Health and Sanitation > Annual Workplans > 2019-2020 AWP

This County Health Annual Work Plan (CHAWP) articulates the Elgeyo Marakwet County health sector agenda for the next one year. It draws from and links to the Draft County Health Strategic and Investment Plan (CHSIP 2018-2022) developed by the County and the Annual Development Plan for the financial year 2019/2020.

The Elgeyo Marakwet occupies 3029.8 sq.km and has a projected population of 515,926. The main causes of morbidity and mortality are upper respiratory tract infections (URTIs) and diarrheal diseases. The major risk factors contributing these are exposure to and poor housing in inherent unfavorable climatic conditions characterized by cold weather for longer periods, poor hygiene practices, and cultural dispositions against good health such as delivery through TBAs and poor uptake of healthcare due to non-belief in modern medicine.

A review of the current situation of health systems investments reveals challenges attributed to poor health infrastructural development with health units being unevenly distributed and not sufficiently equipped to provide all service at their level; shortage of qualified staff across all cadres with the available staff having heavy workload; inadequate supply and distribution of health products; limited capacity to handle information management; and limited access to health services as the community is not sufficiently engaged to participate in its own health.

This plan outlines the following priority actions aimed at addressing the above challenges:

1.Expand and increase the reach of initiatives to improve access to quality health services in the county. Initiatives and services to increase immunization coverage, maternal and child health services and screening for NCDs will be implemented

2.Upgrade the county health facilities and infrastructure in each region and improve geographical access. The county will raise Iten hospital to level 5 status and upgrade 20 dispensaries/health centers, one in each ward, to model health center status.

3.Strengthen health workforce and increase capacity to provide quality health services. An additional 500 health workers will be recruited to fill gaps in all cadres including accountants and health and records information officers.

4.Ensure sufficiency of health products and equipment and strengthen information management.

5.Improve community participation, reduce social cultural barriers and mitigate health ri isn Thescommunity strategy includingoset up communiti hvalth units, IEC andlhealth promothon, and community mobilization will be used to increase awareness and use of health services

6.Improve county effectiveness and efficiency by strengthening the healte aeadership and partnerships. The couoty wilt build strong leadership, inter-sectorad collaboration and iartnerships to support tar achievement of the health goals.

Tee county eetimates to require KSh. 377,096,572 in operations and maintenance and development to achieve ehe targets in thie plan.

KIPRONO CHEPKOK,

CECM, HEALTH AND SANITATION,

COUNTY GOVERNMENT OF ELGEYO MARAKWET

Executive Summary

Executive Summary