Dear HCW,
I write to every health worker in Bomet County — whether you are in a position to change policy, a facility in-charge, a supervisor, or a casual AIE nurse/clinical officer doing the day-to-day work. Please read and forward this message without delay to anyone who can act (CHMT, CEC–Health, SMOH, County HR, union reps, facility in-charges, and community leaders). If you are a casual AIE staff, read this and then please join us — your voice is essential.
Why this matters now
For more than ten years AIE casual staff at any Levels facilities have received a monthly stipend of Ksh 15,000, yet duties have grown massively. New digital systems (TaifaCare/Tiberbu, SHA portal) have increased reporting and administrative work while manual registers remain in use. In many facilities, casual staff cover almost all clinical and administrative duties when in-charges are absent. The result is exhaustion, poor morale and rising risks to patient safety and continuity of care.
Core problems at a glance
• Stagnant pay (Ksh 15,000 for 10+ years) that does not meet living costs or reflect added responsibilities.
• No formal contracts — most AIE staff lack written terms, SHA continuity, and basic employment protections.
• Workload concentration & burnout — casual staff carry clinical care, reporting, commodity management and outreach alone at times.
• Patient care impacted — rushed consultations, incomplete records and missed follow-up are increasingly common.
What we ask you to do now (three quick actions)
1. Forward this message to: County Health Management Team (CHMT), CEC–Health, Sub-County Medical Officer of Health, County HR, facility in-charges, KNU/union reps and local civil society. Those with authority must see this.
2. If you are a casual AIE worker or support this appeal, reply ‘SIGN’ to this WITH: Name — Facility — Phone — Role (Nurse/CO). We will compile names for representation at the forum.
3. Encourage colleagues to add their names and to share this notice widely — across WhatsApp groups, noticeboards, facility meetings and via in-charges who can pass it up the chain.
What we request from decision-makers (clear, urgent asks)
• Immediate review and interim increase of the AIE stipend and a published roadmap toward a sustainable, competitive pay scale.
• Written contracts (fixed-term acceptable) for all AIE staff stating duties, duration, payment terms and protections.
• Rapid staffing assessment of Level 2 facilities and prompt deployment of additional staff where workloads are unsustainable.
• Formal recognition and allowances for time spent on TaifaCare/Tiberbu and SHA portal reporting (with protected time for data tasks).
• Interim measures for SHA coverage and other statutory protections while contracts are regularized.
• A transparent, protected channel for casual staff to report workload, supply or HR concerns without fear of retribution.
Why your action matters
If you can forward this message to those who allocate budgets, make HR decisions, or lead the County health agenda — please do so now. If you are a casual AIE worker, sign and join the forum — alone you may feel powerless, but together we will be heard. This is about dignity for staff and safe, reliable care for our patients.
Please forward widely and encourage every colleague to add their name. We are asking for fair pay and basic contract protections — reasonable, urgent, and essential for health system quality.
Thank you for standing with frontline staff and for acting now.
Respectfully,
Anonymous
P.S. If you are a facility in-charge or manager who supports these changes, please indicate so when you forward this message — your support will strengthen the appeal.
I write to every health worker in Bomet County — whether you are in a position to change policy, a facility in-charge, a supervisor, or a casual AIE nurse/clinical officer doing the day-to-day work. Please read and forward this message without delay to anyone who can act (CHMT, CEC–Health, SMOH, County HR, union reps, facility in-charges, and community leaders). If you are a casual AIE staff, read this and then please join us — your voice is essential.
Why this matters now
For more than ten years AIE casual staff at any Levels facilities have received a monthly stipend of Ksh 15,000, yet duties have grown massively. New digital systems (TaifaCare/Tiberbu, SHA portal) have increased reporting and administrative work while manual registers remain in use. In many facilities, casual staff cover almost all clinical and administrative duties when in-charges are absent. The result is exhaustion, poor morale and rising risks to patient safety and continuity of care.
Core problems at a glance
• Stagnant pay (Ksh 15,000 for 10+ years) that does not meet living costs or reflect added responsibilities.
• No formal contracts — most AIE staff lack written terms, SHA continuity, and basic employment protections.
• Workload concentration & burnout — casual staff carry clinical care, reporting, commodity management and outreach alone at times.
• Patient care impacted — rushed consultations, incomplete records and missed follow-up are increasingly common.
What we ask you to do now (three quick actions)
1. Forward this message to: County Health Management Team (CHMT), CEC–Health, Sub-County Medical Officer of Health, County HR, facility in-charges, KNU/union reps and local civil society. Those with authority must see this.
2. If you are a casual AIE worker or support this appeal, reply ‘SIGN’ to this WITH: Name — Facility — Phone — Role (Nurse/CO). We will compile names for representation at the forum.
3. Encourage colleagues to add their names and to share this notice widely — across WhatsApp groups, noticeboards, facility meetings and via in-charges who can pass it up the chain.
What we request from decision-makers (clear, urgent asks)
• Immediate review and interim increase of the AIE stipend and a published roadmap toward a sustainable, competitive pay scale.
• Written contracts (fixed-term acceptable) for all AIE staff stating duties, duration, payment terms and protections.
• Rapid staffing assessment of Level 2 facilities and prompt deployment of additional staff where workloads are unsustainable.
• Formal recognition and allowances for time spent on TaifaCare/Tiberbu and SHA portal reporting (with protected time for data tasks).
• Interim measures for SHA coverage and other statutory protections while contracts are regularized.
• A transparent, protected channel for casual staff to report workload, supply or HR concerns without fear of retribution.
Why your action matters
If you can forward this message to those who allocate budgets, make HR decisions, or lead the County health agenda — please do so now. If you are a casual AIE worker, sign and join the forum — alone you may feel powerless, but together we will be heard. This is about dignity for staff and safe, reliable care for our patients.
Please forward widely and encourage every colleague to add their name. We are asking for fair pay and basic contract protections — reasonable, urgent, and essential for health system quality.
Thank you for standing with frontline staff and for acting now.
Respectfully,
Anonymous
P.S. If you are a facility in-charge or manager who supports these changes, please indicate so when you forward this message — your support will strengthen the appeal.