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Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH &...

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Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION
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Page 1: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Dr F.M.KIMANIDIRECTOR FOR MEDICAL

SERVICES

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 2: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Introduction Achievements by ;

◦ Medical services Technical departments◦ Support systems◦ Parastatals

Conclusion and way forward

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 3: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Management support plans were based on core functions and responsibilities at the different levels◦ Provincial level ◦ National level by the divisions, programmes and

departments◦ Parastatals◦ reports shows the support geared towards

delivery of health services in all levels of care (level 1- 6)‘

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 4: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Surgery Medicine Standards and regulatory services Diagnostic and Forensic Technical administration Pharmacy Nursing

Page 5: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Psychosocial and counselling services integrated in health service delivery

Draft standards and guidelines for medical social workers has been developed.

National guidelines on mental health printed and distributed .

Child survival strategy finalised and Launched.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 6: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Hospitals were supplied with X-ray logistics Quarterly supportive supervision done. The Kenya Board of mental health

inspection tours were done. quarterly nutrition bulletin was produced. Paediatric care audit done in four hospitals. Capacity building e.g. Masters in psychiatry;

psychiatry nursing Participation in assessment of nutrition situation

in Kenya.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

.

Page 7: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Service standards and guidelines for orthopedic technology was developed and disseminated

Procurement and distribution of equipment (orthopedic, physiotherapy, occupational, dental divisions)

Supportive supervisory visits midterm evaluation of the National eye care

strategic plan

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 8: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Computers procured for division of orthopedic technology

Provincial quarterly feedback meeting held by orthopedic div..

Trainings ; 27 clinical officers at KMTC as anesthetists; ophthalmic clinical officers and nurses

trained in improved eye care.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 9: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Ten senior officers trained in management skills

Forty four orthopedic technologists were trained in management of club foot.

Fifteen of the planned thirty orthopedic technologist were recruited.

A disability survey was done

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 10: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Finalized the nursing strategic plan Final draft of the surgical catalogue done. The nursing policies and standards

guidelines finalized, Draft nursing education policy in place Participated in integrated supportive

supervision 16 nurses trained in peri-operative nursing

and 13 in paediatric nursing. Nursing workforce analysis was done

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 11: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Kenya National Pharmaceutical Policy adopted. Quarterly medicines prices and availability

surveys were conducted National framework for pharmacovigilance and

post-marketing surveillance was drafted 70 newly upgraded district hospitals inducted

into the pull system. 100 rural health facilities in Rift Valley province

prepared for the pull system.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 12: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Essential Medicines Management of Supplies (EMMS) guidelines finalised and distributed.

Quantification exercise conducted and report done

Draft of the Kenya Essential Medicines List was developed and reviewed

91 facility in-charges from Central and Eastern province were trained on the pull system.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 13: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

SOPs for TB and malaria diagnosis were developed and disseminated

All provincial laboratories were enrolled on external quality assurance

Internal quality assurance established in 1000 VCT sites.

Trainings; ◦ on laboratory data tools,◦ 6 laboratory managers trained on quality

assurance.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 14: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

147,690 units of donated blood was screened for use.

Support to maintain and service laboratory equipment was given to the facilities.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 15: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Proposal for accreditation system and for revised KQAM implementation were developed.

A training policy developed and awaits sharing and formal launch.

KQAM master check list and standards for level 2 to 6 were also developed.

A draft e-health strategy developed.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 16: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Inspection of health facilities was carried out jointly with the professional association boards and councils.

Health professional of the year awards successfully held.

country survey on priority issues to inform policy development was done in collaboration with KEMRI.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 17: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Revision of the AOP 5 planning tools planning units trained on the tools and the

planning process, AOP5 developed and launched. Coordination of development and signing of

performance contracts by health managers Draft National referral strategy The revision service charter and

implementation in hospitals development of clinical guidelines

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 18: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Draft KNH Act prepared with guidance from parliamentary counsel

The hospital service charter translated into Kiswahili and posters displayed in all key service delivery areas,

Accident & Emergency unit opened Automation of the stores Phase1of the construction of a boundary fence

along Mbagathi road was completed

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 19: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Training needs assessment done, 1,678 staff were trained in-house on

leadership skills and organizational behaviour.

The hospital code of conduct developed and approved.

KNH scientific conference held on 18th-19th September 2008.

Simulator installed and commissioned for cancer treatment.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 20: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Basic training curricula reviewed 4, 000 competent health professionals

graduated KMTC ISO 9001-2008 Certified 18 short courses conducted targeting

health workers 16 short courses/ seminars for teaching and

non-teaching members of staff in the college.

Computers installed in 27 colleges

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 21: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Financial constraints Competing priorities Inadequate data/information Inadequate logistics Linkage between management support

and service delivery

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 22: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

Missing reports to be submitted Reports to be made for all outputs that had

been planned for (as per the AOP4 Plan) Achievement on management support to be

linked to service delivery Outputs that were not achieved to be re-

planned in AOP6.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

Page 23: Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

MINISTRY OF MEDICAL SERVICES

MINISTRY OF PUBLIC HEALTH & SANITATION

THANK YOU


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