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SUBCOUNTY NAME: Kirinyaga East�VENUE:Nice Digital Hotel�DATE:1.11.2023�

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

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Kirinyaga East Sub-County Profile

  • The sub-county has a population projections of 145371 of this 50.7% are females while 49.3% represents males(KHIS,2023).
  • Adminisitatively sub-county has 5 wards.
  • Its lies in the following coordinates Latitude 0.4913S and longitudes 37.3614 degrees to the East
  • The Sub-county has 33 reporting facilities and 26 functional community health units.
  • Socio-economically-Coffee ,tea and dairy farming are the major activities in the area
  • Education status-has a literacy level 0f 87%(KNBS, 2022).Total number of primary school is 87 while the sub-county has 37 secondary schools and 4 tertiary institution all polytechnics.

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

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

Estimated Targets

NUMBERS

%

NUMBERS

%

NUMBERS

%

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New ANC Attendance

361

68%

148

55%

509

64%

795

Pregnant women completing 4 ANC visits

286

79%

90

61%

376

74%

509

Mothers receiving Postpartum Care at 6 weeks

486

92%

286

107%

772

97%

774

Fully Immunized Children(FIC) under 1 year

421

79%

120

51%

541

72%

750

Fully Immunized Children(FIC) under 2 years

378

73%

101

43%

479

63%

750

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

5008

59%

404

50%

5412

58%

926

Total deliveries in facilities

67

39%

255

42%

322

41%

774

Cervical Cancer Screening

122

6.9%

33

7%

155

9%

1773

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

Targets

NUMBERS

%

NUMBERS

%

NUMBERS

%

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Teen Pregnancy (10-14yrs)

0

0

0

0

0

0

-

Teen Pregnancy (15-19yrs)

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46

9%

13

5%

59

7%

795

Vitamin A supplementation 12-59months

1276

18%

298

9%

1574

16%

10234

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Number of Health Facilities Reporting electronic AWP tool

  • Number of HFs with AWP (2023/2024)-14
  • Number of HFs uploaded AWP electronically-14
  • Number of HFs monitoring AWP electronically -13
  • Level of completeness in AWP(2023/2024) implementation Monitoring
  • 0%
  • 1-25%
  • 25 and above

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

  • Two facilities were selected for monitoring of AWP;
  • Gatugura Dispensary
  • Kabare Health Centre.

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Gatugura Dispensary challenges in awp imlementation & monitoring

Challenges

  • Some programmes can only be implemented by the CGK
  • Knowledge gap for interraction with the tools.
  • Provision of the funds is not consistent

Reccomedation

  • A refresher OJT to be done on the tools
  • CGK activities to be implemented

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Kabare Health Centre challenges in awp implementation & monitoring

  • Knowledge gap on navigation in the tool.
  • Finacial constraints.

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Reccomedation

  • Monitoring the AWP on monthly basis

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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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Indicator

Number

Number of HFs in the sub-county

14

Number of HFs Claiming (NHIF/Linda Mama)

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12

% of HFs Claiming (NHIF/Linda Mama)

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85%

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JOSHUA MBAI DISPENSARY 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

 8

 10

 18

 0

13

 49

CLAIMABLE AMOUNT

 4800

3000

 4500

 0

13000

25300

CLAIMED AMOUNT

 4800

 5700

 4500

 0

13000

28000

CLAIMING RATE (%)

100%

190%

100%

​

100%

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110%

Aug-23

NO. ATTENDED

 5

 22

 26

 0

4

 57

CLAIMABLE AMOUNT

 3000

 6600

 6500

 0

4000

 20100

CLAIMED AMOUNT

 2400

 6600

 6500

 0

4000

19500

CLAIMING RATE (%)

80%

100%

100%

​

100%

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97%

Sep-23

NO. ATTENDED

 11

 15

 24

 0

9

 59

CLAIMABLE AMOUNT

 6600

 4500

 6000

 0

9000

 26100

CLAIMED AMOUNT

 7200

 4500

 7000

 0

7000

25700

CLAIMING RATE (%)

109%

100%

116%

​

78%

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98%

Total

Quarterly Amount Claimed (July, August, September)

14400

16800

18000

0

24000

73200

Quarterly reimbursement(July, August, September)

 

 

 

 

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 56000

Reimbursement (%)

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

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77%

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JOSHUA MBAI DISPENSARY BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • Explaining to all clients benefits of linda mama to them and to the facility
  • Explaining to client when they are expected to bring photocopy for claiming
  • Ensuring every staffs understand linda mama and how to make claims
  • Sensitizing school Principals on the required documents for Edu Afya.

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Joshua Mbai DispensaryChallenges

  • Lack of a photocopier machine
  • Some students do not come with upi numbers
  • Nhif not depositing money in facility account.
  • Lack of a computer to enable e claims
  • Backdating of returned claim forms

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RECOMMENDATIONS

  • Purchase photocopier and computer to facilitate e claims
  • Continued sensitization of the community to ensure students come with required documents and especially when they are on holiday
  • To be allowed to use the NHIF money for facility improvement
  • Continued follow-up to ensure money is deposited to the facility account

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

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

3

9

15

0

1

28

CLAIMABLE AMOUNT

1800

2700

3750

0

1000

9250

CLAIMED AMOUNT

1800

1200

250

0

1000

4250

CLAIMING RATE (%)

100%

44%

6%

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100%

46%

Aug-23

NO. ATTENDED

5

6

18

0

0

29

CLAIMABLE AMOUNT

3000

1800

4500

0

0

9300

CLAIMED AMOUNT

2400

300

1500

0

0

4200

CLAIMING RATE (%)

80%

16%

33%

0

0

45%

Sep-23

NO. ATTENDED

1

6

5

0

0

12

CLAIMABLE AMOUNT

600

1800

1250

0

0

3650

CLAIMED AMOUNT

600

900

0

0

0

1500

CLAIMING RATE (%)

100%

50%

0%

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0

41%

Total

Quarterly Amount Claimed (July,

August, September)

4800

2400

1750

0

1000

9950

Quarterly reimbursement(July,

August, September)

-

-

-

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-

6700

Reimbursement (%)

-

-

-

-

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14

67%

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • no photocopies around we take photos with the mobile phone and print copies for the client
  • Utilize the triage to identify clients for EDU AFYA
  • at the end of September all 3 support staffs have been fully trained to handle linda mama registration cascading it up to all staffs thus no single cla I'm should slip away

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Riakithiga Dispensary Challenges

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  • Some clients don’t carry their IDS Cards
  • Unavailability of photocopy services near the health facility.
  • Edu afya has been a challenge since there is no school around the health facility and those who come never carries the introduction letter.

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RECOMMENDATIONS

  • Purchase of photocopying and printing machines.
  • To senstisize the community on availability of linda mama and edu afya at the facility

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