EMPOWERING THE CITIZENRY - Center for …cedgg.org/wp-content/uploads/2017/07/Kericho-Social...James...

to promote efficient and effective service delivery in health and education sectors through detection and prevention

of corruption and abuse of Power

Kericho County Social Audit Report, 2016.

EMPOWERING THE CITIZENRY

ii Centre for Enhancing Democracy and Good Governance (CEDGG)

Kericho County Social Audit Report


EMPOWERING THE CITIZENRY to promote efficient and effective service delivery in health and education sectors through detection and prevention of

corruption and abuse of Power

Supported by:

iiiCentre for Enhancing Democracy and Good Governance (CEDGG)


Supported by GIZ

iv Centre for Enhancing Democracy and Good Governance (CEDGG)


EXECUTIVE SUMMARY 2About CEDGG 4About The Project 5Methodology 63.1 Preparatory Activities 63.2 The Social Audit Process 73.3 Literature Review 83.4 Validation of Draft Report 9

PART 2: SOCIAL AUDIT FINDINGS 10The Health Sector 10Best Practices in Health Sector 10Challenges in Delivery of Health Services 10The Education Sector 11Best Practices in Education Sector 13Challenges in the Education Sector 13Development Projects 14Best Practices in Implementation of Physical Projects 15Challenges in Implementation of Development Projects 18Qualitative Analysis 20Health Sector 20Education Sector 23Development Projects 26

COMMITMENTS MADE DURING COUNTY VALIDATION 29

RECOMMENDATIONS 33

PROFILES OF SOCIAL AUDITED PROJECTS 35

EDUCATION SECTOR 35PROJECT 1: CONSTRUCTION OF CLASSROOMS IN KAPSISIYWO PRIMARY SCHOOL. 35PROJECT 2: CONSTRUCTION OF A LABORATORY IN KIPSEGI SECONDARY SCHOOL 39PROJECT 3: SERVICE DELIVERY IN ST.PATRICK’S PRIMARY SCHOOL 42

Table of Contents

vCentre for Enhancing Democracy and Good Governance (CEDGG)


PROJECT 4: SERVICE DELIVERY IN KIPLOGOI PRIMARY SCHOOL 42PROJECT 5: RENOVATION WORKS AT KIPLOGOI PRIMARY SCHOOL 44PROJECT 6: CONSTRUCTION OF A DORMITORY IN KUNYAK SECONDARY SCHOOL 47PROJECT 7: CONSTRUCTION OF CLASSROOM IN KAPKURIN ECDE CENRE 52

THE HEALTH SECTOR 56PROJECT 1: CONSTRUCTION OF STAFF HOUSE AND KITCHEN IN KABIANGA HEALTH CENTRE 56PROJECT 2: SERVICE DELIVERY IN MTARAGON HEALTH CENTRE 59PROJECT 3: CONSTRUCTION OF KAPTELE DISPENSARY 61PROJECT 4: CONSTRUCTION OF STAFF HOUSE IN KAITUI DISPENSARY 64PROJECT 5: SERVICE DELIVERY IN RORET SUB-DISTRICT HOSPITAL 67PROJECT 6: CONSTRUCTION WORKS AT KITOI DISPENSARY 69

1Centre for Enhancing Democracy and Good Governance (CEDGG)


Several people played a role in the processes that resulted into the publishing of this Report. It is not possible that CEDGG can singularly thank all of them. However, we wish to make special mention of the County and National Government departmental heads who participated in the social audit process and provided information contained in this report. Special thanks go to the Governor Kericho County, His Excellency Prof. Paul Chepkwony for fully supporting the project. In the same breathe, we wish to thank CEC Public Service, for being available to participate in key events in the course of implementation. The Contribution of the Chief of Staff in the Office of the Governor in whipping the various departments to support the project cannot be gainsaid.

The Chief Officer for Education and the Medical Superintendent at Kericho County Hospital deserve special mention for accepting to be resource persons during the social audit traing workshop and for being available to provide useful insights into the policy, legal and institutional frameworks for health and education service provision.

Further, our gratitude goes to all heads of schools and health facilities social audited for their support without which this report could not have been compiled.

Our sincere gratitude also goes to all the forty social auditors for tirelessly and professionally conducting social audits on schools and health facilities. Indeed, it is the hard work of this gallant men and women that holds the bright future of Laikipia County. In the same vein, we are grateful to the County Project Focal team led by Mr. Gilbert Cheruiyot, the CEDGG Coordinator for Kericho County, David Ruto, Dominic Yegon and Madam Joyce Mariandany for their leadership and coordination of the process. A special space is reserved for Bancy Wanjiru Kubutha for technical input into the process and compilation of this report.

We also thank GIZ for their technical and financial support without which we could not have undertaken the work. Last but not least, the CEDGG Secretariat members for their dedication and handwork throughout the project planning, implementation and the compilation of this report. They are Evans Kibet, Program Officer, Julius Mbui, ICT Assistant, James Maina, Finance Officer, Penina Maleve, Administrator and Cornelius Oduor, CEO.

May our Good Lord bless all of you!

Masese, Kemunche Programs Manager

Acknowledgements

2 Centre for Enhancing Democracy and Good Governance (CEDGG)


Transparency, accountability and citizen participation are at the heart of Kenya’s Constitution and subsequent legislations such as the Urban Areas and Cities Act (2011); County Governments Act (2012); Public Finance Management Act (2012); Transition to Devolved Government Act (2012); National Urban Development Policy (2011 Draft); Leadership and Integrity Act (2013); Ethics and Anti-Corruption Act; and the Freedom of Information Act (2015).

The overarching principles and values in these documents consistently commit the Government to transparency, accountability and civic engagement in devolved governance. An effective social accountability system, embedded in county governments, requires three core elements: fiscal transparency; participation mechanisms; and accountability mechanisms.

However, even with the above clear and comprehensive legal and constitutional provisions, it is clear that increasingly; the provisions are not being observed. Effectively, the country appears to be drifting further from the dream of constitutionalism. Among the key factors supporting the trends include; low capacity of citizens to hold government and leaders to account, limited capacity of CSOs to detect, monitor and document corruption and abuse of power, deeply entrenched negative ethnicity that compromises civilian oversight, impunity among state/public officers; and low responsiveness of public oversight institutions. This is the background that informed the social audit process that culminated into the publication of this report.

The report discusses the outcome of social audit work conducted by members of local communities in 8 selected wards in Kericho County. Citizens monitored implementation of development projects and status of service delivery in 16 projects using the social audit approach. The process focused on Health, and Education sectors and narrowed down to projects and facilities that are funded by CDF and County Government of Kericho. The report highlights best practices that can be adopted to enhance public service delivery and the challenges that need to be addressed to improve performance of county governments. Some of the best practices highlighted in this report include;

EXECUTIVE SUMMARY



In Health Sector

(i). Service Charters in Health Facilities -Three of the seven facilities social audited had service charters installed. This best practice allows service users to know when and what services they can access in different health services. Some health facilities that exemplified this best practice in Kericho include Mtaragon Health Center and Roret Sub-District Hospital. The service charters are strategically located in the facilities for citizens to see.

(ii). Facilities for Persons Living with HIV (PLWHIV) - This best practice ensures that persons with special needs are taken care of and that there is inclusivity in delivery of health care. From the social audit, it was noted that Roret Sub-District Hospital in Kisiara Ward has partnered with various stakeholders to set up tented facilities for PLWHIV and dedicated a day every week for delivery of services to this special interest group.

(iii). Proper Finance records Management - This best practice reflects accountability and proper utilization of public resources. According to audit findings, several health facilities exemplified this best practice including Kabianga Health Center where a Kitchen and Staff House were being constructed. Social auditors noted that the facility maintained proper records about the project that had been inspected by county finance officers.

(iv). Installation of Facilities for Persons with Special Needs - Ramps to facilitate PWD access to health facilities and HIV/AID facilities to provide special services for PLWHIV have been installed in some of the health facilities including Kericho County Hospital and Mtaragon Dispensary. The audit shows that HIV/AIDS facilities are also available in Kedowa Health Facility in Kedowa Ward and Kabianga Health Center in Kabianga Ward.

Best Practices in Education

(i). Presence of a Students Council - This practice creates space for students to participate in decision making processes in their schools. An active student council exists in Kiplgoi primary school.

(ii). Proper documentation of financial information - This practice reflects transparency and accountability in the management of public funds. While Kiplogoi Primary School had not displayed information about Free Primary Education Funds it had received from the Ministry of Education, there was clear documentation showing that the Board of Management accounts for all funds received.



(iii). Accessibility of Public Information - This best practice ensures openness in management of public resources. Social auditors were able to access financial records and supporting documents on renovation works undertaken in Kiplogoi Primary School in Soliat Ward and construction of lab works in Kipsegi Secondary School.

There were notable challenges in both sectors. Key among these included; understaffing, inadequate infrastructure, poor sanitation levels, limited financing, unreliable sources of safe and clean water, lack of citizen participation, allegations of corruption and misuse of funds, difficulties in accessing information, procurement malpractices among others. Clearly, these challenges have had a huge impact on quality of projects and service delivery leading to a general state of apprehension among residents that devolution may after all not deliver on its intended objectives if not checked. The report recommends various actions to address these emerging challenges key among them enforcement of effective social accountability mechanisms in the prioritization, procurement and implementation of county functions to ensure increased accountability, transparency and citizen satisfaction.

About CEDGG

The Centre for Enhancing Democracy and Good Governance (CEDGG) is a grass root civil society organisation that works to empower vulnerable and marginalized citizens to claim their rights in local development and governance processes. CEDGG has been in operation since the year 2001 and legally exists as a Non Governmental Organisation. Our head office is in Nakuru Town – Nakuru County, in the Republic of Kenya. Our programme work currently covers Nakuru, Baringo, Elgeyo Marakwet, West Pokot, Laikipia and Kericho Counties.

The core problem that CEDGG is seeking to address in the society is the low capacity of the marginalised and vulnerable groupsto engage with and participate in the decision making processes around the constitutional implementation agenda and the development process in general. As per current strategic plan (2013-2017), CEDGG will focus its financial and technical resources in four thematic areas namely: Governance and Devolution; Human Rights and Access to Justice; Partnership, Networking and Knowledge Management and lastly Organizational Development whose focus is to build the internal capacity of the organization to adopt and apply Result Based Management in her work.

CEDGG is a founder member of the Constitution and Reform Education Consortium (CRECO); a network of Civil Society Organizations aimed at just governance, constitutionalism and respect for just laws. The organisation is also a member of the Social Audit Learning



Group and presently convenes both the Baringo and Nakuru County Civil Society Forums, networks of Civil Society Organizations operating in the two counties for coordinated and effective CSO engagement in county governance

About The Project

The project, “Empowering the Citizenry to promote efficient and effective service delivery in health and education sectors through detection and prevention of corruption and abuse of power” was initiated by CEDGG with the overall purpose of Engendering Transparency and Accountability in health and education sectors through Effective Citizen Engagement, detection, monitoring and prevention of corruption and abuse of power. The two year project has been implemented in Baringo, Kericho and Laikipia Counties. The Project has been made possible by the generous support of the German International cooperation Agency (GIZ).

Expected project outcomes

• Improved Government accountability and transparency in service delivery to citizens at the local and national levels

• Improved citizen capacity to detect, monitor, document and prevent corruption and abuse of power

• Increased responsiveness of National Oversight Bodies and their Collaboration with Civil Society

Expected Project Outputs

• Citizens and citizen groups in target counties are mobilized, sensitized and coordinated to engage with government for promotion of transparency and accountability in health and education sectors

• Social audits of sample education institutions and health facilities and service delivery conducted, reports compiled and shared through public accountability forums

• Annual meetings held with public oversight institutions to share reports and receive feedback

Project objectives

• To mobilize and sensitize residents of Baringo, Kericho and Laikipia counties on mechanisms to promote accountability in health and education sectors

• To train local citizen groups in the target counties to conduct social audits of public projects and services



• Facilitate local citizen groups to conduct social audits and undertake public interest litigation

• To provide platforms for interface between Civil society, communities and institutions of public oversight

• To Improve responsiveness of public Oversight institutions and their collaboration with CSOs

Methodology

About Social Audit Social audit is a process through which all details of a public project are scrutinized in a public meeting. It examines all aspects of the public project, including the management of finances, officers responsible, recordkeeping, access to information, accountability and levels of public involvement. It is the process through which members of the community seek to evaluate how well services are being delivered, how well public resources are being utilized and how to improve performance. It is similar to that of financial audit. However social audit fills the gap by a financial audit by investigating issues such as performance, accountability and impact of the project. From the definition, a social audit is a highly participatory process, where the public (consumers of service, / beneficiaries of projects) are engaged in the scrutiny of all aspects of projects (financed using public funds).

3.1 Preparatory Activities

(a). Rapport Building with stakeholders and County Government of Laikipia At the onset of the project, CEDGG conducted courtesy visits to the office of the County secretary, education and health departments. An introduction letter was also written to the Governor through the county secretary. These culminated to the Project launch that was held on 26th January, 2015 and presided over by the County Executive Committee Member for Public Service Management at Taidy’s Hotel, Kericho.

(b). Community Mobilization and Sensitization Forums

A total of eight community sensitization and awareness forums were conducted across the County (six sub-counties) to sensitize residents on the legal, constitutional and policy frameworks for service delivery in health and education sectors and mechanisms for social accountability. During these forums, community members discussed and agreed on the focus of their social accountability. Service delivery and implementation of projects in selected schools



were identified as areas of interest. The forums yielded action plans that initiated the social audit process and a team of between five and ten social auditors was identified in each target Sub-County. The auditors were drawn from community organized groups that included CBOs and self help groups. The schools and health facilities to be social audited were randomly selected by the participants. Deliberate efforts were made to involve county government officials such as the sub-county and ward administrators during the forums. Annexed to this report is a schedule of the sensitization forums, list of social auditors and health facilities and ECDE centres selected for audit.

(c). Training of Social Auditors The social auditors were inducted through a training that took three days (21st – 23rd January 2016). Training content focused on mechanisms of Social Accountability, legal, policy and institutional frameworks for service delivery in health and education sectors, standards and the Human Rights Based Approach (HRBA) to service delivery and Social Audit as a tool for monitoring service delivery and budget implementation. The training was launched by the County Director for Public Service Management and facilitated by among others county health and education directors

3.2. The Social Audit Process

The social audit process involved conducting physical visits to project locations and facilities, conducting interviews with administrators and committee members as well as community members and review of documents. All this was guided by predesigned questionnaires. The process involved the following activities:

(a). Sampling of Projects and Services The following sampling methods were used to identify projects and service delivery facilities to be audited:

(i). Purposive Sampling Physical projects were selected strategically from a list of projects that the County

Government of Laikipia had budgeted and approved for funding in the 2014/15 financial year or earlier. The focus was narrowed to projects that were either complete or on-going.



(ii). Random Sampling Random sampling method was used to select institutions or facilities that deliver

health and education services to the public (ECDE). The institutions and facilities were selected from Wards where social auditors were drawn from.

(b). Data Collection

Social auditors used pre-designed tools to collect data from different target audiences. Data collection was undertaken using the following methods:

(i). Key Informant Interviews (KIIs) Social auditors held intensive interview sessions with government officials,

School Boards of management/ECD Committees and Health Facility Management Committees as well as CDF Committees. The social auditors also made effort to trace and interview some contractors albeit with a lot of difficulty.

(ii). Focus Group Discussions The social audit team held focus group discussions with service users. These

discussions were aimed at capturing public views on the quality of service they receive from different facilities.

(iii). Questionnaires Questionnaires were used to collect data on the sampled projects, institutions and

facilities

(c). Data Analysis Data was analyzed using MS Excel and SPSS and presented in table and pie chart formats. This was done in a participatory process that involved social auditors. The data analysis was both qualitative and quantitative.

3.3 Literature ReviewA review of various documents relating to service delivery and implementation of County projects was undertaken. The documents reviewed as part of the social audit process included approved County budgets (2014/15 County Budget), service charters, and financial documents (where available)



3.4. Validation of Draft ReportValidation of this social audit report was done at two levels. Ward level validation meetings allowed social auditors to share the findings with community members and government officials at local levels. A county level validation meeting was organized to share findings with county officials and capture their responses and inputs.

3.4.1. Community Level Validation meetings The social audit findings were subjected to community validation meetings at Ward

level. Participants of the validation meetings varied based on projects but generally included members of local communities, Facility In-Charges, members of Management Committees and Ward Administrators. Inputs made by participants during these validation meetings were captured and integrated in this report.

3.4.2. County Level Validation This meeting was held on 2nd August 2016 at Upperhill Sunshine Hotel, Kericho. It

brought together representatives of various County Government departments including health, education, procurement and economic planning and social auditors for purposes of sharing the audit findings and getting their inputs and responses to issues emanating from the audit. The CEC Public Service and Management presided over the meeting and led County officials in discussing the findings and recommendations. The audit report was duly validated as reflecting the true state of affairs of service delivery in the two sectors.



CEDGG worked with a team of 41 auditors to conduct social audit activities in Kericho County. The team audited 7 health facilities, 9 learning facilities (ECDs, primary and secondary schools). Out of these, 9 construction projects were audited, in the health and education sectors across 6 sub-counties within the county. Besides identifying areas that require improvement, the social audit work sought to identify best practices in service delivery and implementation of physical projects for purposes of amplifying them and encouraging their adoption in all areas. Below is a sector-based report on the findings of social audit activities undertaken in Kericho County.

The Health Sector

In Kericho County, social audit work focused on level 2, 3 and 4 health facilities due to the fact that these facilities are more accessible to citizens.

Best Practices in Health Sector

(iv). Service Charters in Health Facilities Out of the 7 health facilities audited, only 3 have service charters installed. The

charters display information such as details of services offered, fees charged for various services, queuing time, and hours of operation among others. This best practice allows service users to know when and what services they can access in different health services. Some health facilities that exemplified this best practice in Kericho include Mtaragon Health Center, a level 3 facility in Kamasian Ward and Roret Sub-District Hospital, a level 3 facility in Kisiara Ward. The service charters are strategically located in the facilities for citizens to see.

(v). Facilities for Persons Living with HIV (PLWHIV) This best practice ensures that persons with special needs are taken care of and that

there is inclusivity in delivery of health care. From the social audit, it was noted that Roret Sub-District Hospital in Kisiara Ward has partnered with various stakeholders to set up tented facilities for PLWHIV and dedicated a day every week for delivery of services to this special interest group.

(vi). Proper Financial record Management This best practice reflects accountability and proper utilization of public resources.

According to audit findings, several health facilities exemplified this best practice including Kabianga Health Center where a Kitchen and Staff House were being

PART 2: SOCIAL AUDIT FINDINGS



constructed. Social auditors noted that the facility maintained proper records about the project that had been inspected by county finance officers.

(vii). Installation of Facilities for Persons with Special Needs Social audit findings show that ramps to facilitate PWD access to health facilities and

HIV/AID facilities to provide special services for PLWHIV have been installed in some of the health facilities that were audited. This best practice ensures equity in access to health services for persons with special needs. Facilities that that exemplified this best practice are Kericho District Hospital,Roret Sub-District Hospital and Mtaragon Health Center which has been fitted with ramps and a HIV/AIDs facility. The audit shows that HIV/AIDS facilities are also available in Kedowa Health Facility in Kedowa Ward and Kabianga Health Center in Kabianga Ward.

Challenges in Delivery of Health Services

1. Inadequate Staffing

From the social audit, some health facilities in Kericho County lack adequate staff, an issue that negatively affects service delivery. For instance, Mtaragon Health Center in KamasianWard has 2 nurses, 3 support staff, and 2 community health extension workers. Though this is a level 3 facility, it does not have a clinical officer, and a Nurse in-charge heads the facility. Kabianga Health Center, another level 3 facility is served by 3 nurses, 1 clinical officer, 1 pharmacist, 2 lab technicians and 4 support staff. Kaitui dispensary in Soliat Ward has 3 nurses, 1 lab technician and 2 support staff while patients in Kedowa Health Center in Kedowa Ward are served by 2 nurses, 2 lab technicians and 3 support staff. There were reports of negative attitude by staff towards patients in some health facilities such as Mtaragon Health Center.

2. Insufficient Drugs

There were numerous reports of insufficient drugs in most of the health facilities audited. In Kedowa Health Centre, Mtaragon Health Center and Kaitui Dispensary, social auditors were informed that drugs are available in the facility sometimes but there are times when drugs are not available. The frequency at which patients are referred to chemists to purchase drugs was rated as high giving an indication that drugs are not available in the facility most of the times.



3. Low public participation

The social audit process revealed inadequate procurement structures in some health facilities. Whole most facilities have hospital committees in place, community representation in those facilities is very low and the main role that members of the public tend to play is election of hospital management committee members. It appeared that community members are not clear on which of the members elected into the hospital management committee represents the interests of the community because when asked about the number of community members sitting in the management committee, most respondents gave the total number of committee members as opposed to specifically identifying persons who represent the interest of the community in facility committees.

4. Inaccessibility of public information

It was noted that facilities that have installed service charters such as Roret and Mtaragon Health Centers present information in English, a language that is foreign to many locals. While installation of Service Charters is a good practice, it is important that the information displayed on the charters is in a language that the intended audience can understand so that they can make use of it. Using of languages that the target audience does not understand means that they cannot access and make use of it, and it is ultimately not beneficial to them. Further, the social audit revealed that financial information in health facilities is not accessible to the public. None of the facilities audited make such information open on notice boards.

5. Poor procurement structures

Some of the hospital facilities audited do not have procurement committees in place to ensure that proper procurement procedures are followed. In others where procurement committees have already been set up, like Mtaragon, it was noted that procurement procedures such as advertising for tenders publicly are not followed.

6. Water shortage problems

Audit findings show that some health facilities rely on rain water. The facilities experience perennial water shortage during dry seasons, a situation that hampers service delivery to citizens. Health facilities that do not have a consistent supply of clean water include Mtaragon Health Center and Roret Sub-District Hospital, which are both level 3 facilities.



7. Lack of Facilities for Persons with Special Needs

The audit showed that some of the health facilities audited lack requisite facilities to aid access of health services for persons with special needs such as PLWHIV and PWDs. For instance, Kaitui Dispensary in Soliat Ward and Kitoi Dispensary in Kunyak Ward do not have ramps for use by PWDs and HIV/AIDS facilities for use by PLWHIV. Also, Kedowa and Kabianga Health Centers have not been fitted with ramps.

The Education Sector

In Kericho County, social audit work focused on ECDE, Primary and Secondary Schools due to the fact that these facilities are more accessible to citizens.

Best Practices in Education Sector

(viii). Presence of a Students Council This practice creates space for students to participate in decision making processes

in their schools. The best practice was noted in Kiplogoi Primary School where a student council whose members are elected by the student community is present. Representatives of the student’s council take part in making decisions on how school affairs are run and managed.

(ix). Accounting of Public Funds This practice reflects transparency and accountability in the management of public

funds such as the Free Primary Education and Free Secondary Education funds. The auditors noted that while Kiplogoi Primary School had not displayed information about Free Primary Education Funds it had received from the Ministry of Education, there was clear documentation showing that the Board of Management accounts for all funds received.

(x). Adherence to Policy Standards Audit findings show that some of the learning facilities audited adhere to policy

standards set by the Ministry of Education. For instance, St. Patricks Primary School adheres to the set teacher to student ratio 1:40. In this school, there are 632 students and 23 teachers, which means that 1 teacher, on average, teaches 23 students. This best practice ensures that each student receives quality services from the service providers.



(xi). Accessibility of Public Information This best practice ensures openness in management of public resources. During

the social audit, there were education facilities that supported social auditors in accessing the information they needed to finalize the social audit exercise. For instance, in Kiplogoi Primary School, social auditors were given access to information relating to governance structures, financial management and procurement processes. Social auditors were also able to access financial records and supporting documents on renovation works undertaken in Kiplogi Primary School in Soliat Ward and construction of lab works in Kipsegi Secondary School.

Challenges in the Education Sector

1. Inadequate Infrastructure

Social audit findings show that some of the learning facilities audited lack sufficient infrastructure while in some, the condition of infrastructure is very poor. For instance, in Kiplogoi Primary School, classrooms are in poor condition with no finishing works done on the exterior sections of the walls, some classrooms do not have windows and the playing field is not leveled. The staffroom space is also too small for teachers. In Roret Primary School, the classrooms need renovation because 4 of the classrooms have big cracks on the floor. In Kaptele Primary School ECD facility, there is no staffroom for so teachers use classrooms and the playground is poorly maintained and swampy. The classrooms are incomplete, with no ceiling and windows. Kapsisiywo Primary School ECD has temporary buildings made from iron sheets with no windows, doors and the floor is not cemented. In Kapkurin ECD facility, the structures are in extremely poor condition. Pupils use a church hall for lessons as the main building is under construction while the sanitation blocks are in poor condition and pose danger to kids. Teachers and pupils use the same sanitation blocks.

2. Inadequate Staff

Social audit findings indicate a shortage of teachers in some of the learning facilities audited, particularly ECD facilities. In some facilities, one teacher teaches up to 85 pupils, an element that compromises the quality of services delivered. For instance, in Kapkurin ECD, there is one 1 teacher and the population of the school is 85 pupils. Other learning facilities with inadequate staff include Kaptele Primary School ECD where there teacher to student ratio is 1:59.



3. Inadequate Learning Materials

Some of the audited learning facilities registered inadequacy in learning materials such as books, blackboards and consumables such as chalk and other teaching aids. ECD facilities tend to be the most affected with facilities such as Kapkurin ECD having a worn out blackboard, no charts or any other teaching materials for use by teachers except manuals. In Kapsisiywo Primary ECD facility, Londiani Township Primary and Roret Primary School, social auditors noted that learning materials are available but not sufficient.

4. Lack of Title Deeds or Registration

Audit findings found that Kiplogoi Primary School in Soliat Ward does not have a Title Deed for the 5 acre piece of land where the school sits. Also, the land on which the structure for Kapkurin ECD is being build has not been fully paid for and according to the audit, the ECD has not been registered. There were questions on how the construction was approved because the ECD center is being constructed on a very steep terrain.

5. Failure to Publicly Display Financial Information

In Kiplogoi Primary School, social auditors noted that the school does not display details of funds received from the government for free primary school on the notice board as required by law. According to audit findings, some ECDs, particularly those located within primary school compounds such as Kapkurin ECD, do not maintain their own records and instead rely on the primary. As search, this information was not accessible to social auditors.

Development Projects

Best Practices in Implementation of Physical Projects

1. Proper maintenance of records

The audit revealed that there are projects whose records have been kept very well. This is a good practice because it shows accountability for project funds have been spent. Projects that displayed this good practice include Kapsisiywo Primary School where a CDF funded classroom construction project was undertaken. Social auditors found that accounting records for this project are well kept and entries made properly with authorization of cheques and being done properly. The records of a project involving the construction of a staff house in Kaitui Dispensary have also been kept properly and in Kipsegei Secondary School where a CDF funded project to construct a lab, auditors noted that records and reports were maintained primary with cashbooks, vouchers, tender committee minutes and receipts of all purchases filed properly. A similar scenario was noted in Kunyak Secondary where a Dormitory was constructed.



2. Accessibility to Project Information

During the social audit process, auditors were able to access information relating to management and implementation of several development projects. This best practice ensures transparency in management and utilization of public funds. Some of the projects where project was availed to social auditors include Kunyak Secondary School where records on construction of a dormitory were availed including tender committee minutes, procurement files and requisitions, Kipsegei Secondary School, Kiplogoi Primary School and Kapsisiywo Primary School where project files were available on project sites and availed to social auditors.

3. Timely Completion of Projects

The social audit team noted that there are projects that are completed within the scheduled time in Kericho County. This best practice ensures that citizens access the services that such projects are designed to offer in a timely manner. One project that exemplified this best practice is Kiplogi Primary School in Soliat Ward where classroom renovation works to fix leaking roofs and dusty floor were undertaken. The project was to be completed within a period of 3 months but was completed in a record 2 months. Renovation works were undertaken during weekends to avoid interfering with learning on week days.

4. Good workmanship and adherence to policy standards

It was noted that quality work was done by contractors in some of the projects audited by social audit teams. This best practice ensures value for money for citizens in every public funded project. For instance, in Kipsegi Secondary School where a school lab was constructed financed by CDF, auditors noted that the contractor used quality materials and constructed the lab well. The audit shows that policy standards provided by the Ministry of Education in terms of specifications of a school lab were also adhered to. In Kunyak Secondary School, social auditors found that the work done by the contractor on the school dormitory passed the quality test and there was evidence of approval by government engineers.



5. Public Participation in all project stages

This best practice is critical because it ensures that projects that are funded using public funds are what the public needs and guarantees ownership of the project by the local community. From the social audit, projects that exemplified public participation at all levels include Kipsegi Secondary School Lab Construction and Kunyak Secondary School Dormitory Construction where members of the community participated in identification and prioritization of the projects. In Kipsegi Secondary School, community members participated in procurement of materials with some working under the contractor who was well known to the local community to provide labor and stones at a fee.



Challenges in Implementation of Development Projects

1. Stalled Projects / Delays in Completion of Projects

The social audit revealed delays in completion of project and in some cases, projects stalled due to lack of financing. For instance, in Kaitui Dispensary where a Staff House was under construction, completion of the project had been delayed by more than 6 months. The in-charge expressed concerns over the amount of funding allocated for this project by CDF saying that it may not be sufficient to complete the project. Construction of Kaptele Dispensary has been halted for years now; it was initiated during the defunct county council and is yet to be completed to date. The construction of a kitchen and a staff house in Kabianga Health Center has also stalled. The incomplete kitchen was in use when social auditors visited the facility.

2. Failure to adequately Consult Communities about Projects

Social auditors noted that in some projects such as construction of the kitchen and staff house in Kabianga Health Center and construction of a staff house in KaituiDispensary, there was no evidence of community participation in either identification and prioritization of the project. Though there is a project management committee overseeing implementation of the construction project, members of the local community claim that the committee does not consult widely, an aspect that compromises community participation in implementation of the project. In Cheboin Ward where Kaptele Dispensary is under construction, the community did not participate in any stage of the project. In fact, the local community objected the construction of the project on a swampy area but duty bearers went on to construct the facility on the protected area. The community knows very little about the project which indicates very low community participation.



3. Underestimation of Project Cost

The social audit revealed that in some instances, amounts allocated for implementation of development projects are not sufficient to finance the projects to completion. According to audit findings, this one of the main reasons why projects stall. For instance, there were concerns that the amount allocated to Kapkurin ECD of Kshs. 500,000 may not be sufficient to complete the project that is barely 40% complete with Kshs. 300,000 already spent. It was also noted that the amount allocated for the construction of a staff house in Kaitui Dispensary is not sufficient to complete the project.

4. Poor Workmanship

Social auditors noted that the quality of workmanship in some development projects was poor. For instance, the quality of work in the construction of a building in Kitoi Dispensary was poor, the materials used in the construction were of poor quality and painting works had not been completed.



Health Sector

Governance and Management of Health Facilities

From the social audit, 6 of the 7 health facilities in Kericho County have Hospital Management Committees in place. These committees meet on a quarterly basis with an exception of two that meet on a monthly basis. Community members are represented in all health management committees, however, the level of community representation varies from one facility to another as reflected in the figure below:

Number of community members in HMC

QualitativeAnalysis

HealthSectorGovernanceandManagementofHealthFacilitiesFrom the social audit, 6 of the 7 health facilities in Kericho County have HospitalManagementCommittees inplace. These committeesmeetonaquarterlybasiswithanexceptionoftwothatmeetonamonthlybasis.Communitymembersarerepresentedinallhealthmanagement committees, however, the level of community representation variesfromonefacilitytoanotherasreflectedinthefigurebelow:NumberofcommunitymembersinHMC

Ho

wever,53%ofthehealthfacilitiesauditedhaveprocurementcommitteesinplace;only43%do not have. This was largely attributed to the fact that procurement of major hospitalsuppliessuchasdrugsisdonecentrallyatcountyheadquarters.PresenceofProcurementCommitteesinHealthFacilities

0

5

10

15

20

25

MtaragonHealthCenter

KabiangaHealthCenter

KaituiDispensary

KedowaHealthCenter

KitoiDispensary

KerichoDistrictHospital

73 2

5

11

23

However, 53% of the health facilities audited have procurement committees in place; only 43% do not have. This was largely attributed to the fact that procurement of major hospital supplies such as drugs is done centrally at county headquarters.

Qualitative Analysis



Presence of Procurement Committees in Health Facilities

1. ServiceDeliveryQualityhealthservicesareaproductoftheinputsavailedinahealthfacilityincludingsocialamenitiessuchaswaterandsanitationblocks,drugs,staff,infrastructuralfacilitiessuchaswards,serviceroomssuchasinjection,treatment,pharmacy, labsandconsultationroomsamongothers.

StaffingThenumberofstaffinhealthfacilitiesvarybasedonthelevelthatafacilityisat.Asageneralrule,thehigherthelevel,themorethestaffrequired.AccordingtoTheKenyaHealthStrategicandInvestmentPlan,2014–2018,levelfourfacilitiessuchasRoretSub-CountyHospitalshouldhaveMedicalOfficersandotherspecialistsincludingGeneralSurgeons,Gyno-Specialists,aNeurologist,andPediatriciansandamongothers.Basedonthestaffingrequirements,annexedattheendofthisreport,healthfacilitiesinKerichoCountyaregrosslyunderstaffedasreflectedinthediagramsbelow:

Numberofstaffperhealthfacility

Drugs

57%

43%

ProcurementCommimeeavailable

ProcumentCommimeenotavailable

0

50

100

150

200

250

MtaragonHealthFacility

RoretSub-DistrictHospital

KabiangaHealthCentre


KaituiDispensary

KitoiDispensary


1. Service Delivery

Quality health services are a product of the inputs availed in a health facility including social amenities such as water and sanitation blocks, drugs, staff, infrastructural facilities such as wards, service rooms such as injection, treatment, pharmacy, labs and consultation rooms among others.

Staffing

The number of staff in health facilities vary based on the level that a facility is at. As a general rule, the higher the level, the more the staff required. According toThe Kenya Health Strategic and Investment Plan, 2014 – 2018, level four facilities such as Roret Sub-County Hospital should have Medical Officers and other specialists including General Surgeons, Gyno-Specialists, a Neurologist, and Pediatricians and among others. Based on the staffing requirements, annexed at the end of this report, health facilities in Kericho County are grossly understaffed as reflected in the diagrams below:



Number of staff per health facility

1. ServiceDeliveryQualityhealthservicesareaproductoftheinputsavailedinahealthfacilityincludingsocialamenitiessuchaswaterandsanitationblocks,drugs,staff,infrastructuralfacilitiessuchaswards,serviceroomssuchasinjection,treatment,pharmacy, labsandconsultationroomsamongothers.

StaffingThenumberofstaffinhealthfacilitiesvarybasedonthelevelthatafacilityisat.Asageneralrule,thehigherthelevel,themorethestaffrequired.AccordingtoTheKenyaHealthStrategicandInvestmentPlan,2014–2018,levelfourfacilitiessuchasRoretSub-CountyHospitalshouldhaveMedicalOfficersandotherspecialistsincludingGeneralSurgeons,Gyno-Specialists,aNeurologist,andPediatriciansandamongothers.Basedonthestaffingrequirements,annexedattheendofthisreport,healthfacilitiesinKerichoCountyaregrosslyunderstaffedasreflectedinthediagramsbelow:

Numberofstaffperhealthfacility

Drugs

57%

43%

ProcurementCommimeeavailable

ProcumentCommimeenotavailable

0

50

100

150

200

250

MtaragonHealthFacility

RoretSub-DistrictHospital



KaituiDispensary

KitoiDispensary


Access to Clean Water and Sanitation

Social audit findings show that the main source of water in health facilities is boreholes (38%) and tap (38%). Facilities that do not get water from these two sources collect rain water for use. However, none of these facilities were found to have an established mechanism of treating water, particularly those that use borehole water. When it comes to sanitation blocks, the social auditors found that all the audited facilities, except one have separate sanitation blocks for staff and patients. Even so, the number of sanitation blocks do not meet the set standards of 4 blocks per outpatient setting or 1 toilet block for every 20 users in an inpatient setting as required by WHO in the extract below:



AccesstoCleanWaterandSanitationSocialauditfindingsshowthatthemainsourceofwaterinhealthfacilitiesisboreholes(38%)andtap(38%).Facilitiesthatdonotgetwaterfromthesetwosourcescollectrainwater for use. However, none of these facilities were found to have an establishedmechanismoftreatingwater,particularlythosethatuseboreholewater.Whenitcomestosanitationblocks,thesocialauditorsfoundthatalltheauditedfacilities,exceptonehaveseparatesanitationblocksforstaffandpatients.Evenso,thenumberofsanitationblocksdonotmeetthesetstandardsof4blocksperoutpatientsettingor1toiletblockforevery20usersinaninpatientsettingasrequiredbyWHOintheextractbelow:

The table below shows the actual number of sanitation blocks currently available, includingthosededicatedtostaff,forbothmaleandfemaleinvarioushealthfacilities:

Numberofsanitationblocksperfacility

The table below shows the actual number of sanitation blocks currently available, including those dedicated to staff, for both male and female in various health facilities:

Number of sanitation blocks per facility

EducationSectorThesocialauditteaminKerichoauditedatotalof8 learningfacilities indifferentwards.6ofthelearningfacilitiesauditedwereprimaryschools;oneisasecondaryschoolandoneanECDcenter.Thepopulationofeachauditedfacilityisshowninthediagrambelow:Studentpopulationineachauditedfacility

PublicParticipationinGovernanceofSchoolsAllthe7primaryandsecondaryschoolfacilitiesauditedhaveboardsofmanagementinplacethatmeeteitheronaquarterlyormonthlybasis.However,socialauditorswereonlyabletoseeminutesofboardofmanagementmeetingsin4schools.Localcommunitiesarerepresentedin

5 5 4 35

2

10

0

2

4

6

8

10

12

MtaragonHospital

RoretSubDistrict


KaituiDispensary

KedowaHealthCentre

KitoiDispensary


262

632

70

250

117

295

484

748

0 100 200 300 400 500 600 700 800

KunyakSecondarySchool

St.PatricksPrimarySchool

KapkurinECDCenter

KapsisiywoPrimarySchool

KaptelePrimarySchool

KiplogoiPrimarySchool

LondianiTownshipPrimarySchool

RopetPrimarySchool

Education Sector

The social audit team in Kericho audited a total of 8 learning facilities in different wards. 6 of the learning facilities audited were primary schools; one is a secondary school and one an ECD center. The population of each audited facility is shown in the diagram below:



Student population in each audited facility

EducationSectorThesocialauditteaminKerichoauditedatotalof8 learningfacilities indifferentwards.6ofthelearningfacilitiesauditedwereprimaryschools;oneisasecondaryschoolandoneanECDcenter.Thepopulationofeachauditedfacilityisshowninthediagrambelow:Studentpopulationineachauditedfacility

PublicParticipationinGovernanceofSchoolsAllthe7primaryandsecondaryschoolfacilitiesauditedhaveboardsofmanagementinplacethatmeeteitheronaquarterlyormonthlybasis.However,socialauditorswereonlyabletoseeminutesofboardofmanagementmeetingsin4schools.Localcommunitiesarerepresentedin

5 5 4 35

2

10

0

2

4

6

8

10

12

MtaragonHospital

RoretSubDistrict


KaituiDispensary

KedowaHealthCentre

KitoiDispensary


262

632

70

250

117

295

484

748

0 100 200 300 400 500 600 700 800



KapkurinECDCenter





RopetPrimarySchool

Public Participation in Governance of Schools

All the 7 primary and secondary school facilities audited have boards of management in place that meet either on a quarterly or monthly basis. However, social auditors were only able to see minutes of board of management meetings in 4 schools. Local communities are represented in the boards of management in all schools except one. However, the level of community representation varies from one school to another as shown in the diagram below:

Number of community members in School BoM

the boards of management in all schools except one. However, the level of communityrepresentationvariesfromoneschooltoanotherasshowninthediagrambelow:

NumberofcommunitymembersinSchoolBoMOut ofthe 7schoolsaudited,

6 haveprocurement committees in place. However, local communities are only represented in 4 ofthosecommitteesby3peopleonaverage.Evenso,advertisementoftendersdoesnotalwaysconstitutepart of theprocurementprocess in schoolswhereprocurement committeesexist.Basedonauditfindings,25%ofschoolsthatwereauditedsaidtheydonotadvertisetendersasshownbelow:AdvertisementoftendersinschoolsStaffingThe ECD facility is served by one teacherwho is employed by the County Government. Theprimary and secondary schools audited are served by teachers employed by the Boards ofManagement and the Teacher Service Commission. The table below shows the number ofteachersineachfacilitybasedonauditfindings:

15

113

14

4 3






63%13%

25%Posters/Publicnonceboards

Wordofmouth

Notadvernsed



Out of the 7 schools audited, 6 have procurement committees in place. However, local communities are only represented in 4 of those committees by 3 people on average. Even so, advertisement of tenders does not always constitute part of the procurement process in schools where procurement committees exist. Based on audit findings, 25% of schools that were audited said they do not advertise tenders as shown below:

Advertisement of tenders in schools

the boards of management in all schools except one. However, the level of communityrepresentationvariesfromoneschooltoanotherasshowninthediagrambelow:

NumberofcommunitymembersinSchoolBoMOut ofthe 7schoolsaudited,

6 haveprocurement committees in place. However, local communities are only represented in 4 ofthosecommitteesby3peopleonaverage.Evenso,advertisementoftendersdoesnotalwaysconstitutepart of theprocurementprocess in schoolswhereprocurement committeesexist.Basedonauditfindings,25%ofschoolsthatwereauditedsaidtheydonotadvertisetendersasshownbelow:AdvertisementoftendersinschoolsStaffingThe ECD facility is served by one teacherwho is employed by the County Government. Theprimary and secondary schools audited are served by teachers employed by the Boards ofManagement and the Teacher Service Commission. The table below shows the number ofteachersineachfacilitybasedonauditfindings:

15

113

14

4 3






63%13%

25%Posters/Publicnonceboards

Wordofmouth

Notadvernsed

Staffing

The ECD facility is served by one teacher who is employed by the County Government. The primary and secondary schools audited are served by teachers employed by the Boards of Management and the Teacher Service Commission. The table below shows the number of teachers in each facility based on audit findings:Employer Kunyak

SecondarySchool

St. PatricksPrimarySchool





RopetPrimarySchool

TeacherServiceCommission

8 23 1 2 6 11 12

Board ofManagement

8 0 1 0 1 3 5

FinancialManagementandServiceDeliveryOut of the 7 primary and secondary schools audited, only 3 meet the recommended 1:40teachertostudentratioasreflectedinthediagrambelow.NumberofstudentstaughtbyoneteacherinSchools

Mostof the facilitieshave learningmaterials suchasbooksbut theyarenotadequate forallstudents.5outofthe7schoolsdonothavefacilitiesforPWDorandrelyonrainasthemainsource of drinkingwater.When it comes to financialmanagement in the schools, the auditrevealed that payment receipts are issued in 88% of the audited schools as reflected in thediagrambelow. Only16%of the schoolshave financeofficersor staffdedicated tohandlingfinanceworkIssuanceofpaymentreceiptsinSchools

0 10 20 30 40 50 60







RopetPrimarySchool

60

28

33

59

36

50

50

Financial Management and Service Delivery

Out of the 7 primary and secondary schools audited, only 3 meet the recommended 1:40 teacher to student ratio as reflected in the diagram below.



Number of students taught by one teacher in Schools

Employer Kunyak

SecondarySchool

St. PatricksPrimarySchool





RopetPrimarySchool

TeacherServiceCommission

8 23 1 2 6 11 12

Board ofManagement

8 0 1 0 1 3 5

FinancialManagementandServiceDeliveryOut of the 7 primary and secondary schools audited, only 3 meet the recommended 1:40teachertostudentratioasreflectedinthediagrambelow.NumberofstudentstaughtbyoneteacherinSchools

Mostof the facilitieshave learningmaterials suchasbooksbut theyarenotadequate forallstudents.5outofthe7schoolsdonothavefacilitiesforPWDorandrelyonrainasthemainsource of drinkingwater.When it comes to financialmanagement in the schools, the auditrevealed that payment receipts are issued in 88% of the audited schools as reflected in thediagrambelow. Only16%of the schoolshave financeofficersor staffdedicated tohandlingfinanceworkIssuanceofpaymentreceiptsinSchools

0 10 20 30 40 50 60







RopetPrimarySchool

60

28

33

59

36

50

50

Most of the facilities have learning materials such as books but they are not adequate for all students. 5 out of the 7 schools do not have facilities for PWD or and rely on rain as the main source of drinking water. When it comes to financial management in the schools, the audit revealed that payment receipts are issued in 88% of the audited schools as reflected in the diagram below. Only 16% of the schools have finance officers or staff dedicated to handling finance work

Issuance of payment receipts in Schools

DevelopmentProjectsAtotalof7developmentprojectswereauditedinKerichoCounty,4intheeducationsectorand3inthehealthsector.Further,3werefundedbyCDF,3bytheCountyGovernmentwhileonewas funded by both CDF and County Government. Social auditors were unable to getinformationonamountsallocatedfortwoofthe7developmentprojects.Belowisadiagramshowingtheleveloffundingfor5projects:Amountallocatedtoeveryproject

The completion status of these development projects varies. Only 2 projects have beencompleted,3areongoingwhile2havestalledasshowninthetablebelow.CompletionstatusofProjects

88%

13%

Paymentreceiptsissued

Paymentreceiptsnotissued

0200,000400,000600,000800,000

1,000,0001,200,0001,400,0001,600,0001,800,0002,000,000

DormitoryConstrucnoninKunyakSec.

School

ConstrucnonofaLabinKipsegeiSecondarySchool

ConstrucnonofaClassroominKapkurinECD

Centre

ConstrucnonWorksinKitoiDispensary

ConstrucnonofaStaffHousein

KaituiDispensary

2,000,000

800,000

300,000

700,000600,000

Development Projects

A total of 7development projects were audited in Kericho County, 4 in the education sector and 3 in the health sector. Further, 3 were funded by CDF, 3 by the County Government while one was funded by both CDF and County Government. Social auditors were unable to get information on amounts allocated for two of the 7 development projects. Below is a diagram showing the level of funding for 5 projects:



Amount allocated to every project

DevelopmentProjectsAtotalof7developmentprojectswereauditedinKerichoCounty,4intheeducationsectorand3inthehealthsector.Further,3werefundedbyCDF,3bytheCountyGovernmentwhileonewas funded by both CDF and County Government. Social auditors were unable to getinformationonamountsallocatedfortwoofthe7developmentprojects.Belowisadiagramshowingtheleveloffundingfor5projects:Amountallocatedtoeveryproject

The completion status of these development projects varies. Only 2 projects have beencompleted,3areongoingwhile2havestalledasshowninthetablebelow.CompletionstatusofProjects

88%

13%

Paymentreceiptsissued

Paymentreceiptsnotissued

0200,000400,000600,000800,000

1,000,0001,200,0001,400,0001,600,0001,800,0002,000,000

DormitoryConstrucnoninKunyakSec.

School

ConstrucnonofaLabinKipsegeiSecondarySchool

ConstrucnonofaClassroominKapkurinECD

Centre

ConstrucnonWorksinKitoiDispensary

ConstrucnonofaStaffHousein

KaituiDispensary

2,000,000

800,000

300,000

700,000600,000

The completion status of these development projects varies. Only 2 projects have been completed, 3 are ongoing while 2 have stalled as shown in the table below.

Completion status of Projects

Project StatusDormitoryConstructioninKunyakSec.School CompleteandinUseConstructionofaLabinKipsegeiSecondarySchool

Ongoing

ConstructionofaClassroominKapkurinECDCentre

Ongoing

ConstructionWorksinKitoiDispensary OngoingConstructionofaStaffHouseinKaituiDispensary StalledConstructionofMalinjaDispensary StalledRenovationWorksinKiplogoiSecondarySchool CompleteandinUseProjectManagementandPublicParticipationOutofthe7developmentprojectsaudited,only3hadprojectmanagementcommittees,thosefundedbytheCDF.Countyfundedprojectsdidnothaveprojectmanagementcommittees.6ofthe audited projects were identified by communitymembers and therefore were a priority.Four of the audited development projects had procurement committees. Out of these fourcommittees,onlytwowereactivelyinvolvedinprocurementprocesseswhiletheprocurementroleof theother twowas takenupby the respectiveCDFoffices. Social auditorsnoted thataccountability boards hadbeen erectedon twoproject sites, andwere lacking in five of theauditedprojects.AccesstoInformationOut of the 7 development projects audited in Kericho, social auditors were able to accessamounts allocated to 5 projects. Some projects such as construction of a lab in KipsegeiSecondarySchoolhadprojectfilesavailableonsite.HowValueforMoneyFor development projects, value formoney is a function of factors such as relevance of theproject to the target community, adherence to implementation schedules, cost effectivenessand quality of work. From the social audit, 3 out of the 8 projects that were audited werecompletedaccordingtoschedule.Whenitcomestorelevance,6outofthe8projectswereapriorityforthetargetcommunities.

Project Management and Public Participation

Out of the 7 development projects audited, only 3 had project management committees, those funded by the CDF. County funded projects did not have project management committees. 6 of the audited projects were identified by community members and therefore were a priority. Four of the audited development projects had procurement committees. Out of these four committees, only two were actively involved in procurement processes while the procurement role of the other two was taken up by the respective CDF offices. Social auditors noted that accountability boards had been erected on two project sites, and were lacking in five of the audited projects.



Access to Information

Out of the 7 development projects audited in Kericho, social auditors were able to access amounts allocated to 5 projects. Some projects such as construction of a lab in Kipsegei Secondary School had project files available on site. How

Value for Money

For development projects, value for money is a function of factors such as relevance of the project to the target community, adherence to implementation schedules, cost effectiveness and quality of work. From the social audit, 3 out of the 8 projects that were audited were completed according to schedule. When it comes to relevance, 6 out of the 8 projects were a priority for the target communities.



A county validation meeting was held on 2nd August, 2016. The community and the social auditors raised concerns on a number of issues from the report as follows:

Health Sector

1. Construction of a Staff House in Kaitui Dispensary – CDF

- There was delay in completion of the project and the project budget had been underestimated by over Kshs.200, 000.

- The chief officer, health promised to make a provision to finance the balance of the project as it is no longer possible to seek assistance from CDF Sigowet/Soin.

- He also committed to ensure that correct bills of quantities are done before projects are approved in future.

The following issues were common in most of the health facilities

Installation of PWD Facilities

- There were concerns that most facilities are not installed with facilities to ease PWD access

- County government officials committed that all new facilities will comply with the PWD Act in terms of installing PWD facilities and that old ones will be installed with such facilities

Facilities being run by unqualified staffs

- One of the facilities that elicited debate is Kitoi dispensary in Kunyak where the officer in-charge is said to be a non-medic. It was also noted that most facilities that are supposed to be managed by clinical officers are actually being managed by nurses.

- In his response the chief officer, health, promised to look into these matters and provide the feedback in the next two months

Poor public relations from staff

- Participants raised the issue of poor public relations among staff in some facilities such as such Roret Sub-County Hospital where is said some staff are drunk most of the time and in Mtaragon Health Center where there were complains that some staff

COMMITMENTS MADE DURING COUNTY VALIDATION



have very negative attitude towards the patients. - The health department confirmed that they acted on previous reports presented at

ward level earlier and that disciplinary action has already been taken against the said staff .

- The national government is making arrangements to provide a remedy for poor attitude through training and close supervision of staff at the facilities.

Lack of sufficient drugs

- Serious concerns over the perennial shortage of drugs in most facilities including Roret sub county hospital, Mtaragon health center and Kitoi dispensary. In the three facilities the community intimated that some staff sell drugs to nearby chemists even as county headquarters confirm that sufficient drugs are available in all facilities

- The county health department could not confirm the allegations on sale of drugs. However, officials asked the community to report such issues to the police because it is a criminal offence

- The officials acknowledged the lack of drugs in some facilities and said that delays in dispatch of medical supplies from KEMSA have been an issue. The county department has rules requiring facilities to procure supplies only when they have exhausted their inventories.

- To address these concerns, officials said the department has revised the rules and currently, facilities can procure supplies even before drugs are exhausted. As for the supplies from KEMSA, he said the Government has streamlined modalities of delivery and the situation is not as bad as it was at the time of audit.

Lack of proper service charter

- During the social audit most facilities did not have service charters installed and some facilities had poorly written charters.

- The health department confirmed that it is working in conjunction with the ICT department to develop uniform charters for all facilities in the county.

Poor procurement procedures

- It was revealed by the community that procurement procedures are rarely followed leading to poor quality of physical structures.

- The county official said that a change in policy has delayed appointment of new committees to manage health facilities which means operations are being undertaken by the previous committees. Some committee members have served for over three years.



- He assured the community that the issue will be addressed and elected committees will be trained on procurement rules and project management in the health sector.

Lack of water in rural facilities

- None of the facilities in rural areas have treated water. Community members felt that efforts should be put in place to provide storage tanks in hospitals to tap rain water.

- The county government promised to allocate more funds for provision of water in the facilities.

- The department officials reported that a water project to provide water to Kitoi dispensary has been completed and now the facility has water.

On the education sector the following were identified as the commonest short comings.

EDUCATION SECTOR

ST.PATRICK’S PRIMARY SCHOOL

- The playground had been turned into a dump site and there was a dispute over the title deed of the same piece of land.

- The community raised concerns over the status of the title deed and a dispute between the church and the school that has taken a very long time to resolve.

- The county had earlier approved up to Kshs.650,000 for ECDE classroom construction of the school but the management of the school wrote a letter requesting that the funds be used to renovate the existing structure.

- The request was approved but to date, the money has not been disbursed neither has any reason been given for non-disbursement.

RESPONSE

- On the school title deed issue and dumping on school playground, county director of Education in collaboration with the works officer will ensure that the ground is cleared of the debris.

- Community was assured that separation of the title from that of the church will be done speedily, not later than November.

- Chief officer, education promised to look into the matter as soon as possible and get in touch with the school committee to sort out the issue of ECDE funds disbursement.

- The county director of education committed to write a letter to fast track the process of making the field available to the children



Poor Infrastructure

- Poor finishing works were noted in almost all the schools. - The department of education representative promised to tighten requirements to

qualify for the tenders and have closer supervision on all the projects

Lack of Title Deed

- Despite the directive by the ministry of education several years back that all public schools acquire title deeds, most school have not done this.

- Given that most ECDE centres are in the public primary schools, which is a national government function, participants requested the county director of education to look into the issue as a matter of urgency to avoid situations where schools lose land or registration of pupils for national exams rejected

Public Access to Financial Information - It is a requirement by law that all schools display details of funds received from the

government for free primary school, free secondary school, ECDE support or any development projects either by the county government or the CDF on the notice board.

- Unfortunately, most schools do not do this and to address this problem the authorities should ensure that head teachers of all schools adhere to this to provide ease of access to information by the public.

Use of Old Construction Materials

- The community raised concerns over the use of old iron sheets borrowed from an old project to construct classrooms in Kasisiywo Primary School and Kaptele ECD.

- The Chief Officer, Education committed to get clarification on why old materials were used to construct learning facilities when funding to purchase new materials was availed

Allocation of same amounts for construction of ECDE’s across wards- The MCA for Cheboin ward raised concerns over allocation of Kshs.500,000 for

construction of ECD centers across the county. - The Chief Officer, Education committed to establish a mechanism for ensuring

that location aspects are considered when making budgetary allocations for development projects.



RECOMMENDATIONS1. Induction Hospital Management Committees: Kericho County Health Department needs to develop guidelines to guide the recruitment of Hospital Management Committee Members. The county also needs to put in place mechanisms for inducting HMC members to ensure they understand their roles and have the skills and knowledge required to undertake those roles effectively.

2. Adherence to Health Standards and Legal Provisions: Kericho County should adhere to standard provisions on:

(a). Installation service charters in languages that users understand (b). Installation of special facilities to aid access to health care for marginalized

groups such as PWDs and PLWHIV/AIDS. (c). Staffing health of facilities across different tiers to ensure citizens access quality

health care(d). Provision of adequate and proper sanitation facilities as well as clean drinking

water in health facilities (e). Provision of drugs and other curative aids in health facilities in accordance with

service mandate across tiers

3. Access to information: CDF offices and County Governments should adhere to the legal provisions and put in place mechanisms of facilitating access to financial information relating to implementation of physical projects. A project file complete with minutes relating to procurement, BQs, project budget among others should be made available at project sites to ensure transparency and accountability and enable members of the public to oversight implementation of projects.

4. Standards for ECDE facilities: Kericho County should develop a standard guideline on construction and equipping of ECDE facilities to ensure that ECDE facilities constructed meet the policy standards set the MoE, have proper and adequate sanitation facilities, clean water and they are well equipped and staffed to offer quality services to citizens.

5. Induction of School Boards of Management: The Kericho County Directorate of Education should put in place mechanisms for recruiting and inducting school boards of management to ensure they understand their roles and have the requisite skills and knowledge to effectively undertake those roles.



6. Allocation of resources to Projects: CDF offices and County Governments should ensure proper budgeting for development project and allocation of adequate resources to avoid stalling of projects.

7. Inspection of School Facilities: The Kericho County Directorate of Education should put in place mechanisms of ensuring that facilities primary and secondary schools are regularly inspected to determine development or renovation needs such as requirements for additional teaching staff, sanitation blocks, new classrooms, renovation works, provision of clean water among others.



Education Sector

PROJECT 1: Construction of Classrooms in Kapsisiywo Primary School.

Kapsisiywo primary school is located in Kapsisiywosub-location, Kabianga Ward, Belgut sub-county. Records available indicate that the school was created from Kiptome primary school as a nursery school and has since grown into a registered public primary school occupying 0.5 acres of land. The school received Kshs. 300,000 from Belgut Constituency Development Fund to finance class room construction, project number G/BE/6133/13 during the 2014/2015 financial year. The funding was disbursed and utilized fully. The project was initiated by the local community to cater for the rising number of children joining the school and replace the old iron sheet walled buildings. The area member of parliament had identified the school as one of the neediest schools and construction of the two classrooms was a follow up on his promises.

Picture of the Project if Physical

PROFILES OF SOCIAL AUDITED PROJECTS



General Status of the Project

Project estimated cost Kshs.1000,000

Total funding to date Kshs.300,000

Other sources of funding apart from CDFNil

Nil

Actual cost of the project to date Kshs.300, 000.

Level of completion Incomplete

Current PMC members

Currement Committee Members

No NAME GENDER ACADEMICS POSITION CONTACT

1. Geoffrey Misik Male KCPE Chairman 0726814482

2. Wesley Langat Male KCPE Treasurer

3. Irene Keter Female KCPE Sponsor 0724711087

4. GeofreyRop Male KCPE Sponsor 0725677699

5. Felix Kipngetich Male KCPE Member 0705548739

6. Daniel Mitei Male CPE Member

Procurement Committee

No NAME GENDER ACADEMICS POSITION CONTACT

1. Geoffrey Misik Male KCPE Chairman 0726814482

2. Wesley Langat Male KCPE Treasurer

3. Geofrey Rop Male KCPE Sponsor 0725677699

4. Esther Bett Female CPE Member 0712597605

5. Philemon Kiprotrich Male KCSE Co-Opted 0722487326

6. Wesley Keter Male KCPE Member 0724037859

7. Joel Biegon Male KCSE Teacher

8. Sofia Chebochok Female KCSE Teacher



Findings

1. Management of funds and record keeping

- The project committee has 8 members. It is a new team and it was established that no handing over took place from the previous committee.

- Handing over of office to the current head teacher by the former head teacher was never witnessed by the District Education Office as required by the Ministry of Education. This makes it difficult for the procurement team to implement the project because the head teacher does not hold office legally.

- Records on utilization of the Kshs. 300, 000 released by CDF are well kept and easily accessible.

- Social auditors confirmed all books and entries are in order with cheques and vouchers properly authorized

- There was no official authorization of change of plan to construct two classrooms instead of one from the CDF office nor was there commitment from the office that it will disburse more funds towards the project.

2. Quality of Work

- The cost of the project was grossly understated at Kshs.300, 000. It was not clear why the committee proceeded with the project yet the amount was not sufficient to complete one class room given that current estimate of constructing an ordinary class rooms is at least Kshs.550, 000.

- While the funds were fully utilized, the quality of work done on the class rooms is very poorly done and they are incomplete.

- The school management says it decided to build the two class rooms for the purpose of accommodating the children.

- It was not clear how the contractor was identified and there were allegations that the area MCA may have interfered with the procurement process.

3. Public participation and access to information

- The school is fully managed by the local community with representatives of the community playing an active role in managing the project and even

- It was ascertained that the community played a key role in influencing the change of project plan to have two classrooms constructed

- The community participates in the project through elected committees and participated in it from initial stages of the project after realizing the distance to the nearest school was very far and it was congested.



- The village elders negotiated with the area Member of Parliament for allocation of funds to the project, a clear indication of active public participation in project initiation and implementation.

4. Performance of the PMC

- Although the level of education of the committee members seem to be fairly low, their performance given the resources initially allocated to the project was little is satisfactory.

- The challenge is that the committee has little room for consultation with professionals and the main sponsor the CDF.

5. Significant change resulting from the project

- Due to the high student population in the school, the incomplete classrooms are already in use. This has reduced congestion other classrooms.

- Completion of the two class rooms is expected to improve academic performance in future.

6. Other observations / cross cutting issue

- The school is constructed on a very small piece of land- The ECDE class room is in a pathetic state, and the toilets used by the children are

in bad condition, making them very risky to use- The classroom is does not have a cemented floor, its roof and sides leak causing

water to collect inside during the rainy season - The materials used to construct the ECDE classroom had been transferred from the

mother school of this facility in 2013- The social audit team could not confirm whether officials from the MoE have visited

the school to check the quality of infrastructure- The school has challenges arising from the failure of MoE to oversee handing over

by outgoing head teachers. This has led to lose of property such as books with claims that the form head teacher did not follow the laid down procedures in procurement of books and also did not pay some PTA teachers.

- This situation is slowing operations in the school down as the current head teacher cannot perform some tasks because official handover has not taken place.

7. Recommendations for improvement

- The school management and the community should seek for funds to complete the classrooms.



- County government to allocate funds for construction of a proper ECDE facility in the school

- The MoE to ensure proper handing over happens from the previous head teacher to the current head teachers and commence an audit on past procurement activities and payment of PTA teachers

Names and Contacts of the Social Audit Team

NAME CONDUCT

1. Philemon Kiprotich 0722487326

2. Cathy Chepkirui 0727456234

3. Isaac Sigei 0727734094

4. DomnicYegon 0721334495

5. Elijah Kiplangat

PROJECT 2: Construction of a Laboratory In Kipsegi Secondary School

Kipsegi secondary school is located in Kipsegi village, Kamasian Ward of Kipkelion West sub-county. The school sits on a 5 acre piece of land and received funding from CDF to construct a school laboratory to improve performance of students in science subjects. The project was identified as a priority by the management of the school and the community, who jointly applied for funding from the Kipkelion West Constituency fund (CDF). The project was estimated to cost Kshs. 800,000. The funding was released in two installments of Kshs. 400,000 in 2013/2014 and 2014/2015 financial years. Auditors confirmed that the full amount was disbursed and utilized fully.

Picture of the Project

Status of the Project

Project estimated cost Kshs. 800,000

Total funding to date Kshs. 800,000

Other sources of funding apart from CDFNil

Nil

Actual cost of the project to date Kshs. 800,000

Level of completion Complete

PMC members



NAME LEVEL OF EDUCATION POSITION IN COMMITTEE

Abraham Ruto Chairman

SimonChepkwony Secretary

Micah Mutai Member

TheresiaTerer Member

Joseph Koech Member

Maurine Langat Member

Project Procurement Committee

No. NAME GENDER ACADEMICS POSITION CONTACT

1. Abraham Ruto Male Chairman

2. Simon Chepkwony Male Secretary

3. TheresiaTerer Male V-Chair

Findings

1. Management of Funds and Record Keeping

- The school has a management committee with 6 members; the head teacher is the secretary to the committee.

- There is a finance and procurement committee consisting three members of the management committee.

- The financial records for the project were properly maintained and accounting documents such as vouchers, receipts and cash book were accessible to social auditors.

- A detailed report about the project was available at the CDF office, a clear indication that the office monitored the project.

2. Quality of Work

- Social auditors confirmed that construction of the laboratory meets specifications provided by the Ministry of Education

- The quality of workmanship was on this project was good



3. Public participation

- Based on information provided by representatives of the local community, the public participated in every stage of the project

- The community was consulted during procurement of construction materials; some of the construction materials like stones were sourced from the local community

- The contractor was well known to the community with some community members providing paid labor and transport services due to poor terrain


- The project management committee maintained proper records of minutes taken during procurement meetings

- The process of awarding tenders for the project was well documented - The level of education of all the committee is above high school as required by the

MoEwith four members holding university degrees in different fields

5. Significant resulting from the project

- The project is complete and in use allowing students to access quality learning services

- It is expected that this will improve their performance in science subjects, improve the mean grade of the school and enrolment rates in future.

6. Other observations / cross cutting issues

- There were no records of meetings between the sponsor, CDF and the school management, an indication of lack of coordination in running the project between the two teams.


NAME CONTACT

Peter Maritim 0720428026Barnabas Koech 0727850627JosphatRutto 0728179206Geoffrey Siele 0726993137Naomi Chebet 0725406085Nancy Mutai 0707634550Sara Moraa 0724641619



PROJECT 3: Service Delivery in St. Patrick’s Primary School

1. Enrolment and staffing- The school has a population of 632 students and 23 teachers, 3 male and 20

females. 56 pupils are in the ECDE.- The teacher to student ratio is 1:30. - The school has a fully functional Board of Management team and a tendering

committee with the community properly represented.

2. Management and Financial information- The school has a strategic plan and a list of priority projects. The head teacher

handles all the finances as the school does not have a bursar or an accountant. - The school does not receive cash from parents, other than activity fee, therefore no

receipts are issued. - The district education office audits the school and audit reports are accessible to

the public. - In 2015, the school received Kshs.500,000 from Ainamoi CDF in 2015

PROJECT 4: Service Delivery In Kiplogoi Primary School

Kiplogoi Primary School is located in Kiplogoi village, Kiptugumo sub-location of Kaitui Location, Soliatward in SoinSub-County. It is about 5km off Kericho-Kisumu highway, left of Kaitui Trading Centre.The public primary school has classes starting from ECDE to class 8 with a total population of 295 pupils. The school sits on a 5acre piece of land and its registration No. is G/PE/11694/14. However, the schooldoes not have a title deed for the land on which it sits yet, the processing of the title deed is however in advance stages according to the school head teacher.



Picture of the Facility

Findings

1. Infrastructure

- The school infrastructure, from class one to eight- However, the room being used for ECDE classes is only partly completed. - According to the head teacher, the school was renovated with support from Kenya

Airways and the school administration supervised the works. - The condition of sanitation blocks is moderate - The school has a kitchen build by the community; the ECDE class was also funded

partly by the community and partly by the county government

2. Service delivery

- This school offers free primary education to the pupils in accordance to Government policy.

- It has 12 teachers (6 male, 6 female) and 2 non-teaching staff – a watchman and a cook. The teacher to student ratio at the school is 1: 25

- The school displays general performance results of pupils for the last 5years on the notice board; results indicate an average performance with most students securing secondary admission.



3. Management and governance

- The school has a fully operational Board of Management formed early 2016; the head teacher is the secretary to the Board.

- School operations are supervised by the head teacher, assisted by the deputy and other teachers in accordance with the MoE policy

- The school has a pupils council who represent students in decision making processes

4. Financial management and procurement

- The school receives free primary school funds- Social auditors ascertained that these funds are strictly accounted for by the school

BoM as per the vote heads of MoE. - However, financial records were not displayed publicly on the notice board at the

time of the audit- The school has a procurement committee within the BoM with 4 members from the

community sitting in the committee.

5. Other observations and cross cutting issues

- The ECDE class does not have the window frames yet and the external walls are not completed yet

- The school field is not properly leveled and the staff room is too small for teachers.

Name and Contacts of the Social Audit Team

NAME CONTACT

SARAH KORIR 0721 721 013PATRICK KIMUTAI 0725 877 070SAMMY TERER 0711 378 699BYRON 0703 606 535

PROJECT 5: Renovation Works at Kiplogoi Primary SchoolRenovation works in Kiplogoi Primary School were necessitated by the deteriorating condition of school buildings that had not been renovated since 1994 when they were constructed.By the time renovation works were commencing, almost all classrooms were leaking and the floors had become dusty. CDF records indicate an allocation ofKshs. 450,000 was made in 2014/2015 to facilitate renovations. The amount had been disbursement, utilized and fully accounted at the time the social audit was conducted.



Photo of the Project


Project estimated cost Kshs.450,000Total funding to date Kshs.450,000

Other sources of funding apart from CDF

NoneNone

Actual cost of the project to date To be Kshs.450,000Project implementation schedule (Time frame) 3monthsLevel of completion CompleteCURRENT PMC MEMBERSDAVID MARITIMJANE CHELIMOJULIUS CHELULEJACKSON NGETICHTIMOTHY CHELULEJOEL KORIR



Findings


- Records of financial transactions relating to the project had been kept properly and filed

- However, financial records about the project had not been displayed publicly- The project had an active PMC and a procurement committee in place

2. Quality of Work

- Social auditors confirmed that the quality of renovation works done on school buildings was of high quality

- CDF had inspected the works and issued a letter confirming the work met required standards


- Public consultations about the project were done through the school board of management committees and parents during project initiation.

- The community preferred the renovation option because it was quicker and at the time, funds available at the CDF office were not sufficient to put up new classrooms.

- Community participates in school affairs by electing members of the Board of Management


- The renovation works have made classrooms more comfortable for students and created a conducive environment for learning for them.

5. Other observations

- The school has a duty rosta system of ensuring full participation of members of the board of management in governance.

- The project was completed within two months though its expected completion time was 3 months and the contractor worked over the weekends

- Most classrooms in the school are small in size and there are several incomplete structures on the school compound as well




- More funding is required to complete stalled structures in the school and hire qualified contractors to do the work since the quality of work done on these structures is poor.


NAME CONTACT

SARAH KORIR 0721 721 013PATRICK KIMUTAI 0725 877 070SAMMY TERER 0711 378 699BYRON 0703 606 535

PROJECT 6: Construction of a Dormitory in Kunyak Secondary SchoolKunyak secondary school is located in Kunyak ward, Kipkelion west sub-county of Kerichocounty.The school is about 40km from Kipkelion trading center to the west and 20km southwest of Muhoroni. The records in the office and the printings at the notice board indicate that the school was established in 1986 and formally registered in 1998. The school sits on a 5 acre piece of land and has a title deed registration number Kco/Chilchila/Block3/026The school received funding from the Kipkelion West Constituency Development Fund to facilitate construction on a new dormitory. The school had been operating as a day school. However, the increasing number of students coming from far coupled with its elevation to a county school necessitated a dormitory to accommodate students.



Photos of the Project


Project estimated cost Kshs.2000,000Total funding to date Kshs.2000,000


NilNil

Actual cost of the project to date Kshs.2000,000

Project implementation schedule (Time frame) 2years because it was funded twice i.e.in two financial years

Level of completion CompleteCurrent PMC members



NAME LEVEL OF EDUCATION POSITION IN COMMITTEE CONTACT

Charles Rono Degree Chairman 0715762498Wesley Kigen Degree holder /H/M Secretary 0720860867John Ruto Diploma Member 0726925092Samwel Kirui Diploma Member 0720737470James Kariuki KCSE Certificate Member 0724288502Sally Tembur KCSE Certificate Member 0700197032MeshackChepkwony Student Member

Nicholas Ruto Degree Member 0720789321

Project Procurement Committee

No. NAME GENDER ACADEMICS POSITION CONTACT

1. John Kipkoech Ruto Male Degree Chairman 0726725867

2. Nicholas Kiprotich Ruto Male Degree Secretary 0720860867

3. John Kipkorir Ruto Male Degree V-Chair

4. Beatrice.C.Langat Female Diploma Member

5. Robert Yegon Male Diploma Member

FINDINGS

1. Management of funds and Record keeping

- The project was funded in two equal disbursements of Kshs.1 Million each in 2014/2015 and 2015/2016 financial years as per the proposed mode.

- Project records including minutes document for all the committees and school management meetings, requisitions and procurement documents have been maintained properly.

- Records of other projects including the funds from friends of Londiani to build toilets, bursary funds channeled directly to the school from the county and CDF to support for needy students were also available

- The project management and the project procurement committee are active in project implementation based on minutes availed

- The procurement team made deliberate effort to ensure procurement procedures were followed in tendering processes and payments with every purchase being reflected in the books and disbursements matching with requisitions.



2. Quality of work

- According to social auditors, the quality of work done on the project is very good, from its design to construction. The dormitory has a cubicals that meet modern hosing standards for schools and colleges.

- The dormitory was officially opened by the area Member of Parliament Hon. Jackson Rop after inspection by government engineers who issued a completion certificate

- However, final finishing is yet to be completed


- The social audit team confirmed that the local community, through their representatives in the board of management participated in all stages of the project, from identification, conceptualization, proposal development, request for the funds from the CDF to implementation and launch of the project.

- Information on resolutions passed by parents to embark on the construction of the dormitory for the school to enable boys stay in school and increase the time spent in learning was made accessible to social auditors


- The project management committee was formed on 16/11/2015 with records availed indicating that most members in the previous board had been re-elected back to office.



- Interviews with teachers, some parents and the local residents show that members of the procurement committee are very firm and difficult to compromise, an element that earns them trust by the community

- Majority of board members hold university degrees which makes deliberations effective

5. SIGNIFICANT CHANGE RESULTING FROM THE PROJECT

- Following completion of the project, the number of students staying in the school has increased four times

- The performance of the school has also improved due to the fact that students spend more time learning than before.

- This analysisshows significant improvement in performance of the school which the school management attributes to completion of the dormitory

6. Other Observations / Cross Cutting Issue

- The social audit team observed that one of the sanitation blocks in the school had collapsed following the El Nino rains

- The school received support from friends of Londiani to construct new blocks that are nearing completion. A few other blocks had been completed earlier and are used currently by female students.



The Toiltes being Build with the support of Friends of Londiani


- The school should make sure that final finishing is done on the dormitories before they are fully occupied by students.


NAME CONTACT

Aron Marusoi 0724599079

David Ruto 0722584511

Chepngeno Elizabeth 0729539172

Joel Tanui 0712155941

KipngenoTuwei 0728573578

PROJECT 7: Construction Of Classroom in Kapkurin Ecde Cenre

The Kapkurin ECDE is located in Kapkurin village, Kunyak Ward in Kipkelion West sub-county. The local community around the ECDE center initiated the process of putting a classroom to meet the growing demand of early childhood education in the area as other ECDE centers were located far and the terrain of the area is hilly. Records available indicate that the centre was allocated Kshs. 500,000 by the county government during the 2013/2014 financial year for construction of a classroom.



The Picture of the Project


Project estimated cost 0724599079

Total funding to date 0722584511

Other sources of funding apart from CDFNone

None

Actual cost of the project to date To be Kshs.800,000

Project implementation schedule (Time frame) Six Months

Level of completion Half way

CURRENT PMC MEMBERS

JASON RUTO

JANETH CHEPNGETICH

JOSPHINE CHEPKEMOI

FINDINGS


- Records about this project were not properly kept as the project is managed from the nearby primary school

- There is PMC in place that is active but it does not keep proper records nor maintain



bank details. Since the project records are not being kept within the facility, it was difficult to establish whether the records of the financial disbursements and expenditure are publicly displayed as required.

- Project management committee was elected to office in the year 2013.- However, there are no specific members dealing with procurement which creates

conflict of interest

2. Quality of Work

- Based on observations made by social auditors, the quality of work done on this project is good

- However, the county engineer is yet to inspect the structure and give a report


- The project was initiated by the local community. - The project committee and the ECDE teacher confirmed that the community is

fully involved in the project to the extent that they bought the land on which the center is located

- The community moved to occupy a different piece of land that they continue to pay in installments.

4. General performance of the PMC

- The PMC is very active in the project has managed resources available well given the quality of work done on project site.


- The project is still ongoing and therefore the community is yet to begin benefiting from it

- However, at least 85 students are learning from the nearby church awaiting completion of the project


- The ECD Center is not registered yet and the terrain around the project location is unsuitable for the children.

- The project has taken too long to complete given that funds were allocated in the 2013/2014 financial year.

- It could not be established when the next disbursement would be made to facilitate its completion




1. The county government should allocate resources to complete payment of land and register the ECDE centre.

2. The remaining amount should be disbursed by the county government to complete the project.

3. Measures should be taken to level the terrain of the school to guarantee the safety of the children

4. A procurement committee needs to be create to handle issues relating to finance and procurement.

Additional Pictorials


NAME CONTACT

Aron Marusoi 0724599079

David Ruto 0722584511

Chepngeno Elizabeth 0729539172

Joel Tanui 0712155941

KipngenoTuwei 0728573578



PROJECT 1: Construction of Staff House and Kitchen in Kabianga Health Centre

Kabianga Health Centre is a level 3 facility located in Kabianga ward, Belgut Sub-count, Kericho County. The facility serves an estimated population of 25,000 people. It has 12 staff members and a total bed capacity of 24. Male wards are not in use while the maternity ward serves as the female treatment room with a two-bed delivery point.Records obtained during the social audit process show the facility received funding from the County Government of Kericho amounting to Kshs.300, 000 in the 2013/2014 financial year and Kshs.300, 000 from Belgut Constituency development fund (CDF) in the 2014/2015 financial year. This funding was meant to finance construction of a kitchen and a staff house. At the time of the audit, the two projects had not been completed.

Photo of the Project


Project estimated cost (Kitchen) County Govt Kshs.600,000



Project estimated cost (staff house) Kshs.800,000


THE HEALTH SECTOR



None

None

Actual cost of the project to date (Kitchen) To be Kshs. 300,000

Actual cost of the project to date (Staff house) To be Kshs. 300,000

Project implementation schedule(time frame) Six Months

Level of completion Three Quarter

CURRENT PMC MEMBERS

CHARLES MAIWA CHAIRMAN

JULIUS KORIR TREASURER

DOROTHY CHERUIYOT SECRETARY

ANN RONO FBO

KIPYEGON MARITIM YOUTH

KIBET KITUR MEMBER

JOICE CHEPTOO MEMBER

FINDINGS

1. Management of funds and records

- Project records are properly maintained and filed reflecting project activities and financial transactions and checked by the county finance office.

- Only the facility in-charge is in the project committee. - The facility management committee also serves as the procurement committee.

Records availed reflect proper adherence to procurement rules. - Minutes of project committee meetings show proper attendance of meetings and

active participation by members

2. Quality of work

- Construction works are still in progress, but general observations revealed some weak areas that require attention before completion.

- According to social auditors, the structural aspects of the project are done well but masonry work is average.




- Information available shows inclusivity in the project committee with youth, women and religious representation.

- However, evidence to show that the community or the project committee was involved in identification of the project was missing. Instead, the project appeared to be an arbitrary decision of the County Government.

- Amounts received for the project had not been displayed on notice boards


- The two projects are yet to be completed so members of the public are not benefiting yet

- However, it is anticipated that once complete, more staff members be available to offer services to the public round the clock.


- There was no indication that a Bill of Quantities was prepared for the projects, which could be the reason why the projects have stalled

- There was no evidence that more funds could be disbursed to complete the project. The facility is already using the incomplete kitchen which against the government policy of safety. There were no records to show any form of authority to use the kitchen from relevant authorities

Recommendations for improvement

- The committee needs to find ways to secure funding required to complete the two projects

- The In-charge should publicly display the allocated amount, the amount disbursed so far and the level of completion on the notice board

Names and Contacts of Social Audit Team

NAME CONTACT

Dominic Yegon 0721334495

Beatrice Chemutai 0728746725

Isaac Sigei

Philemon Kiprotich 0722487326



PROJECT 2: Service Delivery in Mtaragon Health Centre

Mtaragon health centre was founded in 2003 as a dispensary and attained the health centre status in 2011. It is located in Mtaragon location, Kamasian Ward in Kipkelion West Sub-county. This level 3 facility is under the management of the County Government of Kericho though the Ministry of Health office located in Kipkelion town. According to records available at the facility, this health center serves a population of about 8000 people.

Findings

1. Infrastructure- The facility has a consultation room, an injection room, and a laboratory. - Facility still lacks adequate infrastructure to serve the target population

2. Service delivery

- The number of staff in the facility are not adequate to attend to patients in a timely manner

- Patients are sent to chemists to purchase drugs on many occasions due to inadequacy of drugs

- The facility has no ambulance and water, although available, its source is not reliable

- Based on feedback received from community members, majority of service users in this facility are not satisfied with the service they receive

- Staff have a negative attitude towards service users that in the opinion of social auditors, emanates from poor interactions between management staff and local residents leading to mistrust

3. Management and governance

- The facility has two nurses, three support staff, two security personnel and two community health extension workers.

- It is management by a hospital committee that six members, including the nurse-in-charge.

- The current committee took office in 2013 and serves on an interim basis awaiting release of new guidelines on formation of hospital management committees by the MoH.

- The committee has a procurement committee in which community members are represented



4. Financial management and procurement

- According to the available records, the facility receives the HSSF support and normal cost sharing payments from patients.

- These funds are managed by the in-charge and whenever there are projects to be undertaken, the finance and procurement committee is consulted.

- From the records availed to social auditors, the in-charge oversees procurement of materials which include medical supplies among others; their management was in order.


- Based on information received from the local community, the only link between the community and the facility representatives elected to the facility committee and the service charter, which is written in English.

- The facility does not have a complaint handling mechanism in place; there is no suggestion box or a register for recording complains.

- There was no evidence that the community is involved in facility activities


- The staff in this facility lacks motivation - The facility needs more staff including a lab technician due to high cases of malaria- The hospital experiences serious water and drug shortages and is inaccessible

during rainy seasons


- The facility requires a serious facelift in terms of infrastructure such as a staff house to enable staff stay within the compound

- A laboratory technician should be posted to the facility and the drug shortage problem looked into closely

- The road network should be improved to make the facility accessible throughout the year

- Senior staff in the facility should build rapport with the community by developing a communication system that allows for free sharing of information

- The service charter should be translated to local language because the literacy level in the area is low.



Name and Contacts of The Social Audit Team

NAME CONTACT

Peter Maritim 0720428026

Barnabas Koech 0727850627

JosphatRutto 0728179206

Geoffrey Siele 0726993137

Naomi Chebet 0725406085

Nancy Mutai 0707634550

Sara Moraa 0724641619

PROJECT 3: Construction of Kaptele Dispensary

Kaptele dispensary is located in Kaptele village, Cheboin ward of Bureti sub-county. However, registration documents show that the facility’s name on registration documents is Malenja dispensary and its location is Malenja. Construction of this facility was started during the defunct Bureti county council but has never been completed to date hence the facility is not in use. The purpose for initiating this project was to bring health services to residents of Kaptele who had to travel more than 10km to access health care in Kipwastuiyo, Cheborge and Kapkatet. According to the local community, delay in completing this facility was occasioned by disagreements on the location of the facility.







Other sources of funding apart from CDFLATIFF

None


Project implementation schedule (time frame) Six Months

Level of completion Complete but poorly done and in a swampy place.

CURRENT PMC MEMBERS

NAME POSITION CONTACT

ERASTUS RONO CHAIRMAN 0726558654

DAVID ROTICH V-CHAIRMAN 0724588560

GIDEON MUTAI TREASURER 0728532184

AURELIA MUTAI SECRETARY 0723920968

ROBERT ROP V- SECRETARY 0729946289

ALICE SANG MEMBER

ROBERT CHERUIYOT MEMBER

Findings

1. Management of funds and Record keeping

- Social auditors established that no clear records about the facility existed and handing over from the project team that worked with the defunct county council was never done.

- The facility has a project management committee whose members were elected on 24th February 2016.

- However, PMC members are yet to receive official communication from the county government department of health.

- The PMC also serves as the procurement committee - The project has not received any additional funding besides the amount allocated

by LATIFF, which is allegedly exhausted.



2. Quality of work

- The quality of work done on the project is of poor quality- The project site is swampy and not fit for construction works


- Although the community is represented in the PMC, locals are sharply divided over the project and have very scanty information on the project.

- Auditors established that a significant number of community members had objected construction of the project on swampy area and recommended that a different plot of land be acquired to put up the facility

- This means there was public participation at the inception of the project; however, access to information about the facility has not been possible


- Though the members of PMC are very active, they not been involved in any work as they are waiting for funding from the county government either to renovate the facility or relocate it altogether.

5. Other observations / cross cutting issue

- The project is marred with controversies and conflicting information about funding arrangements and location.

- There were reports that the area MP gave Kshs.750,000 to purchase a separate plot and members of the community also offered to give up parcels of land for the facility

- There were allegations that the county government has also allocated an unknown amount of money to relocate the facility. Still, the audit team partly confirmed that the county government released funds to renovate the facility and it was evident that renovation works were in progress at the facility after the validation meeting.

- The local community wonders why renovations are being undertaken the county government whose officials had previously condemned construction of the facility.

- The land on which the facility currently sits was hived from a nearby school. Construction of a chief’s office on the same land adds to the already controversial situation




i. The community should hold a consultative meeting, reconcile available information on the facility and decide on the way forward.

ii. There is need to follow up on funds allocated funds by CDF and county government to enable the PMC decide whether to relocate the facility or renovate it.

iii. There is need for the county health office to shed light on the on-going renovation works and funding to the facility

iv. The county department of health needs to provide information on the proposed bill on formation of hospital management committees.

Name and Contacts of The Social Audit Team

NAME CONTACT

Mr.Ismael Chesimet

Mr.Ngetich

PROJECT 4: Construction of Staff House in Kaitui Dispensary

Kaitui Dispensary is located in Kaitui location of Soliat Ward in Soin Sub-County. The facility received Kshs. 400,000 in the 2013/2014 financial year and Kshs.200,000 in the 2015/2016 financial year from the CDF office for construction of a staff house. The project was proposed by the local community in 2013 to accommodate the facility in-charge posted to offer services to residents of Kaitui area







Other sources of funding apart from CDF None

None



Level of completion Three Quarter

CURRENT PMC MEMBERS

JASON RUTO

JANETH CHEPNGETICH

JOSPHINE CHEPKEMOI

Findings

1. Management of funds record keeping

- Financial records for this project are properly maintained. - The social audit team noted that the nurse in-charge of the facility is the one who

keeps financial records.- Records availed show that the facility has a finance and procurement committee

and during implementation of the project, the committee adhered to procurement rules in identifying the contractor

2. Quality of work

- Social auditors observed that the quality of work done on the project is good- Construction works were still in progress at the time of the audit and a county

engineer or inspector had not visited the project site to confirm conformation with quality standards


- Participation of the public was done at the initiation of the project as it was proposed by the local community

- However, there was no evidence of public participation in implementation of the project and the in-charge could not confirm this.



4. General performance of the PMC

- The PMC has performed well in monitoring implementation of the project and managing funds

- However, there was a feeling among some community members that the committee does not consult widely on matters pertaining to the project.

- This is allegedly due to n0n-attendance of meeting where the committees are formed and low publicity of such meetings among community members


- This project is still on-going and so, its benefits are yet to trickle down to the community

- However, it is anticipated that upon completion, the project will enhance timely access to health services for residents of Kaitui area who currently have to travel all the way to KerichoDisttrict hospital, SigowetNyayo ward or Sosiot District hospital during emergencies.

6. Other observations/cross cutting issue

- Social auditors noted that the project has taken more time to complete than planned

- The nurse in-charge attributed this to a funding problem where the initial funding, whose records were not available, was insufficient to put up a decent structure.

- It was also noted that the PMC had been in office for more than the recommended 1 year, the social audit team could not verify whether this was because they were re-elected

- The contractor was on a labor contract as opposed to a full contract


- There is need to speed up implementation of the project- The community should be involved more in implementing the project- More funding should be allocated to complete the project



Names and Contacts of The Social Audit Team

NAME CONTACT

SARAH KORIR 0721721013

PATRICK KIMUTAI 0725877070

SAMMY TERER 0711378699

BYRON 0703606535

PROJECT 5: Service Delivery in Roret Sub-District Hospital

Roret sub-district hospital is a level 3 facility located in Kisiara Ward, Bureti sub-county. The facility was under the management of the Catholic Church as a mission hospital until late 1990s when the Government formally took over its management. The facility serves an estimated population of 32,000 people. It has 23 staff and a bed capacity of 32 people.

Findings

1. Infrastructure

- The facility has well-built structures that house a laboratory, a maternity wing, a 24 bed capacity ward, an in and outpatient facility, a pharmacy, a records office and other offices relevant to the hospital.

- Construction of a theatre is was ongoing at the time of the audit with funding of Kshs. 1.1 million from the Bureti CDF Office

- However, this project has already been handed over to the county government of Kericho for completion, equipping and staffing

- The facility has a tent clinic which it is funded by NASCOP and PEPHAR that functions on Tuesdays and serves people living with HIV/AIDS (PLWHA).

2. Service delivery

- The facility has electricity connection but does not have a power backup facility- It has sufficient water and drugs- There is an incinerator and a refuse pit for disposal of waste- Currently the hospital does not own an ambulance but there are indications that

the County Government will allocate one to the facility- The facility shares an ambulance with Kericho District Hospital at the moment- The facility opens on time and has a service charter which is adhered to. However,

the service charter is written in English- Based on patients who were interviewed, the level of service delivery in this facility



is satisfactory – drugs are always available and nurses and clinical officers available. - However, there were concerns over the duration it takes to get lab results - The facility accepts NHIF for in-patients, at the time of the audit, out-patients could

not use NHIF cards at the facility

3. Management and staffing

The facility is headed by the MOH (medical officer), followed by the HAO(hospital administrator).

The following table shows the number of staff vis-a-viz standard requirement at the facility;

Title Number available

Standard Requirements Variance

Medical officer 1 2 1

Overall coordination 1

Outpatient support 1 1

Management support 1 1

Delivery/inpatient 4 4

MCH activities 4 4

Hospital administrator 1

nutritionist 1

pharmacist 2 ( 1 casual,1 from GoK) 1

Records 2 (1 casual, 1 GoK) 2

General attendants 1

Cook 1 casual 1

Laboratory staff 3 1 2

Clinical officer 3 4 1

nurses 7 14 7

clerk 3(1 GoK, 2 Casuals) 1

Public health officer 1

Support staff 4 (2 GoK, 2 casuals) 22

Security staff 1 casual 2 1



- The facility does not have maintenance personnel and has to outsource every time a machine breaks down. Outsourcing, the management said, is costly for the facility


- Most community members interviewed are not aware financial quarters and do not ask questions on financial matters

- The facility does not display financial information on the notice board for the public to see

- The facility has a mechanism for receiving complaints in the form suggestion boxes but the management says members of the public do not use them

5. Recommendations for improvements

• The facility should also consider sharing an ambulance with Kapkatet hospital• There is need to build a mortuary and an X-ray facility in the hospital• There is need to post more staff, particularly maintenance staff to the facility and

add more staff houses• The facility needs to be fenced properly and relocate a road that is passing through

the hospital compound to improve security

Names and Contacts of Social Audit Team

NAME CONTACTS

LABAN CHERUIYOT 0701326771

LYDIA KIRUI 0725232217

EDDAH CHEPKEMOI 0723521117

GEOFFREY KIRUI 0724897687

LILY CHEPKOECH 0723674885

PROJECT 6: Construction Works at Kitoi Dispensary

Kitoi dispensary is located in Kitoi village, Kunyak Ward in Kipkelion East Sub-County. This construction project was allocated funds by both Kericho County Government and Kipkelion West Constituency Development Fund (CDF). According to the project records availed, the facility was allocated Kshs. 400,000 by CDF in the 2013/2014 financial year and Kshs. 750,000 by the County Government in the 2015/2016 financial year. The project was initiated by the local community due to the poor infrastructure in the facility which was poorly constructed posing serious danger to users. The area member of parliament and



the county Government took note of the condition of the facility that was important to residents of Kitoi due to long distance to the next alternative facility.


General Status of The Project

Project estimated cost Kshs.1,150,000


Other sources of funding apart from CDF Kshs,350,000

Actual cost of the project to date To be Kshs.1,150,000


Level of completion Over three Quarters

CURRENT PMC MEMBERS

RastonRotich

Reuben Rop

CollettaNgetich

Mary Bya

Martha Langat

Newton Soi



Findings


- Record keeping for financial transactions is proper and updated. - Receipts are correctly balanced with allocated amounts and the bank records are

proper and reconciled.- The dispensary has a management committee but records to established whether

a procurement committee existed were lacking

2. Quality of project

- Based on observations made by social auditors, the quality of work done on the project is poor.

- The county engineer is yet to inspect the project which is still in progress


- Based on information availed by community members, information relating to the project has not been made available to them

- Some community members feel the facility management does its own things whenever funds are allocated to the facility

- Most members of the community say budgetary allocations to the project were made without their input and there were allegations that certain individuals were benefiting from tender allotments


- Based on community comments, the PMC has performed fairly despite the complains and questions that they have with regard to the project

5. Other observations/cross cutting issue

- The facility’s infrastructures including waste disposal pit and toilets are in bad shape

- The facility does not have a service charter in place- It has 3 banks accounts that are dormant and the road network to the facility, which

is located in a hilly area, is in bad shape- There were unconfirmed reports of rampant sale of drugs




- The final disbursement should be made to complete the project and the in-charge should display financial details of the project on the notice board.

- Deliberate effort to provide information about the project to the community should be made and in future, the public should be involved from inception level

- The county government and CDF should allocate more resources to construct better sanitation blocks

Names and Contacts of The Social Audit Team

NAME CONTACTAron Marusoi 0724599079David Ruto 0722584511Chepngeno Elizabeth 0729539172Joel Tanui 0712155941Kipngeno Tuwei 0728573578

Waste Disposal Pit

to promote efficient and effective service delivery in health and education sectors through detection and prevention

of corruption and abuse of Power


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