ISCAR A. OLUOCH
CECM
DALMAS O. OYUGI
C.O MEDICAL SERVICES
FEDEL MAJIMA
C.O PUBLIC HEALTH
DEPARTMENT OF HEALTH
Post on 15 February 2016 by Super User in Migori County Adverts
Our mandate include County health facilities and pharmacies; Ambulance services; Promotion of primary healthcare;Licensing and control of undertakings that sell food to the public; cemeteries, funeral parlours and crematoria; Control of drugs and pornography
Mandate
a) County health services including;
i. County health facilities and pharmacies;
ii. Ambulance services;
iii. Promotion of primary healthcare;
b) Licensing and control of undertakings that sell food to the public;
c) Cemeteries, funeral parlours and crematoria;
d) Control of drugs and pornography
The following is a summary of key statistical figures about the county:
Description : Total population
Target population 2013 : 1,034,289
Target population 2014: 1,065,835
Target population 2015: 1,098,343
Description :Total Number of Households
Target population 2013 : 206,858
Target population 2014: 213,167
Target population 2015: 219,669
Description : Children under 1 year (12 months)
Pop. proportion :4.2
Target population 2013 : 43,440
Target population 2014: 44,765
Target population 2015: 46,130
Description : Children under 5 years (60 months
Pop. proportion:19.4
Target population 2013 : 200,652
Target population 2014: 206,772
Target population 2015: 213,079
Description : Under 15 year population
Pop. proportion: 42.3
Target population 2013 : 437,504
Target population 2014: 450,848
Target population 2015: 464,599
Description : Women of child bearing age(15 – 49)
Pop. proportion: 24
Target population 2013 : 248,229
Target population 2014: 255,800
Target population 2015: 263,602
Description : Estimated Number of Pregnant Women
Pop. proportion: 4.3
Target population 2013 : 44,785
Target population 2014: 46,151
Target population 2015: 47,558
Description : Estimated Number of Deliveries
Pop. proportion: 4.3
Target population 2013 : 44,474
Target population 2014: 45,831
Target population 2015: 47,229
Description : Estimated Live Births
Pop. proportion: 4.2
Target population 2013 : 43,440
Target population 2014: 44,765
Target population 2015: 46,130
Description : Total number of Adolescent (15-24)
Pop. proportion: 23
Target population 2013 : 237,886
Target population 2014: 245,142
Target population 2015: 252,619
Description : Adults (25-59) years
Pop. proportion: 34
Target population 2013 : 351,658
Target population 2014: 362,384
Target population 2015: 373,437
Description : Elderly (60+) years
Pop. proportion: 5.4
Target population 2013 : 55,852
Target population 2014: 57,555
Target population 2015: 59,311
Performance Overview of the Sector
DESCRIPTION OF ACTIVITY/ PROJECT:
DISEASE INCIDENCE :
2013 : 64%
2015: 72%
DISEASE INCIDENCE :
2013 : 67%
2015: 76%
DISEASE INCIDENCE :
2013 : 52/1000
2015: 39/1000
DISEASE INCIDENCE :
2013 : 48%
2015: 67%
DISEASE INCIDENCE :
2013 : 74/1000
2015: 50/1000
DISEASE INCIDENCE :
2013 : 106,958
2015: 103,330
Community Unit Coverage
The community units are village committees that discuss the health issues at the village level. The units are very important in addressing health issues by creating awareness on the preventive measures. The community units are also able to follow up on persons who are ill to ensure they stick to the medication. The table below illustrates the achievements made so far by the community units
Targeted improvement :Number of Households reached with health promotion messages,
Baseline : 149980
Target : 197,825
Achievement : 76%
Targeted improvement :Number of persons with ill health being followed up
Baseline : 13291
Target : 30021
Achievement : 44%
Targeted improvement :Number of Households without functional toilets
Baseline : 191970
Target : 232574
Achievement : 83%
Targeted improvement :Number of Community action days
Baseline : 306
Target : 334
Achievement : 91%
Targeted improvement :Number of Households without hand washing facilities
Baseline : 365781
Target : 457410
Achievement : 80%
Targeted improvement :Number of Persons referred to facility from Community Units
Baseline : 13265
Target : 13969
Achievement : 94%
Targeted improvement : Number of Community dialogue days held
Baseline : 591
Target : 1473
Achievement : 40%
Targeted improvement : Number of births occurring in the home environment
Baseline : 9440
Target : 10064
Achievement : 94%
Targeted improvement : Number of deaths occurring in the home environment
Baseline : 1693
Target : 2208
Achievement : 77%
Targeted improvement : Number of deaths with verbal autopsies completed in Community
Baseline : 45
Target : 38
Achievement : 0
Performance Overview of the Sector
PROJECTS : KMTC Migori Campus
LOCATION /WARD : Suna-Central
TARGET :To Address shortage of skilled health personnel
ACHIEVED :Office & 3 Classrooms
EXPECTED OUTCOME/ IMPACT : Increased human resource base
PROJECTS : Theatres at Rongo & Awendo
LOCATION /WARD : Central Kamagambo & Central Sakwa
TARGET : To reduce shortage of surgical facilities
ACHIEVED : 2 Theatre units completed
EXPECTED OUTCOME/ IMPACT : Reduced cases of surgical mortality
PROJECTS : Construction of Medical store & office block
LOCATION /WARD : Migori county referral hospital (Suna-Central )
TARGET : Medical store & office space
ACHIEVED : Medical store & office space constructed
EXPECTED OUTCOME/ IMPACT : Reduced stock outs and pilferage/ theft
PROJECTS : Construction of Children’s ward
LOCATION /WARD : Migori County Referral Hospital (Suna-Central )
TARGET : Provide special facilities for treating children
ACHIEVED : Ground floor completed
EXPECTED OUTCOME/ IMPACT : Reduced child mortality and create room for referral cases
PROJECTS : Inpatient Wards
LOCATION /WARD : All Sub-Counties
TARGET : 4 Inpatient ward
ACHIEVED : 4 In-Patient wards (Uriri , Kegonga, Ntimaru & Karungu Sub- County Hospitals)
EXPECTED OUTCOME/ IMPACT : Reduced general adult mortality and cases of referral
PROJECTS : Office space at Macalder Sub-County Hospital
LOCATION /WARD : Central Kanyarwanda
TARGET : Provide space for efficient service delivery
ACHIEVED : Office space Constructed
EXPECTED OUTCOME/ IMPACT : Improved management and service delivery
PROJECTS : Renovation of Dispensaries and Health centres
LOCATION /WARD : Entire County
TARGET : All Public facilities
ACHIEVED : All Dispensaries and Health centres renovated
EXPECTED OUTCOME/ IMPACT : Improved status of the health facilities and services
PROJECTS : Purchase of generator
LOCATION /WARD : Migori County RH (Suna-Central ward)
TARGET : To provide power backup
ACHIEVED : 1 generator installed
EXPECTED OUTCOME/ IMPACT : Non-disruption of health services during power blackout.
PROJECTS : Construction of Mortuary
LOCATION /WARD : All Sub-County hospitals
TARGET : Devolve mortuary services closer to the people
ACHIEVED : 1 complete –Kehancha Sub-County Hospital (Bukira East)
EXPECTED OUTCOME/ IMPACT : Reduced cost of transporting bodies
PROJECTS : Construction of new Dispensaries
LOCATION /WARD : -
TARGET : Devolve health services closer to the people
ACHIEVED : 7 constructed (1.Obama, 2.Rapogi, 3.Bonde, 4.Mulo, 5.Gosebe, 6.Kokuro, 7.Kamsaki)
EXPECTED OUTCOME/ IMPACT : Improved primary health care services at community level
PROJECTS : Surgical ward
LOCATION /WARD : Migori County Referral Hospital (Suna-Central Ward)
TARGET : To address surgical referral cases
ACHIEVED : Completed
EXPECTED OUTCOME/ IMPACT : Reduced cases of surgical mortality
FLAGSHIP PROJECTS
The following are the flagship projects for the sector
1. KMTC at Migori referral hospital
2. Establishment/upgrading of level 4 to level 5 county referral hospital.
3. Establishing Children’s wing. Phase 1 complete
4. Mother Child health clinic (MCH), ENT, Bio-safely L3 laboratory, ENT and Dental unit.
5. Surgical ward in Migori referral hospital.
6. Expansion of outpatient department
Policies Formulated For Effective Service Delivery
Migori Health Sector Strategic & Investment plan 2013-17
Bills and Acts Enacted For Effective Service Delivery
To ensure effective service delivery of the sector the following bills have been formulated and forwarded to the County Assembly awaiting approval:
- Migori Community health services bill.
- Migori Health care financing bill
- Migori Sanitation bill
Other bills initiated by the county include the following:
- The Community health services bill 2015.
- Health care financing bill 2015.
- Environmental Health and Sanitation bill 2015.
- Integrated Waste management policy 2015.
- Tobacco control policy 2015
- Food quality control policy 2015.
- Sanitation policy 2015
Public Awareness and Participation in the Sector
Public participation is done during;
- Dissemination of information to the public through the department of information and public communication
- Sectoral Planning and budgeting process
- Health stakeholders forum at Sub-County and county level
- Facility management committees elected by community
- Advocacy on health issues
- Allocation of projects and programmes through community dialogue
- Public awareness is done through stakeholder meetings and community sensitization at ward levels (public Baraza)
- Selection of beneficiaries in done through public meetings conducted by stakeholders.
- Projects are implemented based on the community preference
- Hospital boards nominated by the community
Sustainability of the Projects in the Sector
- Increased budgetary allocation
- Partnerships with private sector and other development partners
- Sensitizing the community to own projects initiated by the county government
- Mobilisation of funds through donor funding
- Effective application of Monitoring and Evaluation systems
- Prudent project fund management
Sectoral Risks and Challenges
The table below lists the risks faced by the sector and also the mitigation measures for each risk:
RISK : Floods
MITIGATION :
- Mapping of affected sites,
- Plan for response
RISK : Disease outbreaks
MITIGATION :
- Monitor disease trends through routine reports
- Scaling up of Community health services
- Plan and procure supplies
RISK : Drought
MITIGATION : Collaboration with other sectors
RISK : Injuries & Accidents
MITIGATION :
- Mapping out hot sports
- Advocacy on injuries and accidents
- Collaboration with other sectors
Strategies and Methodologies to Achieve Project Objectives
To achieve the mandate of the sector implements the following strategic objectives:
- Elimination of communicable diseases, 2.
- The County has established Monitoring and evaluation department to ascertain the value of money for all projects, programmes and policies implemented
- Halt and reverse the rising burden of non-communicable diseases
- Provision of essential health services,
- Strengthen collaboration health related sectors,
- Reduce burden of violence and injuries
- Minimize exposure to health risk factors.
- Recruitment of Human Resource in the Health Sector.
To address this, challenge the county recruited 170 health workers, 8 medical officers and more than 40 mid-care staff who have specialised in various fields.
In addition, all the former Economic Stimulus Programme staff was absorbed in the system. To increase the efficiency of the staff the sector takes them for short term trainings
The sector ensures that its goals are achieved majorly through development and implementation of plans. Such plans include Community Unit & Facility health plans, Hospital health plans, Sub-County health plans, County health plans. The annual work plans are developed from the various plans mentioned above.
Other approaches include conducting Sub-County and quarterly performance reviews and also conducting regular supervisions of the facilities and also the projects and programmes in the field.
Internal and Audit Control Measures
- Electronic order of commodities by health facilities
- Performance appraisals • Routine Data Quality Audit
- Routine & quarterly and, annual reports
- Cash registers for revenue collection and Automation of health services(EMR/IHRIS)
- Adhering to financial regulations and 100% banking
- Maternal Prenatal Disease Surveillance Response (MPDSR.)
- Maternal and Neonatal Health audits (MNH)
Sectoral Mid-Term Goals
To ensure the goals of the sector are achieved the sector has embarked on implementing the following plans:
- Automation of the 10 Sub-County Hospital services
- Establish High Dependency Unit, Renal Unit, Amenity Ward, Physiotherapy Unit, Radiology unit, additional theatres and maternity units at MCRH
- Solar lighting of Migori CRH and Kehancha Sub-County Hospital
- Procure more generators for hospitals
- Procurement of additional Ambulances for referrals
- Recruitment of health Specialist
- Performance based financing
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