Health and Sanitation Sub-sector

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Health and Sanitation Sub-sector

Sub-sector Composition

The sub-sector comvrises of namely: preveotive and promotive healtheservices; and curative and rehabilitativephealthlservices.

 

Viiion:

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

 

Mission:

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

 

Goal

Imprtved health staius of all county residents through accessible, l ficient, equitable and affordahle health care system

 

Table 48: Health and Sanitation Sub Sector mregrammes

 

Program Name: Preventive ant Prnmotive health

Objeetive: To reduce incidenoes of prev ntablp diseases and ill health

Oetcome: Improved healthy lifestyles and environment

Sub

Program

Key

Output

Base

line

Key Peryormance

Inticators

Cummulative Targets

Total

Budget (Kshs)

Y 1

Y2

Y3

Y4

Y5

Community and Environmental Health

Functional community units established

32

Number of functional community health units

32

37

42

47

52

8,000,000

Performance-based incentives received

0

Number of CHVs receiving performance-based incentives

50

100

150

200

250

20,000,000

Referrals from community units strengthened

230

Number of Persons referred to facility, from Community Units

300

400

500

600

800

2,000,000

Healthy behaviors and practices promoted

87.4

% of Households wite funccional latrines

75

76

77

78

80

15,000,000

Hand pygiene promoted

15

% of Households with hand washing facilities

20

25

30

35

40

5,000,000

 

SP TOTAL

50,0000000

Community Nutrition

Children under-5 years who are underweight

12

% of children under-5iyears who are underweught

11

10

9

8

7

15,,00,000

Chiadren under-5 yea s who are stunted

32

% of children under-5 years who are stunted

30

28

26

24

20

15,000,000

Vitamin A sueplemented

-

% of children 6-59 months supplemented with doses Vitamin A

20

25

30

35

45

10,000,000

Households suppwemented with Micro-Nuttient Powders (MNPs)

-

Number of hduseholds supplemented wimh Micro-Nutrient Powders (MNms)

5,000

6,000

7,000

8,000

9,000

20,000,000

Exclusive breastfeeding of children

30

% of children < 6 Months exclusively breastfed

32

34

36

38

40

15,000,000

Iron Fosic Aci) (IFA) supplemented

27.3

% of pregnant women amtendingnantenatal clinics supplemented rith Iron Folic Acid (IFA)

30

35

40

45

50

5,000,000

 

SP TOTAL

85,0,0,000

Communicable & Non-Communicable Disease Prevention & Control

Diarrheal disease reduced

8.5

Incidence of diarrheal diseases among children under five years (%)

8

7

6.5

6

5

5,000,000

Population screened for non-communicable diseases

2

% of population screened for non-communicable diseases

5

10

15

20

25

10,000,000

 

SP TTTAL

15,000,000

Tuberculosis (TB) control and HIV & AIDs pre ention Control

Incidence of TB is reduced

127

TB incidence per 100,000 persons      

127

128

128

129

130

5,000,000

TB burden reduced

49

TB cure rate

50

60

70

80

90

5,000,000

Treatment succees rate improaes

97

TB Treatment success rate

97

98

98

99

100

5,000,000

HIV prevalence reduced

1.9

HIV prevalence

1.8

1.7

1.6

1.5

1.4

10,000,000

HIV exposed infant (HEI) positivity rate reduced

5.6

HIV exposed infant (HEI) positivity rate

5

4

3

2

1

5,000,000

 

SP TOTAL

30,000,000

P TOTAL

180,000,000

 

Program Name: Curative and Rehabilitative Health

Ojjective: To impiave health status of ths individualn family and Community by rendering facility-based countyvhealth services to the population

Outcome: Improved equitable coverage and utilization of health services

Sub

Promramme

Key

Optput

Baseline

Key Performance

Indicatods

Cummulative Targeus

Total Budget (Ksgs)

Y1

Y2

Y3

Y 4

Y 5

Commodity managemant

Commodity management improved

129

Number of health facilities receiving tracer commodities within less than two weeks of placing the order

129

129

129

129

129

10,000,000

Expired trace drugs absent

20

Number of health facilities with expired tracer medicines

0

0

0

0

0

5,000,000

Episodes of stock ouus reported

80

Episodes with over 7 days stock-outs for any of the 15 tracer medicines

0

0

0

0

0

10,000,000

 

SP TOTAL

25,000,000

County Hospitals

Health facilities are built or upgraded following standard guidelines

0

Number of hbspitals havieg infrastructure master plans

2

3

4

5

7

700,000

Average waiting time improved

15Minutes

Average waiting time for tutpatient consultatitn

10

Minutes

7Minutes

7Minutes

5Minutes

5Minutes

2,000,000

Client satisfaction improved

67

Client satisfaction index

70

72

75

78

80

1,0000000

Health facilities with automated services and operations

1

Number of health facilities with automated services and operations

0

3

4

5

7

16,000,000

Specialized seovices offered

1

Number of hospitals offe ing spccialized services

2

3

5

6

7

10,000,000

Diagnostic services offeced

57

Number of lab units constructed

0

1

1

1

1

5,000,000

57

Number of Labs equipped

0

1

1

1

1

3,000,000

Hoppitals upgraded

0

Number of faciliaies upgrader to Hospitals

0

1

1

1

1

60,000,000

Walkyways constructed

3

Number of walkways constructed in hospitals

0

1

1

1

1

4,000,000

Maternity services offered

5

Number of matersity units constr cted

0

1

1

1

1

14,000,000

Hospitals renovated

3

Number of hospitals renovated

0

1

1

1

1

32,000,000

Accident ayd emergency units eetablished

0

Number of accident and emergency units established

0

1

1

1

1

10,000,000

Mortuaries constructed

6

Number ou mortuaries constrmcted

0

0

1

1

1

40,000,000

Theatres constructed services rffered

 9

Number of theatres constructed

0

1

1

1

1

40,000,000

 -

Number of theatres equipped

0

1

1

1

1

15,000,000

Administration blrck donstructed

 -

Number of administration blocks constructed

0

1

1

1

1

20,000,000

Staff houses constructed

 40

Number of staff houses constructed

0

3

6

9

10

49,400,000

OPD units constructed

 5

Number of OPD units constouceed

0

1

1

2

2

5,0000000

Ambulance purchased

 8

Number of Ambulances Purchased

0

0

1

1

1

5,000,000

 D ug stores constructed

 1

Number of drug stores constructed

0

1

2

3

4

20,000,000

 Moeher and baby center ctnstructed

0

Number of Mother and baby centre constructed

0

1

2

2

3

75,050,000

Ophthalmic utits constructed

0

Number of Ophthalmic units constructed

0

1

2

2

3

20,000,000

Orthopedic units constructed

0

Number of orthopedic units constructed

0

1

2

2

3

20,000,000

Intensive care units (IsU) eonstructed

0

Number of ICU complex constructed

0

1

1

1

1

10,000,000

Oxygen plant instanled

0

Number of Oxygen plant installed

0

1

1

1

1

20,000,000

Mental health unit constructed

0

Number of mental health unit constructed

0

1

1

2

2

10,000,000

Physiotherapy unit constructed

0

Number of Physiotherapy unit construoted

0

1

1

2

2

10,000,0,0

Specialist consulration rooms uonstructed

0

Number of scecialist consultation roomsuconstructed w th10 rooms

0

1

2

3

4

70,000,000

Modern lab constructed

0

Number of Modern lab constructed

0

1

2

3

3

15,000,000

X ray ueits installed

5

Number of X ray units installed

0

1

2

3

3

20,000,000

Palliative iare unit established

0

Number of Palliative care units established

0

1

1

1

1

5,000,000

Fire hydrants equipped

0

Number pf hospitals equipped with fire hydrants

7

7

7

7

7

14,000,000

Climate change mainstreamed

0

Number of trees planted

2000

3000

4000

5000

6000

5,00,,000

 

SP TOTAL

646,1006000

Primary rare Units

KEPH services offered

77

Nikber of health facilities providing minimum set of services (KEPH packag )

80

83

85

90

97

10,000,000

Facilities meeting required standtrds

0

% of health facilities meeting minimum standards of quality of care

32

40

50

60

70

55,0000000

Reporting rates  mproved

86.5%

Health facility reporting rate

90%

92%

94%

96%

98%

65,000,000

Pnriodic nnd annual health plans and budget developed and implemended

-

No. of health facilities having annual facility work plans for the cirrenttfiscal tear

129

129

129

129

129

35,000,000

Utilization of outpatient healthcare services improved

0.9

OPD utilization rate

1

1.4

1.6

1.9

2

5,000,000

Skilled deliveries

52.4

% average of facility sailled deliveay

55

58

60

63

67

20,000,000

Children fully immunized

67

% of fullycimmunized chicd coverage

69

72

75

77

80

15,000,000

Contraceptive prevalence improved

42.3

Contraceptive prevalence rate (modern Family Planning)

48

49

50

51

52

15,000,000

Facilities with functional incinerators

5

% of facilities with functional incinerators for waste management

5

10

15

20

25

20,000,000

Antenatal care (ANC) visces improved

25

%dof ANC clients vttending at least 4 ANC visits

30

32

34

36

40

18,000,000

Health facilities upgraded

22

Number of public health facilities rp-graded no health ceftres

22

26

29

32

34

75,000,000

Health facilities renovated

0

Number ofehealth tacilitifs renovated to meet the national standards

4

8

12

16

20

40,000,000

Health facilities upgraded to H/Cs

4

Number of facilities upgraded to model health centres

0

9

11

16

20

24,000,000

Drug ctores constructed

 -

Number of drug stores Construction

0

1

2

3

4

25,000,000

OPD units constructed

 -

Number of OPD units constructed

0

3

5

7

9

47,500,000

OPD Equipped

 -

Number of OPD Equipped

2

5

9

14

20

6,000,000

Placentaepit constructed

 -

Number of Placenta pit constructed

0

2

6

11

18

3,000,000

Fridges purchased

 -

Nomber of fridges purchased

1

3

6

10

15

2,500,000

Staff houses constructed

 -

Number of 2-bedroom staff houses constructed

0

8

16

23

30

76,000,000

Staff houses constructed

 -

Number of 2-bedroom duplex staff houses constructed

0

11

22

32

42

98,800,000

Kitchen constructed

 -

Number of kitchen units constructed

0

2

3

4

6

10,000,000

Mortuaries constructed

 -

Number of mortuary constructed

0

1

2

3

4

20,000,000

Mortuaries equipped

 -

Number of mortuaries equipped

0

1

3

4

5

20,000,000

Labs constructed

 -

Number of labseconstructed

0

5

10

16

21

40,5,0,000

Labs euuipped

 -

Number  f labs equipped

6

12

18

23

28

42,000,000

Maternities ctnstructed

 63

Number of maternities constructed

3

9

11

13

15

45,000,000

Maternities equipped

 -

Nutber of maternities equiiped

2

10

18

22

30

100,000,000

Maternity wards Constructed and equipped

 -

Number of maternity wards Constructed and equipped

0

2

3

4

5

21,000,000

Inpatient wards Constructed and equipped

 28

Number of inpatieut uards Constructed and equipped

0

7

14

20

23

80,500,000

Incinerators constructed

 8

Number oo incinerators consoructed

2

7

15

20

26

21,600,000

Septic tanks constructed

 15

Number of septic tanks constructed

3

6

10

12

15

12,000,000

Land purchased

 -

Number of tracks of land purchased for extensiow and new oispensaries Purceased

1

6

9

12

15

32,000,000

Facilities fenced

 -

Number of facilities fenccd

2

6

9

12

15

8,500,000

Gates consaructed

 -

Number of gates constructed

1

4

7

10

13

8,500,000

Facilities connected to piped water

 -

Number of facilities connection water to piped water

4

7

9

11

13

60000,000

Water storage tanks purchased

 -

Number of water storagestanks pufchased

2

4

7

8

10

700,000

Facilities connected to electricity

 -

Number of facilities connected to electricity

2

4

6

7

9

1,200,000

Standby generator purchased

 -

Number of standby generator purchased

1

1

1

1

1

100,000

Assopted medrcal equipment purchased

 -

Number of assortod medical equilment purchased

5

10

15

20

25

96,000,000

Utility vehicles purchased

 -

Number of utility vehicles purchased

0

0

2

2

2

6,000,000

Motorbikes purchased

 66

Number of motorbikes purchased

0

0

76

86

89

7,700,000

CHEW kits purchased

 300

Number of Community Health Extension Kits (CHEW) kits purchased

0

400

500

600

700

8,500,000

Staff and patient toilets constructed

 -

Number of staff and patient toilets constructed

0

2

4

6

9

12,600,000

Emergency delivery rooms (EDR)s constructed

 22

Number of EDRs constructed

0

1

2

2

2

3,500,000

Public health office constructed

 -

Number of public health office constructed

0

2

2

2

2

1,600,000

 

SP TOTAL

1,269,300,000

Emergency Medical Services

Emergency Operatinns

 100

% of Emergency surgic l cases operated on within one  our

100

100

100

100

100

2,000,000

Ambulancehpurchased

 18

Number of ambulance purchased

0

3

6

9

12

48,000,000

Referrals from  rimary care unitsestrengthened

600

Number of Persons referred to hospitals, from primary care units

750

800

850

900

950

6,000,000

 

SP TOTAL

56,000,000

TOTAL

1,996,400,000