The Ministry of Health has reaffirmed the governance and accountability framework guiding Semi-Autonomous Government Agencies (SAGAs) following the signing of Performance Contracts for the Financial Year 2025/2026 in Nairobi.
Speaking during the ceremony, Health Cabinet Secretary (CS) Aden Duale said all SAGAs operate under the authority and policy direction of the Ministry, noting that any legislative proposal relating to these agencies must be channeled through the Ministry in strict conformity with established legal and policy frameworks.
He underscored that it is unconstitutional for any agency to function outside this structure or to encroach on the mandate of another SAGA, emphasizing that each institution must remain within its legally defined scope to preserve order, reinforce accountability, and ensure coherence across the health sector.
“The performance contracting process is a key instrument for aligning institutional mandates with national health priorities and strengthening results-based management across the Ministry and its agencies,” observed the CS.
Notably, the afternoon session mirrored an earlier engagement with Principal Secretaries, reflecting a unified leadership approach anchored on accountability, policy alignment, and a shared commitment to delivering measurable outcomes for Kenyans.
Addressing agency heads and regulators, Duale emphasised the importance of teamwork, discipline, ethical leadership, and prudent management of public resources, particularly in the face of fiscal constraints and ongoing sector demands.
Additionally, the CS reiterated that health remains a cornerstone of national development and urged institutional leaders to uphold the public trust placed in them.
He further stressed that the signed performance contracts must translate into tangible improvements in service delivery, including reduced patient waiting times, reliable access to essential medicines, well-equipped health facilities, strengthened community health systems, and improved overall health outcomes.
The ceremony was attended by Principal Secretaries Dr Ouma Oluga (Medical Services), Ms Mary Muthoni (Public Health and Professional Standards), and Mr Ahmed Ibrahim (National Government Coordination), alongside senior Ministry officials.
By Michael Omondi
