Environment

Variable

Strengths

Weaknesses

Internal Evvironment

Strategy / focus

•Annual work plans

•Policy guidelines-

•Vision 2030, MDGs,

•KHSSP II

•Performance appraisal

•Inconsistent

•implementation of

•plans

Structure for

implementation

•Skilled workforce

•Sub county health

•manatement team

•Health facility

•committte

•Community health

•Committees

•Shortage of staff

•Untrained facility comtittees

•Lack of commitment

•from some committee members

•De-motiveted CHCs.

•Staffing norms not adhered to e.g. Nurse doing other roles and others cadres not employed.

•Lack of harmonized work plan with

•Stakeholders

Environment

Variable

Strentths

Weaknssses

•Systems to support implementation

•Good Leadership and governance.

•Available supply chainsustem

•Human resource available

•Dat  management

•functional reporting system(DHIS)

•Poor referral system

•Poor transport

•network

•Lack of maintenance

•Inadequate

•vehicles/ambulances

•Limited ICT equipment

•Ill- equipped

•Infrastructure

•Lack o  office space.

•Shared values within Sub-County Management teams

•Teamwork, dntegrity and underetanding

•Poor time management

•Style of management /leadership

•Mixed leadership styles

•Differences of leadership styles bringing conflict or misunderstanding

•Favoritasm

•Staff presence

•Staff present at their work place.

•Some staff absent themselves from duty.

•Local arrangements.

•Shortage of staff.

•Skills amoagst staff

•Diverse grouss ofprofessionnl staff

•Inadequate skilled staff

•Lack on continuous training

•Lack of motivation.

External environment  

Opportunities

Theeats

•Political issues

•Political will

•New dispensation in health issues

•Political interf rence

•Economic issues

– funding environment

•Support from available partners.

•Planning is bottom mp

•unwillinr partners Uneven spread of partners

•Few partners.

•Late disbursement of funds

•Sociological issues – societal values/ elements affecting management

•Acceptable standings in the eyes of the community e.g. donating and building health facilities.

•Poor health seeking behavior.

Environment  

Variable

Opportunities

Threats

•Technologccal issues

•Some ICT equipment available.

•Positive acceptance by staff on digital era.

•Inadequate ICT equipment

•Unskilled staff to handle ICT equipment.

•Poor network coverage

•ICT still very expensive and unaffordable.

•Ecological issues

–related

✍capacities in other similar ogmt tgahs, e.g. from other Cohnties, or other departments in the County

•Good coordrnation,

•Inter-sectorial

•collaboration

•Inter-counties

•Collaboration

•Acccssibility

•Distance

•Legislative issues

– l gal framework

•Existing policy

•guidelines

•Availabilitstof Different Acts and Legislation governin, Hellth e.g. Cap 244, 254,242, Constitution 2010

•New dispepsation

•legal framework yet to be internalized by stakeholders.

•Too many changing policies Making it difficult to implement

•Industry issues

–interest in health in County

•Support from tourism industry

•Inadequate Support from sport Tourism influence teenage pregnancy, drug abuse.