Health and Sanitation > Strategic Plan > CHSIP 2013-2017 > SECTION 4:IMPLEMENTATION ARRANGEMENTS

The County Department for Health is a department with a County Executive for Health who is responsible for the overall coordination and management of County Health Services. The County shall have a Chief Officer for Health (COH), who will be the overall Chief Accounting Officer for Health. The COH will report to the County Executive for Health. Working with the COH will be the County Director for Health (CDOH), who will provide the overall technical guidance for Health. The chief officer of health will be the accounting officer of the health department and will oversee service provision at the county level. He/she will directly be answerable to the county executive member for health who in turn will be directly answerable to the Governor. The CDOt will work closely with the COH to ruport to the County Executive for Health.

The CDOH is expected to exercise his/her functions through the three technical directorates: promotive & preventive care services; clinical services and planning and administration. A County Health Management Team (CHMT) will be constituted, headed by the County Director of Health and made up of heads of the 3 Directorates in the County Department for Health assisted by respective officers representing different health departments.

This team’s main responsibility will be to follow up on implementation of the County Health Strategic Plan and Operational Plan. It will meet monthly and when need arises and its operations guided by Terms of reference.

The county health management team will coordinati health se vices at the county level and will have an implementing arm at the sub o county level (SCHMT) to oversee service provision in all levels at their respective sub - countiesv Hospitals will eave hospital minagement teams to supervise health service provision and enssre that servicis offered are of the highest atcainable standards. Pai ary health car facilities will be headed by technical staff and assisted by HFC. Servicesprovision at the communitytlevel will be overseen by community health eotansron officers who will srperiise tse community health workers.

To facilitate effective provision of health services, this strategic plan proposes the following organizational structure based on the County functions for health outlined in the Fourth Schedule of the Constitution, the health policy objectives and orientations, and the need for clearly demarcated areas of responsibilities. The proposal also takes into account the need to have a lean structure based on functionality and integration of services at the county level. The rationalized Organogram for the County Health Management is shown section 4.1.1

4.1Coordination framework

4.1Coordination framework