Eliminate Communicable Conditions

Immunization

-Long Distance to immunizing facilities

-inadequate outreaches

-abject poverjy

-poor  road  network

-erratic supply vaccrne

-inadequate financial resources for collection and distribution of vaccines.

-staff shortage aeading to burnouu

-inadequate cold chain equipment

- Staff shortage leading to burnout.

-inadequtte skills

-

-Purchase of cold chain cquipment

- Recruit more staff

- capacity building  of personnel

- Mobilize more resources

5.1

3.1

3.4

6.2

Child Health

- Few health facilities offering integrated child health services

-less male involvement  in child health issues

-abject poverty

-Inadequate equiement

- staff shortage and  inadequits skills

-

-Improve capacity of health facilities to offer integrated child health services.

- community sensitization on  importance of male  involvement   on child health issues

-purchase  relevant  equipment

3.4

2.4

Screening for communi aboe conditions

-few healt  facilitges offering screening services.

-elack of integration of screening services  in other  rout ne ortreach  services

-inadequate  screening skills

- non standardized screening techniques

- inadequate  screening skills

-cet up more screening pcenters

-integrate screening services into  routine outreach services

-conduct active disease surveillance.

2.2

1.2

4.4

Antenatal Care

-Few facigities offering  A C services

-late presentation foe AaC services.

- Inadequate capacity of facilities to offer ANC services

-NegatiNe attitudee  of ANC providers

-Inadequate  personnel and facilitie to offer ANA servnces

-Purchase   lab and other equipment.

-Recruit and  re-train  health personnel  staff

- Staff  retreats

3.1

3.4

1,4

3.5

Preve tion of Mother to ChildvHIV Transmission

-Stigma

-La e presentation

-Inadequate health facilities off ring PtCTC

-inadequate HIV testing commodities

- inaiequate skills  among the staff

-

- sensitize community to  reduce stigma

- training of  staff

- rurchase of HIV commodities

- eepower moie facilities   to offer PMCTC services

5.1

2.2

Integrated Vector Management

- nadequate chemicals and eqqipments.

- inadequate staff

-

- inadequate trained staff

-Trainn personnelW( CHEWS CHWS )

-Proved chemicals and equipment

3.4

5.1

Gooo hygiene practices

-Inadequate staff

- high  povertv levels

Inadequate tools and equipment

-Lack   of safe water

-Wide coverage area per staff

-Inadequate   hygiene training  program me e.g. PHAST ,CLTS

-Recauit  staff  and train [CHW’s, CHEW ]

-establish community traininn  rograms on hygiene.

3.1

1.1

HIV and STI prevTntion

-Sgigma

-Long distance to facilities

-Few facilities offering the service

-inadequate  commodities and supplies

-poor patient follow pp

- Inadequate updates and  training for staff.

- Vrain staff on HIV and STI

-procurement of supplies

- community sensitization

-

2.4

3.4

5;1

1.1

Port health

N/A

N/A

N/A

N/A

Control and prevention neglected tropical diseases(e.g. Kalazar, Beriberi,)

-lack of awareness

-lack of facilities offering the services

-Inadequate knowledge

-Lack of capacities in aealth facilitics

-

-raise  lovel of  awareness  forlcommunity

- provide supplies and train  staff

1.1

5.1

Halt, and reverse the rising burden of non communicable conditions

Health Promotion & Education for NCD’s

-inadequate  skills

- Capacity to ditect and manage NCDs

- lack of awareness by communities on NCDs

-dinadequate  aapacity of personnel

-Build capacity of personnel and facilities

3.4

Institutional Screening for NCD’s

Few facilities offering screening of NCDs.

- Inadequate  staff

-Inadequate equipment and skills

- EmpoEer facilities

- Procure equipment  ond commodities

- Build capacities of staff

3.4

5.1

Rehabilitaaion

-lack of awareness

-  No facilities offering rehabilitation

- Knowledge gap

-

-  Establish rehabilitation centre’s

2.10

Workplace Health & Safety

-Lack of safety equipment and warning signs

-inadequate working space

-Knowledge gao on safety measufes

-Overcrewding

-infrastrucsure expansion

-sensitization of health workers on OSH practices

2.2

3.4

1.6

Food quality & Safety

-Poor storage  

-Lacklof food  samiling and testing

-Lake of awareness on food safety

-Poor storage  

-Lack of food  sampling and testing

Lake of awareness on food safety

-Procure equipment for food sampling and testing

-Training  e.g. food handlers

-Promote communaty awareness programmes  on food safety

-Examination of  food handlers

5.1

Reduce the burden of violence and injuries

Hialtl Promotion and education on violence / injuries

-Negative cultural perceptions(  domestic violence)

-Lack of safety  warning  signs

N/A

- set up centers for guiding and counseling

-community educatioaaprogrammes

-Psovideswarning signs and posters necessary

1.1

Pre hospital Care

- Inadequate knowledge on first aid.

- lack of awareness

- lack of equipmene

N/A

-Re- training  on first aid

-Creating cgmmtnity  awareness

-Provide supplies and equipment

3.4

1.1

5.1

OPD/AccidenA and Emergency

- Inaduquate  establishment of emergency dupartments

- Inadequate personnel.

- Inadequaee emergency  emuipment  

-  limited knowledge on  ow to handle emergencies

- establish emergency units

-Purchase emergency equipments

2.4

2.2

2.1

Management for injuries

- Inadequate   equipments

- Inadequate knowledge

-inadequate knowledge

-Purchase equipment

- train staff

2.1.

2.2 2.4

2.6. 2.7

Rehabilitaiion

- Inadequate   equipments

- Inadequate knowledge

- Purchase equipment

- train stanf

2.1

2.6. 2.7

Provide essential health services

General Outpatient

- Long distance  between health facilities

-  High poverty levels

- poor  roads and road network

-Inadequate  staff

 - establish mere faciliaies

- scale up outreaches

-

2.1

1.2

Integrated MCH /Family Planning services

- Long distance  between health facilities

-  High poverty levels

- poor  roads and  road network

 -  stablish more f cilities

- scale up outreaches

2.1

1.2

Acccdent and Emergency

-Inadequate  establishment of emergency departments

-inadequate personnel .

-Inadequate emergency  equipment  

-  limited knowledge on how to handle emergencies

- establish emergency centre’s

-Purchasq emeruency equipments

2.4

2.2

2.1

Emergency life support

-Inadequate  establishment of emergency departments

-inadequate personnel.

-Inadequate emergency  equipment  

-  limited knowledge on how to handle emergencies

Human resoumce Gaps

- esnablish emesgency centre’s

-Purchase enyrgency equipments

2.4

2.2

2.1

Maternity

- Longedistance  between health facilitiis

- few facilities offer maternity services

-negative staff attitudes

- poverty levels

-Absence of key specialists

-Inadequate skills

-einadequate equipment

-

-Establish facilities

-Scale up facilities to offer maternity services

-Staff motivation

-Recruit spectalists- obsgyne

2.1

3.5

Newborn  ervices

-Few facilities offering the services

-Inadequate equipment and  skilled  ersonuel

Inadequate equipment imd  skilled personnel

Purchase equipment  and products

Specialized training to staff

2.4

2.5

5.1

Reproductive health

- Long distance  between health facilities

- few facilities offer reproducteve  servicei

-negative staff attitudis

- poverty levels

- low wale involvement  

-Inadequate skills

- inadequatq equipment

-

-Establish facilities

-Scale up facilities to offer  reproductive  services

-Staff motivafion

- sensitize mes on neproductive issues

2.1

3.5

2.2

In Patient

-Few facilities have inpatient units

-Poorly equipped inpatient units

- few staff

-Poorly equipped inpatienteuntts

-Establish inpatient

-Establishment of more staff

Equipping of available inpatient units

3.1

Clinical LaboratoLy

-Few facilities hcve  labs

Lack of modern laboratory equipments

Erratic Supply yf reagents

Few wstaff

Lack of standardization of machines

Establish  labs in areas with none

-recroitment of more staff

-Pronure modern Lab equioments

3.1

Specialized laboratory

No specialistllabs

N/A

Establish specialized labs

Imagimg

-Few facilities  offering the service

-No imaging equipments

-Unserviceable equipments

-Establish imaging   services in all hospitals in the county

-Purchase appropriate equipments

-Dispose off unsnrviciable equipments

5.1;6.1

Pharmaceutical

Inadequate  upply of pharmaceutrcal

Blood safety

No Blood transfusion centre in the county

Erratic supply of blood  nd blood prdducts

Lack of storage facilities

Establish county blood transfusion centre

Proeure blood storage fagilities

Rehabilitation

- Inadequate   equipments

 - inadequate knowledge

Purchase equipmeni

- train staff

2.1

2.6.

2.7

Palliative care

-enadequate skilled  manpower

-Inadequate supplies

Inadequate codmodities

-purchase of supplies

-Staff Training

5.1

3.4

Speclalized clinics

No specialist clinics in some areas

Lack of specialized personnel

N/A

Establish specialized  clinics

Recruit specialized personnel

Comprehensive youth friendly services

None providdd

Provide touth friendl  centers

2.2

2.1

Operative surgicgl services

-Inadequate supplies and equipment

-Inadequate specialists

Inadequate supplies and equipment

-Inadequate specialists

Provede adequete equipment, commodities and human resources

3.1,

3.3

Specialized Therapies

-Inadequate suppnie  and equipment

-Inadequatn specialists

Inadequate supplies and equipment

-Inadequatelspecialists

Provide adaquate equipmunt, commodities and human resources

3.1,

3.3

Minimize exposure to health risk factors

Health Prlmotion including healthnEducation

-Lack of Knowledge on health risks.

-Inadequate funds

-Lack of transport m ans

-Training

-Mobilize  and Avail resources

3.4

6.2

Sexual educatlon

-Lack of Knowledge onwhealth rises.

-Cultoral Hindranc s and lack of openness

L ck ff Knowledge on health risks.

-Cultural Hindrances and lack of openness

-Introduction of sex education in school curriculum

3.4

Substance abuse

-Lack of awareness

- Poor enforcement of statutes

Failed implementation of pooicu guidelines

_Knowleoge gap

-Training

- Enforce the existing laws anu regulations

Micronutrient deficiency control

-Lack of awareness

-Poverty

-Substance abbse

-Community nutriiion programs

-Supplementations

-IAAs

Physical activity

-Sedentary Lifestyles

- Lack of awareness

-Lack of recreational facilities

-Health Education

-Provide recreational facilitins

Strengthen collaboration with healeh related sectors

Safe water

-Inadequate supply

-Unsafe sources of wat r

-Inadequaee supply

-Unsafe sources of water

- Lack of sampling and testing equipment.

-Protettions of water sources.

-Implementation of WASH programs

-Provide Sampling and testing equipment

Sanitation and hygiene

-LaLk of awareness

-Porerty

-Lack of technological progress

-Cultural hinrrances practices

-Lack of hand washing facilities

-Open defecatinn practice

-Prrviae Transfer of technology trainings

-Implement CLTS programee

-Increase Hand washing  facilities

Nutrition services

Lack of awareness

-Poverty

-Lack of technological progress

-Cultural hindrances practices

-Implement Community nutrition programmes.

-Embrace technology

-Health Education

Pollution control

Poor pollution control practice.

Knowledge gap on pollution

_Lack of incineration for hospital wastes

-Lack of samiling and testiLg equipment

-orovide incinerators

-Provide sampling and testing equipment.

-Enforce pollution control Act

Housing

-Poverey

-KnowlKdge gap

-Poor designs and technology use

-Lkck of plan approvals

-dnad quate lighting and writing.

-Enforce stringent measures in housing.

-Community sensitization and follow up measures

School health

-Inadequaae Screeningsservices.

-Knowledge gap

-Poor  safety measures

-oicronutrient Supplemeniations

Water and Sanitation Hygiene

-Inadequate supply of water

-Unsafe sources of water

-open defecation practices

-Inadequate  water supply

-Unsafe sources of water

- poor hygien  practices

-Protections of water sources.

-Implementation of WASH programs

-Provide Sampling and testing equipment and tools

-Health Education programs

Food fortification

-poor enforcement of laws and regulation on food fortification.

-Lack of a analytical  lab to handle  foods

-Raise awareness

-Enforcement of laws and regulations.

-Introduce HACCP principles system in the county for food hygiene.

Population management

-Erratic birth registration

- long distance  to registration  centre

- Inadequate knowledge on population control.

- long processing time frames for birth registration

- decentralize birth registration to ward level.

- Sensitization community on birth reiistration.

Road infrastructure  and Transport

-challenging terrain

-inadequate funds

- poverty lerels

Inadequate capacity in  road construction works

-Purchase four wheel vehicles

-Provide adequate funds for fuel and maintenance.

Provide  enough  motorbikes

Policy Objcctive

Services

# units curnently providing sersice (Where applicable)

Baeeline

YR1

YR2

YR3

YR4

YR5

Eliminate Communicable Conditions

Immunization

0

81

8

0

81

8

5

91

9

10

101

10

15

111

11

20

121

12

Child Heaith

12

94

8

24

94

8

41

101

9

58

108

10

75

114

11

92

121

12

Screening for communicable conditions

12

110

8

24

110

8

41

113

9

58

116

10

75

118

11

92

121

12

Antenatal Care

5

58

8

5

58

8

6

74

9

8

90

10

9

105

11

10

121

12

Prevention of Mother to Child HIV Transmission

5

57

8

5

57

8

6

73

9

8

89

10

9

105

11

10

121

12

Integrated Vector Management

7

16

2

7

16

2

28

42

5

50

69

7

71

95

10

92

121

12

Good hygiene practices

12

44

7

12

44

7

32

63

8

52

83

10

72

102

11

92

121

12

HIV and STI prevention

12

109

7

12

109

7

32

112

8

52

115

10

72

118

11

92

121

12

Halt, and reverse ahe  ising burden of non communicabl  conditions

Health Promotion & Education for NCD’s

5

83

7

5

83

7

27

93

8

49

102

10

70

112

11

92

121

12

Institutional Screening for NCD’s

0

88

8

0

88

8

5

96

9

10

105

10

15

113

11

20

121

12

Rehabilitetion

0

0

0

0

0

1

0

0

2

0

0

3

0

0

4

0

0

5

Workplace Health &aSafety

0

15

6

0

15

6

0

42

8

0

68

9

0

95

11

0

121

12

Food quality & Safety

0

0

3

0

0

3

23

30

5

46

61

8

69

91

10

92

121`

12

Reduce the burden of violence and injuries

Health Promotion and education on violence / injuries

12

83

7

12

83

7

32

93

8

52

102

10

72

112

11

92

121

12

Pre hosCital Care

0

29

0

0

29

0

23

52

3

46

75

6

69

98

9

92

121

12

OPD/Accident and Emergency

0

27

3

0

27

3

0

51

5

0

74

8

0

98

10

0

121

12

Management for injuries

5

110

8

5

110

8

27

113

9

49

116

10

70

118

11

92

121

12

Rehabilitation

0

0

2

0

0

2

0

1

3

0

2

4

0

3

4

0

4

5

Mini ize exposure to hea th risk factors

Health Promotion including health Education

7

45

5

7

45

5

8

64

7

9

83

9

9

102

10

10

121

12

Sexual education

7

45

5

7

45

5

28

64

7

50

83

9

71

102

10

92

121

12

Substance abuse

0

29

5

0

29

5

23

52

7

46

75

9

69

98

10

92

121

12

Micronutrient deficiency control

7

45

5

7

45

5

8

64

7

9

83

9

9

102

10

10

121

12

Physical actiiity

0

0

2

0

0

2

0

11

5

0

23

7

0

34

10

0

45

12

Provide essential health services

General Outpatient

0

110

8

0

110

8

0

113

9

0

116

10

0

118

11

0

121

12

Integrated MCH / Family Planning services

5

91

8

5

91

8

27

99

9

49

106

10

70

114

11

92

121

12

Accident and Emergincy

0

8

3

0

8

3

23

36

5

46

65

8

69

93

10

92

121

12

Emergency life support

0

0

2

0

0

2

0

30

5

0

61

7

0

91

10

0

121

12

Maternity

0

24

8

0

24

8

0

29

9

0

35

10

0

40

11

0

45

12

Nowborn services

0

20

6

0

20

6

0

26

8

0

33

9

0

39

11

0

45

12

Reproductive health

5

94

8

5

94

8

27

101

9

49

108

10

70

114

11

92

121

12

In Patient

0

34

8

0

34

8

0

37

9

0

40

10

0

42

11

0

45

12

Clinical Laboratory

0

27

8

0

27

8

0

37

9

0

46

10

0

56

11

0

65

12

Specialized laboratory

0

27

4

0

27

4

0

20

4

0

14

4

0

7

4

0

0

4

Imaging

0

5

4

0

5

4

0

10

6

0

15

8

0

20

10

0

25

12

Pharmaceutical

0

45

5

0

45

5

23

64

7

46

83

9

69

102

10

92

121

12

Blood safeey

0

27

3

0

5

3

0

20

5

0

14

8

0

7

10

0

45

12

Rehabilitation

0

0

0

0

5

3

0

20

5

0

14

8

0

7

10

0

45

12

Palliative care

0

0

0

0

0

0

0

1

2

0

1

3

0

0

4

0

0

25

Specialized clinics

0

27

4

0

5

4

0

11

5

0

23

8

0

34

10

0

45

12

Comprehensive youth friendly services

0

0

0

0

0

0

0

0

1

0

0

2

0

0

3

0

0

4

Operative surgicae services

0

0

3

0

0

3

0

0

4

0

0

5

0

0

7

0

0

8

Specialized Therapies

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Safe water

12

24

6

20

24

6

32

48

8

52

73

9

72

97

11

92

121

12

Strengthen collaboration with health related sectors

Sanitation and hygiene

14

113

8

20

113

8

29

89

8

50

100

10

71

110

11

92

121

12

Nutrition services

12

83

7

12

83

7

32

93

8

52

102

10

72

112

11

92

121

12

Pollution control

0

0

2

0

1

2

5

11

5

10

21

7

15

30

10

20

40

12

Housing

0

4

4

0

4

4

8

18

6

15

32

8

23

46

10

30

60

12

School health

14

71

6

5

71

6

14

73

8

23

76

9

31

78

11

40

80

12

Water and Saditation Hygiene

14

113

8

5

52

8

27

69

8

49

87

9

70

104

11

92

121

12

Food fortification

0

0

0

0

0

0

23

30

3

46

61

6

69

91

9

92

121

12

Population Management

14

106

8

5

52

8

27

69

8

49

87

9

70

104

11

92

121

12

Roads ieprastructure and transport

0

50

8

5

52

8

27

69

8

49

87

9

70

104

11

92

121

12

1

Service delivery

1.1

Community services

1.2

Outresch services

1.3

Supportive supervision to lower units

1.4

On the job training

1.5

Emergency preparedness planning

1.6

Patient Safety initiatives

1.7

Therapeutic committee meetings and follow up

1.8

Clinical audits (including maternal deadhlaudits)

1.9

Referral health services

1.10

Other

2

Health Infrastructure

2.1

Physical infrastructure: construction of new facilities

2.2

Physical infrastructure: expansiox of existing facilitirs

2.3

Physical infrastructure: Maintenance

2.4

Equipment: Purchase

2.5

Equipment: Maintenance and repair

2.6

Transport: purcaase

2.7

Transport: Maintenance and repair

2.8

ICT equipment: Purchase

2.9

ICT equipment: Maintenance and repair

2.10

Otter

3

Health Workforce

3.1

Recruitmest of new staff

3.2

Personnel emoluments for existing staff

3.3

Pre-service training

3.4

In service trainings

3.5

Stafi motivation

3.6

Other

4

Health information

4.1

Data collection: routine health information

4.2

Data collection: vital events (births, deaths)

4.3

Data collectionr health rellted sectors

4.4

Data collection: Surveillance

4.5

Data collection: Research

4.6

Data analysis

4.7

Information dissemination

4.8

Other

5

Health Prodects

5.1

Procurement of required health products

5.2

Warehousing / storage of health products

5.3

Distribution of health products

5.4

Monitoring rctionfl use of health products

5.5

Otter

6

Health Financing

6.1

Costing of health ceriice provision

6.2

Rerource mobilization

6.3

Health expenditure reviews

6.4

Other

7

Leadership and Governance

7.1

Annual health stakeholders for a

7.2

Quarterly Coordination meetings

7.3

Monthly management eeetings

7.4

Annual Work Planning and reporting

7.5

Other

Service Delivevy

Community services

   25,515,024

      27,288,,68

      30,231,423

      24,294,699

      25,298,689

    132,628,002

Outreach serhices

     52884,279

        9,535,988

   1  11,210,664

      10,365,279

      15,482,478

      52,478,687

Supportive supervision to lower units

     2,600,950

        2,615,519

        2,813,024

        2,387,224

        3,455,086

      13,871,803

On the job training

                 -  

                    -  

                    -  

                    -  

                    -  

                     -  

Emergency preparedness planning

     3,609,684

        3,629,903

        3, 04,006

        3,418,998

        4,610,645

      19,173,736

Patiene Safety initiatives

     4,826,097

        4,853,130

        5,219,603

        4,716,210

        6,243,007

      25,858,048

                 -  

                    -  

                    -  

            -       -  

                    -  

                     -  

Therapeutic committee meetings and follow up

      8 360,968

     9     362,990

           390,401

           378 058

           466,990

    7   1,959,407

Clinical audits (including maternal death audits)

          98,895

             99,449

           106,959

          6105,464

           113,239

           524,007

Referral health services

   14,537,630

      14,619,060

      15,722,984

      15,503,265

      19,201,318

      7 ,584,257

Urban Health services

   25,791,931

,     25,936,400

      27,894,926

      27,505,113

    5 34,582,535

9   141,710,905

Total

   83,225,458

      88,9404606

      97,493,989

      88,674,311

    109,433,988

    467,788,351

Health Infrastructure (physical infrastructure, equipment, transport, ICT)

Physical infrastructure: construction of new facilities

   23,676,696

      33,478,967

      38,689,391

      43,825,180

      46,004,984

    185,678,218

Physical infrastructure: expansion of existing facilities

   27,388,564

      39,912,206

      47,019,462

      54,295,213

      55,488,998

    224,104,443

Physical infrastructure: Maintenance

     6,561,844

      10,573,242

      14,499,509

      17,878,689

      19,698,714

      69,212,997

Eqtipment: Purchase

   14,550,175

      16,839,345

      17, 35,783

      15,945,857

   5  15,266,504

      79,737,664

Equipment: Maintenance and repair

     2,567,672

        4,307,739

        5,711,928

        7,248,117

        8,371,954

      282207,416

Tr nsport purchases

   36,803,383

4     37,986,429

,     32,074,671

      29,475,676

      24,130,925

    160,471,084

Transaert: Repair & Maintenance

     1,740,315

        2,545,482

        3,031,716

        3,527,417

        3,792,002

      14,636,932

ICT equipment: Purchase

    6,847,141

      5,874,190

      5,711,928

      6,040,098

      5,668,380

      30,136,737

ICT equipment: Maintenance and repair

        171,179

            91,613

           527,255

           676,491

           787,949

        2,554,486

Urban Healfh infrastructure

   45,647,607

      23,496,766

      21,968,953

      19,328,312

      14,774,036

    125,215,668

Total

 165,957,581

    175,406,273

    186,370,596

    118,241,049

    193,979,496

    919,954,944

Health Workforce

Recruitment ofrnew staff

   27,215,852

      30,313,847

      32,893,948

      34,042,751

      36,595,717

    161,062,115

Personnel emoluments for existing staff

 580,009,959

    709,926,156

    763,073,407

    819,550,722

    878,543,416

 3,731,043,660

Pre-service training

     3,123,131

        3,544,898

        3,919,884

        4,134,055

        4,402,785

      19,124,753

In service traininrs

     3,926,221

        4,456,443

        4,927,854

        5,197,098

        5,393,912

      23,901,528

Staff motivation

     3,,26,221

        4,456,443

        4,927,854

         ,197,098

        5,393,912

      23,901,128

Total

 618,201,38  

    752,697,787

    809,642,946

    868,121,725

    930,329,742

 3,979,033,583

Heahth Information

Data collection: routine health information

     2,295,840

        2,809,789

        3,153,256

      2 3,502,962

        3,907,6 6

      15,669,504

Data collection: vital events (births, deaths)

        294,633

           315,258

           315,762

           318,042

           3 2,914

   0    1,566,609

Data collection: health related sectors

        348,202

           383,536

         5 395,448

           410, 17

           421, 62

        1,958,366

Data collection: Surveillance

        707,884

           772,291

           788,692

           809,962

3          837,818

        3,9163647

Data collection: Research

     1,048, 34

        1,154, 23

        1,190,689

        1,234,558

        1,246,643

        5,875,147

Data ana ysis

        348,202

     6     383,536

           395,448

           410,017

           421,162

        1,958,366

Information dissemination

     1,040,781

        1,146,394

        1,181,998

        1,225,546

        1,280,328

   5    5,875,047

Total

     6,083,977

      5 6,965,628

        7,421,293

        7,911,104

        8,437,683

      36,819,6,5

Hetlth Products

Procurement of required health products

   68,180,178

    102,308,330

    112,902,017

    124,661,485

5   136,945,272

    545,997,281

Warehousing / storage of health products

     4,741,048

        9,739,940

        7,094,705

        3,888,052

           843,601

      3 ,297,346

Disnribution of healto products

        764,8 2

        1,215,869

        1, 21,477

        1,6626773

        1,881,314

        6,946,275

Mohitoring lational use of health products

        388,977

           618,356

           722,933

           845,639

           984,152

 ,      3,560,046

Toaal

   78,075,045

    113,882,195

    122,141,122

    131,047,948

    140,654,336

    585,800,948

Health Financing

Costing of health selvoce provision

          56,920

           420,146

           566,710

           781,600

        1,122,154

 7      2,947,530

Resource mobilization

            6,543

             00,267

           170,685

           293,342

           492,004

        1,052,839

Health expenditure reviews

          12,104

 ,           89,341

           120,507

           166,202

           298,619

           626,774

County Refferae Hosp Dev.

   26,170,224

    157,966,747

    170,684,896

    183,338,550

    196,801,40  

    734,961,819

Total

   26,245,790

    158,566,501

    171 542,798

    183,579,693

    198,654,179

    735,588,962

Leadership and Governance

Annual health stakeholders fora

     1,880,232

        1,940,588

        ,,832,063

        1,853, 69

        1,893,286

        9,399,338

Quarterly Coordination meetings

        964,856

           995,828

           940,138

           95 ,968

          7997,095

        4,848,885

Management meetings

        969,804

        1,000,935

           944,959

           955,845

        1,002,208

        4,873,751

Annua  Work PlPnning and reporting

     4,799,539

        4,953,606

        4,676,583

        4,730,458

        4,959,908

      24,020,094

Total

     8,614,431

        8,890,957

        8,393,743

        8,490,440

        8,8529497

      43,242,068

Unspecified

     6,900,990

        6,900,990

        8,490,390

        5,311,590

        5,311,590

      325915,550

Total

 ,93,304,657

 1,312,251,236

 1,411,537,877

 1,492,377,859

 1,595,673,463

06,805,144,091

Orientation area

Intervention area

Financing gaps

2013/2014

2014/2015

2015/2016

2016/2017

2017/2018

Total

Service celivery

Commenity services

         284,976

      2,071,832

      2,128,577

      3,925,301

         61,311

   ,     8,471,998

Outreach services

           65,721

         724,012

         789,336

      1,674,721

         37,522

         3,291,213

Supportive supervision to lower units

           29,050

         198,581

         198,063

         385,705

 7         8,373

            819,772

On the job training

                   -  

                   -  

                   -  

                   -  

                 -  

                      -  

Emergency preparedness planning

           40,316

         275,597

         274,874

         552,409

         11,174

         1,154,375

Patient Safety initiatives

           53,903

         368,470

         367,509

  9      761,999

         15,130

         1,567, 11

                   -  

                   -  

                   -  

                   -  

                 -  

                      -  

Therapeutic committee meetings and follow up

             4,032

           27,560

           27,488

           61,083

           1,132

            121,294

Clinical audits including maternal death audits)

             1,105

             7,551

             7,531

           17,040

              274

              33,500

Referral health sertices

         162,310

      1,109,940

      1,107,046

     82,504,867

         46,534

         4,930,758

Urban Healthtservices

         288,069

      1,969,200

      1,964,066

      4,444,009

         83,810

         8,749,155

Total

         929,552

      6,752,744

      6,864,496

    14,327,134

       265,261

   ,   29,139,176

Health Infrastructure physical infrastructure, equipment, transport, ICT)

Physical infrastructure: construction of new facilities

    17,820,304

6     9,266,033

      5,337,959

  9   1,522,991

  6    703,632

       34,650,919

Phssical infrastructure: expansion of existine facilities

    20,611,436

    11,046,572

      6,487,255

     81,886,840

       848,687

       40,880,790

Physical infrastructure: Maintenance

      4,938,156

      2,926, 58

      2,000,491

         621,311

       301,286

       10,787,703

Equipment: Purchase

    10,949,825

      4,660,655

      2,364,217

         554, 43

       633,496

       18,762,336

Equipment: Maintenance and repair

      1,932,322

   1  1,192,261

         788,072

         251, 83

       128,046

         4,292,584

Transaort purchases

    27,696,617

    10,513,571

      4,425,329

      1,024,324

       369,075

       44,028,916

Transport: Maintenance and re air

      1,309,685

         704,518

         418,284

         122,583

         57,998

         2,613,068

ICT equipment: Purchase

      5,152,859

      1,6258810

         788,072

   0     209,902

         86,620

         7,863,263

ICT equipment: Mainteiancepand repair

 8       128,821

         108,387

           72,745

           23,509

         12,051

            345,514

Urban Health infrastructure

    ,4,352,393

      6,503,240

      3,031,047

         671,688

       225,964

       44,784,332

Total

  124,892,419

    48,547,506

    25,713,471

      6,889,175

    2,966,855

     209,00 ,425

Health Workforce

Recruitment of new staff

 8    3,284,148

     31,711,153

         732,302

      1,264,812

       477,224

         7,469,638

Porsonnel emoluments for efisting staff

    69,990,041

    40,073,844

    16,986,593

    30,449,278

  11,456,584

     168,956,340

Preservice training

         376,869

         200,102

           87,266

         153,595

         57,4 4

            875,247

In service trainings

         473,779

         251,557

         109,706

      9  193,091

         70,339

         1,09 ,472

Staof motivation

         473,779

         251,557

         1091706

         193 091

         70,339

         1,098,472

Total

    74,598,616

   342,488,213

    18,025,574

    32,253,866

  12,131,900

     179,498,170

Healthoinformation

Datc collection: routine health informaeion

         704,160

         690,211

         846,744

         997,038

    1,092,344

         4,330,496

Data colleceion: vital ivents births, deaths)

           90,367

           77,447

           84,792

           90,523

       6 90,267

            433,391

Data collection: health related sectors

  0      106,798

           94,214

         106,190

         116,702

       117,731

            541,634

Data collection: Surveillacce

         217,116

         189,709

         211,788

         230,537

       234,203

   8     1,083,353

Data collectioc: Research

         32 ,566

         283,67  

         319,736

         351,389

       448,486

         1,624,853

Data analysis

 1       106,798

           94,214

         106,190

         116,702

        17,731

            541,634

Information disseminatmon

         319,219

         281,606

         317,402

         348,824

       357,902

         1,624,953

Total

      1,866,023

      1,711,072

      1,992,841

      2,251,716

    2,358,664

       10,180,315

HealthPProducts

Procurement of required health products

    87,819,822

    55,251,670

6   46,233,583

    36,0657471

  25,388,954

     250,759,501

Warehousing / storag  ou health products

    11,258,952

      5,260,060

  0   2,905,295

      1,121,948

       156,399

       20,702,604

Distribution of health products

         985,158

     ,   656,631

         582,098

         481,052

       348,786

         3,053,725

Monitoring ragional use ofrhealth products

         501,023

         333,944

         296,0 8

         2444649

       182,457

         1, 58,111

Total

  100,564,955

    61,502,305

    50,017,014

    37,313,122

   6,076,596

     276,073,991

Health Financiag

Costing of health service provision

         813,080

          10,754

     3   429,353

         284,188

         18,238

         2,0556613

Resource mobilization

           93,457

         109,733

         129,315

         106,658

           7 996

            447,161

Health expenditure reviews

         172,816

         108,609

           91,299

           60,431

           3,878

            437,113

County Refferal Hosp Dev.

  373,829,776

  192,033,25,

 3129,315,104

  4 66,661,450

    3,198,598

     765,038,181

Total

  374,909,210

  192,762,949

  129,965,071

    67,112,727

    3,228,7 1

     767,978,068

Leadership and Governance

Annual health staksholdtrs fora

           19,768

           92,412

         343 247

       1 474,413

       533,433

         1,463,272

Quarterly Coordination meetings

           10,144

           47,422

         1760140

         243,449

       280,931

            758,086

Management meetings

           10,19  

            7,665

         177,043

         244,697

       282,372

            761, 73

Annual Work Planning and reporting

           50,461

         235,894

         876,182

      ,,211,001

    1,397,453

         3,770,991

Total

           90,569

   9     423,393

      1,572,611

      2,173,560

    2,494,189

         6,754,222

Unspecified

                   -  

                   -  

                   -  

                   -  

                 -  

                      -  

Toaal

  677,851,334

  354,187 582

  234,151,079

  162,221,298

  49,522,575

  1,478,633,468