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SUBCOUNTY NAME: KIRINYAGA SOUTH SUB COUNTY �VENUE: NICE DIGITAL CITY�DATE: 1/11/2023�TEAM: SCHMT/FACILITIES����

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

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Kirinyaga South Sub-County Profile

  • Kirinyaga South sub-county is one of the five sub counties in Kirinyaga County.
  • Administratively the sub county has 4 ward
  • Murinduko ,
  • Nyangati,
  • Gathigiriri
  • Tebere .
  • The sub county has population of 146 717 persons according to 2023 population in KHIS.
  • The sub county has 93 facilities in KHMFL and 23 community unit linked to GOK facilities.
  • Total reporting facilities 45 (16GOK,3 FBO and 26 privates facilities.

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

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

QUARTERLY

TARGET

NUMBERS

%

NUMBERS

%

NUMBERS

%

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New ANC Attendance

697

87%

185

23%

882

110%

804

Pregnant women completing 4 ANC visits

436

54%

148

19%

584

73%

804

Fully Immunized Children(FIC) under 1 year(MR1)

692

92%

159

21%

851

113%

756

Fully Immunized Children(FIC) under 2 years(MR2)

554

73%

128

17%

682

90%

756

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

6953

69%

418

4%

7371

73%

10160

Total deliveries in facilities

125

16%

628

80%

753

96%

781

Cervical Cancer Screening

411

30%

284

21%

695

51%

1371

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

QUARTERLY

TARGET

NUMBERS

%

NUMBERS

%

NUMBERS

%

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Teen Pregnancy (10-14yrs)

2

0.2%

0

0%

2

0.2%

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Teen Pregnancy (15-19yrs)

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138

17%

29

4%

167

21%

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Vitamin A supplementation 12-59months

1741

15%

265

2%

2006

17%

11854

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Number of Health Facilities Reporting electronic AWP tool

6

1.

Number of HFs with AWP (2023/2024)

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14

2.

Number of HFs uploaded AWP electronically

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14

3.

Number of HFs monitoring AWP electronically

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Level of completeness in AWP(2023/2024) implementation Monitoring�

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NUMBERS

FACILITIES

0%

​

1-25%

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25 and above

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1

Difathas Health Centre

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​

✓

2

Kangu Dispensary

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​

✓

3

Kanjinji Dispensary

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​

✓

4

Kiarukungu Dispensary

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​

✓

5

Kirogo Dispensary

​

​

✓

6

Kiumbu Health Centre

​

​

✓

7

Mumbuini Dispensary

​

​

✓

8

Gathigiriri Health Centre

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​

✓

9

Murinduko Health Centre

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​

✓

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Level of completeness in AWP(2023/2024) implementation Monitoring�

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NUMBERS

FACILITIES

0%

​

1-25%

​

25 and above

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10

Kiamanyeki Dispensary

✓

​

​

11

Kimbimbi S. C.H

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✓

​

​

12

Kutus Health Centre

✓

​

​

13

Togonye Dispensary

✓

​

​

14

South Ngariama Dispensary

✓

​

​

15

Matandara Dispensary

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​

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MURINDUKO HEALTH CENTRE

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CHALLENGES IN AWP IMLEMENTATION & MONITORING

  • Inadequate funding on targeted activities e.g immunization programs
  • Inconsistent donar funding
  • Lack of ease flexibility on funding of some program areas due to fixed vote heads on Donar fund
  • Lack funds for project targeted to be funded by the county government.
  • Inadequate/erratic supply of health product
  • Insuficient M&E on some key areas of service delivery such as NCDS and immunization programs

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CONT, CHALLENGES IN AWP IMLEMENTATION & MONITORING

  • Weak referral infrastructure with poor back to back feedback system
  • poor utilization of some available critical primary health care services such as immunization, early ANC,cervical cancer screening. This could be due to lack of awareness, myths and misconception, religious and cultural beliefs.
  • Inadequate up to-date knowledge among staff on some areas of primary health care service delivery.
  • Demotivated inadequate staffed workforce
  • Lack of existing functional primary health care networks
  • poor linkage of health facilities to effective procurement services

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RECOMMENDATIONS

  • Loby for increased donor funding
  • Ensure timely and regular disbursement of donar funds.
  • Improve on donar fund regulatons to allow inclusion of funding on some key sub program activities like cervical cancer screening and immunization activities.
  • County government to ensure release of funds for budgeted activities meant to be funded from the county kitty.
  • Strengthen health product logistics by acurate commodity forcasting,timely ordering and procurement.
  • Increase staffing inorder to address staff shortage.

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CONT, RECOMMENDATIONS

  • Strengthen M&E on key programs areas like NCDS and immunization through regular supervision and DQAs
  • Improve referral infrastructure from community to the county referral health facilities with back to back feedback system
  • Create more awareness to the community on available health services through regular microteaching and community dialogues
  • Strengthen human resource through employment of more staff, improved renumeration,continous capacity building well structured predictable positive reward.
  • Fast struck establishment of functional primary care networks.
  • Improve health facilities linkage to effective procurement services

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KIARUKUNGU DISPENSARY

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CHALLENGES IN AWP IMLEMENTATION & MONITORING

  • Knowledge gap amongst staff _ not having the know how on how to maneuver the AWP tool.
  • Inadequate supply of health products.
  • Lack of enough funds for projects targeted.
  • Inadequate staff.
  • Poor referral system.
  • Poor economic status among the community.
  • Community ignorance/knowledge gap regarding essential service needs.

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RECOMMENDATIONS

  • Offering training to staffs.
  • Timely disbursement of funds.
  • Increase funding for the facility projects.
  • Increase staffing.
  • Enough supply of HPT’s.
  • Create more awareness to the community.
  • Improve the referral system from the community to other facilities.

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

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CLAIMS PERFORMANCE – Q1 (JUL – SEP 2023)

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1.

Number of GOK HFs in the sub-county

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15

2.

Number of GOK HFs Claiming (NHIF/Linda Mama)

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14

3.

% of GOK HFs Claiming (NHIF/Linda Mama)

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100%

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KANGU DISPENSARY

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NHIF/LINDA MAMA CLAIM/REIMBURSEMENT PERFORMANCE Q1 (JUL-SEP 2023

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • Good and accurate documentation in Linda Mama and Edu Afya program.
  • Timely claiming due to availability of printing machine.
  • Accurate reports and timely submission for both online and hardcopy reports.
  • We triage our patients and give students priority to health care services.
  • Linking of students who require special care with level 4 and county referral specialists.

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CHALLLENGES

  • Lack of printing papers and cartilage.
  • Lack of gadget for data entry , report compilation and linda mama notifications.
  • Inadequate transport fee for claim submission to NHIF offices(Mwea).
  • Lack of motivation for the claiming staff.
  • Lack of awareness to the students on importance of EDU AFYA.

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RECOMMENDATIONS

  • Provision of timely adequate printing papers and cartilages.
  • Provision of claiming gadgets e.g android phones or tablets.
  • Elimination of paperwork during claiming and notification.
  • Trainings and OJTs to all facility staffs.
  • Motivation to the claiming staff.
  • Creating awareness on EDUAFYA and LINDA MAMA to the community through the CHPs , barazas and churches.

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KANJINJI DISPENSARY

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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

 4

 14

 10

 0

15

 43

CLAIMABLE AMOUNT

 2400

 4200

 2500

 0

15000

 24100

CLAIMED AMOUNT

 2400

 2100

 2000

 0

9000

15500

CLAIMING RATE (%)

100

50

80

0

60

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64

Aug-23

NO. ATTENDED

 3

 14

 12

 0

0

 29

CLAIMABLE AMOUNT

 1800

 4200

 3000

 0

0

 9000

CLAIMED AMOUNT

 600

 2100

 1250

 0

0

3950

CLAIMING RATE (%)

33

50

42

0

0

44

Sep-23

NO. ATTENDED

 8

 13

 16

 0

30

 67

CLAIMABLE AMOUNT

 4800

 3900

 4000

 0

30000

 42700

CLAIMED AMOUNT

 2400

 900

 1250

 0

23000

27550

CLAIMING RATE (%)

50

23

31

0

77

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65

Total

Quarterly Amount Claimed (July, August, September)

5400

51000

4500

0

32000

47000

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

  • Timely compiling of claim forms both for edu afya and linda mama
  • Timely online claiming
  • Timely submission of dully completed forms to nhif office
  • Liasing with nhif focal person in case of any challenges encountered
  • Involving all facility staffs in the process
  • Submission of jica online tool on time

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CHALLLENGES

  • Some students upi not nhif activated
  • Some anc and pnc mothers not submitting copies after services are offered .
  • Unreliable photocopy machine in the nearby market center thus sometimes mothers fail to get the photocopy services
  • Inadequate fund for photocopying the claim forms
  • . secondary school principal in the nearby school adamant on following up on nhif-activation of students upis
  • Poor network connectivity in the facility thus making it impossible to timely verify the upis whether activated or not.

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RECOMMENDATIONS

  • Plan in progress to purchase a photocopying machine.This will ensure that no anc or pnc services offered goes unclaimed
  • Sensitisation meeting with the school principals especially kanjinji day secondary school to ensure that all students upis are nhif activated
  • Allocating more cash for stationery and printing/photocopy services
  • Health education to all women of childbearing age to consider our facility for anc/pnc and cwc services
  • Giving first priority to anc/pnc mothers and students who visit our facility
  • Constant communication with insurance focal person in case of challenges encountered
  • Educate and allocate one support staff in the facility the role of ensuring that there is 100 percent compliance on matters nhif linda mama/edu afya
  • Lias with county heads to make a follow up on network connectivity with the safaricom

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