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SUBCOUNTY NAME: KIRINYAGA CENTRAL�VENUE:NICE DIGITAL MWEA�DATE:31ST OCTOBER 2023�TEAM: SCHMT����

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

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Sub-County Profile

  • Kirinyaga central sub county is one of the five sub-counties in Kirinyaga county.
  • It has four administrative wards namely; Inoi , Kerugoya , Kanyekiini , and Mutira.
  • It has a population of 132,178 persons according to 2023 population projection.
  • The subcounty has 112 registered facilities in KHMFL.
  • Operational facilities 92
  • Total no of reporting facilities 41.( 15 GOK,5 FBO, 21privates).
  • It has 26 Community Health Units attached to 13 GOK facilities Gatwe H/C and Kiamuthambi dispensary having no CU attached to them.

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

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

84

INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

NUMBERS

​

Estimated Population

%

NUMBERS

Estimated Population

​

%

NUMBERS

%

New ANC Attendance

365

339

107%

436

385

113%

801

111%

Pregnant women completing 4 ANC visits

199

365

55%

292

436

67%

491

61%

Fully Immunized Children(FIC) under 1 year

413

332

124%

266

349

76%

679

100%

Fully Immunized Children(FIC) under 2 years

352

332

106%

203

349

58%

557

82%

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

2888

6824

42%

506

2057

25%

3394

38%

Total deliveries in facilities

72

54

133%

1091

650

168%

1162

155%

Cervical Cancer Screening

370

503

74%

377

733

51%

747

60%

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HEALTH INDICATORS – Q1 –JUL –SEP 2023

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INDICATOR

PRIMARY HEALTH SERVICES (Level 2&3)

HOSPITALS

TOTAL

NUMBERS

Est. Pop

​

%

NUMBERS

Est.pop

%

NUMBERS

%

Teen Pregnancy (10-14yrs)

0

0

​

0

​

​

0

0

Teen Pregnancy (15-19yrs)

​

38

365

10%

16

385

4%

54

7%

Vitamin A supplementation 12-59months

1495

6914

22%

548

2814

19%

2043

21%

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Number of Health Facilities Reporting electronic AWP tool

  • Number of HFs with AWP (2023/2024) 15
  • Number of HFs uploaded AWP electronically 15
  • 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)�

  • 2 Health facilities (PERFORMANCE IN ALL PROGRAMME AREAS)

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

  1. Kirinyaga Central (Kagumo HC & Gathuthuma Disp)

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

  • 2 Health facilities (PERFORMANCE IN ALL PROGRAMME AREAS)

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C:\Users\Frank\Downloads\Gathuthuma AWP_2023_24_KC_Gathuthuma Dispensary.xlsx

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C:\Users\Frank\Downloads\Kagumo AWP_2023_24_KC_Kagumo Health Centre.xlsx

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C:\Users\Frank\Downloads\Kariko-AWP_2023_24_KC_Kariko Dispensary.xlsx

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Challenges

  • Insufficient fund for facility projects targeted
  • Inadequate supply of health products
  • Inadequate staffing
  • Knowledge gaps among staffs about how to manuever the AwP
  • Delayed referrals
  • Community ignorance/knowledge gap regarding essential service need
  • Low economic status among the community

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Recommendations

  • Increase funds for facility projects
  • Increase staffing
  • Timely disbursement of funds
  • Offering training to staff on online awp
  • Enough supply of health products
  • Create more awareness to community on the services offered at the facility.

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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 15

​

​

  • Number of HFs Claiming (NHIF/Linda Mama) 14

​

​

  • % of HFs Claiming (NHIF/Linda Mama) 93%

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​

​

​

​

​

​

​

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PROPOSED HFS

  • N:B – FOR THE NEXT SLIDE THE FOLLOWING 2 HFS HAVE BEEN SELECTED FOR EACH SUBCOUNTY
  • Kirinyaga Central (Gatuto Disp & Kiaga Disp)

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

14

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

 23

 30

 0

60

 131

CLAIMABLE AMOUNT

 10,800

 6,900

 7,500

 0

60,000

 85,200

CLAIMED AMOUNT

 10,200

 7,800

 13,500

 0

60,000

91,250.00

CLAIMING RATE (%)

92.5%

113%

176%

0%

100%

100.2%

Aug-23

NO. ATTENDED

 12

 29

 50

0 

60

151 

CLAIMABLE AMOUNT

 7,200

8,700 

12,500 

0 

60,000

88,400 

CLAIMED AMOUNT

 7,200

8,700 

12,500 

0 

60,000

88,4000.0

CLAIMING RATE (%)

100%

100%

100%

0%

100%

100%

Sep-23

NO. ATTENDED

 8

32 

 42

 0

76

158 

CLAIMABLE AMOUNT

 4,800

9,600 

10,500 

 0

76,000

100,900

CLAIMED AMOUNT

 4,800

8,400

10,500 

0 

76,000

99,700.00

CLAIMING RATE (%)

100%

87.5%

100%

0%

​

100%

100%

Total

Quarterly Amount Claimed (July, August, September)

91,250.0

88,400.0

99,700.0

0

​

279,350.0

Quarterly reimbursement(July, August, September)

 0

 0

 0

 0

0

0 

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​

​

​

​

​

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

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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

 1

 9

 6

 0

4

 20

CLAIMABLE AMOUNT

 600

 2700

 1500

 0

4000

 8800

CLAIMED AMOUNT

 0

 300

 1250

 0

4000

5550

CLAIMING RATE (%)

0

0.11%

83%

0

100%

62%

Aug-23

NO. ATTENDED

 1

 2

 15

 

0

 

CLAIMABLE AMOUNT

 600

 600

 3750

 

0

 4950

CLAIMED AMOUNT

 0

 600

 3000

 

0

3600

CLAIMING RATE (%)

0

100%

80%

​

0

60%

Sep-23

NO. ATTENDED

 1

 6

 19

 0

4

 

CLAIMABLE AMOUNT

 600

 1800

 4750

 0

4000

 

CLAIMED AMOUNT

 600

 1500

 4250

 0

4000

0

CLAIMING RATE (%)

100

83%

89%

0

100

93%

Total

Quarterly Amount Claimed (July, August, September)

5550

3600

10350

0

​

0

Quarterly reimbursement(July, August, September)

 0

 6750

 0

 

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​

0

187%

0

#DIV/0!

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#DIV/0!

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BEST PRACTICES IN NHIF/LINDA MAMA CLAIMS/REIMBURSEMENT

  • Treating students as a priority group
  • Setting aside a shelf for students drugs to encourage them
  • Patient education forums

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CHALLLENGES

      • Long waiting time for Linda mama/NHIF reignbursement
  • Inadequate funds
  • No lab previously( note ,room now ready)
  • No lab officer to compliment anc profiles and thus patients land in other facilities with a laboratory
  • No photocopies
  • Few schools attached to the facility,principals colluding with private facilities for edu afya improved services,the cases we get are only emergencies per say despite adequate visits to the schools for edu afya sensitization by the facility incharges

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RECOMMENDATIONS

  • increase of funds

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