Baringo County Child health report Leadership , Governance and - - PowerPoint PPT Presentation

Baringo County

Child health report

Leadership , Governance and Management

• CEC Head of department, represents

department at cabinet

• Chief officers‐Public Health and Medical

services

• Directors: County director Public health and

medical services, administration and planning

• CHMT consists of Lead program officers

• At sub county level, the sub county health service

coordinators head the sub counties with various heads of departments

• The hospitals are headed by medical

superintendents and managed by hospital boards.

• Health facilities are managed by health facility

committees

• Community health committees manage the

community units

Coordination

• CEC represents the governor and engages with

county Assembly Health committee

• Stakeholders are engaged at County

level(Leadership and CHMT) including National government and other line ministries

• For example security issues are chaired by the

commissioner at county level and deputy commissioners at sub county level

Strengths

• Existing structures eg. EPI (immunization)

coordinator, RH coordinator, Nutrition at county and sub county level with clear roles

• Strategic and annual work plans are in place

including policy guidelines

• Adequate supply of Vaccine antigens
• Staff Trained on IMCI modules
• Partner support for Child health programs:

Afya Uzazi, CHAI, GAVI, UNICEF among others

Weaknesses

• Poor integration of services eg nutrition

considered stand alone

• Inadequate financial and human resources.

Three(3) million our 2.3 Billion allocation to support Primary Health Care FY 2018‐2019

• Inadequate and inequitable distribution of

facilities and HRH across sub counties( Tiaty most affected). More staff in urban areas than rural areas.

• Low coverage of community units with minimal

support by county, community activities partner dependent

• Majority of CHVs are not trained on technical

modules including child health.

• Inadequate non pharmaceuticals eg .BCG syringes
• Budget for procuring nutrition commodities has

not been taken up by the county after WFP pulled

• ut

• Mothers have poor access to emergency

maternal care especially in Tiaty, and other hard to reach areas

• Inadequate incubators
• Lack of alignment between plans and county

budgets

• Poor dissemination of guidelines to lower levels
• Poor documentation and data management
• Socio‐Cultural aspects and insecurity

Opportunities

• Improved health financing through health insurance by up‐scaling

Linda mama and NHIF enrollment

• Aligning county and partner priorities towards child health
• Increased collaboration with national ministry of interior to curb

insecurity, roads to improve access, safe water provision

• Presence of partner support e.g. THS‐UHC
• Advocacy and awareness for increased health budget allocation

targeting county assembly budget and health committee and county treasury.

• Align work plans to approved budget
• Improve dissemination of guidelines to lower levels
• Improve documentation and data management for decision making
• Learning from best practices from other areas

Interventions for child health

• Increase coverage of immunizing sites by increasing the number of

facilities offering immunization including power connection facilities.

• Scaling up integrated outreaches especially in Tiaty and Baringo

north

• Implementation of the guidelines by offering immunization daily
• Regular mapping to identify missed children and Scaling up

defaulter tracing by giving incentives to CHVs

• Advocacy and resource mobilization for immunization services .

strengthening linkage with immunization champions like organizing community events like marathons

• Strengthen surveillance for vaccine preventable diseases

• Scale up of high impact nutrition interventions in all health facilities

like growth monitoring, Vit A supplementation, IMAM, good childhood practices.

• Active case search, defaulter tracing using CHVs
• County to procure nutrition commodities
• Advocacy and health education of minimum dietary diversity,

focused antenatal care, multi‐sectoral collaboration,

• Maternal shelters before and immediately after delivery to improve

maternal and child nutrition.

• Scale up baby friendly community initiative resource centres to

supplement the already established in Ngoron and Tangulbei.

• Each health centre to have a demonstration kitchen garden like the
• ne in Timboywo.
• Scale up of KMC in facilities

• Follow up of trained IMCI staff in all health facilities

and provision of commodities eg. dispersible Amoxil tabs

• Continued establishment of ORT corners
• Equipping health facilities to meet child health care

services standards eg provision of pulse oxymeters, therapeutic oxygen, thermometers, testing kits, MUAC tapes etc

• Provision of IEC materials and job aids
• Continuous IMCI training to cover for attrition and

recruitments

• Thank You
• Kongoi Mising!