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{
"id": 1524132,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524132/?format=api",
"text_counter": 69,
"type": "speech",
"speaker_name": "Endebess, UDA",
"speaker_title": "Hon. (Dr) Robert Pukose",
"speaker": null,
"content": "Therefore, he required complete nursing care, including tube feeding. Despite the severity of his condition, his status remained stable under the KNH care. On Thursday, 6th February 2025, Mr Kinyua's condition was observed to be stable, and the day proceeded as normal. The night shift team took over without noting any undue concerns. The nursing staff attended to him at 9.00 p.m., midnight, and at 3.00 a.m. No abnormalities were reported during those routine checks. On the circumstances surrounding the death of Mr Gilbert Kinyua, the Acting Chief Executive Officer (CEO) of the KNH, Dr William Sigilai, who is a physician, informed the Committee that in the early morning of Friday, 7th February during the nurses' ward rounds at approximately 6.00 a.m., the late Kinyua was found with his face covered by a blood-stained sheet. Upon uncovering him, the nurses discovered that he was motionless with a cut wound on his neck. The nurses immediately reported the incident, and the respective teams were notified for action. Within 30 minutes, the Directorate of Criminal Investigations (DCI) was notified and arrived at the scene. The family members, namely, the wife and brother of the deceased, arrived within an hour. The body was moved to the mortuary in the course of the day. The Chief Security Officer informed the Committee that the KNH has an elaborate security system in place, including CCTV cameras in common areas. Additionally, the hospital has officers from the Kenya National Police Service within the hospital and in close proximity to the Kenyatta National Hospital Police Post. In light of this incident, the hospital has heightened and enhanced security measures across the hospital to ensure the safety of more than 1,800 patients, staff, and visitors. The following are the interventions on patients’ security and safety by the KNH. On the KNH security and safety governance instruments, the hospital has developed a security and safety strategy, policies, and standard operating procedures. The hospital's security human resource comprise three distinct teams that collaborate in ensuring security and safety. These include 119 KNH employees, 261 outsourced security services and the Kenya National Police Service officers, together with the National Intelligence Service (NIS) officers. The hospital has installed 331 CCTV cameras and has established a security communication centre, which is monitored on a 24-hour basis and respects patients' privacy. On a multi-agency approach, the hospital has established partnerships and collaborations with institutions within the KNH complex such as the Kenya Medical Training College (KMTC), the University of Nairobi, the Government Chemist, the Kenya Medical Research Institute (KEMRI), the Kenyatta National Hospital Radiology, the Ministry of Health, AFYA Annex, as well as other State agencies, including the NIS, the DCI, the Kenya National Police Service, the Kenya Prisons Service and other institutional arrangements. To maintain continuity of care for patients, the wards are manned on a 24-hour basis by clinical staff, including nurses, who work in shifts. In addition, there are established protocols, guidelines, and work instructions to support the execution of respective functions. Besides the existing interventions, the hospital further seeks to enhance its safety and security mechanisms in the following ways: 1. Construction of modern gates and entry points with modern access control capabilities. 2. Acquisition and installation of an electric security management system with biometric radiofrequency identification and visitors management system. 3. Prioritisation of the KNH as a strategic Government installation for the provision of armed security on a 24-hour basis, seven days a week, by the Critical Infrastructure Protection Unit (CIPU). 4. Securing the hospital from external threats by erecting a perimeter wall across the hospital with designated entry points. The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
},
{
"id": 1524133,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524133/?format=api",
"text_counter": 70,
"type": "speech",
"speaker_name": "Endebess, UDA",
"speaker_title": "Hon. (Dr) Robert Pukose",
"speaker": null,
"content": "The Committee made the following key observations from its engagements with the hospital management: 1. For improved security and safety of patients and hospital staff, the hospital should strengthen its internal security. The current focus of the hospital has largely been on external threats. 2. The ward mate of the late Gilbert Kinyua had been officially discharged by the hospital. However, he remained in the hospital since he was homeless. The said patient was being treated and had been diagnosed with diabetes and convulsions and was later taken to a shelter through the hospital's intervention. However, the shelter refused to keep the patient owing to his disruptive behaviour. 3. The patient has been experiencing convulsions, which have been medically proven to sometimes manifest where a person acts without later recalling their actions. 4. Owing to this patient's medical diagnosis, the Acting CEO of the hospital informed the Committee that the patient's fingerprints, together with the knife, had been taken to the National Registration Bureau for further investigation. 5. The prevailing security measures at the hospital were put in place after the death of a patient at the hospital 10 years ago in 2015. At that time, the hospital only had 12 CCTV cameras. Since then, the hospital has acquired and installed 331 CCTV cameras. The hospital also has 119 in-house security employees and 216 outsourced security services, as well as officers from the Kenya National Police Service. 6. The post-mortem on the body of the late Gilbert Kinyua was conducted in the presence of both Government and independent family pathologists. The samples from the post-mortem were sent to the Government Chemist for analysis. At the time of the Committee's visit to the hospital, the post-mortem results had not yet been released to the hospital, but had been handed over to the DCI. 7. The hospital receives nearly 30,000 visitors daily who should pass through a screening system that will help to prevent weapons from being brought into the hospital. The Committee made the following recommendations: 1. The DCI to urgently finalise investigations on this unfortunate death and recommend appropriate action with a view to establishing and holding accountable the person responsible for the death of Mr Gilbert Kinyua. 2. The Board of the KNH to audit the hospital's internal security systems within one month so as to identify possible security breaches, in particular internal security threats, and come up with mitigation measures for necessary implementation. 3. The report of the audit is to be shared with the Committee, which shall access the areas that may be allocated funds during the budgetary process. In conclusion, the matter is actively before the Committee. Further, the matter is under investigation by the DCI, and the suspect is still under the custody of the hospital. Thank you, Hon. Speaker."
},
{
"id": 1524134,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524134/?format=api",
"text_counter": 71,
"type": "speech",
"speaker_name": "Hon. Speaker",
"speaker_title": "",
"speaker": null,
"content": "Hon. Esther, have you listened to the Statement?"
},
{
"id": 1524135,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524135/?format=api",
"text_counter": 72,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": " Thank you, Hon. Speaker. I noticed that the Committee was at the KNH while I was away at the Pan-African Parliament. However, my question has not been fully answered. Let me talk about the issue of Gilbert Kinyua. The family got in touch with me when I was in South Africa and asked what they should do. They said that the hospital had indicated they would conduct a post-mortem, and the family needed to have its own doctor. I quickly got in touch with a few doctors, and I The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
},
{
"id": 1524136,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524136/?format=api",
"text_counter": 73,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "managed to get the family a doctor to represent them. I settled the bill of Ksh25,000 for them to have their own independent doctor. The KNH waived the hospital fees as well as the mortuary charges. I am a bit concerned about the fact that this is not the first time that we have had a death at the KNH. We had one incident on 29th November 2015, when Mr Cosmos Mutunga was found dead. This is a second incident to occur at Kenyatta National Hospital. I believe that if security had been improved after the first case, this could have been prevented. Why was that particular ward not covered by CCTV? I want to know whether the 331 CCTV cameras were installed after the incident of Gilbert or after the incident of Mr Cosmos Mutunga."
},
{
"id": 1524137,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524137/?format=api",
"text_counter": 74,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "We also have another incident at Moi Teaching and Referral Hospital in Eldoret. Mr Albert Chesang went missing from his hospital bed on 29th January 2025 and on 9th February 2025 his decomposed body was found near the hospital."
},
{
"id": 1524138,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524138/?format=api",
"text_counter": 75,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "The question I ask is: what are we doing about the investigations? I know it is not the Ministry of Health that conducts investigations, but we need a multi-sectoral approach. The investigations will help us improve the quality and duty of care for both the patients and the hospital staff."
},
{
"id": 1524139,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524139/?format=api",
"text_counter": 76,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "The second thing I want to ask is on compensation. The family is looking for over Ksh400,000 to enable them give their loved one a burial, but they do not have that money. They did not even have money to hire an independent doctor to conduct the post-mortem. What compensation is the family going to receive? Susan is young with two small children. Waiving the hospital bill and mortuary charges is not enough. They still have burial expenses, children who need to go to school, and counselling needs for the entire family to cater for."
},
{
"id": 1524140,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524140/?format=api",
"text_counter": 77,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "Since the Government should be held culpable, what compensation is available? Do they have insurance? Is there a mechanism to compensate this family and others as well? Additionally, what is the status of the investigation?"
},
{
"id": 1524141,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1524141/?format=api",
"text_counter": 78,
"type": "speech",
"speaker_name": "Nairobi City County, ODM",
"speaker_title": "Hon. Esther Passaris",
"speaker": null,
"content": "Thank you, Hon. Speaker."
}
]
}