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St. Mary’s Mumias Hospital in Kenya to Reopen Under Women Religious to Restore “Catholic ethos,” Says Kakamega Bishop

After months of silence that followed the suspension of services at St. Mary’s Mumias Mission Hospital of the Catholic Diocese of Kakamega in Kenya in early July 2025, fresh details are emerging about the future of the 93-year-old health facility in the West of the East African nation.

At the heart of the turnaround plan is a deliberate return to Catholic identity, with women Religious expected to take the lead when the hospital reopens.

In an interview with ACI Africa on December 29, Bishop Joseph Obanyi Sagwe of Kakamega Diocese spoke about the crisis that forced the closure of the hospital, the painful decisions that followed, and the vision guiding plans for reopening, which he said could take place as early as January 2026.

A mission hospital brought to a standstill

Long regarded as a pillar of healthcare in Western Kenya, St. Mary’s Mumias Mission Hospital suspended operations after staff downed their tools over unpaid salaries.

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“It was closed, because, you know, the staff went away; and the problem was that they had not been paid for three months,” Bishop Obanyi told ACI Africa. He explained that delays in reimbursements from Kenya’s Social Health Authority (SHA) made it impossible for the hospital to meet its wage obligations. “Their ultimatum was: ‘we are not coming back to work until you pay us.’”

As the leadership of Kakamega Diocese probed deeper into the situation, structural weaknesses were observed. “We also realized that we needed to dig deep into the cause of the whole situation,” the Kenyan Catholic Bishop said, and added, “Generally, the system had not been very good – even the services, in a way.”

Despite having a capacity of 250 beds, the hospital was operating far below potential. “We were not getting even 100 patients admitted – the admissions were very few,” he said, noting that reimbursements from SHA were insufficient to sustain operations and were oftentimes delayed.

Unsustainable costs and a ballooning wage bill

At the center of the crisis was a wage bill that had grown disproportionate to the hospital’s income. In the December 29 interview on the sidelines of the Funeral Mass of Mama Rosalia Nelima Wabuti, the mother of Fr. Stanslaus Mukamani Wabuti of Kakamega Diocese, Bishop Obanyi revealed that St. Mary’s Mumias Hospital had about 260 workers whose salaries alone cost about KES 9 million (US$ 70,250.00) per month.

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“And the whole expenditure per month with other utilities was about KES 18 million (US$140,500.00),” he said, and continued, “What does that tell you? It tells you that if you don't have patients in the wards and other services, but you must pay the workers KES 9 million per month, you don't have it, what do you expect?”

For him, the numbers told a sobering story. “So basically, if it's a business, it's not running optimally,” the Local Ordinary of Kakamega Diocese since his Episcopal Consecration in March 2015 said, pointing out that delayed and “very dismal” SHA payments only worsened the situation.

The painful decision to declare redundancy

Confronted with a collapsing system, the Kenyan Catholic Diocese opted for a drastic but, in Bishop Obanyi’s view, unavoidable measure. “What we decided to do is to kind of try to restructure and try to bring down the wage bill,” he told ACI Africa.

After consultations and legal advice, the Diocese declared redundancy. “We declared redundancy … so that practically we don't have anybody in terms of staff,” Bishop Obanyi explained. The decision, he went on to say, was intended to allow the Diocese to reorganize and plan afresh, while working out ways of settling workers’ dues and clearing arrears.

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“That’s where we are,” he said, describing the current phase as one of transition and preparation. “Now the next step is trying to see when we can start, reopen the hospital,” he added.

Targeting January 2026 for reopening

While acknowledging the legal and logistical complexities involved, Bishop Obanyi expressed cautious optimism about the timeline.

“Legally speaking, even after declaring redundancy, it's a complex matter,” he said. Still, he added, “the time frame we are having is to be this January (2026).”

“By the end of January 2026, we'll have probably come up with a modality of reopening,” the native of Kenya’s Kisii Catholic Diocese told ACI Africa, signalling a renewed sense of direction after months of uncertainty.

(Story continues below)

Crisis years in the making

According to Bishop Obanyi, the closure of St. Mary’s Mumias Mission Hospital did not come out of nowhere. “Honestly, I have to tell you, when I came as Bishop in 2015, there were issues,” he said.

Reflecting on the broader picture, he said, “Somewhere, somehow, our mission hospitals, began losing their vision and identity as Catholic, and somehow, we didn’t realize.”

He described a gradual drift from mission to business, where financial inflows masked deeper problems. “When you start hearing people calling themselves CEOs, they're getting money from NHIF (National Health Insurance Fund), and you don't exactly know how, and then you see it is thriving, it gives you an impression that, ah, yeah, yeah, we are doing well, until it collapses like we've just experienced,” he said.

“You realize that it was based on a vision that is not of the Church,” Bishop Obanyi added.

Restoring Catholic identity and ethos

The crisis, the Catholic Bishop said, has prompted a rethinking of how Catholic health facilities should operate. “What I think myself now is to restore our health facilities to be the mission health facilities that they were,” he said.

At the core of this vision is service, not profit. “The vision of the Church is we don't really stress on profit, but on proper service delivery,” Bishop Obanyi said.

He lamented that the staff walkout had exposed a deeper problem. “Remember, it was because of being paid that we had people walking out leaving patients, which means they don't even have the Catholic ethos.”

He stressed the importance of vigilance when working with external experts. “People come to my office many times and tell me this is how we are going to do it,” he said, adding, “But you can look at it and say it doesn't have the Catholic ethos; it doesn't have the Catholic vision.”

Why women Religious are central to the plan

In explaining the personnel strategy for reopening St. Mary’s Mumias Mission Hospital, Bishop Obanyi said, “I intend to start with my own Sisters, Sisters of Mary of Kakamega (SMK).”

The Congregation, the Local Ordinary of Kakamega Diocese noted, has members who are “very qualified, very, very enthusiastic people.”

He revealed that discussions are already underway with the leadership of the SMK, saying, “We are already negotiating with the Superior General and the Council.”

For Bishop Obanyi, the presence of women Religious is about more than staffing. “Their presence alone is able to instil a bit of confidence,” he said, adding that over time, professional expertise can be added “without losing our own grip and identity.”

He pointed to St. Elizabeth Mukumu Mission Hospital of his Episcopal See as a model. “What has helped it is when they see Sisters, ah, that is our hospital,” he said, and added, “That identity of Catholic Nuns, vested as Nuns, yes, practically present … is an identity that has restored back” the hospital’s functioning.

External factors and the Mumias sugar factory legacy

Bishop Obanyi also linked the hospital’s struggles to the collapse of Mumias Sugar Factory, once the economic backbone of Western Kenya. “It used to be a reference place for factory workers,” he recalled. When the factory collapsed, so did a major source of patients and income, he said.

“That dependence solely on Mumias sugar factory was the real undoing of Mumias hospital,” he said, adding, “That's where the rain started beating Mumias hospital.”

While acknowledging management gaps, he downplayed them as the primary cause of St. Mary’s Mumias Mission Hospital challenges. He told ACI Africa referring to management gaps, “For me, it's neither here nor there. But it is a cross-section of gaps.”

A wake-up call and a message of hope

Looking back, Bishop Obanyi described the mission hospital closure as “a wake-up call.” “Even this period of closure helps us all to reflect,” he said, adding, “So, it's not wasted time.”

Despite political pressures and public scrutiny, the Kenyan Catholic Bishop remains hopeful. “We hope with God's grace and also the prayers of the people, we will be able to take off,” he told ACI Africa on December 29.

In a direct message to the community that has long relied on St. Mary’s Mumias Mission Hospital, Bishop Obanyi urged patience and trust. “For the people who have basically always relied on Mumias hospital, I wish to tell them, don't lose hope,” he said.

“We are going to begin and begin well,” he said, adding, “And you'll be part of that transformation of the hospital so that we grow both spiritually and physically.”

 

ACI Africa was founded in 2019. We provide free, up-to-the-minute news affecting the Catholic Church in Africa, giving particular emphasis to the words of the Holy Father and happenings of the Holy See, to any person with access to the internet. ACI Africa is proud to offer free access to its news items to Catholic dioceses, parishes, and websites, in order to increase awareness of the activities of the universal Church and to foster a sense of Catholic thought and culture in the life of every Catholic.