Luco Njagi & 21 others v Ministry of Health & 2 others [2015] eKLR
It is also his claim that NHIF has the mandate, under the said section 5, to advice the National
Government on a National Policy with regard to the National Hospital Insurance Fund and in
particular advice the Government to formulate and implement such policy so as to accord with
Articles 10, 27 and 43 of the Constitution, but that it has failed to do so, to his detriment and the
detriment of other elderly and terminally ill persons in his position.
30. The petitioner submits that in accordance with Article 2 (6) of the Constitution, Kenya is bound by
the treaties and international conventions to which it is a party and, at the minimum, to comply
with its treaty obligations under these conventions. It is his contention that apart from stating in
an affidavit that they still lack the funds to provide the dialysis cover the petitioners seek, the
respondents have not shown the court a statement of their assets, their expenses and what part
of those expenses could adequately cover the treatment the petitioners seek.
31. In addition to the case of Ministry of Health –vs- Treatment Action Campaign (supra) relied
on by the 1st-21st petitioners, the 22nd petitioner has referred the court to the decisions of the
Supreme Court of India in Bandhua Mukhti Morcha and Others –vs- Union of India and
Others AIR 1984 SC 802 and Consumer Education and Research Centre –vs- Union of
India (1995) 3 SCC 42 for the proposition that the right to human dignity and to life are
inextricably linked to the right to health.
32. Counsel for the 22nd petitioner also referred in his submissions to the decisions in Parmanand
Katara –vs- Union of India AIR 1989 SC 2039, VHAP –vs- Union of India SC 349 of 2003 and
Paschim Banga Khet Mazdoor –vs- State of West Bengal AIR 1996 SC 2426, the latter of
which, he submits, deals with a situation exactly like the one now before the court in which the
state, while acknowledging its constitutional obligation towards providing life supporting medical
facilities to the petitioners, claims not to have the resources to provide such facilities. It is the
petitioner’s submission that the respondents have not discharged their responsibility under
Article 20(5)(a) to show, with respect to the rights enshrined in Article 43, that it does not have
adequate resources. The petitioners therefore pray that the petition be allowed as prayed.
The 1st Respondent’s Case
33. The 1st respondent has filed Grounds of Opposition dated 29th May 2013 and submissions dated
25th June 2013. Its objections are that the petition is misconceived and otherwise an abuse of the
court process; does not disclose any cause of action against the respondents nor any
constitutional violations or breaches by the respondents; and further, that the orders sought are
not tenable against the 1st respondent as no sufficient grounds have been advanced to warrant
the grant of the orders.
34. The submissions of the 1st respondent through its Learned Counsel, Mr. Mohamed, is that the
Constitution provides for economic and social rights, including the right to health, under Article
43. Under Article 21, the said right is subject to progressive realization. The respondent therefore
relies on the decision in the case of Court of Republic of South Africa & Others vs Irene
Grootboom and Others (CCTII/OO)[2001]ZACC 19;2001 (1) SA 46;2000(11)BCLR 1169(4
October 2000) to support its contention that the rights under Article 43 are to be progressively
realized.
35. It is its case that over the years, the government has taken policy and legislative steps to achieve
the realization of economic and social rights, within its resources. It cites as illustrations, among
other things, the fact that the government has built hospitals and health centres to provide health
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