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���SUBCOUNTY NAME: KIRINYAGA WEST SUB COUNTY�VENUE: NICE DIGITAL HOTEL, MWEA�DATE: 31ST OCT 2023�TEAM; SCHMT����

INFORMATION IS A SOURCE OF LEARNING , BUT UNLESS IS AVAILABLE, ORGANIZED AND AVAILABLE TO THE RIGHT PEOPLE, IT’S A BURDEN, NOT A BENEFIT!

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Sub-County Profile

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  • The sub county has a total population of 124,337 as at 2023.

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  • Total operating facilities are 46 and 33 are Reporting as shown below;

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-GOK 15

-Private 15

-FBO 3

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  • There are 3 hospitals, 9 health centres/nursing homes and 21 Dispensaries/medical clinics
  • 22 functional community units.

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  • Administratively the sub county has 3 wards;
    • Kariti ward
    • Mukure ward
    • Kiine ward

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KIINE

MUKURE

KARIITI

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SUB COUNTY ORGANOGRAM

3

COMMUNITY

FACILITY

SUB COUNTY

SUB COUNTY HEAD

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SCHMT

FACILITY INCHARGE

COMMUNITY HEALTH COMMITTEE

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COMMUNITY HEALTH PROMOTERS

  • FACILITY CHEW
  • COMMUNITY CHEW

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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

Quarterly Target

NUMBERS

%

NUMBERS

%

NUMBERS

%

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New ANC Attendance

452

66%

218

32%

670

97%

689

Pregnant women completing 4 ANC visits

294

43%

183

27%

477

69%

689

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

535

83%

191

30%

726

113%

641

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

448

70%

129

20%

577

90%

641

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

4334

54%

249

3%

4583

57%

8113

Total deliveries in facilities

97

15%

245

37%

342

52%

662

Cervical Cancer Screening

375

32%

112

10%

487

42%

1163

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

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NUMBERS

%

NUMBERS

%

NUMBERS

%

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Teen Pregnancy (10-14yrs)

1

0.2%

1

0.5%

2

0.3%

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Teen Pregnancy (15-19yrs)

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76

17%

28

13%

104

16%

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Vitamin A supplementation 12-59months

1166

25%

325

7%

1491

32%

4725

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Number of Health Facilities Reporting electronic AWP tool

7

Number of HFs with AWP (2023/2024)

 15

Number of HFs uploaded AWP electronically

 15

Number of HFs monitoring AWP electronically

 10

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

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0%

0

1-25%

0

26 – 50%

3

51 – 75%

7

76% - 100%

0

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CHALLENGES AND RECOMMENDATIONS IN AWP IMLEMENTATION & MONITORING�KIBIRIGWI HEALTH CENTRE

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Challenges

  • Untimely disbursement of DANIDA funds
  • Inadequate staffing
  • Lack of some equipments
  • Lack of funds for activities financed by the county
  • Knowledge gap in interacting with the system(AWP Online tool)

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Recommendations

  • Prompt disbursement of the funds
  • The county to improve staffing
  • Budget allocation from the county
  • Supply of the required equipments
  • OJT on interacting with the online AWP tool

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CHALLENGES AND RECOMMENDATIONS IN AWP IMLEMENTATION & MONITORING �KIARAGANA DISPENSARY

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Challenges

  • Late disbursement of DANIDA funds
  • Inadequate resources for total implementation of the activities

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Recommendations

  • Timely disbursement of the DANIDA fund
  • Involvement of the other support for facility based activities eg World Bank

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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 GOK HFs in the sub-county- 15

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  • Number of GOK HFs Claiming (NHIF/Linda Mama)-15

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  • % of GOK HFs Claiming (NHIF/Linda Mama)-100%

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​

​

​

​

​

​

​

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

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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

 7

 38

 18

 7

3

 53

Claimable amount

 4200

 13000

 4500

 17500

3000

 42200

Claimed amount

 3000

 6000

 4500

 17500

3000

34000

Claiming rate (%)

71%

46%

100%

100%

100%

80%

Aug-23

No. Attended

 13

 35

 35

 4

6

 62

Claimable amount

 7800

 12250

 8750

10000

6000

 44800

Claimed amount

 7200

 6300

 5000

 7500

6000

32000

Claiming rate (%)

92%

51%

57%

75%

100%

71%

Sep-23

No. Attended

 10

 27

 36

 4

24

 111

Claimable amount

 6000

 9450

 9000

 10000

24000

 58450

Claimed amount

 5400

 4500

 7000

 7500

24000

48000

Claiming rate (%)

90%

48%

78%

75%

100%

82%

Total

Quarterly Amount Claimed (July, August, September)

15600

16800

16500

32500

33000

114000

Quarterly reimbursement(July, August, September)

 0

 0

0 

 0

0

 0

Reimbursement (%)

0%

0%

0%

0%

0%

0%

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

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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

10

 24

 14

 7

92

145 

Claimable amount

 6000

 7200

3500

 17500

92000

126200

Claimed amount

 6000

 6900

 3500

 25000

92000

134700

Claiming rate (%)

100%

95%

100%

143%

100%

107%

Aug-23

No. Attended

 13

 26

 28

 3

5

75

Claimable amount

 7800

 7800

 7000

7500

5000

35100

Claimed amount

 7800

 6900

3500

 7500

5000

30700

Claiming rate (%)

100%

88%

50%

100%

100%

88%

Sep-23

No. Attended

 13

 21

19

 4

100

157

Claimable amount

 7800

 6300

 4750

 10000

100000

128850

Claimed amount

 7800

 6600

 4250

 10000

100000

128650

Claiming rate (%)

100%

105%

90%

100%

100%

99.8%

Total

Quarterly Amount Claimed (July, August, September)

21600

20400

11250

42500

197000

294050

Quarterly reimbursement(July, August, September)

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​

​

​

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Reimbursement (%)

0%

0%

0%

0%

0%

0%

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

KIANGAI HEALTH CENTRE

  • Immediate Claiming whenever clients reports to hospital
  • Encouraging post natal and Antenatal mother’s to bring photocopies during their next visit
  • Making sure every nurse officer in the facility know how to register and claim

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GATHAMBI HEALTH CENTRE

  • Having a person who is trained on claiming and training others on how to claim
  • Registering all mothers and client immediately they come for services.
  • Having a printer and printing papers at all times

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CHALLLENGES

KIANGAI HEALTH CENTRE

  • Students coming without NEMIS Number
  • Lack of photocopy machine
  • Client walking long distance to do photocopy

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GATHAMBI HEALTH CENTRE

  • Power outage resulting in difficulty in printing
  • Students not coming with introduction letters.

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RECOMMENDATIONS

KIANGAI HEALTH CENTRE

  • Provide a photocopy machine
  • Talk to headteacher of affected secondary school to provide students with active NEMIS number

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GATHAMBI HEALTH CENTRE

  • Taking photos of the pages need to claim when there's no power to print latter when there is power.
  • Laise with concerned high school to be issuing letters or print copies in advance in case of power failure.

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