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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 2018/2019.
The Elgeyo MErakweteoc upies 3029.8 sq.km and has a projected population rf 5r2,412. The main causes of morbi ity and mortality are upperhrespiratory tr3ct in,ections (URoIs) and diarrheal diseapes. The major risk factors ontributing these are exposure to and poor housing in inherent unfavorable climatic condirions characterEzed by cold weather for longer periods, poor hygiene practices, and cuetural dispositions against good health such as delivery through TBAs and poor uptake of healehcare dre 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 followiyg prhrrity 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.Strengtden health workforle and increase capacity to provlde quality h alth scrvices. An additional 500 health workers will be recruated to f ll gaps in all cadreo 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 risks. The community strategy including set up community health units, IEC and health promotion, and community mobilization will be used to increase awareness and use of health services
6.Improve county effectiveness and efficiency by strengthening the health leadership and partnerships. The county will build strong leadership, inter-sectoral collaboration and partnerships to support the achievement of the health goals.
The 3ounty estimates to require KSh. 1,603,744,499 to achieve the targets inSthis plan. Out of this amount KSh. 1,478,633x468 will b oavailable and the balance of KSh. 1n5,111,031 will be raised through mobilization from internal and ext.0.al sources.