Anza na undergraduate. Used to get Chacha (that’s what we called HELB, after it’s then head, Chacha Nyaigoti Chacha) ya 25k p.a. From this, 8k was deducted and paid directly to the university as part of tuition fee. The balance of 17k was then disbursed in two installments of 8.5k per semester. A typical semester then was about 32-36weeks; shared hostels (Halls 1-8 in Main) were at the time charged at Ksh. 28 (?) per student per day. Fanya hesabu. That, my friend, is how I became a fan of Neighbours on KTN and Home & Away on Nation Tv.
For post-graduate studies, it has always been a 50-50 split with Afya Hse and the post-grad students. Total often comes to >250k p.a. tuition fee only. Afya Hse often delays remitting it’s portion of the fee so, as a way of exerting pressure, UoN often bars those with tuition fee arrears from sitting their exams, forcing them to then hustle and pay then claim a refund later when Afya Hse comes through.
Besides tuition fees, there’s living expenses and costs that go into their research projects which then forms the rationale of study/ academic leave: you remain on pay during your study so that you can afford these costs and in return you’re bonded to work for the gov’t for a certain no. of years after graduation. The only way to obtain release from this bonding is to refund your nett salary that was paid during the duration of your study leave.
Challenge sasa kwa many counties ni eti wanaona paying people a salary while they’re on study (and therefore not actually working at the various county hospitals) is a waste of funds. They’d rather use those funds to hire mostly diploma and certificate cadres on lower pay and/ or offer substandard contracts (hakuna P&P terms) to degree cadres as well. So in a very short period we’re beginning to see a scenario where many counties have lotsa senior consultant doctors but no junior medical officers. Remember that medical practice is to a large extent a sort of hierarchical apprenticeship. So if the juniors aren’t there (by virtue of not being employed), from whom will they learn? Then the mess in succession planning within the public service rears its ugly head: as the seniors retire or resign, who’ll take over from them? With all these gaps cropping up, can you now begin to see why issues of medical malpractice are suddenly mushrooming all over the place? Every once in a while you see some counties advertising for consultants in various fields. If you interrogate keenly you’ll see those are counties who, 4-5yrs ago, refused to release their junior doctors for post-graduate study in those same fields. Sasa, nani huyo atatoka kwa private practice yake aje achukue contract ya miezi sita (I kid you not!) and put up with delayed salaries and all manner of frustrations?