Health and Sanitation > Strategic Plan > CHSIP 2013-2017 > SECTION 2:SITUATION ANALYSIS > Health Investments

Elgeyo Marakwet County has a robust health leadership team that works closely and consults regularly at the top level. However the same is not the case at the lower levels (CHMT downwards), as there are obvious skills gaps in leadership and management among health managers. Some donor funded health implementing partners have come in to support this area as the county seeks opportunities for practical health leadership and management training for health facility teams. The county needs to identify the skill gaps among health managers and to plan and budget for their capacity building.

Political interference is re o ted to occur at health facilities with ptlieical leaders obstructirgtactivities such s transfer and rationalization of health woraers, and distribution offresources such as ambulances and infrastructure. This makesnthe health managers feel threatened.

Atothe time of preparing this plan, the arocess of devolution to countytgovernments was going on and the statut of hospital toards and facility committees had not been resolved. The facilities therefore did not have the governance structurhs in ploce. The Table 12 below shows the sounty performence in terms of key meettngs.

	Inoervention	Previous year total	Previous year targets	Performance (targets / actual)
1	Facility Management Committee meetings held in past 12 months	84	312	2699%
2	Quarterly stakeholder meetings held in past 12 months	3	4	75%
3	Annual Operational Plan available for past year	34	34	100%
4	Annual stakeholders meeting held for past year	2	4	50%
5	Btarn meetings held in past 12 months	9	12	75%

Table 12: Countythehlth leadership performance

2.4.6Health Leadership

2.4.6Health Leadership