Medical doctors in Marsabit County have issued a three-week notice to the devolved unit to address their grievance before they go on strike.

The Kenya Medical Practitioners, Pharmacists, and Dentists Union (KMPDU) wants frequent salary delays, non-remittance of statutory deductions, and contributions resolved.

In a letter to the County Secretary, Head of Public Service, and the Department of Health Chief Officer, the medics also want delayed and denied promotions, unavailability of medical coverage, shortage of doctors, non-release of doctors for study leave, and unfavorable working environments addressed.

“KMPDU notifies you of our intention to initiate an industrial action, effective TWENTY-ONE (21) DAYS from the date of this letter,” KMPDU CEO Davji Bhimji Atellah said.

“This decision has not been taken lightly, but rather in response to a series of unresolved concerns that significantly impact the wellbeing and rights of our members. We believe our concerns warrant immediate attention and resolution to enable the continued provision of quality healthcare services within Marsabit County.”

Further, the union argues that member salaries have been delayed since 2020, with November and December salaries yet to be paid without any communication.

KMPPDU says the above goes against the revised Scheme of Service of 2016 and the signed Collective Bargaining Agreement 2017–2021 (CBA) between the County Government of Marsabit and KMPDU.

“Our members’ perennial delays of their salaries are in clear violation of these agreements. We demand immediate payments alongside the payment of corresponding arrears.”

Another point of contention is a failure by the county to remit statutory deductions, loans, payments, Sacco contributions, insurance premiums, and KMPDU member contributions, which violates legal and employment agreements.

“The severe shortage of doctors within Marsabit County is alarming and contrary to the World Health Organization’s recommended doctor-to-patient ratio,” KMPDU states.