23/12/2025
Subject
To: H.E. The Governor of Mandera County
Subject: Report on Access to Maternity and Medical Services at Mandera Referral Hospital
Your Excellency,
We respectfully submit this report to bring to your attention concerns raised by residents regarding access to medical services at Mandera Referral Hospital.
Several residents have reported that patients, including expectant mothers who come to the hospital for delivery services, are required to pay a fee of approximately KES 10,000 before receiving care. In cases where patients are unable to make this payment, they are allegedly denied services. This situation has caused great concern among the community, particularly given the ongoing drought and the severe economic hardship facing many families.
The drought has significantly affected livelihoods, leaving many residents unable to meet basic needs, including medical expenses. Pregnant women and other vulnerable patients are especially at risk, as delays or denial of medical care can lead to serious health complications and loss of life.
In light of these challenges, we humbly request your intervention. We kindly appeal for consideration to allow residents and patients with medical debts to access services and be granted the opportunity to settle their bills at a later time, when conditions improve and when the Almighty Allah grants rain.
Your support and leadership in this matter will greatly alleviate the suffering of the people of Mandera County and help ensure that essential healthcare services remain accessible to all, especially the most vulnerable members of our community.
We thank you for your continued commitment to the welfare of Mandera residents and look forward to your positive response.