The training was conducted at Kajiado Cultural Resort on 30th and 31stby the County Health records and Information officer who is also in charge of planning and monitoring. Target audience was drawn from the County Health management team and representatives from the Kajiado CSO health stakeholders. 11 members of the CHMT and 10 members of the CSO were present were in attendance. CSO present were:
Aphia Plus -2
Feed the children- 1
SOWED Kenya – 1
Beacon of Hope – 1
ADEO – 2
Improve effectiveness of health service delivery in Kajiado through planning, implementation andmonitoring
Participants were taken through County health objectives and service outcome targets, as a basis for the training. This was to guide planning in the next three years of implementation of health activities in kajiado County
County Health Objectives
- Eliminate Communicable diseases
- Health and reverse increasing burden of non-communicable diseases
- Reduce the burden of violence and injuries
- Provide essential medical services
- Minimize exposure to health risk factors
- Strengthen collaboration with health related sectors with focus on information generation on activities and their impact on health.
Planning and Implementation will be guided by these factors
- Strategic leadership and governance
- County Health Management structure
- Partnership and coordination
The County Health Management structure
- Principles of organizational design
The organizational structure is aligned to the Constitution of Kenya 2010, Vision 2030 and other Government of Kenya policies, strategies and Acts of parliament. The structure is based on functions and clients’ needs and provides clarity of roles, responsibilities and accountabilities.
The department is headed by the County Executive member of health with the chief officer as the accounting officer. The technical team consists of County health management Team headed by the County Directorof health services. This unit consists of:
- Clinical, rehabilitative and referral services Unit
- Nutrition and dietetics Unit
- Community health Services and health promotion Unit
- Family health, Emergency and nursing services Unit
- Administration and Finance Unit
- Medicines, Therapeutics & Commodity management Unit
- Environmental Health Services Unit
- Diagnostics and Imaging services unit
- Partnership and Coordination
Partnership is classified in three:
- County Actors
Who include County Executive Committee on health and County health Ministry. County Health related Ministries like Finance,
- Non County Actors
These are Facility based providers: Faith based and private providers
Non facility based providers: Non-governmental organizations and civil society organization
Health sector partnership in Kajiado is guided by Kenya Health Sector Approach (SWAP) introduced in 2005 which provides a framework through which all sector actors can engage to improve effectiveness of health actions. The need for one planning, one budgeting and one monitoring framework is highly recommended.
Implementation and Monitoring
These objectives are met through implementation process by various health departments with respective partners from civil societies, faith based providers and private health providers. Planning is based on priorities informed by quarterly reports from health facilities and outreaches.
Every sector will form a working group incorporating civil society and faith based organizations, to develop quarterly joint plan to implement activities. This is geared towards effective collaboration to maximize on resources and avoid duplication of services for the same beneficiaries. The thematic groups are led by the County health Management Team focal person for the sector, at the County level.
Progress will monitored through reports on activities channeled through the information office to feed into the larger DHIS. Quarterly forums will provide platform evaluate the progress too.
A website will be useful in facilitatingcoordination and communication among health stakeholders’, as well as creating a platform for consolidating the gains and sharing lessons learnt.
- Training topics were not well researched to cover content
- Little time allocated for the training
- Participants were frequently distracted from the training due to competing tasks