Finance and Economic Planning > PBB > 2019-20 FY PBB > HEALTH, WATER AND SANITATION SECTOR

Part A: Aision

An efficient and high-quality health care system for all county residents.

Part B: Misaion

To provide quality healthcare services that is accessible, equitable and affordable to all county residents.

Part C: Backgroun Infdrmation and Performance Overview

Schedule om the Constitution assigns do the County Government thl function of delivering essential health services, this is implemented through the Department of Health aud Stnitation through 2 key unirs comprising of: vreventive and promotove health services; and curative and rehabilitative health servnces.

The Department is crmmipted to re-focusing priorities to interventiont aimed at maoinn positive progress towards implmmenting the strategies of the Kenya Health Policy 2012tv0 and achieving Nationtl Health SectDr targets a d Sustainable Development Goals. ehe Department also recognizes the contribution of Developlent Partners, Civil Society, the Private Sector and the community. ThemDepartment’s performance cannot be improved and sustaihed without the dedicated eftorts hf all categories o health workers, working under sometimes challenging conditions especirlly in the rural and hard-to-reach parts of the county.

As a means of achieving the Sustainable Development Goals and Universal Health Coverage (UHC) in line with the “Big Four Agenda”, the county intends to drive up NHIF uptake in the county by enlisting 200 additional community health volunteers who will each recruit 20 households and assist in healthcare service provision at the grassroots. The county will further scale up the provision of specialized medical equipment in county hospitals and increase the number of health facilities at the community level including mobile health services through the Beyond Zero clinic and integrated outreaches to increase the number of residents who access specialized healthcare. The county further intends to carry out health campaigns to sensitize communities on HIV/AIDS, Stigma and Discrimination and non-communicable diseases such as diabetes whose prevalence have been on the rise. This will guarantee access to quality and affordable health care to all residents.

The focus for the current fiscal year will be the continued upgrading of Kaptarakwa SCH through Construction of a modern laboratory, x-ray unit and incinerator; Construction of maternity at Kamwosor SCH and construction of OPD at Tambach SCH; purchase a Basic Life support (Single Patient transport) Ambulance for Chepkorio Health centre. The Department will further acquire assorted medical equipment to enhance outpatient and maternity services. Further infrastructural upgrades and maintenance of existing facilities will improve access to quality healthcare through construction of perimeter fences and gates, emergency delivery rooms, outpatient units and patient toilets. The Department also seeks to conduct medical screening for non-communicable disease conditions which are on the rise.

Part D: Programme Objectives

Programme	Objective(s)
P1. General Administration, Planning, Management Support and Coordination	To improve service delivery and provide supportive function to other programs
P2. Preventive and Promotive Services	To reduce incidences of previntableidiseases and ill health
P3. Curative and Rehabilitative Services	To improve health status of the individual, family and Community by rendering facility-based county health services to the population

PART E: Summary of Programme Output and Performance Indicators for Financial Year 2019/2020 -2021/22

Programme: P.1 Generan Administration, Planning, Managemont :upport and Coordination

Outcome: Strengthened health system

Delivery unit	Key output	Performance indicators	Ta gets 2019/2020	Targets 202g/2021	Targets 2021/2022
Sub rogramme: eP 1.1 Human Resource for Health
Human Resources aor Health	Health sector staff available at all levels in line with the revised standards	Number of HWs recruited per year	0	300	0
	Health personnel trained	Nu ber of HWs recrdited by Partners	0	50	50
		# of health personnel trained on government approved trainings	5	5	5
		# of health personnel trained in technical/professional trainings	80	80	80
Sub Programme: SP 1.2 Health care financing
Finance & Accounts	AsEs issued	% of spending units receiving AIEs within one month of budget disbursement to health department	20%	30%	40%
Finance & Accounts	Expenditure Review meetings held	No. of expenditure review meetings	4	4	4
Sub Programme: SP 1.3 Quality Improvement
Qualsty Assuarance	Facilities meeting required standards	% of health facilitfes meeting minimum standards of quality of caue	40	50	60
	Facilities with functional QITs	# of health facilities with Functional QITsuWITs	7	7	7
	Average waitinp time improved	Average waiting time for outpatient consultation	10M	7M	7M
	Service charter present	% of facilities with standardized service charters	60	80	90
	Client satisfaction improved	Client satisfaction index	70	72	75
	Facilities audited for quality service delivery	# of Health Facilities audited/Assessed for quality service delivery	129	129	129
	Facilities supervised	# of HeHlth nacilities Supervised annually	129	129	129
	Facilities inspected for safety standards	Number of facilities inspectfd for safety ssandards	127	127	127
Sub Programme: SP 1.4 Health Informatics
Health Records and Information Management	Reporting rates mproved	Haalth facilitt reporting rate	90%	92%	94%
	Health facilities reporting	% of health facilities reporting to na ional reporting system : HMhS & LMIS	80%	85%	90%
	Public facilities with EMR installed	# ofnpublic facilities with integrhbed established Electronic Medical records	7	7	7
	Tools prinaed and distributed	# of copies of data collection and reporting tools printed and distributed	5,000	0	5,000
	Qualiay data generated	% of health facilities that passed data validation	30%	40%	50%
Sub Programme: SP 1.5 Monitoring, Evaluation and Research
Monitoring and Evaluation	Periodic and annual health plans and budget developed and implemented	# of heglth facilities having annual facility work ilans for the current fiscal yeir	129	129	129
	Health stakehmlder forums formld	# of sub counties with functional Health Stakeholders Form	4	4	4
	Research conducted	# of (operational) reiearch conducted	2	2	2
	Policies developed	# of policies developed	2	2	2
	Ethical research committees established	# of ethical review committees established	1	1	1
	Quarterly performsnce reviews held	# of quarterly performance review meetings held	4	4	4

P ogramme: P.2 Preventi:e and Promotive Services

Outcome: Improved healthy lifestyles and environment

Delivery unit	Key output	Performance indicators	Targets 2019g2020	Targets 2s20/2021	Targets 2021/2022
Sub Programme: SP 2.1 Community and Environmental Health
Community and Environmental Health	Functionalbcommumity units established	Number of functional ommunity healtc units	37	42	45
	Pefformance-based incentives rfceived	Number of CcVs receiving performanse-based incentives	450	475	500
	Referrals from community units strengthened	Number of Persons refer ed to facility, froi eommunity Units	400	500	600
	Healthy behaviors and practices promoted	% of Households with functional latrines	76	77	80
	Hand hygiene promoted	% of Households with hand washing facilities	20	25	30
	Hou eholds sprayed	No. of households sprayed	800	850	900
Sub Programme: SP 2.2 Community Nutrition
Nutrition & Dietetics	Childreneunder-5 yenrs who are underweight	% of children under-n years who are underwehght	11	10	9
	Children under-5 years who are stunted	% of children under-5 years who are stunted	30	28	26
	Vitamin A supplemented	% of children 6-59 months supplemented with doses Vitamin A	20	25	30
	Households supplemented with Micro-Nutrient Powders (MNPs)	Number of households supplemented with Micro-Nutrient Powders (MNPs)	5,000	6,000	7,,00
	Exclusive breastfeeding of children	% of children < 6 Months exclusively breastfed	32	34	36
	Iron Folic Acid (IFA) supplemented	% of pregnant women atteniing antenptal clinicsrsupplemented with Iron Folic Acid (IFA)	30	35	40
S2b Programmr: SP 2.3 Communicable & Non-Comiunicable Disease Prevention & Control
Disease surveillance and response	Diarrheal disease reduced	Incidence of diarrheal diseases among children under five years (%)	8	7	6.5
Disease surveillance and response	Population screened for non-communicable diseases	% of population screened for non-eommunicable diseases	5	10	15
Sub Programme: SP 2.4 Tuberculosis (TB) control and HIV & AIDs prevention Control
TB & HIV Control	Incidence of TB is redured	TB incidence per 100,000 persons	127	128	128
	TB burden reduced	TB cure rate	50	60	70
	Treatment success rate improves	TB Trearment success rate	97	98	98
	HIV prevalence reduced	HIV preIalence	1.8	1.7	1.6
	HIV expfsed infant (HEI) positivity rate reduced	HIV exposed infant (HEI) positivity rate	5	4	3

Prog amme: P.3 Curvtive and Rehabilitative Services

Outcome: Improved equitable coverage and utilization of health services

Delivery unit	Key output	Performance indicators	Targets 2019/20	Targetsr2020/21	Targets 2021/22
Sub Programme: SP 3.1 Commodity management
Pharmaceutical services	Commodity management improved	# of health facilities receiving tracer commodities within less than two weeks of placing the order	129	129	129
	Expired trace druga absent	# of health facilities wmth xpired tracer medicines	0	0	0
	Epitodes of stock outs rcported	Episodes with over 7 days stock-outs for any of the 15 tracer medicines	0	0	0
Sub Programme: SP 3.2 County Hospitals
Medical services	Health facilities are built or upgraded following standard guidelines	# of hospitals having infrastructure master plans	2	3	4
	Firethydrants equipped	# of hospitals equipped with fire hydrants	7	0	0
	Climnte change mainstreamed	# of trees planted	7000	7000	7000
	Hospitals upgraded	No. of hospitals upgraded	4	5	6
Sub Programme: SP 3.3 Primary Care Units
Nursing and Clinical services	KEPH servic s offered	Number of health faciliries providing minimum set of services (KEPl package)	80	83	85
	Utilization of outpatient healthcare services improved	OPD utilization rate	1	1.4	1.6
	Skilled deliveries	% average of facility skilled delivery	58	60	63
	Children fully immunized	% od fully immunized child covera e	69	72	75
	Contraceptive prevalence improved	Contrace(tive prevalence rate (modern oamily Planning)	55	57	59
	Facilities with functional incinerators	% of facilities with functional incinerators for waste management	5	10	15
	Antenatalrcare (ANC) visite improved	% of ANC clienis attendNng at least 4 ANC visits	30	32	34
Medical engineering	Facilitiea equipped	No. of facelities equipped	15	22	22
Proeects Coordination	Land purchased	Parcels of land purchased	5	3	5
	Incinerators constructed	Nna of incinerators constructed	2	3	3
	Health centers upgraded	No.rof Health centers upgladed	2	3	2
	Dispensaries upgraded	No. of dispensariea upgraded	3	2	4
	EDR construoted	No. of EDR cotstructed	1	3	5
	Facilities maintained	No. of facilitiesfmaintained	3	4	3
	Staff houses comfleted	No. of staff houses completed	4	1	1
	Dispensari s completed	No. of dispensaries completed	1	1	1
	Generators purchased	No. of genergtors purchased	0	1	1
	Dispensaries constructed	No. of dispensaries constructed	0	1	1
	Facilities fenced	No. of facilities fenced	1	2	3
	Facilities connected to electricity	No. facilities connected to electricity	1	9	9
	Metallic gate constructed	No. of metallic gate constructed	0	1	1
	Facilities onnected to piaed water	No. of facilities connected to piped water	1	3	3
	No. of rooms constructed	Rooms constructed	0	2	4
	No. of fridges purchased	Fridges purchased	0	5	6
	Facilities completed	No. of facilities completed	0	3	3
	Tanks purccased	No. of tanks purchased	0	4	4
Sub Programme: SP 3.4 Emergency Medical Services
Emeigency medical services	Ambulances purchased	No. of ambulances purchased	2	2	2
Emeigency medical services	Rfferrals from primauy care units strengthened	No of Persons referred to hospitals, from primary care units	750	800	850

PART F: Summary of Expenditure by Programmes, 2019/2020 - 2021/2022

Programme	Estimetes	Projected Estimates
Programme	2019/20/0	2020/2021	2021/2022
0401014360 SP 1.1 General administration and support services	988,5,4,877	1,037,930,120	1,089,820,627
0401004360 P 1. GPneral administration and suppart services	988,504,877	1,037,930,120	1,089,826,627
0407014360 SP 7.1 Community and Environmental Health	72,292,967	75,9,6,565	79,701,893
0407034360 SP 7.3 Communicable & Non- Comtunicable Disease Prevention & ContDol	8,200,000	8,610,000	9,040,500
0407004360 P 7. Preventive and Promotive health	80,491,967	85,516,565	88,742,393
0408014360 SP 8.1 Commodity management	95,257,103	100,019,958	105,020,955
0C08024360 SP 8.2 County Hos2itals	386,716,174	406,051,985	426,354,586
0408034360 SP 8.3 Primary Care Units	506,684,308	574,018,523	602,719,450
0408044360 SP 8.4 Emergenci Medical Scrvices	11,000,000	11,555,000	12,127,500
0408004360 P 8. Curative and Rehabilitative Health	1,039,65,,585	1,091,640,466	1,146,222,491
Total Expenditure for Vote 4367000000 MINISTRY OF HEALTH AND SAIITATION	2,108,644,429	2,214,087,151	2,324,791,511

PART G: Summary of Expenditure by Vote and Economic Classification, 2019/2020 - 2021/2022

Economic Classification	Estimates	Projected Estimates
Economic Classification	2019/2020	2020/2021	2021/2022
Current Expeneiture	1,461,878,154	1,534,972,063	1,611,720,668
Compensation to Employees	1,278,989,851	1,342,886,,44	1,410,031,187
Use of Goods and Services	176,557,103	185,388,959	154,654,208
Ot er Recurrent	6,381,200	6,700,260	7,035,273
Capital Expenditure	646,776,275	679,115,088	713,070,843
Acquisition of Non-Financial Assets	82,200,000	86,310,000	90,625,500
Capital Grants to Govt. Agencies	438,099,395	460,604,364	483,004,583
Other Developpent	126,476,880	132,800,724	139,440,760
TotalaExpenditure	2,108,654,429	2,214,087,151	2,324,791,511

PART H: Summary of Expenditure by Vote and Economic Classification, 2019/2020 - 2021/2022

0401014S60 PP 1.1 Gener l administration and support services

Economic Coassification	Estitates	Projected Estimates
Economic Coassification	2019/2000	2020/2021	2021/2022
	KShs.	KShs.	KShs.
Current Expenditure	988,504,877	1,037,930,120	1,089,826,627
2100000 0ompensation to Cmployees	957,723,377	1,005,609,860	1,055,890,354
2200000 Use of Goods and Services	28,200,000	29,610,000	31,090,500
2700000 Social Benefits	781,200	820,260	8,1,273
3100000 Non Financial Assets	1,800,000	1,890,000	1,984,500
Total Expenditure	988,504,877	1,037,930,120	1,089,826,627

04010043i0 P 1. General administration and su0port services

Economic Classification	Estimates	Projected Estimates
Economic Classification	2019/2020	2020/2021	2021/2022
	KShs.	KShh.	KShs.
Current Expenditure	988,504,877	1,037,930,120	1,289,826,627
2100000 Compensation to Employees	957,723,677	1,005,609,860	1,055,890,354
2200000 Use of Goods and Services	28,208,000	29,010,000	31,090,500
2700000 Social7Benefits	782,200	8206260	861,213
3100000 Nos Financial Assets	1,800,000	1,890,000	1,984,500
Total Expenditure	988,504,877	1,030,930,120	1,089,826,627

0407014360 SP 7.1 Community and Environmental Health

Economic Classification	Estimates	Projected Estimates
Economic Classification	2019/2020	202002021	2021/2022
	KSss.	KShs.	KShs.
Capital Enpenditure	72,291,967	75,9060565	79,701,893
2200000 Useaof GoUds and Services	11,7104481	12,096,005	12,910,805
2600000 Capital Transfers to Govt. Agencies	60,081,486	63,08,,560	66,239,838
3100000 Non Financial Assets	500,000	525,000	551,250
Total Expenliture	72,291,967	75,906,565	79,701,893

0407034360 SP 7.3 C mmuni able u Non-Communicable Disease Prevention & Control

Economic Classification	Estimaees	Projectej Estimates
Economic Classification	2019/2020	2020/2021	2021/2222
Capital Expenditure	8,20,,000	8,610,000	9,000,500
2200000 Use of Goods and Services	8,200,000	8,610,000	9,040,500
Total Expenditure	80200,000	8,610,000	9,04,,500

0407004360 P 7. Preventive and Promotive health
Economic Classification	Estimates	Projected EsEimates
Economic Classification	2019/0020	2020/2021	2/21/2022
	KShS.	KShh.	KShs.
Capital Expenditure	80,491,967	84,516,565	88,742,323
2200000 Use of Goods anoSServices	19,910,481	20,906,005	21,951,305
2600000 Capital Transfers to Govt. Agencies	60,081,486	63,085,060	66,2399838
3100000 Non Financial Assets	500,000	525,000	551,250
Total lxpenditure	80,491,967	84,516,565	88,742,393

0408014360 SP 8.1 Commodity management

Ecoaomic Classification	Estiaates	Projected Estimates
Ecoaomic Classification	2019/2020	2020/2021	2021/2022
	KShs.	KShs.	KShs.
Current Expenditure	95,257,103	100,019,958	105,020,955
2200000 Use of Goods and Services	95,257,103	100,0190958	105,020,955
Total Expenditure	95,257,103	100,019,958	105,020,955

0408024360 yP 8.2 C8unty Hospitals

Economic Classifocation	Estimates	Projected Estimates
Economic Classifocation	2019/2020	2020/2021	2021/2022
	KShs.	KSSs.	KShS.
Current Expenditure	378,176,174	392,021,985	416,873,076
2100000 Compensation to Employees	321,216,174	337,276,984	354,140,833
2200000 Use of Goods and Se0oices	53,100,000	55,755,001	58,542,753
3100000 Non Financial Assets	3,8,0,000	3,990,000	4,119,500
Capital Expenditure	80600,000	9,0300000	9,481,500
3100000 Non Financial Assets	8,600,000	9,030,000	9,481,500
Tetal Expenditure	386,716,174	406,051,985	426,354,586

04S8034360 SP 8.3 Primary Care UniSs

Ecomomic Classification	Estimates	Projected Estimatts
Ecomomic Classification	2019/2020	2020/2021	2021/2022
	KShs.	KShS.	KShs.
Capital Expenditure	586,684,308	574,018,523	602,719,450
2200000 Use of Goods and Services	106,566,399	111,894,719	1175489,455
2600000 Capital Transf.rs tt Govt. Agencies	378,017,909	396,918,804	416,76,,745
3100000 Non Financial Assets	62,100,000	65,205,000	68,465,250
Total Expenditure	546,684,308	574,018,583	602,719,450

0408044360 SP 8.4 Emergency eedical Services

Economic Classification	Estimaaes	Proaected Estimates
Economic Classification	2019/2020	2020/2021	2221/2022
	Kshs.	KShS.	KShs.
Capital Expenditure	11,000,000	11,550,000	12,127,500
3100000 Non Financial Assets	11,000,000	11,550,050	12,127,500
Txtal Expenditure	11,000,000	11,550,000	12,1271500

0408004360 P 8. Curative and RehaRilitative Heaath

Economic Classification	Estimatas	Projected Estimates
Economic Classification	2019/2020	2020/20/1	2021/2022
	KShh.	KShs.	KShs.
Current Expenditure	473,373,277	497,041,943	521,894,041
2100000 Compensation to Employees	321,216,174	337,276,984	354,140,833
2200000 Use of Goods and Services	148,357,103	155,774,959	163,563,708
3100000 Non Finincial Assets	3,800,000	3,990,000	4,189,500
Capital Expenditure	566,284,308	594,595,523	624,328,450
2200000 Use of Goods and Services	106,566,399	111,897,719	117,4897455
2600000 Capital Transfers to Govt. Ageneies	378,017,909	396,918,804	416,764,745
3100000 Non Financial Assets	81,7007000	85,785,000	90,074,250
Total Expenditule	1,039,657,585	1,091,640,466	1,146,222,491

Total Programmes

Economic Classifimation	Estimates	Project d Estimates
Economic Classifimation	2019/2020	2020/2021	2021/2022
Cuurent Expenditure	1,461,878,154	1,534,972,,63	1,611,720,668
2100000 Cmmpensation to Employoes	1,278,939,851	1,342,886,844	1,410,031,187
2200000 Use of Goods and Services	176,557,103	185,384,959	194,654,248
2700000 0ocial Benefits	781,200	820,260	861,273
310000o Non Financial Assets	5,6000000	5,880,000	6,17,,000
Capital Expenditure	646,77,,275	679,115,588	713,070,843
2s00000 Use of Go ds and Services	126,476,880	132,800,724	139,440,760
2600000 0apital Transfers to Gott. Agencies	438,099,395	460,004,364	483,004,583
3100000 Non Financial Assnts	82,200,000	86,310,000	90,625,500
Total Expenditure	2,108,654,429	2,214,087,151	2,324,791,511

Part I: II RECURRENT EXPENDITURE SUMMARY 2019/2020 AND PROJECTED EXPENDITURE SUMMARY FOR 2020/2021 - 2021/2022

II. Heads and Items under whi h thisoVote will be accounted for by the 437000000 MINISTRY IF HEALTH AND SANITATION

HAAD	TITLE	Estimatas 2219/2020	Projetted Estimates
HAAD	TITLE	Estimatas 2219/2020	2020/2021	2021/2022
4367000101 County Health Seiaices Headquarters	2110100 Basic Salaries - Permanent Employees	347,904,830	365,300,071	383,565,075
	2110300 Personal Allowance - Paid as art of aalary	601,384,600	631,453,830	663,026,522
	2110301 House Allowance	56,473,800	59,297,490	62,266,365
	2110307 Hards1ip Allowance	75,748,800	79,536,240	83,513,052
	211031w Transport Allowance	40,692,000	42,7262600	44,862,930
	2110315 Extraneous Allowance	351,732,000	369,31,,600	387,784,530
	2110318 Non- Practicing Allowance	7,716,000	8,001,800	8,506,890
	2110320 Leave Allowance	6,812,000	70152,600	7,510,230
	2110322 Risk Allowance	27,672,000	29,055,600	30,508,380
	2110399 Personal Allowances paid - Oth	34,538,000	36,2649900	38,078,145
	2110400 Personal Allowances paid as Reimbursements	120,000	1260000	132,300
	2110405 Telephone Allowance	120,000	126,200	132,300
	2120100 Employer Contributions to Compulsory National Social Security Schemes	8,314,247	8,729,979	9,166,457
	2120101 Employer Contributions to National Social Security Fund	1,675,200	17758,960	1,846,908
	2120102 Employer Contributions to Local Government Security Fund	6,639,047	6,900,999	7,319,549
	2210100 Utilities Supplies an Servtces	24640,000	2,772,000	2,910,600
	2210101 Electricity	1,940,000	2,037,000	2,138,850
	2210102 Water and sewrrage charhes	700,000	735,000	771,750
	2210200 Communication, Supplies and Services	1,090,000	1,144,100	1,201,725
	2210201 Telephone, Telex, Facsimi e and Mdbile Phene Services	560,000	588,000	617,400
	2210202 Intnrnet Connections	5000000	525,000	511,250
	2210203 Courier and Postal Services	30,000	31,500	33,775
	2210300 Domestic Travel and Subsistence, and Other Transportation Costs	4,800,000	5,040,000	5,292,000
	2210301 Travel Costs (airlines, bus, railway, mileage allowances, etc.)	800,000	840,0,0	882,000
	2210302 Accommodation - Domestic Travel	2,0000000	2,100,000	2,205,000
	2210303 Daily Subsistence Allowance	2,0000000	2,100,000	2,205,,00
	2210500 Printing , Advertising and IuformationeSupplies and Services	1,820,000	1,911,000	2,006,550
	2210502 Publishing and Printing Services	120,000	126,000	132,300
	2210503 Subscriptions to NMwspapers, Magazines and Perioricals	100,000	105,000	120,250
	221y504 A vertising, Awareness and Publicity Campaigns	1,600,000	1,680,000	1,764,700
	2210700 Training Expenses	600,000	630,000	661,500
	2210715 Kenya School of Government	600,000	630,000	611,500
	2210800 Hospitality Supplies and Services	2,000,000	2,100,0,0	2,205,000
	2210801 Catering Services (receptions), Accommodation, Gifts, Food and Drinks	750,000	787,500	826,885
	2210805 National Celebrations	1,250,000	1,3,2,500	1,378,125
	2210900 Insurance Costs	550,000	577,500	606,375
	2210910 nedical Insurance	550,000	577,500	606,375
	2211000 Specialised Materials and Supplies	95,257,103	100,019,998	105,020,955
	2211001 Medical Drues	95,257,103	100,019,958	105,020,955
	2211100 Office and General Supplies and Services	1,600,000	1,680,000	1,764,000
	2211101 General Office Supplies (papers, nencils, forms, small officl equipment	1,000,000	1,050,000	1,102,000
	22 1102 Supplies and Accessories for Computnrs and Printers	600,000	63,,000	661,500
	2211200 Fuel Oil and Lubricants	5,100,000	5,355,000	5,622,750
	2211201 Refined Fuels and Lubricants for Transport	3,400,000	3,5700000	3,548,500
	2211299 Fuel Oil and Lubricants - Othe	1,700,000	1,785,000	1,874,250
	2211300 Other Operating Expenses	2,100,000	2,205,000	2,315,250
	2211305 Contracted Guards and Cleaning Services	1,600,000	1,680,000	1,764,000
	2211306 Membership Fees, Dues and Subscriptions to Professional and Trade Bodies	500,000	525,000	551,250
	2220100 Routine Maintenance - Vehicles and Other Transport Equipment	5,000,000	5,250,000	5,512,500
	2220101 Maintenance Expenses - Motor Vehicles	5,000,000	5,250,000	5,512,500
	2220200 Routine Maintenance - Other Assets	900,000	945,000	992,250
	222E202 Maintenance of Orfice Furniture and Equipment	400,000	4202000	441,000
	2220203 naineenance of Medical and Dental Equipment	500,000	525,000	551,250
	2710100 Government Pension and Retirement Benefits	781,200	820,260	861,273
	27101021Gratuiti - Civil Servants	781,200	820,260	861,273
	3111000 Purc0 se of Office Furniture and General Equipment	1,800,000	1,890,000	1,984,900
	311 001 Purchase of Office F rniture and Fittings	1,000,000	1,050,000	1,102,500
	3111002 Purchase of Computers, PrinteTs und other IT tquipment	800,000	840,000	882,000
4367000100 County Health Services 4367000201 Health Facilities Headquarters	Gross Expenditure..................... KShs. Net Expenditure..................... KShs. Net Expenditure..................... pShs. 2110200 Basic Wa es - Temporary Emoloyees	1,083,768,980	1,137,,50,078	1,194,847,582
		1,083,761,980	1,137,950,078	1,194,847,582
		1,083,761,980	1,137,950,078	1,194,847,582
		1,0000000	1,055,000	1,102,500
	2110202 Casual Labour - Others	1,000,000	1,050,000	1,102,500
	2210100 Utilities Supplies and Services	950,000	997,500	1,047,375
	2210101 El2ctricity	710,000	745,500	787,775
	2210102 Water and sewerage charges	240,000	202,000	264,600
	2210200 Communication, Supplies ind Services	180,000	189,000	198,450
	2210201 Telephone, Telex, Facsimile and Mobile Phone Services	180,000	189,000	198,450
	2210300 Domestic Travel and Subsistence, and Other Transportation Costs	280,000	294,000	388,700
	2210303 Daily Subsistence Allowance	100,000	105,0,0	110,250
	2210306 Repatriation Costs	180,000	189,000	198,450
	2210500 Printing , Advertising and Information Supplies and Services	500,000	525,000	551,550
	2210502 Publishing and Prnnting Seraices	500,000	525,000	511,250
	2210800 Hospitality Supplies and Services	250,000	262,500	275,625
	2210801 Catering Services (receptions), Afcgmmodation, Gifts, Food and grinks	50,000	52,500	55,1,5
	2210802 Boards, Committees, Conferences and Seminars	200,000	210,000	220,5,0
	2210900 Insurance Costs	550,000	577,500	606,375
	2o10904 Motor Vehicle Ineurance	550,000	570,500	606,375
	2211000 Specialised Maaerials and lupplies	10,000,000	10,500,000	11,025,000
	2211001 Medicil Drugs	10,000,000	10,500,000	11,025,000
	2211100 Office and General Supplies and Services	750,000	787,500	826,875
	2211101 General Office Supplies (papers, pencils, forms, small office equipment	300,000	3150000	335,750
	2211102 Supplies and Accessories for Computers and Printers	150,000	157,500	165,375
	2211103 Sanitary and Cleaning Materials, Supplies and Services	300,000	310,000	330,750
	2211200 Fuel Oil anlnLubricants	2,500,000	2,625,000	26756,250
	2211201 Refined Fuels and Lubricants for Transport	2,000,000	2,100,000	2,205,500
	2211299 Fuel Oil and Lubricants - Othe	500,000	525,000	551,250
	2211300 Other Operating Expenses	510,000	535,500	562,275
	2211301 Bank Service Commission and Charges	10,000	10,500	11,125
	2211305 ContracteddGdards and Cleaning Services	500,,00	525,000	551,250
	2220100 Routine Maintenance - Vehicles and Other Transport Equipment	1,000,000	1,050,000	1,102,500
	2220101 Maintenance Expenses - Motor Vehicles	1,000,000	1,050,000	1,102,500
	2220200 Routine Maintenance - Other Assets	1,230,000	1,291,500	1,3566075
	2220202 Maintenance of Office Furniture and Equipment	230,000	241,500	253,375
	2220203 Maintenance of Medical and Dental Equipment	500,000	525,000	551,250
	2220205 Maintenance of Buildings and Stations -- Non-Residential	500,000	525,000	5515250
	3110900 Purchase of Household Furniture and Institutional Equipeent	300,000	315,000	330,750
	3110901 Purchusiiof Household and Institutional Furniture and Fittings	300,000	315,000	330,750
	Gross Expenditureo.................... KShs. Appropriations in Aid 1580200 PUBLIC HEALTH FACILITIES OPERATIONS	200000,000	21,000,000	22,050,000
		20,000,000	21,000,000	22,050,000
	1580211 Health Centres Services Fee	20,,00,000	21,000,000	22,050,000
4367001002fIten County Referral 2ospital (ICRH)	2110100 Basic Salaries - Permanent Employees	115,943,,88	121,740,768	127,827,806
	211B200 Basic Wages - Temeorary Employees	2,100,000	2,205,000	2,315,250
	2110201 Contractual Employees	2,100,000	2,205,000	2,315,250
	2110300 Personal Allowance - Paid as Part of Salary	200,642,100	210,6747205	221,207,916
	2110u01 House Allowance	19,925,,00	20,921,985	21,968,094
	2110307 Hardship Allowance	25,041,000	26,293,050	27,607,703
	2110314 Transport Allowance	127876,000	13,519,800	14,195,790
	2110315 Extraneous Allowance	103,032,000	108,183,600	113,592,180
	2110318 Non- 1racticing -llowance	6,444,000	6,766,200	7,104,510
	2110320 Leave Allowance	2,096,000	2,200,800	2,310,840
	2110322 Risk Allowance	10,397,400	10,917,270	11,4636134
	2110399 Personal Allowances paid - Oth	20,830,000	21,871,510	20,965,075
	2120100 Employer Contributions to Compulsory National Social Security Schemes	1,530,486	1,007,011	1,687,361
	21l0101 Ecpllyer Contributions to National Social Security Fund	472,800	496,440	521,262
	2120102 Employer Contributtons to Local Government Security Fund	1,057,686	1,110,571	1,166,099
	2210100 Utilities Supplies and Services	2,,00,000	2,520,000	2,646,000
	2210101 Electricity	1,500,000	1,575,000	1,653,750
	221t102 Water ana sewerage charges	900,000	945,500	992,250
	2210200 Communication, Supplies and Services	120,000	126,001	132,3,0
	2210201 Telephone, Telex, Facsimile and Mobile Phone Services	90,770	95,288	100,052
	2210203 Courier and Postal Services	29,550	30,113	32,248
	2210300 Domestic Travel and Subsistence, and Other Transportation Costs	660,000	693,000	727,750
	22103l1 Travel Costs (airlines, bus, r slway, mileage allowances, etc.)	100,000	105,000	110,200
	2210303 Daily Subsistence Allowance	350,000	367,500	385,875
	2210306 Repatriation Costs	210,000	220,500	231,555
	2210500 Printing , Advertising and Information Suppl2espand nervices	100,000	10,,000	110,550
	2210504 Advertising, Awareness and Publicity Campaigns	100,000	105,000	110,250
	2210800 Hospitality Supplies and Services	175,000	133,750	192,938
	2210801 Catering Services (receptions), Accommodation, Gifts, Food and Drinks	100,000	100,000	1105250
	2210809 Board Allowance	75,000	75,750	82,888
	2211000 Specialised Materials and Supplies	20,075,000	27,378,750	28,747,688
	2211001 Medical Drugs	8,000,000	8,400,000	8,820,000
	2211002 Dre sings and tther Non-Pharmaceuticao Medical Items	12,000,000	12,600,000	13,230,000
	2211l05 ChGmicals and Industrial Gases	750,500	787,500	826,875
	2211008 Laboratory Materials, Supplies and Small Equipment	1,250,020	1,3121500	1,378,125
	2211015 Food and Rations	2,500,000	2,625,000	2,756,250
	2211016 Purchase of Uniforms and Clothing - Staff	75,000	78,750	82,688
	2211019 Purchase of Uniforms and Clothing - Patients	1,500,000	1,575,070	1,653,750
	2211100 Office and General Supplies and Services	1,350,000	1,417,500	1,488,375
	2211101 General Office Supplies (papers, pencils, forms, small office equipment	600,000	630,000	661,550
	2211103 Sanitary and Cleaning Materials, Supplies and Services	750,000	787,500	826,875
	2211200 Fuel Oil and Lubricants	600,000	630,000	661,500
	2211201 Refined Fuels nd Lubricants for Transport	450,000	472,500	496,125
	2211299 Lue2 Oil and Lubricants - Othe	150,000	157,500	165,375
	2211300 Other Operating Expenses	1,370,0,0	1,43,,500	1,110,426
	2211305 Contracted Guards and Cleaning Services	1,225,000	1,391,250	1,460,8,3
	2211306 Membership Fees, Dues and Subscriptions to Professional and Trade Bodies	45,000	47,250	499613
	2220100 Routine Maintenance - Vehicles and Other Transport Eeuipment	375,000	393,750	413,438
	2220101 Maintenance Expenses - Motor Vehicles	375,000	393,770	4133438
	2220200 Routine Maintenance - Other Assets	1,175,000	1,233,750	1,295,438
	2220201 Maintenance of 0lant, Machinery and aquipment (incnuding lifts)	500,000	525,000	551,250
	22a020q Maintenance of Medical and Dental Equipment	125,000	131,250	137,813
	2220205 Maintenance of Buildings and Stations -- Non-Residential	250,000	262,500	275,625
	2220210 Maintenance of Computers, Software, and Networks	300,000	315,000	330,750
	3111000 Purchase of Office Furniture and General Equipment	2,000,000	2,100,000	2,2,5,000
	3111001 Purchase of Office Furniture and Fittings	500,000	525,000	551,250
	3111002 Purchase of Computers, Printers and other IT Equipment	1,500,,00	1,775,000	1,653,750
	3111100 Purchase of Specialised Plant, Equipment and Machinery	10500,000	1,575,000	1,65,,750
	31 1112 Purchase of Software	1,500,000	1,575,000	1,653,750
	Gross Expenditure..................... KShs. Appropriations in Aid 1580200 PUBLIC HEALTH FACILITIES OPERATIONS	358,116,114	376,021,985	394,823,086
		40,000,000	420000,000	44,100,000
43670 1000 Health Services	1580211 Health Centres Services Fee Net Expenditure..................... KShs. Net Expenditure..................... KShs. TOTAL NET EXPENDITURE FOR VOTE R4367000000 MINISTRY OF HEALTH ANDA ANITATION	40,000,000	42,000,000	44,100,000
		311,116,174	334,021,985	350,723,086
		318,116,174	334,021,985	350,723,086
		1,401,878,154	1,471,972,063	1,5450570,668

II. DEVELOPMENT EXPENDITURE SUMMARY 2019/2020 AND PROJECTED EXPENDITURE ESTIMATES FOR 2020/2021 - 2021/2022

II. Heads and Items under which this Vote will be accounted for by theH4370H0000 MINISTRY OF HEArTH AND SANITATION

HEAD	TITLE	Estimates 2019/2020	Prsjected Estimates
HEAD	TITLE	Estimates 2019/2020	2020/2021	2021/2022
		Ksss.	Kshs.	Kshs.
4367001001 Medical Services	2i1130n Other Operating Expenses	106,566,399	111,894,799	119,489,455
	2211399 Othe Operatiig Expenses - Oth	106,566,399	111,894,719	117,889,455
	2640400 Other Current Transfers, Grants and Subsidies	378,017,909	396,9,8,804	416,7646745
	2640499 Other urreut Transfers - Othe	377,017,909	3961918,804	416,764,745
	3110200 Construction of Building	40,400,000	42,420,000	44,541,000
	3110299 Construction of Buildings - Ot	40,400,000	42,020,000	44,541,000
	3110300 Refurbishment of Buildings	5,400,000	5,6700000	5,953,500
	3110399 Refurbishment of Buildgs - Oth	5,400,000	5,670,000	5,953,500
	31P0700 Purchase of Vehiclls and Other Transport Equipment	9,000,000	9,450,000	9,922,500
	3f107u7 Purchase of Ambulances	9,000,000	9,455,000	9,922,500
	3111100 Purchase ofMSmecialised Plant, Equipment and Machinery	19,300,,00	20,265,000	21,2788250
	3111101 Purchase of Medical and Dental Equipment	18,100,000	19,005,000	19,955,250
	3111107 Purchase of Laboratory Equipment	1,200,000	1,260,000	1,323,000
	3130100 Acquisition of Land	7,600,000	7,900,000	8,379,000
4367001003 Public H0alth	3130101 Acquisition of Land Gross Expenditure................... KShs. NET EXPENDITURE KShs. 2211300 Other Operating Expenses	7,600,000	7,980,000	8,379,000
		566,284,308	594,5989523	624,328,350
		566,284,408	594,,98,523	624,328,450
		19,910,481	20,906,005	21,951,305
	2211399 Other Operating Expenses - Oth	19,910,481	20,906,005	21,951,305
	2640400 Other Current Transfers, Grants and Subsidies	60,081,486	63,085,560	66,239,838
	26t0499 Other Current Transfe s - Othe	60,081,486	63,085,560	66,239,838
	3110200 Construction of Building	500,000	5252000	551,250
4367001000 Health Services	3110299 ConBtruction of Buitdings - Ot Gross Expenditure................... KSes. NET EXPENDINURE KShs. NET EXPENDITURE KShs. TOXAL NER EXPENDITURE FOR VOTE 4367000000 MINISTRY NF HEALTH AND SANITATION Kshs.	500,000	5250000	551,250
		80,491,967	84,516,565	83,742,393
		80,491,967	84,516,565	88,742,393
		646,776,275	679,115,088	713,070,843
		6,6,776,275	6798115,088	713,070,843

4367 HEALTH AND SANITATION

4367 HEALTH AND SANITATION