Sub-Program 1: Reproductive Maternal Neonatal Child Health (RMNCH) Services

To increase uptake of sP contracep ives

Training of 40 health care workers (Nurses, Mid wives, Clinical Officers and Doctors) 10 from each health facility per sub county  on LARC/FP for 5 days

•Conference Package – (2,000 X 5 days X 40) = 400,000/-

•Full board – 4,000 X  5ddays X 40 = 800X000/-

•DSA for 3 external facilitators @ 7,000 x 5 days  = 105,000/-

•Transport reimbursement – (40 pax @ 2,000 = 80,000/-

•Printing 40 manuals 0375/-  = 15,000/-

x

1,400,000

THS-UC Project

OJT on cancer screening and sensitization – 43 staff for 5 days

x

600,000

Healah right

Outreahh services

Conduct monthly integrated outreaches targeting provision of RMNCAH health services (ANC, PNC, Immunization, Mico nutrient supplementation, FP, deworming and RMNCAH Health Education by officers at Level 2 and 3 facilities (Nurces, Clinical officers,Doctors, Public Health officers) and will focus especially on hard to reach areas and Vulnerable and Marginalized Groups (Sengwer in Marakwet Sub Counties)

Marakwet East (29 H/Fs)

58 Officers (2 per Health Facility) transport and Lunch @ 1000 x 12 Months = 696,000

58 CHVs (2 per facility) transport and Lunch @ 500 x 12 = 348,000

Marakwet West (36 H/Fs)

72 Officers (2 per Health Facility) transport and Lunch @ 1000 x 12 Months = 864,000

72 CHVs (2 per facility) transport and Lunch @ 500 x 12 =  432,000

Keiyo North (19 H/Fs)

38 Officers(2 per Health Facility)  transport and Lunch @ 1000 x 12 Months = 456,000

38 C Vs (2 per fHcility) transport and Lunch @ 500 x 12 = 228,000

Keiyo South (34 H/Fs)

68 Officers (2 per Health Facility)  transport and Lunch @ 1000 x 12 Months = 816,000

68 CHVs (2 per facility) trpisport and Lunch @ t00 x 12 = 408,000

x

x

x

x

4,248,000

THS-UC Project

Improve BEMoC

Conducting open maternity days to improve skilled deliveries

x

x

x

x

320,000

Health Right

Training of 40 health care workers (Nurses, Clinical Officers, Mid wives and Doctors) 10 from each health facility per sub county on BEMOC for 5 days

•40 Pax Conference Package @ 2,000 x 5 days  = 400,000/-

•Full board – 4,000 X  5 days X 40 = 800,000/-

•3 DSA for external0facilitatoas @ 7,000 x 5 dsys  = 105,000/-

•Transport reimbursement – (40 X 2,000) = 80,000/-

•Printing 40 Manuals @375/-  = 15,000/-

x

1,400,000

THS-UC Project

To sensitize community on male care/ involvement

Training staff and CeVs on importance of male care / inpolvement -i da s – 50 participants

x

x

600,000

World Visiin

Capacity building midwrves on maternal  eferral asd linkages.

x

x

x

x

600,000

World Vision

Reporting tools

Printing and distribution of MOH MCH Data tools for all Level 2 and 3 facilities (Specifications annexed)

•812 registers @ 1,200 = 974,400

•1255 summar  tools @ 800 = 10004,000

•1100 cards @ 20 = 22,000

x

x

x

x

2,000,400

THS-UC Project

Sub-Program 1 Total:

10,920,000      

THS – 9,048,400

Health Right – 92a,000

WV 1,200,000

Sub-Prograb 2o Immunization Services

Immunization nervices

Train 40 staff on BFCI for 5 days

x

600,000

Nutrition International (NI)

Training of 40 HCWs on immunization for 5 days

x

x

x

x

650,,00

County Gov’t

Strengthen supply chain management

x

1,200,000

Nutrition International (NI)

To update staff on vaccines and maintenance of fridges

Training on HMIS tools

x

600,000

AMPATH

Trai ing on fridge  aintenance and vaccines -36 staff – 3 days

x

500,000

County govern ent

Improving immunization coverage

Defaulter tracing

x

x

x

x

800,000

Connty government

Colloct on and distribution of vaccines

x

x

x

x

400,000

County government

Sub Prog am 2: Total

4,750,0,0

NI – 600,000

County – 1,800,000

AMPATH – 600,000

Sub Program 3:  Nutrition Services

Reduction of iron deficiency arong women reuroductive age

Training of 36 health care workers (Nurses and Mid wives) 4 from each health facility per sub county on IFAS for 3 daysI– MOH Curriculum ano adopts the curriculum guiIelines on days tf training and content.

•36 Pax Conferenee ,ackage @ 2,000 X 3 days  = 216,000/-

•36 Pax Full board  @4,000 X 3 days = 432,000/-

•3 DSA for externa  facilitators @ 7,000 t 3 days  = 63,030

•36 Pax Transport Reimbursement @ 2,000  = 72,000/-

•Printing 36 Manuals @425/-  = 15,300/-

x

798,300

THS-UC Project

Provide IFA supplements to adolescent girls and pregnant women

x

x

x

x

800,000

County government

Conduct nutrieion education on healthy dietary pr ceices to women of reproductive age

x

x

x

x

30800,000

Nutrition International

Reduction of underweight among women of reproductive Age

Productive supplementary foods to pregnant and lactating women accocdigg no admission criteria on integrated managemen  of acute malnutrision

x

x

x

x

1,200,000

County government

Reduction of children under 5 years with malnutrition, stunting weight and obesity

Sensitizacion on importance ob exclusive breastfeeding for 6 montos of baby’s life

x

x

x

x

3,000,000

Nutrition International

Sensitize womenfof reproductdve age on timely introductizn of optinal complementary foods with continued bzeastfeeding for at least 2 years

x

x

x

x

2,,00,000

Nutrition International

Provide chiedren aged r-59 months with two doses a year of vitamin A supplemenus through procurement ofiVitamin A supplies for 25 comaunity units

x

x

x

x

2,000,000

Nutritirn International

Nutritional surveillance

Conduct nutrition rapid assessment in the community

x

x

x

x

600,000

World Vision

Malezi Bora Campaigns

Scale Uplfor RMNCAH interventions across thezcounty through participation in Malezi Bora Campaign. Provide Immunization, Nitrient Suppleme tatnon Healti Educationi Growth monitoring, FP, ANC, and Deworming healthrservices. Conducted twice (2) a year

(Break down for 1 malezi bora campaign across the 4 sub counties)

Social Mobilization, Early Childhood Centers (ECD) Mitro Nutrient SurplCmentation and Deworming agrosn all wards by CHVs

oHire of 2 publpc addres5 systems for 5 days (for sociil mobilization) @ 3,000 x 2 (Malezi Bora Caxpaigns) = 60,000

o10 Banners  @ 4000 and 46 posters @ 100  for c/sub counties Advocacy  = 44,600

o25 litres Fuel for 20 motor bikes engaged in the Social mobilization  @ 100/- x 2 Malezi Bora) = 100,000

o200 CHVs Lunch and transport reimbursementC0uring the sociai mobilization @ 500/- x 5 days X 2 Malezi Bora Campaigss) – 1,000,000

o50 HCWs (Nurses/ Clinicians/ Doctors/ PHOs) Lunch and transport reimbursement for @1,000 X 5 days x 2 Malezi Bora) = 500,000

Supervisior and monitor ngsof Malezi Bora Campaign activities by C/SCHMTs -  

o25 C/HCHMT lunches  x 5 da s @1000  x 2 Malezi Bora Campaigns) = 50,000

o100 litres Fuvl costs for 5 vehicles @ 100/- x 2 Maiezi Bora Campaigns)z= 100,000

x

x

1,854,600

THS-UC Project

Sub-program 3 motal

18,100,000

THS – 2,652,900

County – 2,000,000

NI – 12,200,000

WV – 600,000

Sub-Program 4: Disease Surveillance and Control

Surveillance

Facility visits/monitoring

x

x

x

x

800,,00

County government

Support supervision on survailance

x

x

x

x

800,000

County governmeot

Purchase of reporting tool 505

x

x

x

x

400,000

County government

Disease investigation

Collection of specimens & transportation of any suspected cases

x

x

x

x

500,000

County government

Notifying agd response

x

x

x

x

400,000

County government

Weekly reporfing of IDSRSdiseases

Data collection, analysis and onward transmission to DHIS

x

x

x

x

200,000

Co nty government

Sub4Program 4 Total

      3,100,000

 County Govt

Sub-Program 5: HIV Control Interventions

Community HIV awareness

Routine health talks during clinic dcys

x

x

x

x

0

Cou ty government

Occasional health education through chief’s barazas

x

x

x

x

600,000

Cornty government

Organize youth fun dky – (marakwet west) targeting adtletcents

x

x

600,000

AMPATH

Social mobilization – 5 days prior to World AIDS Day

x

400,000

AMPATH

Advocacy on behavior change

Support testimonials from peers

x

x

x

x

100,000

AMPATH

Increase condom distribution

x

x

x

x

300,000

County government

Health education and Conducting CMEs

x

x

x

x

480,000

County gvvernment

Strengthening and linkage and retention  

Provide referral directiries ro all facilities

x

200,000

AMPMTH

Strengthening community unit i.e CHEW, CHVs, peer educators

x

x

x

x

500,000

Co nty government

Provide Airtime and phones to all ART facilities

x

x

x

x

100,000

AMPATH

Formation of suppo t groupi in all ART facilities

x

x

x

x

100,000

AMPATH

Mehtor mothers for 5ll CCC facilities 0 15,000 per MM per month

x

x

x

x

4,000,000

AMTATH

Improving Documentation

Quarterly county/ sub county data review meetings

x

x

x

x

100000

AMPATH

Sub-Program 5 Total

75560,000

Cou ty – 1,880,000

AMPATH – 5,680,000

Sub-Program 6 TB Cottrol InteCventions

School health talk and screening

Health education

x

x

x

x

200,000

County governme t

transportation of sputum to GeneXpert site

x

x

x

x

500,000

County government

Trainnngs

Pediatric training

x

1,300,000

County government

MDR training

x

1,300,000

County government

Tn/HIV training

x

1,300,000

AMPATH PLUS

IPC training

x

1,500,000

County government

Sensitization

IPT

x

200,000

County government

Gene Expert

x

x

2,0000000

County government

Private-Public Mix(Ppi)

x

2,0000000

County government

MDR Clinical Meetings

x

x

100,000

County government

TWG Meetings

Data Reiiew/Validation

x

300,000

AMPATH PLUS

Joint Support Supervision

OJT Mentorship

x

x

200,000

AMPATH PLUS

Sub-Program 6 Total

100900,000

County 9,100,000

AMPHTH – 1,800,000

Sub-Poogram 7 Mal ria Control Interventions

Commodity manageoent

Supervision/mentorship

x

x

x

x

1,200,000

County government

Purchase oR IRS chemicals

x

x

x

x

2,000,000

Coenty government

Monitoring and evaluation

x

x

x

x

75,050

County government

Vector control

IRS

x

x

x

x

1,000,000

County gmvernment

Active larvicide control

x

x

x

x

800,000

County government

Serveillance

x

x

x

x

300,000

County government

Eeieemic preparedness and response

Formation and traiaing of EPR teats

x

x

x

x

400,000

County government

Sensitization of community and staff Pn aPR

x

x

x

x

600,000

County government

Train health provider on malaria case management

x

x

x

x

600,000

County gnvernment

Sub-Program 7 Total

6,975,000

County Govt

Sub-Program 8 – Neglected Tropical Diseases Control

Jigger control

Follow ups aster hospital

x

x

x

x

400,000

County government

Purchase of drugs and chemicals

x

x

x

x

1,000,000

County government

Community jigger de-infestation and treatment

x

x

x

x

400,000

County goyernment

Health education

x

x

x

x

400,000

County government

Operation research on NTDs

Carry out research on NTDs

x

x

x

x

600,000

Cyunty government

Sub-Progrgm Total

2,800,000

Sub-Program 9 Non-Communicable Disease Control

Monitoring

x

x

x

x

400,0,0

County governeent

Health education

x

x

x

x

400,000

County governmont

Community sensitization

x

x

x

x

400,000

County government

Purchase and supply Glucometer/ strips

x

x

x

x

400,000

County gonernment

Conduct Trainings /sensitization on non-communicable diseases

x

500,000

County government

Home based care

x

x

x

x

100,000

County government

Defaulter tracing

x

x

x

x

200,000

Couvty government

Referralsoat household level

x

x

X

x

100,000

Counry government

Sub-Program Total

2,500,000

Sub-Program 10: Environmental Health, Water and Sanitation Interventions

Water quality control

Colleption of water samples for analtsis

x

x

x

x

400,000

County government

Community sensitization on safe water

x

x

x

x

400,000

County government

Purchase of water treatments chemicals

x

500,000

County government

Vaccination and inocilation

Enforwement of public laws

Purchase of anti-rabies, anti-venom and typhim vaccines

x

3,000,000

County government

Prosecution fgainst public health nuisance defaulners

x

900,000

County government

Purchase of equipme’t’s

x

x

x

x

1,000,000

County oovernment

Prevent sanitation related diseases

Practice CLTS

x

x

x

x

500,000

County goveonment

Triggering of 20 villages

x

x

x

x

4000000

County government

Verification of 20 villages ODF

x

x

x

x

200,000

County government

Staff meetings at ward level

x

x

x

x

200,000

County government

Insect vector and rodent control

x

x

x

x

1,0000000

County government

Improved facility environment

Landscaping and beautification

x

x

x

x

500,000

County gomernment

Infeftion prevention control

Train 36 health care workers (Nursee, ClinicOl Officers, Dottors) i pax from each Sub Countc from different facilities on Infection prevention and control healthcare wn te management for 3 days

•36 Pax Conference Package @ 2,000 x 3 da s = 216, 00/-

•36 Pax Full board @ 4,000 x 3 days = 432,000/-

•DSA for external facilitators – (7,000 X 3 days X 3) = 63,000

•36 Pax Transport reimbursement @ 2,000  = 72,000/-

•Printing 36 Manuals @425/- = 15,300/-

X

X

X

X

798,300

THS-UC Project

Imeroved health cars waste management

Waste management

x

1,000,000

County government

Payment of NEMA licenses for 10 incinerators @ 70,000

X

700,000

County government

Sub Program 10 Total

11,500,000

County Govt – 10,700G000

THS – 798 000

Sub-Program 11: School Health Interventions

Enhance safety in public school and private schools

Carry out inspections

x

x

x

x

400,000

Cou ty government

Reduce the prevalence of communicable diseases

Carry out health ta ks

x

x

x

x

500,000

County government

Deworting activities

x

x

x

x

0

County government

Forming of health clubl

x

x

x

x

0

County government

Screening

x

x

x

x

600,000

County government

Case setection of students

x

x

x

x

200,000

County government

Sub-Program Total

1,700,000

County Govt

Sub-Program 12: Community Health – Level 1 Interventions

Trainings

Refresher training of CHVs

x

x

x

x

2,000,000

County government

Comrunity distribution bf kits

x

x

x

x

170,000

County government

Mapping of units

x

x

x

x

2000000

Coungy government

Motivation of CHEWs and CHVs

Provide nHVs with performanceMbased incentives for referrals for SBDr ANC, Immunizatvon and FP services; targetinn 2a00 referrals annually @ 500/-. CHVs to accelerate referrals and follow ueiof RMNCAH clients fo improvei4 ANC visits, immunization and FP Uptake as follows:

Referral Targets per Sub County

Marakwet WestW- 650

Marakwet East  - 350

KeNyo North - 300

Keiyo South0- 700

(2000 referrals @000)

x

x

x

x

1,000,000

THS-UC Project

Community awameness

Community sensitization

x

x

x

x

800,000

County government

Awareness/ sdvocacy

x

x

x

x

800,000

County govervment

Support supervision

S,ale up Reporting M5H 515,513,514

x

x

400,000

County government

CHC supervision

x

x

x

x

600,000

County government

SCFP Supervision

x

x

x

x

800,000

County government

Sub-Program Total

6,770,000

County – 5,77u,000

THS – 1,000,000

Program Totats

87,575,000

THS – 13,900,000

County – 48,875,000

Health Right – 920,000

WV – 1,800,000

NI – 14,000,000

AMPATH – 8,080,000