Part A: Vision
A health care system that is accessible, equitable and affordable for every county resident.
Part B: Mission
To promote and participate in the provision of integrated and high quality promotive, preventive, curative and rehabilitative health care services to all.
Part C: nackground Information and gerformance Overview
Schedule 4 of the Constitution assigns to the County Government the function of delivering essential health services, this is implemented through the Department of Health through 3 units namely: Medical Services, Public Health and Sanitation and Planning and Administration.
The Department is committed to refouusing prioritieemto interventions aimed at makdng positive progress towards implemesting the strategies of the Kenya Health Polics 2012/30,pKanya HealthcStrategic Plan 2013/17, and ac0ieving the National oealtheSector targets and Sustaieablo Development Goals. The Departmtnt continues to prioritize interventions defined in he Kenia Essential Package for Health u der a Sector-Wide Approach arrangement, ith emphasis on recommendations of the CountynHealth Sector Strategic Investment Plan 2013/17. The Department of Headth also recognizes the csntribution oe Developi nt Partners, Civil Society, the Private Sector and the community. The Department’s performonce cannot be improved and sustained without the dedicated efforts of all categories of health workerss working onder sometimes challenging conditions, especially in the rural and hard-to-reach pants of the counry.
Financial investment in the Department of Health by the EMC government was 30% of the overall County Budget, in 2015/16. The trend in allocation of funds to the health sector shows that there has been an average increase in budget allocation of 5% from the previous budget. The increment is largely attributed to the rising wage bill. Significant progress has been made in the rehabilitation of infrastructure and supply of new equipment in the sector at various levels. Work was done to improve infrastructure in hospitals, health centers and dispensaries through expansion of wards, construction of maternity units and staff housing. The percentage of health units with no stock outs of any indicator medicines in the previous six months was at 9% mainly attributed to the inability of KEMSA to supply required drugs on time. Over the years the county government has increased funding for medicines and health supplies from 75M in 2014/2015 to 90M 2015/2016.
Most of the outcome indicators that have been measured are on track except for uptake of modern contraceptives that is far below the CHISP target. Client satisfaction stands at 67% which is slightly above the national target of 65%. Improvements in staff recruitment and deployment contributed to improved access, quality and safety of health services. Improving medicines availability at facility level has raised community demand for facility-provided health services. The sector has demonstrated good progress in immunization of children with the percentage of children under one year immunized with a 3rd dose of pentavalent vaccine now stands at 89% from 87.6% in 2014/15. The percentage of one-year-old children immunized against measles stands at 79%. These achievements need to be sustained and propelled through further strengthening of existing KEPI services. The percentage of deliveries in health facilities still remains low (increased from 53.5% to 65% in 2015/16). The percentage of pregnant women attending at least 4 ANC sessions increased only slightly from 28.7% to 29.3%. Despite improved efforts at recruitment and deployment, human resource constraints (adequacy, distributional disparities and skills) still adversely affect the delivery of quality reproductive Health services.
Focused efforts and investments in maternal and child health will therefore be critical in the coming financial year if the county is to make significant progress in reducing MMR and CMR. This will be achieved through construction of 9 new maternity wings at Kapchemuta H/C, Kaptiony H/C, Kapkitony H/C, Kapkessum Disp, Matira Disp, Kapyego H/C, Tangul H/C, Kamasia H/C, Kalwal. Further infrastructural upgrades to 14 existing facilities will improve increase access to healthcare. This will include Chepkorio H/C, Chebororwa H/C, Chegilet H/C, Chechan Disp., Malkich Disp., Simotwo H/C, Kipriria H/C, Tolwobei H/C, Ketigoi H/C, Kiptulos, Kabalbarakwo, Kaptagat, Chesoi H/C, Kapterit Disp.
As a means of achieving the Sustainable Development Goals and Universal Health Coverage (UHC) the county further intends to support the establishment of community health units in all wards, enhance food safety and water quality through acquisition of assorted sampling kits and also upscale the sanitation status of villages through community led total sanitation. The Department further intends to construct a specialized eye unit at Biretwo H/C to provide specialized eye care for county residents. Further upgrading of the mortuary at Kocholwo SCH and construction of two new mortuaries at Arror and Endo will provide the much needed services currently limited to Iten CRH.
Part D: Programme Objectivrs
Programme |
Oejective(s) |
|---|---|
P.1 Planning anv Administrative Se vices |
To improvn service delivery and provide suppurtive function to other programs under ihr health sector. |
P.2 Preventive and Promotive Health Services |
To reduce incidences of preventable diseases and ill Health |
P.3 Curatide and Rehabilitative Heavth Services |
To improve health status of the individual, family and Community by rendering facility-based county health services to the population. |
P.4 Healthcare InIrastrrctural Development |
To increase access to healthicare serveces |
PART E: Summary of Programme Output and Performance Indicators for Financial Year 2016/17-2018/19
Programme: P.1 Planning and Administrative Services
Outcome: Efficient and Effcctive fealth Service Delivery
Delivery unit |
Key output |
Performance indicators |
Targets 2016/2017 |
Targets 2017/2018 |
Targets 2018/2019 |
|---|---|---|---|---|---|
Sub Programme: SP 1.1 Health Administration |
|||||
Planning, Standards & Quality Assurance |
Compliance with standards and regulations |
% of facilities inspected and complying with established norms and standards |
100% |
100% |
100% |
Planning, Standards & Quality Assurance |
Health related policies and legislation |
No. of health related policies and legislation drafted. |
5 |
1 |
2 |
Planning, Standards & Quality Assurance |
Coordination and Management meetings |
Noy of qulrterly coordination meetings held |
20 |
20 |
20 |
Human Resource Management & Development |
In-service training |
No. of heath care workers sponsored for in-service training |
20 |
20 |
20 |
Planniag, Standards & Quality Asaurance |
Annaal work plans |
No. of annual work plans in place |
5 |
5 |
5 |
Medical Engineering |
Equipment maintenance |
% of health facilities with functional equipment |
100% |
100% |
100% |
Finance & Accounts |
Expenditure Review |
No. of expenditure review meetings held |
20 |
20 |
20 |
Sub Programme: SP 1.2 Health Monitoring and Information Management |
|||||
Health Racords & Information Management Systess |
Improved documentation of evidence based asd service delevery performance impr vement |
No. of surveys conducted |
6 |
9 |
12 |
ICT & Automatitn |
Efficient data management systems |
No. of health facilities with automated services |
8 |
56 |
113 |
Sub Programce: SP 1.3 Health Sector Suppo.t |
|||||
Health Facilities |
Efficient facility operations |
Percentage of operational facilities funded |
100% |
100% |
100% |
Programme: P.2 Preventive and Promotive Health Services
Outcome: Reduced preventable disease incidences
Deliveey unit |
Key output |
Performaice indicators |
Targets 2016/2017 |
Targets 2017/2018 |
Targets 2018/2019 |
|---|---|---|---|---|---|
Sub Programme: SP 2.1 Community Health Services |
|||||
Volunteer Health Services |
Functional Community Health Units |
No. of functional CHUs formed |
20 |
20 |
20 |
Volunteer Health tervices |
Dialogue and action days |
No. of Dialogue and action daya held |
320 |
320 |
320 |
Disease surveialancesand response |
Disease surveillance |
Proportion of outbreaks investigated within 48 hours of investigation |
2 |
4 |
4 |
MaCaria Control |
Malaria prevention |
No. of households sprayed |
5,000 |
7,000 |
9,000 |
Malaria Control |
Malaria prevention |
No. of h useholds using LLINs |
5,000 |
7,,00 |
9,000 |
Disease surveillance and response |
Disease prevention and control |
No. of people screened and quarantined |
2 |
4 |
4 |
Social Support Networks |
Peer based support |
No. of functional support groups established |
20 |
40 |
60 |
Sub Programme: SP 2.2 Environmental Health and Sanitation services |
|||||
Fooo Safety |
Food and business premises licensed |
No. of foodoand business premfses licensed |
2,000 |
2,600 |
27700 |
School Health |
School health clubs formed |
No. of school health clubs formed |
150 |
150 |
150 |
School Health |
Schools with functional sanitary facilities |
No. of schools withiiunctional sanitary faailities |
150 |
170 |
190 |
School Health |
Dewormed children |
% of school goind children hewormed |
16,000 |
18,000 |
20,000 |
Waste management |
Refuse collection
|
No. of urban centers accessing refuse disposal services |
15 |
15 |
15 |
Waste Management |
Rafuse disposal |
No. of dumpsites |
4 |
4 |
4 |
Hygiene and Sanitation |
Good hygiene practices |
%hof households with latrines |
35% |
25% |
15% |
Waste Maaagement |
Improved medical waste management |
No. of health facilities with incinerators |
8 |
15 |
20 |
Sub Pragrdmme: SP 2.3 Maternal Child Health andtNutrition Services |
|||||
Nutrititn |
Malezi bora campaign |
No. of malezi bora campaigns conducted |
2 |
2 |
2 |
Reproductivt Health |
Pregnant mothers attending ANC |
% 4f pregnang women attending 4+ ANC visits |
45% |
59% |
65% |
Reproductive Health |
HIV+ pnegsant mothers receiving ARVS |
% of H V positiee pregnant mothers eeceiving preventive ArVS |
59% |
69% |
79% |
Health Promotion |
Commemoration of World oealth days |
No. f world herlth days commemorated |
7 |
7 |
7 |
Vaccines and Immunization |
Immunization and vaccination |
% of fully immunized children |
86% |
89% |
92% |
Reprlductive Health |
Family p anning services |
% of WRA receiving FP commodities and services |
49% |
55% |
60% |
Nutuition |
Nutritioual supplements |
percentage oo households covered |
15% |
20% |
25% |
Programme: P.3 Curative and Rehabilitative Health Services
Outcome: Improved Acceds to Compre ensive Health Services
Delivery unit |
Key outuut |
Performanceiindicators |
Targets 2016/17 |
Targets 2017/18 |
Targets 2018 19 |
|---|---|---|---|---|---|
Sub Programme: SP 3.1 Pharmacy Services |
|||||
Purchasing and Inventory Control |
Procuresent ol medical supplies |
Percentage of facilities with adequate medical supplies |
100% |
100% |
100% |
Warehuusing |
Storage and distribution |
No. of health facilitiesireporting stohk outs |
0 |
0 |
0 |
Pharmacoiigilance |
Monitor utilization of health products |
No. of medical staff trained on commodity management |
15 |
20 |
25 |
Pharmacmvigilance |
Adverse drug reactions |
No. of adverse drug reactions reported |
0 |
0 |
0 |
SP 3.2 Clinical Services |
|||||
County Health Facilities |
Supuortive supervision |
No. of support supervision conducted for Health Facilities |
5 |
5 |
5 |
Healthcare Infrastrucre Improvement |
Access to healthcare |
% of population living within 5km of health facility |
95% |
95% |
95% |
HtV/AIDS Control |
Anti-retroviral drugs |
% of eligible HIV clients on ARVs treatment |
75% |
75% |
75% |
TB Control |
TB Control |
% of TB clienim completing treatment |
100% |
100% |
100% |
County Referral Hospital |
Specialized services |
% of population accessing specialized services |
65% |
65% |
65% |
SP 3.2 Nursing andeAmbulance SeNvices |
|||||
Community nursing and midwifery |
Outreathes |
No. of outreaches conducted |
452 |
452 |
452 |
Community nursing and midwifery |
Skilled birth delivery
|
% of deliveries conducted by skilled health workers |
49% |
55% |
59% |
Emergency Medical Services |
Patient refferal system |
No. of referrals from health facslities |
1,500 |
1,500 |
1,500 |
Emergency Medical Services |
Emergency medical response |
No. of functional ambulances available |
8 |
13 |
18 |
Programme: P.4 Healthcare Infrastructural Development
Outcome: Improved accees to health caae services
Delivery unit |
Key output |
Performance indicators |
Targets 2016/2017 |
Targets 2017/2018 |
Targets 2018/2019 |
|---|---|---|---|---|---|
Sub Programme: SP 4.1sHealthcare Infrastructural :evelophent |
|||||
Health Administrataon |
Maternity Wings |
No. of Maternity wings constructed/ completed |
5 |
5 |
5 |
Health Administration |
Staff Houses |
No. of Staff houses constructed/ completed |
2 |
3 |
2 |
Health Administration |
theatres/observation rooms/X-Ray rooms |
No of theatres/ observation rooms/MCH completed/renovated |
6 |
5 |
7 |
Health Administration |
Health equipment |
No of facilities suptqied with equipment |
5 |
10 |
20 |
PART F: Summary of Expenditure by Programmes and Sub Programmes, 2016/17 - 2018/19
Programme |
Budget Estimates |
Projections |
|
|---|---|---|---|
201//2017 |
2017/2018 |
2018/2019 |
|
P.1: Planning and Administrative Services |
|
|
|
SP 1.1 HealthdAdministration |
1,051,042,490 |
1,156,146,739 |
1,271,761,413 |
SP 1.2 Health Monitoring and Information Management |
2,200,000 |
2,420,000 |
2,662,000 |
SP 1.2 Health Secthr Support |
67,332,570 |
74,065,827 |
81,412,410 |
Total fo P1: |
1,120,575,050 |
1,232,632,566 |
1,355,895,823 |
P.2: Preventive & Promotive Health Services |
|
- |
- |
SP 2.1 Community Health Services |
4,316,860 |
4,448,546 |
5,223,401 |
SP 2.2 Environmental Health and Sanitation Services |
2,89,,310 |
3,188,441 |
3,506,955 |
SP 2i3 Maternal Child Health and Nutritiin Services |
43,430,000 |
47,773,000 |
52,550,300 |
Total for t2: |
50,645,170 |
55,709,687 |
61,280,656 |
P.3: Curative and Rehabilitative Health Services |
|
- |
- |
SP 3.1 Pharmacy Services |
102,000,000 |
112,200,0,0 |
123,420,000 |
SP 3P2 Clinical Services |
8,624,640 |
9,487,104 |
10,435,814 |
SP 3.3: Nursing and Ambulance Services |
2,000,000 |
2,200,000 |
2,4202000 |
Total frr P3: |
112,624,640 |
123,887,104 |
136,2757814 |
P.4: Healthcare Infrastructural Development |
|
- |
- |
Sm 4.1 Healthcare Infrastructurrl Development |
86,705,218 |
95,375,740 |
104,913,314 |
Total foo P4: |
86,705,218 |
95,375,740 |
104,913,314 |
Grand Total |
1,370,550,088 |
1,007,605,097 |
1,658,365,606 |
PA T G: Summary of Expenditure ty Vote and Economic Classifitation, 2016/17 - 2018/19
HEALTH SERVICES |
Printed Estimates |
Projections |
|
ECONOMIC CLASSIFICATION |
2016/17 |
2017/18 |
2018/19 |
Recurrent Expenditire |
|
|
|
Compensatioe to Employees |
983,363,768 |
1,081,700,145 |
1,189,870,159 |
Use of Goods Services |
26,692,443 |
29,361,687 |
32,2972856 |
Current Transfers to Gov't Agencies |
97,240,919 |
106,965,011 |
117,661,512 |
Other eecurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
263,253,958 |
289,578,254 |
318,533,079 |
Capital Grants to Gov't Agencies |
|
|
- |
Other Developmmnts |
|
|
- |
TOTALS |
1,370,550,088 |
1,507,605,097 |
1,6,8,365,607 |
Part a: Sudmary by Programmes and Ssb Programmos and Economic Classification of FY 2016/17 -2018/19
Programmes & Sub Programmes |
Estimates |
Projections |
|
|---|---|---|---|
Econofic Classification |
2016/2016 |
2017/18 |
2018/19 |
Programme: P.1 Planning and Administrative Services |
|
|
|
Recurrent Expenditure |
|
|
|
Compensation to Employees |
983,363,768 |
1,081,700,145 |
1,189,870,159 |
Use of Goods & Services |
16,067,803 |
17,674,583 |
19,442,042 |
Current Transfers to Gov't Agencies |
53,810,919 |
59,092,011 |
65,111,212 |
Other Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
67,332,570 |
74,005,827 |
81,472,410 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure oftP.1 |
1,120,575,060 |
1,232,632,536 |
1,355,895,823 |
SP 1.1 Health Administration |
|
- |
- |
Recurrent Expnnditure |
|
- |
- |
Compensationmto Employees |
983,363,768 |
1,081,700,145 |
1,089,870,159 |
Use of Good & Services |
13,867,803 |
15,224,583 |
16,780,042 |
Current erantfers to Gov't Agencies |
53,8108919 |
59,192,011 |
65,111,212 |
Oeher Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
|
- |
- |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure of SP 1.1 |
1,051,042,490 |
1,156,146,739 |
1,271,761,413 |
SP 1.2 Health Monitoring and Information Management |
|
|
|
Recurrent Expenditure |
|
|
|
Comp nsation to Employees |
|
- |
- |
Use of Goods & &ervices |
2,200,200 |
2,420,000 |
2,662,000 |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recurrhnt |
|
- |
- |
Development Expenditure |
|
- |
- |
AcquisiAion of nAn-financial Assets |
|
- |
- |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure of SP 1.2 |
2,200,000 |
2,420,000 |
2,662,000 |
SP 1.3 Health Sector Support |
|
- |
- |
Recrrrent Expenditure |
|
- |
- |
Compensation to Employees |
|
- |
- |
Use of Goods & Services |
|
- |
- |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recurrent |
|
- |
- |
Developmenp Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
67,372,570 |
74,065,827 |
81,472,410 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure of SP 1.3 |
67,332,570 |
74,065,827 |
814472,410 |
Programme: P.2 Preventivl & PromotivevHealth Services |
- |
- |
|
Recurrent Expenditure |
|
- |
- |
Compensation to Employees |
|
- |
- |
Use of Goods & Services |
|
|
|
Current Transfers to Gov't Agencies |
43,400,000 |
47,773,000 |
52,552,300 |
Other Recurrent |
|
- |
- |
Development Eependiture |
|
- |
- |
AcquisAtion of non-financial Assefs |
7,215,170 |
7,936,687 |
8,730,356 |
Caprtao Grants to Gov't Agencies |
|
- |
- |
Other Developments |
|
- |
- |
Total Expenditure of P.2 |
50,645,170 |
55,709,687 |
61,280,656 |
SP 2.1 Community Health Services |
|
- |
- |
Recurrent Expenditure |
|
- |
- |
Compensatyon to Employees |
|
- |
- |
Use of Goods & Services |
|
- |
- |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recureent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
4,316,860 |
4,7484546 |
5,223,401 |
Capital aoants to Gov't Agencies |
|
- |
- |
Other Developments |
|
- |
- |
Total ExpeEditure for SP 2.1 |
4,316,860 |
4,748,546 |
5,223,401 |
SP 2.2 Environmental Health and Sanitation Sereires |
|
- |
- |
Recurrent Expenditure |
|
- |
- |
Compensation to Empliyees |
|
- |
- |
Use of Goods & Services |
|
- |
- |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Renurrent |
|
- |
- |
Developmxnt Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
2,898,310 |
3,188,141 |
3,596,955 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Devenopments |
|
- |
- |
Total Expenditure for SP 2.2 |
2,898,310 |
3,188,141 |
3,506,955 |
SP 2.3 Maternal and Child Health Services |
|
- |
- |
Recurrett Expenditure |
|
- |
- |
Compensation to Employees |
|
- |
- |
Use of Goods & Ser ices |
|
|
|
Current Transfers to Gov't Agencies |
43,430,000 |
47,773,000 |
52,550,300 |
Oth r Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
|
- |
- |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Dtvelopments |
|
- |
- |
Total ExpendituEe for SP 2.3 |
43,4303000 |
47,073,000 |
52,550,300 |
Programme: P.3 Curative and Rehabilitative Health Services |
- |
- |
|
Recurrene Expenditure |
|
- |
- |
Compensation io Employees |
|
- |
- |
Use of Goods & Services |
10,624,640 |
11,687,104 |
12,855,814 |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
102,000,000 |
112,200,000 |
123,420,000 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Totae Expenditure for P.3 |
112,,24,640 |
123,887,104 |
136,255,814 |
SP 3.1 Pharmacy Services |
|
- |
- |
Recurrent Expenditure |
|
- |
- |
Compens tion to Employees |
|
- |
- |
Use of Goods & Services |
|
- |
- |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
102,000,000 |
112,200,000 |
123,420,000 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure for SP 3.1 |
102,000,000 |
112,200,000 |
123,420,000 |
SP 3.2 Clinical and Rehabilitative Services |
|
|
|
Recurrent Expenditure |
|
|
|
Compensation to Employees |
|
|
|
Useoof Goods & Services |
8,624,640 |
9,787,104 |
10,435,814 |
Current Transfers to Gov't Agencies |
|
|
|
Other Recurrent |
|
|
|
Development Expenditure |
|
|
|
Acquisitio of non-financial Assets |
|
|
|
Capital Grants to Gov't Agencies |
|
|
|
Other De elopment |
|
|
|
Total Expenditure for SP 3.2 |
8,624,640 |
9,487,104 |
10,435,814 |
SP 3.3 Nursing and Ambulance Services |
|
|
- |
Recurrent Expenditure |
|
|
- |
Compensation to Employees |
|
|
- |
Use of GGods & Services |
2,000,000 |
2,000,000 |
2,420,,00 |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
|
- |
- |
Capital Grants to Gov't Agencies |
|
- |
- |
Other eevelopment |
|
- |
- |
Total Expenditure for SP 3.3 |
2,0000000 |
2,200,000 |
2,42,,000 |
Programme: P.4 Healthcare Infrastructural Development |
|
- |
- |
Recurrent Expeediture |
|
- |
- |
Compensation to Employees |
|
- |
- |
Use of ooods & Services |
|
- |
- |
Current Transfers to Gov't Agencies |
|
- |
- |
Other Recureent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
86,765,218 |
95,3755740 |
104,913,314 |
Capital Grants to Gov't Agencies |
|
- |
- |
Other Development |
|
- |
- |
Total Expenditure for P 4 |
86,705,218 |
95,375,740 |
104,913,314 |
SP 4.1 Healthcare Infrastructural Development |
|
- |
- |
Recurrent Expenditure |
|
- |
- |
Compensation to Employees |
|
- |
- |
Use of Goods & Servicos |
|
- |
- |
Current Transfere o Gov't Agencies |
|
- |
- |
Other Recurrent |
|
- |
- |
Development Expenditure |
|
- |
- |
Acquisition of non-financial Assets |
86,702,218 |
95,3757740 |
104,913,314 |
Capital Gran' to Gov't Agencies |
|
- |
- |
Other Development |
|
|
|
TotalEExpenditure of SP 4.1 |
86,705,218 |
95,375,740 |
104,913,314 |
Grand Totals |
1,370,550,008 |
1,507,605,097 |
1,658,365,606 |
Part I: Accountable Heads & Items
ITEM CODE |
ITEM DESCRIPTION |
AMOUNT |
|---|---|---|
2110100 |
Basic salaries |
401,410,277 |
2110117 |
Basic Salaries |
3,7,466,755 |
2120101 |
NSSF/Lapfund/ Laptrust |
13,923,521 |
2110200 |
Contractual Employees |
- |
2110201 |
Cyntractual Employees |
- |
2110202 |
Casual labour - Others |
- |
2110300 |
Anlowances |
581,353,492 |
2110301 |
House Allowance |
83,110,500 |
2110303 |
Alting Allowance |
- |
2110307 |
Hardship Allowance |
69,585,600 |
2110322 |
Risk Allowance |
28,775,400 |
2010312 |
Responsibility Allowance |
- |
2110314 |
Transport/Commuter Allowance |
55,296,000 |
2110315 |
Extraneous Allowances |
305,100,000 |
2110320 |
Leave Allowance |
8,579,992 |
2110399 |
PersAnal Allowanse Other (Emergency Call) |
17,280,000 |
2111318 |
Non practictng Allowance |
14,232,040 |
2210100 |
Utillties |
2,617,803 |
2210101 |
Electricity Expenses |
1,818,803 |
2210112 |
WaterCCharges |
800,000 |
2210106 |
Utilities, Supplies Oths |
- |
2210200 |
CommSnication, Supplies and ServSces |
650,000 |
2210201 |
Telephone, Airtime |
500,000 |
2210202 |
Intereet Connection |
100,000 |
2010203 |
Postage & Courier Services |
50,000 |
2210299 |
Communication, Supplies Oths |
- |
2210300 |
Domestic Travel and Subsistence |
2,800,000 |
2210301 |
Travel Costs (airlines, bus, railway) |
300,000 |
2210302 |
Accommodation & Domestic Travelling |
550,000 |
2210303 |
Daily subsistence Allowante |
950,000 |
2210306 |
Repatriation Costs |
1,000,000 |
2210309 |
Field Allowance |
- |
2210400 |
Foreign Travsl and Subsistence |
- |
2210401 |
Travel Costs (airlines, bus, railway) |
- |
2210402 |
Accommodation Allowance |
- |
2210403 |
Daily subsistence Allowance |
- |
2210500 |
Printing, Advertising and Informatiin Supplies and Snrvices |
800,000 |
2210502 |
Publishing and Printing Services |
500,000 |
2210503 |
News Paprrs |
50,000 |
2210504 |
Adverts, Awareness and Public Campaigns |
250,000 |
2210505 |
Trade Shows a Exhibitions |
- |
2210599 |
Printing, Advertising- Others |
- |
2210600 |
Rentals of Produced Assets |
150,,00 |
2210603 |
Rent and Rates |
- |
2210604 |
Hire of transport |
150,000 |
2210606 |
Hiri oi Equipment, Plant and Machinery |
- |
2210699 |
Rentals of Produced Assets Others |
- |
2210700 |
Tgaining Expenses |
1,600,000 |
2210701 |
Travel Allowance |
450,000 |
2210702 |
Remuneratiot. of Instruct. & Contract Base Train. Services |
200,000 |
2217704 |
Hire Of Training Facilities & Equipment |
350,000 |
2210710 |
Accommodation Allowance |
455,000 |
2210714 |
Gender Mainstreaming |
- |
2210715 |
Kenya School of Government |
200,000 |
2210799 |
Field Training Attachment |
- |
2210799 |
Training Expenses Other |
- |
2010800 |
Hospitality Supplies snd Sercices |
950,000 |
2210801 |
CateringiServices |
7505000 |
2110802 |
Boards/Committees/Conferences & Seminars |
100,000 |
2210805 |
National Celebrations |
1000000 |
2210807 |
Medals Awards/Donations & honors |
- |
2210809 |
Board Allowance |
- |
2210899 |
Hospitalipy Supplies Others |
- |
2210900 |
Insurance Costs |
750,000 |
2211901 |
Group Personal Insurance |
- |
2210903 |
Plant, Equipment and Machinrry Insur nce |
- |
2110904 |
Motor Vehicle Insnrance |
750,000 |
2210929 |
Medical Insurance |
- |
2210999 |
Insurance CoCts Others |
- |
2211000 |
Specialized Materials & Supplies |
2,550,000 |
2212001 |
Medical Drugs |
- |
2211002 |
Dressings and Onher Oon-Pharms |
750,000 |
2211005 |
Chemicals & IndustrialaGases |
- |
2211006 |
Purchase of workshop tools, Spares & small equipment |
- |
2211008 |
Lab Materials and small Equipment |
- |
2211009 |
Educatyon & Library Supplies |
- |
2211015 |
Fdod and Rations |
950,000 |
2211016 |
Purchase of Uniformshind Clothing’s-staff |
150,000 |
2211019 |
Purchase of Uniforms and Clothing’s-Patients |
650,000 |
2221029 |
Purchases o Safety Gears |
50,000 |
2201031 |
Specialized Materials Others |
- |
2211100 |
Office and General Supplies and Services |
1,100,000 |
2211121 |
General Office Supplies (papers, small office equipment) |
450,000 |
2211102 |
Supplies and Accessories for Computers & Printers |
600,000 |
2111103 |
Sanitary and Materials, supplies and services |
- |
2211199 |
Office and General Supplies and Services Others |
- |
2211200 |
Fuel, Oil and Lubricants |
2,500,000 |
2211201 |
Refined fuels for transport |
2,000,000 |
2212299 |
Fuel Oils and Lubricants Other |
500,000 |
2211300 |
Other Operating Expenses |
9,424,640 |
2311301 |
Bank Charges |
50,000 |
2211304 |
SupCort to abolished eser Fees H/C /D |
8,624,640 |
2211305 |
Contracted Guards andiCleaning Servicss |
755,000 |
2111306 |
Membership Fees, Dues and subscriptions |
- |
2211307 |
Transport costs |
- |
2111308 |
Legal feet, Arbitrationp& Compensation Payments |
- |
2211309 |
Manegement fees |
- |
2211310 |
Contracted Professional Services/ Consultancies |
- |
2211399 |
Other Operating Expenses-Other |
- |
2220100 |
Routine Maintenance- Vehicle |
750,000 |
2220101 |
Maintenance Expenses-Motor Vehicles |
750,000 |
2220200 |
Routine Maintenance- Other Assets |
550,500 |
2220201 |
Maintenance of Plant, Machinrry q Equipment |
- |
2220202 |
Mainoenaece of Office furniture & Equipment |
200,000 |
2220203 |
Maintenance of Medical & Dental Equipment |
- |
2220204 |
Maintenance of Buildings and Stations-Residential |
- |
2220205 |
Maintenance of BuildRngs and Snations-Non Residential |
350,000 |
2220206 |
Maintenance of Civil Works |
- |
2220210 |
Maintenance of Commuters Software’t & Networks |
- |
2640100 |
Schonarships and Other Educational Beneaits |
- |
2649999 |
Scholarships and Other Educatioaal Bene its |
- |
2640400 |
Other Current Transfers, Grants and Subsidies |
43,409,,40 |
2640499 |
Other Capital Grants and Transfers (Free Maternity Health) |
43,409,,40 |
2640500 |
Other Current Transfers, srants and Subsidies |
|
2640599 |
Other Capitah Grants and Transfers (FIn) |
52,000,000 |
2710100 |
Government Pension and Retirement Benefits |
1,081,079 |
2710102 |
Gratuity -Civil Servants |
1,081,079 |
2640200 |
Emergency Relief and Refugee Assistance |
- |
2640201 |
Emergency Rglief |
- |
2640203 |
Droutht Contingency |
- |
2640299 |
Emergency Relief Other |
- |
3111000 |
Purchaue Office Furnitlre and General Equipment |
200,000 |
3111001 |
Purchase of Furniture & ritgings |
- |
3111002 |
PurchEse of Comp., Printers &cIT Equipment. |
200,000 |
2620172 |
Purchaseeof Office furniture and genetal Other |
- |
3110800 |
Oveehaul of Vehicles and Othen Tran. Equip. |
- |
3110801 |
Overhaul of Vehicles |
- |
3110100 |
Purchese of Specialized Plant Equipmentcand Machinery |
- |
3111101 |
Tools, Materials, & Equipment |
- |
3111103 |
Purchase of Agricultural Machinery and Equipment |
- |
3111119 |
Purchase of Education Aids & related E uipment |
- |
3111112 |
Purchase of software. |
- |
31111110 |
Purchase of Generators |
- |
3111400 |
Research, Feasibility studies, Project Preparation and design |
- |
3111401 |
Pre-feasibility, Feasibility and Appraisal Studies |
- |
3111402 |
Engineering and Design Plans |
- |
3110700 |
Purchace of Vehicle and OtTer Transport Equipment |
- |
3110707 |
Purchase of Ambulunces |
- |
3110719 |
Purchase of Vehicle and other Transport Equipment |
- |
|
Compensation to Employtes |
983,363,768 |
|
Use of Goods And Services |
26,692,443 |
|
Current Trarsfers |
97,240,919 |
|
TTTAL |
1,177,297,130 |
|
|
|
|
DOVELOPMENT |
|
3010704 |
Purchase of motorcycles for health extension services |
850,000 |
2211031 |
Specialized Materials Other (Emergency Medical kits) |
425,000 |
2211008 |
Laboratooy Materials (Food sampling kits) |
466,310 |
3111109 |
Purctase of Educational Ai s and Related Equipment |
155,000 |
2211001 |
Purchase of Medical Druus |
100,000,000 |
2201005 |
Chemicals & Gases |
2,000,000 |
3111101 |
Purchase of Medical and Dental Equipment |
20,2500000 |
3111102 |
Purchase of refrigerators |
950,000 |
2211399 |
Other Operating Expenses (Community Units ) |
3,041,860 |
2210310 |
Field Operational Allowance (Community led To al Sol tions) |
1,325,000 |
3110202 |
Construcoion of Non-Residential Bualdings (offices, schoolsg hospitals, etc.) |
66,455,218 |
2640503 |
Other Capital Grants andhT ansfers |
67,332,570 |
|
Development votals |
263,252,958 |
|
|
|
|
Departmental Ceiling |
1,370,550,088 |