UHC Kisumu approach – Update to Executive Committee · • Delivery of UHC in 4 years, starting with all indigents in year 1 and then focusing on including all of the informal sector

UHC Kisumu approach – Update to Executive CommitteeUHC Kisumu • 04 May 2018

2

Agenda

1. Kisumu UHC approach – recap2. Demand workstream3. Supply workstream

To attain universal healthcare coverage for Kisumu county residents by 2022

3

Objective

4

How to achieve Universal Health Coverage in Kisumu by 2022

Comprehensive strategy that aligns demand and supply strategies in a model that is;

Inclusive - Everyone needs to be able to access UHC by 2022

Contributory - Anyone who is able to contribute should contribute

Ownership – Approach has to be designed, driven and executed locally

Sustainable – Generation and Efficient use of domestic and external resources

Accountable - Transparent system that instills trust and minimizes fraud

UHC strategy of Kisumu county

Population segmentation in 4 segments1. Formal sector (no subsidy) 2. Informal sector with ability to pay (no

subsidy)3. Informal sector (part premium subsidy)4. Indigents (100% premium subsidy)

• NHIF Supa cover product

• Premium cost of KSH 6.000 per year (for households not employed in the formal sector)

• Fully digital cost-efficient process; from identification and co-payment through a Mobile wallet to access treatment and claims payment

• Network of quality assessed health care providers

• Real time insights in health care utilization and actual spend to ensure maximum retention

• Real time insights in quality of healthcare provision

POPULATION SEGMENTATION

DIGITAL PLATFORM BASED

LEVERAGING NHIF SUPA COVER

• Delivery of UHC in 4 years, starting with all indigents in year 1 and then focusing on including all of the informal sector

• Phased approach enrollment in county:• Year 1 – 60% can access care• Year 2 – 72% can access care• Year 3 – 86% can access care• Year 4 – 100% can access carec

4-YEAR PHASED APPROACH

6

Governance structure UHC for Kisumu teams

Executive committee

Chairperson (KCG) Co-chair (PAF)

UHC co-coordinator

(PAF)

LEGAL SUPPLYDEMAND

TECHNOLOGY

Technical Teams

→ provide strategic direction

→ provide oversight

→ lead development &implementation

→ develop plans & budgets& implement

ROLES

UHC coordinator(KCG)

Manager NHIF

FINANCE

7

Agenda


For decision: agreement & support to engage the community in a documentation mobilisation

For decision: agreement & approval of socio-economic approach

For decision: strategic decision making and recommendation on Enrollment scope year 1

For information and support: test 2 enrollment methods to ascertain the best scalable approach

8

Demand workstream – requested decision making

Full UHC household registration journey has to be operationalised

1. Identification2. Socio-

economic mapping

3. NHIF registration 4. Verification 5. Activation 6. Reporting

Actio

nCh

alle

nge

Miti

gant

• Identify indigents, informal & formal sector via a hybrid approach e.g. 1) community based & 2) means mapping tool

• Many people lack ID docs

• Indigents cannot afford ID docs

• County to mobilise ID drive via Chiefs

• Integrated IPRS check upon NHIF enrollment

• >18: National ID• 18 & dependent:

school certificate• IPRS check

• Proxy means tools imperfect

• Poverty mapping tool (PPI) addresses poverty not level of poverty

• Stakeholders will try to game the system

• To be decided: start with indigents or full population

• Strong community mobilisationapproach required

• NHIF registration (incl. all ID docs & head shots)

• Many people lack ID docs (see identification)

• Smartphone needed with strong camera

• Not all CHVs are smartphone savvy

• Ensure all doc is valid• Fill gaps if doc is

invalid

• To be decided: operational enrollment strategy to be tested in the field

• Ensure timely premium payment to NHIF for enrollees (monthly preferred)

• Dedicated funds need to be available from county account

• Funds to be ringfenced

• Health bill to be drafted and passed in county assembly

• Ensure near real time dashboard reporting on enrollments, activation and utilisation

• Dashboard to be designed and built based on county user-feedback

• Need to ensure right data input to obtain valuable data output

• How to enhance the data with other county data sources?

• Not all CHVs may be able to perform mobile enrollment; danger of costly and time-consuming rework

Engage all levels of the community

Population needs to have required documentationIdentificationAc

tion

Chal

leng

eM

itiga

nt

• Many people lack ID docs

• Indigents cannot afford ID docs

• County to mobilise ID drive via Chiefs

• Integrated IPRS check upon NHIF enrollment

• >18: National ID•

Identify population segments and entitlementsAc

tion

Chal

leng

eM

itiga

nt

ESTIMATED SEGMENTATION

232,000

116,000

Population segment (in M)**

1.16M

348,000

464,000

1

2

3

4A) Combined approach of community identification (via Chief/

CHEW / CHV) + validation via PPI means mapping toolcan identify indigents on the basis of a cut-off score/rating

B) Combined approach can identify indigents after all suspectedindigents have filled in the tool e.g. lowest 30-40% receive full subsidy

Informal – self paying (20%)

Formal (10%)

Informal not on NHIF (40%)

Indigents (30%)

HOW TO IDENTIFY THESE POPULATION GROUPS

Means mapping

• Identify indigents, informal & formal sector via a tool

• Proxy means tools imperfect

• Poverty mapping tool (PPI) addresses poverty not level of poverty

• Stakeholders will try to game the system

• To be decided: start with indigents or full population

• Refine approach over time

2

Two-pronged socio-economic assessment1. CHV to identify socio-economic segment2. Purchase Power Indexation tool to validate CHV

segmentation

Ideal process• CHV identifies household > PPI tool validation > NHIF

registration > automatic allocation of premium entitlement

Current reality• PPI tool can identify indigents; county needs to

determine cut-off rate• PPI tool cannot yet identify differences within informal

sector

PRE - TESTBased on 2005/06 household survey

• Step 1: identify regions based on regional poverty map

• Step 2: community based identification of most likely households to receive subsidies

• Step 3: (mobile) questionnaire to assess income level by assessor

• Step 4: county to confirm subisidy

12

Proposed approach

INDIGENT ENROLLMENTBased on 2015/16 household survey

• Step 1: identify regions based on improved regional poverty map

• Step 2: community based identification of most likely households to receive subsidies

• Step 3: improved (mobile) questionnaire to assess income level by assessor

• Step 4: county to confirm subisidy

LONG TERM PLANBased on 2015/16 hh survey + Safaricom data

• Step 1: identify regions based on improved regional poverty map combined with Safaricom transmission mast data

• Step 2: community based identification of most likely households to receive subsidies (TBD)

• Step 3: improved (mobile) questionnaire to assess income level by assessor combined with Safaricom mobile phone usage data

Accepted tool; less accurate as based on 2005-2006 data

Requirements:• Access to 2015/16 HH survey data (ideal

case = access in May)• Develop tailored Kisumu questions• Adjust mobile app

Improved accuracy based on more recent 2015-2016 data

Accuracy further improved, but long timelines

Requirements:• Partnerships with KNBS/Safaricom and

APHRC/research institutes• Development of algorithms• Testing and refining of algorithms

SHORT TERM LONG TERM

Requirements:• Select and adjust existing survey• Put in mobile app• Test survey in small pre-test

2 Means mapping

For decision: agreement & approval of socio-economic approach

13

Pre-testing of extended PPI tool on 7-10 May2

Testing of current Kenya PPI tool questions in pre-test• How many members does the household have?• What is the highest school grade that the female head/spouse has completed?• What kind of business (type of industry) is the main occupation of the male head/spouse connected with?• How many habitable rooms does this household occupy in its main dwelling (do not count bathrooms, toilets,

storerooms, or garage)?• The floor of the main dwelling is predominantly made of what material?• What is the main source of lighting fuel for the household?• Does your household own any irons (charcoal or electric)? • How many mosquito nets does your household own? • How many towels does your household own?• How many frying pans does your household own?

Testing of new Kenya PPI tool questions in pre-test• Does this household have a television?• What kind of toilet facility does your household usually use• On average, how much does household head spend on Airtime in a week? (talk time)• Does this household has a computer/laptop/tablet?• Does the empoyer contribute/provide a NHIF cover?• What was the average daily wage in the past week for the head of the household?

Means mapping

Questions being adjusted and tailored for Kisumu and tested

in the 7-10 May pre-test

Digital NHIF enrollment application pre-test on 7-10 May

3. NHIF registration 4. Verification

Actio

nCh

alle

nge

Miti

gant

• NHIF registration (incl. all ID docs & head shots)

• Many people lack ID docs (see identification)

• Smartphone needed with strong camera

• Not all CHVs are smartphone savvy

• Ensure all doc is valid• Fill gaps if doc is

invalid

• To be decided: operational enrollment strategy

• Verification tool to flag inconsistencies at CHA level for CHV to follow-up

• Not all CHVs may be able to perform mobile enrollment; danger of costly and time-consuming rework

3,4

DIGITAL NHIF ENROLLMENTS STATUS UPDATE

NHIF digital enrollment tool ready for pre-testing• Integrated IPRS check to verify national IDs• Integrated features to upload required NHIF documents and take

headshots• Integrated with NHIF database to activate members swiftly

NHIF digital enrollment improvements being explored and implemented• Add unique county household ID• Crop photo feature to improve quality

15

NHIF dashboard already in development – to be adjusted for Kisumu county needs

6. Reporting

Strategic decision making required: enrollment scope in year 1

Scope year 1

Big bang approachAll county residents

Phased approach

All indigents

Targeted HHs ConsiderationsEst. premium cost

233K households1.16M individuals

70K households350K individuals

+ UHC obtained within 1 year+ Utilise any available subsidies for the benefit of Kisumu inhabitants- Unclear whether WB / national government will subsidise all

premiums at 100%- if so this cannot be expected beyond one year and the county cannot sustain the financial burden

- Hard to move HHs to more sustainable co-payment after 1 year

KSH 419MTo subsidise 30% population (indigents) at 100% premium subsidy

KSH 1,3BTo subsidise 90% population at 100% premium subsidy

+ All Kisumu indigents on a sustainable cover within 1 year+ Kisumu county can sustain the premium subsidy moving forward+ WB/government funds can be invested in supply

upgrades/programme costs± Allows time to develop and test the right co-payment mechanisms

for the informal sector; these are still urgent to accelerate the approach

- Phased approach; slower process to reach UHC

1

2

Executive Committee decision requested on scope of enrollment scope for year 1

Need to test 2 operational enrollment methods before deciding on scaling approach

Scope year 1

Fully digital 1-step enrollment

(Semi-)digital 2-step enrollment

Summary of approach Pro’s

+ Ideal case: 1 visit by CHV+ No manual work or data entry

- Require CHVs to be equipped with smartphones (on a rotational basis)

- High training costs (digital training)- Expected data quality issues resulting

from differing digital ability of CHVs- Potentially large # of rework/revisits in

case of missing documentation

1

2

TWG requests testing both approaches in the field before deciding on definite enrollment approach

1. Integrated socio-economic survey & NHIF registration by CHVs in indigent households

2. Data verification of eligible indigents

3. Hard copy MOH513 & socio economic

Con’s

1. Hard copy MOH513 & socio economic survey by CHVs in all households

2. Data entry & analysis

3. CHVs & text message mobilises indigents to register

4. Registration at Community Unit based registration desks

+ Combined household mapping+ Less registration data quality issues+ Reduced smartphone purchase costs+ Natural community networking due to

visible registration

- Timely and costly manual data entry- Households may not spend time/money

to travel to registration- Long registration ques may discourage

households - Longer registration process

18

Detail: Fully digital 1-step enrollment approach

CHV All Households

Socio-economic survey & NHIF registration

Indigents activated on NHIFText message notification

Indigent Household

Issues or rework referral

Registration assistance helpdesk

Indigent Household

Pre-test on 7-10 May

Challenges• Lack of high quality

smartphone ownership amongst CHVs

• Feasibility of household registrations per day

• Data quality concerns

Pre-test on 7-10 MayAim is to:• Assess challenges• Determine mitigants• Refine approach

19

Detail: (semi-)digital 2-step enrollment approach

Socio-economic mapping

CHVs: indigent households

Hard-copy summaryCHA

Data entrySub-county desk with additional workforce

Data analysis to assess premium entitlement

Data analysts

List of indigents with entitlements

List of entitled indigent households

CHA

Mobilise entitled indigent households

CHV

Mobilisation SMS to households

NHIF registration desk

Mapping4 weeks

Mapping incl. data entry7 weeks

Data analysis1 week

Mobilisation Registration2 weeks

Additional steps in case registration is manual

CHVs and agents paid daily on the basis of performance; smartphone ownership is a prerequisite

20

Full digital approach pre-test: 7 May - 10 May

MONDAY TUESDAY WEDNESDAY THURSDAY

TRAIN & TEST• Morning: intro &

training of 2-3 CHV’s or agents to enroll ≥ 10 Households

• Afternoon: CHVs/agents start Household enrollment

TEST• Full day: CHV

Household enrollment

OBJECTIVES

Test CHV/agent training on the tool Test participant identification, means mapping and NHIF enrollment (integrated approach)

Learn ease of use Learn time of HH enrollment Learn HH response Learn data bundle/air time requirements

Test predictive value of means mapping approach Test participant journey Evaluate and decide on enrollment approach; integrated means mapping/NHIF enrollment and/or

separate registration/means mapping

TESTFull day: CHV Household enrollment

TEAM

EVALUATION• Morning: CHV

evaluation session

DESIGN• Afternoon: Design

adjustments demand technical working group

KISUMU COUNTY• Oyolla• Ongwara

SUB-COUNTY• 2 CHEWs• 6 CHVs• 2 sub-county

CHSFPs• 2 sub-county

HPOs• 20 HH per CHV

for enrollment

PAF• Rose • (trainer &

support)• Kepher (trainer

& support)

21

Technology support for demand is on track

REGISTRATION STEPS DESCRIPTION TECHNOLOGY STATUS

1. UHC Wallet Creation of mobile wallet to hold Kisumu UHC entitlements for the participant

UHC benefit wallet developed per beneficiary group: indigent full subsidy developed

• UHC benefit wallets for informal / formal sector to be developed

• UHC wallet look & feel to be tailored to Kisumu County requirements

2. Means mapping Means mapping questionnaire for Kisumu County to assess eligible member entitlements

Initial means mapping tool for testing developed

• Means mapping tool to be adjusted based on pre-test

• Means mapping tool application to be tailored to Kisumu County look & feel and requests

3. NHIF enrollment Digital NHIF enrollment (to ensure member has an activated

NHIF enrollment developed NHIF system integration in place NHIF approval required to register for this

programme

Community sensitization, mobilisation and registration (I)Final planning and budget dependent on chosen enrollment approach

# Meeting Target audience Activity purpose # meetings and/or duration

1 Consultative meeting CHAs, Chiefs, Assistant chiefs & Village elders per ward (35 wards)

• Advocacy and social mobilization• Serve as sensitization meeting• Planning meeting for the survey

35 (TBC)

2 Sensitization meeting All CHVs and village elders • Household mapping Community unit level 193

3 Household mapping Households By CHVs and village elders:• Households are given unique codes• Determine actual households• Determine actual population

Duration : 14 daysParticipants: All CHVs in their villages. They shall be supervised by their CHAs

4 Sensitization meeting social-economic mapping

CHVs and village elders Socioeconomic survey tool to determinethe following categories of people;• Formal employment (with/without health

insurance)• Informal employment (with/without health

insurance)• Unemployed (with/without health insurane

but can afford to pay) Indigents (30%)

Duration: 21 daysParticipants : All CHVs in their villages supervised by their CHAs

5 Identification of registration CHVs

SCCHSFPs and CHAs • Select CHVs to be involved in Actual registration

Duration: 5 days

6 Registration training CHVs & CHAs

CHAs and selected CHVs • Training on actual registration Duration: 5 days

Community sensitization, mobilisation and registration (II)Final planning and budget dependent on chosen enrollment approach

# Meeting Target audience Activity purpose # meetings and/or duration

8 Actual registration Households Carried out by CHVs and village elders identified, overseen by the CHAs:• This activity shall be guided by the results of

the HH mapping and socioeconomic survey

3 months

9 Follow-up Households • Follow-up on household registration; e.g.missing documentation, adding of dependents, acceptance of Tems & Conditions and/or any other issues

As required

24

High level enrollment planningFinal planning dependent on chosen enrollment approach

May Jun Jul18 19 20 21 22 23 24 25 26 27 28 29 30 31

Demand preparation

07-May-18 - 11-May-18

01-Jul-18 - 13-Jul-18

Pre-test

Refine approach

Start community ID drive

Executive Committee

Executive Committee go-live13-Jul-18

01-Apr-18 - 04-May-18

07-May-18

29-May-18

Start registration process

Pilot test (full CU)

01-Jun-18 - 01-Aug-18

04-Jun-18 - 29-Jun-18

Enrollment preparations

Update Executive Committee

Finalize approach

16-Jul-18

14-May-18 - 29-May-18

25

Agenda


26

Objectives

A. Strengthen provision and utilization of primary healthcare in Kisumu County.

B. Implement a Hub and Spoke referral system for efficient full continuum of healthcare services.

C. Strengthen the quality assurance and improvement system in service delivery.

D. Leverage digital technologies and data to implement UHC.

Provide access to quality healthcare to all at all levels of service delivery

27

We have defined 5 work streams to work towards the objectives

Secondary health care Tertiary health carePrimary health care

Investments in system• Infrastructure• HR• Supply chain

Quality

Technology

Governance

1COMMUNITY

HEALTH STRATEGY

2

Upgrade service delivery foundation

3

Improve quality of health services delivery

4Leverage technology for business and quality control

5Set-up governance structure, inc hub & spoke

28

Deep-dive work streams

INFRASTRUCTUREUpgrade Health Infrastructure

foundation

QUALITYImprove quality of

health services delivery

2.1 Current infrastructure costing assessment• Infrastructure• HR• Strengthen supply chain

(medical & commodity)• Hub & spoke structure

2.2 To-be county investments• Kisumu county hub and

spoke model mapping specified per sub-county

• Investment upgrade need

1.1 CHV empowerment• CHV stipend• CHVs intervention kit to

perform situational analysis and situational treatment for key diseases

1.2 Digital community empowerment• Preventive household

warnings and support via mobile phone

Health infrastructure investment plan

Intervention business plan

PHC ServicesSecondary & Tertiary

Services

3.1 Current quality assessment• Baseline assessment

current hospital quality rating

3.2 To-be done• Quality methodology• Costing per quality

improvement drive

Operational quality improvement plan

4.1 Financial data to improve transparency & efficiency• Streamlined claims data• Billing data• Revenues

4.2 Clinical data to improve care• Test, diagnostics and

treatment data

Data collection & analytics plan

COMMUNITY HEALTH STRATEGY

CHV Involvement

TECHNOLOGYLeverage technology for

business and quality control

Data Analytics

3 421

5.1 Set-up governance structure to manage full supply system, including referral system, legal elements and investment

Governance structure, investments and legal

GOVERNANCEStrengthen governance

structure, inc hub & spoke

Governance

5

29

Implement a Hub and Spoke referral system for efficient full continuum of healthcare services.

30

Implement a Hub and Spoke referral system for efficient full continuum of healthcare services.

Kisumu MFL

FACILITIES - KISUMU COUNTY

MFL CodeNameCountySub countyWard

22336Rapha Healthcare CentreKISUMUkisumu centralKONDELE

22105Hope for Widows & Children Foundation Nursing HomeKISUMUkisumu centralNYALENDA A

22094MAAYGO DiceKISUMUkisumu centralSHAURI MOYO KALOLENI

22064Dunga DispensaryKISUMUkisumu centralNYALENDA B

21706St. Lydia Okore DispensaryKISUMUkisumu centralSHAURI MOYO KALOLENI

21704Inuka Medical CenterKISUMUkisumu centralMARKET MILIMANI

20965Kisumu Beyond Zero Mobile ClinicKISUMUkisumu centralMARKET MILIMANI

20964Kisumu Diagnostic CenterKISUMUkisumu centralMARKET MILIMANI

20963AL Nur Medical Clinic & LaboratoryKISUMUkisumu centralMARKET MILIMANI

20962Helsamy Medical ClinicKISUMUkisumu centralKONDELE

20957Meridian Medical Centre-KisumuKISUMUkisumu centralMARKET MILIMANI

20956AAR Health Care-KisumuKISUMUkisumu centralMARKET MILIMANI

20937Kilimani Assessment CenterKISUMUkisumu centralMARKET MILIMANI

20905Maseno University AIDS Control Unit(City Campus)KISUMUkisumu centralMARKET MILIMANI

20836St. Monica Hospital Town ClinicKISUMUkisumu centralSHAURI MOYO KALOLENI

20539Interfelk Medical CentreKISUMUkisumu centralNYALENDA B

20523Tumaini DiCE KisumuKISUMUkisumu centralMARKET MILIMANI

20123Avenue Hospital KisumuKISUMUkisumu centralSHAURI MOYO KALOLENI

19927Global Providers International ClinicKISUMUkisumu centralKONDELE

19897Abundant Life ClinicKISUMUkisumu centralNYALENDA B

19869Kisumu Police Lines DispensaryKISUMUkisumu centralMARKET MILIMANI

18225Nyaweri Deaf VCTKISUMUkisumu centralSHAURI MOYO KALOLENI

17700Stops Medical Clinic Kenya LtdKISUMUkisumu centralSHAURI MOYO KALOLENI

17554K-Met CorkranKISUMUkisumu centralSHAURI MOYO KALOLENI

17376Victoria Sub District HospitalKISUMUkisumu centralMARKET MILIMANI

16882St Jones &Ring Road Health ClinicKISUMUkisumu centralNYALENDA B

13856Nightingale Medical CentreKISUMUkisumu centralSHAURI MOYO KALOLENI

13808Milimani HospitalKISUMUkisumu centralNYALENDA B

13939Jaramogi Oginga Odinga Teaching Referral HospitalKISUMUkisumu centralSHAURI MOYO KALOLENI

13704Kisumu County HospitalKISUMUkisumu centralMARKET MILIMANI

13887Nyalenda Health CentreKISUMUkisumu centralNYALENDA B

13738Lumumba Sub County HospitalKISUMUkisumu centralSHAURI MOYO KALOLENI

13596Guru Nanak DispensaryKISUMUkisumu centralMARKET MILIMANI

13464Administration Police Dispensary (Kisumu East)KISUMUkisumu centralNYALENDA B

14027Railways Dispensary (Kisumu)KISUMUkisumu centralMARKET MILIMANI

13552Family Health Options Kenya (FHOPK) DispensaryKISUMUkisumu centralMARKET MILIMANI

14012Pand Pieri Community DispensaryKISUMUkisumu centralNYALENDA B

14070Sayyid Aysha DispensaryKISUMUkisumu centralMARKET MILIMANI

13632Jalaram Nursing HomeKISUMUkisumu centralSHAURI MOYO KALOLENI

13776Marie Stopes Nursing Home (Kisumu)KISUMUkisumu centralSHAURI MOYO KALOLENI

14129Star Maternity & Nursing HomeKISUMUkisumu centralNYALENDA B

13490Avenue Health Care ClinicKISUMUkisumu centralMARKET MILIMANI

13520Central Clinic (Kisumu East)KISUMUkisumu centralMARKET MILIMANI

13835Mv Patel ClinicKISUMUkisumu centralMARKET MILIMANI

14113St Jude's ClinicKISUMUkisumu centralSHAURI MOYO KALOLENI

16663Tuungane Youth Centre (Kisumu East)KISUMUkisumu centralSHAURI MOYO KALOLENI

16662Liverpool VCT (Kisumu East)KISUMUkisumu centralSHAURI MOYO KALOLENI

14127St Vincent Clinic (Kisumu East)KISUMUkisumu centralRAILWAYS

13465Aga Khan Hospital (Kisumu)KISUMUkisumu centralMARKET MILIMANI

14117St Luke's HospitalKISUMUkisumu centralMARKET MILIMANI

22365Mt.Sinai HospitalKISUMUkisumu eastKAJULU

22354Kisumu Specialist HospitalKISUMUkisumu eastKAJULU

21899Kotunga DispensaryKISUMUkisumu eastKOLWA EAST

21705Kuoyo Health CenterKISUMUkisumu eastMANYATTA B

21047Orongo DispensaryKISUMUkisumu eastKOLWA EAST

20512Manyatta Community Medical ClinicKISUMUkisumu eastMANYATTA B

20016Careplus Medical ServicesKISUMUkisumu eastKAJULU

18969Geva Family Health ServicesKISUMUkisumu eastKOLWA CENTRAL

18834Wheel Kenya Medical ClinicKISUMUkisumu eastKOLWA EAST

18417Mamboleo Medical ClinicKISUMUkisumu eastKAJULU

14120St Monica HospitalKISUMUkisumu eastKAJULU

13579GK Prisons Dispensary (Kibos)KISUMUkisumu eastKOLWA EAST

13829MTC Clinic (Kisumu)KISUMUkisumu eastMANYATTA B

13647Gita Sub County HospitalKISUMUkisumu eastKAJULU

13689Kibos Sugar Research DispensaryKISUMUkisumu eastKAJULU

14088Simba Opepo DispensaryKISUMUkisumu eastKAJULU

13591Got Nyabondo DispensaryKISUMUkisumu eastKAJULU

13524Chiga DispensaryKISUMUkisumu eastKOLWA EAST

13890Nyalunya DispensaryKISUMUkisumu eastKOLWA CENTRAL

14106St Elizabeth Chiga Health CentreKISUMUkisumu eastKOLWA EAST

13977Olps ClinicKISUMUkisumu eastKOLWA CENTRAL

13534Disciples of Mercy ClinicKISUMUkisumu eastKAJULU

22806Dago DispensaryKISUMUkisumu westKISUMU NORTH

22748Get Well ClinicKISUMUkisumu westKISUMU NORTH

21766St. Jairus HospitalKISUMUkisumu westCENTRAL KISUMU

21208Mainga DispensaryKISUMUkisumu westWEST KISUMU

20386SOS Children Medical ClinicKISUMUkisumu westCENTRAL KISUMU

20199Mbaka Oromo DispensaryKISUMUkisumu westNORTH WEST KISUMU

18414Masaba Hospital KisumuKISUMUkisumu westNORTH WEST KISUMU

18301Kemri ClinicKISUMUkisumu westSOUTH WEST KISUMU

17553Kisumu International Airport DispensaryKISUMUkisumu westCENTRAL KISUMU

17175Sunga DispensaryKISUMUkisumu westNORTH WEST KISUMU

17174Lwala Kadawa DispensaryKISUMUkisumu westWEST KISUMU

14017Port Florence HospitalKISUMUkisumu westCENTRAL KISUMU

13469Airport Dispensary (Kisumu)KISUMUkisumu westCENTRAL KISUMU

13781Maseno Mission HospitalKISUMUkisumu westNORTH WEST KISUMU

13528Chulaimbo Sub-District HospitalKISUMUkisumu westNORTH WEST KISUMU

13880Nyahera Sub District HospitalKISUMUkisumu westKISUMU NORTH

13709Kodiaga Prison Health CentreKISUMUkisumu westCENTRAL KISUMU

13954Ober Kamoth Health CentreKISUMUkisumu westSOUTH WEST KISUMU

13730Lake Basin Development Authority (Lbda) DispensaryKISUMUkisumu westCENTRAL KISUMU

14060Rota DispensaryKISUMUkisumu westSOUTH WEST KISUMU

13971Ojola DispensaryKISUMUkisumu westSOUTH WEST KISUMU

14118St Mark's Lela DispensaryKISUMUkisumu westCENTRAL KISUMU

14046Riat DispensaryKISUMUkisumu westWEST KISUMU

16664Usoma DispensaryKISUMUkisumu westCENTRAL KISUMU

14094Siriba DispensaryKISUMUkisumu westNORTH WEST KISUMU

13782Maseno University Medical ClinicKISUMUkisumu westNORTH WEST KISUMU

20907Miranga DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20503Jaber DispensaryKISUMUmuhoroniMUHORONI KORU

20501Nyangore DispensaryKISUMUmuhoroniCHEMELIL

20500Nyakunguru DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20334Yago Community DispensaryKISUMUmuhoroniCHEMELIL

20332Milenye DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20331Ramula DispensaryKISUMUmuhoroniOMBEYI

19815Agro Chemical DispensaryKISUMUmuhoroniMUHORONI KORU

18338Nehemiah International DispensaryKISUMUmuhoroniMIWANI

17121Mama Plister Blair Health CentreKISUMUmuhoroniOMBEYI

17111Mashambani DispensaryKISUMUmuhoroniCHEMELIL

17110Koru DispensaryKISUMUmuhoroniMUHORONI KORU

13928Nyang'oma Sub county HospitalKISUMUmuhoroniMASOGO/NYANG'OMA

16282Kasongo DispensaryKISUMUmuhoroniOMBEYI

13759Makindu DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

13785Masogo Sub County HospitalKISUMUmuhoroniMASOGO/NYANG'OMA

13831Muhoroni County HospitalKISUMUmuhoroniMUHORONI KORU

13968Ogra Health CentreKISUMUmuhoroniOMBEYI

14021Rachar Sugar Belt HospitalKISUMUmuhoroniMUHORONI KORU

13719Koru Mission Health CentreKISUMUmuhoroniMUHORONI KORU

13832Muhoroni Sugar Company (Musco) DispensaryKISUMUmuhoroniMUHORONI KORU

13522Chemelil Sugar Health CentreKISUMUmuhoroniMUHORONI KORU

14128St Vincents De Paul Health CentreKISUMUmuhoroniMUHORONI KORU

14141Tamu Health CentreKISUMUmuhoroniCHEMELIL

13687Kibigori DispensaryKISUMUmuhoroniCHEMELIL

13652Kandege DispensaryKISUMUmuhoroniMUHORONI KORU

13817Mnara DispensaryKISUMUmuhoroniMUHORONI KORU

13965Ogen DispensaryKISUMUmuhoroniCHEMELIL

13956Obumba DispensaryKISUMUmuhoroniOMBEYI

13521Chemelil GOK DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

13816Miwani DispensaryKISUMUmuhoroniMIWANI

22775Bethlehem Home HospitalKISUMUnyakachSOUTH EAST NYAKACH

22220Nyalunya Community Nursing HomeKISUMUnyakachCENTRAL NYAKACH

21039Rang'ul DispensaryKISUMUnyakachCENTRAL NYAKACH

20240Cherwa DispensaryKISUMUnyakachNORTH NYAKACH

20209Onyuongo DispensaryKISUMUnyakachCENTRAL NYAKACH

18867Nyabondo Rehabilitation CentreKISUMUnyakachSOUTH EAST NYAKACH

18865Nyabola CDF DispensaryKISUMUnyakachCENTRAL NYAKACH

18725Pedo DispensaryKISUMUnyakachCENTRAL NYAKACH

18721Kandaria Medical CentreKISUMUnyakachSOUTH EAST NYAKACH

18720House of Hope Medical CentreKISUMUnyakachNORTH NYAKACH

16870St Jane Nursing HomeKISUMUnyakachWEST NYAKACH

13864Nyabondo Mission HospitalKISUMUnyakachSOUTH EAST NYAKACH

14096Sondu Health CentreKISUMUnyakachCENTRAL NYAKACH

13921Nyakach Sub County HospitalKISUMUnyakachCENTRAL NYAKACH

14086Sigoti Health CentreKISUMUnyakachSOUTH EAST NYAKACH

13727Kusa Health CentreKISUMUnyakachWEST NYAKACH

13657Katito Health CentreKISUMUnyakachNORTH NYAKACH

14104St Clare Bolo Health CentreKISUMUnyakachWEST NYAKACH

13688Kibogo DispensaryKISUMUnyakachNORTH NYAKACH

14066Sango Rota DispensaryKISUMUnyakachWEST NYAKACH

13506Bonde DispensaryKISUMUnyakachCENTRAL NYAKACH

13899Nyamarimba DispensaryKISUMUnyakachSOUTH WEST NYAKACH

14024Rae DispensaryKISUMUnyakachNORTH NYAKACH

13955Oboch DispensaryKISUMUnyakachSOUTH WEST NYAKACH

13477Anding'o Opanga DispensaryKISUMUnyakachWEST NYAKACH

13881Nyakach (AIC) DispensaryKISUMUnyakachSOUTH WEST NYAKACH

13669Kengen ClinicKISUMUnyakachWEST NYAKACH

21671Kochieng Health CentreKISUMUnyandoKOBURA

21657Kadhiambo dispensaryKISUMUnyandoKABONYO/KANYAGWAI

21310Komwaga Health CenterKISUMUnyandoKABONYO/KANYAGWAI

20666Okana DispensaryKISUMUnyandoKOBURA

20531Koduol Reru DispensaryKISUMUnyandoKABONYO/KANYAGWAI

20524Absalom Wangulu DispensaryKISUMUnyandoKOBURA

20398Umbrella Health ClinicKISUMUnyandoKOBURA

18800Oren Health CentreKISUMUnyandoAWASI/ONJIKO

18456Impact Research-Tuungane (Nyando)KISUMUnyandoAHERO

18430Magina Health CenterKISUMUnyandoEAST KANO/WAWIDHI

18421Katolo-Manyatta DispensaryKISUMUnyandoEAST KANO/WAWIDHI

18415The Hope Medical Centre-AwasiKISUMUnyandoAWASI/ONJIKO

18291Ahero Medical CentreKISUMUnyandoAHERO

18283Wanganga Health CentreKISUMUnyandoAWASI/ONJIKO

17118Holo DispensaryKISUMUnyandoAWASI/ONJIKO

13468Ahero County HospitalKISUMUnyandoAHERO

14020Rabuor Sub county HospitalKISUMUnyandoKOBURA

16283Kadinda Health CentreKISUMUnyandoAHERO

13694Kinasia DispensaryKISUMUnyandoEAST KANO/WAWIDHI

13654Kanyagwal DispensaryKISUMUnyandoAHERO

13976Olasi Dispensary (Nyando)KISUMUnyandoEAST KANO/WAWIDHI

13518Bunde DispensaryKISUMUnyandoAHERO

13884Nyakongo DispensaryKISUMUnyandoEAST KANO/WAWIDHI

13923Nyangande Health CentreKISUMUnyandoKABONYO/KANYAGWAI

13609Hongo Ogosa Health CentreKISUMUnyandoKOBURA

13491Awasi Mission Health CenterKISUMUnyandoAWASI/ONJIKO

13516Boya Nursing HomeKISUMUnyandoAHERO

22192Bongu Konyango DispensaryKISUMUsemeNORTH SEME

21262Lolwe DispensaryKISUMUsemeCENTRAL SEME

20377Dago Jonyo DispensaryKISUMUsemeWEST SEME

20069Osewre DispensaryKISUMUsemeWEST SEME

20028Shalom Medical ClinicKISUMUsemeWEST SEME

20024Otieno Owala DispensaryKISUMUsemeNORTH SEME

18422Oriang Kanyadwera DispensaryKISUMUsemeNORTH SEME

18290Melkasons ClinicKISUMUsemeCENTRAL SEME

18250Langi Kawino DispensaryKISUMUsemeEAST SEME

18086Oriang' Alwala DispensaryKISUMUsemeWEST SEME

17173Onyinjo DispensaryKISUMUsemeEAST SEME

17172Kolenyo DispensaryKISUMUsemeCENTRAL SEME

17171Kuoyo Kaila DispensaryKISUMUsemeEAST SEME

13810Miranga Sub County HospitalKISUMUsemeEAST SEME

13714Kombewa Sub County Refferal HospitalKISUMUsemeCENTRAL SEME

13770Manyuanda Sub county HospitalKISUMUsemeWEST SEME

14040Ratta Health CentreKISUMUsemeNORTH SEME

13487Asat Beach DispensaryKISUMUsemeWEST SEME

14057Rodi DispensaryKISUMUsemeEAST SEME

13503Bodi Health CentreKISUMUsemeCENTRAL SEME

13848Nduru Kadero DispensaryKISUMUsemeNORTH SEME

13720Korwenje DispensaryKISUMUsemeNORTH SEME

13990Opapla DispensaryKISUMUsemeWEST SEME

13484Arito Langi DispensaryKISUMUsemeWEST SEME

13498Bar Korwa Health CentreKISUMUsemeNORTH SEME

Hubs & Spokes

COUNTY REFERRAL HOSPITALSUB-COUNTYCOUNTY HOSPITALSSUB-COUNTY HOSPITALSHEALTH CENTRESDISPENSARIES

KISUMU COUNTY REFERRAL HOSPITALNyando1. Ahero County Hospital1.1 Nyangande SCH1.1.1 Oren HC1.1.1.1 Okana DispensarySUMMARY

1.1.2 Wang'ang'a HC1.1.2.1 Holo DispensaryCOUNTY REFERRAL HOSPITALS1

1.1.3 Kochieng HC1.1.3.1 Kadhiambo DispensaryCOUNTY HOSPITALS5

1.1.4 Hongo Ongosa HC1.1.3.2 Bunde DispensarySUB-COUNTY HOSPITALS11

1.1.5 Komwaga HC1.1.3.3 Nyakongo DispensaryHEALTH CENTRES21

DISPENSARIES

1.2 Rabuor SCH1.2.1 Magina HC1.2.1.1 Olasi DispensaryTOTAL

1.2.2 Kadinda HC1.2.2.1 Kinasia Dispensary

1.2.2.2 Kanyagwal Dispensary

Muhoroni2. Muhoroni County Hospital2.1 Nyangoma SCH2.1.1 Tamu HC2.1.1.1 Kibigori Dispensary

2.1.1.2 Kandege Dispensary

2.1.1.3 Mnara Dispensary

2.1.1.4 Ogen Dispensary

2.1.1.5 Obumba Dispensary

2.1.1.6 Chemelil GOK Dispensary

2.1.1.7 Miwani Dispensary

2.1.1.8 Miranga Dispensary

2.1.1.9 Jaber Dispensary

2.1.1.10 Nyangore Dispensary

2.1.1.11 Nyakunguru Dispensary

2.1.1.12 Yago Community Dispensary

2.1.1.13 Milenye Dispensary

2.1.1.14 Koru Dispensary

2.1.1.15 Kasongo Dispensary

2.1.1.16 Makindu Dispensary

2.1.1.17 Ramula Dispensary

2.2 Masogo SCH

Seme3. Kombewa County Hospital3.1 Manyuanda SCH3.1.1 Bar Korwa HC3.1.1.1 Lolwe Dispensary

3.1.1.2 Dago Jonyo Dispensary

3.1.1.3 Kolenyo Dispensary

3.1.1.4 Oriang' Alwala Dispensary

3.1.1.5 Onyinjo Dispensary

3.1.1.6 Asat Beach Dispensary

3.1.2 Bodi HC3.1.2.1 Osewre Dispensary

3.1.2.2 Oriang Kanyadwera Dispensary

3.1.2.3 Langi Kawino Dispensary

3.1.2.4 Kuoyo Kaila Dispensary

3.1.2.5 Rodi Dispensary

3.1.2.6 Nduru Kadero Dispensary

3.1.2.7 Opapla Dispensary

3.1.2.8 Arito Langi Dispensary

3.2 Miranga SCH3.2.3 Ratta HC3.2.3.1 Bungu K'Onyango Dispensary

3.2.3.2 Otieno Owala Dispensary

Nyakach4. Nyakach County Hospital4.1 Nyamarimba SCH4.1.1 Sigoti HC4.1.1.1 Onywongo Dispensary

4.1.1.2 Nyakach Dispensary

4.1.2 Sondu SCH4.1.2.1 Oboch Dispensary

4.1.3.1 Rang'ul Dispensary

4.1.3 Katito SCH4.1.3.2 Cherwa Dispensary

4.1.3.4 Pedo Dispensary

4.1.3.5 Bonde Dispensary

4.1.3.6 Rae Dispensary

4.1.3.7 Anding'o Opanga Dispensary

4.1.4 St. Claire Bolo HC

4.1.5 Kochieng' HC

4.1.6 Kusa HC4.1.6.1 Sangorota Dispensary

Kisumu West5. Chulaimbo County Hospital5.1 Nyahera SCH5.1.1 Kodiaga Prison HC5.1.1.1 Mbaka Oromo Dispensary

5.1.1.2 Sunga Dispensary

5.1.1.3 Ojola Dispensary

5.1.1.4 St. Marks Lela Dispensary

5.1.1.5 Rota Dispensary

5.1.1.6 Riat Dispensary

5.1.1.7 Siriba Dispensary

5.1.1.8 Airport Dispensary

5.1.2 Ober Kamoth HC5.1.2.1 Daga Dispensary

5.1.2.2 Lwala Kadawa Dispensary

Kisumu Central66.1 Lumumba SCH6.1.1 Nyalenda HC6.1.1.1 Dunga Dispensary

6.1.1.2 St. Lydia Okore Dispensary

Kisumu East77.1 Gita SCH7.1.1 St. Elizabeth Chiga 7.1.1.1 Kotunga Dispensary

7.1.1.2 Orongo Dispensary

7.1.1.3 Kibos Sugar Research Dispensary

7.1.1.4 Chiga Dispensary

7.1.1.5 GK Prisons Dispensary

7.1.2 Kuoyo HC

Available Health Services

SERVICES AVAILABLE PER HEALTH FACILITY

KEY:

Services Available

Services Not Available

COUNTY HOSPITALSGeneral Out PatientIn-PatientPharmaceutical ServicesBasic DiagnosticsComprehensive Youth Frendly ServicesIntegrated MCH/Family Planning ServicesMaternityComprehensive DiagnosticsOperative Surgical ServicesX-rayBlood Transfusion ServicesUltra SoundNewborn ServicesAccident and EmergencyDentalRehabilitation ServicesPalliative CareSpecialized ClinicsSpecialized Therapies

1. Ahero County Hospital

1.1 Hongo Ongosa SCH

1.1.1 Oren HC

1.1.2 Wang'ang'a HC

1.1.1.1 Okana Dispensary

1.1.2.1 Holo Dispensary

1.2 Nyangande SCH

1.2.1 Kochieng HC

1.2.1.1 Kadhiambo Dispensary

1.2.1.2 Bunde Dispensary

1.2.1.3 Nyakongo Dispensary

1.2.2 Komwaga HC

1.3 Rabuor SCH



1.3.2.1 Kinasia Dispensary


2. Muhoroni County Hospital

2.1 Nyangoma SCH

2.1.1 Tamu HC

2.1.1.1 Kibigori Dispensary

















2.2 Masogo SCH

3. Kombewa County Hospital (6)

3.1 Manyuanda SCH

3.1.1 Bar Korwa HC

3.1.1.1 Lolwe Dispensary






3.1.2 Bodi HC

3.1.2.1 Osewre Dispensary








3.2.3 Ratta HC

3.2.3.1 Bungu K'Onyango Dispensary


4. Nyakach County Hospital

4.1 Nyamarimba SCH

4.1.1 Sigoti HC

4.1.1.1 Onywongo Dispensary


4.1.2 Sondu HC

4.1.2.1 Oboch Dispensary

4.1.3 Katito HC


4.1.3.2 Cherwa Dispensary






4.1.5 Kochieng' HC

4.1.6 Kusa HC

4.1.6.1 Sangorota Dispensary

5. Chulaimbo County Hospital

5.1 Nyahera SCH

5.1.1 Kodiaga Prison HC

5.1.1.1 Mbaka Oromo Dispensary








5.1.2 Ober Kamoth HC

5.1.2.1 Daga Dispensary


6.1 Lumumba SCH

6.1.1 Nyalenda HC

6.1.1.1 Dunga Dispensary


7.1 Gita SCH

7.1.1 St. Elizabeth Chiga

7.1.1.1 Kotunga Dispensary





7.1.2 Kuoyo HC

Notes:

1. List of services derived from Kenya Health Strategic Plan II (pg 39)

2. Basic diagnostics include rapid diagnostic tests, microscopy

3. Comprehensive diagnostics include haemogram, biochemistry, immunology

4. X-ray machine available in Chulaimbo County Hospital but no staff

5. Muhoroni County Hospital has been built - awaiting equipment and staffing

6. Kombewa CH has no radiographer

Upgrade planning

Facility upgrades

Discuss primary healthcare needs at dispensary and health centre levels

Chulaimbo

Kombewa

Nyakach

Ahero

Muhoroni

Theatre investment

Radiology investment

Total

*Require a financing solution to fund the investments

CH Infrastructure Gap

Inputs to Benefit From NHIF Payments

1. Ahero County Hospital2. Muhoroni County Hospital3. Kombewa County Hospital 4. Nyakach County Hospital5. Chulaimbo County Hospital

Maternity

· Parenteral antibiotics

· Parenteral oxytocics

· Parenteral anti-convulsants

· Manual removal of a retained placenta

· Removal of retained products of conception by manual vacuum aspiration (MVA)

· Assisted vaginal delivery (vacuum extraction)

· Ability to resuscitate a baby using ‘bag and mask’

RadiologyNo xray and ultra-soundNo xray and ultra-soundNo ultra-soundNo xray and ultra-soundNo ultra-sound

Surgical PackageNo surgical setsTheatre building availableNo theatre and equipmentNo theatre and equipmentNo theatre and equipment

No autoclaveNo equipment in theatre

There is space for a 2nd theatre; needs to be equipped.

Blood Transfusion ServicesNo lab equipment No lab equipment No lab equipment No lab equipment

Chronic Disease ManagementNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipment

LaboratoryNo immunologyNo haematologyNo haematologyNo haematologyNo haematology

No pathologyNo biochemistryNo biochemistryNo biochemistryNo biochemistry

No immunologyNo immunologyNo immunologyNo immunology

No pathologyNo pathologyNo pathologyNo pathology

Bed capacity (12 - 49)20 beds

Ambulance (BLS)11111

SCH Infrastructure Gap

1.2 Nyangande SCH1.3 Rabuor SCH2.1 Nyangoma SCH2.2 Masogo SCH3.1 Manyuanda SCH3.2 Miranga SCH4.1 Nyamarimba SCH5.1 Nyahera SCH6.1 Lumumba SCH7.1 Gita SCH4.1.2 Sondu SCH4.1.3 Katito SCH

Maternity








RadiologyNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-sound

Surgical PackageNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipment

Blood Transfusion ServicesNo lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment

Chronic Disease ManagementNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipment

LaboratoryNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematology

No biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistry

No immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunology

No pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathology

Bed capacity (12 - 49)

CH Available HRH

Ahero County HospitalMuhoroni County HospitalKombewa County Hospital Nyakach County HospitalChulaimbo County Hospital

SPECIALISTS00000

MEDICAL OFFICER30211

NURSES30262218

RCO7674

PHARMACISTS2201

PHARM TECHS3112

PHYIOTHERAPISTS1111

OCCUPATIONAL THERAPIST00001

RADIOLOGIST0000

RADIOGRAPHER0111

LABORATORY TECHNICIAN4445

DENTISTS1001

COMMUNITY ORAL HEALTH OFFICER0000

MEDICAL ENGINEERS0000

CO ANAESTHETISTS3000

ANAESTHESIOLOGISTS0000

NUTRITIONISTS0000

HEALTH ADMINISTRATION OFFICER0100

SCH Available HRH

Nyangande SCHRabuor SCHNyangoma SCHMasogo SCHManyuanda SCHMiranga SCHNyamarimba SCHNyahera SCHLumumba SCHGita SCHSondu SCHKatito SCH

SPECIALISTS

MEDICAL OFFICER

NURSES

RCO

PHARMACISTS

PHARM TECHS

PHYIOTHERAPISTS

OCCUPATIONAL THERAPIST

RADIOLOGIST

RADIOGRAPHER

LABORATORY TECHNICIAN

DENTISTS

COMMUNITY ORAL HEALTH OFFICER

MEDICAL ENGINEERS

CO ANAESTHETISTS

ANAESTHESIOLOGISTS

NUTRITIONISTS

HEALTH ADMINISTRATION OFFICER

KCH Infrastructure Gap

KCH

Maternity








Radiology

Surgical Package

Blood Transfusion Services

Chronic Disease Management

Laboratory


Ambulance (BLS)

KCH HRH

KCH

SPECIALISTS

PHYSICIAN1

PAEDIATRICIAN1

OB/GYN1

SURGEON2

MEDICAL OFFICER21

NURSES118

RCO14

PHARMACISTS3

PHARM TECHS8

PHYIOTHERAPISTS3


RADIOLOGIST1

RADIOGRAPHER3


DENTISTS2


MEDICAL ENGINEERS3

CO ANAESTHETISTS3

ANAESTHESIOLOGISTS0

NUTRITIONISTS0


MaternityPackage

Midwives

Doctors/Obstetrici

ans

Labourward

NewBornUnit

Theatre

Inpatient

Outpatient

Ultrasound

Ambulance

OncologyPackage

Doctors/Oncologis

ts

Radio-oncologist

Outpatientservices

Inpatientservices

Radiology

RadiologyPackage

Radiologist

Radiographer

X-ray

CTscan

MRI

Radiotherapy

ChronicDisease

Management

Clinicalofficers

Doctors/Physicians

Lab

Radiology

SurgicalPackage

Doctors/Surgeons

Theatre

Inpatient

Radiology

Ambulance

Drug&SubstanceAbuseDoctors/Psychiatri

sts

Counsellors

Nutritionist

Rehabilitation Centre

SpecializedLabTests

Immunology

Pathology

Endocrinology

Biochemistry

Haematology

DialysisPackage

Renalnurses

Doctor/Physician

Dialysismachines

Lab

Maternity

Package

Midwives

Doctors/

Obstetrici

ans

Labour

ward

NewBorn

Unit

Theatre

Inpatient

Out

patient

Ultra

sound

Ambulanc

e

Oncology

Package

Doctors/

Oncologis

ts

Radio-

oncologist

Out

patient

services

Inpatient

services

Radiology

Radiology

Package

Radiologis

t

Radiograp

her

X-ray

CTscan

MRI

Radiothera

py

Chronic

Disease

Management

Clinical

officers

Doctors/

Physicians

Lab

Radiology

Surgical

Package

Doctors/

Surgeons

Theatre

Inpatient

Radiology

Ambulanc

e

Drug&

Substance

Abuse

Doctors/

Psychiatri

sts

Counsello

rs

Nutritioni

st

Rehabilitati

onCentre

Specialized

LabTests

Immunolo

gy

Pathology

Endocrinolo

gy

Biochemis

try

Haematol

ogy

Dialysis

Package

Renal

nurses

Doctor/

Physician

Dialysis

machines

Lab

31

Services available and gap analysis

Kisumu MFL

FACILITIES - KISUMU COUNTY

MFL CodeNameCountySub countyWard

22336Rapha Healthcare CentreKISUMUkisumu centralKONDELE

22105Hope for Widows & Children Foundation Nursing HomeKISUMUkisumu centralNYALENDA A

22094MAAYGO DiceKISUMUkisumu centralSHAURI MOYO KALOLENI

22064Dunga DispensaryKISUMUkisumu centralNYALENDA B

21706St. Lydia Okore DispensaryKISUMUkisumu centralSHAURI MOYO KALOLENI

21704Inuka Medical CenterKISUMUkisumu centralMARKET MILIMANI

20965Kisumu Beyond Zero Mobile ClinicKISUMUkisumu centralMARKET MILIMANI

20964Kisumu Diagnostic CenterKISUMUkisumu centralMARKET MILIMANI

20963AL Nur Medical Clinic & LaboratoryKISUMUkisumu centralMARKET MILIMANI

20962Helsamy Medical ClinicKISUMUkisumu centralKONDELE

20957Meridian Medical Centre-KisumuKISUMUkisumu centralMARKET MILIMANI

20956AAR Health Care-KisumuKISUMUkisumu centralMARKET MILIMANI

20937Kilimani Assessment CenterKISUMUkisumu centralMARKET MILIMANI

20905Maseno University AIDS Control Unit(City Campus)KISUMUkisumu centralMARKET MILIMANI

20836St. Monica Hospital Town ClinicKISUMUkisumu centralSHAURI MOYO KALOLENI

20539Interfelk Medical CentreKISUMUkisumu centralNYALENDA B

20523Tumaini DiCE KisumuKISUMUkisumu centralMARKET MILIMANI

20123Avenue Hospital KisumuKISUMUkisumu centralSHAURI MOYO KALOLENI

19927Global Providers International ClinicKISUMUkisumu centralKONDELE

19897Abundant Life ClinicKISUMUkisumu centralNYALENDA B

19869Kisumu Police Lines DispensaryKISUMUkisumu centralMARKET MILIMANI

18225Nyaweri Deaf VCTKISUMUkisumu centralSHAURI MOYO KALOLENI

17700Stops Medical Clinic Kenya LtdKISUMUkisumu centralSHAURI MOYO KALOLENI

17554K-Met CorkranKISUMUkisumu centralSHAURI MOYO KALOLENI

17376Victoria Sub District HospitalKISUMUkisumu centralMARKET MILIMANI

16882St Jones &Ring Road Health ClinicKISUMUkisumu centralNYALENDA B

13856Nightingale Medical CentreKISUMUkisumu centralSHAURI MOYO KALOLENI

13808Milimani HospitalKISUMUkisumu centralNYALENDA B

13939Jaramogi Oginga Odinga Teaching Referral HospitalKISUMUkisumu centralSHAURI MOYO KALOLENI

13704Kisumu County HospitalKISUMUkisumu centralMARKET MILIMANI

13887Nyalenda Health CentreKISUMUkisumu centralNYALENDA B

13738Lumumba Sub County HospitalKISUMUkisumu centralSHAURI MOYO KALOLENI

13596Guru Nanak DispensaryKISUMUkisumu centralMARKET MILIMANI

13464Administration Police Dispensary (Kisumu East)KISUMUkisumu centralNYALENDA B

14027Railways Dispensary (Kisumu)KISUMUkisumu centralMARKET MILIMANI

13552Family Health Options Kenya (FHOPK) DispensaryKISUMUkisumu centralMARKET MILIMANI

14012Pand Pieri Community DispensaryKISUMUkisumu centralNYALENDA B

14070Sayyid Aysha DispensaryKISUMUkisumu centralMARKET MILIMANI

13632Jalaram Nursing HomeKISUMUkisumu centralSHAURI MOYO KALOLENI

13776Marie Stopes Nursing Home (Kisumu)KISUMUkisumu centralSHAURI MOYO KALOLENI

14129Star Maternity & Nursing HomeKISUMUkisumu centralNYALENDA B

13490Avenue Health Care ClinicKISUMUkisumu centralMARKET MILIMANI

13520Central Clinic (Kisumu East)KISUMUkisumu centralMARKET MILIMANI

13835Mv Patel ClinicKISUMUkisumu centralMARKET MILIMANI

14113St Jude's ClinicKISUMUkisumu centralSHAURI MOYO KALOLENI

16663Tuungane Youth Centre (Kisumu East)KISUMUkisumu centralSHAURI MOYO KALOLENI

16662Liverpool VCT (Kisumu East)KISUMUkisumu centralSHAURI MOYO KALOLENI

14127St Vincent Clinic (Kisumu East)KISUMUkisumu centralRAILWAYS

13465Aga Khan Hospital (Kisumu)KISUMUkisumu centralMARKET MILIMANI

14117St Luke's HospitalKISUMUkisumu centralMARKET MILIMANI

22365Mt.Sinai HospitalKISUMUkisumu eastKAJULU

22354Kisumu Specialist HospitalKISUMUkisumu eastKAJULU

21899Kotunga DispensaryKISUMUkisumu eastKOLWA EAST

21705Kuoyo Health CenterKISUMUkisumu eastMANYATTA B

21047Orongo DispensaryKISUMUkisumu eastKOLWA EAST

20512Manyatta Community Medical ClinicKISUMUkisumu eastMANYATTA B

20016Careplus Medical ServicesKISUMUkisumu eastKAJULU

18969Geva Family Health ServicesKISUMUkisumu eastKOLWA CENTRAL

18834Wheel Kenya Medical ClinicKISUMUkisumu eastKOLWA EAST

18417Mamboleo Medical ClinicKISUMUkisumu eastKAJULU

14120St Monica HospitalKISUMUkisumu eastKAJULU

13579GK Prisons Dispensary (Kibos)KISUMUkisumu eastKOLWA EAST

13829MTC Clinic (Kisumu)KISUMUkisumu eastMANYATTA B

13647Gita Sub County HospitalKISUMUkisumu eastKAJULU

13689Kibos Sugar Research DispensaryKISUMUkisumu eastKAJULU

14088Simba Opepo DispensaryKISUMUkisumu eastKAJULU

13591Got Nyabondo DispensaryKISUMUkisumu eastKAJULU

13524Chiga DispensaryKISUMUkisumu eastKOLWA EAST

13890Nyalunya DispensaryKISUMUkisumu eastKOLWA CENTRAL

14106St Elizabeth Chiga Health CentreKISUMUkisumu eastKOLWA EAST

13977Olps ClinicKISUMUkisumu eastKOLWA CENTRAL

13534Disciples of Mercy ClinicKISUMUkisumu eastKAJULU

22806Dago DispensaryKISUMUkisumu westKISUMU NORTH

22748Get Well ClinicKISUMUkisumu westKISUMU NORTH

21766St. Jairus HospitalKISUMUkisumu westCENTRAL KISUMU

21208Mainga DispensaryKISUMUkisumu westWEST KISUMU

20386SOS Children Medical ClinicKISUMUkisumu westCENTRAL KISUMU

20199Mbaka Oromo DispensaryKISUMUkisumu westNORTH WEST KISUMU

18414Masaba Hospital KisumuKISUMUkisumu westNORTH WEST KISUMU

18301Kemri ClinicKISUMUkisumu westSOUTH WEST KISUMU

17553Kisumu International Airport DispensaryKISUMUkisumu westCENTRAL KISUMU

17175Sunga DispensaryKISUMUkisumu westNORTH WEST KISUMU

17174Lwala Kadawa DispensaryKISUMUkisumu westWEST KISUMU

14017Port Florence HospitalKISUMUkisumu westCENTRAL KISUMU

13469Airport Dispensary (Kisumu)KISUMUkisumu westCENTRAL KISUMU

13781Maseno Mission HospitalKISUMUkisumu westNORTH WEST KISUMU

13528Chulaimbo Sub-District HospitalKISUMUkisumu westNORTH WEST KISUMU

13880Nyahera Sub District HospitalKISUMUkisumu westKISUMU NORTH

13709Kodiaga Prison Health CentreKISUMUkisumu westCENTRAL KISUMU

13954Ober Kamoth Health CentreKISUMUkisumu westSOUTH WEST KISUMU

13730Lake Basin Development Authority (Lbda) DispensaryKISUMUkisumu westCENTRAL KISUMU

14060Rota DispensaryKISUMUkisumu westSOUTH WEST KISUMU

13971Ojola DispensaryKISUMUkisumu westSOUTH WEST KISUMU

14118St Mark's Lela DispensaryKISUMUkisumu westCENTRAL KISUMU

14046Riat DispensaryKISUMUkisumu westWEST KISUMU

16664Usoma DispensaryKISUMUkisumu westCENTRAL KISUMU

14094Siriba DispensaryKISUMUkisumu westNORTH WEST KISUMU

13782Maseno University Medical ClinicKISUMUkisumu westNORTH WEST KISUMU

20907Miranga DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20503Jaber DispensaryKISUMUmuhoroniMUHORONI KORU

20501Nyangore DispensaryKISUMUmuhoroniCHEMELIL

20500Nyakunguru DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20334Yago Community DispensaryKISUMUmuhoroniCHEMELIL

20332Milenye DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

20331Ramula DispensaryKISUMUmuhoroniOMBEYI

19815Agro Chemical DispensaryKISUMUmuhoroniMUHORONI KORU

18338Nehemiah International DispensaryKISUMUmuhoroniMIWANI

17121Mama Plister Blair Health CentreKISUMUmuhoroniOMBEYI

17111Mashambani DispensaryKISUMUmuhoroniCHEMELIL

17110Koru DispensaryKISUMUmuhoroniMUHORONI KORU

13928Nyang'oma Sub county HospitalKISUMUmuhoroniMASOGO/NYANG'OMA

16282Kasongo DispensaryKISUMUmuhoroniOMBEYI

13759Makindu DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

13785Masogo Sub County HospitalKISUMUmuhoroniMASOGO/NYANG'OMA

13831Muhoroni County HospitalKISUMUmuhoroniMUHORONI KORU

13968Ogra Health CentreKISUMUmuhoroniOMBEYI

14021Rachar Sugar Belt HospitalKISUMUmuhoroniMUHORONI KORU

13719Koru Mission Health CentreKISUMUmuhoroniMUHORONI KORU

13832Muhoroni Sugar Company (Musco) DispensaryKISUMUmuhoroniMUHORONI KORU

13522Chemelil Sugar Health CentreKISUMUmuhoroniMUHORONI KORU

14128St Vincents De Paul Health CentreKISUMUmuhoroniMUHORONI KORU

14141Tamu Health CentreKISUMUmuhoroniCHEMELIL

13687Kibigori DispensaryKISUMUmuhoroniCHEMELIL

13652Kandege DispensaryKISUMUmuhoroniMUHORONI KORU

13817Mnara DispensaryKISUMUmuhoroniMUHORONI KORU

13965Ogen DispensaryKISUMUmuhoroniCHEMELIL

13956Obumba DispensaryKISUMUmuhoroniOMBEYI

13521Chemelil GOK DispensaryKISUMUmuhoroniMASOGO/NYANG'OMA

13816Miwani DispensaryKISUMUmuhoroniMIWANI

22775Bethlehem Home HospitalKISUMUnyakachSOUTH EAST NYAKACH

22220Nyalunya Community Nursing HomeKISUMUnyakachCENTRAL NYAKACH

21039Rang'ul DispensaryKISUMUnyakachCENTRAL NYAKACH

20240Cherwa DispensaryKISUMUnyakachNORTH NYAKACH

20209Onyuongo DispensaryKISUMUnyakachCENTRAL NYAKACH

18867Nyabondo Rehabilitation CentreKISUMUnyakachSOUTH EAST NYAKACH

18865Nyabola CDF DispensaryKISUMUnyakachCENTRAL NYAKACH

18725Pedo DispensaryKISUMUnyakachCENTRAL NYAKACH

18721Kandaria Medical CentreKISUMUnyakachSOUTH EAST NYAKACH

18720House of Hope Medical CentreKISUMUnyakachNORTH NYAKACH

16870St Jane Nursing HomeKISUMUnyakachWEST NYAKACH

13864Nyabondo Mission HospitalKISUMUnyakachSOUTH EAST NYAKACH

14096Sondu Health CentreKISUMUnyakachCENTRAL NYAKACH

13921Nyakach Sub County HospitalKISUMUnyakachCENTRAL NYAKACH

14086Sigoti Health CentreKISUMUnyakachSOUTH EAST NYAKACH

13727Kusa Health CentreKISUMUnyakachWEST NYAKACH

13657Katito Health CentreKISUMUnyakachNORTH NYAKACH

14104St Clare Bolo Health CentreKISUMUnyakachWEST NYAKACH

13688Kibogo DispensaryKISUMUnyakachNORTH NYAKACH

14066Sango Rota DispensaryKISUMUnyakachWEST NYAKACH

13506Bonde DispensaryKISUMUnyakachCENTRAL NYAKACH

13899Nyamarimba DispensaryKISUMUnyakachSOUTH WEST NYAKACH

14024Rae DispensaryKISUMUnyakachNORTH NYAKACH

13955Oboch DispensaryKISUMUnyakachSOUTH WEST NYAKACH

13477Anding'o Opanga DispensaryKISUMUnyakachWEST NYAKACH

13881Nyakach (AIC) DispensaryKISUMUnyakachSOUTH WEST NYAKACH

13669Kengen ClinicKISUMUnyakachWEST NYAKACH

21671Kochieng Health CentreKISUMUnyandoKOBURA

21657Kadhiambo dispensaryKISUMUnyandoKABONYO/KANYAGWAI

21310Komwaga Health CenterKISUMUnyandoKABONYO/KANYAGWAI

20666Okana DispensaryKISUMUnyandoKOBURA

20531Koduol Reru DispensaryKISUMUnyandoKABONYO/KANYAGWAI

20524Absalom Wangulu DispensaryKISUMUnyandoKOBURA

20398Umbrella Health ClinicKISUMUnyandoKOBURA

18800Oren Health CentreKISUMUnyandoAWASI/ONJIKO

18456Impact Research-Tuungane (Nyando)KISUMUnyandoAHERO

18430Magina Health CenterKISUMUnyandoEAST KANO/WAWIDHI

18421Katolo-Manyatta DispensaryKISUMUnyandoEAST KANO/WAWIDHI

18415The Hope Medical Centre-AwasiKISUMUnyandoAWASI/ONJIKO

18291Ahero Medical CentreKISUMUnyandoAHERO

18283Wanganga Health CentreKISUMUnyandoAWASI/ONJIKO

17118Holo DispensaryKISUMUnyandoAWASI/ONJIKO

13468Ahero County HospitalKISUMUnyandoAHERO

14020Rabuor Sub county HospitalKISUMUnyandoKOBURA

16283Kadinda Health CentreKISUMUnyandoAHERO

13694Kinasia DispensaryKISUMUnyandoEAST KANO/WAWIDHI

13654Kanyagwal DispensaryKISUMUnyandoAHERO

13976Olasi Dispensary (Nyando)KISUMUnyandoEAST KANO/WAWIDHI

13518Bunde DispensaryKISUMUnyandoAHERO

13884Nyakongo DispensaryKISUMUnyandoEAST KANO/WAWIDHI

13923Nyangande Health CentreKISUMUnyandoKABONYO/KANYAGWAI

13609Hongo Ogosa Health CentreKISUMUnyandoKOBURA

13491Awasi Mission Health CenterKISUMUnyandoAWASI/ONJIKO

13516Boya Nursing HomeKISUMUnyandoAHERO

22192Bongu Konyango DispensaryKISUMUsemeNORTH SEME

21262Lolwe DispensaryKISUMUsemeCENTRAL SEME

20377Dago Jonyo DispensaryKISUMUsemeWEST SEME

20069Osewre DispensaryKISUMUsemeWEST SEME

20028Shalom Medical ClinicKISUMUsemeWEST SEME

20024Otieno Owala DispensaryKISUMUsemeNORTH SEME

18422Oriang Kanyadwera DispensaryKISUMUsemeNORTH SEME

18290Melkasons ClinicKISUMUsemeCENTRAL SEME

18250Langi Kawino DispensaryKISUMUsemeEAST SEME

18086Oriang' Alwala DispensaryKISUMUsemeWEST SEME

17173Onyinjo DispensaryKISUMUsemeEAST SEME

17172Kolenyo DispensaryKISUMUsemeCENTRAL SEME

17171Kuoyo Kaila DispensaryKISUMUsemeEAST SEME

13810Miranga Sub County HospitalKISUMUsemeEAST SEME

13714Kombewa Sub County Refferal HospitalKISUMUsemeCENTRAL SEME

13770Manyuanda Sub county HospitalKISUMUsemeWEST SEME

14040Ratta Health CentreKISUMUsemeNORTH SEME

13487Asat Beach DispensaryKISUMUsemeWEST SEME

14057Rodi DispensaryKISUMUsemeEAST SEME

13503Bodi Health CentreKISUMUsemeCENTRAL SEME

13848Nduru Kadero DispensaryKISUMUsemeNORTH SEME

13720Korwenje DispensaryKISUMUsemeNORTH SEME

13990Opapla DispensaryKISUMUsemeWEST SEME

13484Arito Langi DispensaryKISUMUsemeWEST SEME

13498Bar Korwa Health CentreKISUMUsemeNORTH SEME

Hubs & Spokes

COUNTY REFERRAL HOSPITALSUB-COUNTYCOUNTY HOSPITALSSUB-COUNTY HOSPITALSHEALTH CENTRESDISPENSARIES

KISUMU COUNTY REFERRAL HOSPITALNyando1. Ahero County Hospital1.1 Nyangande SCH1.1.1 Oren HC1.1.1.1 Okana DispensarySUMMARY

1.1.2 Wang'ang'a HC1.1.2.1 Holo DispensaryCOUNTY REFERRAL HOSPITALS1

1.1.3 Kochieng HC1.1.3.1 Kadhiambo DispensaryCOUNTY HOSPITALS5

1.1.4 Hongo Ongosa HC1.1.3.2 Bunde DispensarySUB-COUNTY HOSPITALS11

1.1.5 Komwaga HC1.1.3.3 Nyakongo DispensaryHEALTH CENTRES21

DISPENSARIES

1.2 Rabuor SCH1.2.1 Magina HC1.2.1.1 Olasi DispensaryTOTAL

1.2.2 Kadinda HC1.2.2.1 Kinasia Dispensary


Muhoroni2. Muhoroni County Hospital2.1 Nyangoma SCH2.1.1 Tamu HC2.1.1.1 Kibigori Dispensary

















2.2 Masogo SCH

Seme3. Kombewa County Hospital3.1 Manyuanda SCH3.1.1 Bar Korwa HC3.1.1.1 Lolwe Dispensary






3.1.2 Bodi HC3.1.2.1 Osewre Dispensary








3.2 Miranga SCH3.2.3 Ratta HC3.2.3.1 Bungu K'Onyango Dispensary


Nyakach4. Nyakach County Hospital4.1 Nyamarimba SCH4.1.1 Sigoti HC4.1.1.1 Onywongo Dispensary


4.1.2 Sondu SCH4.1.2.1 Oboch Dispensary


4.1.3 Katito SCH4.1.3.2 Cherwa Dispensary






4.1.5 Kochieng' HC

4.1.6 Kusa HC4.1.6.1 Sangorota Dispensary

Kisumu West5. Chulaimbo County Hospital5.1 Nyahera SCH5.1.1 Kodiaga Prison HC5.1.1.1 Mbaka Oromo Dispensary








5.1.2 Ober Kamoth HC5.1.2.1 Daga Dispensary


Kisumu Central66.1 Lumumba SCH6.1.1 Nyalenda HC6.1.1.1 Dunga Dispensary


Kisumu East77.1 Gita SCH7.1.1 St. Elizabeth Chiga 7.1.1.1 Kotunga Dispensary





7.1.2 Kuoyo HC

Available Health Services

SERVICES AVAILABLE PER HEALTH FACILITY

KEY:

Services Available

Services Not Available

COUNTY HOSPITALSGeneral Out PatientIn-PatientPharmaceutical ServicesBasic DiagnosticsComprehensive Youth Frendly ServicesIntegrated MCH/Family Planning ServicesMaternityComprehensive DiagnosticsOperative Surgical ServicesX-rayBlood Transfusion ServicesUltra SoundNewborn ServicesAccident and EmergencyDentalRehabilitation ServicesPalliative CareSpecialized ClinicsSpecialized Therapies

1. Ahero County Hospital

1.1 Hongo Ongosa SCH

1.1.1 Oren HC

1.1.2 Wang'ang'a HC



1.2 Nyangande SCH

1.2.1 Kochieng HC

1.2.1.1 Kadhiambo Dispensary

1.2.1.2 Bunde Dispensary

1.2.1.3 Nyakongo Dispensary

1.2.2 Komwaga HC

1.3 Rabuor SCH



1.3.2.1 Kinasia Dispensary


2. Muhoroni County Hospital

2.1 Nyangoma SCH

2.1.1 Tamu HC

2.1.1.1 Kibigori Dispensary

















2.2 Masogo SCH

3. Kombewa County Hospital (6)

3.1 Manyuanda SCH

3.1.1 Bar Korwa HC

3.1.1.1 Lolwe Dispensary






3.1.2 Bodi HC

3.1.2.1 Osewre Dispensary








3.2.3 Ratta HC

3.2.3.1 Bungu K'Onyango Dispensary


4. Nyakach County Hospital

4.1 Nyamarimba SCH

4.1.1 Sigoti HC

4.1.1.1 Onywongo Dispensary


4.1.2 Sondu HC

4.1.2.1 Oboch Dispensary

4.1.3 Katito HC


4.1.3.2 Cherwa Dispensary






4.1.5 Kochieng' HC

4.1.6 Kusa HC

4.1.6.1 Sangorota Dispensary

5. Chulaimbo County Hospital

5.1 Nyahera SCH

5.1.1 Kodiaga Prison HC

5.1.1.1 Mbaka Oromo Dispensary








5.1.2 Ober Kamoth HC

5.1.2.1 Daga Dispensary


6.1 Lumumba SCH

6.1.1 Nyalenda HC

6.1.1.1 Dunga Dispensary


7.1 Gita SCH

7.1.1 St. Elizabeth Chiga

7.1.1.1 Kotunga Dispensary





7.1.2 Kuoyo HC

Notes:

1. List of services derived from Kenya Health Strategic Plan II (pg 39)

2. Basic diagnostics include rapid diagnostic tests, microscopy

3. Comprehensive diagnostics include haemogram, biochemistry, immunology

4. X-ray machine available in Chulaimbo County Hospital but no staff

5. Muhoroni County Hospital has been built - awaiting equipment and staffing

6. Kombewa CH has no radiographer

Upgrade planning

Facility upgrades

Discuss primary healthcare needs at dispensary and health centre levels

Chulaimbo

Kombewa

Nyakach

Ahero

Muhoroni

Theatre investment

Radiology investment

Total

*Require a financing solution to fund the investments

CH Infrastructure Gap

Inputs to Benefit From NHIF Payments

1. Ahero County Hospital2. Muhoroni County Hospital3. Kombewa County Hospital 4. Nyakach County Hospital5. Chulaimbo County Hospital

Maternity








RadiologyNo xray and ultra-soundNo xray and ultra-soundNo ultra-soundNo xray and ultra-soundNo ultra-sound

Surgical PackageNo surgical setsTheatre building availableNo theatre and equipmentNo theatre and equipmentNo theatre and equipment

No autoclaveNo equipment in theatre

There is space for a 2nd theatre; needs to be equipped.

Blood Transfusion ServicesNo lab equipment No lab equipment No lab equipment No lab equipment

Chronic Disease ManagementNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipment

LaboratoryNo immunologyNo haematologyNo haematologyNo haematologyNo haematology

No pathologyNo biochemistryNo biochemistryNo biochemistryNo biochemistry

No immunologyNo immunologyNo immunologyNo immunology

No pathologyNo pathologyNo pathologyNo pathology

Bed capacity (12 - 49)20 beds

Ambulance (BLS)11111

SCH Infrastructure Gap

1.2 Nyangande SCH1.3 Rabuor SCH2.1 Nyangoma SCH2.2 Masogo SCH3.1 Manyuanda SCH3.2 Miranga SCH4.1 Nyamarimba SCH5.1 Nyahera SCH6.1 Lumumba SCH7.1 Gita SCH4.1.2 Sondu SCH4.1.3 Katito SCH

Maternity








RadiologyNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-soundNo xray and ultra-sound

Surgical PackageNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipmentNo theatre and equipment

Blood Transfusion ServicesNo lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment No lab equipment

Chronic Disease ManagementNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipmentNo physiotherapy equipment

LaboratoryNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematologyNo haematology

No biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistryNo biochemistry

No immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunologyNo immunology

No pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathologyNo pathology


CH Available HRH

Ahero County HospitalMuhoroni County HospitalKombewa County Hospital Nyakach County HospitalChulaimbo County Hospital

SPECIALISTS00000

MEDICAL OFFICER30211

NURSES30262218

RCO7674

PHARMACISTS2201

PHARM TECHS3112

PHYIOTHERAPISTS1111


RADIOLOGIST0000

RADIOGRAPHER0111


DENTISTS1001


MEDICAL ENGINEERS0000

CO ANAESTHETISTS3000

ANAESTHESIOLOGISTS0000

NUTRITIONISTS0000


SCH Available HRH

Nyangande SCHRabuor SCHNyangoma SCHMasogo SCHManyuanda SCHMiranga SCHNyamarimba SCHNyahera SCHLumumba SCHGita SCHSondu SCHKatito SCH

SPECIALISTS

MEDICAL OFFICER

NURSES

RCO

PHARMACISTS

PHARM TECHS

PHYIOTHERAPISTS

OCCUPATIONAL THERAPIST

RADIOLOGIST

RADIOGRAPHER

LABORATORY TECHNICIAN

DENTISTS

COMMUNITY ORAL HEALTH OFFICER

MEDICAL ENGINEERS

CO ANAESTHETISTS

ANAESTHESIOLOGISTS

NUTRITIONISTS

HEALTH ADMINISTRATION OFFICER

KCH Infrastructure Gap

KCH

Maternity








Radiology

Surgical Package

Blood Transfusion Services

Chronic Disease Management

Laboratory


Ambulance (BLS)

KCH HRH

KCH

SPECIALISTS

PHYSICIAN1

PAEDIATRICIAN1

OB/GYN1

SURGEON2

MEDICAL OFFICER21

NURSES118

RCO14

PHARMACISTS3

PHARM TECHS8

PHYIOTHERAPISTS3


RADIOLOGIST1

RADIOGRAPHER3


DENTISTS2


MEDICAL ENGINEERS3

CO ANAESTHETISTS3

ANAESTHESIOLOGISTS0

NUTRITIONISTS0


MaternityPackage

Midwives

Doctors/Obstetrici

ans

Labourward

NewBornUnit

Theatre

Inpatient

Outpatient

Ultrasound

Ambulance

OncologyPackage

Doctors/Oncologis

ts

Radio-oncologist

Outpatientservices

Inpatientservices

Radiology

RadiologyPackage

Radiologist

Radiographer

X-ray

CTscan

MRI

Radiotherapy

ChronicDisease

Management

Clinicalofficers

Doctors/Physicians

Lab

Radiology

SurgicalPackage

Doctors/Surgeons

Theatre

Inpatient

Radiology

Ambulance

Drug&SubstanceAbuseDoctors/Psychiatri

sts

Counsellors

Nutritionist

Rehabilitation Centre

SpecializedLabTests

Immunology

Pathology

Endocrinology

Biochemistry

Haematology

DialysisPackage

Renalnurses

Doctor/Physician

Dialysismachines

Lab

Maternity

Package

Midwives

Doctors/

Obstetrici

ans

Labour

ward

NewBorn

Unit

Theatre

Inpatient

Out

patient

Ultra

sound

Ambulanc

e

Oncology

Package

Doctors/

Oncologis

ts

Radio-

oncologist

Out

patient

services

Inpatient

services

Radiology

Radiology

Package

Radiologis

t

Radiograp

her

X-ray

CTscan

MRI

Radiothera

py

Chronic

Disease

Management

Clinical

officers

Doctors/

Physicians

Lab

Radiology

Surgical

Package

Doctors/

Surgeons

Theatre

Inpatient

Radiology

Ambulanc

e

Drug&

Substance

Abuse

Doctors/

Psychiatri

sts

Counsello

rs

Nutritioni

st

Rehabilitati

onCentre

Specialized

LabTests

Immunolo

gy

Pathology

Endocrinolo

gy

Biochemis

try

Haematol

ogy

Dialysis

Package

Renal

nurses

Doctor/

Physician

Dialysis

machines

Lab

• Work streams to detail objectives, approach, deliverables and timelines + budget

• 2 calls to support across work streams

• In person working session on 24th & 25th of May

• Prepare for meeting governor in week of 28th of May

32

Plan coming weeks

33

Thank you

UHC Kisumu approach – Update to Executive Committee�UHC Kisumu • 04 May 2018Agenda�ObjectiveHow to achieve Universal Health Coverage in Kisumu by 2022 UHC strategy of Kisumu countyGovernance structure UHC for Kisumu teamsAgenda�Demand workstream – requested decision makingFull UHC household registration journey has to be operationalised Population needs to have required documentation Identify population segments and entitlements Proposed approach Pre-testing of extended PPI tool on 7-10 MayDigital NHIF enrollment application pre-test on 7-10 MayNHIF dashboard already in development – to be adjusted for Kisumu county needsStrategic decision making required: enrollment scope in year 1Need to test 2 operational enrollment methods before deciding on scaling approachDetail: Fully digital 1-step enrollment approachDetail: (semi-)digital 2-step enrollment approachFull digital approach pre-test: 7 May - 10 MayTechnology support for demand is on trackCommunity sensitization, mobilisation and registration (I)�Final planning and budget dependent on chosen enrollment approachCommunity sensitization, mobilisation and registration (II)�Final planning and budget dependent on chosen enrollment approachHigh level enrollment planning�Final planning dependent on chosen enrollment approachAgenda�ObjectivesWe have defined 5 work streams to work towards the objectivesDeep-dive work streamsImplement a Hub and Spoke referral system for efficient full continuum of healthcare services.Implement a Hub and Spoke referral system for efficient full continuum of healthcare services.Services available and gap analysisPlan coming weeksThank you

UHC Kisumu approach – Update to Executive Committee · • Delivery of UHC in 4 years, starting with all indigents in year 1 and then focusing on including all of the informal sector

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