SAMBUR COUNTY SARAVO HOTEL 25/03/2019 Leadership, Governance and - PowerPoint PPT Presentation

SAMBUR COUNTY SARAVO HOTEL 25/03/2019

Leadership, Governance and Management structures that are helping/barriers to child health Leadership • Frequent Change of the departments executives (CECs & Cos) • The first County assembly committee members of health were illiterate (2013‐2017) this affected the overall management of health issues in the county • Samburu County health bill was passes this month (March 2019) this is a milestone • There is a gap on National policies reaching the lower levels (We occasionally miss to get policies and guidelines from the National level) Management • No proper attention given to health‐ No pediatric personnel employed and no newborn unit • Budgetary allocation is very minimal

Conti…. • During preparation of the AWP, consultations are done at all levels but actual implementation of the budget becomes an issue • The AWP based on APR and PBB is done at all levels, but the problem is the approach, the APR needs to be done first then basing on the gaps identified through the review, PBB now address those gaps

Cont.… • The Sub county are not funded, the various program officer prepares the QIPs but mostly they are funded by health partners (Also no AIE is given to the office of the SCMOH/Health Coordinator) • Through the LMIS platform, the department was able to do quantification of EMMS commodities and this has assisted in approximation of what is needed (Done through the support of partners) • There is improvement in child health indicators eg Immunizations, nutrition etc (comparison of 2013/2014 and 2017/2018

Cont….. Governance • The County has a very vibrant health stakeholders forums • Lobbying for the increase in budgetary allocation to the department was done by the CHMT and health partners (Budget increased from 19 to 21% of the budget)

Recommendations 1. Continued sensitization of the County leadership on the importance of the sector 2. Strengthen coordination of partner activities that are linked to child health. 3. Use of data for decision making, always when lobbying for resource use of data is key 4. Bridging the gap between the CHMT, Executives and the County assembly health committees 5. Frequent HRH audit against the normal staffing norms

Cont.… • Yearly determination of the actual EMMS gaps through Quantification of what is needed will help in budgeting. ASHE ‐ OLENG