1. Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

2.  Introduction  Achievements by ; ◦ Medical services Technical departments ◦ Support systems ◦ Parastatals  Conclusion and way forward MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

3.  Management support plans were based on core functions and responsibilities at the different levels ◦ Provincial level ◦ National level by the divisions, programmes and departments ◦ Parastatals ◦ reports shows the support geared towards delivery of health services in all levels of care (level 1- 6) ‘ MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

4. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION Medical Services technical departments  Surgery  Medicine  Standards and regulatory services  Diagnostic and Forensic  Technical administration  Pharmacy  Nursing

5.  Psychosocial and counselling services integrated in health service delivery  Draft standards and guidelines for medical social workers has been developed.  National guidelines on mental health printed and distributed.  Child survival strategy finalised and Launched. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

6.  Hospitals were supplied with X-ray logistics  Quarterly supportive supervision done.  The Kenya Board of mental health inspection tours were done.  quarterly nutrition bulletin was produced.  Paediatric care audit done in four hospitals.  Capacity building e.g. Masters in psychiatry; psychiatry nursing  Participation in assessment of nutrition situation in Kenya. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION.

7.  Service standards and guidelines for orthopedic technology was developed and disseminated  Procurement and distribution of equipment (orthopedic, physiotherapy, occupational, dental divisions)  Supportive supervisory visits  midterm evaluation of the National eye care strategic plan  MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

8.  Computers procured for division of orthopedic technology  Provincial quarterly feedback meeting held by orthopedic div..  Trainings ;  27 clinical officers at KMTC as anesthetists;  ophthalmic clinical officers and nurses trained in improved eye care.  MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

9.  Ten senior officers trained in management skills  Forty four orthopedic technologists were trained in management of club foot.  Fifteen of the planned thirty orthopedic technologist were recruited.  A disability survey was done MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

10.  Finalized the nursing strategic plan  Final draft of the surgical catalogue done.  The nursing policies and standards guidelines finalized,  Draft nursing education policy in place  Participated in integrated supportive supervision  16 nurses trained in peri-operative nursing and 13 in paediatric nursing.  Nursing workforce analysis was done MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

11.  Kenya National Pharmaceutical Policy adopted.  Quarterly medicines prices and availability surveys were conducted  National framework for pharmacovigilance and post-marketing surveillance was drafted  70 newly upgraded district hospitals inducted into the pull system.  100 rural health facilities in Rift Valley province prepared for the pull system.  MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

12.  Essential Medicines Management of Supplies (EMMS) guidelines finalised and distributed.  Quantification exercise conducted and report done  Draft of the Kenya Essential Medicines List was developed and reviewed  91 facility in-charges from Central and Eastern province were trained on the pull system. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

13.  SOPs for TB and malaria diagnosis were developed and disseminated  All provincial laboratories were enrolled on external quality assurance  Internal quality assurance established in 1000 VCT sites.  Trainings; ◦ on laboratory data tools, ◦ 6 laboratory managers trained on quality assurance.  MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

14.  147,690 units of donated blood was screened for use.  Support to maintain and service laboratory equipment was given to the facilities. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

15.  Proposal for accreditation system and for revised KQAM implementation were developed.  A training policy developed and awaits sharing and formal launch.  KQAM master check list and standards for level 2 to 6 were also developed.  A draft e-health strategy developed. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

16.  Inspection of health facilities was carried out jointly with the professional association boards and councils.  Health professional of the year awards successfully held.  country survey on priority issues to inform policy development was done in collaboration with KEMRI. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

17.  Revision of the AOP 5 planning tools  planning units trained on the tools and the planning process,  AOP5 developed and launched.  Coordination of development and signing of performance contracts by health managers  Draft National referral strategy  The revision service charter and implementation in hospitals  development of clinical guidelines MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

18.  Draft KNH Act prepared with guidance from parliamentary counsel  The hospital service charter translated into Kiswahili and posters displayed in all key service delivery areas,  Accident & Emergency unit opened  Automation of the stores  Phase1of the construction of a boundary fence along Mbagathi road was completed MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

19.  Training needs assessment done,  1,678 staff were trained in-house on leadership skills and organizational behaviour.  The hospital code of conduct developed and approved.  KNH scientific conference held on 18 th -19 th September 2008.  Simulator installed and commissioned for cancer treatment. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

20.  Basic training curricula reviewed  4, 000 competent health professionals graduated  KMTC ISO 9001-2008 Certified  18 short courses conducted targeting health workers  16 short courses/ seminars for teaching and non-teaching members of staff in the college.  Computers installed in 27 colleges MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

21.  Financial constraints  Competing priorities  Inadequate data/information  Inadequate logistics  Linkage between management support and service delivery MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

22.  Missing reports to be submitted  Reports to be made for all outputs that had been planned for (as per the AOP4 Plan)  Achievement on management support to be linked to service delivery  Outputs that were not achieved to be re- planned in AOP6. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

23. MINISTRY OF MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION THANK YOU