He told the staff that this is what they (staff) do with their maids and herdboys at home. "If they don't do their job, you fire them, but why should you not expect the same to happen to you at work?" he asked them. Kahiya expressed frustration with the fact that the hospital staff always complain about promotions and transfers without considering whether they are delivering. He told them that they are employed to provide service and it is a shame that the hospital is filthy and smelling. He said it is a shame because the hospital has resources to keep its facilities clean, but some people somewhere are not doing their job.
He is amazed that hospital managers have less work than him, yet they have failed to deliver. "I therefore decided to come and meet with you to find what the real problems are." He said that delivery is for everyone, not only the top managers. He stated that all staff are highly competent and skilled so it is a mystery why they cannot deliver, given the resources they have at their disposal. He stressed the need for the ministry and hospital staff to communicate frequently to find solutions to problems and better ways to deliver.
