By Jabali Digital
The county government of Siaya under governor James Orengo has signed a Memorandum of Understanding (MoU) with the Lwala Community Alliance, unlocking a Sh150 million annual health partnership aimed at accelerating universal health coverage across the county.
Orengo put pen to paper on behalf of the county while Julius Mbeya, Lwala Community Alliance Chief Executive Officer (CEO) signed the dotted lines on behalf of the organisation, during a ceremony held at a Kisumu hotel on February 05, 2026.
“This partnership aligns perfectly with our manifesto on commitment to quality and accessible healthcare for every resident of Siaya,” said governor Orengo. He emphasised collaboration, accountability, and targeted investment as pillars of his administration.
“Our experience shows us that the most powerful health solutions start in communities. Across the counties where we work, we have seen that when communities lead, systems become strong and care become more responsive,” noted CEO Mbeya.
Governor Orengo said that the Sh150 million annual financing will directly support expansion and motivation of Community Health Promoters (CHPs), upgrade health facilities and essential equipment, recruit and support healthcare personnel, and improve maternal referral services for vulnerable mothers and newborns.
According to its 2024 annual report, Lwala has enabled 97% skilled deliveries in supported areas, trained and supported 8,300 professional community health workers, equipped 689 community health groups to drive sustainable change, and strengthened 940 health facilities with lifesaving skills in obstetric and hemorrhage management.

Lwala Community Alliance is a Kenyan-founded, community-rooted non-governmental organisation with a long track record of improving health outcomes while tackling systemic inequalities and cycles of impunity.
Founded with the support of local visionaries Milton and Fred who donated land for the original hospital, the organisation was established to confront high maternal mortality, HIV/AIDS prevalence, and deep-seated health inequities.
The MoU builds on a series of tangible upgrades already delivered by Orengo’s leadership, popularly known as Nyalore administration.
Currently, Ukwala Sub-County Hospital now boasts a modern maternity theatre and an eye clinic, Siaya County Referral Hospital has expanded its emergency and accident unit, added treatment rooms, a new maternity wing, and a backup oxygen system, Boro Health Centre has been upgraded with additional treatment rooms, Urenga and Sigomere facilities have seen the recruitment of more health officers and Caesarean section specialists, while Bondo Sub-County Hospital received medical supplies worth millions of shillings in the last financial year.
With this MoU, Siaya positions itself as a model for public-NGO partnerships that deliver measurable results.