Multiple whistleblowers attached to Kiamaiko Dispensary in Mathare sub-county have raised serious concerns about how the facility is being managed, especially regarding the use of public funds and daily operations.
Kiamaiko Dispensary is a Level 2 public health facility that serves a large and vulnerable community, making these claims worrying for both staff and residents who depend on its services.
According to the whistleblowers, who spoke under strict anonymity, there is a long-standing culture of secrecy and fear at the facility.
They say financial decisions and control of resources are concentrated in the hands of the facility in-charge, a female manager, and a small group of close associates.
Ordinary staff members, interns, and Community Health Promoters are allegedly excluded from important discussions and decisions that affect their work and welfare.
Those who question how money is used or ask for clarity reportedly face intimidation, harassment, or are locked out of opportunities that come with allowances and training.
The reports describe a system where budgeting and planning are done without involving medical staff. Community Health Promoters are sometimes invited to meetings said to be for budgeting, but they claim they are given documents that are already prepared.
They are told to sign immediately without reading or asking questions. They are also warned not to share what happened in the meetings with anyone else.
This has created fear and silence among staff, making it hard for concerns to be raised openly.
There are also claims that funds meant for staff welfare, such as breakfast and lunch provisions, are not used as intended.
Staff say they are occasionally given plain tea for lunch, and this only happens for a few days.
Later, they are told there is no money available. No one is informed about how much money is allocated for meals or how it is spent. There are no clear records shared with staff to explain the gap between what is budgeted and what is provided.
Whistleblowers further allege favoritism in the handling of SHA activities. They say the SHA process is controlled only by the facility in-charge and a closely associated staff member.
Other workers are excluded from participating or questioning decisions. Relatives and close friends of the leadership are reportedly brought into activities where allowances are paid, while legitimate staff and CHPs are sidelined.
Efforts to raise these concerns internally are said to be met with threats. Staff fear being transferred, removed, or even losing their jobs. Some believe the facility in-charge is protected by powerful individuals within the system, which makes accountability difficult.
This fear has discouraged many from speaking out, even though they are aware of the alleged problems.
The whistleblowers say these practices have badly affected staff morale and working relationships.
They also believe service delivery to patients has suffered as a result. They are now calling for an independent audit of the facility’s finances and operations.
They want the Ministry of Health, Nairobi City County Health Department, and the Ethics and Anti-Corruption Commission to investigate the matter.
They are also asking for protection under existing laws to ensure that staff who speak out are not punished.
Their hope is that transparency will be restored, favoritism will end, and public funds will be used properly to improve healthcare services for the community that relies on Kiamaiko Dispensary.
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