Dr. J. Kisangani, the County Director of Health, Trans-Nzoia County presented county perspectives on health commodity and technology gaps and the impact this has on the county's health indicators.

1. Department of Health Commodity
& Technological Gaps 2018
COUNTY GOVRNMENT OF TRANS NZOIA
January 2018
DR. J. KISIANG’ ANI
CDH

2. Introduction

3. Commodity & Technology Overview
Available Human Resources
Available Infrastructure
Available Commodities and
supplies
Service delivery readiness
Leadership and service
organization readiness
Capacity & readiness
to
provide services
SERVICE
DELIVERY
FOR BETTER
HEALTH
Capacity and
readiness to provide
services

4. TRANS NZOIA COUNTY MAP: AREA = 2,496 KM2
4

5. County Specific Demographic Profile
Population 1,074,362
Population < 15 yrs 505,327
Population < 5 yrs 185,347
Under 1 yr 39,225
WRA 255, 547
Annual projected deliveries 53, 115
Annual projected pregnancies 53, 115
Population per doctor 22, 146
Population per nurse 2, 658

6. COMMODITY & TECHNOLOGY

7. COUNTY HEALTH FACILITIES
Hospitals HC Disp MC Total
KIMININI 3 9 6 16 34
SABOTI 3 4 16 14 37
KWANZA 1 4 12 5 22
ENDEBESS 2 1 11 0 14
CHERANGANY 2 6 10 8 26
Total 11 24 55 43 133
7

8. Mt. Elgon Hospital OPD before renovation

9. Mt. Elgon Hospital before renovation

10. Mt. Elgon Hospital OPD after renovation

11. COMMODITIES

12. Human Resource for Health (HRH )
• At advent of devolution, there was
acute shortage of technical staff – all
cadres
–High staff turn over/staff attrition
without replacement

13. HRH comparisons
S/N Selected Human Resource for
Health
Comparisons
2013 2018
1 Doctors 10 94
2 Nurses 400 529
3 Pharmacists 15 29
4 Clinical Officers 53 70
5 Laboratory
Technologists/Technicians
39 48
6 Public Health
Technologists/Technicians
103 113

14. SERVICE DELIVERY

15. Service delivery objectives
• Service delivery main objective:
– improve Access, efficiency and effective utilization of
available resources.
• Main focus:
• Scale up service provision interventions and implementation of the CHSSP,
as outlined in the sector’s KHSSP and CIDP.
• Build the capacities of planning and implementation & monitoring in all
units.
• Service delivery goal
– Consolidate the implementation of KEPH to
• Reduce deaths by 50%
• Improve /lengthen life expectancy from 62 years to 70+
• Improve life with disability by 25%

16. immunization
16

17. Deliveries 2013 - 2017

18. Service delivery comparisons
S/
N
Selected Indicators Comparisons
2013 2016 2017
1 Deliveries by skilled
attendants (%)
36 58 17
2 Fully immunized child
(%)
54 68 28
3 HIV Prevalence (%) 7.2 4.7 4.5
4 Maternal Deaths (No. of 37 14 0

19. Drugs & other supplies
• Drug and supplies budget
• 2013 was 20 million
• 2016 now 190 million

20. Way forward and Conclusion
• ..Kitale hospital finale.wmv

21. THANKYOU
END