The Nairobi Hospital. The board of management accuses the police of continued harassment and intimidation despite seeking court intervention.
The first time I went to Nairobi Hospital, I was accompanying one of my professors as a medical student. What struck me was not just the quality of care, but how everything seemed to work. Patients moved. Systems responded. Staff knew what they were doing.
Technology was not decorative; it was functional. There was a quiet efficiency to the place, the kind that signals order, discipline, and intention. It felt like what a health institution is supposed to be.
Years later, I returned as a patient. I had struggled with hyperacidity for some time, and my gastroenterologist recommended an endoscopy. What I encountered was familiar. The same order. The same clarity. The same sense that the system was built to serve the patient, not the other way around. It confirmed something simple but powerful. This is what it looks like when a health system works.
It is therefore difficult to ignore what has unfolded in recent weeks. Nairobi Hospital has been pulled into the centre of national controversy. An apparent patron sought to “save” the institution, reportedly acting on concerns raised by patients and some members of the association. It looked like overreach.
It raised questions about the use of legal processes, and about the boundaries between governance and interference. The subsequent move by the Office of the Director of Public Prosecutions to withdraw charges against the hospital’s directors only reinforces that discomfort.
Hospitals are not ordinary institutions. Even in war, international law recognises this. The Geneva Conventions require that healthcare facilities and personnel be respected and protected, allowed to function without interference.
That protection exists for a reason. Health systems are not optional. They are foundational to life. It is therefore worth asking why, in times of peace, we are so willing to destabilise them.
Controversy
But beyond the controversy lies a more important question, and perhaps the one we should be asking more urgently. What can Kenya learn from Nairobi Hospital, and why have we struggled to replicate those lessons across the broader health system?
Because at its core, Nairobi Hospital is not simply a story of funding. It is a story of systems. It is about how decisions are made, how resources are managed, and whether staff are supported well enough to deliver care with consistency and dignity. It is about whether a patient entering the system can expect predictability rather than uncertainty.
Nairobi Hospital represents a model of a functional facility that many of us working in justice and health equity have long hoped to see replicated within the public sector, of course, at costs that are affordable to most of the public.
At its core, the hospital shows that quality care is not only about funding, but about systems. It comes down to how resources are managed, how decisions are made, whether staff are supported, and ultimately how patients are treated.
Another lesson is in how human resources are prioritised. A health system is only as strong as the people who run it. Nairobi Hospital invests in skilled professionals, supports their work, and creates an environment where standards can be maintained. In many public facilities, the opposite is true. Staff are often overworked, support systems are weak, and management structures are inconsistent. If we are serious about addressing inequities in healthcare, then we have to start with the workforce, not just in numbers, but in working conditions, leadership, and accountability.
There is also something to learn from how technology and systems are used. At Nairobi Hospital, care is supported by coordinated systems that reduce delays, improve accuracy, and make the patient experience smoother. This is not just about having modern equipment. It is about how information moves, how services are organised, and how decisions are made in real time. Expanding such systems across public facilities would go a long way in reducing inefficiencies that tend to affect low-income patients the most.
Against this backdrop, the State’s apparent preoccupation with Nairobi Hospital raises legitimate questions. Why intervene in a functioning institution while public hospitals, which serve the majority of Kenyans, continue to struggle with underfunding, inefficiencies, and governance challenges?
Financial discrepancies
Recent disclosures make this even harder to ignore. Nairobi Hospital’s audit for the 2023 to 2024 financial year received an unqualified opinion, confirming that its financial statements are accurate and reliable. Kenyatta National Hospital, on the other hand, received a qualified opinion, with serious concerns raised about financial discrepancies, including variances in cash reporting, unpaid liabilities, and underreported revenues. These are not minor issues. They point to deeper systemic strain within the public health sector.
The public conversation reflects this tension. Many are asking why attention is being directed toward Nairobi Hospital while patients in public facilities continue to face shortages, long delays, and compromised care. Reports on the experiences of cancer patients at Kenyatta National Hospital, alongside the focus on Nairobi Hospital, only reinforce the sense that priorities may be misplaced.
What is at stake here goes beyond Nairobi Hospital.
How do we replicate governance structures that ensure accountability without paralysing institutions?
How do we build systems that deliver consistent, high-quality care regardless of income level? How do we invest in people, technology, and infrastructure in ways that put patients first? These are not questions that will be answered in courtrooms or through political intervention.
Nairobi Hospital should not be treated as a problem to be fixed. It should be treated as a model to be understood.
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Dr Bosire is a medical doctor and lawyer. [email protected]
