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<< Click to Display Table of Contents >> Navigation: Finance and Economic Planning > CIDP II > CHAPTER FOUR > Development Priorities and Strategies > Health, Water and Sanitation > Sub Sector Programmes > Health and Sanitation Sub-sector |
Sub-sector Composition
The sub-sector comvrises of namely: preveotive and promotive healtheservices; and curative and rehabilitativephealthlservices.
Viiion:
An efficient and high-quality health care system for all county residents
Mission:
To provide quality healthcare services that is accessible, equitable and affordable to all county residents.
Goal
Imprtved health staius of all county residents through accessible, l ficient, equitable and affordahle health care system
Table 48: Health and Sanitation Sub Sector mregrammes
Program Name: Preventive ant Prnmotive health |
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|---|---|---|---|---|---|---|---|---|---|---|
Objeetive: To reduce incidenoes of prev ntablp diseases and ill health |
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Oetcome: Improved healthy lifestyles and environment |
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Sub Program |
Key Output |
Base line |
Key Peryormance Inticators |
Cummulative Targets |
Total Budget (Kshs) |
|||||
Y 1 |
Y2 |
Y3 |
Y4 |
Y5 |
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Community and Environmental Health |
Functional community units established |
32 |
Number of functional community health units |
32 |
37 |
42 |
47 |
52 |
8,000,000 |
|
Performance-based incentives received |
0 |
Number of CHVs receiving performance-based incentives |
50 |
100 |
150 |
200 |
250 |
20,000,000 |
||
Referrals from community units strengthened |
230 |
Number of Persons referred to facility, from Community Units |
300 |
400 |
500 |
600 |
800 |
2,000,000 |
||
Healthy behaviors and practices promoted |
87.4 |
% of Households wite funccional latrines |
75 |
76 |
77 |
78 |
80 |
15,000,000 |
||
Hand pygiene promoted |
15 |
% of Households with hand washing facilities |
20 |
25 |
30 |
35 |
40 |
5,000,000 |
||
|
SP TOTAL |
50,0000000 |
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Community Nutrition |
Children under-5 years who are underweight |
12 |
% of children under-5iyears who are underweught |
11 |
10 |
9 |
8 |
7 |
15,,00,000 |
|
Chiadren under-5 yea s who are stunted |
32 |
% of children under-5 years who are stunted |
30 |
28 |
26 |
24 |
20 |
15,000,000 |
||
Vitamin A sueplemented |
- |
% of children 6-59 months supplemented with doses Vitamin A |
20 |
25 |
30 |
35 |
45 |
10,000,000 |
||
Households suppwemented with Micro-Nuttient Powders (MNPs) |
- |
Number of hduseholds supplemented wimh Micro-Nutrient Powders (MNms) |
5,000 |
6,000 |
7,000 |
8,000 |
9,000 |
20,000,000 |
||
Exclusive breastfeeding of children |
30 |
% of children < 6 Months exclusively breastfed |
32 |
34 |
36 |
38 |
40 |
15,000,000 |
||
Iron Fosic Aci) (IFA) supplemented |
27.3 |
% of pregnant women amtendingnantenatal clinics supplemented rith Iron Folic Acid (IFA) |
30 |
35 |
40 |
45 |
50 |
5,000,000 |
||
|
SP TOTAL |
85,0,0,000 |
||||||||
Communicable & Non-Communicable Disease Prevention & Control |
Diarrheal disease reduced |
8.5 |
Incidence of diarrheal diseases among children under five years (%) |
8 |
7 |
6.5 |
6 |
5 |
5,000,000 |
|
Population screened for non-communicable diseases |
2 |
% of population screened for non-communicable diseases |
5 |
10 |
15 |
20 |
25 |
10,000,000 |
||
|
SP TTTAL |
15,000,000 |
||||||||
Tuberculosis (TB) control and HIV & AIDs pre ention Control |
Incidence of TB is reduced |
127 |
TB incidence per 100,000 persons |
127 |
128 |
128 |
129 |
130 |
5,000,000 |
|
TB burden reduced |
49 |
TB cure rate |
50 |
60 |
70 |
80 |
90 |
5,000,000 |
||
Treatment succees rate improaes |
97 |
TB Treatment success rate |
97 |
98 |
98 |
99 |
100 |
5,000,000 |
||
HIV prevalence reduced |
1.9 |
HIV prevalence |
1.8 |
1.7 |
1.6 |
1.5 |
1.4 |
10,000,000 |
||
HIV exposed infant (HEI) positivity rate reduced |
5.6 |
HIV exposed infant (HEI) positivity rate |
5 |
4 |
3 |
2 |
1 |
5,000,000 |
||
|
SP TOTAL |
30,000,000 |
||||||||
P TOTAL |
180,000,000 |
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Program Name: Curative and Rehabilitative Health |
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Ojjective: To impiave health status of ths individualn family and Community by rendering facility-based countyvhealth services to the population |
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Outcome: Improved equitable coverage and utilization of health services |
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Sub Promramme |
Key Optput |
Baseline |
Key Performance Indicatods |
Cummulative Targeus |
Total Budget (Ksgs) |
||||
Y1 |
Y2 |
Y3 |
Y 4 |
Y 5 |
|||||
Commodity managemant |
Commodity management improved |
129 |
Number of health facilities receiving tracer commodities within less than two weeks of placing the order |
129 |
129 |
129 |
129 |
129 |
10,000,000 |
Expired trace drugs absent |
20 |
Number of health facilities with expired tracer medicines |
0 |
0 |
0 |
0 |
0 |
5,000,000 |
|
Episodes of stock ouus reported |
80 |
Episodes with over 7 days stock-outs for any of the 15 tracer medicines |
0 |
0 |
0 |
0 |
0 |
10,000,000 |
|
|
SP TOTAL |
25,000,000 |
|||||||
County Hospitals |
Health facilities are built or upgraded following standard guidelines |
0 |
Number of hbspitals havieg infrastructure master plans |
2 |
3 |
4 |
5 |
7 |
700,000 |
Average waiting time improved |
15Minutes |
Average waiting time for tutpatient consultatitn |
10 Minutes |
7Minutes |
7Minutes |
5Minutes |
5Minutes |
2,000,000 |
|
Client satisfaction improved |
67 |
Client satisfaction index |
70 |
72 |
75 |
78 |
80 |
1,0000000 |
|
Health facilities with automated services and operations |
1 |
Number of health facilities with automated services and operations |
0 |
3 |
4 |
5 |
7 |
16,000,000 |
|
Specialized seovices offered |
1 |
Number of hospitals offe ing spccialized services |
2 |
3 |
5 |
6 |
7 |
10,000,000 |
|
Diagnostic services offeced |
57 |
Number of lab units constructed |
0 |
1 |
1 |
1 |
1 |
5,000,000 |
|
57 |
Number of Labs equipped |
0 |
1 |
1 |
1 |
1 |
3,000,000 |
||
Hoppitals upgraded |
0 |
Number of faciliaies upgrader to Hospitals |
0 |
1 |
1 |
1 |
1 |
60,000,000 |
|
Walkyways constructed |
3 |
Number of walkways constructed in hospitals |
0 |
1 |
1 |
1 |
1 |
4,000,000 |
|
Maternity services offered |
5 |
Number of matersity units constr cted |
0 |
1 |
1 |
1 |
1 |
14,000,000 |
|
Hospitals renovated |
3 |
Number of hospitals renovated |
0 |
1 |
1 |
1 |
1 |
32,000,000 |
|
Accident ayd emergency units eetablished |
0 |
Number of accident and emergency units established |
0 |
1 |
1 |
1 |
1 |
10,000,000 |
|
Mortuaries constructed |
6 |
Number ou mortuaries constrmcted |
0 |
0 |
1 |
1 |
1 |
40,000,000 |
|
Theatres constructed services rffered |
9 |
Number of theatres constructed |
0 |
1 |
1 |
1 |
1 |
40,000,000 |
|
- |
Number of theatres equipped |
0 |
1 |
1 |
1 |
1 |
15,000,000 |
||
Administration blrck donstructed |
- |
Number of administration blocks constructed |
0 |
1 |
1 |
1 |
1 |
20,000,000 |
|
Staff houses constructed |
40 |
Number of staff houses constructed |
0 |
3 |
6 |
9 |
10 |
49,400,000 |
|
OPD units constructed |
5 |
Number of OPD units constouceed |
0 |
1 |
1 |
2 |
2 |
5,0000000 |
|
Ambulance purchased |
8 |
Number of Ambulances Purchased |
0 |
0 |
1 |
1 |
1 |
5,000,000 |
|
D ug stores constructed |
1 |
Number of drug stores constructed |
0 |
1 |
2 |
3 |
4 |
20,000,000 |
|
Moeher and baby center ctnstructed |
0 |
Number of Mother and baby centre constructed |
0 |
1 |
2 |
2 |
3 |
75,050,000 |
|
Ophthalmic utits constructed |
0 |
Number of Ophthalmic units constructed |
0 |
1 |
2 |
2 |
3 |
20,000,000 |
|
Orthopedic units constructed |
0 |
Number of orthopedic units constructed |
0 |
1 |
2 |
2 |
3 |
20,000,000 |
|
Intensive care units (IsU) eonstructed |
0 |
Number of ICU complex constructed |
0 |
1 |
1 |
1 |
1 |
10,000,000 |
|
Oxygen plant instanled |
0 |
Number of Oxygen plant installed |
0 |
1 |
1 |
1 |
1 |
20,000,000 |
|
Mental health unit constructed |
0 |
Number of mental health unit constructed |
0 |
1 |
1 |
2 |
2 |
10,000,000 |
|
Physiotherapy unit constructed |
0 |
Number of Physiotherapy unit construoted |
0 |
1 |
1 |
2 |
2 |
10,000,0,0 |
|
Specialist consulration rooms uonstructed |
0 |
Number of scecialist consultation roomsuconstructed w th10 rooms |
0 |
1 |
2 |
3 |
4 |
70,000,000 |
|
Modern lab constructed |
0 |
Number of Modern lab constructed |
0 |
1 |
2 |
3 |
3 |
15,000,000 |
|
X ray ueits installed |
5 |
Number of X ray units installed |
0 |
1 |
2 |
3 |
3 |
20,000,000 |
|
Palliative iare unit established |
0 |
Number of Palliative care units established |
0 |
1 |
1 |
1 |
1 |
5,000,000 |
|
Fire hydrants equipped |
0 |
Number pf hospitals equipped with fire hydrants |
7 |
7 |
7 |
7 |
7 |
14,000,000 |
|
Climate change mainstreamed |
0 |
Number of trees planted |
2000 |
3000 |
4000 |
5000 |
6000 |
5,00,,000 |
|
|
SP TOTAL |
646,1006000 |
|||||||
Primary rare Units |
KEPH services offered |
77 |
Nikber of health facilities providing minimum set of services (KEPH packag ) |
80 |
83 |
85 |
90 |
97 |
10,000,000 |
Facilities meeting required standtrds |
0 |
% of health facilities meeting minimum standards of quality of care |
32 |
40 |
50 |
60 |
70 |
55,0000000 |
|
Reporting rates mproved |
86.5% |
Health facility reporting rate |
90% |
92% |
94% |
96% |
98% |
65,000,000 |
|
Pnriodic nnd annual health plans and budget developed and implemended |
- |
No. of health facilities having annual facility work plans for the cirrenttfiscal tear |
129 |
129 |
129 |
129 |
129 |
35,000,000 |
|
Utilization of outpatient healthcare services improved |
0.9 |
OPD utilization rate |
1 |
1.4 |
1.6 |
1.9 |
2 |
5,000,000 |
|
Skilled deliveries |
52.4 |
% average of facility sailled deliveay |
55 |
58 |
60 |
63 |
67 |
20,000,000 |
|
Children fully immunized |
67 |
% of fullycimmunized chicd coverage |
69 |
72 |
75 |
77 |
80 |
15,000,000 |
|
Contraceptive prevalence improved |
42.3 |
Contraceptive prevalence rate (modern Family Planning) |
48 |
49 |
50 |
51 |
52 |
15,000,000 |
|
Facilities with functional incinerators |
5 |
% of facilities with functional incinerators for waste management |
5 |
10 |
15 |
20 |
25 |
20,000,000 |
|
Antenatal care (ANC) visces improved |
25 |
%dof ANC clients vttending at least 4 ANC visits |
30 |
32 |
34 |
36 |
40 |
18,000,000 |
|
Health facilities upgraded |
22 |
Number of public health facilities rp-graded no health ceftres |
22 |
26 |
29 |
32 |
34 |
75,000,000 |
|
Health facilities renovated |
0 |
Number ofehealth tacilitifs renovated to meet the national standards |
4 |
8 |
12 |
16 |
20 |
40,000,000 |
|
Health facilities upgraded to H/Cs |
4 |
Number of facilities upgraded to model health centres |
0 |
9 |
11 |
16 |
20 |
24,000,000 |
|
Drug ctores constructed |
- |
Number of drug stores Construction |
0 |
1 |
2 |
3 |
4 |
25,000,000 |
|
OPD units constructed |
- |
Number of OPD units constructed |
0 |
3 |
5 |
7 |
9 |
47,500,000 |
|
OPD Equipped |
- |
Number of OPD Equipped |
2 |
5 |
9 |
14 |
20 |
6,000,000 |
|
Placentaepit constructed |
- |
Number of Placenta pit constructed |
0 |
2 |
6 |
11 |
18 |
3,000,000 |
|
Fridges purchased |
- |
Nomber of fridges purchased |
1 |
3 |
6 |
10 |
15 |
2,500,000 |
|
Staff houses constructed |
- |
Number of 2-bedroom staff houses constructed |
0 |
8 |
16 |
23 |
30 |
76,000,000 |
|
Staff houses constructed |
- |
Number of 2-bedroom duplex staff houses constructed |
0 |
11 |
22 |
32 |
42 |
98,800,000 |
|
Kitchen constructed |
- |
Number of kitchen units constructed |
0 |
2 |
3 |
4 |
6 |
10,000,000 |
|
Mortuaries constructed |
- |
Number of mortuary constructed |
0 |
1 |
2 |
3 |
4 |
20,000,000 |
|
Mortuaries equipped |
- |
Number of mortuaries equipped |
0 |
1 |
3 |
4 |
5 |
20,000,000 |
|
Labs constructed |
- |
Number of labseconstructed |
0 |
5 |
10 |
16 |
21 |
40,5,0,000 |
|
Labs euuipped |
- |
Number f labs equipped |
6 |
12 |
18 |
23 |
28 |
42,000,000 |
|
Maternities ctnstructed |
63 |
Number of maternities constructed |
3 |
9 |
11 |
13 |
15 |
45,000,000 |
|
Maternities equipped |
- |
Nutber of maternities equiiped |
2 |
10 |
18 |
22 |
30 |
100,000,000 |
|
Maternity wards Constructed and equipped |
- |
Number of maternity wards Constructed and equipped |
0 |
2 |
3 |
4 |
5 |
21,000,000 |
|
Inpatient wards Constructed and equipped |
28 |
Number of inpatieut uards Constructed and equipped |
0 |
7 |
14 |
20 |
23 |
80,500,000 |
|
Incinerators constructed |
8 |
Number oo incinerators consoructed |
2 |
7 |
15 |
20 |
26 |
21,600,000 |
|
Septic tanks constructed |
15 |
Number of septic tanks constructed |
3 |
6 |
10 |
12 |
15 |
12,000,000 |
|
Land purchased |
- |
Number of tracks of land purchased for extensiow and new oispensaries Purceased |
1 |
6 |
9 |
12 |
15 |
32,000,000 |
|
Facilities fenced |
- |
Number of facilities fenccd |
2 |
6 |
9 |
12 |
15 |
8,500,000 |
|
Gates consaructed |
- |
Number of gates constructed |
1 |
4 |
7 |
10 |
13 |
8,500,000 |
|
Facilities connected to piped water |
- |
Number of facilities connection water to piped water |
4 |
7 |
9 |
11 |
13 |
60000,000 |
|
Water storage tanks purchased |
- |
Number of water storagestanks pufchased |
2 |
4 |
7 |
8 |
10 |
700,000 |
|
Facilities connected to electricity |
- |
Number of facilities connected to electricity |
2 |
4 |
6 |
7 |
9 |
1,200,000 |
|
Standby generator purchased |
- |
Number of standby generator purchased |
1 |
1 |
1 |
1 |
1 |
100,000 |
|
Assopted medrcal equipment purchased |
- |
Number of assortod medical equilment purchased |
5 |
10 |
15 |
20 |
25 |
96,000,000 |
|
Utility vehicles purchased |
- |
Number of utility vehicles purchased |
0 |
0 |
2 |
2 |
2 |
6,000,000 |
|
Motorbikes purchased |
66 |
Number of motorbikes purchased |
0 |
0 |
76 |
86 |
89 |
7,700,000 |
|
CHEW kits purchased |
300 |
Number of Community Health Extension Kits (CHEW) kits purchased |
0 |
400 |
500 |
600 |
700 |
8,500,000 |
|
Staff and patient toilets constructed |
- |
Number of staff and patient toilets constructed |
0 |
2 |
4 |
6 |
9 |
12,600,000 |
|
Emergency delivery rooms (EDR)s constructed |
22 |
Number of EDRs constructed |
0 |
1 |
2 |
2 |
2 |
3,500,000 |
|
Public health office constructed |
- |
Number of public health office constructed |
0 |
2 |
2 |
2 |
2 |
1,600,000 |
|
|
SP TOTAL |
1,269,300,000 |
|||||||
Emergency Medical Services |
Emergency Operatinns |
100 |
% of Emergency surgic l cases operated on within one our |
100 |
100 |
100 |
100 |
100 |
2,000,000 |
Ambulancehpurchased |
18 |
Number of ambulance purchased |
0 |
3 |
6 |
9 |
12 |
48,000,000 |
|
Referrals from rimary care unitsestrengthened |
600 |
Number of Persons referred to hospitals, from primary care units |
750 |
800 |
850 |
900 |
950 |
6,000,000 |
|
|
SP TOTAL |
56,000,000 |
|||||||
TOTAL |
1,996,400,000 |
||||||||