CONSOLIDATED AOP 4 FACILITATION TOOLS

Mombasa County Annual Work Plan

COUNTY: MOMBASA

Year: 2020/2021

2

Table of Contents

Section 1: Overview of the Health Sector Situation in the County .......................................................................................................... 6

1.1. County Population and Demographics ......................................................................................................................................... 7

1.1.1. Population Breakdown and Description ............................................................................................................................... 7

1.1.2. Health Sector Catchment Population for the County ............................................................................................................ 8

1.2. Health Sector Investment Status in the County ............................................................................................................................ 9

1.2.1. Distribution of Tracer Health Infrastructure Elements ......................................................................................................... 9

1.2.2. Distribution of Health Workforce ....................................................................................................................................... 12

1.2.3. Health Commodities, Supplies and Products ...................................................................................................................... 15

1.2.4. Health Management Information Systems/ Monitoring and Evaluation ............................................................................ 18

1.2.5. Previous Financial Year Government Health Expenditure ................................................................................................. 20

1.2.6. Health Sector Management, Coordination, Leadership and Governance ........................................................................... 25

Section 2: Situation Analysis and Priority Setting ................................................................................................................................. 27

2.1. Major Health Conditions/Issues Observed in the County .......................................................................................................... 28

2.2 Problem Analysis and Priority Interventions ............................................................................................................................. 32

3.1 Annual Performance Targets ...................................................................................................................................................... 40

Section 3: Annual Programme Based Work Plan .................................................................................................................................. 40

3.2 Annual Program Based - Service Delivery Work plan .............................................................................................................. 45

Programme 1: Curative and Rehabilitative Health Services............................................................................................................. 45

Programme 2: Preventive and Promotive Health Services ............................................................................................................... 53

Programme 3: General Administration, Planning, Management Support and Coordination ........................................................... 90

4.1 Budget Summary by Programme and Sub-Programme ........................................................................................................... 102

4.2 Budget Summary by Program Area and Source of Funds ....................................................................................................... 103

ANNEX 1:Annual Development Plan pg 106

ANNEX 2: laboratory commodities for primary facilities pg 116

ANNEX 3: PBB pg 117

ANNEX 4: COVID 19budget

3

Executive Summary The development of the Mombasa County Annual Work Plan (AWP) 2020/2021 is anchored on key policy and strategy documents

including the Kenya Health Policy 2014/2030 and the health strategic and investment plan whose overall goal is to attain equitable,

affordable, accessible and quality health care for all.

This Annual Work Plan outlines the service delivery priorities for County Health Department for the financial year 2020/2021. The

plan highlights the resource allocation needs per program and sub-program in line with the department’s program based budget.

For the last seven years, the focus has been on improving accessibility to quality health care through expansion of the existing health

infrastructure, equipping health facilities with modern specialized equipment and recruitment of knowledgeable and specialized

healthcare workers by increasing the health workers’ population ratio through hiring of additional doctors, nurses and other cadres of

qualified and skilled employee.

This plan aims at ensuring sustained focus on the gains we have made in implementing effective high impact health interventions

while emphasizing on delivery of quality healthcare. The development of this Plan involved reviewing of the department’s service

delivery performance and inputs from stakeholder engagements including: community, service delivery partners’, health workers and

health service managers at the various service delivery levels.

The outputs of the service delivery points informed the definition of the priority areas and key outputs outlined in this plan.

This document, therefore, provides the series of activities prioritized for implementation in the forthcoming financial year 2020/2021,

which are envisaged to improve provision of quality service delivery and assist managers to monitor progress towards targets set.

While appreciating the limited resources available, we are committed as a department to ensure additional resource mobilization

through sustained engagement with relevant county agencies and partners. This will ensure continuous expansion of diversified health

interventions with a view to realize the human rights to health as envisaged in the constitution.

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The plan calls for overall commitment from all stakeholders to accelerate the attainment of the health sector objectives while

observing prudent and efficient resource allocation and utilization to ensure realization of desired health outcomes in the population.

I wish therefore to appeal to all stakeholders and other government agencies to support improve Standards of quality to all citizens

through innovative, efficient and effective health systems.

Hon. Hazel Koitaba

CECM Health Mombasa County

5

Acknowledgement

This report was developed through a process of consultations, information gathering and teamwork. The process involved community,

facility service providers, Sub- County, Partners and County officers.

The Department of Health is very grateful to everyone who contributed to the successful development of this plan. Special thanks go

to the County Executive member for Health Hon Hazel Koitaba, for her support and guidance in the process of development of the

document. We also wish to recognize the commitment and active participation, in the development of this document by the County

Health Management Team (CHMT), sub county teams, and representative from Coast Provincial General Hospital and Port Reitz

hospitals.

We wish to express our sincere gratitude to team tasked with writing this document. We would like to recognize CDH -Dr Shem

Patta, CDHP-Dr Salma Swaleh, Sarah Kayanda, Dr Hanif, Zaituni, Dr. Bruba, Somoe, Dr Sumbi, S. Muhula, J. Waronja, Dr.

Mwanashaa, Pauline Oginga, Selina, Eunice Odero, Austine and I Thoya for their invaluable contributions and commitment in the

process of development of the document. Special gratitude to HP+ for financial and Technical support – (Paul, Aaron Mulaki) and

Options for financial support.

Dr. Khadija Shikely Aisha Abubakar

County Chief Officer Medical Services County Chief Officer PublicaHealth

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Section 1:

Overview of the Health Sector Situation in the County

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1.1. County Population and Demographics

1.1.1. Population Breakdown and Description

The County has a projected population of 1,238453 persons of which 625,420 and 613,032 are male and female respectively (2020)

according to Census 2019. This is without the inclusion of local and international tourists and unexpected influx. Majority of the

population are under fifteen and adults between 25-59 years of age

Description Population estimates CENCUS 2019

Year 2020

Total population 1,238,453

Total Number of Households HH 399501

Children under 1 year (12 months) 2.50%

30,428

Children under 5 years (60 months) 12.10%

149,458

Under 15 year population 32.10% 397,443

Women of child bearing age (15 – 49 Years) 29.20%

361,859

Estimated Number of Pregnant Women 2.81%

34,764

Estimated Number of Deliveries 2.55% 31,564

8

Estimated Live Births 2.55% 31,564

number of Adolescent (15-24) 19.61% 242,854

Population 25-59 32.16% 398,239

population 60+ 3.90% 47,941

1.1.2. Health Sector Catchment Population for the County

Kisauni and Nyali sub-county has the highest population representing 21 and 20 percent respectively and Jomvu has the lowest

population representing 13 percent of the county population.

Sub-county/Constituency Population at

beginning of FY

Number of new

outpatients

(past twelve months)

Outpatient

utilization per

person

(A) (B) (C) (D = C/B X 100)

1 Changamwe 70,367 146628 208%

2 Jomvu 85,281 118170 138.60%

3 Kisauni 150,679 208416 148.30%

4 Likoni 130,500 222156 170.20%

5 Mvita 77,015 392869 510.10%

6 Nyali 111,578 210714 188.85%

County totals 1,238,453 1298953

105.00%

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1.2. Health Sector Investment Status in the County

1.2.1. Distribution of Tracer Health Infrastructure Elements

The Mombasa health delivery system is organized into 5 levels of care as per the norms and standards- Community (Level1), primary

(Level 2 &3) Secondary (Level 4&5). The community services focus on demand creation for the services, while the primary care and

referral services focuses on responding to the demand. The table below illustrates the current situation as at the review period and the

desired levels at the end of the period (2018/2019).

Level of care Infrastructure Number Available by Provider Type

2018/19

Baseline

2017/18

Government Private Non-

Profit (NGO,

FBO)

Private for

Profit

Total

Available

2018/19

1 Level V-

National/Regional

Referral Facilities

Total Number of Facilities 1 1 1

Total Bed Capacity 700 700 700

Total functional Specialized Units – ICU 1 1 1

Total functional Specialized Units – Renal unit 1 1 1

Total functional Specialized Units –Cancer Treatment

Centre

1 1 1

Total Number of functional Operating Theatres 8 8 8

Number of functional Specialized Radiology

Services/Centers: Providing MRI

1 1 1

Number of functional Specialized Radiology

Services/Centers: Providing CT-Scan

1 1 1

Number of Specialized/Tertiary Laboratories –

Histopathology

1 1 1

Number of Specialized/Tertiary Laboratories –Micro-

Biology,

1 1 1

Number of Specialized/Tertiary Laboratories – 1 1 1

10

Biochemistry

2 Level IV - County

Referral Facilities

Total Number of Facilities 13 4 3 9 16

Total Bed Capacity 983 231 162 745 1135

Total Number of Operating Centre 22 4 5 17 26

Total of Basic Radiology Services/Centers providing X-

Rays, Ultra-Sound

12 2 3 10 15

Total of Basic Radiology Services/Centers providing ultra-

Sound

13 4 3 9 16

Number with Secondary Laboratory Services –

Hematology and Transfusion

12 2 3 9 14

Number with Secondary Laboratory Services –Micro-

Biology

11 1 3 9 13

Number with Secondary Laboratory Services –

Biochemistry

12 2 3 9 14

3 Level III - Primary

Care Facilities


Total Bed Capacity 335 131 11 183 335

Functional Maternity Units 17 8 2 7 17

Functioning Basic Laboratory Services- Rapid Tests,

Microscopy

22 9 2 12 23

4 Level II – Primary

Care Facilities


Operational Delivery Rooms 19 3 0 16 19

5 Level I –

Community Units

Number of functional community Units 44 44 44

Number of Moto-Bikes Linked to Community Units 1 1 0 0 1

County level Functional ambulances 18 8 2 8 18

Basic equipment received

Achievements;

During this period of review there was an increase in bed capacity at level IV facilities from 983 to 1135 and increase in radiology/

ultrasound services from 13 to 16.

The county has adequate distribution of health facilities per 5km radius as per requirement with mobile clinic covering hard to reach

areas.

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Challenges

Some MOH health facilities still have asbestos roofing

Lack of accident and emergency department in level 4 and 3 facilities

Most of the level 2 and 3 facilities do not have designated delivery rooms

There is lack of in-patient facilities in Likoni sub-county

Not all facilities offering laboratory diagnostic services.

Dental X-ray services are inadequate

Priorities (County) for FY 2020/2021

Replacement of the asbestos roof in the affected facilities

Lobby for funds to put up accident and emergency department in level 4 facilities

Identify space and set up delivery rooms

Establish laboratory services in all level 2 facilities

Upgrade Likoni to in-patient facility

Upgrade dental services in level 4 facilities

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1.2.2. Distribution of Health Workforce

The Health workforce is one of six building blocks within the County. Specifically, it intends to ensure that there is adequate and

equitable distribution of human resources for health. To achieve this, evidence-based health workforce norms and standards for the

different tiers/levels of healthcare are upheld

Norms and standards refer to the minimum and appropriate mix of human resources and infrastructure that is required to serve the

expected populations at the different levels of the system with the defined Health Services. To achieve this intent, the Kenya Health

Sector Strategic and Investment Plan (KHSSP 2014 – 2017) has called for prioritization of a minimum number of health workers in

each facility, based on expected services to be delivered as defined in the Kenya Essential package for Health (KEPH).

These norms and standards are designed in a manner to maintain the advantages of the existing norms, while addressing their

deficiencies. They are a guide to the required staff that different levels of the health care need to work towards having, an effective

delivery of standard and quality health services in the county. They will greatly assist in rationalizing and equitable distribution of the

health workforce across the different tiers/levels of healthcare delivery in the county so that there is fairness and equity.

Staff cadres

Distribution by Provider Type Distribution by Level of Care

Number

Required**

Gap/Surplus Government Private Non-

Profit

(NGO, FBO)

Private for

Profit

Hospitals

(Level

IV&V)

Primary Care

(Level II &

III)

Community

(Level I)

1 Consultants 55 20 24 72 0 0 87 32

2 Medical officers 115 49 0 147 0 0 120 5

3 Dentists 27 2 0 24 0 0 30 3

4 Dental Technologists 4 0 3 7 0 0 4 0

5 Public Health Officers 67 0 1 64 0 0 150 90

6 Pharmacists 45 6 45 42 0 0 45 0

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Staff cadres


Number

Required**

Gap/Surplus 7 Pharm. Technologist 21 54 1 64 0 0 54 45

8 Lab. Technologist 102 68 14 159 0 0 150 73

9 Orthopedic technologists 7 0 0 4 0 0 15 11

10 Nutritionists 30 12 0 27 0 0 45 30

11 Radiographers 15 14 1 27 0 0 30 15

12 Physiotherapists 27 12 1 35 0 0 40 18

13 Occupational Therapists 22 4 1 21 0 0 25 10

14 Plaster Technicians 3 0 1 4 0 0 10 7

15 Health Records & Information

Officers

8 17 5 26 0 0 68 64

16 Medical engineering technologist 9 10 1 20 0 0 18 9

17 Medical engineering technicians 2 2 1 5 0 0 4 2

18 Mortuary Attendants 8 4 0 7 0 0 10 7

19 Drivers 24 8 1 21 0 0 24 0

20 Accountants 9 62 1 67 0 0 10 7

21 Administrators 16 11 0 16 1 0 20 4

22 Clinical Officers (specialists) 65 0 3 60 0 0 123 66

23 Clinical Officers (general) 150 18 30 108 0 0 150 90

24 Nursing staff (KRCHNs) 663 222 17 689 387 0 1000 515

25 Nursing staff (KECHN) 206 33 19 258 161 0 560 355

26 Laboratory technicians 10 4 6 20 0 0 23 13

27 Community Oral Health Officers 18 0 1 7 0 0 18 0

28 Secretarial staff / Clerks 15 13 2 30 6 0 20 5

29 Attendants / Nurse Aids 2 160 2 164 0 0 0 -2

30 Cooks 1 25 1 27 4 0 20 19

31 Cleaners 0 0 0 0 0 0 0 0

32 Security 2 4 1 7 1 0 13 11

33 Community Health Extension

Workers (PHT’s, social workers,

30 0 1 31 9 0 100 70

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Staff cadres


Number

Required**

Gap/Surplus etc.)

34 Community Health Workers 1500 0 0 1500 0 0 3000 1500

35 Casual workers/staff 375 0 0 369 0 0 369 0

36 Other (specify) 0 0 0 0 0

Achievements:

During the period of review, it is positively noted that staff offering specialized care were all on permanent and pensionable term

ensuring continuity of care and retention of staff.

Challenges

The department still face the under listed HRH challenges

Understaffing especially across cadres

Inadequate resources to implement HRH strategy

Poor succession planning

Lack of access to short course training data

Lack of communication strategy

Lack of resources for inter-county HRH Forums

Frequent strikes

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Priorities (County) FY 2020/2021:

Resource mobilization to implement the HRH strategy

Ensure full implementation of succession plan by all officers at all levels.

Timely recruitment and replacement of staff on attrition

The county to engage unions and come up with a common CBA to minimize frequent strikes

To draft and implement communication strategy

Bridge staffing gap across cadres

1.2.3. Health Commodities, Supplies and Products

The department of health Mombasa County has put in measures to ensure continuous supply of essential medicines throughout the year.

Quantification and forecasting is done to inform the budget for commodities and supplies required throughout the year. The county receives

ART, TB, MALARIA, FP, and vaccine commodities through donor support Essential medicines and supplies are procured by the County and health

facilities. The major challenges in commodity supply are debts with KEMSA and low order fill rates from KEMSA.

Commodities Allocation (Ksh) in Government Facilities FY 2018/19

County allocation Actual

Requirements

Gap/Surplus

Pharmaceuticals Supplies 78,989,055 119,504,562 -40,515,507

Non-Pharmaceutical Supplies 114,886,184 129,550,399 -14,664,215

Medical Equipment and Technologies 63,690,000 150,000,000 -86,310,000

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Indicator Baseline

2017/18

Achieveme

nt 2018/19

Data Source

Average Order fill rate of the 18 tracer

medicines by quantity (%)

73.2 68.7 County Records

Average Order fill rate of the Non-

Pharmaceuticals by quantity (%)

67 70 County Records

Mean availability of essential tracer

medicines per county (HFA Annex Table

14)*

54 43 HFA

Mean availability of essential tracer Non-

Pharmaceuticals per county *

58 63 County Records

Availability of end-to-end visibility of tracer

HPTs through automation

0 0 County Records

Environmental / Public Health Supplies 871,330 3,000,000 -2,128,670

Other Medical Supplies (Oxygen etc) 2,965,000 5,000,000 -2,035,000

Patient Food 72,085,817 90,000,000 -17,914,183

Fuel and Lubricants 750,000 1,000,000 -250,000

Other Fuels – Cooking gas, charcoal,

firewood

11,285,000 15,000,000 -3,715,000

Lab supplies /diagnostics & Radiology 6,000,000 8,000,000 -2,000,000

Total 322,130,918 521,054,961 -198,924,043

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Challenges

Pending debts

Inadequate allocation of funds

Inconsistence in procurement

Inadequate qualified human resource

Priorities

Settlement of pending bills

Increase funding for HPTs

Regularized quarterly procurement

Employment of pharmaceutical personnel

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1.2.4. Health Management Information Systems/ Monitoring and Evaluation

The health information system is sometimes equated with monitoring and evaluation but this is too reductionist a perspective. In

addition to being essential for monitoring and evaluation, the information system also serves broader ends, providing an alert and early

warning capability, supporting patient and health facility management, enabling planning, supporting and stimulating research,

permitting health situation and trends analysis, supporting global reporting, and underpinning communication of health challenges to

diverse users. Information is of little value if it is not available in formats that meet the needs of multiple users − policy-makers,

planners, managers, health care providers, communities, individuals. Therefore, dissemination and communication are essential

attributes of the health information system Overall the County HMIS reporting rate has increased from 75% to 98%. DHIS2 (KHIS)

provides information which is used for performance monitoring for healthcare services

Table 6: Reporting targets at level of care

Reporting CU-

Level I

Level II Level

III

Level IV/V Sub-County County

Totals

1 Community Units with updated household Registers 35 0 35

2 Community Units providing monthly reports to

facility

35 0 35

2 Facilities providing monthly reports 98 100% 100% 0 99%

3 Quarterly performance reports prepared, and

discussed by (level) management committee

4 4 4 4 4 4

4 Monthly data review meetings 4 12 12 12 12 12

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Reporting CU-

Level I

Level II Level

III

Level IV/V Sub-County County

Totals

5 Number of quarterly performance review meetings

held

0 0 0 0 16 20

6 Quarterly cross cutting DQAs 0 4 4 4 4 4

7 Proportion of facilities with an end to end Electronic

Health Records (EHR)

0 0 0 6 0 6

Analysis of performance

Performance by level of care…..trends, HR capacity (Numbers, skills) Functional TWGs/M&E /HIS units

Achievements

During period of review Planning; Policy; HIS /M and E unit performed exceptionally well on all indicators at averagely 100%

Challenges

No Health records & information personnel at level II and III facilities

No comprehensive EHR

Priorities for FY 2020/2021

Printing and Redistribution of MOH tools and capacity building of HCPs

Establish comprehensive EHR

Couching & mentorship on health information management

AWP development and implementation

Mid-term review(CIDP-HEALTH)

PBB 2022/23--24

SWG (MTEF) 2020/2021

Recruitment of qualified 10 HRIOs

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Data quality audit/cleaning

Data management capacity building/HIS mentorship

Quarterly performance review (AWP)

APR

Bi annual Bulletin

Customization of M and E framework

Customization of RH, Referral strategy policy documents

Development of County Quality policy document

Development of SOPs (HIM)

Development of County Quality policy document

Development of SOPs (HIM)

1.2.5. Previous Financial Year Government Health Expenditure

Mombasa County has continued to direct resources towards accelerated attainment of universal health coverage. Mombasa county

government’s approved budget was about Ksh 13.6 billion in FY 2018/19 an increase of 8 percent from the previous year. Of these

figures, health department was allocated Ksh 3.3 billion. The department also received additional financing from the local revenue

collections which were not counted as part of the total county budget. The local revenue for health was Ksh. 647 million in FY

2018/19. The allocations to health constituted about 24 percent of total county budget. There was increased projections for locally

generated revenue from Ksh. 360 million in the previous year to Ksh 647 million in the year under review. This demonstrates the

potential of local revenue to grow further and cushion the department against any fluctuations in the national exchequer allocations.

Budget absorption for personnel costs (PE) was 99.7 percent, whereas that of Use of Goods and Services including Operations and

Maintenance (O&M) was 98 percent in 2018/19. The total funding from implementing partners was estimated at 4.2 billion.

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Item

GoK/County Govt

(Equitable

Allocation)

GoK

(Conditional

Grants)

User Fees

Other

Govt

Source

s

Local

Donors/

Partner

s

Total

Program 1:

Curative and

Rehabilitativ

e Services

A. Amount allocated 663,363,182.00 388,439,306 525,235,602 NIL NIL 1,577,038,090.00

B. Amount Received 663,363,182.00 388,439,306 525,235,602 NIL NIL 1,577,038,090.00

C. Expenditure 570,492,337 223,000,000 525,235,602 N/A N/A 1,318,727,939.00

D. Absorption Rate

(C/D)

86% 57% 100% N/A N/A 84%

E. Actual Requirements

F. Gap/Surplus 92,870,845.00 165,439,306 0 N/A

Program 2:

Preventive

and

Promotive

Services

A. Amount allocated 87,054,000.00 66,373,244 122,283,377 167,10

0,000

442,810,621.00

B. Amount received 87,054,000.00 66,373,244 122,283,377 167,10

0,000

442,810,621.00

C. Expenditure 79,219.140 50,443,665 122,283,377 137,10

0,000

309,906,261.14

D. Absorption Rate

(C/D)

91% 76% 100% 82% 70%

E. Actual Requirements

22

Item

GoK/County Govt

(Equitable

Allocation)

GoK

(Conditional

Grants)

User Fees

Other

Govt

Source

s

Local

Donors/

Partner

s

Total

F. Gap/Surplus

Program 3:

General

Administrati

on,

Coordinatio

n, Panning

Budgeting

and M&E

A. Amount allocated 1,542,881,756 NIL NIL NIL NIL 1,542,881,756

B. Amount received 1,542,881,756 N/A N/A N/A N/A 1,542,881,756

C. Expenditure 1,485,094,778 N/A N/A N/A N/A 1,485,094,778

D. Absorption Rate

(C/D)

96% N/A N/A N/A N/A 96%

E. Actual requirements 0 N/A N/A N/A N/A 0

F. Gap/Surplus 0 0 0 0 0 0

Total for

County

Department

of Health

(CDoH)

A. Amount allocated 2,566,171,400 454,812,550 647,518,979 N/A N/A 3,668,502,929

B. Amount received 2,566,171,400 454,812,550 647,518,979 N/A N/A 3,668,502,929

C. Expenditure 2,474,606,715 273,443,665 647,518,979 N/A N/A 3,395,569,359

D. Absorption Rate

(C/D)

96% 60% 100% 0 0 93%

E. Actual requirements 0 0 0 0 0 0

F. Gap/Surplus 0 0 0 0 0 0

23

Item

GoK/County Govt

(Equitable

Allocation)

GoK

(Conditional

Grants)

User Fees

Other

Govt

Source

s

Local

Donors/

Partner

s

Total

Percent of

Total

County

budget

allocated to

Health

Total County Budget

13,591,771,891 0 0 0 0 0

Total County Budget

allocated to Health

3,020,983,950

(24%)

0 0 0 0 0

Total Health Budget

allocated to

Development

0 0 0 0 0 0

Total Health Budget

allocated to Recurrent

0 0 0 0 0 0


Achievements:

24

The department through good political goodwill has been able to retain its FIF which has ensured continuity of services within

the department especially where revenue allocation from treasury has delayed procurement of supplies and equipment.

Challenges:

Access of allocated revenue from treasury

Delay disbursement of funds from National

Priorities for FY 2020/2021:

Advocate for timely disbursement of revenue allocation from treasury to the department

FIF trucking

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1.2.6. Health Sector Management, Coordination, Leadership and Governance

The below table shows the different modules of health sector management, coordination, leadership and governance at the different

levels of care at the county

Table 8: Committee meetings and stakeholder forums held in the fiscal year 2018/19

Intervention County

Level

Sub-County

Level

Level IV/V Level III Level II Level I

1. Percentage of facilities with

Emergency contingency plans

(including referral plans) available

0 0 5 0 0 0

2. Percentage of facilities with

Health service charter available,

and is displayed

44 1 5 8 31 0

3. Proportion of Facilities that

received at least three supportive

supervision in FY 2018/19

4 4 0 0 0 0

4. Proportion of Maternal deaths

audits in FY 2018/19

12 0 0 0 0 0

5. Proportion of functional Facility

Management Committee

1 0 0 0

26

Intervention County

Level

Sub-County

Level

Level IV/V Level III Level II Level I

6. Number of planning units holding

Quarterly stakeholder meetings in

FY 2018/19

4 0

0

7. Annual Work Plan available for

FY 2018/19

1 6 4 8 0 0

8. Proportion of registered

complaints resolved

0 0 0 0 0 0


Performance by level of care…..trends, support from county leadership, political influence,,

Priorities for FY 2020/2021:

Scale up maternal death audits at all levels of service delivery

Ensure all facilities have service charters

Ensure all facilities have emergency contingency plans

Functional facility management committees in level IV facilities

Operational grievance redress mechanism

27

Section 2:

Situation Analysis and Priority Setting

28

2.1. Major Health Conditions/Issues Observed in the County

This section identifies the major health problems during the financial year and proposes that account for the commonest morbidities

and mortalities in the county. An upper respiratory Tract infection is the leading cause of outpatient morbidity in both under 5 years

and over 5years population in the county

Table 9: Disease pattern and morbidity top ten causes of morbidity (Number and proportions)

Top Ten Commonest Health Conditions/Issue/ Challenges

Under 5 Years Over 5 Years

Category Condition/Issue

(In order of priority

relevance to the county)

Occurrence

(Quantitative or

Qualitative Rating

Condition/Issue

(In order of

priority relevance

to the county)

Numbers/Prevalence

Occurrence

(Quantitative or

Qualitative Rating)

Linked to

communicable

conditions

Upper Respiratory Tract

Infections

109422

Upper Respiratory

Tract Infections 184199

Diarrhea 43031

Other Dis. of

Respiratory

System 94097

Other Dis. of Respiratory

System 41802

Urinary Tract

Infection 72789

Diseases of the skin 31204

Diseases of the

skin 68958

Pneumonia 17288 Diarrhea 53457

Confirmed Malaria(only

Positive cases) 15407

Confirmed

Malaria(only

Positive cases) 42738

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Occurrence

(Quantitative or

Qualitative Rating

Condition/Issue

(In order of

priority relevance

to the county)

Numbers/Prevalence

Occurrence

(Quantitative or

Qualitative Rating)

Linked to the

increasing burden

of non-

communicable

conditions

Dental Disorders 960 Hypertension 37567

Ear Infections/Conditions 8744 Pneumonia 20102

Ear Infections/Conditions 8744 Diabetes 18925

Cardiovascular conditions 88

Cardiovascular

conditions 1725

Mental Disorders 1687

Linked to

Violence &

Injuries

Other injuries 3663 Other Injuries 21959

Road Traffic Injuries 2486

Road Traffic

Injuries 5057

Burns 1513 Burns 2226

Poisoning 527 Poisoning 1981

Sexual Violence 92 Sexual Violence 615

Snake Bites 198 Snake Bites 333

Linked to

essential Medical

services

Pregnancy / childbirth

events

Pregnancy / childbirth events

Birth with deformities 56 Maternal Deaths

20+ years 69

Infants initiated on breast

feeding within 1 hour after

birth

24014 Deliveries 36054

Clients given IPT 35768

30






Occurrence

(Quantitative or

Qualitative Rating

Condition/Issue

(In order of

priority relevance

to the county)

Numbers/Prevalence

Occurrence

(Quantitative or

Qualitative Rating)

2nd Dose

Clients with Hb

<11g/dl 24913

Pregnant women

completing 4 ANC

visits

27747

LLITNs

distributed to ANC

clients

36644

Adult women

health events

CA cervix

screening 8603

Newborn events Adolescent events

Neonatal deaths 526 Adolescent Family

planning uptake

10-14 yrs

268

Preterm babies 1443 Adolescent Family

planning uptake

15-19 yrs

7572

Underweight babies 2149 Adolescents (10-

14 years)

presenting with

pregnancy

88

31






Occurrence

(Quantitative or

Qualitative Rating

Condition/Issue

(In order of

priority relevance

to the county)

Numbers/Prevalence

Occurrence

(Quantitative or

Qualitative Rating)

Macerated still Births 551 adolescents (15-19

years) presenting

with pregnancy

7595

Linked to

common health

risk factors

Anemia 2013 Underweight

mothers

No data

Malnutrition 1020 Alcohol and drug

use

930

Underweight children 26031 Unsafe sex

Stunted Children 13805 Poor breastfeeding

practices

Linked to

collaboration with

health-Related

Sectors

Unsafe water

Poor housing designs

Large population growth

32

2.2 Problem Analysis and Priority Interventions for 2020/2021

Strategic

Area

Key challenges*

Relate to access (demand side) and/or quality (supply

side) of service delivery

Priority Interventions to address identified challenges

(Maximum of 5 per challenge – from list in Annex 1)

Eliminate

Communicabl

e conditions

Malaria

Inadequate test kits

Lack of support for EQA

Poor data quality

Knowledge gap especially in private facilities

Ineffective vector control activities

Malaria

Correct quantification and ordering

Lobby for support for EQA

Conduct regular Data quality audit

Training of private providers on malaria case

management

Improve on larviciding activities

HIV

- Stigma

- low skill delivery by positive mothers

- Low detection rates

- Poor linkage to care

- Unsuppressed viral loads especially for pediatric

patients

HIV

- Community sensitization

- Health education in clinics

- Women empowerment programs

- Creating Youth friendly services in the facilities

- Targeted Outreaches for key populations

- Clinical review meetings

- Improve integration of PMTCT in ANC services

TB

- Low case detection

- High TB defaulters

- Increased number of MDR TB cases

TB

- Intensify ACF

- Improve contact tracing

- Intensify defaulter tracing

- Improve triage

- CME’s to health workers

Diarrheal diseases

- Poor sanitation

- Inadequate safe drinking water

Diarrheal diseases

- water treatment

- Health education

- Intensify household visits by CHVs

- Operationalize ORS corners in facilities and

33

community

- Ensure hand washing facilities in place in schools

and homes

- Encourage proper waste disposals

- CMEs

- Proper use of latrines

- Inspection of food premises and schools

- Inter-sectoral collaboration

Halt, and

reverse

increasing

burden of

Non-

communicabl

e conditions

Hypertension

- Unhealthy life style

- Low screening

- Inadequate monitor machines

- Poor data quality

- High cost of treatment

Hypertension

- Health education on life style change

- Provide adequate screening equipment

- Health educations

- Conduct data quality audit

- Community sensitization on NHIF

Diabetes

- Low screening

- Inadequate monitor machines

- Few treatment sites

- High cost of treatment

Diabetes

- Health education on life style change

- Provide adequate screening equipment

- Health education

- Increase treatment sites

- Community sensitization on NHIF

Cancer

- Inadequate

screening

- Inadequate

reporting tools leading to poor quality of data

- Inadequate

treatment facilities

- Inadequate

specialized trained personnel

- Poor

Cancer

- Intensify

cancer screening

- Develop

reporting tools

- Increase

treatment services

- Train

specialized personnel

- Improve

34

referral system

- High cost

of treatment

referral system

- Community

sensitization on NHIF

- Provide HPV

vaccine

Reduce the

burden of

Violence &

Injuries

Road accidents:

Inadequate knowledge on road safety

Inadequate preparedness of facilities for

emergencies

Un-roadworthy Vehicles

Over speeding

Driving under influence

Poor road conditions

Non-adherence to traffic rules (seat belts, helmets,

reflectors, non-use of Personal protective gear

(PPE)

Road accidents:

Engage inter sectoral Safety training (matatu saccos,

tuk tuk associations, boda boda associations,

Department of transport and Infrastructure)

Institute Emergency preparedness teams at all levels

of care

Collaboration with the Traffic department to enforce

Road Traffic rules

Domestic violence:

Inadequate access to Gender based recovery and

violence services

Under reporting of gender based cases

Inadequate screening of clients for SGBV

Negative Cultural practices

Lack of awareness in the community on the need

of timely reporting incidents of GBV

Poverty

Drug and Substance abuse

Ignorance, myths and misconceptions

Domestic Violence:

Avail 24-hour coverage of GBV centers

Create awareness and need for reporting on domestic

violence at community level

Sensitization and training of HCW and active

screening

Capacity building on gender based violence (CHV

and HCW)

Strengthen programs targeted to reduce Drug abuse

Intensify inter-sectoral collaboration

Strengthen the referral/linkage mechanisms

Set up more GBV centers at health facilities

Establishment of GBVR desk within lower level

facilities

35

Insecurity:

Rise in criminal gangs

Increase in unemployment

High number of school drop outs

Radicalization of youth

Drug and substance abuse

Insecurity:

Inter-sectoral collaboration of key actors (department

of youth gender and sports to look into issues of

unemployment, ministry of interior to look into rise

of radicalization of youth, ministry of education to

deal with increased school drop outs)

Decentralization of drug and substance abuse

treatment centers

Provide

essential

Medical

services

Pregnancy / Childbirth Events:

Inadequate mother child booklets

Fragmentation of maternal child health services in

primary private facilities

Inadequate support for regular supervision

Inadequate knowledge on importance of the 4

ANC visits

Delayed first ANC visit (1st trimester)

Staff shortage/Inadequate Human resource

Inadequate health products and Technologies

Knowledge gap on IMCI

Inadequate laboratory diagnostic services

Low number of public facilities offering delivery

services

Inadequate knowledge and skills on long acting

and reversible methods of family planning by

service providers

Erratic supply of FP commodities

Inadequate RH reporting tools

Inadequate/Weak of CQI teams in facilities

Pregnancy / Childbirth Events:

Source and distribute Mother Child booklets to

MNCH sites

Facilitate integration of maternal child health

services on primary private health facilities

Allocate resources for regular support supervision

Community awareness on importance of the 4 ANC

Use of reminders such as text messages for the ANC

visits

Support groups for antenatal mothers

Advocate for more health care workers

Avail adequate health products and technologies

Capacity build staff on IMCI

Increasing access to Laboratory diagnostic services

Increase number of public facilities offering delivery

Services

Training service providers on long acting and

reversible methods of family planning

Ensure adequate and consistent supply of FP

commodities

Ensure supply of RH reporting tools

Strengthen and Re-activate CQI teams in facilities

Newborn Events: Newborn Events:

36

Inadequate skills to manage newborn conditions

Inadequate equipment for newborn care

Inadequate number of New born units

Low EID for HIV

Inadequate awareness on PSBI (possible serious

bacterial infections)

Inefficient referral systems

Delay in decision making at the community level

Delay in transportation to the facility

Essential newborn care training to HCW

Procure equipment for newborn care

Lobby for establishment of newborn units at PRSCH,

LSCH and TSCH

Advocate for Mentor mothers to enhance recruitment

Incorporate TBAs and CHVs for referrals of mothers

in labor

Community mobilization and referral services

Strengthen facility community linkage and

Community dialogues.

Enhance outreach services to the community

Carry out monthly facility health meetings

Under 1’s Events:

Immunization coverage is below 100%

IMCI not fully implemented

Under-reporting of EPI targeted diseases

Low disease surveillance reporting below 80%

Poor documentation of Vitamin A supplementation

Under 1’s Events:

Conduct Catch up Immunization campaigns

Conduct integrated outreach services

Capacity building of HCW on EPI Operation level

Conduct defaulter tracing

Routine Timely and accurate documentation

Quarterly data review

Quarterly DQA

Supportive supervision

Targeted IMNCI supportive supervision

Mentorship and OJT on Reporting of all suspected

cases of EPI targeted diseases (measles, AFP, NNT)

Obesity due to poor life style Health education on life style change

Provide adequate Anthropometric equipment

Conduct Outreach and In-reach Screening

Adolescent events:

Inadequate youth friendly services

Increased Adolescent pregnancy

Adolescent events:

Establish more youth friendly service centers and

strengthen existing ones

37

Low uptake of FP amongst the youth at 17% Increase training of peer educators on SRH

HCW and community on SRC and SGBV

Training HCW on provision of youth friendly

services

Adult women health event

delayed health seeking behavior

Poor lifestyle habits

Low awareness on screening on NCDs

Low male involvement

Adult women health event

Create awareness to the community on early health

seeking behavior

Improve linkages at all levels of care

Promote healthy lifestyle through all channels of

media

Institute screening and reporting of NCDs in all

Public facilities

Strengthen Public – Private partnerships

Strengthen inter-sectoral collaboration with key

actors (departments of transport, agriculture,

communication and other government departments)

Encourage male involvement through advocacy

Adult men health event

Poor health seeking behavior (delays for care)

Poor lifestyle habits

Adult men health event

Create awareness to the community on early health

seeking behavior

Improve linkages at all levels of care

Promote healthy lifestyle through all channels of

media

Institute screening and reporting of NCDs in all

Public facilities

Strengthen Public – Private partnerships

Strengthen inter-sectoral collaboration with key

actors (departments of transport, agriculture,

communication and other government departments)

Minimize

exposure to Health workers and human resource management:

Lack of dissemination and implementation of

Health workers and human resource management:

Dissemination of policies

38

health Risk

factors

policies and guidelines on OSH and guidelines on OSH

Establish work safety

committees

Train work safety

committees on OSH

Printing and distribution

of occupation safety manuals

Sensitization of health

care workers on occupation safety in health

Constructions and maintenance of buildings:

Incomplete

microwave housing and installation at Port Reitz

SCH

Constructions and maintenance of buildings:

Complete

construction and installation of microwave

Develop an

MoU for public and private facilities on shared cost

and collaboration

Procure

health care waste transportation vehicle

Sensitization

of health care workers on waste management

Identification

of disposal/recycling place for waste treatment

product

Lack of

functional incinerator at Likoni hospital

Construction

of an incinerator at the hospital as per safety

standards

Mobilization

of nearby facilities to process their waste at the

facility

Sensitization

of health workers from nearby facilities on waste

segregation

39

Exposure to

carcinogenic agents from asbestos roofing at Port

Reitz hospital

Replacement

of asbestos with environmental friendly and safe

roofing material

Ensure safe

disposal of asbestos

Strengthen

collaboration

with Health-

Related

Sectors

Health sector planning, budgeting and M&E:

Lack of stakeholders forum Appoint a county stakeholder coordinator

Donor mapping of all stakeholders

Draft partner

reporting tool and TOR

Convene quarterly stakeholders’ forum


Lack of HRH strategic plan and costing of human

resources for health


Review and draft a 5 year HRH strategic plan

Validation and dissemination of HRH strategic plan

draft

Develop an M&E framework for the strategic plan

Monitor and review implementation of the strategic

plan

Inconsistent inter-county HRH TWG and HRH

stakeholders forum

Allocate resources for inter county HRH TWG

stakeholders’ forum

Collaborate with regional counties and stakeholders

to ensure consistent quarterly inter county HRH

TWG stakeholders forum

40

3.1 Annual Performance Targets

Section 3:

Annual Programme Based Work Plan

41

Eliminate communicable conditions

Baseline

(year X-1

performance)

Eligible population

Target

(year X + 1)

1

HIV+ pregnant mothers receiving

preventive ARV’s to reduce risk of

mother to child transmission (PMTCT) 2461 1,967 1967

2

Number of pregnant women receiving

TT2 plus immunization 24282

34,764

34,764

3

Number of pregnant women receiving

IPT2 35776

34,764

34,764

4

Children under one year of age fully

immunized 33286

30,428

30,428

5

Children under one year of age

distributed with long lasting insecticide

treated nets (LLITNs) in endemic and

epidemic districts

35450 30,428

30,428

6

Number of pregnant women distributed

with LLITNs in endemic and epidemic

districts

36691

34,764

34,764

7

Number of people receiving MDA for

schistosomiasis 36644 21,088 21,088

8

Number of TB patients completing

treatment 3171 3822 3249 (85%)

9 Number of TB Patients tested for HIV 3542 3659 3659 (98%)

10 Number of newly diagnosed TB cases 3734 4000 4000

11

Number of eligible HIV clients on

ARVs 43777 41,599 43900

42

Eliminate communicable conditions

Baseline

(year X-1

performance)

Eligible population

Target

(year X + 1)

12

Number of children under the age of

five treated for diarrhea 43031

149,458

41599

13

Number of school age children de-

wormed 46221 245410 245410

Halt and reverse increase in non-

communicable conditions

Baseline

(year X-1 performance)

Eligible population

Target

(year X + 1)

14

Number of adult OPD clients with

BMI of more than 25 20987

446,180

25,185

15

Number of women of reproductive

age (WRA) screened for cervical

cancer 6782

361,859

36,185

16

Number of new outpatients with

mental health conditions 5014

422594

5515

17

Number of new outpatients found

with high blood pressure 37555

422594

27,852

C

Reduce the burden of violence and

injuries

Baseline


Eligible population

Target

(year X + 1)

18

Number of new outpatient cases

attributed to gender-based violence 403

7530 1,109

19


attributed to road traffic accidents 1066

7530 1,000

43

20


attributed to other injuries 6081 7530 5960

21

Number of patients with injury

related conditions dying in the

facility 1152 7530 1095

D Provide essential health care

Baseline


Eligible population

Target

(year X + 1)

22

Number of pregnant women

attending at least four ANC visits 27755

34,764

41,598

23

Number of WRA receiving family

planning commodity 128425 361,859 134,882

24

Number of pregnant women getting

iron supplements 50413

34,764

65,209

25

Number of deliveries conducted by

skilled attendants in health facilities 36057

31,564

38,538

26

Number of children under five

dying in health facility 1055

149,458

30/1,000

27

Number of fresh still births in the

facility 384

34935

10/1,000

28 Number of facility maternal deaths 69

34935

150/100,000

29

Number of surgical cold cases

operated 1550 3,977 2,900

30

Number of persons with ill health

referred to community units 650

2968

1100

31

Number of newborns with low birth

weight (LBW – less than 2,500

grams)

26031 34935

23,428

32

Number of children under five years

of age attending child welfare

clinics for growth monitoring (new

13805

149,458

149,458

44

cases)

33

Number of households provided

with health promotion messages

31231

399501

40600

34 Number of clients tested for HIV 253280 41599 9,806

E

Strengthen collaboration with health

related sectors

Baseline


Eligible population

Target

(year X + 1)

35



clinics who are under weight

26031

149458

5%

36



clinics who are stunted

13805

149458

1.2%

37

Number of households with

functional toilets 391916

399501

65 %

38

Number of households with hand

washing facilities 253280

399501

65 %

F Access

Baseline


Eligible population

Target

(year X + 1)

39 Number of new outpatients (male) 916,880

625,420

100 %

40 Number of new outpatients (female) 1,022,852

625,420

100 %

41

Number of inpatients (admissions)

under five years of age 14711

122638

2.5 %

42

Number of inpatient (admissions)

over five years of age 72529

422594

3 %

45

3.2 Annual Program Based - Service Delivery Work plan

3.1.1. Programme Based Implementation Plan

This section of the plan outlines the programmes and sub-programs as well as a summary of all the priority activities planned for the

year. It details the activities and expected outputs, implementation timelines and the estimated budget for each of the activities within

a sub-programme and programme.

Programme 1: Curative and Rehabilitative Health Services

Programme Outcome: Effective and efficient curative and rehabilitative health care services to the county citizens

Programme Objective: To provide effective and efficient curative and rehabilitative at hall health service delivery units

Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds

Sub-Programme 1: Primary health facility services

Output: Equipped primary health facilities.

Primary care

treatment

services

Training primary health facility

committees for 3 days

X X 1,053,000 THs

Primary care

diagnostic

services

Procure 10 infrared Thermometers X 140,000 THs

Procure 14Pulse oximeters X 147000 THs

Procure 15 Stethoscopes15 X 37500 THs

Procurement of 14B.P machines X 449,000 THs

Purchase of 2 haemogram machine for

Jomvu CDF, Mvita clinic

1,800,000 THs

46


Procure lab reagents for level 2 and

3Specific Commodities under

Reproductive Health

X 1,700,000 THs/UCP

Other expenses Cross cutting recurrent activities X X X X 50,000,000.00 DANIDA & USER

FEE

Sub-Programme 1: Total 55,326,500.00

Sub-Program 2: Hospital Level Services

Output: Strengthened Clinical governance structure

General

outpatient

services

Quarterly CQI meetings X X X X 1,285,350 CGM

Quarterly sensitization meeting for all

staff on knowledge of the institutional

mass casualty management skills

X X X X 400,000 CGM

Departmental monthly data review

meetings

X X X X 144,000 CGM

Other Operating Expenses

X X X X 34,959,538

CGM

Monthly medicine and therapeutics

committee

X X X X 48,000 CGM

Purchase of Office and General Supplies

and Services

X X X X 2,395,370

CGM

47

Monthly catering committee meetings X X X X 48,000 CGM

Monthly morbidity and mortality meeting X X X X 144,000 CGM

Weekly CME/ meeting X X X X 340,000 CGM

Train 40 staff on trauma and gender-based

violence care and ensure functionality of

the SGBV unit.

X 265,000 CGM

Train 100 staff on emergency

preparedness BLS and ACLS

X X X X 2,500,000 CGM

Develop an Emergency Preparedness plan

& Establish committee

X X X X

172,400

CGM

Conduct biannual emergency drills to

manage mass casualties.

X X 400,000 CGM

Provision of laboratory reagents X X X X 5,000,000 CGM

Specialized

outpatient

services

Sensitization of staff on special

services/CME’s

X X X X 200,000 CGM

Creating community awareness /camps X X X X 800,000 CGM

Adopt of standard operating procedures

and sensitization of staff on the same.

X X X X 200,000 CGM

Develop a quality improvement charter X 42,400 CGM

Conduct biannual quality audits

X

X

200,000

CGM

Conduct one benchmarks with other best

performing institutions

X 200,000 CGM & Partners

Sensitization of health care workers on X X 30,000 CGM

48

rehabilitative services and internal

referrals/External referrals

Theatre

services

Theatre users meetings X X X X 80,000 CGM

Conduct monthly post operation review

meeting-M

X X X X 80,000 CGM

Conduct CMEs on pre- op and post-

operative management of patients-M

X X X X 40,000 CGM

Fumigation of theatre and CSSD X X X X 500,000 CGM

Training of CSSD staff on proper

equipment and instrument care-M

X 96,000 CGM

Conduct monthly meeting on nosocomial

infection and wound sepsis rates-M

X X X X 100,000 CGM

Procurement of additional theatre suits,

doctors gown, disposable operation caps,

set wrappers, hand-towels, sanitary

linings, patients theatre gown theatre

scrubs, theatre gum boots-C

X X X X 450,000 CGM /FIF

Procurement of diathermy leads and

plates, surgeon tools, white board

X 200,000 CGM/FIF

Lobby for bacterial filters, primer pore

dressing material and opposite spray-C

X 150,000

CGM/FIF

Purchase of theater changing clothes-FOR

4 SC Hospitals

X 80.000 CGM

Purchase of stools at theatre-Likoni SC

hospital

X 20,000 CGM

Purchase of Office Furniture and General Equipment

X X 7,768,786

CGM

Purchase of oxygen concentrator-Likoni

Sc hospital

X 50.000 CGM

49

In-patient

services

Develop customer-centered quality policy

and guidelines

X 20,000 CGM

Training on patient safety and quality of

care and safe care

X X 66400 CGM

Review patient rights in accessing service

through service charters.

X 100,000 CGM

Set up Customer Care desk in the

maternity wing

X 16,000 CGM

Improve the waiting time for elective

surgeries (Hold Hernia camp)

X 1,000,000 CGM

Purchase of Specialized Materials and Supplies

X 170,344,509

CGM

Purchase of medical equipment 84,500,000 CGM

Procure and install medical equipment and

procure medical and electronic equipment

X X 12,520,000 CGM/FIF

Conduct Monthly departmental surgical

camps for Mvita sub county

X X X X 19,600,000 CGM/FIF

Sensitize 800 HCW on infection

prevention, injection safety and waste

segregation

X X X X 664,000 CGM/FIF

COVID 19 Pandemic service delivery X X 1,200,000,000 CGM/MOH/Partner

s

Conduct monthly surgical audits

meetings-M


Laboratory

services

Train lab staff on general laboratory’s

quality management system-M

X X 100,000 CGM/FIF

50

Review and update laboratory service

charter

X 25,000 CGM/FIF

Training program in place for POCT X 50,000 CGM/FIF

Certification of laboratory services X 620,000 CGM/FIF

Conduct laboratory data review

departmental monthly meetings


Conduct internal audits as defined in the

quality manual and address areas

important to patient care


Conduct customer satisfaction survey X 25,000 CGM/FIF

Train staff on Phlebotomy and Sample

Safety

X X 500,000 CGM/FIF

Conduct Sample Referral strategy training X 200,000 CGM/FIF

Maintenance and repair of machines X X X X 300,000 CGM/FIF

Urine urinalysis, RF, Dengue, H Pylori,

blood glucose levels, Hepatitis A,B,C

screening, salmonella ag rapid screening,

pregnancy test, VDRL syphilis screening

X X X X 320.0000 FIF/County

government

Total blood count, full hemoglobin, ESR,

sickling tests

X X X X 321800 FIF

Blood group X X X X 84000 FIF

GENE EXPERT ANALYSIS

X X X X 13500 FIF

Stool for salmonella

Ag test

Stool for microbiology

Stool H pylori test

X X X X 66500 FIF

urea/electrolytes creatinine, LFTS, Lipid

profile, tumor markers, TFT-L

X X X 733,960

FIF

Introduction of microbiology-C X 250,000 CGM/FIF

Acquire PCR analyzer for Tests eg X 250000 CGM/FIF

51

Thyroid Function

Put Formica Top on Working Tables X 100000 CGM/FIF

Haematology

and blood

transfusion

services

Conduct monthly Haemovigilance

committee meeting for Mvita Sub County


Conduct monthly CMEs on Hematology

and blood transfusion Mvita SC safety


Training of staff on proper equipment and

instrument care


Client/Patient

Movements

Expert/Servic

e Provider

Movements

Conduct quarterly client exit survey X X X 200,000 CGM/FIF

Update hospital signage of service

delivery points

X 250,000 CGM/FIF

Conduct regular sensitization of patients

on their rights


Conduct monthly review of patient

feedback and hospital action on service

and quality of care


Sensitization of 60 staff on referral

guidelines

X X 25,000 CGM/FIF

Specimen

Movement

Develop internal referral protocol X 25,000 CGM/FIF

Conduct a quality improvement project on

the turnaround time after specimen

collection

X X 25,000 CGM/FIF

Conduct quarterly meeting on specimen

movement audits


Client

parameters

Training of staff on use of (ICT),e-referral

tools and guidelines

X X 600,000 Afya Pwani

Training of MRI

radiographers(observatory)

X

1,000,000

CGM/FIF

Training on senior management X 140,000 CGM/FIF

Training in supervisory skills X X 240,000 CGM/FIF

SLDP Training X 167,000 CGM/FIF

Mammography training X 250,000 CGM/FIF

52

Radiology

services

CT training X 250,000 CGM/FIF

Servicing of the ultrasound machine X

X

200,000

CGM

Provision of printing material-M X X X X 100,000 CGM

Acquire 5 extra radiographers-C X X 1,400,000 CGM/FIF

Digitize X-ray services X 2,400,000 CGM/FIF

Lobby for 5 sonographers X 1,400,000 CGM/FIF

Tiling of the radiology department 40,000 FIF

Lobby for CT scan X 7,000,000 National

government

Lobby for CPG & Mammo unit-C X 10,000,000 National

government

Referral

services

Repairs of ambulance X X X 1,000,000 CGM

Fuel for ambulance and generator X X X X 5,000,000 CGM

Routine Maintenance - Vehicles and

Other Transport Equipment

X X X X 11,653,179

CGM

Collaboration with private medical

facilities

X X X X 147,500.00 CGM

Strengthen community-link facility

referrals

X X X X 90,000.00 CGM

Mortuary

services

Procure Mortuary equipment’s X X X X 1,000,000 CGM

Sub-Program 1 Total 1,596,942,642

Program Total 1,652,269,142.00

53

Programme 2: Preventive and Promotive Health Services

Programme outcome: Effective and efficient preventive and promotive health interventions within the county

Programme objective: To provide effective and efficient preventive and promotive health interventions across the county


Sub-Programme 1: Reproductive maternal neonatal child health (RMNCH) services

Staffing.

Increased

uptake of

modern

contraceptives

Know your Option Clinics targeting the youth

friendly centers on weekends

(DSA for CHVs 3x2days X 500 x72 sessions = 216,000

Coordinator communication 4X500X4= 8,000

Health workers 1X1X1500X72 =108,000

Total 332,000

X X X X 332,000 MCG

Increased

uptake of

modern

contraceptives

Conduct whole site mentorship for health workers

on Family planning

Lunch for health care workers 5x1x1500x72=540,000.00

Lunch for CHEWs 1x1x1500x72=108,000.00

Driver Lunch 1x1x1000x72=72,000.00

RHC Lunch 1x1x2000x4=8,000.00

CSFP Lunch 1x1x2000x4=8,000.00

Fuel, 1x1x2000x72=144,000.00

Total For Outreaches = 880,000.00

880,000 CGM/Partn

ers

Increased 4th

ANC visit

Facilitate public facilities with monthly airtime for

bulky sms reminders system for Immunization,

PMTCT and ANC clients

Airtime for ANC sms 50x1x500x12 = 300,000.00

printing of ANC Client Tracking Diaries 50x1x50 =

2,500.00

Airtime for MCH Clients Defaulter Tracing

50x1x500x12= 300,000.00

Sub total = 602,500.00

X X X X 602,500 THS-UC

54

Reduced

neonatal deaths

Procure resuscitation equipment

Neonatal ambu bags 33x1x3000x1= 99,000.00

portable room heaters 33x1x5000x1=165,000.00

Oxygen masks 99x1x200x1=19,800.00

Small Oxygen cylinders 33x1x10000x1=330,000.00

Oxygen flow meters 33x1x5000x1x165,000.00

Rescusctaires 20x1x25000x1=500,000.00

Total 1,278,800.00

X X X X 1,278,800 THS-UC

Conduct 3 Day training on MNH to young mother

Venue 4 trainings x3 days x5000 = 60,000.00

Teas &Lunch 136pax 3daysx1000 = 408,000.00

Participants DSA 120paxX3X500 =180,000

Facilitation allowance 12pax x 3days x2000 = 72,000

Airtime for coordination 4paxX1dayx1000=

4,000.00

Stationaries 120pax 1dayX200 =24,000.00

Sub Total 748,000.00

X 748,000 THS-UC

Conduct IMNCI training to 24 HCWs for 5days@

2500*31px *5=387500;transport

24*100*5=120000;facilitation 7px*5000*5=175000

Total=682,500.00

X 682,500.00 THs-UC

Conduct ITAT training to 35 HCWS@

2500*5DAYS=437,500,Transport

@1000*30px*5=150000;

Facilitation@5000*5px*5days=125000

712,500 THs-UC

Procure delivery packs for PHC facilities to support

deliveries

Delivery packs - 125 @20,000.00 = 2,500,000

Total 2,500,000.00

X 2,500,000 THS-UC

Increased

number of

health care

workers with

skills and

Conduct BeMONC training to 30 health care

workers for 5 days 2 classes.

Transport 30px1000x5x2=300,000

Conference package 35x3000x5x2= 1,050,000

Printing of Trainers manuals

X 1,518,000

THS UCP

55

competence in

service

provision.

5x1500x1x2=15,000.00

Printing of participant manuals

35x1300x1x2= 91,000

Stationery 35 x 300 x 1x2=21,000.00

Facilitator transport 4x1000 x 5x2=40,000

Airtime for coordination 1x500x1x2=1,000.00

Total 1,518,000.00

Conduct on job trainings on long term methods on

PAC services (quarterly for 6counties)

X X X X 2,280,000.00 MCG

Repair of maternity wing at Bamburi dispensary

Partitioning = 250,000

Drainage = 150,000

Sluice room with toilet = 267,838

Repair of floor = 265,500

Total = 933,338

X X 933,338 THS UCP

Sensitization of health care workers (Nurses and

clinical officers) on maternal audit review and

community verbal autopsy for 2 days.

Transport 22 x1000 x 2 = 44,000

Conference package 22x 3000 x 1 =132000

Total = 176,000

X

176,000

THS UCP

Conduct cancer training to 30 health care workers

for 5 days

X 2,315,000 MCG

Other expenses world breast cancer day commemoration X 548,000 MCG

56

Staffing.

Increased

number of

health care

workers with

skills and

competence in

service

provision.

Conduct FANC Training to 30 health care workers

(Nurses and clinical officers) for 5 days

X 1,703,000 MCG

Conduct on job trainings on long term methods on

PAC services (quarterly for 6counties)

X X X X 2,280,000.00 MCG

Repair of maternity wing at Bamburi dispensary

Partitioning = 250,000

Drainage = 150,000

Sluice room with toilet = 267,838

Repair of floor = 265,500

Total = 933,338

X X 933,338 THS UCP

Conduct cancer training to 30 health care workers

for 5 days

X 2,315,000 MCG

Other expenses world breast cancer day commemoration

X 548,000 MCG

conduct family planning (FP) TWG quarterly review

meeting for 30 health care workers

X X X X 494,000 MCG

Conduct MPDSR quarterly review meeting X X X X 1,346,000 County

Sub-Programme 1: Total 26,965,976

Sub-Programme 2: Immunization services

Staffing

Increased FIC

coverage

Inputs NO. PAX NO. OF DAYS RATE

Quantity Total Input Cost

Lunch 104 pax x 3days x1,000 = 312,000.00

Transport 104pax x3days @500 =

X 640,600

THS UCP

conduct family planning (FP) TWG quarterly review

meeting for 30 health care workers

X X X X 494,000 MCG

Conduct MPDSR quarterly review meeting X X X X 1,346,000 County

57

156,000.00

Flip Charts 6pcs @300.00 = 1,800.00

Marker pens 12pcs @ 50 = 600.00

Note books 104 pcs @50.00 = 5,200.00

Hall hire 6subcounties x3days@5,000.00

=90,000.00

Transport CHMT and sCHMT 10pax x 3days x

1,000 =30,000.00

Lunch for 10 CHMT/sCHMT - 10x 3days @1,500

= 45,000.00

Sub Total = 640,600.00

Commodities

and supplies

Purchase 2 KEPI Freezers for Kisauni @500,000

each.

X 1,000,000

CGM

Purchase of 3000 safety boxes @180 each pc

X

540,000

CGM

Purchase of 48,000 BCG syringes @ 12 each pc

X 576,000

THS UCP

Purchase of 240,000 AD syringes

0.5mls AD syringes 240,000 @ 9.50 = 2,280,000

X 2,280,000

THS UCP

Purchase of 5 KEPI fridges @500,000 each

X 2,500,000.00

CGM/

Purchase of 2 Standby power Generator for Kisauni

and Mvita @ 4,500,000

X 9,000,000.00

CGM

Other expenses Conduct Quarterly Vaccines and related supplies

distribution

X X X X 570,000

CGM

Sensitization meeting with Wa-frere households on

immunization

X X X

X

150000 THS UCP

Commemorate world immunization week (last week X 215,550.00 CGM

58

of April)

Hold Quarterly community dialogues on

immunization

X X X X 66,200.00

CGM

Conduct quarterly Integrated outreaches in all sub

counties

X X X X 487,800.00

CGM

Conduct home visits on immunization for defaulter

tracing for children defaulting from Immunization.

200 per child traced 12pax x12x6days @200.00 =

172,800.00

Total = 172,800.00

X X X X 172,800

THS UCP


Sub-Programme 3: Nutrition services

Staffing Conduct training to 30 health care workers on

nutrition management in HIV/AIDS.

X 451,000 Afya

Pwani

Train 30 health care workers on nutrition

management in tb

X 451,000 AMREF

Train 60 Health Care Workers on mother child

booklet usage.

X 902,000 CGM/Partn

es

Train 60 Health Care Workers on imam for 5

days

X X 902,000 KRCS

Establish 2 nutrition counseling rooms for CPGH X X 286,000 CPGH

Commodities

and supplies

Procure nutrition supplements

RUTF, FBF Children, FBF Adults, FBF Pregnant

and Lactating, CSB, RUSF, FIOO, F75,

X X X X 20,720,000 TCGM/Par

tners

59

RESOMAL, Vitamin A 100,000ius, Vitamin A

200,000ius for 160,000 under five years, Iron Folic,

Acid Supplement (IFAS), De wormers for 160,000

children under five years

Other expenses Malezi bora ECD vitamin A supplementation.

county stakeholders meeting

sensitization of ECD teachers

Transport

500 x 600 x1x2=600,000

Venue

6000x4x2=48,000

Stationery

100x600x1x2=120,000

Refreshment

200x600x1x2=240,000

Sub county support supervision

Lunch allowance

1000x120x2x2=480,000

Fuel

100x120x2x2=48,000

Driver

500x4x2x2=8000

COUNTY SUPPORT SUPERVISION

Lunch allowance

2000x6x2x2=48,000

Driver

1000x1x2x2=4.000

Fuel

100x120x1x2=24,000

Total = 1,620,000

X X 1,620,000 THS UCP

60

commemoration of malezi bora weeks

X 349,000 County

Governmen

t

commemoration of world breastfeeding week X 349,000 County

governmen

t/OTHER

PARTNER

S

Commemoration of nutrition week X 399,000 County

governmen

t

Commemoration of world diabetes week. X 489,000 NOVO

NORDISK,

County

governmen

t

Conduct quarterly county nutrition technical forum

meetings (stakeholders meeting)

X X X X 300,000 KRCS

Conduct 4 meeting to advocate for work place

lactation center

conference package

X X X X 400,000 County

Governmen

t

Procure 5 laptops, 1 for county nutrition coordinator

and 4 for the sub county nutrition coordinators.

X X X X 300,000 County

Governmen

t

Procure furniture for workplace lactation centers in

public facilities procure assorted and 4 bioelectrical

impedance fat analysis machine 1 for level 5 and 3

for level 4

X X X X 1,680,000 County

Governmen

t

Procure 5 bio impedance fat analysis machine for

level 5 and 5 hospitals

X X X X 500,000 NOVO

NORDISK

Procure 20 BMI scales for public facilities. X X 1,600,000 County

61

governmen

t

Developing the county nutrition action plan 2 X X 1,650,000 SUNCSA,

KANCO,

KRCS

,Afya

Pwani,

County

Governmen

t

Procure anthropometric equipment for adults and

children

X 1,650,000 UNICEF

Sub-Programme 3: Total

34,998,000.0

0


Sub-Program 4: Disease Surveillance and Control

Staffing Recruit 3 SCDSCs in three (3) sub counties, Nyali,

Jomvu, Changamwe

X 100,000 CGM

Sensitization of Health Care Workers on disease

surveilance

X X X X 1187010 CGM/Partn

er

Sensitization of CHVs for one day on Integrated

disease Surveillance

X X 1081740 CGM

SCHMTs Update Trainings (IDSR, Community

Surveillance)

X X 654500 CGM

Training of Sub County Rapid Response Teams on

Disease Outbreaks Response

X 992,000 CGM

Commodities

and supplies

Procure specimen carriers. X 48,000 CGM

Purchase office suplies X X X X 982500 CGM

Purchase 4 laptops for Jomvu, Changamwe, Likoni

and Kisauni

X 400,000 CGM

Purchase monthly airtime for 6 Sub County disease

coordinator

X X X X 144000 CGM/MO

H

62

Courier transportation. For Specimen to Reference

lab

X X X X 2855600 CGM

Procure Data Management equipment 1 desk top

computer, 1 printer, 1 modem and 3 pcs of antivirus

software.

X 166000 CGM

Procure specimen carriers. X 48,000 CGM

Support Supervision to Sub Counties X X X X 510,000 CGM

Others

Expenses

Active Case Search X X X X 1546380 CGM

Conduct IDSR Quarterly Review meetings (1 day) X X X X 412,800 CGM

Support supervision to Health Facilities by County

and Sub county DSC.

X X X X 1863400 CGM

Data Review X X X 929280 CGM

Sub-Program 4: Total 13,921,210

Sub-Programme 5: HIV control interventions

Staffing 14) Awards to best performing PMTCT sites X X X X 100,000

CGM

Quarterly Counselor supervision (HTS, Nurse, Lab

& CO)-

X X X X 240,000 CGM

Other expenses

Monthly Review meetings (SC) X X X X 2,424,000.00 CGM

Quarterly Support supervision X X X X 410,000.00 CGM

Quarterly Mentorship to HCW(SC) X X X X 840,000.00 CGM

Quarterly dialogue with the adolescent and youth Living with HIV

X X X X 426,000.00

CGM

Advocacy meetings (MCAs, community dialogues, law enforcers, media briefs)

X X X X 2,112,000

63

integrated outreach to slums and informal settlements/street families (SC)

X X X X 800,000 CGM

Conduct Bi-annual EMTCT stock taking meeting X X 342,000.00

CGM


Sub-Programme 6: TB Control interventions

Staffing Quarterly stakeholders meeting: Transport for 20 pax @ 500, stationery @200 and Lunch @1000 X X X X 136000

County Government

Commodities

and supplies

Defaulter and contact tracing: Field allowance for 30 CHVS per TB sub sub county to trace 240 TB defaulters and 2000 TB contacts per year @ 500/-,and transport @ 200/- X X X X 1,568,000.00

WOFAK/KANCO

Other expenses Biannual TB screening in special population: Field allowance for 20 Health care workers per sub county per quarter @1000/-,Transport for 20 Health care workers per sub county per quarter@500/-,specimen transportation @1000/- per quarter per sub county X X 816,000.00

County Government

Construction & equipping of isolation facility: Cement, Window grills, Timber, Labor, etc@market prices X 15,000,000.00

CHS

Branding of CHV:T-Shirts, Badges and Bags @ 500/-,200/- and 600/- respectively X 520,000.00

CGM

Facility Active TB sensitizations::Teas/Snacks for 60 Health care workers per TB sub county @ 600/-,Facilitation for 2 Facilitators per TB sub county@1500/- X X 1,420,800.00 CHS

Training of Health care workers In Pediatric TB care: Conference allowance @2000/-,Transport allowance@500/- and Facilitation@2500/- per day 570,000.00 CHS

Engagement of cough monitors in Six TB high burden facilities: 6 Cough monitors, Stipends @ 8000 monthly X X X X 576,000.00

WOFAK/KANCO

Quarterly Facility CME's :Teas/Snacks for 32 Health care workers per TB sub county @ 600/-,Facilitation and transport for 2 Facilitators per TB sub county@1000/- X X X X 1,830,400.00

County Government

64

and 500/- respectively, Stationery @200

Training 60 Health care providers on PAL: Conference package @ 2000, facilitation @ 2500 for 4 trainers and transport refund@ 500/- 570,000.00

County Government

Biannual County TB/HIV Steering committee meetings: Lunch, Snacks for 20 HCWS @1000/- ,Stationery @ 200/- x x 96,000.00 CHS

Biannual County TB/HIV/Gene x-pert TWG Meetings: Conference package @ 2000 for 45 persons, facilitation @ 2500 for 2 facilitators and transport refund@ 500/-,Stationery @ 200/- X X 489,000.00 CHS

Quarterly County DR-TB clinical review meetings: Lunch, Teas/Snacks for 23 HCWS @1000/- ,Stationery @ 200/-,Transport @ 500/-,facilitation for 3 hcws @ 2500/- X X X X 178,000.00 CHS

Monthly Sub county TB/HIV Data Review meetings: Conference package @2000/-,Transport @ 500/- X X X X 3,840,000 CHS

Communication: Airtime support @ 1000/- monthly x x x x 108,000 CHS

Procurement of :Lap Top @ 80,000 X X X X 80,000

County Government

Train 60 Health care providers in Drug resistant TB-2 trainings ,each 3 days 2 Trainings, Conference package @ 2000 for 34 persons, facilitation @ 2500 for 4 facilitators and transport refund@ 500/-for 3 days 570,000

TB program/GF

Train 30 Health care workers in 15 Facilities on TB infection prevention and control: 2 trainings, Conference package @ 2000 for 34 persons, facilitation @ 2500 for 4 facilitators and transport refund@ 500/-for 3 days. Stationery for facility plans @2000 per facility X X 630,000

TB program/GF

Monthly Sub county TB/HIV Data Review meetings: Conference package @2000/-,Transport @ 500/- X X 3,840,000 CHS

World TB Day commemoration: Field allowance for Active TB case finding in sub counties-100,000,Transport refund-50,000,Mobilization 150,000,Public address systems 50,000,Fuel cost 100,000,Tent ans seats hire X 800,000

County Government

65

50,000,Bunners purchase 30,000,T-shirts-250,000,mineral water -20,000

Active Leprosy case finding Field allowance @ 1000/-,Transport @ 500/- for 2Health care workers per sub-couny,2 villages per sub county per month,4 sub counties X X 288,000

County Government

Printing TB Data capture tools: 4000 appointment cards@20/=, 5000 record cards @50/=, 5000 booklets for lab requests @ 150/= and 100 TB registers @300/= X 1,110,000

County Government

Monthly support supervision: 7 staff for 12 facilities per month @ 2000/= transport plus lunch X X X X 2,184,000 CHS


Sub-Programme 7: Malaria control interventions

Staffing Training 160 HCWs in Malaria case management X 1,968,000 NMCP

Conduct Quarterly Malaria IPTp CMEs

X X X X 500,000 THs

Commodities

and supplies

Redistribute Malaria commodities as needed. X X X X 259,000 CGM

Procurement of Pesticides X 3,000,000 CGM

Purchase 2 Desktop Computers (Likoni Sub-County

& County Office

X

X

150,000

CGM

Other expenses

Conduct quarterly malaria TWG meetings X X X X 354,000 CGM

Conduct Quarterly vector collection and

identification at selected sites

X X X X 284,000 CGM

Conduct Slides Collection from all laboratories X X X X 700,000 CGM

Conduct quarterly malaria in pregnancy supervision X X X X 275,840 THs

Conduct quarterly review meetings X X X X 424,000 CGM

Conduct a World Malaria Day Commemoration X 625,800 CGM/Mala

ria no

more/Psken

ya/Other

66

Partners


Sub-Programme 8: Non-communicable disease control

ii).Malezi Bora County Stakeholders Meeting

X X 268,000

CGM

/partners

iii). Malezi Bora ECD Teachers sensitization X

800,000 CGM

/partners

iv).Malezi Bora Vitamin A Administration to ECD Children X X

600,000 CGM

/partners

v) Malezi Bora Sub county supervision X X

536,000 CGM

/partners

vi) Malezi Bora County Supervision X X

58,000 CGM

/partners

vii)Printing of Malezi Bora IEC Material X

66,000 CGM

/partners

5. DISSEMINATION OF NEW IMAM GUIDELINES X

240,000 CGM

/partners

6.TRAINING ON NUTRITIONAL MANAGEMENT IN DIET RELLATED NON COMMUNICABLE DISEASES

X 446,000

CGM

/partners

7.MENTORSHIPS

576,000 CGM

/partners

8.OJT X X X X

576,000 CGM

/partners

10.PROCURE BIO-IMPEDENCE FAT ANALYSIS MACHINES X X X X

400,000 CGM

/partners

WORK PLACE NCD SCREENING X X X X

369,600 CGM

/partners

11.PROCURE BMI SCALES X X X X

1,600,000 CGM

/partners

12) PROCURE WEIGHING SCALES AND HEIGHTOMETRE MACHINES FOR GROWTH MONITORING IN ECDs.

X X X X 416,000

CGM

/partners 13. NUTRITION STAKEHOLDERS MEETING(COUNTY NUTRITION TECHNICAL FORUM)

X X X X 300,000 CGM

67

/partners

14. MEETING TO ADVOCATE FOR WORK PLACE BREASTFEEDING.

X 75,000

CGM

/partners

15.WORK PLACE BREASTFEEDING ROOM FURNITURE X X X X

1,075,000 CGM

/partners

16.PROCURE LAPTOPS FOR NUTRITION CORINATORS X

60,000 CGM

/partners

commodity 17.PROCREMENT OF ANTHROPOMETRIC EQUIPMENTS FOR HEALTH FACILITIES

X X X X 2,000,000

CGM

/partners

18. PROCUREMENT OF DEWORMING TABLETS X X X X

400,000 CGM

/partners

19. PROCUREMENT OF IFAS X X X X

1,120,000 CGM

/partners

Other expenses’ 20.VALIDADTION OF COUNTY NUTRITION ACTION PLAN MEETING

X 150,000

CGM

/partners

21.FINALIZING PRINTING OF COUNTY NUTRITION ACTION PLAN

X 100,000

CGM

/partners

22.DISSEMINATION OF MCANAPII

150,000 CGM

/partners

23.ROAD SHOW NCD AWARENESS CAMPAIGNS X

1,920,000 CGM

/partners 24.CERVICAL CANSER SCREENING OUTREACH X X X X 864,160 THs

staffing 25.CONDUCT QUATERLY NCD SCREENING OUTREACHES

X X X X 635,200

CGM

/partners

26. CONDUCT QUATERLY COMMUITY MALNUTRITION SCREENING FOR UNDER 5's

X X X X 635,200

CGM

/partners


68

Sub-Program 9: Environmental Health, Water and Sanitation Interventions

Staffing Recruitment of 40 PHOs X X 20,160,000 CGM

Training and implementation on food and water

quality testing.

X X X X 800000 CGM/Patn

ers

Conduct Training to 60 PHOs on HACCP

principles.

X 1680000 CGM/Partn

er

Train 400 food handlers on HACCP principles X X 1680000 CGM/Partn

ers

Sensitization of community members on food

fortification


er

Bi - annual Staff meeting X X 192000 CGM

Quarterly Review meetings (1 day)

Procurement of 1 Desktop computer, 1 printer, 1

modem and 3 antivirus software for data

management


ers

Training of County, Sub County & Hospital OHS

committees (3 days)

Conduct training of departmental heads on HCWM

& formation of County TWG

X X 867000 CGM/Partn

ers

Conduct training of departmental heads on HCWM

& formation of County TWG

X 78000 CGM

Conduct sensitization of HWs on HCWM in HFs X 849,000 CGM

Commodities

and supplies

Purchase motorbikes for use by Sub Counties X 9,000,000 CGM

Refurbishment of incinerators

2Burning chamber repair 100,000

3Chimney repairs 150,000

Perimeter fencing of the structure

Ash pit 90000

Placenta pit 105,000

X X 4,657,400 THS UCP

69

Ample/bottle crusher 150,000

Shed 400,000

Thermostat 75000

Perimeter fence 200,000

Procurement of 65%Chlorine powder and

accessories

X X X X 10,160,000

CGM

Purchase of international & Locally administered

vaccines


ers

Refurbishment of food and water laboratory and its

accessories

X X X X 100,000,000 CGM/Partn

er

Acreditation of the food and water laboratory X X X X 2000000 CGM/Partn

er

Purchase of food samples in retail/Wholesale and

Supermarkets.


ers

Procument of Food and water field test kits for

PHOs.

X X X X 350000 CGMPartn

ers

Procurement of 1 Desktop computer, 1 printer, 1

modem and 3 antivirus software for data

management

125000 CGM/Partn

ers

Purchase of vector control chemicals and accessories X X X X 4531500 CGM/partn

er

Sanitary inspection of food premises X

X 1,590,300 CGM/partn

ers

Other Expenses

Household visit for general sanitation X X X X 7947500 CGM/Partn

ers

70

Water Safety and Quality Surveillance

Collect monthly water samples for bacteriological

examination

Chemical/ physical testing.


ers

Inspection and Certification of medical and other

institutions

X X X X 301000

CGM/Partn

ers

Conduct Quartely Support SUpervision X X X X 2155,000

CGM

Communication (airtime) X X X X 144,000 CGM

Bi - annual Staff meeting

X X 192,000

Quarterly Review meetings (1 day) X X X X 856000 CGM

Sub-Program9: Total 189,209,700

71

Sub-Programme 10: School health interventions

Staffing Train 50 PHOs on WASH X X 1197000 CGM/Partner

Train300 teachers on WASH X 3162000 CGM

Train 100 teachers on Menstral Hygiene X 1626000

Train Youths and Adolescent Mothers

on making reusable sanitary towels

X X X X 3500000 CGM/Partners

Commodities

and supplies

Procure and Distribute 50000

disposable sanitary towels to schools

X 2,000,000 THS UCP

2,070,000

Other expenses Conduct Adolescent Reproductive

Health Debate in Colleges

X X X X 1300000 CGM/Partners

Conduct Hygiene promotion sessions in

240 primary schools

600000 CGM

Commemorate global handwashing

X 578400 CGM/Partners

Commemorate Menstrual Hygiene Day X

812000

CGM/ partner


Sub-Programme 11: Community health – Level 1 interventions

Sub-Programme 11: Total 0

staffing CHEWs Recruitment @30,000*12*PHTs X 12 months =360,000

X X X X 4,320,000 CGM/partner

Commodities

and supplies

Purchase 600,000 aqua tabs @ 10= 6,000,000

X X 6,000,000 CGM/partner

Other expenses Support 30 CHVs from JUNDA CHU

on M- tool reporting


72

Commemoration of world toilet day 600 Chairs @20= 12,000 6 Banners @ 5000 = 30,000 7 100 seater Tents @ 5,000 = 35,000 30 mineral water cartons @300=9,000 Public address @20,000 Power supply @ 3000 10 ground men @ 500= 5000 Transport fuel 20,000/= 2 Drivers @750x2x2 = 3000 20 Chv mobilizationx500x3 = 30,000 2 lunches for CHEWs @ 1000x 3 days=6000 300T shirts @1000 = 300,000 Master of ceremony@ 10000 15 Tables hire @ 400 = 6000 Coordinator lunch 20 x 1000 = 20,000 Coordinator transport 20x 1000 = 2,000 Airtime 20 x 500 = 10,000 Service provider 1500 x 15 = 22500 Beyond zero van driver 1000/= Fuel 3000/= Sub-Total= 547,500

X X X X 547,500

OTHERS NHIF cover for 1500 CHVs 1500 CHVs @ 500x 12 months=9,000,000


Conduct (176) quarterly community health dialogues ( ANC, GBV, FP, Cervical cancer, Diarrhoea , Exclusive breast feeding, Skilled delivery, Communicable diseases) Community Mobilization: 10 CHVs @500= 5000 2 village elder @ 500=1000

X X X X 6,336,000 CGM/KRC/ UNICEF/ UHC/ JIEPIEGO

73

Lunches for 1 Ward Administrator and 1 Chief @ 1000=2000 Lunches for 2 CHEWs @ 1000=2000 Transport for 2 CHEWs @ 1000=2000 Facility transport for 1 staff @1000 =1000 Facility lunch for 1 staff @ 1000 =1000 4 sub county officer (MOH, SPHN, RHC, CSFP) transport @1000 =4000 4 sub county officers (MOH, SPHN, SRHC, SCCSFP) lunches @1000 =4000 Communication 2 officers ( SCCHSFP,SCRHC) @ 500=1000 2County Officers lunches ( CCHSFP, CRHC) Lunches @ 1000=2000 2County Officers transport ( CCHSFP, CRHC) @1000=2000 Communication for 2 County Officers (CCHSFP, CRHC)@ 500=1000 Hire of 100 chairs @20=2000 Hire of 1 Tent 100 seater @ 5000 Hire of PAS @ 3000 Total per 1 community dialogue = 36,000 *176=6,336,000

Conduct monthly action days by 48 CHUs (528 action days- clean up, chlorination, larviciding) Community Mobilization: 1080 CHVs mobilization 15 per sub county x 6 sub counties per month @ 500= 540,000 1500 CHVs lunches @ 500 x 12= 9,000,000 Refreshments: 1 litre bottle water @ 50 x 1500x12 =900,000


74

Sodas 0.5 litre @ 60 x 1500x12 = 1,080,000 CHEWs (field and facility CHEWs) transport 1000 x 88 x 12 =1,056,000 Airtime for coordination ( 6 SCCHSFPs, 44 CHEWs and CCHSFP) 50 pax @ 500x12= 300,000 Larviciding – 9 CHVs x 30 wards x 700/= x 10 days x 4 months = 7,560,000 Lunches for 30 CHEWs @1000x30x 10 days x 4 months =1,200,000 Supervision in 6 sub counties by 6 SCCHSFP @ 1000 X 6 X10 days x 4 months = 240,000/= County coordination / supervision 6 Officers @ 2000x10days x 4 months= 480,000/= Fuel for supervision 25sh//km x 10 days x80 kmX4= 80,000/= Sub-Total= 29,996,000

Training of TBAs on RMNCAH Transport allowance for 180 Participants (30 pax x 6 sub counties) @ 500 x 3 days= 270,000 Two teas and snacks/ lunches/water 200 pax @ 1500 x 3 days = 900,000 Stationery 200 pcs (notebook and pen) @ 150= 30,000 Flip Charts, masking tape and marker pens @ 3000 x 6 sub counties= 18,000 LCD projector hire @ 3000 x 6sub counties x 3days= 54,000 Hall hire @ 5000 x6 x 3 days= 90,000 Airtime for coordination at sub county @

X X X X 1,521,500 THs

75

1000 x 2 pax ( SCCHSFP and SCPHN)= 2000 Airtime County coordination 2 pax ( CPHN and CCHSFP) @ 1000= 2000 Facilitation allowance 3 facilitators @ 2500 x 6 sub counties x 3 days= 135,000 County supervision 3 Officers x 2500 x 3 days=22,500

OTHERS TBAs (24) quarterly review meetings: Transport 180*500*24= 2,160, 000 Lunch/ tea and snacks/ water @ 1000*200 *24= 4,800,000 Stationery ( Flip charts and marker pens @ 1500 *24= 36,000


Formation of 3 CHUs Mobilization for community baraza

1CHEW @ 1,000 X 1 Day= 1000

x x x x 1,478,500.00

THs/UCP

76

1SCCHSFP @ 1,000 X 1 Day= 1,000

1 chief + 1 village elder @ 1,000 *2*1 Day

=2,000

1 Ward administrator @1000*1=1000

Public address system @ 3,000/=

Hire of 100Chairs@20=2,000/=

Hire of Tents (100 sitter) =5,000

Communication 3 Officers SCCHSFP,

CHEW, SCPHO @ 500= 1500

Sub-Total= 16,500 X 3 CHUs= 49,500

Household mapping

Paint 4 tins @ 500 = 2,000/=

Paint brush 3 sets @ 2,500/=

Drinking water 2 litres bottle @50*15*6=

9,000

Allowances

2 CHEWS @ 1,000 X 6 Days = 12,000 2 CHC Members @500*6= 6,000 2 Village elders @ 500 X 6 Days = 6,000/= SCHMT supervision 2 Transport@1000*2 days= 4,000 2 Lunch @1000*2*2= 4,000 County supervision 2 pax Transport@1000*2*2= 4,000 2 Lunch @1000*2*2= 4,000 Communication (airtime) 4 Officers @ 1000= 4,000 Subtotals = 57,500 x 3 CHUs=172,500

Training of CHCs members

Lunch/ teas and snacks/ water @ 1000 x

15 x 7 Days = 105,000/=

1,142,900.00

CGM/Partners

77

Transport @ 500x11 x 7 Days = 38,500/=

Hiring a hall @ 5,000 x7 Days = 35,000/=

Stationary @ 100 x 15 pieces = 1,500/=

Facilitators 3pax x 2500 x 7days=52,500

Supervision 3 CHMT members

Transport@ 1000*3*2 =6,000

Lunch @1000*3*2= 6,000

3 SCHMT members

Transport @1000*3*2 days=6,000

Lunch @1000*3*2 days=6,000

Communication 2 officers @ 1000= 2000

Sub-Total = 258,500 x 3 CHUs =775,500

Training of CHVs

Lunch/ tea and snacks/water @ 1000

x15pax x 10 Days = 150,000/=

Transport @ 500 X 10 X 10 Days =

50,000/=

Hall hire @ 5,000 X 10 Days = 50,000/=

Facilitator allowances 2,500 X 3 X 10 Days

= 75,000

SCHMT supervision

Lunch @1000* 3*3 days= 9,000

Transport 1000*3*3= 9,000

County supervision

Lunch @1000* 3*3 days= 9,000

Transport 1000*3*3= 9,000

Stationary 150 X 10 = 1500/=

Flipcharts 5pcs 1000=5,000/=

Permanent markers pens

24 pcs @200=4,800

Whiteboard markers 10pcs*100=1000

78

Masking tapes 10pcs*100=1000

Certificates 10pcs*200=2000

Name tags 10pcs*100=1,000

Communication 2 officers @ 2000= 4,000

Subtotals = 381,800 x 3CHUs =1,143,900

Procurement and printing of MOH 516

(Chalk board)

Chalk board 120” X 90” @ 25,500/=

Subtotal = 25,500 X 3 CHUs= 76,500

CHVs tool kit

Gumboots 10pcs*1000=10,000

Raincoats 10pcs*1000=10,000

Bags 12pcs @ 1500= 18,000

Reflector jackets 20pcs @2500 = 50,000

Special IDs/badges 10pcsX500=5000

Note book (for reports) 20 X 300=6000

Sub Total= 99,000 x 3 CHUs= 297,000

(,Gloves,Muac tapes Masks) to be

provided.

Essential drugs or RX of minor

ailments to be provided by the link

facility through County Department of

Health/ partner which will be doing

refilling.

Water treatment commodities to be

provided by the DoHs/ partner

Sub-Total= 2,514,900

79

Community to facility 6,600 effective

referrals by CHVs, TBAs for 1ST and 4th

ANC, skilled delivery, Long term FP

methods

150 effective referrals x 44 CHUs x 200shs=

1,320,000

X X X X 1,320,000 TCGM/Partners

Conduct CHVs/ CHCs monthly data review meetings in 6 sub counties Transport 100 CHVs @ 500x 6 sub Counties x 12= 3,600,000 Transport for 5 Field CHEWs and 5 facility CHEWs, Record officer, SCCHSFP, 3 County Officers@ 1000 x 15 pax x 12 x 6= 1,080,000 Refreshments @ 150 x 120 x 12x6= 1,296,000 Sub-Total = 5,976,000

x x x x 5,976,000 CGM / UHC/ JIEPIEGO/ KRC/ PARTNERS

Conduct (4) quarterly CHEWs data review meeting Transport allowance for 72 pax (44 field CHEWs and 16 Facility CHEWs, 4 SCCHSFPs, 4 Records officers, 4 SCPHOs @ 1000 x 4meetings= 288,000 4 Facilitators @ 2500*4*4 meetings=40,000 Lunch/tea/snacks/water 80pax @ 1500x4= 480,000 Transport for county officers 4 pax@ 1000x4meetings=16,000 LCD projector hire @ 5,000x 4 meetings= 20,000 Hall and chair hire @ 5000x 4 meetings= 20,000

X X X X 969,200 CGM

80

Stationery= 52,600 (note books and pen @ 150x 72 pax X 4 meetings=43,200, 4 Flip charts @ 1000=4000, Marker Pens 12 @ 100x 4 meetings=4800, 2pcs masking tapes @ 150 x 4 meetings= 600 Sub-Total = 969,200

Training of CHVs on GBV Transport allowance for 180 Participants (30 pax x 6 sub counties) @ 1000 x 5 days= 900,000 Two teas and snacks/ lunches/water 200 pax @ 1500 x 5 days = 1,500,000 Stationery 200 pcs (notebook and pen) @ 150= 30,000 3Flip Charts, 3masking tape and 24 marker pens @ 5900 x 6 sub counties= 35,400 LCD projector hire @ 3000 x 6sub counties x 5days= 90,000 Hall hire @ 5000 x6 x 5 days= 150,000 Airtime for coordination at sub county @ 1000 x 2 pax ( SCCHSFP and SCPHN)= 2000 Airtime County coordination 2 pax ( CPHN and CCHSFP) @ 1000= 2000 Facilitation allowance 3 facilitators @ 2500 x 6 sub counties x 5 days= 225,000 County supervision 3 Officers x 2500 x 5daysX6=225,000 Sub-Total= 3,129,400

Train 44 (PHOs/ CHEWs), 4 SCCHSFPs, 4 chiefs, 4 ward administrators, 4 community members on CLTS/ CWASH, 5

x x x x 9,470,000 KRC

81

Facilitators Conference package 65pax @ 2500 x 5 days=812,500 Transport for participants 60 pax @ 1000x 5days= 300,000 Facilitation fees 5 pax 2500 x 5 days=62,500 Facilitators transport 5 x 500x 5days=12,500 Stationery 70 pax x 150= 10,500 Fuel for 2 days field work 30litres @100 = 6,000 2 days driver’s lunch allowance @ 1,000 =2000 Sub-Total= 1,206,000 Pre-triggering and triggering (triggering one village per day x 2 villages x 22 CHUs Kisauni, Nyali, Likoni) 65 persons lunch allowance @1000*2= 130,000 Fuel for 44 villages @ 20litres x 100 x two days (one village, one day) = 176,000 3 drivers’ lunch allowance @ KSh750*2 = 4,500 Stationery for 44 villages @ 5,000 = 220,000 Sub-Total= 530,500 Post-triggering/follow-up (for up to three months) Follow-ups done monthly (3 times) 60 officers lunch allowance @ KSh1000 x 3days x 3 months = KSh540,000

82

Fuel for 44 villages @ 40litres x 100 x three days x 3months = 1,584,000 3 drivers’ lunch allowance @ 750*3days*3months = 20,250 Sub-total= 2,144,250 Monitoring & Support supervision ( county/ sub county) 4 persons lunch allowance @ KSh1,000 x 15 days = 60,000 Fuel for 44 villages @ 40 litres x 100 = 176,000 Sub-Total=236,000 Evaluation (done by county staff and partners) 4 persons lunch allowance @ 1,000 x 15 days = 60,000 Fuel for 44 villages @ 40 litres x 100 = 176,000 Sub-Total=236,000 Verification by other county and National 6 persons per diem @12,000 x 15 days = 1,080,000 Fuel for 44 villages @ 40 litres x 100 = 176,000 6 persons transport @3000x 2 days= 36,000 3 Drivers lunch allowance @ 750 x 15 days = 33,750 Sub-Total=1,325,750

83

Celebrations - ODF 70 persons @1000 x 44villages = KSh 3,080,000 Trophy @3,000 x 44 villages = 132,000 Refreshments and snacks @ KSh10,000 x 44 villages = 440,000 Sub-Total= 3,652,000

CHVs Branding 1500 CHVs Purchase of 1500 reflector jackets @ 1500= 2,250,000 Purchase of 1500 bags at 1500= 2,250,000 Sub-Total= 4,500,000

x x x x 4,500,000 CGM/KRC/ JIEPIEGO PARTNERS

Sub-Programme 11:TOTAL 103,713,000

84

Sub-Programme 12: Alcohol Drug and Substance Abuse Control

Staffing Conduct 3 days training of community

health workers 120 on alcohol and

drugs

X X X X 900,000 CGM

Conduct a3 days training of health care

workers 120 alcohol and drugs

X 900,000 CGM

Recruiting addiction counselors 6

Salaries and allowances

X X 7,200,072 CGM

Other expenses Sensitize 120 religious leaders on ADA X X X X 900,000 CGM

Conduct a survey on emerging issues on

drugs and alcohol.

X X 312,000 CGM

Commemoration of international day

for drugs and illicit trafficking

X 231,000 CGM

Sensitize 120 religious leaders on ADA X X X X 60,000 CGM

Establish county ADA secretariat

committee: Conduct quarterly county

ADA secretariat committee meetings

X X X X 118,000 CGM

Conduct 2 ADA stakeholders meeting X X 150,000 CGM

CGM

Sub-Programme 12:TOTAL 10,771,072

Sub Programme 13 QI

staffing Training of health care workers on KQMH Conference package=43 HCWs*2500*5*2= 1,075,000 Transport allowance 43pax*1000*5*2=43,000 Facilitator allowance 3pax*2000*5*2=60,000 Total 1,565,000

X X 1,500,000.00 THs

65,000.00

Inter-facility annual Learning sessions QI X 199,500 CGM/Partners

85

Conference package 50pax@2500*1day=125,000 Transport allowance for 50pax@1000*1day=50,000 Ao printing @1000*15*1=15,000 Winner’s price @5000*1=5,000 Printing certificates of participation@300*15=4,500 Total 199,500

staffing QI Coaches training Conference package@2500*11pax*3days= 82,500 Transport allowance@1000*11pax*3= 33,000 Facilitator’s allowance @2000*3pax*3days=18,000 Total=133,500

X 133,500 CGM

Other expenses Support supervision Lunch allowance @1000*4pax*14day*4 quarters=224,000 Driver lunch allowance@500*1pax*14days*4quarters=28,000 Total=252,000

X X X X 252,000 CGM

Bi-annual review meeting Conference package @2500*30pax*1day*2=150,000 Transport allowance

@1000*30pax*1day*2=60,000

Total=210,000

X X 210,000 CGM

Annual KQMH facility assessment to four facilities Printing of KQMH checklist @850*4 facilities=3400 Sensitization of tool usage-lunch allowance

X 65,400 CGM/Partners

86

@1000*11 11assessors&1supervisor *1day=12,000 4 facility assessments- lunch allowance@1000*11assessors&1supervisorpax*4days=48,000 Driver allowance@500*1pax@4days=2,000 Total= 65,400

Development of a QI dashboard Development of dashboard by 3QMU staff and 3M&E personnel Lunch allowance @1000*6pax*2days=12,000 Printing and framing dashboard@10,000*3 dashboards=30,000 Total= 42,000

X 42,000 CGM

TORS development for QMU Lunch allowance for 3QMU staff and 4SC QIFPs@1000*2days=14,000 Transport allowance for 3QMU staff and 4SC QIFPs@1000*2days=14,000 Total=28,000

X 28,000 CGM/Partners

QMU Policy development Conference package @2500*20pax*5days= 250,000 Transport allowance@1,000*20pax*5days=100,000 Facilitator allowance@2,000*2facilitators per day (chiefs and directors) *5days=20,000 Consultant fee@10,000*5days*1pax= 50,000 Printing draft zero policy for CHMT@1000*20*1=20,000 Validation of final draft -conference package@2500*20*1=50,000 Transport allowance@1000*20*1day=20,000 Printing draft QI policy for validation @1000*20*1=20,000 Final draft printing @1000*5*1=5,000

X X X X 535,000 CGM/Partners

87

Total= 535,000

Purchase of 3 office chairs@

30,000=90,000

90,000 CGM

Purchase of Training material and ICT

materials

3 laptops@ 80,000= 240,000

Projector@ 70,000

Total=310,000

310,000 CGM/Partners

Sub Program 13 Total 3,430,400

Sub Programme 14: Gender Based violence and Adolescent health Services

Key output Activities Q1 Q2 Q3 Q4 Total Kshs

Amount

Source of Funds

Conduct Monthly review meeting with facilities offering GBV/AYP services

X X X X 600,000 CGMSA

Conduct quarterly AYP support

supervision X X X X 279,000 THs/UCP

Conduct mentorship and coaching on

to HCW on GBV management in 10

new GBV facilities

X X 230,000 CGMSA

Conduct Community Dialogue Sessions on GBV

x x x X 660,000 CGMSA

Conduct Advocacy meeting with 60

law enforcement (judiciary, police,

DPP and inspectorate)

X X 420,000 CGMSA

Conduct Advocacy meetings with

360 religious leaders for prevention

of teenage pregnancies

x x x 1,148,000 CGMSA

88

Conduct targeted adolescent and

youth forums

X X X X 1,510,000 CGMSA

staffing Conduct 80 sensitization forums with

parents on prevention of GBV and

teenage pregnancies

X X X X 1,440,000 CGMSA

Conduct 3 days trainings to 120

CHEWs and CHVs on GBV

X X X 4,560,000 CGMSA

Others expenses Community to Facility linkage

meetings on FP/AYSRH (

x x x x 1,560,000.00 Tupange Pamoja

Youth targeted 64 outreaches

x x x x 1,472,000.00

Tupange pamoja

Conduct Youth targeted 64 dialogues prior to Youth Outreaches (including boda boda riders)

x x x x 668,800.00

Tupange pamoja

staffing

Training of 60n youth champions on AYSRH (YAC)

x x x x 757,000.00

Tupange pamoja

Others expenses Quarterly facilitative support (10 facilities per qrt) supervision (FP/AYSRH)

x x x x 128000

Tupange pamoja

Others expenses

Support 2 Quarterly TWG meetings to address and review AYSRH performance

x x x x 250,000

Tupange pamoja

Others expenses Sensitization 24 meetings with gatekeepers on teenage pregnancy reduction (Sub County Level)

x x x x 612,000

Tupange pamoja

staffing Training of 20 AYSRH mentors x 459,500 TUPANGE

89

PAMOJA

Bank charges X X X X 5000 CGMSA

commodities Procure one laptop X 100,000 CGMSA

Sub Programme 14: Total 16,859,300

Sub Programme 14: Health Promotion Program/Communication

Commodities

and supplies

Purchase 3 Laptops X 360,000 THs

Purchase of Flash Disks X 44,000/- CGM

Purchase Public Address System ( 5-

PAS)

X

150,000/- THS

Purchase Internet bundles and

Stationaries

X

X

X

X

192,000/- CGM

Conduct Commemoration of World

Health days

X

X

X

X

2,905,000 CGM

Conduct quarterly Health Promotion

Advisory (HPAC) meetings

X X X X 600,000 CGM/ PSK

Conduct Radio talk shows X X X X 1,140,000.00 THs

1,484,000.00 CGM/Partners

Conduct Advocacy meetings

(Barazas, Community Engagements)

X X X X 592,000 CGM

Conduct quarterly Support

supervision

X X X X 315,250 CGM

Development of IEC materials X X X X 637,750 CGM

Conduct distribution of IEC materials X X X X 60,000 CGM

Conduct communication and Social

Mobilization Through PAS

X X X X 870,000 CGM

Conduct Edutainments X X X X 880,000 CGM


PROGRAM TOTAL 495,462,708.00

90

Programme 3: General Administration, Planning, Management Support and Coordination

Programme Outcome: Effective and efficient preventive and promotive health interventions within the county

Programme Objective: To provide effective and efficient preventive and promotive health interventions across the county

Key output Activities Q1 Q2 Q3 Q4 Total amount Source of

funds

Sub-Programme 1: Health workers and human resource management

Motivated workforce

Salaries X X X X

2,378,388,832

CGM

Staff Promotions for common establishment X X X X 20,000,000.00 CGM

Recruitment of staff X 40,724,800.00

CGM

Procurement of 5 Laptops, 2 Printers, Shredders,

Scanners, Fibres 4G mobile

X 865,000.00 CGM

Trained

workforce

Training of PAS champions a X X

285,000.00

CGM/part

ners Induction of 150 health workers X X 2,100,000.00 CGM/partn

ers Training of 25retirees on fund and change management (Retirement training

X X X X

700,000.00

CGM/Part

ners –

(Lapfund/

Laptrust/A

fyaPwani)

Conduct Training Need Assessment (TNA) X X

210,000.00 Partners –

Intrahealth

Conduct HRH Audit for 5 days for 10 participants X X 151,000.00 CGM/part

91


funds ners

Conduct HRH Supervision X X X X 342,000.00 CGM/partners

Training of staff on Senior management and supervisory skills

X X X X

5,200,000.00

CGM

IHRM training to earn CPD points 13 staff

X 910,000.00 CGM

Facilitation for IHRM membership and subscriptions for HR staff 13 staff

X 78,000.00 CGM/Partn

ers

Training levy for all staff (NITA) for 1,800 staff. X 1,080,000.00 CGM/Partn

ers

Shared

inter

county best

HR

practices

Hosting of Inter County HRH TWG and HRH

Stakeholders

X 450,000.00 CGM/Partn

ers

Review HRH Policies and guideline. X

210,000.00

CGM

Conduct County Quarterly HRH TWG meetings and

production of Quarterly HRH information

dashboard

X X X X

30,000.00

CGM/Partn

ers

Participation in the inter County HRH TWG and

HRH Stakeholders

X X X

567,600.00

CGM/Partn

ers

Conduct HRIS data cleaning, update and digitization

of staff records for 5 days

X X X X

390,000.00

CGM/Partn

ers

92


funds

Dissemination of policies and guidelines (PAS, OSH)

X X X X

189,600.00

CGM/Partn

ers

Sub-Programme 1: Total 2,452,871,832.00

Sub-Program 2: Construction and Maintenance of Buildings --- ………..SEE ANNEX 1

Improved

hospital

infrastructur

e

Sub-Program 2 Total 1,049,000,000


Sub-Programme 3: Procurement of medicine, medical and other supplies

Availability

of Health

Products

and

technologies

in all

Facilities

Conduct annual forecasting and quantification X 692,000 CGM/PAR

TNERS

Procurement of health products and Technologies X X X X 380,571,092 CGM/PAR

TNERS

Monthly monitoring of tracer commodities X X X X 516,000 CGM/PAR

TNERS

Adherence

to Policies

and

Guidelines

for Health

Products

Conduct re-distribution of commodities

X X X X 288,000 CGM/PAR

TNERS

implementation of county formulary X X X X 1,125,000 CGM/PAR

TNERS

Train 60 health workers on commodity management

for 5

X X 1,020,000 CGM/PAR

TNERS

93


funds

and

Technologie

s’ us

Conduct quarterly commodity data review meetings X X X X 640,000 CGM/PAR

TNERS

Quarterly commodity security technical working

group Meetings

X X X X 240,000 CGM/PAR

TNERS

Carry out annual disposal of expired unusable

damaged health commodities

X 330,000 County


Sub Program 4: Procurement and Maintenance of Medical and Other Equipment

Generator maintenance-CHW X X X X 350,000 CGM

Maintenance of motor vehicles and motor bicycles X X X X 250,000 CGM

Procurement of Computer and maintenance. X 260,000 CGM

1Printer, cartridges and maintenance X X X X 175,000 CGM

Procurement of Anthropometric equipment X X X X 420,000 County/UN

ICEF

3 Autoclave machines for Chaani, Magongo & Bokole X X X X 180,000 County/Par

tner

7 Removal set equipment X X X X 70,000 County/Par

tner

10 Delivery trays for Bokole, X X X X 250,000 County/Par

tner

7Stitching set for Bokole X 98,000 County/Par

tner

2 Delivery Coach-CHW X 200,000 County/part

ner

Procurement of medical equipment’s weighing Scales-

LIK

X X X X 1200,000 County/part

ner

94


funds

Procurement of medical equipment’s BP machines -

LIK

X X 100,000 County/part

ner

Procurement of medical equipment’s oxygen

concentrators -LIK

X 300,000 County/part

ner

Procurement of medical thermometers, -LIK X X 50,000 County/part

ner

Procurement of medical equipment’s stitching trays-

LIK

X X 100,000 County/part

ner

Maintenance of medical equipment’s X X X X 800,000 County/part

ner

Procure office furniture X X X X 145,000 County

CG/PART

NER

Routine maintenance of motor vehicle 100,000 County/Par

tner

Procurement of fuel and lubricants X X X X 400,000 County/Par

tner

Preventive maintenance of kepi equipment’s X 180,000 County/Par

tner

Ferry charges-LIK X 40,000 County/Par

tner

Procurement of 8 laptops-KIS X 400,000 County/part

ner

Procurement of 2 printers-KIS X 80,000 County/part

ner

Procurement of 1 photocopy machine X 75,000 County/part

ner

Procurement of PAS X 100,000 County/part

ner

Purchase of office equipment and furniture X 200,000 County/part

95


funds

ner

Purchase of stationeries X X X X 50,000 County/part

ner

Purchase of 2 4WD Utility vehicle for Likoni Sub-

County and CHMT

X 11,000,000 THs/UCP

Procure 2 Microscopes for Maunguja and

Mwakirunge

X 300,000 County/part

ner

Procure medical equipment for Jomvu Sub county X X X X 2,260,000 County/part

ner

Procure medical equipment and other supplies X X X X 42,824,700

County/part

ner

Purchase theater equipment X X X X 2,528,000

CGM

Conduct medical camps for various departments

(surgery, pediatrics, neuro etc.)

X X X X 2,500,000 CGM

Purchase medical equipment for specialized services X X X X 66,356,000.00 CGM

Procure Mortuary equipment X X X X 930,000.00 CGM/partn

ers

Procure radiology equipment X X X X 33,900,000.00

Sub-Programme : Total 170,171,700.00

Sub-Programme 5: Management and coordination of health services

Establishment of hospital management board x 438,000 CGM

Induction of health facilities boards x 556,500 CGM

Facilitation of posting of service delivery charters in

10 Health Facilities

X X X x 100,000 CGM

Support supervision and Inspection

Mvitaa, Likoni, Changamwe /jomvu and

Kisauni/Nyali

X X x x 3,200,000 CGM

Staff Award and Recognition x 400,000.00 CGM

96


funds

Mvita .changamwe, kisauni, Likoni

Procurement of stationery

LIKONI ,MVITA CHANG AND KISAUNI

X X

X

X X 639,680 CGM

Others-

coordination

Facility incharges meeting. Mvita, changamwe kisauni

and likoni

X X

X

X X 600,000 CGM

Hold biannual stakeholders meeting

Mvita, Changamwe, KisauniAND likoni

X X 320,000.00 CGM

Sensitization of VMGs on Grievance Redress

mechanism


ers

Dialogue meeting on reproductive health with Wafrere X X X X 150000 THS UCP

Sensitization of nyumba kumi ambassadors on VMGs X 200000 CGM/Partn

ers

Targeted Medical outreach at Frere town X X X X 200000 CGM

Conduct sensitization by GRM focal persons in 40

Public Health facilities on complaint management

X X X X 392000 THS UCP

Identify and Sensitize all GRM focal person on

grievance handling mechanisms


Conduct sensitization by GRM focal persons in 40

Public Health Facilities on complaint management


Conduct quarterly review meetings on Complaint

management



97

Sub-Program 6: Health Policy Planning, Health Information, M&E

Staffing HIRING 9 HRIO(DIP) X 9,055,718.19 CGM

Capacity building of Health care providers on ICD 10 X X 6,960,000 PARTNER

S/MCG/M

OH

Capacity building of health care workers on

HMIS/M&E tools

X X 2,040,000 THs

Facility quarterly data review meetings

Mvita , changamwe , kisauni and Likoni

X X

X

X X 808,000.00 CGM

Capacity building in health informatics/analytics for

30 officers

X X X X 2,000,000 PARTNER

S/CGM

Capacity building on Senior Management Course for 5

HRIOs

X X X 600,000 CGM

Purchase /procure HMIS registers X X X X 4,140,000 MCG

Commoditie

s

Purchase /procure mother child booklets X X X X 21,777,300 MCG

Distribution of HMIS tools to health facilities

Lunches: 2 officer x1500 X 4 qrtrs x 3 Days = 36,000

Driver: Lunches 1*750*4 qrtrs *3=9,000

Fuel: 20ltrs x 100 x3x4 qrtrs = 24,000

X X X X 69,000 THS UCP

Purchase /procure maternity files and booklets, X X X X 29,200,000 MCG/fif

Coordination of customization of health committee

policy process

X X 1,500,000 Partner/MC

G

Policies

adopted/Imp

lementation

Coordination of customization of M&E Framework

policy process


G

Coordination of customization of referral strategy

policy process


G

Coordination of customization of Reproductive health X X 1,500,000 Partner/MC

98

policy process G

Conduct policy validations process X X X 500,000 Partner/MC

G

PBB development & SWG Review-25 officers x5days

x 11200=1,400,000

Transport 2000*25* 2=100,000

X 1,500,000 Partner/MC

G

PBB coaching and mentorship for X 262,500 Partner/CG

M

Strategies Conduct county health strategic and investment plan

review

X X 500,000 Partner/MC

G

Publish M and E Bulletin X X X X 160,000 THS UCP

M and E TWG meeting

Conference package for 30PX@2500x4

Transport 30PX@1000x4= 120,000

X X X X 420,000 County and

Partners

Conduct quarterly Stakeholders Forum

Conference package for 50PX@2500

Transport 30PX@1000 x4= 120,000

X X X X 620,000 County and

Partners

AWP County consolidation by CHMT for 4 days.

Transport 20 officer X 1000 x 4 = 80,000

Conference package = 2500 x 20 x 4 = 200,000

Total = 280,000

X 280,000 THS UCP

Sub-counties AWP development

Lunch = 6sc*1000*30*4 days = 720,000

Transport = 6*1000*30*4 =720,000

Total= 1,440,000

X 1,440,000 THS UCP

Conduct AWP Validation meeting X 140,000 County

Strengthene

d

Conduct County

Quarterly service delivery Performance review and


er

99

coordination

and

evidence

based

information

report dissemination (AWP)

Conference pkg = 50 x2500 X 3 Days x 4qrtrs=

1,500,000

Transport = 50 x1000 x 3ays x4qtrs = 600,000

Total = 2,100,000

Conduct Sub-County Quarterly Performance review

and report dissemination (AWP)

(Integrated Data review

X X X X 3,600,000

Partner/

MCG

APR

Developed

Development of Annual Performance Report

DSA for CHMT = 15 x 11,200 x 5 days X1 = 840,000

Transport =15 X 1000 X 2 = 30,000

Sub-counties

Conference Package:6*5*30*1*2500=2,250,000

Transport:6*5*30*1*1000=900,000

Printing:30*100=3000

Total = 4,023,000

X X 4,023,000

THS UCP

Improved

data

collection

and

reporting

Conduct Quarterly MNCAH DQA to 15 facilities per

quarter.

Fuel=20 ltrs 100x10days x4 qtrs = 80,000

Lunch= 7 officers x10 days x1500 x4 qtrs = 420,000

Total = 500,000


Conduct HIV/TB Training to Health care workers for

5 days.

X X X X 930,000 Global

fund

Conduct HIV Quarterly DQA to 20 facilities per

quarter

X X X X 500,000 GLOBAL

FUND

Conduct quarterly data review at S/county level to

review performance

X X X X 1,184,000.00

CGM

100

Conduct malaria Quarterly DQA to 20 facilities per

quarter.

X X X X 500,000 GLOBAL

FUND

Monthly Facility Data reviews at Sub-county. X X X X 8,580,000 Partners/C

GM

Quarterly review meeting for HIV and TB programs. X X X X 590,000 Afya

Pwani

Conduct Quarterly Sub county CHS Support

supervision to CHEW by 5 SCHMT members

(SCRHC, SCCHFSP, SCPHN, SCPHO, SCMOH,

SCPHO

X X X X 422,000 CGM/Partn

ers

Conduct Quarterly County CHS Support supervision

to CHEW by 8 CHMT members

(CRHC, CCHFSP, CNO, CPHO, M&E, CPHO,

CHRIO)

X X X X 1,946,000 CGM/Patrn

ers

Conduct County Data Quality Audit

For 44 Community Health Units


ers

Purchase Data bundles for data entry in the DHIS @

sub-counties.

6*3,000*12=216,000

Total = 216,000


Procure 8 Laptops for HRIO@120,000 Per laptop X

X

960,000 THS/UCP

Procure 5 HP printers for CHRIOs, SCHRIO X 300,000 CGM

Conduct quarterly Support supervision and market

survey by the Project Accountant, procurement

officer, internal auditor and one sub county and 1

county officer (10 days per quarter)

COUNTY OFFICER/Sub county officer

Lunch = 1500 x 4 x 10 x 1= 60,000

4 (accountant, procurement officer, internal audit and


101

Sub county officer)

Lunch = 4 x 1000x 4x 10 = 160,000

Fuel = 100 x 10days x 10 ltrs x 4 = 40,000

Drivers lunch = 750 x 10 x 4x 1= 30,000

Total = 290,000

Sub Program 6: Total 122,415,518.19

Sub program 7: Health Care financing

Sensitization of financial processes and procedures

training Quarterly

X X X X 600,000 CGM

Financial management training biannually for health

workers

X X 450,000 CGM

Sub program 7: Total 1,050,000

Program 3: Total 4,189,864,322.19

102

4.1 Budget Summary by Programme and Sub-Programme

Programme Sub-programme Total budget

1

Curative and

rehabilitative health

services

Primary facility services 55,326,500.00

Hospital services 1,596,942,642.00

COVID 19 budget (1,200,000,000.00)

4

Special Program

Reproductive maternal neonatal child health (RMNCH)

services 26,965,976.00

Gender Based violence and Adolescent health Services 21,41,300.00

Immunization services 18,198,950.00

HIV control interventions 7,694,000.00

TB control interventions 34,508,200.00

Malaria control interventions 8,540,640.00

Alcohol and drug abuse 10,771,072

THs Coordination Program

2 Preventive and

promotive health

services

Neglected tropical diseases control 0

Non-communicable disease control 16,436,160.00

Environmental health, water and sanitation interventions 189,209,700

School health interventions 11,691,300

Community health – Level I interventions 103,713,000

Disease surveillance and control 13,921,210.00

Nutrition services 34,998,000.00

103

Quality Improvement 3,430,400.00

Health Promotion Program 10,000,000.00

3 General administration,

planning, management

support and

coordination

Health workers and human resource management 2,452,871,832.00

Construction and maintenance of buildings 1,049,000,000

Procurement of medicines, medical and other supplies 385,422,092

Procurement and maintenance of medical and other equipment 174,171,700

Management and coordination of health services 8,933,180.00

Health Sector Planning, Health Information monitoring and

evaluation

122,079,518.19

Health Care financing 1,050,000

GRAND TOTAL 6,3,876,072.19

4.2 Budget Summary by Program Area and Source of Funds

104

Source of funds Budget distribution

Curative and

rehabilitative

health services

Preventive and

promotive health

services

General

administration,

planning, management

support and

coordination

Total

Public

sources

County government 0 0 0 2,657,038,004

Central government

(conditional grants)

0 0 0 388,439,306

User fees 0 0 0 550,000,000

Constituency development

fund

0 0 0 0

Compensation for user fee for

gone

0 0 0 23,385,894

Developme

nt partners

Africa Development Bank 0 0 0 0

Clinton Foundation 0 0 0 0

Danish Government

(DANIDA)

24,562,500 0 0 24,562,500

UK Government (DfID) 0 0 0 0

European Commission 0 0 0 0

German Government (GIZ) 0 0 0 0

Italian Government 0 0 0 0

Japanese Government (JICA) 0 0 0 0

Netherlands Government 0 0 0 0

UN agency (UNAIDS) 0 0 0 0

UN agency (UNFPA) 0 0 0 0

UN agency (UNICEF) 0 0 0 0

UN agency (World Bank –

WB)

0 11,618,038 14,082,000 25,700,038

UN agency (WHO) 0 0 0 0

US Government

(USAID/APHIA)

0 0 0 0

105

SEE ALSO ANNEX: 3 FOR PBB

Other (specify) 0 0 0 0

Community/

NGO

NGO/CSO (specify) 0 0 0 0

Kenya Episcopal Conference

(KEC)

0 0 0 0

Christian Health Association

of Kenya (CHAK)

0 0 0 0

Supreme Council of Kenya

Muslims (SUPKEM)

0 0 0 0

KANCO 0 0 0 4,100,000

Afya Pwani 0 0 0 83,410,493

DSW 0 0 0 3,600,662

WOFAK 0 0 0 11,291,750

OPTIONS kenya 0 0 0 3,658,800

Total 24,562,500 0 0 3,775,187,447

106

ANNEX 1: annual development plan 2020/2021

CAPITAL PROJECTS FOR 2020/2021

Project Name Location/

Ward Objective

Output/

Outcom

e

Performan

ce

Indicators

Time Frame

(Start- End)

Implementi

ng Agencies Cost (Kshs)

Construction of 50 bed private

wing and Doctors plaza at Coast General Teaching & Referral

Hospital (CGTRH)

Mvita/Tononoka

Create inpatients

for clients from

the cooperate and Senior Civil

Servants

Number of corporate

clients and

civil servants

Completer

certificate

July 2018 – December

2022 PPP 200M

Rehabilitation of MAT Centre at

Female Rehabilitation Center

(CGTRH)

Mvita/Tononoka

To improve

specialized

services

improved

infrastructure

number of MAT

cases

July 2020 – June 2021 National 30M

Construction of perimeter wall at Mvita Health Center and

Kaderbouy Health Center

Mvita/Majengo/Old Town

Improve security at the facility

Reduce incidences of

theft and

trespass

No cases

July 2020 – June 2021

CGM/PPP 1.5M

Rehabilitation of sewerage and

Drainage for storm water at Mvita Health Center

Mvita/Majengo Eradicate stench

emanating from the sewage

system and the

drainage for storm water

Fresh air, No

stagnant surface water

Clean

environment

July 2020 – June 2021

CGM/PPP 1.5 M

Rehabilitation of Civil Servants and

Specialized Clinics at Kaderbouy

Health Center

Mvita/Old Town

To improve specialized

services

improved

infrastructure

number of

specialized cases

July 2020 – June 2021

CGM/PPP

10 M

Painting works at Tudor SCH,

Mvita Health Center and Kaderbouy Health Center

Mvita/Majengo/Old

Town

improve

infrastructure

improved

infrastructure

number of

facilities painted

July 2020 – June 2021 July 2020 – June

2021

6 M

Cabro works at Tudor SCH Mvita/Majengo improve work

environment

improved

infrastructure cabro in place July 2020 – June 2021

July 2020 – June

2021 1.5 M

107

Repair leaking roof at Ganjoni Disp Mvita To provide a

conducive working

envornment for

staff

Improved

staff

performance Repaired roof

July 2020 – June 2022

CGM 4.0m

Repair leaking roof at Mwembe Tayari Disp

Mvita To provide a conducive

working

envornment for staff

Improved

staff performance Repaired roof

July 2020 – June 2021

CGM 1.6m

Refurbish laboratory at Mwembe

Tayari Disp

Mvita

To increase

capacity of laboratory

services

Improved

health status

due to correct

diagnosis

Refurbished

laboratory

July 2020 – June 2021

CGM 2.8m

Rehabilitation of drainage system

at Railway Disp

Mvita

To ensure

functional drainage system

Reduced

environment polution due

to blocked

drainage system

Functional drainage system

July 2020 – June 2022

CGM 3.5m

Roofing and repar of cracked walls

at Railway Disp

Mvita To provide a

conducive and

safe working environment for

staff

Improved staff

performance

Repaired roof

and wall

July 2020 – June 2022

CGM 3.8m

Repair of septic tank and roof at

Kingorani Dispensary

Mvita

To provide a conducive

working

envornment for staff

Improved

staff performance

and reduced

environment polution

Functional septic

tank and repaired roof

July 2020 – June 2021

CGM 4.0m

Painting works at Kingorani

Dispensary

Mvita To protect the

wall from

weather destruction

Prolonged

building lifespan Painted buidling

July 2020 – June 2021

CGM 1.8m

Construction of 2 bungalows staff

houses -4 bed-sitters and 2 ;two-

bedrooms at Marimani SCH

Kisauni/Mwakirunge

imrove staff

housing

imroved staff

housing

number of staff

houses

July 2020 – June 2021

CGM/PPP

15M

Construction of waiting bay at

Shimo Annex Disp

Kisauni/Nyali

To provide

shelter for clients and improve on

client flow

Improved

service uptake in the

facility

Constructed

waiting bay

July 2020 – June 2021

CGM 2.5m

108

Procure, equip and install container

for storage and dispensing at Shimo Annex Disp

Kisauni/Nyali

To ensure proper storage of

equipments

Container procured and

installed

Installed

container

July 2020 – June 2022

CGM 6.om

Renovation of Maternity Unit at

Shimo Annex Disp

Kisauni/Nyali

To improve the status of the

maternity unit

Increased

utilization of maternity

unit

Renovated

maternity unit

July 2020 – June 2022

CGM 3.8m

Construction of Theatre at Viwatani SCH

Kisauni/Nyali To improve the

capacity of service delivery

in satelite

facilities

Reduced

mortality

cases

Constructed

theatre

July 2020 – June 2023

CGM 5.0m

Construction of perimeter wall at Maunguja Dispensary

Kisauni/Nyali

To ensure safety

of staff and provide privacy

for clients

Reduced cases of

bugglery and

increased service

uptake

Constructed

perimeter wall

July 2020 – June 2023

CGM 5.4m

Borehole drilling at Maunguja

Dispensary

Kisauni/Nyali

To ensure continuos

availability of

utility water

Borehole

drilled Drilled borehole

July 2020 – June 2021

CGM 3.2m

Setting up a waiting bay at Maunguja Dispensary

Kisauni/Nyali

To provide shelter for clients

and improve on

client flow

Improved service

uptake in the

facility

Constructed

waiting bay

July 2020 – June 2021

CGM 2.8m

Painting works Maunguja Disp Kisauni/Nyali

To protect the

wall from

weather destruction

Prolonged


July 2020 – June 2021

CGM 2.2m

Rehabilitation of staff houses at

Mwakirunge Dispensary

Kisauni/Nyali

Improve status of

staff houses at the dispensary

Timely

response to

emergency cases

Refurbished staff house

July 2020 – June 2023

CGM 7.96m

Setting up a waiting bay at

Mwakirunge Disp

Kisauni/Nyali

To provide

shelter for clients and improve on

client flow

Improved

service uptake in the

facility

Constructed

waiting bay

July 2020 – June 2022

CGM 2.8m

109

Construct Laboratory at

Mwakirunge Disp

Kisauni/Nyali

To increase

capacity of laboratory

services

Improved

health status

due to correct

diagnosis

Refurbished

laboratory

July 2020 – June 2023

CGM 3.8m

Painting works at Mwakirunge

Disp

Kisauni/Nyali

To protect the

wall from weather

destruction

Prolonged building

lifespan Painted buidling

July 2020 – June 2021

CGM 2.2m

Construction of waiting bay at Junda Dispensary

Kisauni/Nyali

To provide shelter for clients

and improve on

client flow

Improved service

uptake in the

facility

Constructed

waiting bay

July 2020 – June 2022

CGM 2.8m

Borehole drilling at Junda Dispensary

Kisauni/Nyali

To ensure continuos

availability of

utility water

Borehole


July 2020 – June 2021

CGM 3.4m

Construction of Maternity Unit at

Kongowea HC

Nyali/Kongowea Increase access

to maternity services

mothers seeking

maternity

services

Number of

deliveries July 2020 – June 2021

CGM 30 M

Construction of perimeter wall and painting at Mlaleo Health Center

and Kongowea Health Center

Kisauni/Nyali improve security

and work

environment

Reduce

incidences of theft and

trespass

No cases July 2020 – June 2021 CGM/PPP 10 M

Construction of perimeter wall at

Kisauni Disp

Kisauni/Nyali improve security

and work

environment


theft and

trespass


Construction of model dispensary

at Utange Dispensary

Kisauni/Nyali To establish a

comprehensive service delivery

facility in the

community

Increased

service delivery

uptake

Constructed

Model fcility July 2020 – June 2022

CGM 4m

Replace asbestos roofing at Bamburi Disp

Kisauni/Nyali To reduce exposure to

poisonous

affluent from asbestos roof

Improved health status

due to

correct diagnosis

Replaced roofing material

July 2020 – June 2023

CGM 3.8m

110

Renovate maternity Unit at

Bamburi Disp

Kisauni/Nyali

To improve the

status of the

maternity unit

Increased utilization of

maternity

unit

Renovated

maternity unit

July 2020 – June 2022

CGM 4m

Increase size of perimeter wall at Bamburi Disp

Kisauni/Nyali

To ensure safety


for clients

Reduced cases of

bugglery and

increased service

uptake

Constructed

perimeter wall

July 2020 – June 2023

CGM 4m

Place a prefabricated container at

the facility with a room for TB clinic and a store at Bamburi Disp

Kisauni/Nyali To provide

adequate working space in

the facility

Container

procured and

installed

Installed

fabricated container July 2020 – June 2022

CGM/PPP 3.8m

Painting works at Bamburi Disp Kisauni/Nyali To protect the

wall from

weather destruction

Prolonged


July 2020 – June 2021

CGM 2.2m


Maweni Dispensary

Kisauni/Nyali

To ensure safety of staff and

provide privacy

for clients

Reduced

cases of

bugglery and increased

service

uptake

Constructed

perimeter wall

July 2020 – June 2022

CGM/PPP 5.0m

Roofing at Maweni Disp Kisauni/Nyali To provide a

conducive

working envornment for

staff

Improved

staff

performance

Constructed roof

July 2020 – June 2021

CGM 4.0m

Construction of perimeter wall and

painting at Bokole and Jomvu Model Health Centers

Changamwe/Jomvu

improve security

and work environment


theft and

trespass


purchase Medical waste vehcle all improve medical

waste disposal

improved

medical

waste management/

dispasal

utilization of

PRSC micro

wave July 2020 – June 2021

MCG 7M

Paint works at Miritini CDF Health

Center

Changamwe/Jomvu

improve infrastructure

infrastructure improved

painting done July 2020 – June 2021 CGM/PPP 2 M

111

Drainage for storm water at Jomvu

Model HC

Changamwe/Jomvu Open up

channels to drain

storm water during storm

water during the

rainy season

Drainage channels

No stagnant

water & floods in

the facility

July 2020 – June 2021

Dept of

infrastructure and

public works/PPP

3 M

Roofing at Jomvu Model HC Changamwe/Jomvu

improve infrastructure

infrastructure improved

new roofing done July 2020 – June 2022 CGM/PPP 5 m

Construction of integrated

maternity and NBU at Port Reitz Hosp.

Changamwe/Jomvu

Increase access

to maternity services

Increase the

number of people

seeking

maternity services

Number of

Deliveries and CS / section

July 2020 – June 2021

MS - PPP (50%)

50M

Construction of Perimeter wall and

Painting at Port Reitz SCH

Changamwe/Jomvu improve security

and work

environment


theft and

trespass


Removal of asbestos and re-roofing

at Port Reitz SCH

Changamwe/Jomvu

improve work

environment

reduced

exposure

risks to

asbestoe

new roofing

done

July 2020 – June 2021

CGM

30 M

Construction of Accident and

Emergency Unit at Port Reitz SCH

Changamwe/Jomvu Improve access to emergency

services

improved

infrastructure

new accident and

emergency unit July 2020 – June 2021

CGM

5 M

Cabro works at Port Reitz SCH Changamwe/Jomvu

improve work

environment

imroved

environment cabro in place July 2020 – June 2021

CGM

5 M

Construction of Theatre at Chaani

SCH

Changamwe/Jomvu Increase access

to quality of

health care services

reduced referrals to

CGTRH

number of C/s July 2020 – June 2021

CGM

Conditional grand

expantion of maternity and

consultation rooms at Miritini CDF

HC

Changamwe/Jomvu Increase access

to quality of health care

services

reduced

referrals to

PRSCH

number of deliveries

July 2020 – June 2021

CGM

5 M

Construction of perimeter wall at Mikindani MCM Disp

Changamwe/Jomvu

improve security

and work

environment


theft and

trespass

No cases July 2020 – June 2021

CGM/PPP

3 M

112

Roofing for out-patient and

maternity unit at Mikindani Disp

Changamwe/Jomvu

Improve

infrastructure

improved

infrastructure new roofing done July 2020 – June 2021 CGM 4.0m

Borehole drilling at Mikindani Disp Changamwe/Jomvu To ensure

continuos availability of

utility water

Borehole


July 2020 – June 2022 CGM 3.2m

Rehabilitation of drainage system,

plumbing works and incinerator at Mikindani Disp

Changamwe/Jomvu To ensure

functional drainage system

and safe disposal

of waste

Constructed

drainage

system and incinerator

Functional

drainage system

and constructed incinerator


Painting works at Mikindani Disp Changamwe/Jomvu To protect the

wall from weather

destruction

Prolonged building

lifespan Painted buidling


Demolish and Construction of model dispensary at Miritini MCM

Disp with perimeter wall

Changamwe/Jomvu To establish a comprehensive

service delivery

facility in the community

Increased service

delivery

uptake

Constructed Model fcility


Replace asbestos roofing at Miritini MCM Disp

Changamwe/Jomvu To reduce exposure to

poisonous

affluent from asbestos roof

Improved health status

due to

correct diagnosis

Replaced roofing material



Miritini MCM Disp

Changamwe/Jomvu

To ensure safety

of staff and

provide privacy

for clients

Reduced

cases of

bugglery and

increased

service

uptake

Constructed

perimeter wall


Construction of perimeter wall at Jomvu Kuu Disp

Changamwe/Jomvu

To ensure safety


for clients

Reduced cases of

bugglery and

increased service

uptake

Constructed

perimeter wall

July 2020 – June 2022 CGM/PPP 6.5m

Borehole drilling at Jomvu Kuu

Disp

Changamwe/Jomvu To ensure continuos

availability of

utility water

Borehole



113

Construction of incinerator at

Jomvu Kuu Disp

Changamwe/Jomvu To ensure safe

waste disposal of medical waste

material

Incinerator constructed

Constructed incinerator


Completion of Shika Adabu S. C.

Hospital

Likoni/Shika Adabu

Increase access

of health care services to

people of Likoni

Improve

status of health of the

people

Complete of the project

July 2020 – June 2021 Consultant - Dept. of infrastructure

and Public Works

17m

Perimeter wall at Mtongwe S. C.

Hospital

Likoni/Mtongwe

Improve security

at the facility

Secured

facility July 2020 – June 2021

Dept. of infrastructure and

Public Works

Construction of Perimeter wall and Painting at Likoni SCH

Likoni improve security

and work

environment


theft and

trespass


CGM/PPP

5 M

Roofing at Likoni SCH Likoni Increase access of health care services

improve infrastructure new foofing done

July 2020 – June 2022

CGM/PPP 5 M

Construction of Accident and Emergency Unit at Likoni SCH

Likoni

Improve access

to emergency

services

improved infrastructure

new accident and emergency unit

July 2020 – June 2021

CGM 5 M

Cabro works at Likoni SCH Likoni improve work

environment

imroved

environment cabro in place July 2020 – June 2021

CGM/PPP 3 M

Construction of Perimeter wall and Painting at Mbuta Health Center

Likoni improve security

and work

environment

Reduce

incidences of theft and

trespass


CGM/PPP 7 M

Water connection/Borehole drilling

at Mbuta Health Center

Likoni

increase facility safe water

increased

access safe water borehole in place

July 2020 – June 2021

CGM/PPP 1.5 M

……………………………………

…………………………………………………………………………

……………………………………

……………………………………

Kisauni,Likoni,Mvita

&CHMT

support

supervision

strengthened

governanace

number of

support

supervision July 2020 – June 2022

MCG 22M

114

……………………………………

……………………………….

……………..

Furnish and placement of MAT dispensing at LIKONI(2)

LIKONI Increase MAT Dispensing

stations to

Decongest Kisauni Mat

Clinic

Decongest Kisauni

MAT clinic

Number of MAT cases

July 2019 – June 2020

MCG 2.5M

Human resource recruitment and

promotions

county

to improve

quality service

delivery

imroved quality of

service

delivery

number of health care workers

recruited/promot

ed

July 2019 – June 2021

MCG

30 M

Cabro works at Mrima SCH Likoni

to improve

facility

environment

environment

improved cabro in place

July 2020 – June 2022

CGM/PPP 10 M

Increase size of perimeter wall at Mrima SCH

Likoni

to improve facility security

security improved

perimeter wall done

July 2020 – June 2022

CGM/PPP 7 M

Construction of HDU and NBU at

Mrima SCH

Likoni

to improve

maternaal neonatal health

reduced

maternal

/perinatal deaths HDU/NBU unit

July 2020 – June 2022

CGM/PPP 15M

Renovation of health information

resource centre

PHD -MVITA

IMPROVE

ACCES TO

INFORMATION

TIMELY

INFORMAT

ION SHARED

NUMBER OF HCP

ACCESSING

UPDATES

July 2020 – June 2022

CGM 10 M

Construction and installation of cathlab at CGTRH

Mvita/Tononoka IMPROVE SPECIALIZED

SERVICES

REDUCED

MORT

MOU signed

CGM

100M

Procure Utility vehicles (Port Reitz

SCH, Likoni SCH, Mrima SCH & Tudor SCH) and one 14-seater for

CHMT

Improved

transportation

reduced

transport

turn arround time

number of

hospital utility

vehcles

July 2020 – June 2022 CGM 15 M

115

Radiotherapy Bunker at CPGH Mvita/Tononoka improve quality

of specialised

services

specialized

services

improved

june

2Radiotherapy banker in place

July 2019 – June 2020 CGM/National GK

200M

Infectious Disease center at current

railway Dispensary

Mvita/Tononoka improve quality infectious

services

infectious

specialized

services improved

infectious centre in place

July 2020 – June 2022 CGM 10 M

Establishment of Emergency

Ambulance VHF System (using

inspectorate system)

MVITA

improve referral services

referral

servises improved

EEA VHF system in place

July 2020 – June 2021

CGM 10M

TOTAL

1,049,000,000

Staff will need to be recruited for the following areas:

Cathlab at CGTRH

Radiotherapy Department at CGTRH

Civil Servants and Specialized Clinics at Kaderbouy Health Center

Maternity Unit at Kongowea HC

Accident and Emergency Unit at Port Reitz SCH and Likoni SCH

116

Annex 2: Laboratory Commodities for Health centres and dispensaries

S/N Item Description Unit Quantity Unit Cost Total Cost

1. Stool container with spoons Pcs 4000 35 140,000

2. Urine containers (Plastic Screw Capped) Pcs 4000 15 60,000

3. Pregnancy Test Strips 50s Per Box 200 1000 200,000

4. VDRL Strips 50s Per Box 200 1500 300,000

5. Haemoglobin Cuvettes Kit 200 2000 400,000

6. Anti A Solution 10ml bottle 200 500 100,000

7. Anti B solution 10ml bottle 200 500 100,000

8. Anti D solution 10ml bottle 200 1000 200,000

9. Urinalysis Strips 3 pairs 200 1000 200,000

1,700,000

117

Annex 3: PBB 2020/21-2022/23

. Summary of Expenditure by Programmes (Kshs.)

PROGRAMME Estimates

2020/2021

Projected Estimates

2021/2022 2021/2023

P1 General Administration,

Planning and Support Services

2,605,408,096

3,088,381,075

2,691,547,566

P2 Preventive and Promotive Health

services

200,875,500 226,471,850

249,119,035

P3 Curative and Rehabilitative

services 625,492,884 686,077,849 710,341,935

P4 Special Programs

80,256,400 86,632,040 95,295,244

TOTAL 3,512,032,880 4,087,562,814 3,746,303,780

118

F. Summary of Expenditure by Economic Classification (Kshs.)

PROGRAMME estimate

2020/2021

Projected Estimates

2021/2022 2022/2023

P1 General Administration,

Planning and Support

Services

2,605,408,096

3,088,381,075

2,691,547,566

Recurrent Expenditure

2,563,459,860

3,042,238,016

2,649,599,330

Development Expenditure

41,948,236

46,143,059

50,757,365

P2 Preventive and

Promotive Health

services

200,875,500 226,471,850

249,119,035

Recurrent Expenditure 179,380,700 202,827,570

223,110,327 Development Expenditure

21,494,800 23,644,280

26,008,708 P3 Curative and

Rehabilitative services 625,492,884 686,077,849 710,341,935

Recurrent Expenditure 354,427,144 449,774,959 492,810,258

Development Expenditure 271,065,740 236,302,890 217,531,676

P4 Special Programs 80,256,400 86,632,040 95,295,244

Recurrent Expenditure 63,123,400 67,785,740 74,564,314

Development Expenditure 17,133,000 18,846,300 20,730,930

Total for Vote 3,512,032,880 4,087,562,814 3,746,303,780

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