Dr F.M.KIMANIDIRECTOR FOR MEDICAL
SERVICES
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Introduction Achievements by ;
◦ Medical services Technical departments◦ Support systems◦ Parastatals
Conclusion and way forward
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Management support plans were based on core functions and responsibilities at the different levels◦ Provincial level ◦ National level by the divisions, programmes and
departments◦ Parastatals◦ reports shows the support geared towards
delivery of health services in all levels of care (level 1- 6)‘
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Surgery Medicine Standards and regulatory services Diagnostic and Forensic Technical administration Pharmacy Nursing
Psychosocial and counselling services integrated in health service delivery
Draft standards and guidelines for medical social workers has been developed.
National guidelines on mental health printed and distributed .
Child survival strategy finalised and Launched.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Hospitals were supplied with X-ray logistics Quarterly supportive supervision done. The Kenya Board of mental health
inspection tours were done. quarterly nutrition bulletin was produced. Paediatric care audit done in four hospitals. Capacity building e.g. Masters in psychiatry;
psychiatry nursing Participation in assessment of nutrition situation
in Kenya.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
.
Service standards and guidelines for orthopedic technology was developed and disseminated
Procurement and distribution of equipment (orthopedic, physiotherapy, occupational, dental divisions)
Supportive supervisory visits midterm evaluation of the National eye care
strategic plan
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Computers procured for division of orthopedic technology
Provincial quarterly feedback meeting held by orthopedic div..
Trainings ; 27 clinical officers at KMTC as anesthetists; ophthalmic clinical officers and nurses
trained in improved eye care.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Ten senior officers trained in management skills
Forty four orthopedic technologists were trained in management of club foot.
Fifteen of the planned thirty orthopedic technologist were recruited.
A disability survey was done
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Finalized the nursing strategic plan Final draft of the surgical catalogue done. The nursing policies and standards
guidelines finalized, Draft nursing education policy in place Participated in integrated supportive
supervision 16 nurses trained in peri-operative nursing
and 13 in paediatric nursing. Nursing workforce analysis was done
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Kenya National Pharmaceutical Policy adopted. Quarterly medicines prices and availability
surveys were conducted National framework for pharmacovigilance and
post-marketing surveillance was drafted 70 newly upgraded district hospitals inducted
into the pull system. 100 rural health facilities in Rift Valley province
prepared for the pull system.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Essential Medicines Management of Supplies (EMMS) guidelines finalised and distributed.
Quantification exercise conducted and report done
Draft of the Kenya Essential Medicines List was developed and reviewed
91 facility in-charges from Central and Eastern province were trained on the pull system.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
SOPs for TB and malaria diagnosis were developed and disseminated
All provincial laboratories were enrolled on external quality assurance
Internal quality assurance established in 1000 VCT sites.
Trainings; ◦ on laboratory data tools,◦ 6 laboratory managers trained on quality
assurance.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
147,690 units of donated blood was screened for use.
Support to maintain and service laboratory equipment was given to the facilities.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Proposal for accreditation system and for revised KQAM implementation were developed.
A training policy developed and awaits sharing and formal launch.
KQAM master check list and standards for level 2 to 6 were also developed.
A draft e-health strategy developed.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Inspection of health facilities was carried out jointly with the professional association boards and councils.
Health professional of the year awards successfully held.
country survey on priority issues to inform policy development was done in collaboration with KEMRI.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Revision of the AOP 5 planning tools planning units trained on the tools and the
planning process, AOP5 developed and launched. Coordination of development and signing of
performance contracts by health managers Draft National referral strategy The revision service charter and
implementation in hospitals development of clinical guidelines
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Draft KNH Act prepared with guidance from parliamentary counsel
The hospital service charter translated into Kiswahili and posters displayed in all key service delivery areas,
Accident & Emergency unit opened Automation of the stores Phase1of the construction of a boundary fence
along Mbagathi road was completed
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Training needs assessment done, 1,678 staff were trained in-house on
leadership skills and organizational behaviour.
The hospital code of conduct developed and approved.
KNH scientific conference held on 18th-19th September 2008.
Simulator installed and commissioned for cancer treatment.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Basic training curricula reviewed 4, 000 competent health professionals
graduated KMTC ISO 9001-2008 Certified 18 short courses conducted targeting
health workers 16 short courses/ seminars for teaching and
non-teaching members of staff in the college.
Computers installed in 27 colleges
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Financial constraints Competing priorities Inadequate data/information Inadequate logistics Linkage between management support
and service delivery
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
Missing reports to be submitted Reports to be made for all outputs that had
been planned for (as per the AOP4 Plan) Achievement on management support to be
linked to service delivery Outputs that were not achieved to be re-
planned in AOP6.
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
MINISTRY OF MEDICAL SERVICES
MINISTRY OF PUBLIC HEALTH & SANITATION
THANK YOU
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