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Department of Health

Post on 15 February 2016
by Super User

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

Pop.  proportion

Target population

2013

2014

2015

1

Total population

 

1,034,289

1,065,835

1,098,343

2

Total Number of Households

 

206,858

213,167

219,669

3

Children under 1 year (12 months)

4.2

43,440

44,765

46,130

4

Children under 5 years (60 months)

19.4

200,652

206,772

213,079

5

Under 15 year population

42.3

437,504

450,848

464,599

6

Women of child bearing age(15 – 49) 

24

248,229

255,800

263,602

7

Estimated Number of Pregnant Women

4.3

44,785

46,151

47,558

8

Estimated Number of Deliveries

4.3

44,474

45,831

47,229

9

Estimated Live Births

4.2

43,440

44,765

46,130

10

Total number of Adolescent  (15-24)

23

237,886

245,142

252,619

11

Adults (25-59) years

34

351,658

362,384

373,437

12 

Elderly (60+) years

5.4

55,852

57,555

59,311

 

DISEASE INCIDENCES

DISEASE INCIDENCE

2013

2015

Prevalence rates of Malaria

48%

43%

Latrine coverage

64%

72%

Immunization coverage

67%

76%

Infant Mortality Rate

52/1000

39/1000

Community units coverage

48%

67%

Under-fives mortality rate  

74/1000

50/1000

Respiratory Diseases

106,958

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

Baseline

Target

Achievement

Number of Households reached with health promotion messages

149980

197,825

76%

Number of persons with ill health  being followed up

13291

30021

44%

Number of Households without functional toilets

191970

232574

83%

Number of Community action days

306

334

91%

Number of Households without hand washing facilities

365781

457410

80%

Number of Persons referred to facility from Community Units

13265

13969

94%

Number of Community dialogue days held

591

1473

40%

Number of births occurring  in the home environment

9440

10064

94%

Number of deaths occurring in the home  environment

1693

2208

77%

Number of deaths with verbal autopsies completed in Community

45

38

0

 

Performance Overview of the Sector

 

PROJECTS

LOCATION /WARD

TARGET 

ACHIEVED 

EXPECTED OUTCOME/ IMPACT 

KMTC Migori Campus

Suna-Central

To Address  shortage of skilled health personnel 

Office & 3 Classrooms

Increased human resource base

Theatres at Rongo & Awendo

Central Kamagambo & Central Sakwa

To reduce shortage of surgical facilities 

2 Theatre units completed

Reduced cases of surgical mortality

Construction of Medical store & office block

Migori county referral hospital (Suna-Central )

Medical store & office space

Medical store & office space constructed

Reduced stock outs and pilferage/ theft 

Construction of Children’s ward

Migori County Referral Hospital (Suna-Central )

Provide special facilities for treating children 

Ground floor completed 

Reduced child mortality and create room for referral cases 

Inpatient Wards

All Sub-Counties 

4 Inpatient ward

4 In-Patient wards (Uriri , Kegonga, Ntimaru & Karungu Sub- County Hospitals)

Reduced general adult mortality and cases of referral 

Office space at Macalder Sub-County Hospital

Central Kanyarwanda

Provide space for efficient service delivery  

Office space Constructed  

Improved management and service delivery 

Renovation of Dispensaries and Health centres

Entire County

All Public facilities

All Dispensaries and Health centres renovated 

Improved status  of the health facilities and services

Purchase of generator

Migori County RH (Suna-Central ward)

To provide power backup 

1 generator  installed

Non-disruption of health services during power blackout.

Construction of Mortuary

All Sub-County hospitals 

Devolve mortuary services closer to the people

1 complete  –Kehancha Sub-County Hospital (Bukira East)

Reduced cost of transporting bodies

Construction of new Dispensaries

 

Devolve health services closer to the people

7 constructed  (1.Obama, 2.Rapogi, 3.Bonde, 4.Mulo, 5.Gosebe, 6.Kokuro, 7.Kamsaki)

Improved primary health care services at community level 

Surgical ward 

Migori County Referral Hospital (Suna-Central Ward)

To address surgical referral cases 

Completed 

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

MITIGATION

1

Floods

Mapping of affected sites, 

Plan for response

2

Disease outbreaks

Monitor disease trends through routine reports

Scaling up of Community health services

Plan and procure  supplies 

3

Drought

Collaboration with other sectors

4

Injuries & Accidents

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.    The County has established Monitoring and evaluation department to ascertain the value of money for all projects, programmes and policies implemented

  1. Halt and reverse the rising burden of non-communicable diseases
  2. Provision of essential health  services,
  3.  Strengthen collaboration health related sectors, 
  4. Reduce burden of violence and injuries
  5.  Minimize exposure to health risk factors.
  6. 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 plansSub-County health plansCounty 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