5/5 In trauma care, this is not abstract. If the budget shows ICU monitors, the tender is in e-proc, the payment left TSA—yet the ICU bed is still bare—that gap is a governance failure, not a mystery. The new plumbing gives us X-ray vision. What we lack now is spine and consequences.
1/5 Thread: TSA, IFMIS & Health – What Kenya’s New Plumbing Fixes (and What It Doesn’t)
1/5 Kenya is rewiring how public money moves. TSA, SCOA, IFMIS, e-procurement & e-payroll mean every shilling *should* be traceable—from a clinic fee to an ICU monitor to the nurse watching it at 2 a.m. That’s a big shift for counties.
4/5 And inside the system:
Prices quietly inflated (a 1.5M ventilator bought for 4M)
Political casuals paid as “service providers”,off payroll
Audit findings ignored, no prosecutions
Without enforcement, IFMIS & e-proc become high-def evidence of theft, not deterrents.
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