KMPDU held a high-level consultative meeting with the Kiambu County Government, led by Governor Kimani Wamatangi, to review the implementation of the October 2025 Return-to-Work Formula (RTWF) and address several outstanding issues affecting doctors. The engagement underscored the importance of social dialogue in resolving labour concerns and strengthening healthcare service delivery.
The discussions focused on career progression, staff welfare, disciplinary matters, and pending financial obligations, resulting in several important commitments by the County Government.
On promotions, the County reported significant progress, with 52 promotions already processed and 38 promotion letters issued. An additional 18 letters are ready for release, pending the conclusion of internal human resource consultations. While the broader promotion exercise was temporarily paused following concerns raised by other cadres and the commencement of a county-wide audit, the County Public Service Board committed to completing the process and issuing all outstanding promotion letters by 15 April 2026 following its scheduled retreat.
The meeting also addressed concerns surrounding transfer reimbursements. The Chief Officer for Health committed to issuing a formal circular providing clear guidelines on reimbursement procedures. Doctors transferred more than 40 kilometres from their previous duty stations will qualify for reimbursement upon reporting and submitting the required documentation.
KMPDU further raised the dismissal of two doctors from Igegania Hospital following a paediatric mortality that occurred during the strike period. The Union emphasized the need for due process and fair administrative action. The County Government agreed to convene its legal team alongside KMPDU’s legal representatives next week to jointly review the matter, with a commitment to resolving the case within one month. As a demonstration of goodwill and in the interest of maintaining industrial harmony, the two doctors will be reinstated.
On postgraduate training, the meeting delivered positive outcomes for doctors seeking further professional development. Two doctors whose cases had been referred to the Union have now been granted study leave. In addition, the Governor affirmed that, going forward, all doctors who have served for at least two years will be eligible for study leave without unnecessary administrative barriers.
The County also committed to a structured plan for settling outstanding salary arrears. October salaries will be paid through the May 2026 payroll, while arrears for July, August, and September will be cleared in phases through the October, December, and February payroll cycles.
The commitments reached during the meeting represent meaningful progress on several longstanding issues affecting doctors in Kiambu County. They also reaffirm the value of sustained engagement and mutual respect in resolving labour disputes.
KMPDU will closely monitor the implementation of every commitment to ensure that agreed timelines are honoured and that doctors receive the benefits and protections they are entitled to. The Union remains steadfast in its position that agreements must be implemented fully and that the rights, welfare, and professional dignity of doctors must always be protected.
KMPDU appreciates the Kiambu County Government’s willingness to engage in constructive dialogue and remains committed to working collaboratively to strengthen healthcare services while advancing the interests of doctors.
Through dialogue, accountability, and unity, we continue to build a stronger profession and a stronger healthcare system for all Kenyans.
