The Mombasa County Executive led by Governor Abdulswamad Nassir faced intense scrutiny as the Senate County Public Investments and Special Funds Committee, chaired by Sessional chair Senator Eddy Oketch, examined damning audit queries revealing systemic failures across healthcare facilities and the county's water company.

The committee resolved to consider written responses for Tudor, Port Reitz, Mrima, and Likoni Sub-County Level 4 hospitals. However, Coast General Teaching and Referral Hospital's absence from audit reports sparked immediate outrage after it failed to submit financial statements to the Auditor General within statutory timelines.

"This is not the first time, but a persistent pattern of defiance from Coast General Hospital," Senator Godfrey Osotsi stated. "Year after year, this institution treats the Office of the Auditor General with contempt. The people of Mombasa deserve to know how their money is being spent."

Senator Oketch, citing the PFM Act, demanded prosecution. "The law is very clear. Any accounting officer who fails to submit financial statements commits an offense and is liable to imprisonment, or a fine, or both. Why are the responsible officers still walking free?"

Governor Nassir revealed he had suspended two officers and initiated disciplinary proceedings, but Agnes Kavindu remained unconvinced. "Suspension is not enough. The law prescribes criminal sanctions, not internal disciplinary action."

The session's most contentious moment came when examining Mombasa Water Supply and Sanitation Company, which the audit revealed is technically insolvent with negative working capital of Ksh 1.99 billion and accumulated losses of Ksh 2.26 billion. Non-revenue water stood at 62 percent, against WASREB's 25 percent threshold, representing potential lost revenue of Ksh 1.2 billion.

Most alarming was the direct discharge of raw sewage into the Indian Ocean due to non-operational treatment plants. Senator Peris Tobiko delivered a scathing rebuke: "You are telling this committee that Mombasa County, a major tourist destination, is deliberately pumping raw, untreated sewage directly into the Indian Ocean. Do you understand you are creating a public health emergency? Children playing in water contaminated with human waste, fishermen whose livelihoods depend on an ocean you are systematically poisoning. This is not just an environmental issue, it is a human rights issue. What is your answer right now, not in 2029, but right now?"

Governor Nassir cited ongoing World Bank-funded rehabilitation projects scheduled for October 2026, but senators remained skeptical. "So for at least another nine months, raw sewage continues to flow," Senator Oketch noted.

The committee resolved to conduct a field visit to Mombasa County in April to assess implementation progress firsthand and directed that Coast General Hospital must submit all necessary documents to the Auditor General in the subsequent audit cycle without failure.