Busia County is under scrutiny by the Senate Public Accounts Committee and Education Committees for widespread mismanagement leading to non-functional health facilities and dilapidated schools. This comes after allegations of financial irregularities, including a Ksh.5 million allocation for a non-functional ICU feasibility study.

• The Busia Referral Hospital lacks a functional ICU, ambulance, dialysis machine, and oxygen plant despite a Ksh.5 million consultancy fee for a feasibility exercise.
• Senator Moses Kajwang', Chair of the Senate PAC, highlighted the urgent need for intervention regarding the hospital's stalled equipment and non-functional services.
• The Senate Education Committee found early childhood development centers in "devastating" conditions in Anuai, Nambale, Okisimo, and Manyole, with buildings lacking equipment and capitation.
• Nominated Senator Margaret Kamar noted that Ksh.4.9 million allocated in 2022/23 for schools was not utilized, as the county government reportedly does not pay contractors.
• The Busia County Assembly Education Committee has been given a one-month ultimatum to audit the status of education and submit a report to the Senate.