JOOTRH, KMPDU sign recognition deal ahead of transition to national referral hospital
KMPDU Secretary General Dr. Davji Atellah and JOOTRH CEO Dr. Clinton Okise, flanked by other officials, after the signing of the Recognition Agreement on December 22, 2025. PHOTO | COURTESY
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The Kenya Medical Practitioners, Pharmacists, and Dentists Union (KMPDU) has formally been recognized as a key stakeholder in the transition of Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) into a Level 6 national referral facility, following the signing of a Recognition Agreement.
JOOTRH in Kisumu
County was last year elevated to a Level 6 facility and tasked to operate as a national
facility handling referrals within Nyanza region.
The Tuesday agreement
was signed by KMPDU Secretary General Dr. Davji Bhimji Atellah and JOOTRH Chief
Executive Officer Dr. Joshua Clinton Okise, establishing a structured framework
for engagement between the union and hospital management during the transition
process.
According to
JOOTRH, the agreement is intended to strengthen institutional stability while
addressing staffing, infrastructure, and remuneration gaps as the hospital’s
mandate expands to match that of other national referral institutions.
The framework
positions KMPDU as a participant in management discussions, particularly those
touching on human resources and service delivery.
During the
deliberations, the union raised concerns over the fate of doctors currently
serving on locum terms, calling for their transition to Permanent and
Pensionable (PnP) positions once human resource functions are fully
transitioned.
Dr. Atellah
emphasized that job security is central to the stability of a national referral
hospital.
Responding to the
concerns, Dr. Okise said ongoing job evaluation and grading by the Salaries and
Remuneration Commission (SRC) and other relevant bodies would determine the
hospital’s human resource requirements.
He noted that the
process would provide clarity on specialist recruitment and staffing levels
needed to meet national standards, while also acknowledging the contribution of
doctors currently serving at JOOTRH.
“This recognition
agreement is a progressive step toward a long-term partnership,” Dr. Okise
said, adding that February 2026 has been set as the target for completing staff
transitions and harmonising salary structures.
He urged continued
dialogue to ensure a stable working environment and prevent industrial unrest.
In a separate
statement, Dr. Atellah described the agreement as a “timely milestone,” noting
that JOOTRH is among the first county hospitals to be elevated to national
referral status.
“As KMPDU, our
presence in this transition is not symbolic; it is strategic,” he said. “It
ensures that doctors are represented, protected, and actively involved in
decisions that will shape staffing, infrastructure, remuneration, and service
delivery during this critical period of growth.”
A key provision of
the agreement is a commitment by both parties to conclude a Collective
Bargaining Agreement (CBA) within 120 days, with the union expected to submit a
draft within one month.
The framework also
requires the employer to disclose relevant information to support transparent
and informed negotiations.
Dr. Atellah said
the dialogue-driven approach has previously delivered positive outcomes at
Kenyatta National Hospital (KNH) and Moi Teaching and Referral Hospital (MTRH),
and expressed confidence it would strengthen JOOTRH’s service delivery.
“We are committed
to working hand-in-hand with hospital leadership to address human resources,
equipment availability, access to medicines, and the functionality of
theaters,” he said.
“Safeguarding the
welfare of healthcare workers ultimately translates into superior patient
care.”
Both JOOTRH and
KMPDU said the recognition agreement provides a blueprint for other facilities
earmarked for elevation, with expectations that the partnership will enhance
institutional stability and improve healthcare outcomes across the Lake Region
Economic Block and beyond.

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