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: 

  1.  Migori Community health services bill.
  2.  Migori Health care financing bill 
  3. Migori Sanitation bill

Other bills initiated by the county include the following: 

  1.  The Community health services bill 2015.
  2.  Health care financing bill 2015. 
  3. Environmental Health and Sanitation bill 2015.
  4.  Integrated Waste management policy 2015. 
  5. Tobacco control policy 2015 
  6. Food quality control policy 2015. 
  7.  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:

  1.  Elimination of communicable diseases, 2. 
  2.  The County has established Monitoring and evaluation department to ascertain the value of money for all projects, programmes and policies implemented 
  3.  Halt and reverse the rising burden of non-communicable diseases 
  4. Provision of essential health services, 
  5.  Strengthen collaboration health related sectors, 
  6.  Reduce burden of violence and injuries 
  7.  Minimize exposure to health risk factors. 
  8. 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: 

  1. Automation of the 10 Sub-County Hospital services 
  2. Establish High Dependency Unit, Renal Unit, Amenity Ward, Physiotherapy Unit, Radiology unit, additional theatres and maternity units at MCRH 
  3. Solar lighting of Migori CRH and Kehancha Sub-County Hospital 
  4. Procure more generators for hospitals 
  5.  Procurement of additional Ambulances for referrals
  6.  Recruitment of health Specialist
  7.  Performance based financing