Elgeyo Marakwet County Health Sector will be under the leadership of the County Executive Committee Member for Health Services; also referred hereinafter as County Executive for Health or County Minister for Health. He/she will be supported administratively by the Chief Officer for Health, who will be the senior accounting officer, while technically he will be supported by the County Director for Health Services. The county’s management structure will ensure there are 5 management pillars, each headed by a deputy director (Clinical services; preventive and promotive services; planning, regulation, standards & development; finance and administration; and the CEO of the Iten County Referral Hospital) all reporting to the County Director for Health Services.
The Deputy Director for Clinical Services will oversee clinical, pharmaceutical, nursing, rehabilitation, radiology, laboratory and ambulatory services. The Deputy Director for Preventive and Promotive Services will oversee program coordination, health promotion, environmental health & sanitation, disease surveillance, family health, community health strategy and nutrition & dietetics. The Deputy Director for Standards & Regulation will oversee standards, regulations, quality assurance, research & training, HMIS and ICT. The Deputy Director for Finance and Administration will oversee all health administrative matters, financial & accounting, HRH matters and supply chain management. All these divisions will be headed by division heads who will be reporting to the respective deputy directors.
The governance component will ensure that there are management committees/teams in the county that support the organo-structure and a coordinated oversight. The Deputy Directors will also be working in a close-knit arrangement with the Sub-county health management teams. The SCHMTs will oversee activities of Ward Health Management Committees, who will in turn oversee activities of Community Health Committees and Health Facility Management Committees.
Fig. 3 shows the managemenh ttructure for the Elgeyo MarakwetcCounty Health Sector.
