Consolidated SC AWP 2021-2022 Final
Consolidated SC AWP 2021-2022 Final
Consolidated SC AWP 2021-2022 Final
COUNTY: TaitaTaveta
SUB COUNTY: Voi
YEAR: 2021/2022
2
Contents
Contents.......................................................................................................................................................................................................2
Table of Contents....................................................................................................................................................................................3
Executive Summary.................................................................................................................................................................................3
Acknowledgements.................................................................................................................................................................................3
Section 1: Overview of the Health Sector Situation in the Sub-County....................................................................................................4
1.1. Sub-County Population and Demographics..................................................................................................................................5
1.1.1. Population Breakdown and Description................................................................................................................................5
1.1.2. Health Sector Catchment Population for the County............................................................................................................5
1.2. Health Sector Investment Status in the Sub-County....................................................................................................................6
1.2.1. Distribution of Tracer Health Infrastructure Elements..........................................................................................................6
1.2.2. Distribution of Health Workforce..........................................................................................................................................7
1.2.3. Health Commodities, Supplies and Products........................................................................................................................8
1.2.4. Health Management Information Systems/ Monitoring and Evaluation..............................................................................9
1.2.5. Previous Financial Year Government Health Expenditure....................................................................................................9
1.2.6. Health Sector Management, Coordination, Leadership and Governance..........................................................................10
Section 2: Situation Analysis and Priority Setting...................................................................................................................................11
2.1 Major Health Conditions/Issues Observed in the County..........................................................................................................12
2.2 Problem Analysis and Priority Interventions..............................................................................................................................15
Section 3: Annual Program Based Work Plan.........................................................................................................................................16
3.1 Annual Performance Targets......................................................................................................................................................17
3.2 Annual Program Based - Service Delivery Workplan..................................................................................................................20
Program 1: Curative and Rehabilitative Health Services...................................................................................................................20
Program 2: Preventive and Promotive Health Services.....................................................................................................................22
Program 3: General Administration, Planning, Management Support and Coordination................................................................27
Section 4: Program-Based Budget Distribution......................................................................................................................................30
4.1 Budget Summary by Program and Sub-Program........................................................................................................................31
4.2 Budget Summary by Program Area and Source of Funds...........................................................................................................32
3
Table of Contents
Executive Summary
This Sub County AWP is built on the directions of the Kenya Health Policy Framework 2011-2030.Its strategies are based on Programs, where
each of them challenges are highlighted and interventions to address the challenges are identified. The three Program Areas Include:
1. Curative and Rehabilitative Services
2. Preventive and Promotive services
3. General Administration, Planning, Management support and Coordination
Each program has its Sub program which in them activities have been highlighted with the Budget attached and the source of fund indicated as
well.
4
Acknowledgements
The development of this Sub County Annual Work Plan (AWP), facility and Community AWPs is as a result of enormous contributions from both
individuals working in the rural health facilities and the Sub County Health Management Team.
The plan includes inputs from program officers at the sub-county office, facility staff and community teams. We indeed acknowledge all your efforts and
sacrifice may God Bless you all.
Much appreciations as well goes to the County Management Team for the support in mobilizing for funds in making the planning at all levels successful.
ANGELA NGURE
SCHRIO
VOI SUB COUNTY
5
Section 1:
6
1.1. Sub-County Population and Demographics
Background Information
Voi Sub County is one of the four sub counties in Taita/Taveta County. It borders Kwale County to the south and Makueni County to
the north. It has a population of 118,562 people. It has six (6) wards, six (6) locations and sixteen (16) sub locations. It also has
twenty-two (22) level II/III health facilities and one (1) referral hospital. It has a two (2) FBOs and twenty-five (25) private facilities.
It has twenty-six (26) community units with three hundred and seventy-nine (379) CHVs. The health facilities provide preventive,
promotive, curative and rehabilitative services.
7
2 Bungule Community Dispensary - 1331
3 David Kayanda Dispensary 1617 1447 89.5
4 Ghazi Dispensary 1747 994 56.9
5 Kajire Dispensary 2265 648 28.6
6 Kasigau Rdch 3817 2514 65.9
7 Kirumbi Dispensary 1128 895 79.3
8 Makwasinyi Dispensary 1456 2050 140.8
9 Manyani Dispensary 648 1068 164.8
10 Marungu Health Centre 5369 1009 18.8
11 Maungu Model Health Centre 6825 2715 39.8
12 Mbulia Dispensary 1521 836 55.0
13 Miasenyi Dispensary 3075 1214 39.5
14 Mleghwa Dispensary 470 536 114.0
15 Moi County Referral Hospital (Voi) 26587 26912 101.2
16 Mwangea Dispensary 1407 1783 126.7
17 Ndome Dispensary (Taita) 1391 978 70.3
18 Ndovu Health Centre 22673 6672 29.4
19 River Jordan Medical Centre 2070 3953 191.0
20 Rumangao Dispensary 470 387 82.3
21 Sagala Health Centre 2102 1211 57.6
22 St Joseph's Shelter of Hope 6857 5129 74.8
23 Tausa Health Centre 3299 1652 50.1
24 Wongonyi Dispensary 1003 680 67.8
25 Zongwani Dispensary (Bamako) 1127 763 67.7
Level of care Infrastructure Amount available by provider type Distribution in government facilities
Government Private non-profit Private Total Requirements Gap/Surplus
(NGO, FBO) for profit available
8
1 Level V- Number of facilities
National/regional Bed capacity
referral facilities Specialized units: ICU,
Renal, Cancer Treatment
Centre etc.
Number of operating
theatres
Number of specialized
radiology
services/centers:
providing MRI, CT-scan
Specialized/tertiary
Laboratories:
histopathology, micro-
biology, biochemistry
2 Level IV - County Number of facilities 1 1 2 1 1 0
referral facilities Bed capacity
Number of operating 1 1 2 1 1 0
centres
Total of basic radiology 1 1 2 1 1 0
service centers providing
x-rays and ultrasounds
Number with secondary 1 1 1 3 7 6
laboratory services:
hematology and
transfusion, microbiology
and biochemistry
Functional ambulances 1 1 0 1 3 2
linked to a facility
3 Level III - Primary Number of Facilities 7 0 0 7 0 0
care facilities Bed capacity 62 0 0 62
Functional maternity units 1
Functioning basic 7 1 1 9 9 0
laboratory services: rapid
tests, microscopy
Ambulances linked to the 0 0 0 0 6 6
facility
Staff cadres Distribution by provider type Distribution by level of care Amount in government facilities
Govern Private non- Private Hospitals Primary Community Total Amount Gap/
ment profit for profit care available Required Surplus
(NGO, FBO)
1 Consultants 0 0
2 Medical officers 0 0
3 Dentists 0 0
4 Dental technologists 0 0
5 Public health officers 22 22
6 Pharmacists 1 1
7 Pharmacy technologists 8 8
8 Laboratory technologists 16 12 28 56 28
9 Orthopedic technologists 0 0
10 Nutritionists 5 5
11 Radiographers 0 0
12 Physiotherapists 0 0
13 Occupational therapists 0 0
14 Plaster technicians 0 0
15 Health records & 3 3
information officers
16 Medical engineering 0 0
technologist
17 Medical engineering 0 0
technicians
18 Mortuary attendants 0 0
19 Drivers 0 0
20 Accountants 0 0
21 Administrators 1 1
22 Clinical officers 2 2
(specialists)
23 Clinical officers (general) 29 29
10
Staff cadres Distribution by provider type Distribution by level of care Amount in government facilities
Govern Private non- Private Hospitals Primary Community Total Amount Gap/
ment profit for profit care available Required Surplus
(NGO, FBO)
24 Nursing staff (KRCHNs) 49 49
25 Nursing staff (KECHN) 11 11
26 Laboratory technicians 1 1 1 0 0
27 Community oral health 0 0
officers
28 Secretarial staff/clerks 0 0
29 Attendants/nurse aids 0 0
30 Cooks 0 0
31 Cleaners 32 32
32 Security 21 21
33 Community health 15 15
extension workers (For ex:
PHTs, social workers, etc.)
34 Community health 379 379
workers
35 Casual workers/staff 2 2
36 Other (specify)HTS 2 2
Counselor
11
1.2.4. Health Management Information Systems/ Monitoring and Evaluation
12
1.2.6. Health Sector Management, Coordination, Leadership and Governance
Intervention Sub-County level Level IV/V Level III Level II Level I
13
Section 2:
14
2.1 Major Health Conditions/Issues Observed in the County
This section identifies the health problems that account for the commonest morbidities and mortalities in the county and proposes
prioritization for focusing in the next FY.
15
Top ten most common health conditions/Issue/Challenges
* These are conditions/issues/challenges affecting a significant proportion of the relevant population in the county. The ones in (italics) are examples.
17
2.2 Problem Analysis and Priority Interventions
Reduce the burden of Poor roads in rural areas Proper construction of roads needed in the rural areas
violence & injuries Careless driving Need for education to the drivers on careful driving
Stress/depression among people in the society Seeking for psycho-social support
Provide essential medical Poor access of services in some facilities Conduct Outreaches
services Human wildlife conflict KWS to ensure proper control of wildlife from reaching the human
Inadequate equipment or RH and other Services
Minimize exposure to health Late starting of ANC Clinics to the pregnant mothers Health Education on Importance to have early Antenatal Clinics
risk factors
*Challenges are those problems within control of the county to manage. They form the basis for the planned activities and should therefore have achievable
solutions.
18
Section 3:
19
3.1 Annual Performance Targets
20
Eligible population Target
Halt and reverse increase in non- Baseline
(year X + 1)
B communicable conditions (year X-1 performance)
Number of adult OPD clients with BMI of 562
506
14 more than 25
Number of women of reproductive age 2040 2448
30945
15 (WRA) screened for cervical cancer (20% Increase)
Number of new outpatients with mental 876 789
16 health conditions (10% Decrease)
Number of new outpatients found with 6322 5690
-
17 high blood pressure (10% Decrease)
Eligible population Target
Reduce the burden of violence and Baseline
(year X + 1)
C injuries (year X-1 performance)
Number of new outpatient cases 67 61
-
18 attributed to gender-based violence (10% Decrease)
Number of new outpatient cases 1008 908
-
19 attributed to road traffic accidents (10% decrease)
Number of new outpatient cases 3965 3569
-
20 attributed to other injuries (10% decrease)
Number of patients with injury related
21 conditions dying in the facility
Eligible population Target
Baseline
(year X + 1)
D Provide essential health care (year X-1 performance)
Number of pregnant women attending at 1509
3201 2240
22 least four ANC visits
18407
Number of WRA receiving family planning 30945 20248
23 commodity
Number of pregnant women getting iron 7340 Both New and Re-visit Antenatal 8808
24 supplements mothers (20% Increase)
Number of deliveries conducted by skilled 2822
3083 3083
25 attendants in health facilities
Number of children under five dying in
26 health facility
38 34
27 Number of fresh still births in the facility (10% decrease)
2 1
28 Number of facility maternal deaths
21
29 Number of surgical cold cases operated 125 100% of cases to be operated
Number of persons with ill health referred 5452
4914
30 to community units
Number of newborns with low birth 196
177
31 weight (LBW – less than 2,500 grams)
Number of children under five years of 1777
age attending child welfare clinics for 3083 3083
32 growth monitoring (new cases)
Number of households provided with
23713 23713
33 health promotion messages
9273 115492
10200
(The whole population except
(10%Increase)
34 Number of clients tested for HIV those already positive on care)
Eligible population Target
Strengthen collaboration with health Baseline
(year X + 1)
E related sectors (year X-1 performance)
Number of children under five years of 1446
1301
age attending child welfare clinics who
(10% decrease)
35 are under weight
Number of children under five years of 463
417
age attending child welfare clinics who
(10% decrease)
36 are stunted
Number of households with functional
23713 23713
37 toilets
Number of households with hand washing 11018
23713 23713
38 facilities
Eligible population Target
Baseline
(year X + 1)
F Access (year X-1 performance)
39 Number of new outpatients (male) 34839 62719 38323
40 Number of new outpatients (female) 44198 55843 48618
Number of inpatients (admissions) under 608
578
41 five years of age
Number of inpatient (admissions) over 4384
4165
42 five years of age
22
3.2 Annual Program Based - Service Delivery Workplan
This section of the plan outlines the programs and sub-programs as well as a summary of all the priority activities planned for the
year. It details the activities and expected outputs, implementation timelines and the estimated budget for each of the activities
within a sub-program and program.
23
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
offered in the facilities Community and
environmental
services Table)
Sub-Program 1: Total
Sub-Program 2: Hospital level services
Output:
General
outpatient
services
Specialized
outpatient
services
Rehabilitative
services
Theatre services
In-patient services
24
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Radiology services
Referral services
Mortuary services
Sub-Program 2: Total
Program total:
25
Program 2: Preventive and Promotive Health Services
Program outcome: Effective and efficient preventive and promotive health interventions within the sub-county
Program objective: To provide effective and efficient preventive and promotive health interventions across the sub-county
Sub-Program 1: Total
28
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Procure 20 weighing scales @20000
Sub-Program 3: Total
2,376,500/-
Sub-Program 4: Disease surveillance and control
Staffing Quarterly trainings for health workers on IDSR √ √ √ √ 147,000 TTCG
and Open Data Kit ( ODK)
Monthly 15 days routine ODK Integrated √ √ √ √ 360,000 TTCG
Support Supervision.
Conduct Bi annual training of HCWs on √ √ √ √ 875,000 TTCG
Disaster preparedness and management
Sensitize health care workers on COVID 19 √ √ √ √ 150,000 TTCG
surveillance and priority diseases at the facility
and field.
Contact tracing on COVID 19 and priority √ √ √ √ 80,000 TTCG
diseases
Data collection and reporting by surveillance √ √ √ √ 40,000 TTCG
Rapid Response Teams
Conduct facilities quarterly RRT Surveillance √ √ √ √ 600,000 TTCG
Meetings
Formation of coordination teams engaging key √ √ 96,000 TTCG
stakeholders on disaster preparedness and
management
Sub-Program 4: Total
Sub-Program 5: HIV control interventions
Staffing Increase HTC uptake through integration of 0 0 0 0 0
services
0 0 612,25 0 612,250.00 THS
Training on PMTCT 0.00
Support supervision for HTS counselors √ √ √ √ 260,000.00 CGTT/Partner
Proper documentation and strengthen referral 0 0 0 0 0
system
Commodities and Do enhanced adherence counseling and home √ √ √ √ 720,000.00 CGTT/Partner
sullies visits
Capacity building to health workers on 1 0 0 0 114,300.00 CGTT/Partner
enhanced adherence counseling 14,300
.00
Mentorship on PrEP and other HIV indicators √ √ √ √ 135,000.00 CGTT
Other expenses Conduct DQA on HIV indicators √ √ √ √ 221,000.00 CGTT
Support supervision 0 0 0 0 0
30
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
0.00
Support 30 youth Peer educators √ √ √ √ 120,000 CGTT/Partners
to
improve adherence to ART among
adolescents
Facilitate and support MDT √ √ √ √ 180,000 CGTT/Partners
meetings
in selected HVF
Other expenses
Sub-Program 8: Total
Sub-Program 9: Non-communicable disease control
Staffing Conduct NCDs medical camps √ √ √ √ 433,880 TTCG
Create awareness on NCDs through √ √ √ √ 68,200 TTCG
media, community and public forums
Intensify screening at the OPD and √ √ √ √ 0 TTCG
outreaches
Commodities and Capacity build health √ √ √ √ 68,200 TTCG
32
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
supplies workers(Hypertension, DM and
Cancer)
Ensure regular supply of √ √ √ √ 0
pharmaceuticals through proper
forecasting and timely ordering
Other expenses
Sub-Program 9: Total
Sub-Program 10: Environmental Health, Water and Sanitation Interventions
Staffing Conduct stake holders’ meetings X X X X 150,000 TTCG
on WASH
Carry out periodic food and water X X X X 100,000 TTCG
sampling
Carry out CLTS activities in 18 X X X X 350,000 TTCG
villages
Carry out inspection of food premises, X X X X 200,000 TTCG
prisons, Learning and health
institutions to ascertain its suitability
and compliance of health standards
Carry out vector control activities and X X X X 200,000 TTCG
indoor residual spraying in institutions
Conduct Medical examination to food X X X X
handlers
Commodities and Stationeries (Pens, Manila papers, X X 100,000 TTCG
supplies photocopy papers, cartridges)
Repair of defective motorbikes (5) and X X X X 300,000 TTCG
one (1) motor Vehicle- Nissan Patrol
(Still at the Home Boys garage)
Other expenses
35
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
26 CHUs To facilitate supply of CHS reporting √ √ √ √ TTCG
Supplied with tools for CBHIS (MOH 515 & 514)
701,800/=
CBHIS
reporting tools
Documentation To conduct household register updates TTCG
& Update in all CHUs √ √ 130,000/=
CBHIS data
Quarterly Sharing of CHU progress report on √ √ √ √
HFMC & monthly, quarterly, biannual and yearly
Monthly through review of key indicators at
0
feedback linked facility during facility
meeting held at committee and staff meeting
linked facilities
Updated Documentation of all birth and death √ √ √ √
information on events as they occur in the community
0
vital events- and reporting using provided format
birth & deaths
Community mobilization, sensitization √ √ √ √ TTCG
Shared and awareness creation through health
progress report baraza targeting to address health
330,000/=
to the concerns
community Sharing CHU’s progress report to
relevant stakeholders
Storage Controlling and managing of supplies √ √ √ √ TTCG
provided for for CHU at linked facility through use
supply of of inventory
community- 0
based health
products at
CHU
Maintained Documenting and maintain of supplies √ √ √ √
inventory of all provided to the CHU within the
products and CBHIS format
0
supplies
provided to the
CHUs
Distributed Timely distribution of supplies before √ √ √ √ 0
36
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
expiry date
supplied to
Field follow ups on utilization of
CHUs
health products and supplies
Trained CHCs To trained CHCs & CHAs/PHOs on √ √ TTCG
& CHAs/PHOs proposals writing
208,000/=
on proposals
writing
Stakeholders To hold 104 stakeholders meeting √ √ √ √ TTCG
meeting done across the sub county at CHU level 1,040,000/=
at CHU
26 quarterly To conduct 26 support supervision to √ √ √ √ TTCG
Support all CHUs in quarterly basis
360,000/=
supervision
done to CHUs
4 quarterly To conduct 4 quarterly data review √ √ √ √ TTCG
data review meeting
meetings held 200,000/=
at sub county
level
104 To conduct 104 community health √ √ √ √ TTCG
community action days across sub county on
health action quarterly basis 520,000/=
done
successfully
104 To conduct 104 community health √ √ √ √ TTCG
community dialogues across the sub county on
health quarterly basis 624,000/=
dialogues held
successfully
38
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Tausa Health Construction of OPD, Laboratory and √ 6,000,000.00 TTCG
Centre pharmacy
40
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Dispensary Refurbishment of the delivery room and √ 1,200,000.00 TTCG
plumbing works
41
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Provision of 2(10,000lts) water tanks √ 200,000.00 TTCG
42
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
Inspection of commodities ordered at 136000 TTCG
vendors warehouse/premises
DISTRIBUTION Delivery of commodities to health facilities TTCG
across the sub-county 180000
Sub-Program 3: Total
Sub-Program 4: Procurement and maintenance of medical and other equipment
Provision of Procurement of assorted medical 44,000,000.00 TTCG
assorted medical equipment and furniture
equipment to 22
health facilities Inspection and acceptance exercise 220,000.00 TTCG
43
Key output Activities Q1 Q2 Q3 Q4 Total amount Source of funds
health facilities.
Sub-Program 4: Total
Sub-Program 5: Management and coordination of health services
Lab networking (Transport of 750,000.00 TTCG
specimen from rural to the main
hospitals eg lunch & transport)
Hold weekly health organization 520,000.00 TTCG
meeting SCHMT
Hold monthly joint health 130,000.00 TTCG
organization meeting (HMTM &
SCHMT)
Networking of ambulance and 939,750.00 TTCG
emergency services
Regular maintenance of 1 ambulances 168,000.00 TTCG
Sub-program 5: Total
Sub-program 6: Health sector planning, budgeting and monitoring and evaluation
M&E Carry out support supervision √ √ √ √ 402,600 TTCG
Conduct regular data review meetings √ √ √ √ 1,572,000 THS
Conduct Annual stakeholders forums √ 115,000 TTCG
Sensitization of sub county staff on √ THS
211,000
AWP
Annual Target setting √ 182,000 THS
45
Section 4:
46
4.1 Budget Summary by Program and Sub-Program
2 Preventive and promotive Reproductive maternal neonatal child health (RMNCH) services 7,759,645
health services Immunization services 14,761,434
Nutrition services 2,376,500
Disease surveillance and control 2,845,000
HIV control interventions 7,007,800
TB control interventions 2,691,000
Malaria control interventions 3,749,000
Neglected tropical diseases control 2,600,000
Non-communicable disease control 570,280
Environmental health, water and sanitation interventions 1,850,000
School health interventions
Community health – Level I interventions 22,732,490
3 General administration, Health workers and human resource management 5,865,000
planning, management Construction and maintenance of buildings 101,427,200
support and coordination Procurement of medicine, medical and other supplies 62,512,000
Procurement and maintenance of medical and other equipment 59,73,275
Management and coordination of health services 7,968,838
Health sector planning, budgeting and monitoring and evaluation 3,591,350
256,573,038
47
4.2 Budget Summary by Program Area and Source of Funds
Curative and Preventive and General administration, Total
rehabilitative health promotive health planning, management
services services support and coordination
Public sources County government 225,383,183.80 225,383,183.80