NAKURU COUNTY STATUS EVALUATION AND ACTION PLAN
NAKURU COUNTY S/NO What is working Gaps/ Challenges well Leadership -Political good will -Unharmonized programme areas by the health sector and and present political leadership. Governance: -36 % total budget -Public participation still weak. Political allocation towards -Budget making process does not resonate with sub-county level and health. specific priorities County -Observed -Political influence and interference health sector improvements in -Minimal intersectoral collaborations across sectors. level. honouring budget -Minimal of integration of child health services into other cycle timelines programmes due to competing priorities and weak capacities. -Increasing focus on - Minimal use of data to inform decision making on resources Community allocation and prioritization. services. -Minimal involvement of the private sectors in County health.
AREAS FOR IMPROVEMENT Areas of improvement Recommendations • -Increase health financing Incorporate/integrate specific and appropriate MNCH budget line items allocation towards prevention within total health budget. and promotive health particularly • Completion of stalled/incomplete MNCH projects on Child heath. • Equipping of MNCH centres • Improve on supplies and technologies for MNCH services. • -Improvements of MNCH Improve funding sources for MNCH • infrastructure services. Enhance capacity on data for planning at all levels, integration of services at all level -Emphasise on workplans to • Promote more intersectoral collaborations (Water, Agriculture, etc) • guide prioritization and Address gaps in timely appropriate commodity flow. Include clear budget allocation of finances lines on MNCH. Strengthen commodity and equipment in level 1 &2 facilities. -Promote service integration for MNCH services - Enhance private -public partnership to maximize access to services.
INDICATORS FOR INCLUSION IN THE AWP Current Target Proportion of children under five correctly diagnosed and 16% 7.1% treated for Diarrhoea with ORS and Zinc Proportion of children under five correctly diagnosed and 14.5% treated for Pneumonia Amoxicillin DT 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 32% 60% supplement
ACTION PLAN Activity Target Outcome Responsibility 1. Conduct spot checks and 80% of all service To improve the quality of care of diarrhoea and Pneumonia. CHMT support supervisions, delivery This will help improve in ensuring correct diagnosis and treatment rapid assessment on points/levels in all on Diarrhoea and Pneumonia diagnosis and treatment of sub-counties. diarrhoea with ORS and Improve an understanding of the root causes of the child health Zinc and Pneumonia situation and the root causes of the problems. 2. Conduct rapid assessments on child health conditions in the county. 1. Increase % facilities with 80% facility This will have ensured that their equipment availability, commodity SCHMT functional ORT corners. coverage in all availability and development and dissemination of ORT corners sub-counties guidelines. 1. Supply of child health 80% of facilities Improve on service delivery, meet Child health targets. 80% of C/SCHMT commodities in all sub-counties facilities to be fully stocked with tracer commodities that address stocked with child health. ORS ZINC, PARACETAMOL, Vitamin A, Amoxillin essential child DT, (De worming tablet) health Tracking and reporting commodities Development tools Sensitization
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