KIRINYAGA DISTRICT

HEALTH PLAN
2007/2008
TABLE OF CONTENTS

Forematter
Foreword
List of Abbreviations
Executive Summary
Section 1: The District Health Service and Capacity Assessment
1.1 Mapping the health services and facilities in the district
1.2 Demographic profile and distribution
1.2.1 District population by service category
1.3 Workload by level of service delivery
1.4 Health facilities (GOK and non-GOK)
1.4.1 Number and type of health facilities in the district
1.5 Access/utilization to health care services both GOK and non GOK
1.5.1 Catchment population per facility
1.6 Human resources
1.6.1 Medical/technical personnel
1.7 Health care financing; Availability and Utilization
Section 2: The district health services analysis
2.1 Key Issue
2.2 Challenges and Constraints
2.3 Priorities
Section 3: Results and targets
3.1 District Consolidated Targets
Section 4 The Work plan
` 4.1Coordination of Service Delivery
4.2 Coordination of Facility Based Management Support Activities
4.3. Management level (DHMT) Support plan
Section 5: the district budget
5.1 District resource envelope
5.2 Budget (DHMT plan)
5.3 Gap/Surplus

2
Foreword:
The Government through the Ministry of Health has developed strategies to be able to realize the Millennium Development
goals and Economic Recovery. These strategies are operational zed through Annual operational plans. The district is currently
implementing AOP2 and has now developed AOP3 to start in July 2007-2008.The DHMT members were introduced to the
objectives and the planning process of AOP3, then to all health facility in-charges both GOK and FBOs in order to be all-
inclusive and increase participation during the implementation. After introduction and training on facility planning, all
facilities were requested to develop plans for AOP3 (2007-2008).
The DHMT members supervised facilities during the planning period in January 2007 and completed plans were forwarded to
the office of the DMOH by mid-February 2007. The plans were consolidated and the draft plan presented to the stakeholders
for ratification early March this year.
I wish to thank all who participated in the development of the AOP3, the DHMT members, all staffs from GOK, FBOs/NGOs,
development partners, DHMB-Kirinyaga and all who made preparation of the plan a success. It is my sincere hope that the
implementation of AOP 3 will go along way in improving the delivery of health services at all levels and more so community
involvement/participation in preventive and promotive health services.

DR. I. M. KIMANI
DISTRICT MEDICAL OFFICER OF HEALTH
KIRINYAGA DISTRICT

3
 List of Abbreviations:
DMOH - District Medical Officer of Health
DPHN - District Public Health Nurse
DPHO - District Health Officer
DASCO - District Aids
DCO - District Clinical Officer
DNO - District Nutrition Officer
DMLT - District Medical Laboratory Technologist
DHAO - District Health Administrative Officer
DHRIO - District Health Records Information Officer
DHMT - District Health Management Team
DDSC - District Disease Surveillance Coordinator
PLWA - People Living With Aids
VHC - Village Health Committee
VCT - Voluntary Counseling
PMTCT - Prevention of Mother to Child Transmission
CHW - Community Health Worker
GOK - Government of Kenya
EU - European Union
FIF - Facility Improvement Fund
FBO - Faith Based Organization
NGO - Non Governmental Organization
DRH - Division of Reproductive Health
AOP - Annual Operation Plan
CWC - Child Welfare Clinic
KRCHN - Kenya Registered Community Health Nurse
KECHN - Kenya Enrolled Community Health Nurse
PM&E - Planning Monitoring & Evaluation
IPT - Intermittent Patient treatment
ANC - Ante Natal Clinic
FP - Family Planning
OPD - Out patient Department
OP - Out patient
IDS - Integrated Disease Surveillance
h/w - Health worker

4
 SECTION 1

The District Health Service

and Capacity Assessment

5
1.1 KIRINYAGA DISTRICT MAP

6
1.2 DEMOGRAPHIC PROFILE

INTRODUCTION
Kirinyaga District covers a total area of 1, 478 Km2, which is 11.2 percent and 0.3 percent of Central Province and Kenya's total area respectively. The District
being one of the seven Districts in the Central Province borders Nyeri and Murang'a Districts to the west, Mbeere District to the south and Embu District to the
east. The District is located between latitudes 00 10 and 00 400 south and longitude 370 and 380 east.

ADMINISTRATIVE AND POLITICAL AREAS

The District has four (4) divisions namely; Gichugu, Ndia, Mwea and Central. The largest Division is Mwea, which is located to the Southern side while the
smallest Division is Central, which is located almost at the centre of the District

AREA OF THE DISTRICT BY DIVISION

DIVISION AREA (KM²)

Gichugu 292.7
Ndia 276.4
Central 108.5
Mwea 512.8
Forest area 350.7

Total 1478.1
SOURCE: District Development Office
N/B: The area of 350.7 sq. km is made of the forest, which does not specifically fall within any of the Divisions though it could be less with the
indiscriminate felling of the forests indigenous trees with no noticeable replacement at the moment.

The District has 22 locations and 80 sub locations.

Administrative Units by Division

Divisions No. of Locations No. of Sub locations
Gichugu 6 23
Ndia 6 24
Mwea 6 20
Central 4 13
Total 22 80
Source: DISTRICT DEVELOPMENT OFFICE

7
The District has four (4) constituencies namely: Ndia, Gichugu, Mwea and Kerugoya/Kutus. Ndia constituency covers Ndia Division, Gichugu constituency
covers Gichugu Division, and Mwea constituency covers Mwea Division while Kerugoya/Kutus constituency covers Central Division.
The District has 3 local authorities namely: Kerugoya/Kutus Municipality, Sagana Town Council and Kirinyaga County council with a total of 37 elective wards.

1.2.1 District Population by Service category

Description District proportions Eligible population
1 Total catchment’s population 491617
2 Children under 1 year (12 months) 2.76% 13, 569
3 Children under 5 years (60 months) 12% 58, 994
4 Under 15 year population 36.2% 177, 965
5 Women of child bearing age (15 – 49 Years) 26.3% 129, 295
6 Estimated Number of Pregnant Women 2.76% 13, 569
7 Estimated Number of Deliveries 2.76% 13, 569
8 Live Births 2.76% 13, 569
9 Estimated Number of emergency obstetric complications 0.75% 3, 687
10 Estimated Number of Post-Abortion Cases
11 Total number of Adolescent (15-24) 23% 113, 072
12 Adults (25-59) 33.7% 165, 675
13 Elderly (60+) 6.6% 32, 447

1.3 Workload by Level of Service Delivery

Level of Service delivery Total Outpatient Total In Patient Grand
Total
New Revisit Total
Level II (Dispensary) 248, 169 280, 679 528, 848 0 528, 848
Level III ( Health Centre) 101, 187 119, 059 220, 246 1, 557 220, 246
Level IV (District Hospital 52, 354 53, 984 106, 338 12, 047 118, 385
Levels 5 & 6 Referral Hospital 0 0 0 0 0
Total 401, 710 453, 722 855, 432 13, 604 867, 479
Note: Outpatient services include general outpatient and other special outpatient services like MCH, FP, and Counseling etc.

8
1.4 HEALTH FACILITIES (GOK AND NON-GOK)

1.4.1 Number and type of Health Facilities in the district

Number of Providers
GOK FBO NGO Private Total
1 Hospital (Includes District. And No. 2 2 0 1 5
Sub-District Hosp) Centre
Beds & cots 296 160 0 53 509
2 Health Centre No 7 2 0 0 9
Beds 51 24 0 0 75
3 Nursing /Maternity home No 0 0 0 2 2
Bed 0 0 0 38 38
4 Dispensary 37 27 0 0 64
5 Clinic 0 0 0 82 82
6 Hospitals with COs School 0 0 0 0 0
0
7 Hospitals with Nursing School 0 0 0 0 0
8 Private Pharmacies 0 0 38 38
9 Community Pharmacies 0 8 0 8
Sources: District Health Record

9
1.5 ACCESS/UTILIZATION TO HEALTH CARE SERVICES BOTH GOK AND NON GOK

1.5.1 Catchment Populations per Facility

Name of Health Facility Total Total Outpatient Attendance Utilization Rate

Catchment
Population
(a) (b) (c) (d)
= c/d x 100
New Revisit Total
Kerugoya district hospital 22239 49324 28958 78,282 352
1
2 Kimbimbi sub-district hospital 16,673 29,735 11,586 41,321 248
3 ACK Mt. Kenya hospital 1,979 3,001 1,618 4,619 233
4 Mwea Mission hospital 6,347 9,081 10,477 19,558 308
5 Mwea medical centre 2,793 456 60 516 18
6 Sagana H/C 29,236 23,878 38,364 62,242 213
7 Kianyaga H/C 21,532 20,268 30,220 50,488 234
8 Baricho H/C 16,807 9,565 7,234 16,799 100
9 Kabare H/C 17,426 8,376 4,137 12,513 72
10 Difathas H/C 10,572 6,517 3,945 10,462 99
11 Kiamutugu H/C 19,564 17,657 11,827 29,484 151
12 Mutithi H/C 7,985 2,884 8,649 11,533 144
13 Baricho catholic 3,975 1,597 4,791 6,388 161
14 Kianyaga catholic H/C 1,214 630 256 886 73
15 Baragwi maternity 759 211 633 844 111
16 Kagio nursing home 1,869 269 300 569 30
17 Kutus dispensary 3,971 3,128 1,553 4,681 118
18 Ucheru dispensary 5,920 3,700 3,154 6,854 116
19 Mutitu dispensary 3,149 2,454 363 2,817 89
20 Gatwe dispensary 7,855 8,420 9,984 18,404 234
21 Kangaita dispensary 8,072 11,170 6,694 17,864 221
22 Kagumo dispensary 8,425 15,452 4,840 20,292 241
23 Gathambi dispensary 12,512 7,962 7,554 15,516 124
24 Kangaru dispensary 19,920 8,505 25,515 34,020 171
25 Kiaragana dispensary 7,599 3,869 1,946 5,815 77

10
 Name of Health Facility Total Total Outpatient Attendance Utilization Rate
Catchment
Population
(a) (b) (c) (d)
= c/d x 100
26 Kiangai dispensary 8,582 14,394 1,608 16,002 186
27 Kibirigwi dispensary 9,318 7,079 1,767 8,846 95
28 Kianjege dispensary 7,663 4,426 5,698 10,124 132
29 Gatithi dispensary 6,938 4,176 993 5,169 75
30 Kiburu dispensary 4,088 2,289 6,867 9,156 224
31 Gaciongo dispensary 7,411 2,230 3,067 5,297 71
32 Gatugura dispensary 13,444 15,736 6,185 21,921 163
33 Kamweti dispensary 13,526 7,923 15,235 23,158 171
34 Karumande dispensary 10,027 9,599 3,739 13,338 133
35 Kiangombe dispensary 9,099 14,550 9,290 23,840 262
36 Mumbuini dispensary 3,093 837 2,101 2,938 95
37 Kiumbu dispensary 5,507 7,472 3,601 11,073 201
38 Thiba dispensary 10,374 8,262 2,235 10,497 101
39 Wamumu dispensary 5,853 3,751 1,992 5,743 98
40 Gathigiriri dispensary 6,029 12,522 1,712 14,234 236
41 Murinduko dispensary 10,997 10,368 7,512 17,880 163
42 Njegas dispensary 6,776 6,960 6,622 13,582 200
43 Kandongu dispensary 8,489 9,801 6,268 16,069 189
44 Nguka dispensary 9,976 9,448 6,162 15,610 156
45 Ciagini dispensary 5,110 6,652 3,344 9,996 196
46 GK prisons 2,854 1,000 1,122 2,122 74
47 Rukanga dispensary 6,308 8,437 10,420 18,857 299
48 Kajiji dispensary 4,219 3,510 1,816 5,326 126
49 Kiamanyeki dispensary 2,342 4,098 240 4,338 185
50 Kariini dispensary 1,395 200 434 634 45
51 Joshua Mbai 2,000 1,356 300 1,656 83
52 Kangu dispensary 2,000 1,234 453 1,687 84
53 Kerugoya catholic dispensary 1,669 718 1,120 1,838 110
54 Kutus catholic dispensary 3,069 3,625 1,240 4,865 159
55 CCS Kerugoya dispensary 1,669 744 1,150 1,894 113

11
 Name of Health Facility Total Total Outpatient Attendance Utilization Rate
Catchment
Population
(a) (b) (c) (d)
= c/d x 100
56 Kagumo catholic dispensary 5,051 5,900 5,052 10,952 217
57 ACK Thaita dispensary 1,054 37 6 43 4
58 ACK Karaini dispensary 1,174 1,548 252 1,800 153
59 Kagio catholic dispensary 3,124 300 269 569 18
60 Sagana catholic dispensary 7,299 1,310 2,000 3,310 45
61 ACK Mutira dispensary 1,342 403 300 703 52
62 Gatumbi SDA dispensary 1,916 277 612 889 46
63 Jesmond dispensary 1,458 345 954 1,299 89
64 ACK Mbiri dispensary 1,296 1,164 679 1,843 142
65 ACK Githure dispensary 466 236 708 944 203
66 ACK Mugumo dispensary 1,649 380 1,140 1,520 92
67 ACK Ngariama dispensary 2,315 266 798 1,064 46
68 ACK ST. Andrews Kabare 754 100 210 310 41
69 ACK ngiriambu dispensary 676 313 939 1,252 185
70 CCS Wang’uru dispensary 1,162 810 1,670 2,480 213
71 St. Teresa catholic dispensary 678 141 200 341 50
72 Difathas catholic dispensary 677 500 182 682 101
73 MCK Kiandegwa dispensary 746 256 130 386 52
74 ACK Thumaita dispensary 412 132 200 332 81
75 Rapha clinic 742 200 100 300 40
76 Gatwe clinic 800 140 200 340 43
77 Kangaita clinic 286 100 186 286 100
78 Heshima clinic 242 80 240 320 132
79 Kabuti clinic 1,414 271 813 1,084 77
80 Afya bora clinic 899 271 813 1,084 121
81 Ithare clinic 1,428 273 819 1,092 76
82 Zawadi clinic 958 300 289 589 61
83 Roadside clinic 921 200 151 351 38
84 Manesh clinic 84 30 39 69 82
85 Ssema clinic 314 120 141 261 83
86 Imani clinic 503 367 230 597 119

12
 Name of Health Facility Total Total Outpatient Attendance Utilization Rate
Catchment
Population
(a) (b) (c) (d)
= c/d x 100
87 Tumaini clinic 142 56 46 102 72
88 Mamuki clinic 261 200 193 393 151
89 Kirimara clinic 658 130 100 230 35
90 Kianugu clinic 93 90 52 142 153
91 By Faith clinic 405 300 531 831 205
District total 491,617 449,052 360,195 809,247 165

1.6 Human Resources Availability

1.6.1 Medical/Technical Personnel
Description GoK FBO NGO / PRIVATE Total
Level Level Level Level Level Level Level Level Level Level Level Level
1 2 3 4 1 2 3 4 1 2 3 4
1 Consultants (MD 0 0 0 3 0 0 0 0 0 0 0 0 3
2 GP (MD) 0 0 0 8 0 0 0 5 0 0 0 2 15
3 Dentists 0 0 0 1 0 0 0 0 0 0 0 0 1
4 Dental Technologists 0 0 0 4 0 0 0 0 0 0 0 0 4
5 Community Oral Health Officers 0 0 0 2 0 0 0 0 0 0 0 0 2
6 Clinical Officer (Spec) 0 0 0 5 0 0 0 0 0 0 0 0 5
7 Clinical Officers (Gen.) 0 0 7 28 0 2 0 2 0 0 1 0 40
8 KRCHNs 0 0 8 51 0 2 0 10 0 0 0 0 71
9 KECHNs 0 56 40 141 0 27 0 36 0 3 2 0 305
10 Public Health Officers 0 5 5 2 0 0 0 0 0 0 0 0 12
11 Public Health Technicians 23 9 0 0 0 0 0 0 0 0 0 32
12 Pharmacists 0 0 0 3 0 0 0 0 0 0 0 0 3
13 Pharm. Technologist 0 0 0 2 0 0 0 3 0 0 0 0 5
14 Lab. Technologist 0 0 2 11 0 1 0 2 0 0 0 0 16
15 Lab. Technician 0 1 4 2 0 0 0 3 0 0 0 0 10
16 FHFEs 0 0 0 0 0 0 0 0 0 0 0 0 0

13
 Description GoK FBO NGO / PRIVATE Total
Level Level Level Level Level Level Level Level Level Level Level Level
1 2 3 4 1 2 3 4 1 2 3 4
17 Nutritionists 0 0 6 4 0 0 0 0 0 0 1 0 11
18 Nutritionists Assistant 0 0 1 0 0 0 0 0 0 0 0 1
19 Radiographers 0 0 0 2 0 0 0 0 0 0 0 0 2
20 Physiotherapists 0 0 2 5 0 0 0 0 0 0 0 0 7
21 Occupational Therapists 0 0 1 5 0 0 0 0 0 0 0 6
22 Plaster Technicians 0 0 0 2 0 0 0 0 0 0 0 2
23 Health Record & Information Officers 0 0 0 5 0 0 0 1 0 0 0 0 6
24 Community Health Workers 120 0 0 0 0 0 0 0 0 0 0 0 120
25 Orthopaedic officers 0 0 0 1 0 0 0 0 0 0 0 0 1
26 Medical engineering technologist 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Medical engineering technicians 0 0 0 2 0 0 0 0 0 0 0 0 2
28 Medical engineering artisans 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Support staff 0 1 1 7 0 2 0 65 0 0 0 0 76
30 Non medical 0 1 4 2 0 14 0 5 0 3 2 0 31
31 Administrator 0 0 0 2 0 3 0 1 0 0 0 0 6
33 Store man 0 0 0 1 0 0 0 1 0 0 0 0 2
34 Artisans 0 0 0 3 0 0 0 0 0 0 0 3
35 Accountants 0 1 0 1 0 0 0 1 0 0 0 0
36 Drivers 0 0 0 5 0 0 0 1 0 0 0 0 6
Sources: District Health Facilities Records

14
1.7 HEALTH CARE FINANCING AVAILABILITY AND UTILIZATION
Table 1.3 Resource availability and utilization for current Financial Year (AOP II)
Source Amount Amount Expenditure Expenditure Funds Accounting
Budgeted Received accounted for utilization rate=D/CX100
(SOE’s submitted) rate=C/BAX100

MOH FIF 7,097,322.00 7,097,322.00 6,621,896.15 5,673,146.15 93.30 85.67

RECURRENT 1,031,354.25 1,031,354.25 635,781.00 608,281.00 61.65 95.67
DEVELOPMENT 440,000.00 440,000.00 311,220.00 224,500.00 70.73 72.14
GLOBAL FUND 1,401,949.00 1,401,949.00 699,636.60 699,636.60 49.90 100.00
DVBD 80,000.00 80,000.00 16,500.00 16,500.00 20.63 100.00
Kerugoya
hosp FIF 13,930,162.00 13,930,162.00 13,110,081.00 12,902,531.00 94.11 98.42
RECURRENT 3,883,941.25 3,883,941.25 3,144,832.80 2,801,782.80 80.97 89.09
DEVELOPMENT 0 0 0 0 0 0
Kimbimbi
SDH FIF 1,748,878.00 1,748,878.00 1,516,024.45 1,396,852.50 86.69 92.14
RECURRENT 1,067,918.25 1,067,918.25 822,898.95 623,806.25 77.06 75.81
DEVELOPMENT 0 0 0 0 0 0
Kianyaga FIF 362,650.00 362,650.00 290,797.40 265,617.40 80.19 91.34

Baricho FIF 274,063.75 274,063.75 186,546.40 171,546.40 68.07 91.96

Sagana FIF 398,485.00 398,485.00 330,548.60 313,848.60 82.95 94.95

Kabare FIF 273,409.50 273,409.50 196,102.30 188,102.30 71.72 95.92

Dispensaries 4, 163, 463 4,105,134
FIF 4, 105, 134 4, 105, 134 100 100
DPHO FIF 948,716.00 948,716.00 627,747.90 612,747.90 66.17 97.61
RECURRENT 208,000.00 208,000.00 185,130.50 185,130.50 89.01 100.00

DEVELOPMENT 260,000.00 260,000.00 154,985.00 154,985.00 59.61 100.00

Source: District Health Office

15
2.0 HEALTH SERVICE ANALYSIS
2.1 KEY ISSUES, CONTRAINTS/ CHALLENGES AND PRIORITIES FOT THE NEXT YEAR
UTILIZATION /
RESULT AREA SUPPLY SIDE COMMUNITY
- Low Community
awareness of ANC
services
- Low Antenatal care
attendances
-Late start of ANC
- Low PMTCT services
- Few health facilities uptake
integrating PMTCT
Maternal Health services into ANC
- few facilities offering
FP services -Culture & religious belief
- Poverty
- Few facilities offering -Low post-natal
post-natal services attendances
- Low deliveries by
skilled attendant
- Low ITNs use by ANC
mothers
Child Health
- Some facilities not - Low Community
offering immunization awareness of various
CHALLENGES/CONSTRAINTS PRIORITIES FOR THIS YEAR
SUPPLY SIDE SUPPLY SIDE
- Inadequate supply of haematinics - Ensure the ANC have adequate equipment
- Inadequate ITN supply and drugs
- inadequate knowledge and skills to health - Procure & distribute ITNs
workers - Train health workers on FANC/MIP
- staff attitude - Redistribution of personnel according to
- inadequate supply of reagents qualifications and service need
- Inadequate staffing - Provide recording tools
- Lack of recording tools - Train/update h/Ws on PMTCT
-
- Irregular supply of FP commodities - Acquire and distribute FP commodities
regularly
- Update health workers on new FP methods
- Procure FP equipments, non pharmaceuticals
and FP training model
- Inadequate delivery equipment - Procure adequate delivery equipment for
- few facilities offering maternity services facilities offering maternity services
- - Increase no. of maternity units
- Enhance timely referrals
- Equip maternity theatre in Kerugoya and
Kimbimbi hospitals
-
DEMAND DEMAND
- Enhance community education on maternal
- Community attitude health
- High illiteracy level - Train CORPs on FANC/MIP
- Long distance - Intensify micro teachings
- Accessibility to immunizing facilities - Increase the no. of h/f offering immunization
- Erratic supply of some antigens services
16
 CHALLENGES/CONSTRAINTS PRIORITIES FOR THIS YEAR

UTILIZATION /
RESULT AREA SUPPLY SIDE COMMUNITY
services child services - Many cold chain breakdowns - Conduct outreach services
- High child mortality - High immunization - Incomplete/inaccurate recording - conduct child health days
and morbidity defaulters - Few staff trained in IMCI - Ensure adequate supply of vaccines
- stagnating immunization - staff shortage - Regular maintenance of cold chain equipment
coverage - Inadequate ITNs supply - setting and reviewing immunization targets
- Erratic supply of pediatrics’ preparations - Train h/ws on IMCI strategy
- Lack of growth monitoring tools - Procure growth monitoring equipment
- Lack of enough space for IMCI services in KDH - Procure & distribute ITNs
- Conduct school health programmes
- Put up an IMCI block in KDH

- Few staff trained in pediatric ARV - Train h/ws on paediatric ARVs

- Few facilities offering paediatric ARVs - Increase no. of h/fs offering paediatric ART
- Lack of space - Train h/ws on early infant diagnosis on
- Few facilities offering - Lack of systems for early infant diagnosis HIV/AIDS
paediatric HIV care ant - Provide logistics for early infant diagnosis
treatment services -Culture & religious belief
- - Poverty
DEMAND
- Community attitude - Enhance defaulter tracing
- High illiteracy level - Train CORPS on community IMCI
- Long distance - Procure growth monitoring tools for CORPS

- Lack of community IMCI

- Lack knowledge, skills and tools for community
growth monitoring
- Lack of safe water -Procure aqua tabs
- Procure immersion water pump
- Repair existing water pump

Adolescence
- Community awareness
- Stigma
- Culture and beliefs
- No facility offering - low utilization of VCT
adolescent health services by adolescents
services
SUPPLY SIDE - Increase no. of VCT sites
- Lack of youth friendly centres - Train VCT counselors
- Lack staff trained in peer counseling - Establish & equip youth centres
- Lack IEC materials - Train h/ws on peer counseling
- Staff attitude towards youths -
DEMAND SIDE DEMAND
- Lack of knowledge on adolescent health - Conduct mobile VCT
- Ignorance - Intensify community health education and
school health programmes

17
 CHALLENGES/CONSTRAINTS PRIORITIES FOR THIS YEAR

UTILIZATION /
RESULT AREA SUPPLY SIDE COMMUNITY
Adults & elderly

- Lack of decentralized specialized services - Procure & maintenance of equipments for

- Inadequate drug supply various services
- Inadequate supply of ITNs - Procure & distribute ITNs
- Inadequate equipment - increase no. of VCT
- Inadequate laboratory reagents - Train VCT counselors
- Inadequate staff trained on adult ART - Train h/ws on adult ART
- Culture and belief - Few diagnostic and testing sites for TB - Provide lab reagents
- Community awareness - Poor state of infrastructure - Increase no. of TB treatment sites
- Stigma - Poor state of equipments - Update h/ws on TB treatment and HIV
- High morbidity and - Low ITN use - collaboration
mortality - Low utilization of VCT - Carry out rehabilitation services in the various
- Few VCT sites services health facilities
- Few facilities offering - Poor utilization of - Carry out landscaping activities
quality health services existing facilities -
DEMAND DEMAND
- High TB defaulter rate - Establish support groups
- Poor health seeking behavior - Intensify community education of HIV/AIDS
- Illiteracy level and behavioural change
- Poverty
- Lifestyle

18
2.2 Management systems analysis
2.4.1. CONSOLIDATED ISSUES
MAIN SYSTEMS SUPPORT AREAS KEY ISSEUS CHALLANGES/ CONSTAINTS PRIORITES FOR THE COMING
FINANCIAL YEAR
- NO INVENTORY OR REGULAR INSPECTION - LACK OF SKILLED STAFF - DEVELOP INSPECTION TOOLS
OF THE STATE OF BUILDINGS, EQUIPMENT - LACK OF MAINTENANCE - HAVE INVENTORY OF BUILDINGS,
1. MAINTENANCE OF AND VEHICLES DEPARTMENT IN VARIOUS HEALTH EQUIPMENT VEHILCES
BUILDINGS, EQUIPMENTS - GOVERNMENT TENDERING SYSTEM FACILITIES - ANNUAL UPDATE OF INVENTORIES
AND VEHICLES - LACK OF TOOLS FOR ASSESSMENT
AND REPORTING
- LACK OF FUNDS

2. PROCUREMENT AND - PUSH SYSTEM - IRREGULAR SUPPLY OF ESSENTIAL - PROCURE DRUG CABINETS
MANAGEMENT OF DRUGS - GOVERNMENT TENDERING SYSTEM DRUGS - TIMELY ORDERING OF DRUGS FROM
- - LACK TECHNICAL PERSONNEL TO KEMSA
MANAGE DRUGS - PROCUREMENT OF EMERGENCY
- LACK OF DRUG STORES DRUGS
- INADEQUATE DRUG KITS
- LACK OF SOME OF THE ESSENTIAL
DRUGS IN THE KITS
LACK FUNDS

3. PLANNING FOR THE NEXT - SKILLS AND KNOWLEDGE OF PLANING - LACK OF FUNDS - TRAIN H/WS ON PRIORITISATION
FINANCIAL YEAR - - LACK OF PLANNING SKILLS AND PLANNING

- SPACE TO HOLD MEETING - EARLY PLANNING OF AOP4

- INADEQUATE TIME FRAME FOR
PLANNING
- COMPETING PROGRAMMES
- LACK OF RESOURCE
ENVEOLE FROM
STAKEHOLDERS

4. MONITORING AND - NO INTEGRATED MONITORING & - LACK OF FUNDS - MONTHLY MEEETINS FOR HEALTH
EVALUATION TOOLS - SHORT NOTICE FOR COMMITTEE WORKERS
FOLLOWUP OF
- MEMBERS - TIMELY SUBMISSION OF REPORTS
IMPLEMENTION WITH THE
- COMPETING PROGRAMMES -AVAIL REPORTING TOOLS
COMMMITTEE
- LACK 0F TRANSPORT MEANS - ENHANCE COMMUNICATIONS

19
2.4.2. MANAGEMENT SUPPORT ISSUES AT THE DISTRICT LEVEL
MAIN SYSTEMS SUPPORT AREAS
INTEFACE WITH THE COMMUNITY
MAINTENANCE OF INFASTUCTURE,
EQUIPMENT, COMMUNCIATION AND
TRANSPORT
HUMAN REOURCE MANAGMENT
KEY ISSEUS CHALLANGES/ CONSTAINTS
- NO COMMUNITY STRUCTURES - NO GUIDELINES ON
- NO COMMUNITY PARTICIPATION ESTABLSIHING COMMUNITY
IN HEALTH ISSUES UNITS
- SHORTAGE OF TOTS
- SHORTAGE OF FIELD HEALTH
WORKERS
- POOR LINKAGE OF LEVEL 1
WITH LEVEL 2 & 3
- HIGH DROP OUT RATES
- LACK OF INCENTIVES
- UNEVEN DISTRIBUTION OF
HEALTH FACILITIES &
SERVICES
- LACK OF COMMUNITY
STRUCTURES
- CULTURE & RELIGION
- POVERTY
- LACK OF FUNDS
-
-NO REGULAR MAINTENANCE OF -SHORTAGE OF SKILLED STAFFS
BUILDINGS AND EQUIPMENTS -LACK OF FUNDS
-POOR COMMUNICATION TO AND -ROUGH ROADS AND HENCE
FACILITIES FREQUENT BREAKDOWN OF
VEHICLES
-FEW UTILITY VEHICLES
-NO AIRTIME FOR OFFICERS BELOW
JOB GROUP M
-NO NETWORK INSOME AREAS
- MANY FACILITIES NOT -SHOTAGE OF STAFFS IN ALMOST ALL
OFFERING VARIETY OF CARDRES
SERVICES -LACK OF SOME SKILLS IN STAFFS
- NO PLANNING AND -LACK OF FUNDS FOR TRAINING
MANAGEMENT SKILLS STAFFS
-STAFF TRANSFERS
-STAFFS GOING FOR BRIDGING
COURSES
-STAFF IN-DISPLINE
20
PRIORITES FOR THE COMING FINANCIAL YEAR
- ESTABLISH & STRENGTHEN COMMUNITY STRUCTURES
- ENHANCE COMMUNITY INFORMATION SYSTEM
- ENHANCE COMMUNITY INVOLVEMENT AND
PARTICIPATION IN HEALTH ISSUES
- TRAINING CORPS IN PHC
- TRAIN CORPS ON PHC, RH COMMUNITY PACKAGES
- ESTABLISH CHALK AND BOARD IN ALL GOK H/FS
- CONDUCT MASS RETREATMENT OF NETS
- STRENGTHEN DIVISIONAL TEAMS
- INVOLVE CORPS IN DEFAULTER TRACING
- INVOLVE CORPS IN GROWTH MONITORING
- CARRY OUT SAFE WATER AND SANITATION
CAMPAIGNS
- REGULAR INSPECTION OF INFRASTRUCTURE—BUILDINGS
- REGULAR VEHICLE CHECK-UP AND MAINTENANCE
- PROCURE MOBILE PHONES TO RURAL FACILITIES TO ENHANCE
COMMUNICATIONS
- PROVIDE AIRTIME TO FACILITIES
- ENSURE BASIC EQUIPMENTS AVAILABILITY IN ALL FACILITIES
- STAFF TRAININGS ESPECIALLY MANAGEMENT
- RE-DISTRIBUTION OF STAFFS ACCORDING TO QUALIFICATIONS AND
SERVICE NEEDS
- STAFF TRAINING ON PLANNING SKILLS
- CONTINOUS MEDICAL EDUCATION OF STAFFS
- REGULAR STAFF UPDATES
- HOLD REGULAR DISPLINARY MEETINGS
MAIN SYSTEMS SUPPORT AREAS KEY ISSEUS
-FEW ESSENTIAL DRUGS IN PHARMACIES
ESSENTIAL MEDICINES AND MEDICAL
SUPPLIES
GOVERNANCE - POOR FINANCIAL MANAGEMENT
FINANCAIL MANAGEMENT - NO REGULAR MEETING FOR
DHMT, STAKEHOLDERS FORUM
AND WITH HEALTH WORKERS
PLANNING, PM&E - POOR M&E OF HEALTH
ACTIVITIES IN THE DISTRICT
- POOR ANALYSIS AND
REPORTING
CHALLANGES/ CONSTAINTS
-PUSH SYSTEM
-NO DRUGS FOR CERTAIN DISEASES
ESPECIALLY THE CHRONIC ILLNESS
-STORAGE SPACE—STORE
-IRREGULAR SUPPLY OF DRUGS
-COMPETING PROGRAMMES
-LACK OF FINANCIAL MANAGEMENT
SKILLS BY STAFFS
-LACK OF MANAGEMENT SKILLS BY
THE DHMT MEMBERS
-NO INTEGRATED MONITORING AND
EVALUATION TOOLS
-MOST OF THE DHMT NOT COMPUTER
LITERATE
-COMPETEING PROGRAMMES
-SHOTAGE OF ICT EQUIPMENTS
-LACK OF M& E SKILLS BY DHMT
MEMEBERS
-LACK OF FUNDS
-NO TARGETS FOR MANY SERVICES
21
PRIORITES FOR THE COMING FINANCIAL YEAR
-TIMELY ORDERING OF ESSENTIAL DRUGS
-USE OF THE PULL-SYSTEM
-DRUG QUANTIFICATION BY ALL FACILITIES
-ENSURING EMERGENCY DRUGS AVAILABILITY IN ALL FACILITIES
-HOLD QUARTERLY STAKEHOLDERS FORUM
-REGULAR DHMT MEETINGS
-QUARTERLY DHMB-MEETINGS
-MONTHLY MEETINGS WITH THE HEALTH WORKERS
-TRAINING OF FACILITY MANAGEMENT COMMITTEES ON FINANCIAL
MANAGEMENT
-BI-ANNUAL MEETING WITH FACIITY COMMITTES CHAIRMEN AND OFFICER IN-
CHARGES
-TRAIINING OF H/WS ON FINANCIAL MANAGEMENT
-DHMT TRAINING ON MANAGEMENT
- DEVELOP AND INTEGRATED M&E TOOL
-TRAINING DHMT ON M&E SKILLS
-DHMT TRAINING ON COMPUTER PACKAGES
-PROCURE ICT EQUIPMENTS
-ANNUAL TARGET SETTING WITH THE HEALTH WORKERS
-REGULAR RRI TO VARIOUS SERVICES AND ACTIVITIES
 SECTION 3

RESULTS AND TARGETS

22
3.1 DISTRICT CONSOLIDATED TARGETS
District
Eligible Targets

Populati
on District Baseline District Total Contribution of NGOs and FBOs
Performance Level Level Level Level Level Level Lev
indicators 2 3 4 Total 2 3 Level 4 Total 2 Level 3 el 4 Total
Number of pregnant women
receiving two doses of IPT 13, 569 4170 2404 2432 9006 4212 2428 2456 9096 421 243 246 910
Number of maternal health
Mothers are kept audit 0 12 12 24 0 12 12 24 0 1 1 2
healthy during Number of pregnant women
pregnancy having 4 ANC visits 13, 569 2000 1136 984 4120 2020 1147 994 4161 202 115 99 416
Number of women of
reproductive age receiving FP 1102 8595 12138 1226
Mothers are able commodities 129, 295 4 24402 8 4 11134 24646 86818 122598 1113 2465 8682 0
to have normal Number of deliveries
deliveries conducted by skilled staff 13, 569 0 1658 6012 7670 0 1675 6072 7747 0 167 607 775
New borne with low birth
weight 13, 569 0 28 256 284 0 28 259 287 0 3 26 29
All newborns (up Number of new borne
to 2 weeks) receiving BCG 13, 569 6462 2068 2608 11138 6527 2089 2634 11249 653 209 263 1125
receive Number of Pregnant mothers
protection Counselled and Tested for
against HIV 13, 569 0 0 0 0 0 0 0 0 0 0 0 0
immunizable Number of children under one
conditions fully immunized 13, 569 1828 2486 8008 12322 1846 2511 8088 12445 185 251 809 1245
Number of children under one
Children receive vaccinated against measles 13, 569 1830 2486 8010 12326 1848 2511 8090 12449 185 251 809 1245
protection Number of children receiving
against Vitamin A 58, 994 8514 632 1398 10544 8599 638 1412 10649 860 64 141 1065
immunizable Number of children under five 1964 10652.
diseases treated for malaria 58, 994 1.6 4 7314 37608 19838 10759 7387 37984 1984 1076 739 3798
Children are able Number of school children
to survive correctly de-wormed at least
childhood once a year
illnesses 91861 0 0 0 0 0 0 0 0 0 0 0 0
Healthy lifestyle Number underweight among
is adopted children under five
amongst children 59, 994 4632 1384 1390 7406 4169 1258 1263 6690 468 140 140 748
Number of children under 5
years attending Growth 3310 5159 46351 33439 3343 4681
Monitoring Clinic 58, 994 80 80844 2 6 1 81652 52108 468151 9 8165 5211 5

23
 District
Eligible Targets

Populati
on District Baseline District Total Contribution of NGOs and FBOs
Performance Level Level Level Level Level Level Lev
indicators 2 3 4 Total 2 3 Level 4 Total 2 Level 3 el 4 Total
Number of health facilities
offering the standard package
of youth – friendly health
services
0 0 0 0 0 0 0 0 0 0 0 0 0
Behaviour
change is
promoted
amongst
adolescents that
leads to healthy
lifestyle 0 0 0 0 0 0 0 0 0 0 0 0
Adolescents are
able to survive
common health
conditions
affecting them 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
Number of functioning
community health units 99 0 0 0 0 0 0 0 0 0 0 0 0
Number of Households with
access to clean water and 8702
latrine 123098 0 0 0 0 0 0 0 87890 0 0 0 0
Number of households
sprayed with IRS 123098 0 0 0 460 0 0 0 465 0 0 0 0
Adults are able Number of HIV positive
to survive patients receiving ART
common health treatment 0 0 692 692 0 0 700 700 0 0 100 100
conditions Number of VCT clients
affecting them 0 3008 4600 7608 0 3037 4645 7682 0 1290 2219 0
Elderly are able to
survive common
health conditions
affecting them 0 0 0 0 0 0 0 0 0 0 0 0
Percentage of clients satisfied
with the services offered 0 0 0 0 0 0 0 0 0 0 0 0
OPD attendance 1657 28328 76885 1217 1674 123009 1674 7765 1230
491617 80 6 4 920 38 286119 776543 9 4 28612 4 10
Total Patients in ward during 0 0 0 0 0 0 0 0 0 0 0 0

24
 District
Eligible Targets

Populati
on District Baseline District Total Contribution of NGOs and FBOs
Performance Level Level Level Level Level Level Lev
indicators 2 3 4 Total 2 3 Level 4 Total 2 Level 3 el 4 Total
the reporting period
Number of days without the
tracer drugs 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

25
 SECTION 4
THE WORK PLAN

26
4.1Coordination of Service Delivery
Result Area 1: Mothers are Output 1: Increased no. of pregnant women (Responsible Budget Source Code
kept healthy during pregnancy receiving 2nd IPT Person)Coordinator
at DHMT Level
Activities

Level IV
Train 40 health workers on 350,000 WHO/RH 2210701
FANC/MIP

Intensify microteaching in 5 DPHN 100,000.00 ADB 2210701

health facilities

Implementation of FANC/MIP DPHN 200,000.00 ADB 2210701

programme in 5 health facilities
that offer ANC services
Ensure adequate supplies of IPT Pharmacist 0.00
drugs in 5 health facilities with
ANC services
Ensure all data collecting and DHRIO 50,000.00 ADB 2210502
reporting tools are available and
well documented

Level III

Intensify microteaching in 11 DPHN 0.00

health facilities

Implementation of FANC/MIP DPHN 0.00

programme in 11 health
facilities that offer ANC
services
Ensure adequate supplies of IPT DPHN 0.00
drugs in 11 health facilities with
ANC services
Ensure all data collecting and DHRIO 50,000.00 ADB 2210502
reporting tools are available

Level II

Intensify microteaching in all DPHN 0.00

health facilities

27
 Implementation of FANC/MIP DPHN 0.00
programme in 58 health
facilities that offer ANC
services
Ensure adequate supplies of IPT Pharmacist 0.00
drugs in 58 health facilities with
ANC services
Ensure all data collecting and DHRIO 50,000.00 ADB 2210502
reporting tools are available

level 1
Intensify social mobilization DPHO 100,000.00 FIF/GOK 2210303
through barazas, schools by the
PHT to encourage mother come
for ANC early enough

Train 200 CORPS on DPHN 400,000.00 WHO/RH 2210031

community FANC/MIP

2210303
Develop IEC materials in local DPHN 500,000.00 WHO/RH 2210502
language & distribute to
community
Conduct 10 roadshows in the 4 500,000.00 WHO/RH 2210303
divisions

Output 2: Reduced no. of maternal deaths Level IV (Responsible Source Code

Person)Coordinator
at DHMT Level

Train 40 health workers on RH/coordinator/DPHN 350,000.00 WHO/RH 2210701

maternal & perinatal audit

Provide audit tools DHRIO 50,000.00 WHO/RH 2210701

Conduct monthly maternal

mortality meetings
RH/coordinator/DPHN 40,000.00 WHO/RH 2210701
Train 20 health workers on PAC DPHN 400,000.00 GOK/FIF 2210701

Level III
Conduct monthly maternal DPHN 100,000.00 WHO/RH 2210031
mortality meetings

28
 Level II

Output 3: Increased no. of pregnant women (Responsible Source Code

having 4 ANC visits Person)Coordinator
at DHMT Level

Level IV
Intensify microteaching in 5 DPHN 0.00
health facilities

Implementation of FANC/MIP DPHN 0.00

programme in 11 health
facilities that offer ANC
services
Level III
Intensify microteaching in 11 DPHN 0.00
health facilities

Implementation of FANC/MIP DPHN 0.00

programme in 11 health
facilities that offer ANC
services
Level II 0.00

Intensify microteaching in 58 DPHN 0.00

health facilities

Implementation of FANC/MIP DPHN 0.00

programme in 58 health
facilities that offer ANC
services
Level I
Conduct monthly social DPHO 150,000.00 FIF/GOK 2210031
mobilization through barazas by
PHT to encourage early ANC
attendance
Output 4: Increased no. of women of (Responsible Source Code
reproductive age receiving FP commodities Person)Coordinator
at DHMT Level

Level IV
Acquire & distribute FP DPHN 80,000.00 WHO/RH 2210303
commodities to all h/fs quaterly

Train 20 health workers on 100,000.00 2210701

contraceptive logistic
management

29
Intensify microteaching in 4 DPHN 0.00
health facilities

Ensure timely ordering of FP DPHN 0.00

commodities in 4 health
facilities
Quarterly submission of FP DPHN 0.00
reports by the 4 health facilities

Ensure data collecting and DPHN 0.00

reporting tools are available

Acquire 4 FP teaching tools DPHN 0.00

Train 20 health workers on DPHN 100,000.00 WHO/RH 2210701

implants insertion

Level III
Intensify microteaching in 9 DPHN 0.00
health facilities

Ensure timely ordering of FP DPHN 0.00

commodities in 9 health
facilities
Quarterly submission of FP DPHN 0.00
reports by the 9 health facilities

Ensure data collecting and DPHN 0.00

reporting tools are available

Increase no. of SDP offering FP DPHN 0.00

commodities

Acquire 9 FP teaching tools DPHN 0.00

Level II

Intensify microteaching in 55 DPHN 0.00

health facilities

Ensure timely ordering of FP DPHN 0.00

commodities in 55 health
facilities
Quarterly submission of FP DPHN 0.00
reports

Ensure data collecting and DPHN 0.00

reporting tools are available

30
 Increase no. of SDP offering FP DPHN 0.00
commodities

level I DPHN 0.00

Conduct monthly social DPHO 0.00

mobilization through barazas by
PHT to increase FP
commodities uptake
Result Area 2: Mothers Output 4: Increased no. of (Responsible Source Code
Person)Coordinator
are able to have normal deliveries conducted by skilled staff
at DHMT Level
deliveries
Level IV
Train 40 health workers on DPHN 200,000.00 WHO/RH 22107012
obstetric care

Procure 100 ampoules Pharmacist 416,000.00 2211002

ergometrine in 11 health
facilities per quarter to carter for
deliveries
Intensify microteaching in 5 DPHN 0.00 FIF
health facilities to increase no.
of deliveries conducted by
skilled labour
Ensure preparedness for DPHN 0.00
obstetric care in 5 health
facilities
Intensify implementation of DPHN 0.00
FANC/MIP in 5 health facilities
offering ANC facilities
Enhance referral system for DMOH 0.00
maternity cases

Enhance active monitor of DPHN 0.00

labour

Provide maternity data DHRIO 0.00

collecting and reporting tools

Level III

Intensify microteaching in 11 DPHN 0.00

health facilities to increase no.
of deliveries conducted by
skilled labour

31
 Ensure preparedness for DPHN 0.00
obstetric care in 16 health
facilities
Intensify implementation of DPHN 0.00
FANC/MIP in 16 health
facilities offering ANC facilities
Enhance referral system for DMOH
maternity cases

Enhance active monitor of DPHN 0.00

labour

Provide maternity data DHRIO 0.00

collecting and reporting tools

Level II

Intensify microteaching in DPHN 0.00

health facilities

Ensure preparedness for DPHN 0.00

obstetric care

Intensify implementation of DPHN 0.00

FANC/MIP in 46 health
facilities offering ANC facilities
Level I

Conduct monthly social DPHO 0.00

mobilization through barazas by
PHT to encourage mothers
deliver in facility level
Result Area 3: All newborns Output 1: Reduced no. of newborn with low (Responsible Source Code
(upto 2 weeks) receive birth weight Person)Coordinator
protection against immunisable at DHMT Level
conditions Activities

Level IV

Intensify microteaching on good DPHN 0.00

nutritional in 5 health facilities
during ANC visits
Ensure adequate supply of DNO 0.00
maternal supplements e.g.
ferrous and folic
Purchase nutritional supplement DNO 400,000.00 FIF 2211015
quarterly in 5 health facilities

32
 Procure 5000 LLINs for DPHO 150,000.00 IFAD/GOK/FIF 2211015
pregnant women

Train 40 health workers on RH/coordinator/DPHN 350,000.00 wHO/RH 2210701

newborn care

Level III

Intensify microteaching on good DPHN 0.00

nutritional in 11 health facilities
during ANC visits
Ensure adequate supply of DNO 0.00
maternal supplements e.g.
ferrous and folic
Purchase nutritional supplement DNO 132,000.00 FIF 2211015
quarterly in 11 health facilities

Procure 5000 LLINs for DPHO 150,000.00 EU/FIF/GOK

pregnant women

Level II

Intensify microteaching on good DPHN 0.00

nutritional in 58 health facilities
during ANC visits
Ensure adequate supply of DNO 0.00
maternal supplements e.g.
ferrous and folic
Procure 5000 LLINs for DPHO 150,000.00 EU/FIF/GOK
pregnant women

Level 1

Output 2: Increased no. of newborns (Responsible Source Code

receiving BCG Person)Coordinator
at DHMT Level

Level IV
Intensify microteaching in 5 DPHN 0.00
health facilities on importance
of BCG uptake
Do monthly forecasting and DPHN 0.00
ordering to ensure adequate
supply of BCG

33
 Ensure BCG vaccines are kept HMU 0.00
potent by regular maintenance
of cold chain equipment
Ensure that the 5 health facilities DPHN 0.00
give BCG in the maternity
before discharge
Level III
Intensify microteaching in 7 DPHN
health facilities on importance
of BCG uptake
Do monthly forecasting and DPHN 120,000.00 2210701
ordering to ensure adequate
supply of BCG
Ensure BCG vaccines are kept DPHN 0.00
potent by regular maintenance
of cold chain equipment
Ensure that the 5 health facilities DPHN 0.00
give BCG in the maternity
before discharge
Level II
Intensify microteaching in 37 DPHN 0.00
health facilities on importance
of BCG uptake
Do monthly forecasting and DPHN 0.00
ordering to ensure adequate
supply
Ensure BCG vaccines are kept HMU 0.00
potent by regular maintenance
of cold chain equipment
Output 3: Increased no. of pregnant mothers (Responsible Source Code
counseled and tested for HIV Person)Coordinator
at DHMT Level

Level IV

Train 40 health workers on 200,000.00 NARESA/EU 2210701

PMTCT

Integrate PMTCT services with DASCO 0.00

the ANC services in 5 health
facilities offering ANC services
Intensify microteaching in the 5 DPHN 0.00
health facilities and document

34
 Acquire HIV testing kits timely DMLT 0.00
for the 5 health facilities

Level III

Integrate PMTCT services with DPHN 0.00

the ANC services in 11 health
facilities offering ANC services
Intensify microteaching in the DPHN 0.00
11 health facilities and
document
Acquire HIV testing kits timely DMLT 0.00

Level II

Integrate PMTCT services with DPHN/DASCO 0.00

the ANC services in 58 health
facilities offering ANC services
Intensify microteaching in the DPHN 0.00
58 health facilities and
document
Acquire HIV testing kits timely DMLT 0.00

Result Area 4: Children receive Output 1: Increased no. of under 1 fully (Responsible Source Code
protection against immunizable immunized Person)Coordinator
diseases at DHMT Level

Level IV

set annual targets with 100 DPHN 400,000.00 FIF 2210701

health workers

Train 20 health workers on DPHN 430,000.00 KEPI/WHO 2210701

operational KEPI

Cold chain maintenance in all HMU 200,000.00 KEPI/WHO/FIF 2210302

health units

2210303

Acquire & distribute vaccines DPHN 160,000.00 KEPI/WHO/FIF 2210302

35
 2210303

Intensify microteaching in the 7 DPHN 0.00

immunizing facilities and
document
Monthly monitoring of DPHN
immunization status

Monthly forecasting and DPHN 0.00

ordering to ensure adequate
vaccine supplies
Level III

Intensify microteaching in the 7 DPHN 0.00

immunizing facilities and
document
Active defaulter tracing by the DPHO 109,200.00 FIF/GOK 2210302
PHT and CHWs in the 7 health
facilities
2210303

Monthly monitoring of
immunization status

Monthly forecasting and DPHN 0.00

ordering to ensure adequate
vaccine supplies
Level II

Intensify microteaching in the DPHN 0.00

37 immunizing facilities and
document
Active defaulter tracing by the DPHO 592,000.00 FIF/GOK 2210302
PHT and CHWs in the 37 health
facilities
2210303

36
 Monthly monitoring of DPHN 0.00
immunization status

Monthly forecasting and DPHN 0.00

ordering to ensure adequate
vaccine supplies
Start immunization services in 3 DPHN 600,000.00 WHO/KEPI/EU/ADB 3111002
more dispensaries (Purchase 3
RCW)
Output 2: Increased no. of children under (Responsible Source Code
5yrs receiving Vit A Person)Coordinator
at DHMT Level

Level IV

Level III

Conduct biannual Vit A DNO 1,000,000.00 WHO/UNICEF 2210701

supplementation

Intensify microteaching for DNO 0.00

children to be brought for
Vitamin in all health facilities
Acquire enough Vitamin A DNO 0.00
supplement

Level III

Intensify microteaching for DNO 0.00

children to be brought for
Vitamin in all health facilities
Increase no. of SDP giving DNO 0.00
Vitamin A by 2

Acquire enough Vitamin A DNO 0.00

supplement

Level II

Intensify microteaching for DNO 0.00

children to be brought for
Vitamin in all health facilities

37
 Increase no. of SDP giving DNO 0.00
Vitamin A by 10

level 1

Intensify social mobilization on DPHO 0.00

the importance of Vitamin A
intake by children under 5yrs by
PHT/CHWs
Result Area 5: Children are Output 1: Reduced no. of under 5yrs treated (Responsible Source Code
able to survive childhood for malaria Person)Coordinator
illnesses at DHMT Level

Level IV

Train 20 health workers on DCO 1,800,000.00 2210701

IMCI strategy

Train 100 health workers on Pharmacist 500,000.00 2210701

malaria case management

Acquire anti-malaria drugs for 5 Pharmacist 0.00

health facilities

conduct social mobilization on DPHO 0.00

correct use of LLINs/ITNs

Level III

Acquire anti-malaria drugs for Pharmacist 0.00

11 health facilities

conduct social mobilization on DPHO 0.00

correct use of LLINs/ITNs

Making of mosquito nets using DPHO 50,000.00 FIF/GOK

available resources

Level II

Acquire anti-malaria drugs for Pharmacist 0.00

73 health facilities

conduct social mobilisation on DPHO

correct use of LLINs/ITNs

38
 Level I

Conduct mass retreatment of DPHO 300,000.00 GOK/IFAD/ADB 2210302

ITN by CHWs

2210303

Social mobilization on correct DPHO 0.00

use of LLINs/ITNs

Output 2: Increased no. of school children (Responsible Source Code

correctly dewormed at least once a year Person)Coordinator
at DHMT Level
Activities

Level IV

Acquire anti-helminths for 5 Pharmacist 0.00

health facilities

Conduct at least 5 school health DHEO 0.00

education

Level III 0.00

Acquire anti-helminths for 11 Pharmacist 0.00

health facilities

Conduct at least 7 school health DHEO 0.00

education

Level II

Acquire anti-helminths for 65 Pharmacist 0.00

health facilities

Conduct at least 20 school DHEO 0.00

health programme

Level I

39
Ouput 3: Reduced no. of underweight (Responsible Source Code
children under 5yrs Person)Coordinator
at DHMT Level

Level IV

Level III

Intensify microteaching on DNO 0.00

dietary counseling in11 health
facilities
Enhance growth monitoring at DNO 0.00
11health facilities

Level II

Intensify microteaching on DNO 0.00

dietary counseling in 58 health
facilities
Establish growth monitoring in DNO 0.00
10 more health facilities

Level I

Intensify growth monitoring by DNO 0.00

the CHWs and give guidance

Monthly supervision of CHWS DPHO 36,000.00 IFAD/GOK/FIF 2210302

by CHEWs and submission of
CHANIS report
2210303
Output 4: Increased no. of children under (Responsible Source Code
5yrs attending growth monitoring clinics Person)Coordinator
at DHMT Level

Level IV

Intensify microteaching in 5 DNO 0.00

clinic offering growth
monitoring

40
 0.00

Level III 0.00

Intensify microteaching in 5 DNO 0.00

clinic offering growth
monitoring
Level II

Intensify microteaching in 49 DNO 0.00

clinic offering growth
monitoring
Acquire 20 growth monitoring DNO 0.00
kits to increase no. of SDP
offering growth monitoring

Level I

Acquire 20 growth monitoring DNO 0.00

kits to increase no. of CHWs
offering growth monitoring
Social mobilization on under DNO 0.00
5yrs children attending growth
monitoring clinics by CHWs
and PHT
Conduct monthly defaulter DNO 153,600.00 IFAD/GOK/FIF 2210302
tracing on children attending
growth monitoring clinics by
CHWs

2210303

Provide 20 sets of growth DNO 200,000.00 IFAD/GOK/FIF 3111002

monitoring tools for CORPS

41
Result Area 6: Behaviour Output 1: Increased no. of health facilities (Responsible Source Code
change is promoted amongst offering standard package of youth friendly Person)Coordinator
adolescents that leads to healthy health services at DHMT Level
lifestyle

Level IV
Establish and equip 1youth MO i/c 3,000,000.00 WHO/RH 3110202
friendly clinics at Kimbimbi
SDH
Train 8 peer counselors for DMOH 150,000.00 WHO/RH 2210701
Kerugoya and Kimbimbi SDH
Train 40 health workers on 350, 000 WHO/RH 2210701
adolescent reproductive health
Level III

Level 11
Establish 3 youth friendly sites DASCO 3,000,000.00 Partners in Prevention 22202053
(Ngariama, Gatugura and Kutus
dispensaries

3110203
Level 1
Intensify health promotions and DHEO 160,000.00 IFAD 2210302
health education in schools

2210303

Create community awareness on DPHO/RH coordinator 500,000.00 WHO/RH 2210303

reproductive health issues in the
youth

42
Result Area 7: Adults are able Output 1:Increased no. of households with (Responsible Source Code
to survive health conditions access to clean water and latrine Person)Coordinator
affecting them at DHMT Level

Activities
Level IV
Train 40 health workers on DPHO 400,000.00 IFAD 22010701
PHAST
Level III

Level II
Quarterly social mobilization on DPHO 76,000.00 IFAD//FIF 2210302
save sanitation and safe water

Level I
Conduct open sanitation DPHO 100, 000 EU/IFAD/FIF 2210302
campaigns in 10 shopping centre

Construct 10 VIP for DPHO 250,000.00 IFAD/FIF 3110202

demonstration
Protect 4 watersprings DPHO 200,000.00 IFAD/FIF/ADB 3110202

Cast 100 slabs for demonstration DPHO 300,000.00 IFAD/ADB 3110202

Output 2: Increased no. of households (Responsible Source Code
sprayed with IRS Person)Coordinator
at DHMT Level

Level IV
Conduct IRS in 5 health DPHO 15, 000 IFAD/FIF 2210303
facilities
Level III 2210303
Conduct IRS in 7 health DPHO 15,000.00 IFAD/FIF 2210303
facilities

43
 Level II
Level I
Conduct IRS in 20 homesteads DPHO 100,000.00 IFAD/GOK/FIF 2210303

Output 3: Increased no. of HIV positive (Responsible Source Code

patients receiving ART treatment Person)Coordinator
at DHMT Level

Level IV
Train 20 health workers on ART DASCO 200,000.00 ICAP/AIPHA/NARESA 22010701

Train 60 health workers on DTLC 450,000.00 NASCOP/NLTP 22010701

TB/HIV collaboration
Train 20 health workers on HBC HBC coordinator 200,000.00 GOK/FIF 22010701

Train 6 VCT counselors DASCO 200,000.00 ICAP/AIPHA/NARESA 22010701

Procure baseline HIV test kits DMLT 80,000.00 NASCOP 2210303

Acquire ART drugs Pharmacist 0.00
Form 2 support groups DASCO 10,000.00 ICAP 2210302
2210303

Refurbish and integrate CCC DASCO 3,000,000.00 ICAP 2220205

services in Kimbimbi and
Kerugoya hospital
Employ 8 technical personnel to MO i/c 1,920,000.00 ICAP 2110201
work in the ART clinic
(Kimbimbi and Kerugoya)
Procure reagents for AFB DMLT 89,000.00 NASCOP 2210303
microscopy for 4 diagnostic
centres
Procure safety hood for 4 DMLT 400,000.00 NASCOP 2210303
centres
Provision of data collecting and DHRIO 50,000.00 FIF/GOK/NASCOP 22110501
reporting tools
Level III
Train 8 VCT counselors DASCO 200,000.00 NASCOP 2210302

44
 Procure safety-hood for 7 DMLT 500,000.00 NASCOP 2210303
centres
Level II

Level I
Carryout monthly community DASCO 72,000.00 Liverpool 2210302
VCT
2210303

Output 4: Increased no. of functioning (Responsible Source Code

community health units Person)Coordinator
at DHMT Level

Level IV

Level III
Level II
Train 10 CHEWS DPHO 50,000.00 FIF/GOK/IFAD 2210701

Train 40 PHC TOTs DPHO 200,000.00 ADB/IFAD 2210701

Quarterly meetings with 200,000.00 ADB/IFAD 2210302
divisional PHC core team

Level I
Select and train 10 VHCs DPHO 50,000.00 FIF/GOK/IFAD 2210302
2210303

Establish 4 community health DPHO 100,000.00 FIF 2210302

units throughout the district

2210303

Train 200 CORPS on new DPHO 600,000.00 FIF/GOK/IFAD 2210701

community strrategy (PHC)
Hold biannual meeting with all DPHO 200,000.00 IFAD 2210302
CORPS

45
 Hold an exchange tour for the DPHO 200,000.00 /IFAD 2210302
20 CORPS
2210303

Form 2 support groups DASCO 10,000.00 ICAP 2210302

2210303

Procure typhi vaccive DPHO 400,000.00 FIF

Provide chalk and board in 44 DHRIO 200,000.00 ADB/IFAD
health facilities
Result Area 8: Elderly are able Output 1: Increased OPD attendance (Responsible Source Code
to survive common health Person)Coordinator
condition affecting them at DHMT Level

Activities
Level IV
Train 40 health workers on RH/DPHN 350,000.00 WHO/RH
VIA/VILLI
Establish customer care desk at MO i/c 0.00 2210701
Kerugoya and Kimbimbi
hospital
Reduce patient waiting time at MO i/c 100,000.00 FIF 2210701
Kerugoya and Kimbimbi
hospitals
Maintenance of OPD MO i/c 2,000,000.00 EU/IFAD/GOK/FIF 2220205
equipments and instruments at
Kerugoya and Kimbimbi
hospital
Procure dressings and other non MO i/c 12,000,000.00 EU/IFAD/GOK/FIF 2211024
pharmaceuticals in Kerugoya
and Kimbimbi hospitals

Purchase dentall equipments and Dentists 1,500,000.00 EU/IFAD/GOK/FIF 3110203

cartridges at Kerugoya hospital
Purchase X-ray equipments and Radiographer i/c 1,500,000.00 EU/IFAD/GOK/FIF 3110203
consumables at Kerugoya
hospital
Train 1 radiographer on Radiographer i/c 120,000.00 EU/IFAD/GOK/FIF 2210701
ultrasound operations in
Kerugoya hospital
Purchase ENT clinic equipment MO i/c 107,000.00 EU/IFAD/GOK/FIF 3110203
in Kerugoya hospital

46
Procure essential & emergency 1,600,000.00 EU/IFAD/GOK/FIF 2211001
drugs for Kerugoya and
Kimbimbi hospitals MO i/c
Put up a canopy for patients in MO i/c 50,000.00 GOK/FIF/CDF/EU 2220205
reception area and physically
challenged persons walkway in
kerugoya hospital
Purchase equipmemt for cold MO i/c 1,500,000.00 GOK/EU 3110203
room in the kitchen at Kimbimbi
hospital
Purchase modern jiko for MO i/c 150,000.00 GOK/EU 3110203
kitchen at Kimbimbi hospital
Level III
Procure of consumables to 11 DPHN 1,400,000.00 EU/IFAD/GOK/FIF 2211024
health facilities
Procure of emergency drugs for PHARMACIST 200,000.00 EU/IFAD/GOK/FIF 2211001
11 health facilities
Acquire 11 health centre kits PHARMACIST 0.00 EU/IFAD/GOK/FIF
monthly
Paint 7 health centres DPHO 2,000,000.00 GOK/FIF/CDF/EU 2220205

Recarpet the floor of 7 health DPHO 3,000,000.00 GOK/FIF/CDF/EU 2220205

facilities (Mutithi, Baricho,
Baricho catholic, Kianyaga h/c,
Kiamututgu, Kabare and
Kianyaga catholic
Fence 3 health facilities DPHO 841, 880 GOK/FIF/CDF/EU 2220205
(Mutithi, Kianyaga h/c,
Kiamutugu)
Put up gates in 4 health facilities DPHO 300,000.00 GOK/FIF/CDF/EU 2220205

Repair the ceiling of 8 health DPHO 2,000,000.00 GOK/FIF/CDF/EU 2220205

facilities (Sagana h/c, Mutithi,
Baricho h/c, Baricho catholic,
Kianyaga h/c, Kiamutugu,
Kabare, Kianyaga catholic
Repair of portable light HMU 400,000.00 GOK/FIF/CDF/EU 2220205
equipment in 8 health
facilities(Sagana h/c, Muitithi
h/c, Baricho h/c, Baricho
catholic, Kianyaga h/c, Difathas,
Kabare, Kianyaga catholic
Purchase immersible water DMOH 50,000.00 GOK/FIF/CDF/EU 3110203
pump for 1 health facility
(Mutithi)

47
Purchase electric heater for 5 DMOH 15,000.00 GOK/FIF/CDF/EU 3110203
health facilities (Mutithi, Sagana
h/c, Baricho h/c, Kianyaga h/c,
Kiamutugu)
Purchase portable light for 5 DMOH 50,000.00 GOK/FIF/CDF/EU 3110203
health facilities (Mutithi, Sagana
h/c, Baricho h/c, Kianyaga h/c,
Kiamutugu)
Purchase 5 autoclave for 5 DMOH 200,000.00 GOK/FIF/CDF/EU 3110203
health facilities (Mutithi, Sagana
h/c, Baricho h/c, Kianyaga h/c,
Kiamutugu)
Purchase lawn mower for 5 DMOH 750,000.00 GOK/FIF/CDF/EU 3110203
health facilities (Mutithi, Sagana
h/c, Baricho h/c, Kianyaga h/c,
Kiamutugu)
Purchase 7 delivery bed for 1 DMOH 1,400,000.00 GOK/FIF/CDF/EU 3110203
health facility(Kianyaga h/c,
Mutithi, Baricho, Kabare,
Kiamutugu, Difathas, Sagana)
Purchase 7 generator for 7 DMOH 1,350,000.00 GOK/FIF/CDF/EU 3110203
health centres
Purchase 7 television and deck DMOH 280,000.00 GOK/FIF/CDF/EU
for 7health centres
Purchase 3 water tanks for 3 DMOH 300,000.00 GOK/FIF/CDF/EU 3110203
health facility (Difathas,
Kianyaga mutithi)
Purchase emergency drugs for Pharmacist 1,152,000.00 GOK/FIF/CDF/EU
11 health facilities
2211001
Purchase various medical DMOH 40,000,000.00 GOK/FIF/CDF/EU
equipment
3110203
Construct 7 incicerators DPHO 1,750,000.00 ADB/IFAD 3110202
Level II
Procure of consumables to 65 DPHN 1,400,000.00 EU/IFAD/GOK/FIF 2211002
health facilities
Procure of emergency drugs for PHARMACIST 600,000.00 EU/IFAD/GOK/FIF
65 health facilities
2211001
Acquire 65 dispensary kits PHARMACIST 0.00
monthly

48
Paint 28 health facilities 3,000,000.00 GOK/FIF/CDF/ADB 2220205
(Rukanga, Karumande, Nguka,
Kiangai, Murinduko, St.
Mugumo, ACK Mutira, ACK
Mbiri, Gatithi, St. Andrews
Kabare, Kamweti, Kiangombe,
Gatugura, Gatumbi SDA,
Gathigiriri, Gaciongo, Kangaru,
Gathambi, Kianjege, Njegas,
Kiamanyeki, Ciagini, Thiba,
Kajiji, Wamumu, Kiaragana,
Mumbuini, CCS Wanguru, ACK
Ngiriambu, ACK Githure,
Jesmond, Ithare, Kagumo
catholic, Kagumo disp, ack
Karaini, Kutus catholic, ACK
Thaita, Sagana catholic, Kagio
catholic, Kutus disp, Kangaita,
Mutitu)
Recarpet the floor of 5 health 3,000,000.00 GOK/FIF/CDF/ADB 2220205
facilities (Gatugura, Gathigiriri,
ACK Mutira, ACK Ngiriambu,
ACK Karaini,
Putting ceilings in 15 health 2,000,000.00 GOK/FIF/CDF/EU/ADB 2220205
facilities (average 3 rooms)(
Nguka, Kiangai, Murinduko,
Kiangombe, Gatumbi SDA,
Gathigiriri, Kangaru, Gathambi,
Njegas, Kiburu, Kiamanyeki,
Ciagini, Thiba, Kajiji,
Wamumu, Kiaragana,
Mumbuini, CCS Wanguru, ACK
Ngiriambu, ACK Githure,
Jesmond, Ithare, Kagumo
catholic, Kagumo disp, ack
Karaini, Kutus catholic, ACK
Thaita, Sagana catholic, Kagio
catholic, Kutus disp, Kangaita,
Mutitu)
Put up gates and fence 22 health DPHIO 3,520,000.00 GOK/FIF/CDF/EU/ADB 2220205
faciliies (Karumande, Nguka,
ACK Mutira, ACK Mbiri,
Gatithi, St. Andrews Kabare,
Kamweti, Gatugura, Gathigiriri,
Gathambi, Kianjege, Rurii
Kiandegwa, Njegas,
Kiamanyeki, Ciagini, Thiba,
Kiaragana, Sagana catholic,
Kagio catholic, Kutus disp,
Kangaita, Mutitu)

49
 Purchase of various equipment DMOH 2,000,000.00 ADB/IFAD
3110203
Construct 30 incinerators DPHO 4,500,000.00 ADB/IFAD 3110202
Do electricity wiring in health HMU 2,000,000.00 GOK/FIF/CDF/EU
facilities (Rukanga, Nguka,
Rurii Kiandegwa, Kajiji, Kagio
catholic,ACK Thumaita)
Put up fencing alone in 10 DPHO 2,000,000.00 GOK/FIF/CDF/EU 2220205
health facilities (Rukanga,
Karumande, Kiangai,
Murinduko, ACK Mbiri, St.
Andrews Kabare, Kiangombe,
Gatumbi SDA, Kangaru,
Gathambi, Kajiji, Wamumu,
Mumbuini)
0utput 2: Improved quality of care of the in- (Responsible Source Code
patients Person)Coordinator
at DHMT Level

Level IV
Renovate ward 10, 11, 9 in MO i/c 2,400,000.00 GOK/FIF/CDF/EU 2220205
Kerugoya hospital (whole ward)
Renovate amenity ward in MO i/c 900,000.00 GOK/FIF/CDF/EU 2220205
Kerugoya district hospital
(repair leaking roof, repair floor,
put curtail rails, painting the
walls, and provide water)
Put up placenta pits for MO i/c 300, 000 JSI/FIF 3110202
Kerugoya hospital
Complete 18 bed ward MO i/c 5,000,000.00 GOK 3110202
construction in Kimbimbi
hospital
Purchase various equipments for MO i/c 1,964,852.00 fIF/GOK/EU
the various wards in Kerugoya
hospital (4 infant weighing
scales, 4 adult weighing scales,
2 suckers, 1 resuscitaire, 2
resuscitation trays, 60 waste
bins, polythene liners, safety
boxes) 3110203
Purchase equipment for theatre MO i/c 5,000,000.00 GOK/FIF/CDF/EU
in Kimbimbi hospital including
a generator 3110203
Purchase equipment for the 18 MO i/c 1,000,000.00 GOK/EU
bed ward at Kimbimbi hospital
3110203
Purchase mortuary equipment MO i/c 2,000,000.00 GOK
for Kimbimbi hospital
3110203

50
 Purchase equipment for MO i/c 1,500,000.00 GOK/EU
maternity 3110203
Ensure adequate supply of food HAO 2,000,000.00 FIF/GOK
rations in Kerugoya and
Kimbimbi hospital 2211015
Level II1
Put up placenta pits for 7 health DPHO 330, 852 GOK 3110202
centres
Level 1
Create awareness on cervical RH/DPHN 200,000.00 WHO/RH
cancer screening through
organised women groups

Output 2: Reduced no. of days without (Responsible Source Code

tracer drugs Person)Coordinator
at DHMT Level

Level IV
Acquire & distribute drugs Pharmacist 80,000.00 FIF/GOK/ADB 2210303

2210302
Forecast the drugs needs for 5 Pharmacist 0.00
health facilities
Timely ordering and acquisition Pharmacist 0.00
of drugs for 5 health facilities
Ensure proper records on drug Pharmacist 0.00
consumption

Level III
Forecast the drugs needs for 11 Pharmacist 0.00
health facilities
Timely ordering and acquisition Pharmacist 0.00
of drugs for 11 health facilities
Ensure proper records on drug Pharmacist 0.00
consumption
Level II
Level I
GRAND TOTAL 153,489,652

51
 4.2 Coordination of Facility Based Management Support Activities
Result Area 1: Maintenance Output 1: Vehicles are (Responsible Budget Source
of buildings, equipment and maintained Person)Coordinator
vehicles at DHMT Level

Activities

Level IV
Routine services of 4 vehicles in Kerugoya MO i/c 666,750 FIF/GOK/EU
hospital and 2 vehicles in Kimbimbi hospital
Provide adequate fuel and lubricants for MO i/c 3,000,000 FIF/GOK/EU
Kerugoya and Kimbimbi hospital
Level III
Quarterly maintenance of 4 vehicles DHAO 240,000 GOK/FIF/CDF/EU
(Kabare, Kianyaga, Sagana, Baricho)
Level II
Result Area 2: Monitoring (Responsible Budget Source
and follow up of Person)Coordinator
implementation with the at DHMT Level
committees

Output 1: Motivated health Activities

workers in all health facilities
Level IV
Hold monthly staff meetings in 5 health MO I/C 475,200 GOK/FIF/CDF/EU
facilities
Provide daily staff teas in 5 health facilities HAO 300,000 GOK/FIF/CDF/EU
Quarterly HMB meetings for Kerugoya and HAO 130,400 GOK/FIF/CDF/EU
Kimbimbi hospital
Scientific conferences for health workers in MO I/C 200,000 GOK/FIF/CDF/EU
Kimbimbi and Kerugoya hospitals
Update 100 health workers on planning 350,000 GOK/FIF/ADB
skills
Level III

52
 Hold monthly staff meetings in 11 health DPHN 475,200 GOK/FIF/CDF/EU
facilities
Provide daily staff teas in 11 health facilities DHAO 500,000 GOK/FIF/CDF/EU
Quarterly committee meeting DHAO 176,000 GOK/FIF/CDF/EU
Level II
Hold monthly staff meetings in 65 health DPHN 390,000 GOK/FIF/CDF/EU
facilities (5 h/ws)
Provide daily staff teas in 65 health facilities DHAO 745,000 GOK/FIF/CDF/EU
Level 1
Output 2: Improved data (Responsible Budget Source
collection and report Person)Coordinator
submission at DHMT Level
Level IV
Provide data collecting and reporting tools HRIO i/c 1,300,000 GOK/FIF/CDF/EU
for Kerugoya and Kimbimbi hospital
Monthly submission of reports in 5 health HAO 30,000 GOK/FIF/CDF/EU
facilities
Hire casuals (53 in Kerugoya and 20 in HAO 4,231,080 GOK/FIF/CDF/EU
Kimbimbi)
-Purchase of one commercial copy printer HAO 300,000 FIF/GOK/EU
for the KDH
Level III GOK/FIF/CDF/EU
Timely submission of monthly reports' DHRIO 66,000 GOK/FIF/CDF/EU
Hire 3 casual workers for 8 health facilities DHAO 1,391,000 GOK/FIF/CDF/EU
Train 60 health workers on M & E DHRIO 305,000 AIPHA/GOK/ADB

Level II
Timely submission of monthly reports' by 65 DHRIO 66,000 GOK/FIF/CDF/EU
health facilities
Hire 3 casual workers for 65 health facilities DHAO 11,320,000 GOK/FIF/CDF/EU
Output 3: improved office (Responsible Budget Source
operations Person)Coordinator
at DHMT Level
Level IV
Provide stationery for Kerugoya and HAO 1,200,000 GOK/FIF/CDF/EU
Kimbimbi hospital

53
 Pay telephone bills for Kerugoya and HAO 500,000 GOK/FIF/CDF/EU
Kimbimbi hospitals
Maintenance of computers/email/ fax/ HAO 500,000 GOK/FIF/CDF/EU
photocopiers
Accommodation and travel (patient referral) HAO 1,600,000 GOK/FIF/CDF/EU
for Kerugoya and Kimbimbi hospital
Provision for postal couriers for Kerugoya HAO 15,000 FIF/GOK
and Kimbimbi hospitals
Staff uniform and clothing’s for Kerugoya HAO 50,000 FIF/GOK
and Kimbimbi
General office supply for Kerugoya and HAO 100,000 FIF/GOK
Kimbimbi
Provide sanitary and cleansing materials for HAO 700,000 FIF/GOK
Kerugoya and Kimbimbi hospital
Provide for water and sewerage HAO 1,000,000 FIF/GOK
GRAND TOTAL 14,344,630.00

4.3. Management level (DHMT) Support plan

ACTIVITIES TIMEFRAME RESPO FUNDS SOURCE CODE
SIBLE
PLANNING Output 1:
Developed
integrated DHP

J A S O N D J F M A M J
Develop an annual integrated District DMOH 450,000.00 EU 2210302
Heath Plan

Output 2:
Enhanced
planning skills Hold quarterly meetings with health DPHN 240,000.00 FIF 2210303
workers
MAINTENANCE Output 1: Painting of DHMT block DMOH 50,000.00 FIF /GOK 2220205
OF BUILDING, Maintained
INFRASTRUCT buildings
URE,
EQUIPMENT
COMMUNICATI

54
 ACTIVITIES TIMEFRAME RESPO FUNDS SOURCE CODE
SIBLE
ON &
TRANSPORT

Repairs of WC toilet DMOH 6,000.00 FIF 2220205

Output 2: Purchase 20 telephone heads DHAO 100,000.00 FIF /GOK 2210201

Communication
improved Purchase mobile phone for 22 DHMT DHAO 300,000.00 FIF
@ 15,000

Maintenance of office equip DHAO 1,200,000.00 FIF GOK 2211101

computers, printers, fax machine
photocopier and scanners

Payment of telephone, Email and DHAO 600,000.00 FIF GOK 2210201

postage services

Output 3: Maintenance of 8 GOK vehicles in DHAO 600,000.00 FIF GOK 2220101

Improved the DMOH office
transport &
referral system
Purchase of fuel and lubricants for DHAO 1,200,000.00 FIF GOK 2211201
the DMOH for 8 vehicles /WHO/RH

DHAO 1,000,000.00 FIF 2211201

Enhance referrals from the rural GOK/WHO/
health facilities RH 2220101
Regular maintenance of medical HMU 300,000.00 FIF GOK 2220203
equipment and instruments

2210302
INTERFACE Output 1: Conduct CBR, Mental, Dental, DOT 264,000.00 FIF GOK
WITH Improved Immunization outreaches
COMMUNITY community
participation and 2210303
involvement
Conduct community oral health DASCO 34,500.00 FIF GOK 2210302
screening
2210303
Celebrate World days (mental, AIDs, DHEO 500,000.00 FIF GOK 2210302
Breastfeeding, TB)
2210303
Hold quarterly review meetings with DASCO 840,000.00 2210302
PLWAs

55
 ACTIVITIES TIMEFRAME RESPO FUNDS SOURCE CODE
SIBLE
2210303
Provide 30 infants born to HIV DNO 406,800.00 VIDHA
positive mothers with supplemental
formula in KDH, KDSH, Mwea
mission hospital
DHAO 4,800,000.00 AIPHA/NA
Procure 120 bicycles for CORPS RESA
Output DHEO 70,000.00 FIF/GOK
2:Improved
education,health
&
communication
to the Procurement of Teaching aids
community (Generator and white board)
GOVERNANCE Output 1: DMOH
Enhanced
teamwork Hold Monthly DHMT meeting DMOH 52,800.00 FIF GOK 2210302

2210303
Hold Quaterly D. H.M.B meetings DMOH 65,200.00 FIF GOK 2210302

2210303
Hold quarterly stake holders DMOH 400,000.00 WHO/RH 2210302
meetings
2210303
Payment of 24 casuals DHAO 1,580,640.00 FIF 2110202

Train 20 DHMB and HMB members DHAO 100,000.00 FIF GOK 2210701
on facilty management
Train 120 health facility committee DHAO 400,000.00 FIF GOK 2210701

HUMAN Sensitize DHMT on HIV/ART/TB DMOH 112,500.00 AIPHA/NA

RESOURCE RESA
MANAGEMENT Output 1:
improved skills Hold quarterly meetings with health DASCO 100,000.00 AIPHA/NA 2210302
and knowledge workers working in VCT/CCC RESA
2210303
-Output 2: Conduct monthly supervisory visits DMOH 1,200,000.00 FIF/AIPHA/ 2210302
improved for all DHMT members NARESA/W
supervision HO/RH 2210303
Conduct supervisory visit by the DMLT 94,400.00 NASCOP 2210302
DTLC and DMLT on AFB

56
 ACTIVITIES TIMEFRAME RESPO FUNDS SOURCE CODE
SIBLE
microscopy 2210303
Conduct IMCI supervision DCO 72,000.00 FIF GOK 2210302
MONITORING Output1: Provide data collecting and reporting DHRIO 400,000.00 FIF GOK 2210501
& Improved HMIS tools
EVALUATION
Purchase of 5 desk top computers and DHRIO 700,000.00 FIF GOK
2 LAPTOP
Interconnect computers and provide DHRIO 600,000.00 FIF GOK
internet services
Train 10 health workers on computer DHRIO 80,000.00 FIF GOK 2210701
applications
Purchase duplo machine for DMOH 400,000.00 EU
Kimbimbi SDH
Purchase 1 digital camera DHRIO 50,000.00 FIF GOK

Purchase 1 GPS DHRIO 100,000.00 FIF/GOK

Train 20 DHMT on facilitative 200,000.00 WHO/RH

supervision
FINANCIAL Output 1: Train DHMT/HMT members on DMOH 100,750.00 FIF/GOK 2210701
MANAGMENT Improved budget preparation
financial
management Update revenue / accounts personnel DMOH 37,000.00 FIF/GOK 2210701
systems on current financial management
systems
Computerize and network financial DMOH 100,000.00 FIF/GOK
management system in all DEPT

Train revenue / accounts personnel DMOH 25,000.00 FIF/GOK 2210701

on current financial computer
packages
Train DHMT/HMT members on DMOH 800,000.00 FIF/GOK 2210701
financial management packages

GRAND
TOTAL 18,372,440.00

57
 SECTION 5
THE DISTRICT BUDGET

58
5.1 District Resource Envelope

5.1.1 District resource envelope by level of care and source

Level /Source GOK FIF ICAP PARTNERS IN WHO DHS & SP ADB IFAD Total
PREVENTION
Level 1 3, 374, 800 0 9, 638, 000 4,000,000 17, 012, 800
Level 2 28, 144, 640 8, 210, 268 3, 000, 000 39, 354, 908
Level 3 17, 601, 764 2, 617, 216 20, 218, 980
Level 4 24, 368, 110 31, 358, 080 3, 392, 000 7, 000,000 14, 223, 200 80, 341, 390
DHMT (Coordination) 14, 194, 644 10, 920,000 4, 164, 000 29, 278, 644
Total 73, 489, 314 56, 380, 208 3, 392, 000 3, 000,000 10, 920, 000 7, 000, 000 23, 861, 200 8, 164, 000 186, 206, 722

5.2 Budget
Budget item Code Total budget by source
GOK FIF Other Total
TRAINING 2210701 0.00 6,070,000.00 9,975,500.00 16,045,500.00
CASUAL WORKERS 2110202 0.00 5,561,720.00 0.00 5,561,720.00
MAINTENANCE OF VEHICLES 2220101 200,000.00 366,750.00 100,000.00 666,750.00

SUBSISTENCE ALLOWANCE 2210302 500,000.00 9,903,700.00 5,000,000.00 15,403,700.00

TRAVEL & ACCOMODATION 2210302 200,000.00 8,268,236.00 3,000,000.00 11,468,236.00
ALLOWANCE FOR BOARD 2210802 0.00 371,600.00 0.00 371,600.00
CONSTRUCTION OF BUILDINGS 11,084,314.00 2,000,000.00 12,714,064.00 25,798,378.00
3110202
GENERAL OFFICE SUPPLIES 2211101 0.00 100,000.00 0.00 100,000.00
MAINTENANCE OF COMPUTERS 2220201 500,000.00 500,000.00 200,000.00 1,200,000.00
MAINTENANCE OF BUILDINGS 2220205 46,800,000.00 2,000,000.00 8,761,018.00 57,561,018.00
DRUGS 2211001 0.00 1,000,000.00 1,816,000.00 2,816,000.00
LAB REAGENTS 2211008 200,000.00 400,000.00 1,538,000.00 2,138,000.00
NON PHARMACEUTICALS 2211002 480,000.00 8,000,000.00 2,000,000.00 10,480,000.00
ENTERTAINMENT 2210801 0.00 2,938,200.00 0.00 2,938,200.00
CLEANSING MATERIALS 2211103 200,000.00 500,000.00 0.00 700,000.00
STATIONERY 2211001 200,000.00 900,000.00 100,000.00 1,200,000.00
POSTAGE & TELEGRAMS 2210203 0.00 15,000.00 0.00 15,000.00
PRINTING 2210502 0.00 560,000.00 0.00 560,000.00
PURCHASE OF EQUIPMENT 3111002 10,000,000.00 3,000,000.00 7,871,920.00 20,871,920.00

59
Budget item Code Total budget by source
GOK FIF Other Total
NUTRITION 0.00 100,000.00 704,000.00 804,000.00
FOOD & RATION 2211015 1,500,000.00 500,000.00 2,000,000.00
PURCHASE OF COMPUTERS 3111002 0.00 500,000.00 850,000.00 1,350,000.00

FUEL & LUBRICANT 2211201 900,000.00 2,000,000.00 1,300,000.00 4,200,000.00

MAINTENANCE OF VEHICLES 2220101 500,000.00 500,000.00 306,700.00 1,306,700.00

UNIFORMS & CLOTHINGS 2211016 25,000.00 25,000.00 50,000.00

TELEPHONE 2110201 200,000.00 300,000.00 100,000.00 600,000.00
TOTAL 73,489,314.00 56,380,206.00 56,337,202.00 186,206,722.00

5.3 Gap/ Surplus

Budget item Code Total by source TOTAL
GOK FIF WHO ICAP PP IFAD DHS & SP ADB
Revenue 73, 489, 314 56, 380, 208 10, 920, 000 3, 392, 000 3, 000,000 8,164,000 7, 000, 000 23, 861, 200 186, 206, 722
Budget 73, 489, 314 56, 380, 208 10, 920, 0000 3, 392, 000 3, 000, 000 8,164,000 7,000,00 23, 861, 200 186, 206, 722
Gap 0 0 0 0 0 0 0 0 0

60