare benefits available.
Dr. Paul Wangwe, Chief Officer for Preventive and Promotive Health, praised the training as a landmark step in reforming the health sector, stating:

“Uasin Gishu is setting the pace for health sector reforms. With this training, we are ensuring that public funds are used effectively and that essential services reach the people who need them most.”
Also speaking during the training, Sarah Siambi, Director of Supply Chain Management, provided a detailed overview of the procurement process—from budgeting and tendering to contract award—underscoring the importance of procedural accuracy and compliance at every stage.
The training brought together facility heads from across the County,Sub County Health Management team and County Health Management team.