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SUBCOUNTY NAME: KIRINYAGA NORTH �VENUE: NICE DIGITAL HOTEL�DATE: 1st Nov 2023�TEAM: K.NORTH.����

Information is the Oil of the 21st Century and Analytics is the Combustion

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SUBCOUNTY MAP

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KIRINYAGA NORTH SUB-COUNTY PROFILE

Kirinyaga North Sub-county is one of sub counties in Kirinyaga County which administratively has 4 wards Mutithi ,Thiba, Wamumu and Kangai ward. The sub county has total catchment population of 114234 (KHIS 2023) .

Total households 38078 and 18 functional community health units linked in all GOK facilities.

Total health facilities registered in KHMFL- 43

Health facilities closed-17

Total health facilities reporting -26

GOK-10

FBO-3

Private-13

​

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ANNUAL WORKPLAN PERFORMANCE REVIEW�QUARTER 1: JUL – SEPT 2023�

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KIRINYAGA NORTH SUBCOUNTY HEALTH INDICATORS Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

​

NUMBERS

%

NUMBERS

%

NUMBERS

%

ESTIMATED POP

​

New ANC Attendance

596

95%

83

13%

679

108%

625

Pregnant women completing 4 ANC visits

391

62%

55

9%

446

71%

625

Fully Immunized Children(FIC) under 1 year

567

96%

31

5%

598

102%

588

Fully Immunized Children(FIC) under 2 years

478

81%

32

4%

510

86%

588

Number of Women of reproductive age (WRA) receiving family planning (FP) commodities

5691

73%

53

1%

5744

74%

7768

Total deliveries

195

32%

459

75%

654

107%

608

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

​

NUMBERS

%

NUMBERS

%

NUMBERS

%

ESTIMATED POP

​

Cervical Cancer Screening

547

51%

65

6%

612

57%

1068

Teen Pregnancy (10-14yrs)

0

0%

0

​

0

0%

625

Teen Pregnancy (15-19yrs)

​

89

14%

4

1%

93

15%

625

Vitamin A supplementation 12-59months

1307

15%

87

1%

1394

16%

8682

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Number of Health Facilities Reporting electronic AWP tool

  • Number of HFs with AWP (2023/2024)

= 10

  • Number of HFs uploaded AWP electronically

= 10

  • Number of HFs monitoring AWP electronically

= 6

  • Level of completeness in AWP(2023/2024) implementation Monitoring
  • 0%
  • 1-25%
  • 25% and Above

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�AWP (2023/2024 IMPLEMENATION MONITORING PERFORMANCE �Q1 (JUL –SEP 2023)�

  • 2 Health facilities (PERFORMANCE IN ALL PROGRAMME AREAS)

N:B – THE 2 HEALTH FACILITIES ARE DETERMINED PER SUBCOUNTY AS FOLLOWS:

  1. Kirinyaga North (Ciagini HC , Mutithi HC and Kandongu Disp)

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C:\Users\Records\Desktop\JICA AWP\AWP_2023_24_KN (MW)_Mutithi Health Centre (1) (9).pdf

​

C:\Users\Records\Desktop\JICA AWP\AWP_202324_KN (MW)_Ciagini Health Centre.pdf

​

C:\Users\Records\Desktop\JICA AWP\AWP_2023_24_KN (MW)_Kandongu Dispensary - AWP.pdf

​

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MUTITHI HC �CHALLENGES IN AWP IMLEMENTATION & MONITORING

  • Lack of sufficient funds.
  • Not well oriented on the online monitoring tool
  • Lack of staff training to improve patient safety�

RECOMMENDATIONS

  • Increase funding
  • Have more partners
  • More trainings on the online monitoring tool and OJT

​

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CIAGINI HC �CHALLENGES IN AWP IMLEMENTATION & MONITORING

​

  • Lack of computer in the facility
  • Lack of reliable internet esp when using safaricom

​

RECOMMENDATIONS

  • Allocate funds to procure computer
  • Allocate fund to install reliable internet e.g WIFI

​

​

​

​

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NHIF/LINDA MAMA PERFORMANCE REVIEW�QUARTER 1: JUL – SEPT 2023

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CLAIMS PERFORMANCE – Q1 (JUL – SEP 2023)

  • Number of HFs in the sub-county

=10

​

  • Number of HFs Claiming (NHIF/Linda Mama)

=9

​

  • % of HFs Claiming (NHIF/Linda Mama)

=90%

​

​

​

​

​

​

​

​

​

​

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PROPOSED HFS

  • N:B – FOR THE NEXT SLIDE THE FOLLOWING 2 HFS HAVE BEEN SELECTED FOR THE SUBCOUNTY
  • Kirinyaga North (Njegas HC & Nguka HC)

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NJEGAS HEALTH CENTRE�NHIF/LINDA MAMA CLAIM/REIMBURSEMENT PERFORMANCE Q1 (JUL-SEP 2023

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MONTH

VARIABLE

MONTHLY WORKLOAD (JUL -SEP 2023)

​

1st ANC Visit

2ND to 4th ANC

Postnatal(upto 3 Months)

No. of Deliveries

EDU AFYA (No. of Students)

TOTAL

​

Jul-23

NO. ATTENDED

 18

 48

 34

 12

10

 122

​

CLAIMABLE AMOUNT

 10,800

 14,400

 8500

 30,000

10,000

73,700

​

CLAIMED AMOUNT

 10,800

 14,400

 8500

 15,000

10,000

58,700

​

CLAIMING RATE (%)

100

100

100

50

100

79.6

​

Aug-23

NO. ATTENDED

 23

 47

 37

 8

43

 158

​

CLAIMABLE AMOUNT

 13,800

 14,100

 9,250

 20000

43,000

 100,150

​

CLAIMED AMOUNT

 13,800

 14,100

 9,250

 20,000

43,000

100,150

​

CLAIMING RATE (%)

100

100

100

100

100

100

​

Sep-23

NO. ATTENDED

 19

 55

 55

 11

5

 145

​

CLAIMABLE AMOUNT

 11,400

 16,500

 13,750

 27,500

5000

 74,150

​

CLAIMED AMOUNT

 11,400

 15,000

 12,000

 15,000

5000

58,400

​

CLAIMING RATE (%)

100

90.9

87.2

54.5

100

78.8

​

Total

Quarterly Amount Claimed (July, August, September)

36,000

43,500

29,750

50,000

58,000

217,250

​

Quarterly reimbursement(July, August, September)

 0

 0

 0

 0

0

 0

​

Reimbursement (%)

0

0

0

0

0

0

​

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • Team work
  • The facility was able to do photocopies for the financially constrained clients
  • It’s the duty of the MCH nurse on duty to request & verify the photocopies before handing them over to the Linda mama focal person
  • Provision of transport ,General office supplies& airtime for operational purposes
  • Motivation to the focal person through relieving her from certain duties like night-shifts ,ground works
  • Holding meetings with the stake holders i.e. school heads .
  • Ensuring availability of supplies esp. for the students & maternity mothers through timely ordering

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CHALLENGES

  • Erratic power supply thus making it difficult to request for the copies
  • Delayed fund disbursement i.e. Danida ,thus making it aburden in terms of supplies
  • Competition from the private sector who offer stipends to the school heads
  • School head transfers
  • We need a new photocopier to replace the existing one due to constant breakdowns
  • A lot of paperwork, which is time consuming & financial draining
  • Delay in reimbursements i.e. the last reimbursement was in the month of June

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RECOMMENDATIONS

  • To be considered in terms of provision of a power backup(generator)
  • prompt disbursement of funds
  • Prompt payment of claims
  • Assistance in terms provision of photocopier
  • Hasten the transition of claims to E-claim
  • Motivation

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NGUKA HEALTH CENTRE�NHIF/LINDA MAMA CLAIM/REIMBURSEMENT PERFORMANCE Q1 (JUL-SEP 2023

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MONTH

VARIABLE

MONTHLY WORKLOAD (JUL -SEP 2023)

1st ANC Visit

2ND to 4th ANC

Postnatal(upto 3 Months)

No. of Deliveries

EDU AFYA (No. of Students)

TOTAL

Jul-23

NO. ATTENDED

 15

37

47

0

0

99

CLAIMABLE AMOUNT

 9000

11,100

11,750

0

0

31.850

CLAIMED AMOUNT

 6,000

11,100

9,250

0

0

26,350

CLAIMING RATE (%)

66%

100%

78%

0

0

​

Aug-23

NO. ATTENDED

 16

55

62

0

0

133

CLAIMABLE AMOUNT

 9,600

16,500

15,500

0

0

41,600

CLAIMED AMOUNT

 9,000

10,200

8,000

 0

0

27,200

CLAIMING RATE (%)

93%

61%

51%

0

0

​

Sep-23

NO. ATTENDED

 7

47

67

0

3

124

CLAIMABLE AMOUNT

 4,200

14,100

16,750

0

3,000

35,350

CLAIMED AMOUNT

 3,000

12,300

10,000

0

3,00

25,300

CLAIMING RATE (%)

71%

87%

59%

​

100%

​

Total

Quarterly Amount Claimed (July, August, September)

18,000

33,600

27,250

0

3,000

81,850

Quarterly reimbursement(July, August, September)

 0

0

0

0

0

0

Reimbursement (%)

0

0

0

0

0

0

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • Offering free registration process to clients
  • Offering incentives to mothers such as free photocopying to facilitate registration.
  • Assisting mothers to register for linda mama
  • Timely ordering of drugs and setting aside some of supplies (for students, ANC and Postnatal mother)
  • Ensuring availability of necessary materials/ tools for purposes of claim processing (General office supplies, money for airtime and transport)
  • Team work
  • Timely claiming

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CHALLLENGES

  • High rates of teenage pregnancies (It’s a challenge to register girls under 18yrs/ women who don’t have identification Card ID.)
  • Financial limitation / funding and budgeting constraints.
  • Slow reimbursement / procedural errors (claims rejection due to lack of some documents.)
  • More paper work (photocopies of mother document as well as services provided which is financial/ time consuming.)
  • Lack of regular performance review meeting to easen on managing claims process.
  • Lack of new technology system.
  • Lack of internet and computers.

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RECOMMENDATIONS

  • Linda mama has offered a tremendous opportunity for expectant mother who previously may not have been able to deliver in facility.
  • Consider regular linda mama / Edu afya management review meetings that include the NHIF County Health Managers so that problems are identified and remedial actions implemented.
  • Consider installation of new technology systems (e claim) to easen on managing claim process.
  • Prompt disbursement of funds

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