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Kenya: Nakuru Hospital Records Influx of Patients as Service Delivery Improves




The automation of revenue collection at Nakuru Provincial General Hospital Level Five has significantly improved to Sh563million in the just concluded financial year.

A status report by the Nakuru County Assembly tabled in the House on Tuesday, indicated that in the 2017/2018 financial year, the referral hospital collected Sh356million.

The report states that this improved revenue collection was attributed to cashless system adopted by the hospital management steered by Dr Joseph Mburu.

“The hospital operates 90 per cent cashless system except for petty cash where they have billing clerks who issue electronic receipts to the clients once payment is made,” read part of the report.

The hospital has set a target of collecting about 56million annually from the new Margaret Kenyatta Mother and Baby Wing to enable it deliver quality services to the more than two million residents of the cosmopolitan county.

Despite this ambitious target the management reported that the National Hospital Insurance Fund (NHIF) is still withholding Sh6million reimbursement to the hospital for services rendered to patients using NHIF cards.


The committee further noted that automation of revenue had reduced the risk of handling and transporting cash.

The report revealed that a neighbouring hospital, PGH Annex which is also owned by the county government is yet to automate its revenue collection.

The referral hospital has been experiencing an influx of outpatients and inpatients from the neighbouring counties of Kericho, Baringo, Narok, Laikipia and Nyandarua due to its improved service delivery.

According to Dr Mburu the increased influx of patients had stretched its facilities and increased workload to a lean staff at Margaret Kenyatta Mother and Baby Wing and PGH Annex.


To address the challenge of staff shortage at the maternity wing, the hospital has recruited 10 nurses, two medical officers, a consultant Obstetric gynaecologist and three receptionists.


“The outpatient, physiotherapy and inpatients departments are currently experiencing a 100 per cent bed occupancy,” read the report.

The number of pregnant mothers seeking services at the ultra-modern maternity wing has increased by 60 per cent currently compared to 25 per cent in the last financial year.