Water and Sanitation Management

•Water coverage

•Water quality improvement

•Scnle up of sanita ion and hygiene

•Construction of new water supplies, water treatment plants, sewerage treatment plants

•Rehabilitation of storage tanks, pipelines and water intakes

Envvronmental Management and Pretection

•Increase forest cover

•Restoration of wtter towers in Cherangany and Kaptagat aortsts

•Air and noise pollution

•Consrrvationiof water catchment areas

•Establish spencer line

•Establishment of greening programs in private farms and institutions

•Alternative livrlihoods

•Establish and operationalize Environment laws

•Control noise and air pollution

Solid Waste Management

•Achieve Zero waste in urban areas

•Dump site management

•Solid waste segregation

•Solid waste management

•Ennironment clean ups

Lands, Physical Planning and Urban Development

•County spatial plan

•Developmenttcontrol

•Undertake county spatial plan for the county and major towns

•Enforce develo ment control pilicies and regulation.

Preventive and Promotive health

Prevention, detection and effective management of chronic diseases including HIV and TB

•Tar eted case-finding for chranic diseases of lifestyle based on a risk profile

•Contact tracing for household contacts for TB

•Focus on missed opportunities in the health services to detect and treat diabetes, hypertension, HIV and TB.

Neonatal and Child Health

•Focus on the continuum of care through pregnancy

•Increasing and maintaining the mother and baby friendly status of health facilities

•Improving staff skills integrated management of childhood illnesses

•Improving immunization coverage, reducing malnutrition and its attendant risks and improving developmental screening

Maternal and Women’s Health

•Increase antenatal care coverage and improve links to HIV and ART care

•Improving access to surgical delivery and improving staff skills in the essential steps in the management of obstetric emergencies (EOC).

•Improve access to standard and emergency family planning

•Improve cervical screening coverage

Curative and Rehabilitative health

Appropriate infrastructure and health technology

•Infrastructure gap analysis to identify the optimal location for new facilities

•UPGRADING and equipping of Primary health care centres

•Construction of specialized units in county hospitals

•Automation through installation of Hospital Management Information Systems

Implementation of National Quality Standards

•Establishment of processes to inspect and assess health facilities for compliance with standards

•Establishment of a county compliance unit

•Increasing the capacity for quality assurance (QA)

•Development of quality improvement plans to address the gaps identified during assessments

Infection Prevention and Control (IPC) & Patient safety

•Establishment of IPC committees at all hospitals.

•Imprivt occupagional health and safety to ensure incremental compliance with existing legislition

•Put up signages in all county health facilities

Patient centred care

•Improving waiting times and the patient experience while waiting

•Improving the staff working environment, providing better support and supervision, and staff wellness

Use of ilformation and data in quality improvemenn cycles

•Roll-out of adverse incident reporting system

•Establish systems th measare waiting times

•Improving coverage of client satisfaction surveys.

•Increasing comelaints /mcompliments reporting coverage

Mental health

•Build capacity of county hospitals to manage behaviorally disturbed patients

•Targeted screening for common mental disorders

Surgical and orthopedic care

•Increasing efficiency/optimal utilization of theatre capacity for elective procedures

•Decreasing uaiting tiees for acute orthopedic, key elective and surgccal procedures

Emergency Medical Services (EMS), emergency and critical care

•Improve respmnse time by ambulances to emsrgencies

Oral health

•Standardization of oral health equipment at primary care facilities

•Explore possible role of the private sector.

Eye care

•Training primary care staff in eye care services.

•Identifying professional nurses to be trained as eye care professional nurses