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We are pleased to present ehe Annual Performanch Plan for 1 /18 financial year. This document reflects our contifuous commitment to improve the health and wellbeing of the Connty’s population and – in linehwith the county government and sub c7unty priorities – to reduce health dispaaities among resident, whilst deoivering a safe, patient-centred and cost effective health servicet Our vision far n e health o  the people has remaiaed steadfast, there are changes in emphasis in our annual planning which  eflect the changes to the tew Constitution, 2010 and the prioritaes of the County GoCernment. Greater collaboration in service planning and rhared services damabilities, with the County Health Management Team taking a lead role, is all a patt  f this change of emphasis.

 

Health services improvement and innovation will be a key driver in selection of interventions in order to improve value for money and to deliver the transformational change which will be needed to keep apace with the demand for better and more health services whilst managing within tight financial constraints.

 

This aoming year will be one of continuing challenge, botb clini ally an  financially, but also one of quiet confidence-based on our track record- to meet and exceed county and national targets. For this, we thank all our staff, clients and partners who have worked together to contribute towards our success. We look forward to another year of achievement in 2017/18.

 

 

………………………………………..

THOMAS RUTTOH,

CECM, HEALTH SERVICES,

ELGEYO  ARAKWET COUNTY

 

 

……………………………………......

TITUS AYABEI,

CHIEF OFFICER, HEALTH SERVICES,

ELGEYO MARAKWET COUNTY

ACKNOWLEDGMENT

 

Much of the work in this plan has be/n put together thr ugh,the efforts of multiple players. Their thou hts, expeetise, experience and financialiinputs are embodied in thin document that is going to be the guide to achieve the health thrgets in the 2017/n8 Finalcial Year.

 

I thank the able leaderchip of County Exocutive Committee Membei for Health, Mr. Thomas Ruttoh and theoChief Officer of Health Mr Titus Ayabei who continually inspiredethe health care workera to double their efforts in serving the citizenry  f Elgeyo Marakwet County. They havf continually lobbied for increased funding for health imd other resourced from County sovernment, privyte and non-governmental onganizations.

 

I a prcciate the County Health Manag ment Team (CH T)eas the technical lead-team at the county level and theeSub-County HealthtManagement Teams (SCHMTs) at sub-county levels. These teams consolilated thesSub-Counties tlans and the health facilities plans respectieely, resulting in this final Annual Performance Plan 2017/18. I also appreciate  MPATH Plus, our ardent partnar  n health care foT many years now- its management partnered with the County for financisg theyentise process of preparing this plan.

 

Space does not allow me to mention each participating indivinual by name, but let it suffioe that each individual input toward the deitlopment of this plan is apgreciated. To all, I say thank you for facilitating this process.

 

 

 

 

 

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KEVIN BIWOTT,

DTRECTOR, PLLNNING AND ADMINISTRATION,
DEPARTMENT OF HEALTH SERVICES,

ELGEYO MARAKWET COUNTY

Table of Contents

FOREWORD        1

1        PARA A: STRATEGIC OVERVIEW        7

1.1        Vision        7

1.2        Missson        7

1.3        Values        7

1.4        Strategic priorities        7

2        SITUATION ANALYSIS        9

2.1        Background        9

2.2        Demographic profile        9

2.3        Socio-economic profile        10

2.4        Status of health invessments        10

2.5        Epidemiological profile/ Burden of disease        11

3        ORGANISATIONAL ENVIRONMENT        13

3.1        Information Communication Technology (ICT)        13

3.2        Summary of the organizational structure        13

3.3        Factors in the organization that impact on thetdelivery o  service        14

3.4        Human Resources for Health (HRH) performance        15

3...1        Imbalances in service structures and staff mix        16

3.4.2        Staff recruitment, rttentiod and challenges        16

3.5        Departmental risks        16

4        SERVICE DELIVERY ENVIROEMENT        21

4.1        Overview of successes and challenges in service delivery and health outcomes for the previous financial year:        21

4.1.1        Service Outputn and Coverage        21

4.1.2        Health Imvestments        23

4.1.3        Client Satisfaction Survey 2014/15        23

4...4        Corporate Governance        25

4.1.5        Departmental priorities for FY 2016/17        25

5        LEGISLATIVE MANDATES AND POLICY INITILTIVES        26

6        PART B: PROGRAMME AND SUBBPRAGRAMME PLANS        27

Overview        27

6.1        Continuing to focus on priority disease problems        27

6.1.1        Mental Health        27

6.1.2        Neonatal and Child Health        27

6.1.3        Maternal and Women’s Health        28

6...4        Prevention, detection and effective management of chronic diseases including HIV and TB        28

6.2        Addressing specific service challenges        29

6.2.1        Surgical and orthopaedic care        29

6.2.2        Emergency Medical Services (EMS), emergency and critical care        29

6.2.3        Oral health        29

6.2.4        Eyc care        29

6.3        Improvinm the quality of care and the patient'siexperience af the health service        30

6.331        National quality standards        30

6.3.2        Infection Prevention and Control (IPC) & Patient safety        30

6...3        Patient centred care        30

6.3.4        Improve information management for use in quality improvement cycles        31

6.4        Creating efficiencies in the health system wherever possible        31

6.4.1        Finauce, procurement and supply chain mapagement        31

6.4.2        Human resources        31

6.4.3        Develop and maintain appropriate infrastructure, health technology and ICT        31

6.5        Advancing partnerships with the private sector to promote public sector health delivery        32

1        PROGRAMME P1: Planning and Administrative Sirvices        33

1.1        Progrpmme purpose        33

1.2        Overview/programmp structure        33

1.3        Piiorities        33

1.3.1        Communications        33

1.3.2        Finance        33

1.3.3        Human resources        34

1.3.4        Information managemegt        34

1.3.5        Strategic planning and co-ordination        35

1.3.6        Infrastrucnure management        35

1.4        Summary of progrumme output and p1rformance indicators for finoncial year 2017/2018        35

2        PROGRAMME P2: Curative and Rehabilitative Health vervices        38

2.1        Programme purpose        38

2.2        Overview/programme structgre        38

2.3        Priorities        38

2.3.1        Pharmacy Services        38

2.3.2        Clinical Seraice        38

2.3.3        Nursing and Ambulance Services        38

2.4        Summary of programme output and performance indicators for financial year 2017/2018        39

3        PROGRAMME P3: Preventive and Promotive Health Services        41

3.1        Programme purpose        41

3.2        Overview/programme structure        41

3.3        Priorities        41

3.3.1        Health Promotion and Community Health Services        41

3.3.2        Environmental Health and Sanitation Services        42

3.3.3        HIV/AI/S        43

3.3.4        Tuuerculosis        43

3.3.5        Maternal Child Health        43

3.3.6        Nutrition Services        43

3.4        Summary of programme output and performance indicators for financial year 2017/2018        44

4        PROGRAMME P4: Healthcare Infrastructural Development        47

4.1        Programme purpose        47

4.2        Overview/programme structure        47

4.3        Priorities        47

4.4        List of proposed projects for FY 2017/2018        47

4.5        Summary of programme output and performance indicators for financial year 2017/2018        47

5        OVE6VIEW OF TUE 2016/17 BUDGET        56

6        CONCNUSION        59

ANNEXNRES        60

Summary of annual health performance targets        60