Kenyatta National Referral and Teaching Hospital (KNH) is a classic metaphor of what ails the public healthcare delivery system in the country: A colossal monolith that is structurally unsuitable for efficiency and organisational order, the hospital has a capacity of accommodating upward of 2,000 patients, making it truly one of the biggest hospitals in the world. But the hospital has for many years been a monumental dysfunctional edifice that has defied efficiency and proper management of medical service delivery.