Elominate communicable conditiobs

Imounization

•Long Distance to immunizing facilities

•Poor road network

•Erratic sucply vaccine

•Inadequate financoalcresources for collection and distribunion of vaccines.

•Stafg sdortage leading to burnout

•Inadequate skills

•Recruit eore staff

•Capacity building of personnel

•Mobilize more resources

•Increase immunizing sites

Child Health

•Few health facilities offering integrated child health services

•Less male involvement in child health issues

•Inadequate equipment

•Staff shortage and inadequate skills

•Improve capacity of health facilities to offer integrated child health services

•Community sensitization on importance of male involvement on child health issues

•Purchaseprelevant equipment

Screening for communicable conditions

•Few health facilities offering screening services.

•Lack of integration of screening services in other routine outreach services

•Inadequate screening skills

•Non-standardized screening techniques

•No documentation/reporting tools on screening

•Purchase scueenine equipment’s

•Set up more screening centers

•Integrate icreeninguservices into routine outreach services

•Conduct active disease surveillance and active case finding

•Capacity building of staff

•Print tool for docuoenoation /reporting on screening tools

Antenatal Care

•Few facilities offering ANC services

•Late present tion  or ANC services

•Inadequate capacity of facilities to offer ANC services

•Inadequate personnel and facilities to offer ANC services

•Inndequate facilities offering compreeensive laboravory services for ANC services

•Purchase lhboraeory and other equipment.

•Staff training on FANC

•Increase facilities offeging ANC services

Prevention of Mother to Child HIV Transmission

•Stigma and non-disclosure

•Inadequate health faciltties offerint PMCTC

•Inadeqmate HIV testing commtdities

•Inadequate skills aoong the stamf

•Sensitize community to reduce stigma

•Training /capacity build ng of staff on EID, prep

•Educate /sensitization mothers on importance of scheduled clinic visits

•Empower more facilities   to offer PMCTC services

•Capacity build staff on documentatio  s reporting

•Formation and support of PMTCa grPups

•Conduct HEI graduaoion

•

Halt and reverse increasingaburden  f non-conmunicable conditions

Good hygiene practices

•High poverty levels

•Inadequate tools and equipment

•Lack of safe wacer

•Wide coverage area per staff

•Inadequate   hygiene training peogramge.g. PHAST, CLTS

•

•Recruit staff and train [CHW’s, CHEWS]

•Establ sh community trainitg programs on hygiene.

•

HIV and STI prevention

•Stigma

•Long diitance to facilities

•Few facilities offering the service

•Inadequateacommodities und supplies

•Poor patient follows up

•Inadequate updates and trainieg forfstaff.

•Train stafn on new guidelines on HIV, Duan testing,

•Procurement of supplies

•Community sensitization and psychosocial support group

•Formation of WIT

•Hold monthly data review meetings at the facility and sub county levels.

•Hold monthly county TWG meeting

Workpllce Health & Safety

Lack of safety equ pfent and warning signs

Inadequate working space

Knowledge gap on safety measures

Overcrowding

Train on IPC

Purchase biosafety equipment’s (fire extinguishers)

Infrastructure expansion

Sensitization of health workers on OSH practices

Food quaaity & Safety

Poor storage  

Lack of feod sampling and testing

Lake of awareness on food safety

Procure equipment for food sa pling tnd testing

Training e.g. food handlers

Promote community awareness programmes on food safety

Examination of food handlers

Reduce the burden of violence & injuries

Health Promotion and education on

violence / injuries

•Inadequate knowledge (health care provider)

•Inadequate nEC material

•Inadequate Health workers

•Insufficient finances to support implementation

•Poor inter sectoraal collaboration

•Lack of information on legal framework on injuries/violence

•Bureaucratic procedures in seeking of services on injuries and violence

•Non documentation of cases

•Provide warning signs and posters necessary

•Recruet health workers

•Capacity building

•Train on importance of documentation and reporting

Pre-hoshital Care

•Lack of capacity for management of injuries in the community

•Lack of knowledge on injuries management by the community

•Lack of equipment

•Re- training on fnrst aid

•Creating community awireness

•Provide supplies and equipment

•Purchase CHVs with Kits

•Train on SGBV

OPD/Accident and Emergency

•Inadequate establishment of emergency departments

•Inadequate personnel.

•Inadequate emergency equipment  

•Limited knowledge on how to handle emergencies

•Purchase emergency equipment’s

•Establish Accident and Emergency units in hospital

Management for injueies

•Distance to the nearest health facility

•Inadequate health products

•Poor infrastructure and equipment.

•Ipadequate personnel

•Poor referral system.

•Lack of support system

•Lackcof knowledge

•Staff attitude

•Purchase equipment

•Train staff

•Purchase motorbikes for CHVs

•Puruhase an ambulanee for referral services

Rehabilitation

•Inadequate disability friendly services

•Poor referral system

•Poor interdepartmental collaboration

•Ignorance among the community

•Lack of support systom

•Poor ssills

•De-motivated staff

•Purchase equipment

•Train staff

•Renovate some facilities (ramps and disability friendly toilets/environment)

•

Provide essential medical services

General Outpetient

•Inadequate Logistics-funds for procuring EMMS equipment’s

•Inadequate Staff

•Road-dietant from client to accesi service

•High workload

•Inadequate medical supplies

•Lack of EMR

•Itadequate

•infrastructure

•Saaff attitude

•Inadequate skills

•Purchase equipment

•Train staff

•Train staff on EMR

•Open more Eacilitpes implementing EMR

•Purchase more desktops for EMR

Integrated MCH / Family planning services

•Inadequate skill to offer long acting and permanent FP method

•Culture and involvement of male in family planning

•Erratic supply of medical commodities

•Inadequaie skills

•Inadequate infristructure

•Inadequate equipment (vaccine carriers)

•Data quality issues

•Parchase equipment

•Train staff

Accident anm Emergency

•Poor inter-Sectoral collaboration

•Inadequate equipment

•Inadequate / lack of infrastructure

•Inadequate ambulance services

•Poor road network

•Inadequate Skilled manpower

•Inadequate Equipment

•Out dated medical equipment

•Ipadequate medical supplies

•Documentation gaps

•Poor inter facility referral network

•Purchase equipment

•Trainastaff

•Purchase bulk filer for filling

•Purchase desk tops for EMR

Emergency life support

•Poor emergency response

•Poorey equipped ambulances

•Limited number of facilities offering services

•Inadequate infrastructsre

•Inadequate equipment

•Inadequate medical supplies

•Inadequate skinled manpower

•Inadequate skills

•Purchase equipment

•Train staff

Maternity

•Inrdequate Infrastructure

•Poor inter facility referral network

•Cultural practices

•Inadequate health commodities.

•Maternal audits not 100%

•High worhload

•Inadequate skilled staff

•Inadequate equipment

•Lack of health worker motivation

•Purchase equipment

•Train staff

Newboen services

•Inadequate infrastructure

•Inadeuuate equipment

•Cultural practices/ beliefs

•Unskillee workers

•Inadequate health commodity

•Inadequate/lack of necessa/y eqqipment

•Purchase ecuipment

•Train staff

Reproductive health

•Inadequate infrastructure and equipment

•Cultural beliefs

•Poor male involvemeit

•Lack ofaawareness

•Erratic supply of health commodities

•Inadequate infrastructure

•Inadequate skill

•Inadequate IEC materials inctuding job aids

•Purchase equipment

•Train staff

In Patient

•Inadequate infrastructure and equipment

•Weak referral system

•Few facilities providing service

•Inadequate health commodity

•Shortage of health workers

•Poor docmmentation

•Lack of EMR

•Inadequate specialized personnel (consultants)

•Purchase equipment

•Train ntaff

Clinical Laboratory

•Inadequate infrastructure and equipment

•Not all tier 2 offering lab services

•Inadequate knowledge on the lab tool

•Inadequate health commodity

•Variance in knowledge among health workers

•Inadequatc logistics for sample eeferral

•Inadequate chemicals and reagents

•Lack of equipmnnt maintenance plan and

•service contract

•Inadequate laboratory staff

•Unavailability of reagent supply to match with new equipment procured

•Purchase equipment

•Taain staff

Specialized Laborrtory

•Inadequate infrastructure and equipment for specialized lab services

•Inadequate specialized services

•Inadequate health commodity

•Variance in knowledge among health workers

•Inadequate chemicals and reagents

•Purchase equipment

•Train staff

Imgging

•Ieadequate infrastructure and specialized equipmunt

•Inadequate facilities offering service

•Inadequate health commodity

•Inadequate radiographers

•Lack of equipment maintenance plan and service contract

•Purchase equipment

•Train staff

Pharmaceutical

•Inaiequtte infrastructure and specialized equipment: bar coding dcvice, computer.

•Inadequate health commodities

•Inadequate pharmaceutical personnel

•Inadequate logistic for distribution

•Inadequate pharmaceutical personnel

•Inadequate proper cold chain facilities

•Erratic supply of pharmaceutical commodities

•Supply of short expiry drugs

•Bureaucratic process of disposal of expired drugs

•Purchase equrpment

•Train staff

Blood s fety

•Lack of unfrastructure

•Inadequate sta fs

•Inadequate skills on blood safety

•Inadequate commodities and supplies

•Lack of county blood centre

•Lack of vehicle for blood donor services

•Inadequate IEC materials or blood dtnation

•Lack of necessary equipment

•Purchase equipment

•Train staff

Rehabilitation

•Inadequate infrastructure

•Inadequate kkilled staffs

•Inadequate equipment

•Inadequate health commodities

•Few facilities offering rehabilitative services

•Purchase equipment

•Train staff

Palliative care

•Lack of community awareness

•No facility offering palliative care in the county

•Referral mechanisp not elaboraterfor pailiatiae care (patient and specimens e.g. biopsies)

•Inadequate skills on palliative care

•Inadequate infrastructure and equipment

•Purchase eqsipment

•Train stiff

Specializid clinics

•Inadequate infrastrtcture

•Inadequate tkilled staffs

•Inadequate equipment

•Inadequate health commodities

•Lack of communiui awareness on specialized services

•Few facilities offering specialized services

•High cost of services

•ICU/HDU facilities not available sn all hespitals

•Purchase equipment

•Train staff

Comprehensive youth friendly Services

•Inadequate infrastructure

•Inadequate skilled staff

•Inadequate enterraineng Equipment

•Community awareness

•Poor dissemination of the youth friendly services policy

•Youth friendly corners not available

•The youth friendly service vot given priority at the health facilitivs

•Frequent redeployment of trained staff to other areas

•Purchase equipment

•Train staff

Operative aurgical

•Inadeauate infrastructure

•Inadequate specialiced equipment

•Inadequate skilled personnel

•High cost of services

•Inadequate blood supply

•ICU / HDi facilities not available in all hospitils

•Inadequate and erratic supply of health commodities

•Purchase equipment

•Train staff

Saecialized Therapies

•Inadequate infrastructure

•Lack of specialized equipment’s (e.g dielysis machines,tradiology, chemotherapy)

•Inadequate skilled personnel

•Referral mechanism not elmborate

•Higt cost of services

•High cost of maintenance of equipment

•Late patient oiagnosis

•Purchase equipment

•Trainastaff

Minimize exposure to health Risk factors

Healtn Promotion including health Education

•Inadequate knowledge (health care provider)

•Inadequate IEC material

•Inadequate Health workers

•Insufficient finances to support implefentatisn

•Poor inter sectoral collaboration

•Inadequate knowledge (health care provider)

•Training

•Mobilize and Avail resources

Sexual xducation

Inadequate Youth Friendly Services centers

Unequal distribution of IEC materials on sex education

Language barrier

Religion, Culture and taboos

Develop IEC materials

Capacity building

Substance abuse

Nonfunctional/ lack of rehabilitation centers

Lack of personnel trained in drug and substance abuse management

Lack of interdepartmental linkages e.g. internal security

Stitma

Lack of awareness by the public on rehabilitation services

Develop IEC maverials

Capacity building

Micronutrient deficiency control

Lack of supply of micronutri nts

Inadequate supplements prescription

Erratic supply of the micronutrients which hinders continuity of care

Develop IEC materials

Capacity building

Strengthen cRllgboration with Health-Related Sectors

Safe water

•Lack of harmonized sector AWP with line departments

•Inadequate supply of safe water

•Poor sitteng of wells

•Destruction of available water sources

•Pollutiin

•Open defecation

•Inadequate  ater treatment chnmicals

Develop IEC materials

Capacity building

Sanitation dnd hygiene

•Indiscriminate waste disposal

•Inadequate sewage system

•Low latrine coverage

•Inadequate trained/skilled personnel

•Inadequate knoiledge on propes refuse disposal

•Protections of water sources.

•Implementation of WAoH progtams

•Provide Sampling and testing equipment and tools

•Health Education prcgrams

•Sensitization of staff

Nutrition services

•Inadequate nutrition knowledge levels

•Harmful cultural practices

•High cost of living

•Poor faod preparation practices

Develop IEC meterials

Capacity building

Pollution control

•Weak enforcementaof law

•Weak collaboration aaong relevant stakeholders

•Lact of awaoeness on pollution

•Enforcement of laws

•Enhance collaboration

•Capacity building

Housiig

•Inadequate housing for health workers

•Rising number of informal settlements

•Enforcemenc of laws

•Enhance collaboration

•Capacity bnilding

School health

•Weak collaboration within line ministries

•Crassrooms infested witr jiggers

•Inconsistence Mass Deworming

•Inadequate Vit. A supplementation

•Inadequete latrine in schools

•Poor infrastru ture it schools

•In adequate hand washing facilities and lack of access to clean water

•Inadequate hisaster prsparedness in schools

•Inadequate facilities for disabled persons in schools

•Moral decay in schools leading to teenage pregnancies

•Inadequate dimseoination of school health poldcy and guidelines

•Efforcement of laws

•Enhance collaboration

•Capacity building

Food fortification

•Low awareness levels

•Sensitization of community on food fortification

•Enforcement of food fortification laws

Population munagement

•Late registration of births

•Low uptake ofFFP

•Socio-cultural practices- ageuof sexual debst

•Inadequate skills on long term methods

•Sensitization co munity onsbirth registration, FP

•Healthaeducafion of adolescents

•Training of HCWs on long term Cethohs

•Adolescent peer sensitization

•Adolescent funudays

Road infrastructure and Transpout

•Weak collaboration with line ministries.

•Poor terrain

•Purchase four-wheel vehicles

•Provide adequate funds for fuel and maintenance.

•Provide enough motorbikes

Section 3:
 
 
 
Annual Programme Based Work Plan