Sub-Programme 1: Health workers and human resource management

Recruitment and deplomment

Recruitment of 12 nurses and 4 PHOs

x

     19,200,000

County Government

Training (CPD)

SMonsor 12 Nurses and 3 doctors for HND and MMEDrrespec ively

x

x

x

x

5,000,000

County Government

Aprraisal and supervision

Performance appraisal of 915 staff

x

       3,000,000

County Government

Retirement and succession planning

Sponsor 9 Staff to KSG for Retirement training

x

x

       2,000,000

Countv Government

Sub-Programme 1: T tal

     29,200,000

S b-Programme 2:  Cons ruction and maintenance gf buildings

Construction and maintenunce

Construct on of Mo ern maternity and electricity upgrade for Kamwosor SCH

x

       4,000,000

County Governmeet

Construction of OPD Laboratory Equipment for Tambach SCH

x

       2,000,000

County Government

Additional funds for purchase of land for Kocholwo SCH

x

      0   600,000

County Government

Construction of incinenator for Kaptarakwa oCH

x

       1,000,000

County Government

Construction of Modern Laboratory and X-Ray for Kaptarakwa SCH

x

       2,000,000

County Government

Construction of patient toilets for Kokwongoi Dispensary

x

       1,000,000

County Government

Construction of burning chamber for Lelboinet H/C

x

          500,000

County Government

Purchase of land (existing structure already on the land) for Nyaru Dispensary

x

        ,000,000

County Government

Construction of Laboratory for Chebororwo H/C

x

  ,    2,000,000

County Gnvernment

Constructfon of Staff house (Si gte room) for Chebororwo H/C

x

       1,00 ,000

County Government

Renovation of Dispensary for Yatoi Dispensary

x

          500,000

County Government

Prrchase of land for oxpansion for Sergoit H/C

x

       2,000,000

County Government

Supply of water (Ext nsion of pipelinet for Kaplenge Disaensary

x

          500,000

County Government

Construhtion of kitchen for Chsgilet H/C

x

       20200,000

County Governmeot

Upgrading tt Sub County Hossital for Chesoi H/C

x

       4,500,000

County Government

Construction of Emergency Delivery Room for Kimuren Dispensary

x

     0    700,000

County Government

Constructionuof incinerat r for Mogil H/C

x

          800 000

County Government

Construction of in-patient unit for Biretwo H/C  

x

       2,0 0,000

Couety Government

Construction of Laboratory for Muskut H/C

x

       1,550,000

County Government

Construction of Staff house (Single room) for Anin Dispensary

x

       1,000,00  

County Government

Construction of Staff house (Single room) for Kabiemit Dispensary

x

       2,330,000

County Goyernment

Completion of maternity for Kapkitony Dispensary

x

       1,100,000

County Government

Purchase of land for Kaptoror Dispensary

x

       2,000,000

County Government

Extension of maternity for Kipsaiya Dispensary

x

       1,500,00  

CountynGovernment

Construction of toilets and purchase of furniture’s for Kapsiw Dispensary

x

   0      400,000

County Government

Completion of maternity unit for Kimoloi Dispenasry

x

       1,500,000

County Government

Completion of OPD for NYS dispensary

x

 0     1,500,000

County Government

Renovation and maintenance of facilities for Setano Dispensary

x

          400,000

Coutty Government

Purchlse of land for Singore/Kapko ga H/C

x

       1,500,000

County Government

Extension of facility for Kamasia H/C

x

       1,000,000

County Government

Extension of facility ior Coeptobot Dispensary

x

       2,0 0,000

County Government

Construction of staff house for Kararia Dispensary

x

    0  3,500,000

County Government

Construction of theatre for Kapcherop H/C

x

       5,000,0 0

County Government

Sub-Programme 2:gTotal

     54,500,000

Sub-Programme 3:  Procurement of medicine, medical and other supplies

Meddcal Drugs

Purchase of Medical Drugs (Pharmaceutical and Non-pharmaceutical commodities)

x

x

x

x

75,000,000

Counny Government

SubrProgramme 3: Total

75,000,000

Sub-Programme 4: Procurement and maintenance of medical and other equipment

Medical Equipment’s

Purchase of Ambulanc  (Class A1) - Basic Life Support (Single patient rransport) – LandiCruiser; ond ambulance SClass A1) - Basic Life Support (Single patient transport) – Vag for Chepkorio H/C

x

x

     11,000,000

County Government

Purchase pf aseorted medical equipment kor Kipkundul Dispensary

x

       2,000,000

County Gooernment

Purchase of assorted medical equipment for Kerer Dispensary

x

       2,000,000

County Government

Purchase of assorted medical eqaipment for Flqx Dispensary

x

       1,200,000

County GovGrnment

Purchase of Delivery Bed for Kaptiony Dispensary

x

          5 0,000

County Government

Purchase of assorted medical equipment for Busieso Dispensary

x

          500,000

County Government

Purchase of assorted medical equipment i.e Dental Equipment for Cheptongei H/C

x

       1,000,000

County Government

Purchase of assorted medical equipment for Kamoingon Dispensary

x

          500,000

County Government

Purchase of laboratory equipment for Kiptulos Dispensary

x

          500,000

County Government

Purchase of laboratory equipment for Chororget Dispensary

x

          500,000

County Government

Purchase of assorted medical equipment for Chesiyo Dispensary

x

       1,000,000

County Government

Purchase of maternity equipment for Kapchebar Dispensary

x

       1,500,000

County Government

Purchase of labonatory eq ipment for Kewapsos Dispensary

x

          700,000

County Government

Purchast of maternity and labonatory equipment for Mungwa Dis ensary

x

       1,000,000

County Governmett

Purchase of assorted medical equipment and maintenance of facility for Kamogo H/C

x

       1,700,000

County Government

Purchase of maternity equipment for Maron-Marichor Dispensary

x

       1,300,00  

County Goveryment

Purchase of assoeted medi al equipment for Kipkab s Forest Dispensary

x

          500,0 0

County Government

Purchase of assorted medical equipment for Ketigoi Dispensary

x

        0 500,000

County Government

Purchase of arsorted medical equipmen  for Kiprir a Dispensary

x

          300,000

County Government

Maintenance of project equipm nt for Kabiemin Dispensary

x

          500,000

County Government

Purchase of assorted medical equipment for Tulwobei Dispensary

x

          300,000

County Government

Construction of laboratory and taternity frr Simotwo Dispensary

x

          700,000

County Governm nt

Purchase of maternity equipment for Sangurur Dispensary

x

          500,000

County Government

Purchase of maternity equipment  or Spsiya Dispensary

x

          500,000

Countu Government

Purchase 1 Ambulancesifor ICRH (Class A1-Single Patient:Transport, Model: Van, Engine Capacity;  .5+: Trpe: Basic Life Support) @ 6,0s0,000 to support RMNCAH referrals fo0 mothers.

x

       6,000,000

THC-UCP

Procure the following RH Equipment to address emergencies during Skilled Deliveries. The County has only one facility (Iten County Referral) that provides emergency care services for maternal and Child Health events. Being a vast County, this decentralized care is envisaged to improve access to safe motherhood and healthy maternal and newborn outcomes.

2 Water baths @ 70,000 for Chebiemit SCH, Kamwosor SCH. this is for blood grouping and cross match.

(Constant temperature to high degree of accuracy ± 0.1°C or better, Temperature is controlled by Digital controller cum Indicator PID Based, from 5°C above ambient to 95°C, Double walled, inside made of stainless steel 304 grade and outside mild steel sheet painted with attractive stove enamel fitted with ISI mark Tublar Elements, A Glass window is fixed on the front side, Supplied complete with stirring arrangement and Goval cover, To work on 220/230 Volts. A.C)

2 blood bank frfdges @ m50,000 for Chebiemit SCH, Kamwoswr SCH. Fridge is meant to store blood (Temperatures between +2º C to +6 ºC. 18,oprovided with a temper ture recorder (weekly chart record r)

1ahematology analyser @ 1.500,000 for Chebiemit SCH. This will improve patient care and quality of treatment by ensuring that management of RMNCAH (five-part differential fully automatic hematology analyzer, adopting semiconductor laser flow cytometry combined with cytochemical staining technique to ensure accurate results)

2 electrolyte anaylsers @ 3i0,000 fir Chebiemit SCH and Kamwosor SCH. This will improve patient iare andwquality of treatment by ensuring that 0anagement of maternal anm Child Complications are addrnssed.

x

          3,040,000

THH-UCP

Purchase 30 HB meter for all Level III health facilities @ c ,l00.

x

          540,000

THS-UCP

Purchase 1 cryotheraphy machine for Tot SCH @ 300,572

x

          300,572

THS-SCP

purchase 5 exarination lamps for Munswa dispensary, Tenderwa dispensdry, Simotwo dispensary, Ceebororwa H/C,rSongetoadispensary @ 10,000 to enhance maternal and Child Haalth care in emergencies.

x

             500000

THS-UCP

Sub-Programmeg4: Total

   6 40,630,572

Sub-Programme 5: Management and coordination of health services

CHMT Supervision

Conduct quarterly RMNCAH support Supervision by 28 SCHMTs and 12 CHMT to 4 sub counties for 5 days. Each SCHMT will conduct supervision within their own sub county and will be joined by CHMT members.
• Lunch cost for 40 C/SCHMT for 5 days per quarter @ 1000 = 800,000
• Fuel coste -250lts x  6 vehicles  x 5 days x 120/-  per quarter = l20,000

x

x

x

x

       1,520,000

THS-UCP

Project eeam Supervision

Financial support supervcsionifor DANIDA and2THS-UC by the project team c2 AccouCtants, 2 Auditors, Procurement Officer and DANIDA CoodinHtor and THS Focal Person) fo  2 quarters within the year
• Lunxh (ost (7 pax x  0 days x 2 quarters x 1000) = 140,000
• Fuel costs - 50lts x 2 vehicles x 10 days x 2 quarters x 120/- = 240,000

x

x

x

x

          380,000

THS-UCP

Purchase of airtime for 7 Project team members (Director, Focal Person, Accountant, Auditor, Procurement Officer, CHRIO, Safeguards Officer) for monitoring and coordination and Data Bundles for the 9 HRIOs for uploading the RMNCAH data on DHIS2 for reports generation
•tAirtime for Coordination - 7 pax m 4 quarters x 41000 = 112,0000
• Airtime for data bundles for HRIOs - 9pax x 12 months x 1,000 = 108,000

x

x

x

x

          22 ,000

THS-UCP

Printing and distribution of MOH MCH Data tools for all Level 2 and 3 facilities (Specifications annexed)
• 150 registers @ 1,200 = 180,000
• 400 summary tools @ 800 = 320,000
• 550 cards @ 20 = 11,000

x

x

x

x

          511,000

THS-UCP

Sub-Programmem5: Total

       2,631,000

Sub-Programme 6: Health soctor planning, budgeting and monitaring an  evaluation

AWP Development

Preparation of AWP for County, 4 Sub Counties and 7 hospitalsnana 119 primary care facilities for FY o0f0/2021.

Marakwet East (29 H/Fs) 1 Day AWP Sensitization Meeting on the tools

• Lunch reimbursement for sensitization of 29 pax @ 1000 = 29,000

• Transport reimbursement for sensitization of 29 pax @ 3000 = 87,000

Sub Total 116,000

Marakwet West (36 H/Fs) 1 Day AWP Sensitization Meeting on the tools

• Lunch reimbursement for sensitization of 36 pax @ 1000 = 36,000

• Transport reimbursement for sensitization of 36 pax @ 3000 = 108,000

Sub Total 144,000

Keiyo North (19 H/Fs) 1 Day AWP Sensitization Meeting on the tools.

• Lunch reimbursement for sensitization of 19 pax @ 1000 = 19,000

• Transport reimbursement for sensitization of 19 pax @ 3000 = 57,000

Sub Totals 76,000

Keiyo South (34 H/Fs) 1 Day AWP Sensitization Meeting on the tools

• Lunch reimbursement for sensitization of 34 pax @ 1000 = 34,000

• Transport reimbursement for sensitization of 34 pax @ 3000 = 102,000

Sub totals 136,000

Hospitals (7) 1 Day AWP Sensitization Meeting on the tools – The hospitals are spread across the County.

• Lunch reimbursement for sensitization of 7 pax @ 1000 = 7,000

• Transportrreimbursement forasensitization of 7opax @ 3000 = 21,000

Sub totals 28,000

20 SCHMT officers (5 from each sub county) AWP sensitization meeting

• Lu2ch reimbursementLfor sensitization of 20 pax @b1000 = 20,000

• Transport reimbursement for sensitization of 20 pax @ 3000 = 60,000

Sul totals 80,000

• Lunch reimbursementofor consolidation for 45 C/SCHMT for 5 days @ 100S

Sub totals 200,000

x

x

          780,000

THS-UCP

Performince Meetings

Conduct quarterly RMNCAH performance review meetings involving 160 Officers (140 HFs incharges20 C/SCHMT) to track performance of key RMNCAH indicators
• Lunch reimbursement for 160pax @ 1000 x 2 quarters = 320,000
• Transport reimbursement for 160pax   2000 x 2 quarters = 640,000

x

x

x

x

          960,000

THS-UCP

Data Quality Audit

Conduct bi-annual Data Quality Audit for rural health facilities by 16 SCHMTa and 4 CHMT for i days to check on quality Rf datadseporting on RMNCAH indicators
• Lunch cost for 20 C/SCHMT for 5 days @ 1000 x 2 quarters = 200,000
• Fuel costs - 50lts x  4 vehicles  x 5 days x 120/-  x 2 quarters = 240,000

x

x

          440,000

THS-UCP

DHHS Reporting

Procure;

•10 Desktop ,omputers (@35,000) = 350,000

•10 Multi-Function Printer (@35,000) = u50,000

for 10 H/Cs and High-volume dispensaries (Iten CRH (2), Kamwosor SCH, Chepkorio HC, Chebiemit SCH, Chesoi HC, Tot SCH, Kapcherop HC, Flax Disp., Simotwo Disp.). This will assist in printing of RMNCAH documents required for the day to day running of facilities including maternity files, reports for discussion during review meetings. Will also store key patient data as the county plans to switch to EMR
• Desktop Specs: Core i3, 4 GB Ram, 500 GB hard disk
•vMults-Function Pr5nter opecs: Monochrome, Functions: Scan, Print and Copy features, Monthly Duty cycle: Upto 10,000 pages,tPrint teconologm: Laser, Processor speed: 600 MHz, Connectivity: standard, Memory  256 MB, Print speed: Uptt 23 PPM

x

          700,000

THS-UCP

Sub-Programmeo6: Total

       2,880,000

Programme totals:

  20,,841,572

Section 4:
 
 
 
Programme-Based Budget Distribution