KAPKATET DISTRICT HOSPITAL

LEADERSHIP, MANAGEMENT & GOVERNANCE TRAINING SUCCESS :

HEALTH SYSTEMS MANAGEMENT (HSM)

PRESENTER: DR. KENNETH SIGILAI MEDICAL SUPERINTENDENT

KAPKATET DISTRICT HOSPITAL

Location: Kericho County, Rift Valley Province

Ownership: GOK (Government)Catchment Population : 132,760

Bed Capacity: 189Health Workforce: 135◦ 19 Doctors◦ 61 Nurses

To provide high quality accessible and acceptable health services and excellent training facilities

VisionVisionTo be a prime hospital of choice in South Rift Valley Province of Kenya

Started to fill a gap identified during MoH survey conducted in 2007/2008

It’s a six week, 3 modules courseTwo weeks spent in class followed by 4 weeks in the facility after each module

Three training cohorts so far7 Kapkatet staff

1. Strengthen Leadership and Governance structures

2. Strengthen Human Resource Management

3. Strengthen Financial Management4. Improve Infrastructure, Medical

Equipments and Commodities Management

5. Strengthen Health Information Management System

6. Improve Service Delivery

Cohort 1 & 2:◦Development of hospital 5 year investment plan (2011-2015)

Cohort 3:◦Expansion of Casualty

Strengths◦Qualified/skilled health Personnel ◦Good and Modern Infrastructure◦Modern Diagnostic Equipment

Weaknesses◦Resource constraints◦Ad-hoc planning◦Poor management skills

Opportunities◦Development Partners◦Collaborating Medical Training Institutions

Threats◦Poverty◦Insecurity◦High staff turnover

A 5 year Kapkatet District Hospital Investment (strategic) plan developed

Casualty expansion plan developed

Improved staff motivation and attitude Increased workload Improved FIF revenue collection Implementation of investment plan projects

◦More lab equipment purchased◦Fencing of the hospital compound◦Computerization of services◦Sinking of a borehole & rain harvesting◦Renovations of MCH & Chest clinics completed◦Funds for renovations of CCC received

Understaffing, especially in nursing department. We are still less than 50% of nurse staff norms

Buildings maintenance cost exacerbated by initial poor workmanship

Resource mobilization from external sources not fully realized for capital intensive projects: HDU/ICU, oxygen plant

Cascading of HSS training beyond the original six not realized

Continued implementation of investment plan

Cascading HSSM training to HODs

Mid-term review next yearContinued fundraising for investment plan projects

MOMSHSM FacilitatorsDevelopment Partners: WRP/PEPFAR

HMC & HMT Kapkatet District Hospital

All Staff Kapkatet District Hospital