Tag: Aden Duale

  • Financial Watchdog Flags Sh600 Million Sham SHA Payments

    Financial Watchdog Flags Sh600 Million Sham SHA Payments

    Investigation exposes massive fraud ring as 45 hospitals accused of siphoning public funds through ghost claims

    Kenya’s Social Health Authority finds itself at the centre of a deepening financial scandal after the Financial Reporting Centre uncovered questionable payments totalling Sh558.6 million to 45 hospitals suspected of operating as conduits for looting public coffers.

    The damning probe report, seen by Kenya Insights, reveals a sophisticated scheme where health facilities with dormant bank accounts suddenly became recipients of millions of shillings from the Social Health Insurance Fund and Primary Health Care Fund between October 2024 and July 2025, only to see the money vanish through suspicious cash withdrawals and mobile money transfers.

    The revelations come as the Office of the Director of Public Prosecutions last week approved charges against multiple health facilities and their directors in what is shaping up to be one of the biggest healthcare fraud cases in recent memory.

    Five suspects are already in custody pending arraignment today, with the DPP having directed that facilities and their directors face multiple counts including conspiracy to commit a felony, fraudulent alteration of information, cheating, and acquisition and use of proceeds of crime.  

    The investigation has exposed a troubling pattern where the same individuals control multiple facilities, primarily concentrated in Mandera, Kisii, Bomet, Nairobi, Bungoma, Kakamega and Garissa counties.

    In several instances, different hospitals share the same physical address and directors, raising red flags about their legitimacy as active healthcare providers.

    Topping the list of questionable recipients is Chelymo Medical Center Limited in Bomet, which received a staggering Sh85.2 million despite records showing the account only began receiving funds exclusively from SHIF in February 2025.

    The facility, registered in March 2016 and licensed as a private Level 4 medical centre, saw no activity from diverse sources typically associated with genuine healthcare operations such as payments from individual patients, insurance companies, or medical suppliers.

    In Mandera County, the web of deceit becomes even more intricate.

    Eagle View Medical Services Limited, incorporated only in May 2025, Gallant Hospital incorporated in December 2024, and Dherkale Diagnostic Centre all operate from the same building on Gallenia Plaza along the Rhamu Mandera road.

    The facilities are controlled by brothers Adankulla Ahmed Hassan and Abdirahaman Ahmed Hassan, with Adankulla serving as sole director of Dherkale.

    Between March and June 2025, Eagle View received Sh17.2 million from both SHIF and PHCF, all unsupported by documentation, while Dherkale pocketed Sh5.5 million.

    Health CS Aden Duale.
    Health CS Aden Duale.

    Investigators found that Sh4.85 million was transferred directly to Abdirahman’s personal Equity Bank account, with the rest withdrawn in cash.

    When contacted for comment, Adankulla dismissed the allegations, demanding that queries be submitted in writing to designated facilities.

    “Refrain from false allegations,” he warned via WhatsApp, promising that “all the allegations will be substantiated.”

    But perhaps the most brazen case involves Filmre John Okeiga, who controls three hospitals that collectively received Sh90.1 million.

    His Filyne Chima Hospital Limited, incorporated only in March this year, opened a bank account at Cooperative Bank on the same day and subsequently received Sh12.2 million exclusively from SHIF with no other income streams.

    More concerning is how Okeiga’s Westlife Hospital, which received Sh59.2 million, utilised the funds.

    Investigators discovered that instead of medical supplies or staff salaries, the money went towards a Sh1.5 million cash withdrawal, Sh9 million transferred to a law firm for property purchase, and Sh5.99 million and Sh2.99 million for buying a house and car respectively.

    Another Sh2.25 million was described in bank records as “birthday expenses, house chores and credit card payments.”

    The third facility, Eastlife Hospital Limited, received Sh18.6 million in what investigators described as “a spike in funds” inconsistent with normal hospital operations.

    The money was used to purchase land and transferred to an account operated by Boda Boda Stages Investment.

    Equally troubling is the involvement of government employees in the alleged fraud. Stella Moraa Misati, listed as a Ministry of Health employee, appears as one of two directors of Summit Medicare Chepilat Limited, which received Sh12.3 million from SHIF.

    Two other directors of facilities under investigation are employees of Hema Hospital in Kisii, raising questions about insider facilitation of the scheme.

    The Financial Reporting Centre’s analysis paints a picture of special purpose vehicles created specifically to drain public funds. Mahnaz Nursing Home Limited in Mandera, which received Sh12.6 million, showed no activity related to genuine hospital operations such as salary payments or transactions with medical suppliers.

    Instead, funds were withdrawn in cash and transferred to directors’ personal accounts.

    The Directorate of Criminal Investigations Banking Fraud Unit is now pursuing directors of the implicated facilities for fraud, embezzlement of public funds and obtaining money by false pretences through fictitious claims payments.

    Among the facilities facing prosecution are St Mark Orthodox Hospital in Vihiga County and its two directors, as well as Jambo Jipya Medical Clinic in Kilifi County and seven of its employees.
    The charges follow inquiry files submitted by both SHA and the Kenya Medical Practitioners and Dentists Council.

    This scandal strikes at the heart of President William Ruto’s Universal Health Coverage agenda, which has already faced significant teething problems since the transition from the National Hospital Insurance Fund to the Social Health Authority system.

    The fraud threatens to undermine public confidence in a system meant to provide affordable healthcare to all Kenyans.

    Health Cabinet Secretary Aden Duale has previously warned that healthcare providers whose information is used to defraud SHA will be held personally liable, with facilities being surcharged to recover funds already paid out on false claims.

    SHA Headquarters in Nairobi.
    SHA Headquarters in Nairobi.

    In August, SHA suspended 40 facilities over fraudulent claims, including duplicated maternity claims, fabricated clinical records and unqualified staff approvals.

    But the Financial Reporting Centre’s findings suggest the problem is far more extensive and systematically organised than initially thought.

    With 1,188 files at various stages of investigation according to the DCI, the Sh558.6 million flagged so far may represent only the tip of the iceberg.

    As arraignments begin and more suspects are apprehended, Kenyans are left wondering how fake facilities managed to infiltrate a government healthcare system, who facilitated their accreditation, and how many legitimate patients were denied care while billions were siphoned through ghost claims.

    The scandal also raises uncomfortable questions about oversight mechanisms at SHA, particularly how facilities with no history of medical services or those freshly incorporated could begin receiving millions in public funds without triggering immediate red flags.

    For ordinary Kenyans struggling to access quality healthcare under the new SHA system, news that hundreds of millions meant for their treatment has been stolen by briefcase companies adds insult to injury.

    The full extent of the damage to both public finances and the healthcare system itself will only become clear as investigations continue and more suspects are brought to book.

    What remains certain is that this latest scandal has dealt another blow to the government’s healthcare reforms, with the very institutions meant to save lives now accused of being vehicles for grand theft.

  • Government Caps SHA Overseas Treatment at Sh500,000 Under New Framework

    Government Caps SHA Overseas Treatment at Sh500,000 Under New Framework

    The Kenyan government has unveiled a comprehensive overseas medical treatment scheme under the Social Health Authority that will provide specialized healthcare access abroad while maintaining strict financial controls and quality standards.

    Health Cabinet Secretary Aden Duale announced on Saturday that the new framework caps overseas treatment coverage at Sh500,000 per patient, marking a significant shift from previous arrangements under the defunct National Health Insurance Fund.

    The announcement represents what officials describe as a milestone in ensuring no Kenyan is denied access to life-saving medical procedures unavailable locally.

    The scheme operates under stringent eligibility criteria that require beneficiaries to maintain up-to-date Social Health Insurance contributions.

    Access is strictly limited to medical procedures that are not available in Kenyan hospitals, ensuring the program serves as a genuine safety net rather than a preference-based alternative to local healthcare.

    Duale emphasized that the framework establishes “a transparent, evidence-based, and accountable system for Kenyans seeking treatment abroad.”

    The new process represents a departure from previous arrangements, incorporating robust legal frameworks including the Social Health Insurance Act of 2023, attendant regulations, and the Public Procurement and Asset Disposal Act.

    Central to the program’s operation is a rigorous approval mechanism managed by the Claims Management Office, which conducts peer reviews to ensure medical necessity and compliance with financial limits.

    The system explicitly excludes unproven, experimental, or unconventional therapies, maintaining focus on established medical treatments with demonstrated efficacy.

    The Benefits Package and Tariffs Advisory Panel has already gazetted an initial list of 36 specialized procedures eligible for overseas treatment.

    This preliminary catalog will expand based on ongoing Health Technology Assessments, ensuring the program evolves with medical advances and identified gaps in local healthcare capacity.

    Overseas healthcare providers must meet stringent accreditation requirements in their home countries and obtain official recognition from relevant Kenyan regulatory bodies.

    A critical requirement mandates that overseas providers maintain partnerships with contracted health facilities in Kenya to ensure continuous follow-up care upon patients’ return, addressing concerns about treatment continuity and long-term patient management.

    The Ministry of Health has positioned the scheme as both a safety net and quality assurance measure, stating that “no Kenyan should be denied life-saving care due to local limitations or personal cost.”

    The framework aims to complement rather than compete with local healthcare services by integrating overseas care with domestic follow-up protocols.

    Officials acknowledge that the Sh500,000 coverage limit may be adjusted as contracts with overseas providers are finalized and rate negotiations conclude.

    The ministry has directed the SHA Board of Directors to proceed with empaneling and contracting overseas facilities while preparing public notification of contracted facilities to streamline approval processes.

    The new framework addresses previous concerns about unregulated overseas medical tourism and ensures that patients receive treatment from accredited facilities with established quality standards.

    By requiring partnerships with Kenyan hospitals, the system maintains continuity of care and supports the national health system’s development through knowledge transfer and capacity building.

    This initiative emerges as Kenya continues implementing broader health sector reforms under the Social Health Authority, which replaced the National Health Insurance Fund as part of efforts to achieve universal health coverage.

    The overseas treatment component represents a specialized aspect of these reforms, designed to address gaps in local healthcare capacity while maintaining fiscal responsibility and quality assurance.

    The scheme’s success will depend largely on effective implementation of the peer review process, timely contracting of quality overseas providers, and seamless coordination between foreign treatment centers and local follow-up facilities.

    As the program launches, healthcare stakeholders will monitor its impact on both patient outcomes and the broader goal of strengthening Kenya’s healthcare system.​​​​​​​​​​​​​​​​

  • Govt Introduces Mandatory SHA Biometric Authorization

    Govt Introduces Mandatory SHA Biometric Authorization

    The government has officially launched biometric registration under the Social Health Authority (SHA), aiming to enhance the accuracy of patient identification and streamline healthcare access nationwide.

    Speaking during the launch at Kenyatta University Teaching, Referral and Research Hospital, Health Cabinet Secretary Aden Duale announced that biometric registration is now fully operational across all Level 4, 5, and 6 healthcare facilities in the country.

    “With immediate effect, SHA will no longer accept OTP-based authorisation,” Duale stated.

    “All approvals must now be completed using biometric health ID or the Practice 360 App.”

    The CS revealed that the Ministry of Health is in the process of onboarding Level 2 and 3 facilities onto the SHA system, as part of broader efforts to digitise healthcare services from the grassroots up.

    To support this, the government has rolled out the Practice 360 App, a geo-tagged and geo-fenced tool designed to curb fraud and unauthorised code sharing among medical practitioners.

    “It will help us eliminate unauthorised sharing of pre-authorisation approval codes by doctors,” Duale said. “Healthcare workers can now view, approve, and manage pre-authorisation claims and the services they offer directly through the Practice 360 App.”

    Since its inception, SHA has made significant progress. Over 25.1 million Kenyans have already been registered, with nearly 10,000 hospitals, clinics, and health centres contracted under the programme.

    The Authority has reimbursed Sh47.5 billion under the Social Health Insurance Fund and Sh6.9 billion through the Primary Healthcare Fund.

    Kenyatta University Teaching and Referral Hospital, one of the country’s largest public health facilities, has alone submitted claims worth Sh1.4 billion and received over Sh1 billion in payments, Duale disclosed.

    “That tells you, our facilities—public, private, and faith-based—are seeing value for the investment they have made in healthcare,” he said.

    To ensure broad access, SHA biometric registration is available through multiple channels.

    Individuals can register by dialling *147# on their phones, visiting the SHA website, or participating in in-person registration drives across the country. Biometric data, such as fingerprints and facial recognition, is integral to the new system.

  • Duale Threatens to Deport Mishra, Shut Down Mediheal Over Organ Trafficking

    Duale Threatens to Deport Mishra, Shut Down Mediheal Over Organ Trafficking

    Health Cabinet Secretary Aden Duale has intensified his campaign against suspected organ trafficking at Mediheal Hospital, warning founder Dr. Swarup Mishra faces prosecution, deportation, and citizenship revocation if Parliament adopts damning investigative findings.

    Speaking Friday, Duale condemned what he characterized as systematic exploitation of vulnerable Kenyans by foreign nationals operating medical facilities with impunity.

    The government official’s threats represent the most aggressive stance yet taken by the government against the Indian-born former MP, whose hospital network has become the center of Kenya’s most significant medical scandal in years.

    A government-appointed taskforce has recommended prosecution of Mishra and three other senior doctors over suspected criminal involvement in illegal organ transplants  , following an investigation that examined 476 kidney transplants conducted between 2018 and 2024.

    The investigation’s findings paint a troubling picture of medical tourism gone wrong.

    Mediheal Eldoret was linked to 417 donor files representing 81 percent of all donors reviewed with investigators flagging 60 cases where donor nationalities were missing and citing concerns over fraudulent signatures and inadequate documentation.

    “Our children, because of their social status, they were abused. They were given little money. Foreigners used NHIF,” Duale declared, referencing allegations that international patients paid millions for transplants while desperate Kenyans served as donors for approximately Sh400,000.

    The Health Secretary’s deportation threat specifically targets Mishra’s naturalized citizenship status.

    “If it means us revoking that citizenship because your citizenship is not by birth, we will revoke the citizenship. We will cross your hospitals and we will deport you,” he stated directly.

    Mishra has vigorously defended his hospital’s practices, stating that of 476 kidney transplants performed, only 20 were rejected significantly below the global average rejection rate of 20 percent.

    “In the name of God, I swear I am not guilty. Mediheal has never been involved in any form of organ trafficking. This is a conspiracy to finish me,”  he declared in recent statements.

    Swarup Mishra.
    Swarup Mishra.

    The controversy has exposed systemic weaknesses in Kenya’s transplant oversight mechanisms. The investigation revealed that some patients were described merely as “mutual friends” and critical paperwork bore signatures from an individual identified only as “IY,” believed to be an online freelancer.

    Patient numbers at Mediheal grew rapidly from 82 between 2018 and February 2020 to 324 from 2021 to March 2025, with ages ranging from eight to 80 years old.

    Investigators questioned the medical ethics of performing transplants on 150 to 170 patients aged 65 and above.

    Duale emphasized that the scandal involves both medical malpractice and misuse of public resources, noting allegations that Kenya’s National Hospital Insurance Fund (NHIF) was used to treat foreign patients seeking organ transplants.

    The 314-page investigative report recommends establishing a National Organ Transplant Authority and Transplant Coordination Centre, alongside stricter regulations to prevent future abuse. The committee also called for regulatory review of the Kenya Medical Practitioners and Dentists Council.

    “I want to assure you this report will not gather dust on shelves. It will be implemented. I will take it to Parliament and Cabinet,” Duale pledged, signaling the government’s determination to pursue criminal charges regardless of political connections.

    The case has sparked broader questions about medical tourism regulation in Kenya and the vulnerability of economically disadvantaged citizens to exploitation by well-resourced foreign operators in the healthcare sector.

    As Parliament prepares to review the taskforce findings, the medical establishment watches closely to see whether Kenya’s government will follow through on unprecedented threats against a naturalized citizen who once held elected office.

  • SHA To Pay For Cancer Treatment Under New Roche Deal

    SHA To Pay For Cancer Treatment Under New Roche Deal

    NAIROBI, Kenya, Jul 28 – The Social Health Authority (SHA), will fully cover the cost of a key cancer therapy following a new partnership between the Ministry of Health and Roche Pharmaceuticals, drastically reducing treatment costs from Sh120,000 to Sh40,000 per session.

    The biological therapy used to treat breast and gastric cancers which account for 15 to 20 percent of all cancer cases in the country is now accessible at all SHA-contracted facilities nationwide, including public, private, and faith-based institutions.

    “This partnership we have with Roche has reduced the cost of treatment from Sh120,000 to Sh40,000 per session, fully covered by SHA with no copayment for our patients,” Health Cabinet Secretary Aden Duale said.

    Duale said the Ministry of Health is working to ensure that equitable cancer treatment is not limited by geography. He urged more pharmaceutical firms to collaborate with government efforts to expand access to affordable, high-quality, patient-centred care.

    “The ministry under my leadership, encourages other pharmaceutical partners present here and those who are listening to us to join in expanding access,” he said.

    “However, ensuring access to therapies must go hand in hand with early detection.”

    According to Duale, more than 70 percent of cancer cases in Kenya are diagnosed at late stages due to limited diagnostic infrastructure, stigma, and misinformation.

    He stressed the need for expanded radiotherapy and diagnostic services in underserved areas and called on county governments to ring-fence funding for screening, public education, and referrals.

    “To our county governments, please prioritise cancer in your budgets. Decentralised action is very essential,” Duale said.

    The Health CS urged investment in localised, scalable solutions rooted in evidence and compassion. He also appealed to the media and civil society to amplify awareness campaigns and help break the stigma surrounding cancer.

    “Let this summit be remembered as a moment we shifted from plans to impact. From words to action, let us unite our voices and deliver a future where cancer is no longer a death sentence, but a challenge we meet with courage, equity, and national resolve,” he said.

    Cancer is the third leading cause of death in Kenya, after infectious and cardiovascular diseases, with an estimated 42,000 new cases and over 27,000 deaths annually, according to the Kenya National Cancer Registry and the World Health Organization.

    Breast, cervical, prostate, esophageal, and colorectal cancers are the most common. Breast and cervical cancers alone account for nearly 50% of all cancers among women, while prostate and esophageal cancers dominate among men.

    One of the gravest challenges in the fight against cancer is late diagnosis. More than 70% of cancer patients in Kenya are diagnosed at advanced stages, drastically reducing their chances of survival. This is mainly due to limited diagnostic capacity, inadequate awareness, stigma, and costly treatment.

  • Have MPs Been Compromised in Mediheal Organ Trafficking Probe?

    Have MPs Been Compromised in Mediheal Organ Trafficking Probe?

    Three months after launching what was supposed to be a thorough investigation into alleged organ trafficking at Mediheal Group of Hospitals, Kenya’s National Assembly Health Committee has managed to interview just one witness, raising serious questions about potential sabotage and political interference.

    The parliamentary probe, initiated following damning whistleblower reports and media exposés about unethical kidney harvesting, has been plagued by a suspicious pattern of cancelled meetings, indefinite postponements, and deafening silence from lawmakers who once promised to “get to the bottom of the matter.”

    Since committee chairman James Nyikal opened the inquiry on April 22 with a 90-day deadline, the investigation has ground to a virtual halt.

    The only witness to testify was Nandi Hills MP Bernard Kitur, the original petitioner, who appeared on June 5.

    Key meetings with officials from the Kenya Tissue Transplant Authority and Kenya Renal Association have been mysteriously postponed or cancelled without explanation.

    The timing of this parliamentary lethargy is particularly troubling given the scope of the alleged scandal.

    An independent government report reveals that Mediheal Hospital in Eldoret handled a staggering 417 kidney donors and 340 recipients between 2018 and March 2025, accounting for 81 percent of all donors and 76 percent of recipients across multiple institutions nationwide.

    More alarmingly, nearly 39 percent of recipients have “unknown status,” suggesting serious gaps in documentation and patient identification.

    Parliamentary sources, speaking on condition of anonymity, confirm what many suspected: the initial political goodwill for the inquiry has evaporated.

    Committee meetings that should have been packed with hospital representatives, medical authorities, and transplant officials have been quietly scrubbed from schedules.

    Chairman Nyikal himself has gone silent, refusing to answer calls or respond to messages about the investigation’s status.

    The pattern suggests more than mere bureaucratic incompetence.

    When Ndhiwa MP Martin Owino, a committee member, claims they are “waiting for the ministry report,” it raises questions about whether lawmakers are deliberately stalling until public attention moves elsewhere.

    Health Cabinet Secretary Aden Duale has already released findings recommending investigation of Mediheal founder Dr. Swarup Mishra, yet the parliamentary committee appears paralyzed.

    The stakes could not be higher.

    Evidence suggests systematic exploitation of Kenya’s most vulnerable citizens, with records indicating Mediheal made at least 372 Kenyans “fugitives in their own country” before harvesting their kidneys.

    The majority of donors came from economically disadvantaged regions including Mt. Kenya, Northern Kenya, and the Rift Valley.

    While Duale promises his ministry’s report “will not find itself on the shelves,” the parliamentary investigation designed to provide democratic oversight and accountability has effectively collapsed.

    The question remains: what forces are powerful enough to silence elected representatives who once vowed transparency in this scandal?

    As the 90-day inquiry period expires with virtually no progress, Kenyans are left wondering whether their parliamentary representatives have been compromised, intimidated, or simply lack the political will to confront what may be one of the country’s most serious medical ethics scandals in recent history.

  • We Have The Numbers, Ruto Will Win Second Term With a Landslide, Duale Says

    We Have The Numbers, Ruto Will Win Second Term With a Landslide, Duale Says

    Health CS Aden Duale expresses confidence in President’s second term prospects amid rising political tensions

    Health Cabinet Secretary Aden Duale has made bold predictions about President William Ruto’s political future, declaring that the Kenya Kwanza administration has the numbers to secure a landslide victory in the 2027 general elections.

    Speaking during a prime-time interview on a local television show on Wednesday evening, Duale expressed unwavering confidence in the President’s re-election prospects, stating categorically that Ruto’s second term is “guaranteed.”

    “William Ruto will come back with a landslide… inshallah, his second term is guaranteed,” the Health CS declared.

    “He will be voted, not because of anything else, but because he will deliver on his promises.”

    The timing of Duale’s remarks is particularly significant, coming amid escalating political tensions between President Ruto and his former deputy, Rigathi Gachagua.

    The former DP has publicly broken ranks with his former boss, accusing the administration of marginalizing the Mount Kenya region and vowing to challenge Ruto at the ballot in 2027.

    What makes Duale’s confidence particularly intriguing is his emphasis on demographic numbers, specifically referencing the upcoming national census.

    The Health CS revealed that leaders from North Eastern Kenya have been mobilizing their communities to declare accurate population figures during the census exercise.

    “Our numbers in the census—if you go and ask someone, ‘How many children do you have?’ they will answer you, ‘Is that your business?’ But we have now told them, for the census, they must say. Because we have to have enough voters to bring back William Ruto,” Duale explained.

    This strategic approach to voter registration and census participation takes on added significance given recent legal developments.

    In January 2025, the High Court cancelled the 2019 census results for Mandera, Wajir, and Garissa counties due to significant irregularities, with Justice John Onyiego ruling that the Kenya National Bureau of Statistics had failed to maintain fundamental data integrity standards.

    President William Ruto.
    President William Ruto.

    The political landscape ahead of 2027 is already taking shape, with various camps positioning themselves for the contest.

    Nandi Senator Samson Cherargei recently predicted potential challengers including Wiper’s Kalonzo Musyoka and former Interior CS Fred Matiang’i, while notably ruling out Gachagua due to his impeachment.

    Duale’s statements also come against the backdrop of recent protests and political unrest, with President Ruto alleging that opposition forces are plotting to overthrow his government.

    Gachagua has dismissed these claims, insisting that the opposition’s goal is constitutional change through the ballot box.

    The Health CS’s dual role as both a cabinet secretary and political strategist has drawn criticism from some quarters, with observers questioning whether serving ministers should engage in such overt political campaigning.

    One online commentator noted that “CS should not be politicians” and that Duale appears to be “dubbing up as CS and a politician at the same time.”

    As Kenya approaches the 2027 elections, Duale’s pronouncements signal that the ruling coalition is already in campaign mode, banking on demographic advantages and development records to secure victory.

    However, with political alliances shifting and economic challenges mounting, the landscape remains fluid.

    The question now is whether the Kenya Kwanza administration can deliver on its promises and maintain the coalition that brought it to power, or whether the opposition can capitalize on growing discontent to mount a credible challenge.

    What remains clear is that both sides are preparing for what promises to be a hotly contested election cycle.

  • Duale Says Government Cannot Afford to Hire UHC Medics Permanently

    Duale Says Government Cannot Afford to Hire UHC Medics Permanently

    Health Cabinet Secretary Aden Duale has declared that the national government lacks the funds to employ over 8,500 Universal Health Coverage (UHC) healthcare workers on permanent and pensionable terms, shifting the responsibility to county governments.

    “Listen to me you nurses, I have no money. I only have Sh3.5 billion for your contract terms,” Duale stated emphatically during an appearance before the National Assembly Health Committee last Thursday.

    The CS insisted that county governments, not the national administration, should bear the responsibility for healthcare workers’ employment terms and remuneration.

    The announcement has left thousands of healthcare workers in limbo, many of whom have been employed on contract basis since being deployed to COVID-19 frontlines in 2020.

    For five years, these medical professionals have been advocating for permanent employment and the payment of promised gratuity.

    Duale explained that according to constitutional provisions, healthcare resources and responsibilities should be managed at the county level.

    “If you are a nurse and you signed a contract with the county government, then your pay shall be at the county government offices by July 1, 2025, because I am transferring the whole payroll to the counties,” he said.

    The CS expressed surprise at finding Sh3.5 billion “idling at Afya House” when, according to him, those funds should have been channeled to county governments in accordance with the principle that “resources follow functions.”

    Nairobi Senator Edwin Sifuna had appealed to Duale during the same meeting to find an “amicable solution” to the healthcare workers’ crisis, claiming the national government possesses sufficient resources to permanently employ the medical staff.

    “I am troubled by phone calls from these health workers who are demanding permanent and pensionable terms,” Sifuna said, adding that the situation was affecting his personal life as healthcare workers were contacting him at odd hours seeking intervention.

    However, Duale remained unmoved, instead pointing fingers at both houses of Parliament.

    “The Senate promised to have the county allocation raised to Sh450 billion inclusive of what to pay the nurses. If the senators give me Sh4.2 billion, then I will comfortably pay the nurses,” he countered.

    The Health CS advised the protesting healthcare workers to redirect their demonstrations to Parliament.

    “If I don’t get that extra amount, then nurses can take the demonstrations to the National Assembly,” he stated, emphasizing that budget allocation is primarily a parliamentary function.

    Vihiga Senator Godfrey Osotsi also urged Duale to resolve the impasse, requesting that the healthcare workers be absorbed on permanent terms.

    As the standoff continues, the future remains uncertain for thousands of healthcare workers who have been at the forefront of Kenya’s public health response for half a decade, with each level of government seemingly unwilling to take financial responsibility for their employment security.

  • Duale Approves Billions for SHA Tycoons Despite System’s Technical Flaws

    Duale Approves Billions for SHA Tycoons Despite System’s Technical Flaws

    As millions of Kenyans struggle with a dysfunctional healthcare system, a well-connected consortium led by Safaricom PLC is set to pocket a staggering Sh104.8 billion from a hastily approved digital health platform that remains largely non-functional months after its scheduled launch.

    Fast-Tracked Deal, Slow-Motion Implementation

    Documents reveal that the proposal to develop the Integrated Healthcare Information Technology System (IHTS) for the Social Health Authority (SHA) received unprecedented approval speed.

    The Safaricom-led consortium, which includes Konvergenz Network Solutions and UAE’s Apeiro Ltd, submitted their proposal on May 15, 2024 and received notification of the award just one day later on May 16 – an extraordinary timeline for a multibillion-shilling government contract requiring multiple agency approvals.

    Despite Health Cabinet Secretary Aden Duale’s recent assertions that the system is “working seamlessly,” multiple reports confirm that implementation is significantly behind schedule.

    While the consortium was expected to begin receiving monthly payments of Sh500 million starting February 2025, CS Duale admitted this week that “no money has been paid” – an indirect acknowledgment that the system has failed to meet contractual milestones.

    Regulations Pave Way for Payments Despite Problems

    In what appears to be a move to accelerate payments, CS Duale gazetted digital health regulations on April 9 that establish the legal framework for reimbursing the consortium.

    These regulations were pushed through despite an ongoing court case filed by Busia Senator Okiya Omtatah challenging the legality of both the contract and the SHA itself.

    “The newly gazetted regulations might trigger payments before milestones are achieved,” warned a source close to the project who spoke on condition of anonymity.

    Under the contract’s payment structure, the monthly disbursements will progressively increase from Sh500 million to a peak of Sh1.065 billion between 2028 and 2032 – representing one of the most lucrative government contracts in Kenya’s history.

    Patients Bearing the Brunt

    While the consortium stands to reap billions, ordinary Kenyans face a healthcare system in crisis.

    According to recent reports, patients are being subjected to double SHA deductions from their salaries while simultaneously being forced to make out-of-pocket payments at healthcare facilities due to system failures.

    “I’ve been deducted 2.75% of my salary for SHA, but when I went to the hospital last week, their system was down,” James Kimani, a civil servant in Nairobi told reporters. “They told me to pay cash or go elsewhere. What exactly am I contributing towards?”

    The situation is particularly dire for the majority of Kenyans in the informal sector.

    While formal employees have no choice but to contribute through payroll deductions, reports indicate that only 3.5 million salaried Kenyans are currently carrying the entire financial burden of the system, with the informal sector – accounting for 80 percent of Kenya’s workforce – largely defaulting on payments.

    Complex Corporate Structure Raises Questions

    SHA Headquarters.
    SHA Headquarters.

    Behind the lucrative deal stands a web of recently incorporated companies with connections to powerful interests.

    Apeiro Ltd, registered in the UAE, is ultimately linked to International Holding Company (IHC), a massive investment firm with substantial ownership by the UAE royal family.

    Locally, Konvergenz Network Solutions’ ownership structure includes several recently formed entities and prominent lawyers, raising questions about potential conflicts of interest and political connections that may have facilitated the rapid approval process.

    The contract includes generous protections for the consortium, including clauses addressing currency fluctuations, tax changes, and inflation – effectively insulating them from financial risks while the Kenyan taxpayer bears the burden of implementation failures.

    System Plagued by Technical Issues

    Healthcare providers have reported numerous challenges with the SHA system, with many facilities reverting to manual claims processing due to persistent glitches.

    A transition team flagged significant gaps in the claims database, while more than half of private hospitals had not successfully transitioned to the SHA system as of early October 2024.

    The initial investment for the software and infrastructure is set at Sh34 billion, with the consortium expected to have the system fully functional by August 2026.

    However, industry experts question why Kenyans are being forced to contribute to a system that remains largely aspirational rather than operational.

    As the legal challenge to the contract continues in court, Kenyans remain caught between mandatory contributions to a system that doesn’t work and the increasing cost of healthcare.

    Meanwhile, the regulatory framework established by CS Duale ensures the consortium will soon begin receiving their billions – functional system or not.

    Under the contract signed on August 9, 2024, the consortium was set to receive Sh500 million monthly starting February 2025.

    While the procurement and contract signing was between the Ministry of Health and the consortium, the works coming out of the deal fall under the mandate of the Digital Health Agency (DHA).

    Starting 2026, the monthly payments were to increase to Sh650 million, and then to Sh900 million in 2027. Between 2028 and 2032, the monthly payments were to hit Sh1.065 billion.

    In 2033, the monthly payments would go down to Sh1 billion. Between January and April, 2034 they would drop to Sh900 million. In May, 2034 the Safaricom consortium would receive Sh708.1 million before getting a final Sh500 million installment the following month.

    Those payments are pegged on completion and implantation of certain software and physical infrastructure.

    Under the contract, the consortium was expected to have the system up and running within the first two years after signing. That means that by August, 2026 the system is intended to be working

    The initial investment in the software and necessary infrastructure is set at Sh34 billion.

    For ordinary citizens like Kimani, the promise of universal healthcare feels increasingly distant: “They’re quick to take our money but slow to deliver services. While we suffer, someone is getting rich off this chaos.”

  • Ex-CAS Mercy Mwangangi Appointed New SHA CEO

    Ex-CAS Mercy Mwangangi Appointed New SHA CEO

    Former Health Chief Administrative Secretary, Dr. Mercy Mwangangi has been appointed CEO of the Social Health Authority (SHA).

    The announcement was made by the Ministry by Cabinet Secretary Aden Duale.

    Dr. Mwangangi, a seasoned health financing and policy expert, brings over 15 years of experience in universal health coverage (UHC), institutional reform, and health systems strengthening to her new role.

    Currently serving as the Senior Health Systems Strengthening Director at AMREF Health Africa, Dr. Mwangangi has been instrumental in spearheading health financing and health security investments across the continent.

    Her work has focused on securing development assistance funding for primary healthcare and expanding universal health coverage, initiatives that align closely with the SHA’s mandate.

    Duale expressed confidence in Dr. Mwangangi’s ability to steer the SHA toward achieving its goals

    “We are confident that she has what it takes to steer SHA and deliver on the mandate of SHA,” the statement read.

    The Ministry also extended its congratulations to Dr. Mwangangi, wishing her success as she takes on the role of the first CEO of the Social Health Authority.

    The appointment follows a rigorous and competitive recruitment process, which saw a total of 92 applicants vying for the position. Out of these, 12 candidates were shortlisted and interviewed before Dr. Mwangangi emerged as the top choice.

    Under retired President Uhuru Kenyatta’s tenure, Mwangangi served as Health Chief Administrative Secretary.

    She was part of the team that championed adaptation to the new normal that had been brought about by the Covid-19 pandemic under the leadership of then Health CS Mutahi Kagwe.

    Social Health Authority replaced the defunct National Hospital Insurance Fund (NHIF).

  • U.S. Team Joins The Investigation Into Gen Ogolla’s Chopper Crash, Details Of The Latest

    U.S. Team Joins The Investigation Into Gen Ogolla’s Chopper Crash, Details Of The Latest

    Americans, the makers of the helicopter that killed General Francis Ogolla in the fatal crash are interested in the  details of the incident and are keenly following the progress Defence Cabinet Secretary Aden Duale has revealed.

    Duale who was speaking during Citizen TV’s JKLive Show on Wednesday revealed that a multi agency teams had even been sent to the United States to the Bell Textron Inc. company that manufactured the ill-fated chopper.

    Duale also added that the flight’s wreckage had been flown to the manufacturer for detailed analysis to ascertain the cause of the crash.

    “Our investigations and inquiry are ongoing. They were done by a very competent team of Airforce and other officers from other services. We are engaging and have upscaled that up to the manufacturer Bell, of the U.S because they also have an interest,” Duale said.

    It is an international standard practice for the manufacturer to be invited to join the investigation where their aircraft has been involved in a crash.

    The Cabinet Secretary at the same time dismissed claims that most of the military equipment in the country was obsolete and was the cause of most aircraft crashes in the country saying that he was constantly using the same chopper that killed Ogolla.

    He likewise divulged that the plane that recently killed Iranian President Ebrahim Raisi, the country’s foreign minister, and six other people was also from the same manufacturer and model.

    “I used the aircraft that killed Ogolla’s a number of times… more than 15 times. Prof Kindik,  IG Koome all used it,. We used it when we were going to operational areas. It is a very unique machine that can fly at night…our troops use it in very difficult terrain,” he stated.

    “The helicopter in which the Iranian President and his foreign minister died is the same helicopter, it is Bell from the U.S. with two propellers.”

    The remarks by Duale follow calls by the opposition to have the government heighten investigations into Ogolla’s death and make the findings public.

    “We are aware that it is the KDF that secures the flights of their Commander in Chief as well as of their top officer who is the CDF, they have done so unsuccessfully since independence and yesterday’s accident was unprecedented,” Narc Kenya Party Leader Martha Karua said after Ogolla’s death.

    “Even the visual images of the accident…I don’t want to say anything more than many prejudiced investigations leave us with anxiety and answers are needed as soon as possible. In the fullness of time, we await information on what caused the crash. If we cannot secure the CDF then who is safe?”

    Politicians banned

    The CS has also added that politicians have now been banned from using military choppers to their functions.

    “We have now a policy in KDF, we are not going to carry politicians. Helicopters are meant for specific functions within KDF, they are part and parcel of the assets we have in safeguarding the country,” he said.

    Preliminary findings

    A team sent to the scene to investigate the accident was told the propeller of the Bell UH-1H Huey II helicopter was not moving when it came down minutes after take-off on April 18.

    Witnesses told the team the chopper dropped like a stone landing on its belly.

    The impact forced the engine, which is on the rooftop, to cave in crushing the victims on board.

    An autopsy on the bodies of the victims has confirmed they had multiple injuries.

    The cause of the crash is however yet to be known.

    A military probe team, known as a Board of Inquiry, has already been established.

    Brig Mohamed Salah Farah, the Commander of Laikipia Airbase, leads this team.

    Police are also among those who are helping in the probe.

    Tough questions

    But as the probe goes on, a number of hard questions linger, and the KDF overlooked them when we sought answers last week.

    For instance, why was there no standby chopper during the CDF’s trip that day?

    There has been observation that the CDF, given his high-profile position as the head of the military, is accorded treatment almost similar to that of the president during travel.

    This would include a standby chopper, if he is flying, and a doctor and a blood bank in case of any eventuality.

    However, this was not the case when General Ogolla flew to the volatile North Rift region where a military operation against bandits has been ongoing for months.

    Those in the know, say that when flying on such missions, the CDF either has a Puma helicopter or a double-edge-propelled helicopter at his disposal.

    None of these were available to General Ogolla that day.

    Instead, the CDF and his delegation flew on a single-edge propelled chopper, the Bell Huey II.

    There is a concern is that military boss was on an operational mission and in such a situation, a general officer — in this case a major-general in charge of the Western command where he was touring — was supposed to be accompanying him or on the ground to receive him then escort him to the various schools he visited for inspection.

    This was not the case.

    Instead, the senior officer who was travelling with the CDF was a brigadier, who is a rank below a major-general.

    Another concern is that Gen Ogolla was touring schools but the KDF colonel in charge of education was absent, and so were other relevant senior government officials since the security operation is a multi-agency campaign.

    With Operation Maliza Uhalifu being a multi-agency task, representatives from other security agencies involved ideally would have been expected to be present.

    On that day, both the Defence Cabinet secretary and his principal secretary were at Uhuru and Central parks in Nairobi, respectively, to hand over the facilities to Nairobi City County Government.

    Sources also say the ill-fated chopper was assigned to fly the general since other preferable aircraft were being used by other senior government officials.

    General Ogolla’s death raised even more eyebrows considering his controversial role after the 2022 General Election, when he was then a vice CDF.

    He was among members of the National Security Council who visited the national tallying centre at Bomas for a mission that is disputed.

    That visit would subsequently put him in an awkward position with the incoming Kenya Kwanza administration that alleged the mission was to block Dr Ruto’s imminent victory.

    During the memorial service at Ulinzi Sports Complex in Lang’ata, President Ruto uttered a statement that some interpreted as suggesting the man who rose to the very top of the military was not wanted by some powerful figures in government.

    “All the recommendations that I got on the next CDF, and on the advice I got about the next CDF, did not include the name of General Ogolla, unfortunately,” President Ruto said.

    Opposition leader Raila Odinga had said during the memorial service: “Because of the manner in which Ogolla died, a lot of rumours are flying all over, we want these rumours to be put to rest. All this can only happen if there’s a thorough investigation to tell us the cause of the death, how the helicopter came down.”

    Since then, calls have intensified, especially by opposition leaders, for a judicial or parliamentary inquiry to be established to publicly investigate the crash.

    The opposition, for instance, does not want the probe to be left to the Kenya Air Force alone.

    “When an accident occurs, it’s a security issue. [It raises] concerns which deserve an answer for the nation,” Azimio principal Martha Karua said.

    Whether the update will be forthcoming, and whether President Ruto’s word on not hiding anything regarding the crash will come to pass is a matter that can only be left for time to tell.

  • Kenya Considers Using Military Special Forces To Exterminate Bandits

    Kenya Considers Using Military Special Forces To Exterminate Bandits

    In a wider ploy to bring to an end a lengthened fight against banditry in the North Rift, the Kenyan government has given the clearest hint of not withholding instruments at their disposal to being the menace to an end.

    Over the weekend, the Defence Cabinet Secretary Aden Duale announced that the government was considering using Kenya Defense Forces’s (KDF) special ops unit to crash on the bandits, “”This government is resolute in ending banditry and criminal activities across the country. As the CS for Defence, I assure Kenyans that whether deploying our special forces or other means, we will decisively address banditry in the North Rift counties,” he said.

    The CS warned that bandits would be dealt with in the same manner the government was dealing with Al-Shabaab along the Somalia border.

    At the same time, he cautioned against drug abuse among potential KDF recruits. “We cannot tolerate drug addiction within our forces. Those aspiring to join must refrain from excessive alcohol and drug consumption,” he said.

    Lives have been lost, property destroyed, and people displaced as suspected bandits continue to rule parts of the North Rift.

    Insecurity is rife in the areas, with locals forced to learn to live with the gunshot sounds. To the surprise of many, most attacks happen in broad daylight.

    Talks have been held and security operations conducted in the areas, but little has been achieved. Even with the heavy deployment of security personnel to the insecurity region, bandits have always had their day.

    In October last year, suspected bandits engaged security personnel in an over two-hour fire exchange in Arabal, disrupting learning in the nearby Kapindasum Primary School.

    The bandits allegedly also surrounded a General Service Unit in the area, and the exchange of fire started at around 9:12 am.

    The attacks continue to be witnessed despite the ongoing operations in the North Rift.

    The Government in 2023 deployed multi-agency agency troops comprising Kenya Defence Forces and National Police Service under ‘Operation Maliza Uhalifu’ North Rift.

    President William Ruto, in February 2023, ordered joint security operations in the North Rift.

    Defence CS Aden Duale then gazetted the deployment of Kenya Defence Forces to support the Kenya Police Service in the North Rift.

    Following the deployment, Interior CS Kithure Kindiki said security forces will set up camps in the bandit-prone areas to eradicate the menace. He has also been visiting the area to check on the status of security operations.

    In August 2023, Kindiki said the government had restored peace in the North Rift, contrary to what is being experienced now.

    Counties affected by banditry attacks include Laikipia, Baringo, Elgeyo Marakwet, West Pokot, Turkana, and Samburu.

  • Manager Of Firm Linked To Duale Charged With Sh68M Theft, Lawyer Claims Abduction

    Manager Of Firm Linked To Duale Charged With Sh68M Theft, Lawyer Claims Abduction

    Hussein Ismail Godad a warehouse manager for Medina Chemicals Limited was on Thursday charged with stealing products valued over Sh67. 5 million.

    Appearing before Milimani Senior Principal Magistrate Benard Ochoi, the accused denied charges.

    Godad is accused of stealing animal health products valued over Sh67, 513, 761.

    It is alleged that he stole the products between an unknown date and January 17th this year at a warehouse in Nairobi being an employee by the said company.

    The court was informed that the products came into his possession by virtue of employment.

    Alleged abduction

    In a series of tweets that went viral and has since been deleted, the accused lawyer Salim had alleged that Ismail had been abducted by people he claimed to be police officers and taken to Karura forest where his phones were confiscated, both his accounts and his children’s frozen before being taken to unknown destination in Garissa prior to his arraignment in court.

    The lawyer had accused the firm’s manager of being behind the alleged abduction of his client though he vehemently denied when he was questioned by journalist Saddique Shaban whether it was Abdi Bare Duale who’s a brother of Defense CS of being behind it.

    Medina Chemicals Ltd is linked to the Duale’s family.

    Godad was granted a bond of Sh 10 million with alternative cash bail of Sh 5 million and one contact person.

  • Sonko Threatens To Storm The Parliament If Duale Remains Reluctant In 14 Days

    Sonko Threatens To Storm The Parliament If Duale Remains Reluctant In 14 Days

    Mike Sonko on Monday issued a 14-day ultimatum to Aden Duale to withdraw the proposed salary and allowances increment or he gives the public a go ahead to storm the Parliament.

    Sonko warned Duale throught his Facebook page that he will call a mass demonstration to storm the National Assembly if Duale does not comply within timeline he has issued.

    “I do hereby seek for historic support from members of the public, civil society, comrades and religious leaders in storming the National Assembly if Aden Duale does not withdraw the proposed salary and allowances increment at the expense of taxpayers within the next 14 days,” reads part of Sonko’s post.

    On the Post, Sonko emphasized that the demonstration will be legal and within the confinements of the new constitution.

    “We shall comply with all the due constitutional and legal requirements to ensure the success of this demonstration and protect the rights of the people of Kenya,” Assured Sonko’s Facebook post.

    Here’s Governor Sonko’s full post

    STORMING OF THE NATIONAL ASSEMBLY.

    We believe that sovereign power belongs to the people, and only donated to elected leaders as enshrined in Article 1 of the Constitution of Kenya which states as follows:

    (1) All sovereign power belongs to the people of Kenya and shall be exercised only in accordance with this Constitution.

    (2) The people may exercise their sovereign power either directly or through their democratically elected representatives.

    I do hereby seek for historic support from members of the public, civil society, comrades and religious leaders in storming the National Assembly if Aden Duale does not withdraw the proposed salary and allowances increment at the expense of taxpayers within the next 14 days.

    We shall comply with all the due constitutional and legal requirements to ensure the success of this demonstration and protect the rights of the people of Kenya.

    The Jubilee majority leader Aden Duale is leading MPs who are pushing for a salary increment.

    Earlier last week, Rarieda MP Otiende Amollo had said He’s has never been bankrupt like this before while on her part Suba MP, Millie Odhiambo, blamed her constituents for making her go broke.

    Member of Parliament are alleging that their salaries are stretched to the limit because of contributions and handouts.

    Which, on my opinion, is a total bluff from what we elected expecting to be our leaders and protectors.

    Most of our MPs have fixed their lives in an extremely flashy superstar lifestyle that exceeds their pay.

    Sonko rants and angry attack on Duale are over the delayed funds supposed to be allocated to counties by the National Assembly.

    Sonko while speaking at Alladina Grounds in Jomvu, Mombasa County on Sunday attacked Duale and his plot to undermine devolution.

    In a video doing rounds on the internet,that was shared by Sonko, Nairobi Governor is heard ranting to Duale “I want to tell Aden Duale that hii pesa ya devolution si pesa ya mama yako.”

    Sonko’s rants are coming at a time when Governors, led by Council of Governors Chairperson, Wycliffe Oparanya,
    forced their way into the Supreme Court buildings to submit a petition seeking to compel parliament to pass the Division of Revenue Allocation Bill 2019.

    The Division of Revenue Allocation Bill stipulates how money should be disbursed to counties.

  • Authenticity Of Duale Development In Garissa In Focus, Constructed Tarmac Road Leads To His Hotel and Estate Only

    Authenticity Of Duale Development In Garissa In Focus, Constructed Tarmac Road Leads To His Hotel and Estate Only

     

    Majority Leader Aden Duale has been on an extensive tour in his Garissa Town Constituency where he’s trying to recapture with Farah Maalim former speaker and an ODM affiliate giving him a mad chase for his money. During his tour, the legislator put up a publicity show on Twitter with trends awash with all the projects he attributes to himself.

    It didn’t take long before the trend #DualeDevelopsGarissa was taken over by Kenyans who used it to ridicule his supposed to development projects. Most commentators mocked Duale for taking credits on projects that were even initiated by organizations like the World Bank.

    Medina Hospital Owned by Duale
    Medina Hospital Owned by Duale

    Several residential sources in Garissa, contacted Kenya Insights to reveal some behind the scenes in the development fiasco and the findings are startling. Duale unveiled the five Kilometer Dekabure Rd, but we learn the Rd could have been used to serve personal interest of the MP. The Road as it turns out only serves Duale’s Medina Hospital and ends just 20M from his upcoming estate. Our sources believe, Duale rushed the projects to improve easy access to his new ventures, the hospital, and property which are about 250M apart but lay along the newly constructed tarmac road. Residents are wondering why he didn’t complete the remaining 1.5KM remaining and only to cut it short at his premises.

    The contractors preferred by Duale and who also doubles as his business associates only identified to Kenya Insights as Ogle(Mula) and Catalina who supposedly give Duale a 25% incentive on every road contract awarded, are doing shoddy jobs in the constituency. The two are the ones allegedly he awards the contracts. Duale is also being accused of taking a Sh50M from the contractor of the World Bank funded Sewerage Project which was also haphazardly done.

    Duale's upcoming estate metres away from the hospital
    Duale’s upcoming estate metres away from the hospital

    Imported democracy in NEP and negotiations have pumped new energy to the scared Duale forcing him to go on a constituency tour overdrive and hastened developments. In this system, Elders sit down and in the process of sharing seats, decide to bring an outside from a different subclan who do not reside from the constituency to be given the MP seat. Someone who has never been in that constituency is made the MP.

    So Duale subclan ceded Garissa township MP seat for another subclan… Duale was to move to Balambala CONSTITUENCY to square it out with Abdi K – ODM where he stood to loose.

    Upon Realising he had zero chance of coming back, it was tym to splash money as residents tell KI. He bought every influential leader, all the elders, hurriedly started doing some projects like roads, harambee everywhere, donating buses, (things he didn’t do for the past 8 years he was an MP in Garissa)

    The Farah maalim candidacy also made him go closer to the people. Residents say they started seeing Duale in Garissa the moment Farah maalim declared interest.

    Mbalambala is CORD zone. He couldn’t win against current MP Abdikadir so he negotiated his ways to remain in Garissa Town where the eldersendorsement and tribal card would give him an upper hand against Farah.

    Now Duale family amassed enough wealth and are likely to use millions to keep things in their favor – maintain status quo the residents believe.