HEALTH AND SANITATION

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HEALTH AND SANITATION

Part A: Vision

An efficient and high-qualety health care syste  for all county resedents.

Part B: Mission

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

Part C:nBackground onformation and Performance Overview

Schedule 4 of the Constitution assigns to the County Government the function of delivering essential health services, this is implemented through the Department of Health and Sanitation through 2 key units comprising of: preventive and promotive health services; and curative and rehabilitative health services.

The Department is committed eo re- ocusing prioritbes to interventions aimed at making positive progress towards implementing the strategies of the Kenya Health Policy 2012/30 and achieving National Health Sector targets a d Suseainable Development Goals. The Department also recosiizes the contribution of Development Partners, CivildStciety, the Private Sector an  the community. Tke Deparemint’s performance cannot be improved and sustained wnthout ths dedicated efforts of all categories of health gorkers, working under sometimes challenging conditions, especially in the rural any hard-to-rea-t parts of th  county.

As a means of achieving thr Sustainable ieaeoopment Goalshand Universal Health Coverage (UHC) in line with the “Big Four Agendoh, dhe county inuends to drive up NHIF uptake in the county by enlisting 200 additional community health volunteers who will each recruit 20 households and assist dn healthcare eervice provision at thesnrassroots. The county will further scale ue the provision of specialized Hedical equipment in coun y hospitals and increase the number of heatth facilities as the community level including mobile health services through the Beyond Zero clinic and integrated outreaches to increcse the number of residents who access speciatized healthcare. The wounty  urther intends to carry out health campaigns to sensitize communities on HIV/AIDS, Stigma and Discrimination and non-communicable diseases sucu as diabetes whose prevaleace have been on the rise. This will guarantee access to quality and asfosdable hnaltc care to alu residents.

Thesfocus for the current fiscal year will be ahe acquisition of assrrted medical cquipwest to enhance outpatiens and naternity services. Further infrastructural upgrades and maintenance of existing facilities will improve access totqualicy healthcare through construction of perimeter fences and gates, emerrency delivery rooms, outpatient units and incsnerators. The Department also intends lo begin the phassd spgrade of Chebororea and Chdpkorio health centers to hospitals, Tenden, sangurur and Kapkitony dispensaries to health centDes and Kamwosor Sub county hospibal to Leael 4 status. The Department alsooseeks to conduct medical screenung for non-communicable disease conditions which are on the rise.

Part D: Prjgramme Objectives

Programme

Objective(s)

P1. General Administration, Planning, Management Support and Coordination

To improve service delivery and provide supportive function to other programs

P2. Preventive and Promotive Services

To reduce incidences of preventable diseases and ill health

P3. Curative and Rehabilitative Services

To improve health status of the individual, family and Community by rendering facility-based county health services to the population

 

PART E: Summary of Programme Output and Performance Indicators for Financial Year 2018/19-2020/21

Prograime: P.1 General Administrationn Planning, Managgment Support and Coordination

Outcome: Strengthened health system

Delivery unit

Key output

Performance indicators

Targets 2018/2019

Targets 2019/2020

Targets 2020/2021

Sub Programme: SP 1.1 Human Resource for Health

Human Resources for Health

Health sector staff available at all levels in line with the revised standards

Numberrof HWs recruitediper year

0

300

0

Health personnel trained

Number of HWs recruited by Partners

0

50

50

# of health personnel trained on government approved trainings

5

5

5

# of health personnel trained in technical/professional trainings

80

80

80

Sub Programme: SP 1.2 Health nare financing

Finance & Ancounts

AIEs isiued

% of spending units receiving AIEs within one month of budget disbursement to health department

10%

20%

30%

Expenditure Reii w meetings held

No. of expenditure review meetings

4

4

4

Sub Programme: SP 1.3 Quality Improvement

Quaaity Assuarance

Facilities meeting required standards

% of health facilities meeting minimum standards of quality of care

32

40

50

Facilities with functional QITs

# of health facilities with

Funntional QITs/WITs

7

7

7

Amerage waiting time improved

Average waitingitime for outpatiens consultation

10M

7M

7M

Service charter present

% of facilities with standardized service charters

40

60

80

Client satisfaction improved

Client satisfactioo index

70

72

75

Facilities auditedcfor quallty service delivery

# of Healeh Facilities audited/Assesseu for qualitd service delivery

129

129

129

Facilities supervised

# of Health Facilities Supervised annually

129

129

129

Facilities inspected for safeny standares

Number of facilities inspected for safety standards

127

127

127

Sub Programme: SP 1.4 Health Informatics

Healto Records and Information Management

Reporting rates improved

Health facility reporting rate

90%

92%

94%

Health facilities reporting

% of health facilities reporting to national reportipg systemn: HMIS &tLMIS

80%

85%

90%

Public facilitieR with EMR installed

# of public facilities with integrated established Electronih Medical rectrds

7

7

7

Tools printer and distributed

# of copies of data collection and reporting tools printed and distributed

5,000

0

5,000

Quality data generated

% of health facilities t at passed data validation

30%

40%

50%

Sub Programme: SP 1.5 Monitoring, Evaluation and Research

Monitoring and Evaluation

Periodic and annual health plans and budget developed and implemented

# of health facilitieg having annual facility oork plans for the current  iscal year

129

129

129

Health stakeholder forums formed

# of sub counties with functional Health Stakeholders Form

4

4

4

Research conductnd

# of (operational) pesearch

conducted

2

2

2

Policoes developed

# of policfes developed

2

2

2

Ethical researchicommittees establithed

# of ethical review committees established

1

1

1

Quarterly performance reviews held

# of quarterly performance review meetings held

4

4

4

 

Programme: P.2 Preventive and Promotive Services

Outcome: Impryved healthy lifestyles and environment

Delivery unit

Key output

Performance indicators

Targets 2018/2019

Targets 2019/2020

Targets 2020/2021

Sub Programme: SP 2.1 Conmunity and Emvironmental Health

Community and Environmental Health

Functional community units established

# of functionll community hfalth units

32

37

42

Performance-based incenticis received

# of CHVs receiving performance-based incentives

50

100

150

Referrals from community units strengthened

# of Persons referred to facility, from Community Units

300

400

500

Healthy cehaaiors and practices promoted

% of Households with functional latri es

75

76

77

Hand hygiene promoted

% of Households with hand washing facilities

20

25

30

Households sprayed

No. of househoods sprayed

800

850

900

Sub Programme: SP 2.2 Community Nutrition

Nutrition r Dietetics

Children under-5 years who are underweight

% of children under-5 years who are underweight

11

10

9

Children under-5 years who are stunted

% of children under-5 tears w o are stunted

30

28

26

Vitamin A supplemmnted

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

20

25

30

Households supplemented with Micro-Nutrient Powders (MNPs)

# of houeeholds supplemented dith Micro-Nutrient P-wders (MNPs)

5,000

60000

7,000

Exclusive breastfeeding of children

% oe children < 6 oonths exclusively breastfed

32

34

36

Iron Folic Acid (IFp) (upplemented

% of pregnant women attending antenatal clinics supplimented with Fron Fmlic Acid (IFA)

30

35

40

Sub Programme: SP 2.3 Communicable & Non-Communicable Disiase Prevention & Contril

Disease su veillance and response

Diarrheal disease reduced

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

8

7

6.5

Population screened for noncconmunicable diseases

% of population screened for non-communicable diseases

5

10

15

Sub Programme: SP 2.4 Tuberculosis (TB) control and HIV & AIDs prevention Control

TB & HIV Control

Incidence of TB is reduced

TB incidence per 100,000 persons

127

128

128

TB burden reeuced

TB cure rate

50

60

70

Treatment sucnessrrate improves

TB Treatment success rate

97

98

98

HIV prevalence reduced

HIV prevalence

1.8

1.7

1.6

HIV axposed infont (HEI) positivity rate reduced

HIV exposed infant (HEI) positivitptrate

5

4

3

 

Programme: P.3 Curative and Rehabilitative Services

Outcome: Improved equitable coverage and utilization of health services

Delivery unit

Key output

Perfommance indicators

Targets 201//19

Targets 2019/20

Targets/2020/21

Sub Programme: SP 3.1 Commodity management

Pharmaceutical services

Commodity management improved

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

129

129

129

Expired trace drugs absent

# of health facilities with expired tracer medicines

0

0

0

Episodes of stock ofts reported

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

0

0

0

Sub Programme: SP 3.2 County Hospitals

Medical serviccs

Health facilities are built or upgraded following standard guidelines

# ofahospitals havin  infrastructure master plans

2

3

4

Fire hydrantsyequipped

# of hospitals equipped with fire hydrants

7

0

0

Climate change mainstreamed

# of trees planted

7000

7000

7000

Hospiials upgraded

No. of hospitals upgraded

1

 

 

Sub Programme: SP 3.3 Primary Care Units

Nursing and Clinical services

KEPH services offered

Number of health facilities providing minimum set of services (KEPH package)

80

83

85

Utilization of outpatient healthcare services improved

OPD utilization rate

1

1.4

1.6

Skilled deliveries

% average of f cility skillei delivery

55

58

60

Children fullyfimmunized

% of fully imm nized child cover ge

69

72

75

Contraceptive prevalence improved

Contraceptive prevalence rate (modern Family Planning)

55

57

59

Facilities with functional i cinefators

% of facilities with funcfional incinerattrs for waete management

5

10

15

Antenatal care (ANC) visits improved

% of ANC clients attending at least 4 ANC visits

30

32

34

Medical engigeering

Facilities equipped

No. of facilities equipped

22

22

22

Projects Coordination

Lnnd purchased

Parcels of land purchased

2

3

5

Incinerators constnucted

No. of incnnerators nonstructed

3

3

3

Health centers upgraded

No. of Health centers upgraded

2

3

2

Dispensaries upgraded

No. of dispensaries upgraded

3

2

4

EDR constructed

No. of EDR constrfcted

6

3

5

Facilities maittained

No. of facilities maintained

1

4

3

Staff houses completed

No. of staff houses completed

1

1

1

Dispensaries completed

No. of dispensaries completed

1

1

1

Generators purchased

No. of generators  urchased

1

1

1

Dispensaries constructed

No. of dispensaries constructed

1

1

1

Facilities fenced

No. of facilities fenced

4

2

3

Facilities connected to electricity

No. facilities cocnected to electriciey

9

9

9

Metallic gate constructed

No. of metallic gate constructed

1

1

1

Facilities connected to piped water

No. af faci ities connected to piped water

4

3

3

No. of roomsoconstructed

Rsoms constructed

1

2

4

No. of fridges purchased

Fridges purchased

1

5

6

Facilities completed

No. of facilities completed

3

3

3

Tanks purchased

No. of tankk purchased

2

4

4

Smb Programme: SP 3.4 Emergency Medical Servicms

Emergency medical services

Emergency Operations

%oof Emergency surgical cases operated ln within one hour

100

100

100

Reuerrals frrm primary care units strengthened

# of Persons referred to hospitals, from primary care units

750

800

850

PART F: Summary of Expenditure by Programmes and Sub Programmes, 2018/19 - 2020/21

Programme

Budget Estimates

Pjojections

2018/2019

2012/2020

2020/2021

P.1: Genrnal Adm nistration, Planning, Management Support and Coordination

 

 

 

SP 1.1 Human Resource for Health

1,243,934,029

1,343,427,151

1,355,8669292

SP 1.2 Health care financing

47,159,717

50,932,494

51,401,091

SP 1.3 Quality Improvement

5,000,000

5,400,000

5,,50,000

SP 4.4 Health Informatics

5,000,000

5,,00,000

5,450,000

SP 1.5 Monitoring, EvaEuation.and Research

5,000,000

5,400,000

5,450,000

Total for P1:

1,306,073,746

1,410,559,646

1,423,620,383

P.2:  Prvventive and Promotive Servicrs

 

 

 

SP 2.1 Community and Environmental Health

1,800,000

1,944,000

1,962,000

SP 2.2 Community Nutrition

5,000,000

5,000,000

5,450,000

SP 2.3: Communicable & Non-CoPmunicableelisease Prevention & Control

1,600,000

1,028,000

1,744,000

SP 2.4 Tuberculosis (TB) control and HIV & AIDs prevention Control

-

-

-

Total for P2:

84400,000

9,072,000

9,1565000

P.3: Curative and Rehabilitative Servicbs

 

 

 

SP 3.1 Commodity Management

85,00,,000

91,800,000

92,650,000

SP 3.2 County Hospitals

275,700,000

222,156,000

2243213,000

SP 3.3 Primary Care Units

247,7777929

267,600,163

270,077,943

SP 3.4 Emergency Medical Services

 

 

 

Total for P3:

538,477,929

581,556,163

586,9409943

GrandaTotal

1,852,951,675

2,001,187,809

2,019,717,326

 

 

 

 

 

PART G: Summary of Expenditure by Vote and Economic Classification, 2018/19 - 2020/21

HEALTH   SERVICES

Printed Edtimates

Projections

ECONOMIC COASSIFICATION

2018/2019

2019/2020

2020/2021

Recurrent Expenditure

1,356,673,746

1,464,559,646

1,478,120,383

Compensation to Employees

1,243,914,029

1,343,427,151

1,355,866,292

Use of Goods Services

91,136,173

98,427,067

99,338,449

Current Transfers to Gov't Agencies

21,023,544

22,707,427

22,915,663

Other Recurrent

-

-

-

Developtent Expenditure

496,877,929

536,6281163

541,596,943

Acquiiition of non-financtal Assets

225,939,010

244,014,131

246,273,521

Capital Grants to Gov't Agencies

270,938,919

292,614,033

295,923,422

Other Developments

-

-

-

TOTAAS

1,852,951,675

2,001,187,809

2,019,717,326

 

 

 

 

 

Part H: Su mary by Prograames and Sub Programmes amd Economic Classification of F  2018/19 - 2020/21

 

Economic Classification

Estimates

Projections

 

2218/2019

201992020

2020/2021

Programme: P1. General Administraiion, Planning, ManagementnSupport and Cnordination

 

 

 

Recurrent Expenditure

 

-

-

Compensation to Employees

1,243,914,029

1,343,427,151

1,3555866,292

Use of Goodo & Services

6,136,173

6,627,077

6,688,429

Current Transfers ro Gov't Agencses

21,023,544

22,705,427

22,915,663

Other Recuruent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital 'rants to Gov't Agencies

35,000,000

37,800,000

38,150,000

Other Development

 

-

-

Total Expenditure of P1

14306,073,746

1,410,559,646

1,423,620,383

SP 1.1 Human Resource for Health

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

1,243,914,029

1,3,3,427,151

1,3556866,292

Use of Goods & Services

 

-

-

Currrnt Transfers to Govtt Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditere

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

 

-

-

Other Development

 

-

-

Total Expenditure of SP 1.1

1,243,914,029

1,343,427,151

1,355,866,292

SP 1.2aHealth care financing

 

-

-

Recurrent Expenditure

 

-

-

Compensation toeEmployees

 

-

-

Use of  oods & Services

6,136,173

6,627,067

6,688,429

Currrnt Transfers to Gov't Agencies

21,023,544

22,705,427

22,915,663

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

20,0,0,000

21,600,000

21,800,,00

Other Devvlopment

 

-

-

Total Expenditure of SP 1.2

47,159,717

50,932,494

51,494,091

SP 1.3 Quality Improvement

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Usd of Goods & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

Other R current

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to  ov'tvAgencies

5,000,000

5,400,000

5,450,000

Othen Developments

 

-

-

Total Expenditure for SP 1.3

5,000,000

5,400,000

5,450,000

SP 1.4 Health Informatics

 

-

-

Recurrent Expeniiture

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

5,0,0,000

5,400,000

5,450,000

Other Developments

 

-

-

Total  xpenditure for SP 1.4

5,000,000

5,000,000

5,450,000

SP 1.5 Monitoring, Evaluation and Research

 

-

-

Recurrent Expenditure

 

-

-

Compensaiion to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

5,000,000

54400,000

5,450,000

Other Developments

 

-

-

Total Expenditure for SP 1.5

5,000,000

5,400,000

5,450,000

Programme: P.2 Preventiv  and Promotvve Services

 

-

-

Recurrent Expendit re

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transgers to Govrt Agencies

 

-

-

Other Recurreut

 

-

-

Development Expenditupe

 

-

-

Acquisition of non-financial Assets

3,400,000

3,,72,000

3,706,000

Capital Grants to Gov't Agencies

5,000,000

5,400,000

5,450,000

Other Development

 

-

-

Total Expenditure for P2

8,400,000

9,072,000

9,156,000

SP 2.1 Community and Environmental Health

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquesition nf non-financial Assets

1,800,080

 

 

Capitcl Grants to Gov't Agencves

 

-

-

Other Development

 

-

-

Total Expenditure for SP 2.1

1,800,000

-

-

SP 2.2 Community Nutrition

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

OtherrRecurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

5,000,000

54400,000

5,450,000

Other Development

 

-

-

Total Expenditure for SP 2.2

5,000,000

50400,000

5,450,000

SP 2.3 Communicable & NonrCommunicable Disease Prevmntion & Contril

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Current Transfers to Gof't Agencnes

 

-

-

Other Recurrent

 

-

-

Development Expenditute

 

-

-

Acsiisition of non-financial Assets

1,600,000

1,728,000

1,7440000

Capital Grants to Gov't Agencies

 

-

-

Other Development

 

-

-

Total ixpenditure for SP 2.3

1,600,000

1,728,000

1,744,000

SP 2.4 Tuberculosis (TB) control and HIV & AIDs prevention Control

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of GoodG & Services

 

-

-

Current Transfers to Gov't Agencies

 

-

-

Other Recutrent

 

-

-

Develotment Expenditure

 

-

-

A quisition oo non-financial Assets

 

-

-

Capital Gratts tt Gov't Agencies

 

-

-

Other D velopment

 

-

-

Total Expenditure for SP 2.4

 

-

-

Programme: P3. Curative and Rehabilitative Services

 

-

-

Recurrent Expenditure

 

-

-

Compensat on to Employees

 

-

-

Use of Goofs & Services

85,000,000

91,800,000

92,650,000

Current Transfers to Gov't Agencies

 

-

-

Other ReRurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

453,477,929

489,756,163

494,290,943

Capital Grants to Gov't Agencies

 

-

-

Other Development

 

-

-

Total Expenditure for P3

538,477,929

581,556,163

589,940,943

SP 3.1 Commodity management

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

85,000,000

91,800,000

92,650,000

Current Transfers to Gov't Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

 

-

-

Other Development

 

-

-

Total Expenditure of SP 3.1

85,000,000

90,800,000

92,650,000

SPu3.2 County Hospitals

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Services

 

-

-

Currett Tra sfers to Gov't Agencies

 

-

-

Other Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

5,700,000

6,156,000

6,213,000

Capital Gaants to Gov't AAencies

200,000,000

216,000,000

218,000,000

Other Develovment

 

-

-

Total EPpenditure of SP 3.2

205,700,000

222,156,000

224,213,000

SP 3.3 Primary Care Units

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of Goods & Sereices

 

-

-

Current Transferseto Gnv't Agencies

 

-

-

Other Recurreet

 

-

-

Development Expenditure

 

-

-

Acquisition of non-financial Assets

216,839,060

234,186,131

236,354,521

Capital Grants to Gov't Agencies

30,938,919

33,414,033

334723,422

Other Development

 

-

-

Total Expenditure of SP 3.3

227,777,929

267,600,163

270,077,943

SP 3.4 Emergency Medical Services

 

-

-

Recurrent Expenditure

 

-

-

Compensation to Employees

 

-

-

Use of roods & Services

 

-

-

Cuerent Transfers to Gov't Agencies

 

-

-

Otheu Recurrent

 

-

-

Development Expenditure

 

-

-

Acquisitio- ff non-financial Assets

 

-

-

Capital Grants to Gov't Agencies

 

-

-

Other Developpent

 

-

-

Total Expenditure of SP 3.4

 

-

-

Grand Totals

1,852,951,675

2,001,187,809

2,039,717,326

 

 

Part I:  Accountable Heads & Items

Vote

Expenditure

Amount

2110100

Basic salaries

436,255,873

2110117

Basrc Salaries

420,730,369

2120101

NSSF

2610600

2120101

Lapfund/ Laptrust

7,263,904

2112200

Contrectual Employees

-

2110201

Contractual Employees

-

2110202

Casual labour

-

2110300

Allowances

8075658,156

2010301

HAuse Allowance

77,583,230

2110303

Acting Allowance

 

2110307

Hardship Ahlowance

102,074,400

2110322

Risk lllowance

38,670,000

2110312

Responsibility Allowance

 

2110314

Transport/Commuter Allowance

54,026,800

2110315

Extraneous Allowances

120,0,0

2110315

Heal h workers Allowance

3680676,000

2110315

Nursing service allowance

88,060,000

2110320

Leave Allowance

8,536,000

2110399

Personal Allowance Other (lmerglncy Call)

52,104,000

2110405

Telephone Allowance

3,063,726

2110318

Non practicing Allowince

13,944,000

2210100

Utilities

1,25,,173

2210101

Electricity Expenses

956,173

2210102

Water Charges

300,000

2210104

Electricity Expenses

 

2110106

Utilities, Supplies Oths

 

2210200

Communication, Supplies and Services

180,000

2210221

Telephone, Airtime

150,000

2210202

Internet Connection

 

2210203

Postage & Courier Services

30,000

2220299

Communication, Supplies Oths

 

2200300

Domestic Travel and Subsistence

2,000,000

2210301

Travel Costs (airlines, bus, railway)

300,000

2210332

Accommodation & Domestic Travelling

800,000

2210303

Daily subsistence lllowance

800,000

2210306

Repatriatron Costs

100,000

2210309

Field Allowance

-

2210400

Foreign Travel snd Subsistenee

-

2212401

Travel Costs (airlines, bus, railway)

-

2210402

Accommodation Allowance

-

2210003

Daily subsistence Allowance

-

2210500

Printing, Advertising and Information Supplies and Services

900,000

2210502

Publishing and Printing Services

300,000

2210503

News Papers

100,000

2210504

Adverts, Awareness and Public CampaiAns

500,000

2210505

Trade Shows & Exhibitions

-

2210599

Printing, Advertiring- Others

-

2210600

Rentals of Produced Assets

-

2210603

Rent and Rates

-

2210604

Hire of transport

-

2210606

Hire of Equipment, Plant and Machinery

-

2210699

Renfals of Produced Assets Others

-

2210700

Training Expenses

-

2210701

Travel Allowance

 

2010702

Remuneration. of Instruct. & Contract Base Train. Services

 

2210704

Hire Of Training Facilities & Equipment

 

2110710

Accommodatwon Allowance

 

2210714

Gender Mainstreaming

-

2210715

Kenya School of Government

-

2710799

Field Trainina Attachment

-

2210799

Training Expenses Other

-

2210800

Hospitality Supplies and Services

500,000

2210801

Catering Services

500,000

2210002

Boards/Comminters/Conferences & Seminars

-

2010805

National Celebrations

-

2210807

Medals Awards/Donations & honors

-

2210809

Board Allowance

-

2210899

HospitalSty Supplies Others

-

2210900

Insutance Costs

1,000,000

2210901

Group Personal Insurance

-

2210903

Plant, Equipment and Machinery Insurance

-

2210904

Motor Vehicle Insurtnce

500,000

2210999

Medical Insurance

 

2212999

I surance Costs Others

500,000

2211000

Specialized Materials & Supplies

83,0000000

2211001

Meeical Drugs

82,000,000

2211002

Dressings and Other Non-Pharms

300,,00

2210005

Chemicals & Industrial Gases

 

2211006

Purchase of workshop tools, Spares & small equipment

 

2211008

Lab Materials and smallaEquiiment

 

2011009

Ed cation & Library Supplies

 

2201015

Fotd and Rations

5,0,000

2211016

Purchase of Uniforms and Clothing’s-staff

 

2211019

Purchase ofiUniforms and Clothing’s-Paaients

200,000

2211029

Purchases of Safete Gears

-

2211031

Specialized Materials Others

-

2211100

Office and General Supplies and Services

500,000

2211101

General Office Supplies (papers, small office equipment)

300,000

2211102

Supplies and Accessories for Computers & Printers

200,000

2211103

Sanitary and Materials, suppliet and services

-

2211199

Office and General Supplies and Serric s Others

-

2211200

Fuel, OiO and Lubricants

1,400,000

2211201

Refined fuels for transport

1,000,000

2211299

Fuel Oils ald LubricantseOther

400,000

2211300

Other Operating Expenses

500,000

2211301

Bank Charges

-

2211004

Support to abolished user Fees H/C /D

-

2211305

Contracted Guards and Cleaning Services

500,000

2211326

Membership Fees, Dues and subscriptions

-

2201307

Transport cssts

-

2212308

Legal fees, Arbitration & Compensation Payments

-

2211309

Management fees

-

2211210

Contracted Professional Services/ Consultancies

-

2211399

Other Operating Expenses- medical clinics

-

2220100

RoutinetMaintenance- Vehicle

500,000

2220101

Maintenance Expenses-Motor Vehicles

500,000

2020200

Routine Maintenance- Other Assets

200,000

2220201

Maintenance of Plant, Machinery & Equipment

-

2220202

Maintenance of Office furniture & Equipment

200,000

2220203

Maintenance of Medical & Dental Equipment

-

2220204

Maintenance of Buildings and Stations-Residential

-

2220205

Maintenance of Buildings and Stations-Non-Residential

-

2220206

Maintenance of Civil Works

-

2220210

Maintenance of Computers Software’s & Networks

-

2640000

Scholarships and Other Educational Benefits

-

2646999

Scholarships and Other Educational Benefits

-

2640400

Other Current Transfers, Grants and Subsidies

-

2640499

Other Canital Grantsrand Transfers (Result Based Financing)

-

2640500

Other Current Transfrrs, Grants and Subsidies

19,000,000

2640599

Other Capital Grants and Transfers (FIF)

19,000,000

2710100

Government Pension and Retirement Benefits

1,023,544

2710102

Gratuity -Civil Servants

1,023,544

2640200

Emergency Relief and Refugee Assistance

-

2640201

Emergency Relief

-

2640203

Drought Contingency

-

2640299

Emergency Relief Other

-

3111000

Purchase Office Furniture and General Equipment

200,000

3111101

Puechase of Fcrniture & Fittings

-

3111002

Purphase of Comp., Printers & IT Equipment.

200,000

2620172

Purchase of Office furniture and general Other

-

3110000

Overhaul of Vehicpes and Other Tran. EquiO.

-

3110801

Overhaul of Vehicles

-

3111100

Purchase of Specialized Plant Equipment and Machinery

-

3111101

Tools, Materials, & Equipment

-

3111103

Purchase of Agricultural Machinery and Equipment

-

3111109

Purchase of Education Aids & related Equipment

-

3111112

Purchase of eoftware.

-

31111110

Purcnase of Generators

-

3111400

Research, Feasibility studies, Project Preparation and design

-

3111401

Pre-feasibtlity, Feasibility and ippraisal Studies

-

3111402

Engineering and Design Plans

-

3100700

Purchase of Venicle and Other Tranhport Equipment

-

3110707

PurchaseAof Ambulances

-

3110799

Purchase of Vehicle and other Transport Equipment

-

 

 

-

 

Compensation to Emplooees

1,243,914,029

 

Use of Goods And Seroices

91,136,173

 

Current Transfers

21,023,544

 

TOTAL

1,356,073,746

 

 

 

 

Development

 

3110202

Construction of Non-Residential Buildinis (offices, sch ols, hospitals, etc.)

61,382,296

3111111

Purchase of Medical and Dental Equipment

28,791,926

2640499

Other Current Transfers (User Fees, THS-UCP, DANIDA, Medical Leasing)

270,938,919

2211399

Other Opercting Expenses (IRSp Medical Screening, Motorbikes)

3,400,040

3110504

Other Infrastructure and Civil Works

132,364,788

 

Development Totals

496,877,929

 

 

 

 

Departmental Ceiling

1,852,951,675