majority are occupied but are not in a well maintained state. There is need for the hospital management to plan for renovating them. The hospital is not fully equipped as per the K.E.P.H. (Kenya Essential Package for Health) standards for offering of essential medical services. There is a 65KVA generator, donated by PLAN International, which broke down in early 2009. There has been a concerted effort to try and repair it but the pace is slow and funding is unavailable. The mortuary coolers, 4 in number, are in good working condition after being renovated recently in July 2009. The institution has 2 hospital vehicles donated by the Danish international development agency (DANIDA) that are serviceable and in good working order. They include an ambulance Land Cruiser and a double-cabin pick-up vehicle. Overall the performance rating for the hospital is average; however, there is a lot of room for improvement. References Hospitals in Kenya Taita-Taveta County