Beruflich Dokumente
Kultur Dokumente
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.
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.
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)
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
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
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.
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“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)
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
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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
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.
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.
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
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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 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.
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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
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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.
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Product Description Pack Qty Qty Issued Stock Balances
Size Received
Nitrile Gloves -Small Pack of 70 - 70
50 Pairs
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.
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Annex 1: Distribution of Personal Protective Equipment PPEs and other
relevant equipment
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Pack of 50
70
Pairs
Pack of 50
50
Pairs
70
3,800
150
15
Ventilators Piece
36
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
1,872
Purification reagent Kit
18,900
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
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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
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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
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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
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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
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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
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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
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