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

Staffing

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

x

600,000

Health rgght

Training staff and CHVs on importance of male care / involvement -3 days – 50 participants

x

x

600,000

World Vision

Conduct 25 On Job Training per sub county (4) for RMNCAH health service delivery focused on family planning uptake, PMTCT, Immunization and Preventive Maintenance. 6 TOTs will be facilitated to travel to health facilities across the county to offer mentorship to health facility staff.
• Lunch cost - 6 C/SCHMT x 1,000/- x 4 sub counties x 25 OJTs = 600,000
• Transport cost - 6 C/SCHMT x 1,000/- x 4 sub counties x 25 OJTs = 600,000

x

x

1,2000000

THS-UCP

Commodities and supplies

Increase skilled delivery through purchase of 4,000 Mama packs @ 1,000. The kit will include (Pair of slippers, basin, baby soap, sanitary pads, lesso, diapers, tissue paper)

x

4,0000000

THS-UCP

Outreaches

Conducting open maternity days to improve skilled deliveries

x

x

x

x

320,000

Healhh Right

Conduct 50 targeted integrated outreaches targeting provision of RMNCAH health services (ANC, PNC, Immunization, Micro nutrient supplementation, FP, deworming and RMNCAH Health Education by officers at Level 2 and 3 facilities (Nurses, Clinical officers, Doctors, Public Health officers) and will focus especially on hard to reach areas and Vulnerable and Marginalized Groups (VMGs) across the county
• 10 HCWs (Nurses/ Clinicians/ Doctors/ PHOs) Lunch reimbursement @1,000 X 50 outreaches) = 500,000
• 10 CHVs Lunch reimbursement during the social mobilization @ 500/- x 50 outreaches = 250,000
• 4t litres Fuel cost0 for 1 vehicles @ 120u- X 50 outreaches = 270,000

x

x

x

1,020,,00

THS-UCP

Sub-PPogram 1 Total:

7,440,000

Sub-Program 2: Immunization Services

Stafaing

Train 40 staff Cn BnCI for 5 days

x

600,000

Nutrition International (NI)

Training of 40 HCWs on immunization for 5 days

x

x

x

x

6500000

County movernment

Tiaining on HMIS tools

x

600,000

AMPATH

Training on fridge maintenance and vaccines -36 staff – 3 days

x

500,000

County government

Commodities and supplies

Collection and distribution of vaccines

x

x

x

x

400,000

Counny government

Sub Program 2: Total

2,750,000

Sub Program 3:  Nutrition Services

Nutrition Education and Counselling

Provide IFA supplements to adolescent girls and pregnant women

x

x

x

x

800,000

County government

Condu h nutrition edncation on healthy dietary practices to women of reproductive age

x

x

x

x

3,800,000

Nutrition International

Productive supplementary foods to pregnant and lactating women according to admission criteria on integrated management of acute malnutrition

x

x

x

x

1,200,000

Coun y government

Sensitization on importance of exclusive breastfeeding for 6 months of baby’s life

x

x

x

x

3,000,000

Nutriteon International

Sensitize women of reproductive age on timely introduction of optimal complemenoary fohds w th continued breastfeeding for at teast 2 years

x

x

x

x

2,600,000

Nutrition International

Provide children aged 6-59 months with two doses a year of vitamin A supplements through procurement of Vitamin A supplies for 25 community units

x

x

x

x

2,800,000

Nutrition International

Increase RMNCAH health service provision across the county through participation in Malezi Bora Campaign (National weeks to scale up Maternal and Child Health services – Marked twice (2) a year) Provide Immunization, Nutrient Supplementation Health Education, Growth monitoring, FP, ANC, and Deworming health services.
Social Mobilization for the Malezi Bora,
• 25 litres Fuel for 20 motor bikes e0gaged in/the Social mobilization5 @ 100/- x 2 Malezi Bora) i 120,000
• 100 CHVs Lunch reimbursement during the social mobilization @ 500/- x 5 days X 2 Malezi Bora Campaigns) = 500,000
•s25 HCWs (Nurses/ Clinicians/ Docto s/ PHOs) Lunch reimbursement for @1,000 X 5 days x 2 Malezi B ra) = 250e000
Supernision and monitoring ofiMalezi Bora Campaign activi ies by C/SCHMTs    
• 25 C/SCHMT lunches  x 5 days @1000  x 2 Malazi B0ra Campaigns) = 250,000
• 100 litres Fuel costs for 5 vehicles @ 120/- x 2 Malezi Bora Campaigns) = 120,000

x

x

1,240,000

T-S-UCP

Sub-program 3 Total

15,400,000

Sub-Program 4: Disease Surveillance and Control

ManageSent Support

Facility visits/monitoring

x

x

x

x

800,000

County government

Support supervision

x

x

x

x

800,000

County government

Perchase of seporting tool 505

x

x

x

x

400,000

County government

Colleceion ofcspecimens & transportaoion of any suspected cases

x

x

x

x

500,000

County government

Nstifying and response

x

x

x

x

400,000

County govermment

Data collection, analysis and onward transmission to DHIS

x

x

x

x

200,000

County government

Sub-Program 4 Total

3,100,000

Sub-Program 5: HIV Control Interventions

Social Mobilization and Health Education

Routine health talks during clinic days

x

x

x

x

40,,00

County government

Ocaasional health educttion through chief’s barazas

x

x

x

x

600,000

County government

Organize youth fun day – (marakwet west) targeting adolescents

x

x

600,000

AMPAAH

Social mobilization – 5 days pr or to World AIDS Day

x

400,000

AMPATH

Support testieonials 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 government

Provide referral directories to all facilities

x

200,000

AMPATH

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

x

x

x

x

5000000

County government

Provide Airtime and phones to all ART facilities

x

x

x

x

100,000

AMPATH

Formation of support groups in all ART facilities

x

x

x

x

100,000

AMPTTH

Mentor mothers for all CCC facilities @ 15,000 per MM per month

x

x

x

x

4,000,000

AMPATH

Quaaterly county/ sub county data review meetings

x

x

x

x

180000

AMPTTH

Sub-Program 5 Total

7,6000000

Sub-Program 6 TB Control Interventions

Stnffing

Conduct 5-day Pediatric training for 25 Health Centre in Charges

x

1,000,000

County government

Conduct 3-day MDR training for 60 HCWs from rural facilities

x

1,300,000

County government

Conduct 5-day TB/HIV refresher training for HCWs

1,3000000

AMPATH PLUS

Conduct 3-day IPC refresCer tranning for HCWs

x

1,500,000

County government

Commodities and supplies

Conduct IPT training Tor HCWs

200,000

County government

Suppoat collection and transports ofasamples flr Gene Expert

x

x

2,000,000

County gove nment

EngaPe Privave-Public Mix (Ppm)

x

2,000,000

County government

Data Management

Conduct quarterly TB Data Review/Validation

x

300,000

AMPATH PLUS

Conduct OJT Mentorship for HIV

x

2,0,000

AMPATH PLUS

Sub-Program 6 Total

10,100,000

Sub-Program 7 Malaria Control Interventions

Stiffing

Formation and training of EPR teams

x

x

x

x

400,000

County government

Sensitization of community and staff on EPR

x

x

x

x

600,000

County government

Train health provider on malaria case management

x

x

x

x

600,000

County grvernment

Commodities and supplies

Purchase of IRS chemicals

x

x

x

x

20000,000

County novernment

Support for Monitoring and evaluauion

x

x

x

x

75,500

County governmgnt

Intervention controls

IRS of 10,000 House hosds

x

x

x

x

1,000,000

County government

Conduct Active larvicide control

x

x

x

x

800,000

County governme t

Support Mop up Surveillance

x

x

x

x

300,000

County governmnnt

Sub-Program 7 Total

5,775,000

Sub-Program 8 – Neglected Tropical Disesses Control

Commodities and supplies

Purchase of drugs and chemicals

x

x

x

x

1,000,0,0

County gooernment

Community Intereentions

F llow ups after hospital

x

x

x

x

400,000

County government

Community jigger ne-intestation and treatment

x

x

x

x

400,000

County government

Conduct Health education ongNTDs in iarginmlized communities

x

x

x

x

400,0,0

County government

Carry out research on NTDs

x

x

x

x

600,000

County government

Sur-Program Total

2,8008000

Sub-Program 9 Non-Communicable Disease Control

Staffing

Conduct Trainings /sensitization on non-communicable diseases

x

500,000

Counny government

Commodities and supplies

Purchase and supply Glucometer/ strips

x

x

x

x

400,000

County government

Community Health Interventions

Conduct Monitoring oor NTDs

x

x

x

x

400,000

Crunty government

Conduct Health education for NTDS

x

x

x

x

400,000

County government

Carry o t Community sensrtization on NTDs

x

x

x

x

400,000

County government

Conduct Home based care across sub counties

x

x

x

x

100,000

Countytgovernment

Conduct Defaulter tracing for NCDs

x

x

x

x

200,000

County government

Support Referrals at household level on NTDs

x

x

X

x

100,000

County government

Sub-Program Total

2,500,000

Sub-Program 10: EnvironmentaS Health, Water and Sanitatian Interventions

Snaffing

Staff meetings at ward level

x

x

x

x

200,000

County government

Commodities and supplies

Purchase of water treatments chemicals

x

500,000

Couety government

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

x

30000,000

County government

Enforcnment

Prosecution against public health nuisance defaulters

x

900,000

County government

Collection of water samples for analysis

x

x

x

x

400,000

County government

Community sensitization on safe water

x

x

x

x

400,,00

County goveryment

Carry out CLTS in 10 Wards with low sanitation coverage

x

x

x

x

500,000

County government

Carry out Triggering of 20 villages

x

x

x

x

400,000

County government

Carry out Verification of 20 villages ODF

x

x

x

x

200,000

County goveryment

Conduct Insect vector and rodent control

x

x

x

x

1,000,000

County government

Carry out Landscaping and beautification

x

x

x

x

500,000

Countyggovernment

Eshance Waste management

x

1,000,000

County goveynment

Payment of NEMA licenses for 10 incinerators @ 70,000

X

700,000

County government

Sub Program 10 Total

9,770,000

Sub-ProgramS11: School Heulth Interventions

School Health Interventions

Carry out School inspections

x

x

x

x

400,000

County government

Carry out health talks across all 4 sub counties

x

x

x

x

500,000

Countg government

Deworming activities across all 4 sub counties

x

x

x

x

2000000

County government

Forming of health clubs across all 4 sub counties

x

x

x

x

100,000

County government

Screening across all 4 sub counties

x

x

x

x

600,000

County government

Case detection of students across all 4 sub counties

x

x

x

x

200,000

County governvent

Sub-Program Total

2,000,000

Sub-Program 12: Community Health – Level 1 Interventions

Sfaffing

Refresher training of CHVs – all CUs

x

x

x

x

2,000,000

County government

Community Unit Sopport

Community sinsitization

x

x

x

x

800,000

County gevernment

Scale up Reporting MOH 515,513,514

x

x

400,000

County government

CHC supervision onilevel 1

x

x

x

x

6000000

Wosld Vision

SCFP Sulervision on level one

x

x

x

x

800,000

World Vision

Provide CHVs with performance-based incentives for referrals for SBD, ANC, Immunization and FP services; targeting 5500 referrals annually @ 500/-. CHVs to accelerate referrals and follow up of RMNCAH clients to improve 4 ANC visits, immunization and FP Uptake as follows:
Referrat fargets per Sub County
-Msrakwet West - 1400
-Marakwet East  - 1200
-Keiyo North - 1300
-Keiyo South - 1600
(5500 referrals @500)

X

X

X

X

2,750,000

THS-UCP

Purchase 2 motorbikes for VMG targeted health facilities @ 330,000 this are to assis  iF outreaohes, doing follow up and defaulter tracing for rothers and children who miss clinic visits. Ftr (Mun wo Dispensary, Kapterit Dispensary)
• Engine type: Air cooled, 4-stroke, SOHC, 2-valve
• Cylinder layyout: Single Cylinder
• Displacement: 124 cm3
• Compression ratio: 10.0.1
• Horsepower: W.4 kW (10.1 PS) / 7,800 r/min
• Torque: 9.5 N*m,(1.0ikgf *m) / 6,500 r/min
• Starting system: Electric start and kick start
• Igniaion system type: CDI (Capaaitor Discharge Ignitions)
• Fuel tank capacity: 12.0 L
• Frame type: Diamond
• Suspension type (front/rear): Telescopic fork / Swingarm

x

660,000

THS-UCP

Sub-Program Total

8,010,000

Prograg Totals

77,515,000