NAKURU COUNTY STATUS EVALUATION AND ACTION PLAN NAKURU COUNTY S/NO - - PowerPoint PPT Presentation

NAKURU COUNTY STATUS EVALUATION AND ACTION PLAN

NAKURU COUNTY

S/NO What is working well Gaps/ Challenges Leadership and Governance: Political level and County health sector level.

• Political good will

present

• 36 % total budget

allocation towards health.

• Observed

improvements in honouring budget cycle timelines

• Increasing focus on

Community services.

• Unharmonized programme areas by the health sector and

political leadership.

• Public participation still weak.
• Budget making process does not resonate with sub-county

specific priorities

• Political influence and interference
• Minimal intersectoral collaborations across sectors.
• Minimal of integration of child health services into other

programmes due to competing priorities and weak capacities.

• Minimal use of data to inform decision making on resources

allocation and prioritization.

• Minimal involvement of the private sectors in County health.

AREAS FOR IMPROVEMENT

Areas of improvement Recommendations

• Increase health financing

allocation towards prevention and promotive health particularly

• n Child heath.
• Improvements of MNCH

infrastructure services.

• Emphasise on workplans to

guide prioritization and allocation of finances

• Promote service integration for

MNCH services

• Enhance private -public

partnership to maximize access to services.

• Incorporate/integrate specific and appropriate MNCH budget line items

within total health budget.

• Completion of stalled/incomplete MNCH projects
• Equipping of MNCH centres
• Improve on supplies and technologies for MNCH services.
• Improve funding sources for MNCH
• Enhance capacity on data for planning at all levels, integration of services at

all level

• Promote more intersectoral collaborations (Water, Agriculture, etc)
• Address gaps in timely appropriate commodity flow. Include clear budget

lines on MNCH. Strengthen commodity and equipment in level 1 &2 facilities.

INDICATORS FOR INCLUSION IN THE AWP

Current Target Proportion of children under five correctly diagnosed and treated for Diarrhoea with ORS and Zinc 16% 7.1% Proportion of children under five correctly diagnosed and treated for Pneumonia Amoxicillin DT 14.5% Low birth weight rate (% live births <2500g) 5.8 3.5 % Proportion of fully immunized child 84% 90 Proportion of under 5 years receiving Vitamin A supplement 32% 60%

ACTION PLAN

Activity Target Outcome Responsibility 1. Conduct spot checks and support supervisions, rapid assessment on diagnosis and treatment of diarrhoea with ORS and Zinc and Pneumonia 2. Conduct rapid assessments on child health conditions in the county. 80% of all service delivery points/levels in all sub-counties. To improve the quality of care of diarrhoea and Pneumonia. This will help improve in ensuring correct diagnosis and treatment

• n Diarrhoea and Pneumonia

Improve an understanding of the root causes of the child health situation and the root causes of the problems. CHMT 1. Increase % facilities with functional ORT corners. 80% facility coverage in all sub-counties This will have ensured that their equipment availability, commodity availability and development and dissemination of ORT corners guidelines. SCHMT 1. Supply of child health commodities 80% of facilities in all sub-counties stocked with essential child health commodities Improve on service delivery, meet Child health targets. 80% of facilities to be fully stocked with tracer commodities that address child health. ORS ZINC, PARACETAMOL, Vitamin A, Amoxillin DT, (De worming tablet) Tracking and reporting Development tools Sensitization C/SCHMT