Munene M.D.

Medical Doctor. Husband. Obstetrics and gynecology resident

[FELIX @FellMentKE]

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Open Thread ↓

[Nonini 🇰🇪🇺🇲 @Noninimgenge2ru]

Still can't get over this injection 😅💉 Let's launch everything....

[Munene M.D. @flautani]

@Kalasinga_ The same church got him votes and now it's setting the stage for something else.

[Dr Darwin Ambuka @darwinambuka]

The JOKE we see in this country.

MOH has refused to pay Doctor interns

ELGEIYO MARAKWET county has advertised positions for DOCTOR INTERNS 🤣

This is incompetence in BOLD letters.

The political class embarrassing itself perpetually.

PAY DOCTOR INTERNS

[Zoom Afrika @zoomafrika1]

He died smiling. He died wishing for better governance in his country. He died wearing a flag of his Country, Rest easy comrade. To us you are a hero 🕊. Repost Widely Africans

[Kimuzi @Kimuzi_]

Why is Ruto Lying? NO RETREAT, NO SURRENDER https://t.co/dHUr8Qv6FY

[Munene M.D. @flautani]

@AlinurMohamed_ Follow

[Sir-Rap-A-Lot @Osama_otero]

https://t.co/58mwoGUBBc

[Malke Asaad @malkeasaad]

Here are the list of states that are going to allow IMGs to practice in the USA 🇺🇸 without any U.S. clinical training
Check thread 🧵 below
#match2025

[Munene M.D. @flautani]

True

[The Kenyan Gyne (#HealthServiceCommission) @simonkigondu]

The problem we are having in medicine is that our professional identity is being defined by persons outside the profession.

Dear doctors let us take up our place.

#DoctorsStrikeKE
#ImplenentCBA
#PostMedicalIntern

[The Kenyan Gyne (#HealthServiceCommission) @simonkigondu]

PERFORMANCE-BASED CONTRACTING
Dear @HonMoses_Kuria

I have been in the civil service side of government longer than you. I would like to teach you a thing or two about performance-based contracting. To add onto your knowledge, I want to teach you about performace-based contracting in health and good governance that led to the growth of the health sector, that led to governors salivating for the monies in the hospitals after devolution.
You see President Mwai Kibaki (RIP) was an economist. He had a lot of experience with civil service. In his leadership style he let the technocrats make decisions and report results. He was extremely successful. You too can succeed if you emulate him.
I was such a technocrat in the Kibaki Regime. I was permanent and pensionable, and I still am, and will be after your term expires. In the Kibaki regime performance contracting then brought growth of the economy in general and of the healthbsector in particular.
In 2007 as Director Medical Services Officer (DMSO) Isiolo Zone I had a PERFORMANCE CONTRACT. As DMSO Isiolo Zone I was supervising 7 hospitals in the Isiolo and Meru North region & I was Medical Superintendent & Gynaecologist at isiolo District Hospital.
A few things about my performance contract:
-The performance contract was not dependent on whether one was permanent and pensionable or not.
- The performance contract was signed at the level of the permanent secretary of health and escalated downwards all the way to the health facility.
- The performance contract was a document thatnwas assessed objectively and not noise on television and public gatherings.
- The performance contract was administered by technocrats not politicians.
- The performance contract produced results.
PC Indicators
Just to give you a sneak peak of what some of the indicators on a performance were:
- FINANCIAL INDICATORS such as compliance with FIF levels, cost reduction, Appropriation-In-Aid, Utilization of FIF
- SERVICE DELIVERY INDICATORS measured implementation of service charter, customer satisfaction and service delivery innovations.
- NON-FINANCIAL INDICATORS such as compliance with strategic plans, disposal of assets, ISO certification, automation, statutorynobligations and competency development.
-DYNAMIC INDICATORS like work environment, employee satisfaction, repair & maintenance, safety measures, research andndevelopment, prevention of alcohol andnsunstancenabuse, resolution of publoc complaintsnand gender mainstreamimg.
- OPERATIONS INDICATORS like
Outputs & Outcomes
increase in proportion of pregnant women delivering in health facilities, reduction in under-five mortality, redixtion in under onenmortality, increase innproportion ofneligible patients on ARVs, strengthening supply chain management and hospital management systems, efficient medical services, conducive polocybenvironment
Project Implementation
Timeliness, Quality, Relevance, Cost efficieny, Completion Rate
On the performance contracts we also listed all the challenges we experienxed in trying to fulfill the performance contract.
The government then was very useful and provided regular SUPPORT SUPERVISION at national, regulator and provincial level. It was also in touch with the problems on the ground.
So bwana CS performance contracting and P&P are two different things. Let us stop politics with people’s livelihoods. And we are here to guide.
Dr Kigondu Simon, Permanent pensionable, peeformer

#ImplementCBA
#PostMedicalInterns
#DoctorsStrikeKE

[Dr. Ouma Oluga, OGW @fnoluga]

Historical Account of Kenyan Doctors’ CBA

14th December 2011: President Kibaki directs Deputy Prime Minister and Finance Minister Hon. Uhuru Kenyatta, Public Service Minister Hon. Dalmas Otieno and Medical Services Minister. Prof. Ny’ongo to engage drs, end strike that began 5th Dec 2011 and come up with long term solutions to issues presented by KMPDU.

12th March 2012: Ministry of Health signs Recognition Agreement with KMPDU paving way for CBA negotiation.

27th June 2013: After one year negotiations, CBA finally signed between KMPDU and MoH.

N/B: At this point, all doctors were employees of MoH and Health was not yet devolved.

4th November 2013: Ministry of Health submits CBA to SRC for their advice on remuneration of drs in keeping with Article 230 (4) of Constitution but SRC fails to lend advisory for one year.

13th November 2014: KMPDU directly submits CBA to SRC for their advice as per constitutional requirement.

27th November 2014: SRC convenes MoH, National Treasury, Transition Authority, AG, Public Service Commission and requests consensus be reached in 28 days so the CBA is registered and implemented.

June 2015: After 6 months of no consensus, KMPDU moves to industrial court as per Labour Laws to compel registration and implementation of CBA.

6th October 2016: After more than one year, Hon. Justice Monica Mbaru of ELRC Nairobi orders that MoH and CoG engage with KMPDU for CBA consensus within 30 days.

She furthers orders SRC to mandatorily provide Advisory within 45 days as per their mandate so the CBA is registered and implemented referring to the KNUT vs TSC cause.

5th December 2016: Doctors having explored all avenues possible begin an Industrial Action (Strike) that would last 100 days to compel the government to register and implement the CBA.

14th March 2017: A RTWF is entered to enable Industrial Harmony and a conducive environment for renegotiation of contentious clauses in the CBA as ordered by Court of Appeal Judge Martha Koome.

30th June 2017: CBA renegotiation concludes after SRC submits remuneration beacons to the Ministry of Health siting an extensive Job Evaluation exercise conducted by PwC, E&Y and Deloite in various sectors. SRC spent upwards of 900M on this exercise.

14th July 2017: Ministry of Labour presents the signed CBA to Industrial Court for registration but Hon. Justice Linnet Ndolo directs Labour Ministry to attach a signed and stamped original letter of No Objection from SRC.

31st July 2017: Ministry of Labour files MOH KMPDU CBA a second time and attaching Letter of No Objection from SRC as required.

CBA is finally registered for implementation.

Now you know!

[Munene M.D. @flautani]

Clearing the misinformation.
#DoctorsStrikeKE
#SafeguardDoctors

[Dr. Ouma Oluga, OGW @fnoluga]

False: Drs are demanding 206K for intern doctors.

True: Drs are protesting the sudden and unlawful REDUCTION of intern doctor salaries from 206K as per CBA to 70,000/- stipend.

Also True: Government has paid 206K in the years 2017, 2018, 2019, 2020, 2021, 2022 and 2023.

Also very true: Number of Intern Doctors were higher in 2022 than they are in 2024.

[Dr Abi Mwachi @abimwachi]

Dear KMPDU members
If you needed something to embolden your resolve here it is attached.

Dear Kenyans
If you wanted a glimpse of how our negotiations rooms are, the kind of language spewed upon us. Why we remain fearful of their offers ; I hope this clip here by @HonMoses_Kuria answers all your questions.
The doctors I lead remain humble in submission even in the face of such vitriols unnecessary name-calling and threats.

I ask you to support us.

Chairman

#DoctorsStrikeKE

[Bella 💙 @_Nana_Kc]

@citizentvkenya Kenya for you!! Wooow
780k for some useless positions and 70k for people who save lives!! Wtaf😐
#DoctorsStrikeKE

[Dr Abi Mwachi @abimwachi]

The 1 issue that we couldn't discuss because it was a matter before court according to CS @Nakhumicha_S has been discussed and dispensed with today ( while still before court)
Kenyans should now see what we have been going through. Lots of mischief and lies.
#DoctorsStrikeKE

[Dr Abi Mwachi @abimwachi]

Dear Kenyans,

Here is to a longer life and 'larger' living.

Cheers.

Concerned Citizen.

#DoctorsStrikeKE

[DR.MAK @musirno1172]

We should live within our means and other short stories😂
Their market adjustment ,is the doctors net pay
If at all the govt is sincere about ending the #DoctorsStrikeKE then it should have ended as early as yesterday
#DoctorsDeserveBetter
#LipaKamaCAS

[Wakili Daktari @DrMundia]

📌In the matter of the unilateral impugned SRC letter & CBA violation.

Court stopped reliance of letter; Cabinet endorses SRC letter. Power misuse.
#SafeguardDoctors
The mischief of junior doctors labour exploitation schemes.
#SafeguardPublicHealthcare
@kmpdu #DoctorsStrikeKE

[Chibanzi Mwachonda 🇰🇪 @CMwachonda]

We now know that the doctors' strike is NOT A REAL ISSUE to be dealt with, which essentially means that access to healthcare by the citizens is not an issue to be dealt with promptly.