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For further level up of �Kirinyaga health management�FY 2024/25

Q4 Review Meeting - Kirinyaga

July 2024

JICA-SAMACH

by Hashimoto

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Outline

Kirinyaga model is replicated in other counties
Role of SCHMT for TOT
Review report format and CHMT’s input
Review report format update for FY 2024/25 and full utilization of the online tools
Receipt and Expenditure online tool (R&E tool) under SHIF and FIF

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1. Kirinyaga model is replicated in other counties

SAMACH website: News

https://drive.google.com/file/d/1agCLQdecXAhfXybif9ssMhKzP33I1vdR/view

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2. Role of SCHMT for TOT�

SCHMTs have developed competency for digitalized management using SAMACH online tools.
Need more trainers among SCHMTs to orientate new FICs
The role of SAMACH assistant members will shift to assist SCHMTs to orientate FICs from direct assistance to HFs.
SCHMTs are key for TOT within respective sub-county, and extended training for other counties in need.

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HFs

SCHMT

“SCHRIO”

& TOT members

SAMACH assistant

No direct request for assistance

Ask for assistance.

SCHMT orientates new FICs

Ask for technical assistance in need.

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3. Review report format and CHMT’s input�

Current review report format is a narrative version derived from quarterly presentation format
The report is an interactive online version to prepare within the Drive, and CHMT would insert feedback, questions and others
All performance information and discussion among County is recorded and documented
New review report format for FY 2024/25 would be found soon in the Drive which covers more information

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4. Review report format revision for FY 2024/25 and full utilization of the online tools�

The review report for each sub-county will be further improved to contain more hyper-links
The report newly includes the chapters that covers financial transaction, status of equipment and human resources
Status of equipment is especially related with forth coming AWP to prioritize budget/ resource allocation to certain activities based on shortcomings

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A proposal: Outline of the (Narrative) Review Report form for FY 2024/25 onward

The Sub-county Profile and the Map
Health Indicators [Sub-county consolidation] :

(1) Q1, (2) Q2, (3) Q3, (4) Q4, (5) Half Year, (6) Up to Q3, and (7) Annual

Status of Health Facilities in this Sub-county
AWP Implementation Overview as Sub-county and CHMT feedback
Health Facility performance: AWP, Human Resource, Equipment Status, and Receipt & Expenditure
Summary sheets

AWP (County consolidated sheet)
HR (County consolidated sheet)
Equipment (County consolidated sheet)
Receipt and Expenditure (Sub-county consolidated sheet)

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5. Receipt and Expenditure online tool (R&E tool) under SHIF and FIF �

Apart from DANIDA, HFs are now able and supposed to spend carried over amount from NHIF reimbursement, capitation from SHIF, and other reimbursed fund (*Hospitals do user-fee collection as well)
Use R&E tool fully to capture all those as “Receipt” (Revenue):
1 July: Record the amount from what is carried over from NHIF
Record the capitation amount every quarter or any reimbursement with date when transferred to HF’s bank account
In subsequent FY, HFs may have carried over fund from those different sources, which should be recorded accordingly in R&E tool on every 1 July
Expenditure information from any sources is captured and recorded with “source information” when AIE is issued

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R&E tool: What to enter from the entry form to generate the file like below?

Every 1^st July, record the balance amount by resources

and start adding new financial flow of new FY.

E.g.,

[Receipt]

1 July 1,230,000 NHIF (Carried over amount)

1 July 200,000 SHIF (Capitation for Q1) > from Q2 ?

15 Aug 254,000 DANIDA

[Expenditure]

5 July 140,000 NHIF (Spent for Activity X)

10 Aug 100,000 SHIF (Spent for Activity Y)

12 Sep 25,400 DANIDA (Spent for Activity Z)

[Balance: as of 12 Sep ]

1,190,000 > Download and sort by fund resource if needed

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