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MINISTRY OF HEALTH

BRIEF TO THE NATIONAL ASSEMBLY ON RESPONSE TO QUESTIONS RAISED


REGARDING UPDATES ON COVID-19

Chair and honourable members, the Ministry of Health is in receipt of a letter Ref. No.
NA/DCS/HEALTH/2020/023 of 24th April, 2020 seeking responses on the following;

1. Funds stream to the Ministry of Health for the fight against COVD-19 pandemic
and its utilization to date.
2. The status of the roll-out of the mass testing in the country which should include the
level and distribution of COVID-19 testing kits in the counties.
3. The preparedness of the Kenya Medical Research Institute (KEMRI) in the fight
against the pandemic, and its capability to undertake mass testing in the country.
4. The distribution of Personal Protective Equipment (PPEs) and other relevant
equipment in all the counties.
5. The status of procurement of medical commodities and equipment, as well as the
volumes of donations received towards the fight against the pandemic.

Other information requested include;


1. Who settles for treatment cost for CORVID-19 patients in Public Hospitals e.g. KU
Hospital?
2. Since Kenya has been cleared to Host Vaccine Clinical trials by WHO. What does it
mean for Kenya and how does the Government wish to roll out?
3. What is the Status of the transfer of Health functions in Nairobi County to National
Government? What has the Ministry taken over and what is still pending?
RESPONSES

1. Funds stream to the Ministry of Health for the fight against COVD-19 pandemic and its
utilization to date.

Response
The Ministry of Health has redirected Human, Technical and Financial Resources towards the
COVID-19 response. A taskforce to oversee the response has been formed and its organized into
7 work streams. Each of these work streams has various sub-committees that comprise of multi-
disciplinary experts from within and outside the Government, including other MDAs. These
committees are responsible for advising the National Emergency Response Committee (NERC)
in developing strategy, budgets and facilitating execution.

A resource mobilization Committee was set up, that consolidates and consistently reviews the
full expression of need as informed by experts in different sub-working groups, supporting
resource mobilization and advising on deployment of resources.
The taskforce is organized as below;

It is based on these functional work streams that a full budget has been developed. Noting the
changing nature of the pandemic and therefore the changing assumptions, the sub-committees
are currently basing their decisions on the following assumptions;
1. 50,000 cases of COVID-19 in Kenya with approximately 1,000 critical care.
2. Six months of operations.

Deployment of resources by the Ministry has been informed by priorities identified by the
taskforce against resource needs within the budget and resources available.

The resource needs are based on the following guidance;


 The WHO automated modules for estimation of need for Medicines and Medical
equipment and commodities have been applied with the above caseload assumed.
 Calculation of PPEs relied on WHO module and was enhanced by lessons from
KNH, KU and advice of the National Centre for Isolation and Quarantine
facilities.
 Considerations of Counties’ needs
As requested, the funds streams for the fight against COVID-19 pandemic and its utilization to
date is as in table 1 below;
Source Amount(KES) Remarks
GoK 300,000,000 The funds were disbursed to various Government
institutions for mitigation measures against COVID-
19(details in table 2)
GoK 1,000,000,000.00 Earmarked for increased Health care workers to be
utilized up to June, 2020(details in table 3)
World Bank 1, 000,000,000.00 USD 10 million were negotiated under the Transforming
Health Systems for Universal Care Project and have
been earmarked for emergency response including;
procurement of PPEs, medicines, setting up of isolation
facilities and the operations centre. (details in table 4)
5,000,000,000 A further USD 50 million has been negotiated to support
COVID response. Already Kshs.2.66 is being processed
to be accessed in the IFMIS. Additional Kshs.2.34
billion will be confirmed upon finalization of
Supplementary No.II for FY 2019/20.
Global Fund 593,154,534.00 Approval to allocate Global Funds to COVID-19
response has been granted within GF regulations.
Finalizing preparation of budget for approval by the
Global Fund for 960,000 tests.

GAVI 184,165,900.00 The authority to reallocate these funds has been issued
by GAVI and these funds will be channeled towards
addressing gap areas within GAVI regulations. The
budgeting is on-going.
COVID-19 Requests to fund PPEs, Laboratory and testing and
Fund Board communications have been submitted with on-going
(Private discussions to the Fund Board
Sector &
GoK)

Table 2: Breakdown of Kshs.300 Million for Mitigation Measures


No. State Department/ Institution Amount Reason
(Kshs.)
1 Ministry of Foreign Affairs 10,000,000 To facilitate Kenyan students
in Wuhan, China.
2 Ministry of Defence 75,000,000 Defence teams preparedness
and readiness to response.

3 National Youth Service 10,000,000 To provide security at the


Isolation and Quarantine
facilities. In addition, to
provide buses and personnel.
4 Kenyatta National Hospital 150,000,000 To provide additional bed
capacity at Mbagathi Hospital
Isolation Centre.
5 State department for 5,000,000 To facilitate community
Broadcasting and outreaches and media tours
Telecommunication across regions.
6 State department for Public 1,500,000 To facilitate completion of
Works construction works, fencing
and provision of access roads
to the Isolation Centre at
Mbagathi Hospital.
7 Ministry of Health 48,500,000 For providing the medical
response and logistics at the
Isolation and Quarantine
Centres.
TOTAL 300,000,000

Table 3: Breakdown of the Kshs.1.0 billion for HRH


No. Institution Number of Staff Amount (Kshs.)
1 Kenyatta University Teaching, Referral 568 245,196,150.00
and Research Hospital
2 Mbagathi COVID-19 Centre 288 125,701,392.40
3 Moi Teaching and Referral Hospital 94 42,824,700.00
4 Human Resource for Counties 1,059 498,355,890.00
5 Human Resource for National Level 60 24,664,650.00
(MoH)
TOTAL 936,742,782.40

Note:
1. AIEs have been processed for the Institutions to address their HRH
requirements.
2. Human resource for Counties and MoH as per 4 &5 in the table 3 above will
be handled by the Ministry.

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Table 4: Breakdown of Kshs.1.0 billion under THS by the World Bank
Description Initially Approved Procuring Funds used
Proposal Entity
Leasing of 15 42,000,000.00 MOH 42,000,000
ambulances
Accommodation of 30 13,500,000.00 MOH 12,000,000
HCW needing
quarantine services for
90 days
Airtime (500 staff, for 6,000,000.00 MOH 2,000,000
3 months at
4000/month)
Fuel and maintenance 14,400,000.00 MOH 14,400,000
@40,000 per week,
estimated 30 vehicles
Teas and snacks for 10,125,000.00 MOH 4,000,000
varied teams
Stationery (Printing 2,500,000.00 MOH 6,500,000
papers, Toners, etc.
Communications 70,000,000.00 MOH 70,000,000
Procure and install call 11,800,000.00 MOH 11,800,000
centre for grievances
and complaints
management ( A
mandatory safeguard
requirement by the
WB)
Printing of travellers 900,000.00 MOH 9,000,000
forms, quarantine
forms, discharge
forms
PPEs 132,595,000.00 KEMSA 277,941,475
Lab equipment 301,175,795.00 KEMSA 330,375,795

Roche test kits 196,924,208.25 KEMSA 196,924,208


Equipment 98,795,580.00 KEMSA & 98,795,580
Gradian 160,000,000
(World Bank)
Assorted PPEs 58,205,470.00 UNICEF 58,205,470
Handling and delivery 11,641,094.00 UNICEF 11,641,094
fees for UNICEF
(20%)
976,776,847.25 1,305,583,622

Note: The excess expenditure will be drawn from the additional funds from the World Bank.
Contracts have already been entered into for the above procurements.

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In addition, the Ministry is awaiting the release will be receiving Kshs.2.3 billion from the
World Bank to support the response for the remainder of this financial year whose budget is
approved by the World Bank as follows;
AMOUNT
3 MONTH WORK PLAN Kshs.
USD
101,650,000
Lab reagents and sample collection kits 950,000
.0
65,093,450
La equipment 608350
.0
10,272,000
lab PPE 96000
.0
11,770,000
Facility PPE 110000
.0
573,275,933
Case management 5357719
.0
190,237,440
Surveillance & Rapid response 1,777,920
.0
isolation and treatment facilities (Approved list is in 975,454,800
9116400
Annex 2 &3) .00
148,837,000
Waste management 1391000
.00
154,610,720
Blood safety 1444960
.00
34,662,650
Operations 323950
.00
2,265,863,993
  21,176,299
.00

Negations with the World Bank are on-going

2. The status of the roll-out of the mass testing in the country which should include the
level and distribution of COVID-19 testing kits in the Counties.

Since Kenya reported the first case of Covid 19 Disease on 12 th March 2020, the Ministry
of Health has emphasized the crucial importance of testing. Speed is of essence, and three
things are crucial-Tracking down cases with symptoms; identifying their households
cluster and tracking people they’ve contacted; and quarantining them until they are no
longer infectious. Testing is the basis of public Health detective work to shut down an
epidemic.

7|Page
“You can’t fight a virus if you don’t know where it is,” Hence the Ministry of Health and
the world over has adopted the Mantra “Test, Isolate-Treat and contact trace, to break the
chains of transmission.
Two kinds of tests are available for COVID-19: diagnostic tests and antibody blood tests.
Targeting testing
Several approaches are used to sample those tested including

a) Population based:
i. All persons > 18 years’ old who consent, with inclusion of special
populations with underlying chronic disease (diabetes, hypertension, HIV,
renal disease, cardiac disease, cancers, lung disease)

b) Health facility based


i. All patients requiring admission for severe respiratory disease
ii. Sampling of patients presenting with influenza like illness

c) At risk groups
i. All contacts of confirmed cases
ii. All frontline health workers regardless of whether they are a contact of a
confirmed case. A frontline health care worker includes health care
professionals, auxiliary health workers (e.g. cleaning and laundry
personnel, clerks, phlebotomists, cleaners, admission/reception clerks,
patient transporters, catering staff etc.) who by their nature of work puts
them at risk of contracting COVID-19.
iii. All health workers that were involved in the management of mandatory
quarantine centers.
iv. Security personnel manning high risk areas in areas of confirmed
transmission including supermarkets, isolation/quarantine facilities,
laboratories and points of entry
v. All hotel/institution workers where COVID-19 returnees and high risk
contacts were mandatorily quarantined
vi. Areas which have reported clustering of cases e.g. KPA, KQ or other
airline workers

Table 1. Prioritization of testing approaches by daily testing capacity


Communit Other Risk
Frontline SARI y event- Other Groups and
RRT
# tests/day HCW Surveillanc based HCW Geographic/
Alerts
Screening e Alerts surveillanc Screening community
e Alerts targeted
<1000 H H M M L L
1000 – 2999 H H H H M M
≥3,000 H H H H H H

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L=Low Priority; M=Medium Priority; H=High Priority

Table 2: Projected testing of initial 50,000 individuals the next 2 weeks (27th April to 3rd
May, 2020
Category Tests allocated Notes
Suspected Cases           1,400  Test Allcountry wide
Contacts of confirmed cases           3,000  Test Allcountry wide
Frontline HCWS           3,000  Test All
Quarantine facilities and           5,000  Test All
hotels
Port health and truck drivers         14,000  
5 counties with confirmed         10,000 Random sampling
local transmission target  Nairobi metropolis
supermarket workers, PSV 5,000
workers, market vendors and  Mombasa 2,000
people who come into  Mandera 1,000
contact/interact with a high  Kilifi 1,000
number of persons per day  Kwale 1,000

Investigating geographic           5,000  


hotspots
SARI and ILI health facilities           2,000  Distributed to 8
influenzasentinel surveillance
sites (Nakuru CRH, Nyeri
CRH, KNH, Kakamega CRH,
Marsabit CRH, Mombasa
CRH, Siaya CRH. Kakuma
RC.)
 Test all SARI cases
 Systematic random sampling
of outpatient ILI patients,
select10 cases per day

Laboratory Testing Capacity


The Ministry of Health plans to ensure that the testing capacity exceed 37,000 tests per
day.

In KEMRI alone, the laboratories have capacity to test 15,000 tests per day. At the
moment, KEMRI has 4 automated laboratories and several manual laboratories – They
are all distributed in KEMRI branches in Nairobi, Kisumu (Kisian Campus and John
Waitumbi lab), Kericho, Busia (Alupe campus).

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Ministry of Health has laboratories at Moi Referral and Teaching Hospital (Eldoret),
Coast Provincial Hospital, KNH, National HIV Reference laboratory, National Influence
centre within National Public Health Laboratory.

Other non- Ministry of Health Laboratories include - of International Livestock Research


Institute (ILRI), AMREF Institute of Primate research.

One hundred and eighty-nine (189) Gene expert machines are stationed at county and
sub-county hospitals across all counties. One hundred and eighty-four (184) of these
machines can perform twenty (20) tests per day during day time due to human resource
constraints while five (5) of these machines have capacity to perform 80 tests per day.

Wajir County Referral hospital has a manual laboratory with capacity to do 100 tests per
day.

Challenges
(i) Inadequate Human Resources in particular Laboratory Technologists. However,
the machines are easy to use and Clinical Officers and nurses can be utilized to
assist in Sample collection so that the limited laboratory technologist run the tests.
The staff deployed in KEMRI LABS ARE NOT GOK employees and are 41
volunteers- rest on some are project employees (started as interns - Kshs. 118,000
per months are 100.

(ii) Lack of laboratory reagents/testing kits including PCR kits.


Solution-
i. The Ministry of Health has started process of procuring reagents
for automated machines (ROCHE, ABOTT, GENE EXPERT) to be
able to do 432,000 tests.
-130 kits to do 26,000 tests Automated reagents from USA
ROCHE REAGENT arriving today.

3. The preparedness of the Kenya Medical Research Institute (KEMRI) in the fight
against the pandemic and its capability to undertake mass testing in the country.

Response

Vaccine development is a long complex, resource intensive, multi-agency, multinational


process with significant public and private involvement.

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This goes through various stages, lasting 10-15 years, with regulation and oversight
increasing as the candidate vaccine makes its way through the process.

Further, WHO does not give permission for countries to undertake vaccine development but
plays an advisory and regulatory role. Kenya has not sought approval for any vaccine
candidate.

The Ministry of Health will make available to the Kenyan people an effective vaccine against
the COVID-19 once this becomes available and has been determined to be safe and effective
for use within the Kenyan context.

While KEMRI continues to improve its infrastructure and capacity in developing vaccine
candidates, human vaccine development and manufacturing remains a future aspiration for
the country.

KEMRI has advanced infrastructure, human resource and a conducive working


environment. Specifically, the "Model Production Unit" which was built in collaboration
the Japanese government has been a major resource to the institute. A number of innovative
products and screening kits have been developed and evaluated in this facility.

KEMRI has facilities distributed across the country. For COVID-19 testing the institute has
designated 9 laboratories across 5 counties with capability of screening 100,000 tests per
week. To date KEMRI has tested up 8,500 samples.

Current Ongoing Activities


Activities Status
1. Training & capacity - KEMRI has trained laboratory managers and directors
building from 46 counties on sample collection and biosafety

- KEMRI has conducted laboratory validation and


assessment of health facilities in readiness for testing.
The exercise has been done in Mandera, Machakos and
Coast General
2. Sample collection KEMRI teams are part of MOH response team and are
participating in collection of samples from Hospitals,
quarantine centres Hotels and homes
3. COVID-19 sample - KEMRI commenced screening of COVID-19 samples as
Testing soon as the first case was reported.
- KEMRI has to date tested over 8 500 samples
4. Production of - When the availability of the VTM ran out in the country

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Activities Status
Viral transport KEMRI stepped in to produce the media. This is now
media (VTM) being done at Production unit
- Currently the institute has supplied approximately 10,000
units to MOH, KDF and private hospitals and a number
of counties
-There is enough capacity to produce 20, 000 units per day
5. Hand sanitizers - KEMRI up scaled the production hand sanitizers to meet
the overwhelming demand of the commodity
- Production of hand sanitizers (KEMRUB) is on-going
- Up to 200,000 of 500 mls units have been produced to
date
- 6000-10,000 of 500 mls units are being produced daily
and being distribute to KEMSA and other outlets
6. Whole Genome - KEMRI has undertaken whole genome sequencing of
Sequencing of 28 samples. This is important in understanding
COVID-19 virus COVID-19 epidemiology, tracking of the virus
transmission and community circulation which will
help in surveillance and control of the disease.
- KEMRI has initiated capacity building for whole
genome sequencing
7. Evaluation/validatio - KEMRI has been mandated to evaluate COVID-19 kits
n of commercial kits - Approval to collect blood has been received
- The institute has put measures in place to undertake the
exercise
- The institute has been nominated by Africa CDC as the
Centre of excellence in evaluation of COVID-19 in the
continent
Innovation for COVID-19
8. Development of PCR - KEMRI is ready to produce in-house primers for the
Kits PCR kits
- The institute is procuring a DNA synthesizer to build
capacity for this activity
- The PCR kits will be used as confirmatory
9. Development of - KEMRI is developing a point of Care test (POCT)

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Activities Status
POCT screening Diagnostic kit. -The kit will be easy to use, easily
Kits deployable to health facilities including those in remote
lower level laboratories and cheaper than rRT-PCR
- Various supplies for the production of PoCT have been
procured and most of them are currently in the country
undergoing clearance.
- Once all the materials are at the institute, the POCT
prototype with be ready in 2 weeks
- KEMRI has a capacity to produce up to 1500 kits per
day, however, capacity can be increased up to 10,000
kit if extra equipment is procured and team works round
the clock
10 Vaccine development - KEMRI has initiated the development of COVID-19
. vaccine candidate
-The initial phases of development have commenced
-The potential vaccine candidate will be subjected to
the standard vaccine production phases which include
pre-clinical and clinical stages
11 Testing for COVID- - KEMRI has commenced exploring efficacy of its in-
. 19 drug efficacy house product (Zedupex) and other natural products
against COVID19

4. The Distribution of Personal Protective Equipment PPEs and other relevant


equipment
See attached Annex 1

5. The status of procurement of medical commodities and equipment as well as the


volumes of donations received towards fight against the epidemic.
Response
Procurement for COVID-19 response has been done in two phases. Phase I procurement
status is explained in table 4: “Breakdown of Kshs.1.0 billion under THS by the World

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Bank”. Allocation for phase II is USD 950,000 for reagents, USD 1.2 Million for Personal
Protective Equipment and USD 3.5 Million for equipment.

The breakdown of donations towards the COVID-19 response is as follows;


Table 5A: Breakdown of donations
Product Description Pack Qty Qty Issued Stock Balances
Size Received
Surgical Mask 3 ply with Pack of 2,240 2,240 -
elastic ties 50s
Face Mask Non-woven Piece 47,500 47,500 -
without exhalation valve
(White)(Donation)
Face Mask with foam non- Piece 1,000 20 980
woven material (Grey)
(Donation)
Medical Disposable Piece 1,100 1,100 -
Protective Clothing -
Coverall Non Breathable
(Donation)
Test Kits (Donations) Kit of 96 208 208 -
Tests
Anti-Bacterial soap Pieces 10,800 10,800 -
(Donation)
Face Shield (Donation) Piece 1,000 941 59
Swabs and VTM (sample Kit 18,900 18,900 -
Preservation solution)
Extraction kit( Nucleic acid Kit 18,912 5,904 13,008
isolation or Purification
reagent
Medical Disposable Piece 390 - 390
clothing ( Coveral)- 85CM
Medical Disposable Piece 20 - 20
clothing ( Coveral)- 80CM
Medical Disposable Piece 3,360 1,800 1,560
clothing ( Coveral)- 75CM
Medical Disposable Piece 20 - 20
clothing ( Coveral)- 70CM
Thermometer gun Piece 36 - 36
Ventilators Piece 15 - 15
Face shield Jack Ma 2 Piece 3,800 1,300 2,500
Nitrile Gloves -Medium Pack of 70 46 24
50 Pairs
Nitrile Gloves -Large Pack of 50 - 50
50 Pairs

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Product Description Pack Qty Qty Issued Stock Balances
Size Received
Nitrile Gloves -Small Pack of 70 - 70
50 Pairs

Other donations are as below;


Table 5B: Breakdown of other donations by Organizations
Organization Name Cash In Kind Total
USAID - 225,000,000 225,000,000
UNFPA 34,600,000 - 34,600,000
UNILEVER - 5,000,000 5,000,000
PZ CUSSONS - 3,050,000 3,050,000
RECKITT & BENCKISER - 13,800,000 13,800,000
LIVE AD - 5,000,000 5,000,000
PROTEL STUDIOS - 2,500,000 2,500,000
MENENGAI - 1,350,000 1,350,000
PWANI - 7,000,000 7,000,000
CHANDARIA - 7,000,000 7,000,000
JUMIA - 3,500,000 3,500,000
JOHNSON & JOHNSON 5,000,000 - 5,000,000
TWIGA 200,000 - 200,000
SWISS DEVELOPMENT 19,000,000 - 19,000,000
COOPERATION (SDC)
FLEXI-FUND 1,000,000 - 1,000,000
FLEXI FUND 4,014,500 - 4,014,500
ROTARY INTERNATIONAL 130,000 - 130,000
COPIA - 1,000,000 1,000,000
SUNDA (K) INDUSTRIAL LTD - 600,000 600,000
ICRC LOGISTICS SUPPORT - 1,454,040 1,454,040
CENTRE
GLOBAL FUND 593,154,534 - 593,154,534
JACK MA - 124,399,421 124,399,421
WHO - 2,456,782 2,456,782
CHAI - 110,000,000 110,000,000
ROCKEFFELER-AMREF - 100,963,550 100,963,550
UNEP - 2,925,000 2,925,000
NJOROGE KAGWE & BHIRE - - -
GAVI 159,920,600 - 159,920,600
DANIDA 513,000,000 - 513,000,000
PEOPLE REPUBLIC OF CHINA - - -
1,330,019,634 616,998,793 1,947,018,427

6. Who settles for treatment cost for COVID-19 patients in Public Hospitals e.g. KU
Hospital?

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The cost of treatment is met by the patient, but those who are unable to pay are assessed by
psycho-social team to determine their ability to pay and then allowed to pay what they are
capable of paying. The balance is considered for a waiver. However, funds are required to
reimburse the facilities for sustainability.

7. Since Kenya has been cleared to Host Vaccine Clinical trials by WHO. What does it
mean for Kenya and how does the Government wish to roll out?
Vaccine development is long, complex, resource intensive, multi-agency, multinational
process, with significant public and private involvement.
This goes through various stages, lasting 10-15 years, with regulation and oversight
increasing as the candidate vaccine makes its way through the process.

Further, WHO does not give permission for countries to undertake vaccine development,
but plays an advisory and regulatory role. Kenya has not sought approval for any vaccine
candidate.
The Ministry of Health will make available to the Kenyan people an effective vaccine
against the COVID-19, once this becomes available and has been determined to be safe
and effective for use within the Kenyan Context.

While KEMRI continues to improve its infrastructure and capacity in developing vaccine
candidates, human vaccine development and manufacturing remains a future aspiration
for the country.

8. What is the Status of the transfer of Health functions in Nairobi County to National
Government? What has the Ministry taken over and what is still pending?
The Health functions have been taken over by the Nairobi Metropolitan Services.
Subsequently, the Ministry handed over the management of quarantine facilities to the
Nairobi Management Services today.

SEN. MUTAHI KAGWE, EGH,


CABINET SECRETARY.

28th April, 2020

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Annex 1: Distribution of Personal Protective Equipment PPEs and other
relevant equipment

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Pack of 50
70

Nitrile Gloves -Small


 

Pairs
Pack of 50
50

Nitrile Gloves -Large


 

Pairs
70

Nitrile Gloves Pack of 50


-Medium Pairs
12
 

 
3,800

150

Face shield Jack Ma 2 Piece


80
 

 
15

Ventilators Piece
 

 
36

Thermometer gun Piece


 

Medical Disposable
20

Piece
 

clothing ( Coveral)-
3,360

Medical Disposable
clothing ( Coveral)-
150

175CM Piece
80
 

Medical Disposable
20

Piece
 

clothing ( Coveral)-
Medical Disposable
39

Piece
0
 

clothing ( Coveral)-
18,912

Extraction kit( Nucleic


acid isolation or

1,872
Purification reagent Kit
 

 
18,900

Swabs and VTM


(sample Preservation

900
solution) Kit
 

 
Face Shield
1,00

Piece

40
0

(Donation) Jack Ma -

 
Anti-Bacterial soap
10,8
(Donation) Pieces 00
 

 
Test Kits (Donations) Kit of 96
20

20
8

 
Jack Ma Tests
Medical Disposable

1,10
Piece

40

40
0
Protective Clothing -

 
Face Mask with foam

1,00
Piece

0
non wooven material

 
Face Mask Non

47,5
00
wooven without Piece

 
Surgical Mask 3 ply Pack of

2,24

40

40

40
0
with elastic ties 50s

 
NATIONA

INFLUEN

HQ- NRB

HIV LAB
KEMRI-
receipts

KEMRI
ZA LAB
NHRL
Product

Total
Description Pack size

L
KEMRI-                                  
WALTER 150 150
REED LAB

KEMRI-                              
VHF 3,024 80 80 5
KEMRI-                              
ARI 1,008 80 80 5
KEMRI                                
ALUPE 40 150 150
KEMRI -                                
KSM 40 230 230
KEMRI -                                    
KERICHO 40
KEMRI -                                  
KILIFI 40 80
KNH/                        
Mbagathi 40 240 40 1,000 650 150 12
MTRH                                  

40 80
KUTRH                                    

40
National                                  
RRTs(MO 40 40
H)
Mombasa                                    
Port 40
Health

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JKIA                                  
Port 40 40
Health
Wilson                                    
Port 40
Health
Namanga                                    
Port 40
Health
Kisumu                                    
Port 40
Health
Busia                                    
Port 40
Health
Malaba                                    
Port 40
Health
Sirare                                    
Port 40
Health
Wajir                                    
Port 40
Health
Lunga                                    
Lunga 40
Port
Health
                                   

Lokichogi 40
o Port
Health
Isiolo                                    
Port

20 | P a g e
Health 40
Kisumu                                

40 40 40
Kiambu                                

40 40 40
Busia                                

40 40 40
Migori                                

40 40 40
Uasin                                
Gishu 40 40 40
Mombasa                                

40 40 40
Kilifi                                

40 40 40
Garissa                                

40 40 40
Mandera                                

40 40 40
Wajir                                

40 40 40
                               

Machakos 40 40 40
Kajiado                                

40 40 40
                               

Kakameg 40 40 40
a
Nakuru                                

40 40 40
Kenya                                
Defence 10 1,000 10

21 | P a g e
Forces
Kenya                                
Police 10 1,000 10
Service
(OP)
Kenya                                
Prisons 10 1,000 10
Kwale                                

10 1,000 20
Tana                                
River 4 1,000 5
Lamu                                

4 1,000 5
Taita                                
taveta 4 1,000 5
Marsabit                                

4 1,000 5
Isiolo                                

4 1,000 5
Meru                                

4 1,000 5
Tharaka-                                
Nithi 4 1,000 5
Embu                                

4 1,000 5
Kitui                                

4 1,000 5
Makueni                                

4 1,000 5
Nyandaru                                
a 4 1,000 5
Nyeri                                

22 | P a g e
4 1,000 5
Kirinyaga                                

4 1,000 5
Muranga                                

4 1,000 5
Turkana                                

4 1,000 5
West                                
Pokot 4 1,000 5
Samburu                                

4 1,000 5
Trans                                
Nzoia 4 1,000 5
Elgeyo-                                
Marakwet 4 1,000 5
Nandi                                

4 1,000 5
Baringo                                

4 1,000 5
Laikipia                                

4 1,000 5
Narok                                

4 1,000 5
Kericho                                

4 1,000 5
Bomet                                

4 1,000 5
Vihiga                                

4 1,000 5
Bungoma                                

4 1,000 5
Siaya                                

23 | P a g e
4 1,000 5
Homabay                                

4 1,000 5
Kisii                                

4 1,000 5
Nyamira                                

4 1,000 5
Hilton                                    
Garden 1
Hotel
Sheraton                                    
Four 1
Point
Crown                                    
plaza 1
Boma                                    
Hotel 1
Utalii                                    
Hotel 1
KSG                                    

1
Hill Park                                    
Hotel 4
Corat                                    
Hotel 4
Mash                                    
Park 4
Hotel
KU                                    

4
Pride Inn                                    
Hotel 4

24 | P a g e
JKIA Port                                  
Health 469 96
KU                                    
Hospital 40
Prayer                                    
King 4
Mlolongo
67                                    
Airport 4
Hotel
Mlolongo
Monarch                                    
hotel 4
Hurlingha
m
Waridi                                    
Palace 4
Safari                                    
park 4
hotel
Trade                                    
Mark 4
hotel
Village
Market
                                   

Jacarand 4
a hotel
Westland
s
Coop                                    
Bank 4
College

25 | P a g e
Karen
Comfort                                    
Hotel 4
Milimani
Ngong                                    
Hills 4
Hotel
Pride                                    
Hotel 4
Long                                    
View 4
Suits
Lenana                                    
School 4
Nairobi                                    
School 4
CEMESTA                                    
Junction 4
of Karen
& Bomas
Eastland                                    
Hotel 4
MOH C/O                                    
DR. 24
ONYANCH
A
PRIDE                                    
Inn 4
Rhapta
Road
MOH                                    
Cabinet 9
Secretary

26 | P a g e
MOH                                  

12,50 100
0
MOH/Dr                                    
Kimani 10,80
0
National                                    
Public 15,200
Health
Lab
Nairobi                                    
Metropoli 800
tan
Services
KEMSA                                    
QA 20
Coast                              
General 1,000 150 150 12
Hospital
TOTAL
Issued 2,24 47,5 20 1,10 20 10,8 941 18,900 5,904 - - 1,800 - - - 1,300 46 - -
0 00 0 8 00
Balances

- - 980 - - - 59 - 13,008 39 20 1,560 20 36 15 2,500 24 50 70


0

27 | P a g e