KILIFI County KILIFI County Plan Plan Every Child Counts Every - - PowerPoint PPT Presentation

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KILIFI County Plan KILIFI County Plan

“Every Child Counts” SarovaWoodlands, Nakuru March 25th -28th 2018 “Every Child Counts” SarovaWoodlands, Nakuru March 25th -28th 2018

Morbidity The five most common diseases in the County among children under five years in order of ranking are: 1)Upper Respiratory Tract Infections, 2)Diarrhea, 3)Diseases

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the skin, 4)Malaria and 5)Pneumonia. Child Diarrhea prevalence: 12.3% The prevalence of stunting among children under five years stands at 39% in the county. Additionally, 4.7% and 18.2% of children under five years are wasted and underweight across the county. The immunization coverage stands at 72%, implying that 28% of legible children miss out of immunization across county, Ganze, Rabai and Malindi sub-counties having less than 70% Coverage

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BACKGROUND

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Governance, Leadership and Management structures

CHMT SCHMT Hospital Management T eam/ Dispensary HC Community Health Committee CEC- Policy level CO-Accounting Officer Director Sub County Departmental leads Officials of the Hospital management teams Officials of the Community Health Committee

County Level Sub County Level Facility Level Community Level Governance & Mgt Governance & Mgt Leadership Leadership

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Identified gaps in Child health service delivery

Community Health Strategy There are 83 functional community health units against a need of 276. This constitutes 30% coverage and a gap of 193 community health units Human Resources for Health

• The County is largely understaffed. It has 5,129

medical and 828 non-medical staff, which translates into a total staffing gap of 5,957.

• The Doctor patient ratio is 1: 10,000 people while

the Nurse patient ratio is 4 per 10,000 people.

DEMAND SIDE CHALLENGES:

• long distances to health facilities

religious

• sociocultural beliefs and practices
• Ignorance
• Poor provider attitudes

discouraging clients, poor quality and limited integration of services that also hamper and discourage utilization of services.

SUPPLY SIDE CHALLENGES:

• Suboptimal functioning of the

health systems:

– Poor workforce distribution and productivity – funding gaps – weak supply chain management

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Identified gaps in Child health service delivery cont….

Interventions to strengthen Governance/leadership

• Strengthen the referral system HCWs to be allowed a

minimum of one year for continuity of services

• Staffs with passion to be allowed to continue working in

maternity

• Strengthen post training follow up to assess skills utilization
• Budget coordination:AOP tracking by CHMT quarterly
• Advocate to have recruitment of midwives/Nurses to work at

MNCH/FP department to be to have clear JDs stating department to work

Interventions to strengthen Governance/leadership cont..

• Revive Malindi, Kilifi and Mariakani waiting homes to address

access -Advocacy through the CEC health

• Multisectoral approach to increase water access in facilities
• Strengthen County supervision to the private and FBOs

facilities

• Contingency planning
• Strengthen supply chain to ensure commodity security

Supply side interventions

• Scale up perinatal death audits to all high-volume facilities
• Scale up use of 7.1% chlorhexidine digluconate for cord care
• Promote

cost-effective interventions such as kangaroo mother care while incrementally addressing the supply side barriers such as creation of neonate nurseries in Level 4 hospitals

• Scale up structured clinical mentorship and QI of key MNCH

interventions

• Scale the full package of integrated postnatal care

Supply side interventions

• Roll out the new neonatal register
• Enhance exclusive breast feeding by adopting a structured

approach -initiation and support of breast-feeding mothers breastfeeding

• Support piloting of Individualized breastfeeding support for

acute ill malnourished infants under 6 months

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Mwang’ombe study

• Revitalize the ORT corners with a checklist
• Strengthen facility WASH

Health system strengthening interventions

• Advocate for better health financing mechanisms
• Conduct training needs assessment of health care workers

to guide priorities for RMNCAH

• Finalize and operationalize county training guide for HCW

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