Department of Health and Sanitation

MS. CHRISTINE APOKORENG CEC HEALTH & SANITATION.

MS. MARY NGORIAKES
‌CO SANITATION & EMERGENCIES.

MR. ISAIAH PENDOU 
‌CO MEDICAL SERVICES.


Vision 
‌- A disease free community
‌Mission
‌- To provide quality health care.  
Core Values;
‌ accessible, 
‌user- friendly, 
‌timely Responsive. 
Sub-sections 
‌Curative and Rehabilitative 
‌Health Services 
‌Preventive and Promotive Health Services  
‌                                

‌               
‌                                          Status Of Key Health Indicators in The County 
 ‌                          i. Diseases Prevalence and Morbidity 
‌The most common diseases in the county include malaria, respiratory tract infections, diarrhoea and stomach ache. Malaria prevalence remains high at 42 percent. The use of treated nets has helped to significantly reduce infection and transmission of Malaria and more effort is needed to ensure its continued use. There is also need for closer monitoring of HIV/AIDS infection due to its socioeconomic impact on households and communities. Females are more vulnerable to sickness than males in the county.



‌CURRENT FULLY IMMUNIZED = 58.1% 
‌CURRENT SKILLED DELIVERY= 60.1% 
‌CURRENT CPR= 23%
‌                            ii. Health Service Access 
‌The county has health facilities managed by the County Government of West Pokot ranging from Level 2 to 5. The county has numerous gaps in most of the health system blocks. Most notably in Human Resources for Health in terms of levels of care under Level One (community health services) there are 252 community units spread across the sub counties. 
‌Under Level Two (dispensaries and health centres) there are 105 health facilities, 10 being Health Centres. The county also has five county hospitals under Level Four. Currently there are no tier five facilities but plans are underway to upgrade the county referral hospital to Level five. Furthermore, the County has 1 Non-Governmental Organizations (NGO) health centre facility and 12 Private facilities of which, one is a nursing home. 
‌The ideal situation would be for each sub-County to have a level 4 facility and several level 3 and 2 facilities. West Pokot County is served by 4 hospitals, 8 health centres and 142 dispensaries. Kapenguria County hospital and Ortum Mission Hospital are the two major health facilities in the County.
‌                              iii. Nutritional Status 
‌The percentage of children at risk of malnutrition stands at 6.6 percent. Chronic malnutrition rate stands at 35% at the county. Currently, there are efforts by development partners to improve on child nutrition. Development partners work with the department of health, sanitation and emergencies to address nutrition. 
‌                              iv. Immunization 
‌Immunization coverage is still low in the county. With other parts of the country gearing to the achievement of 100 percent immunization coverage, the immunization coverage (fully immunized child) in the county stands at 58.1 percent. This is attributed to low staffing of health facilities, few and inaccessible health facilities and nomadic life style. Most affected areas are: Kasei, Konyao, Sook, Seker and Chepkokogh. 
‌                              v.Family Planning Services 
‌The contraceptive acceptance in the county is low, modern contraceptive prevalence rate currently stands at 23%. This is attributed to the culture of valuing many children as source of wealth and protection in the community, ignorance and high illiteracy. Due to awareness creation and family planning campaign, this acceptance is expected to rise. In order to increase the contraceptive acceptance levels, there is need for awareness creation and family planning campaign and reduction in the cost of family planning commodities.
‌                              vi. County Health Parameters

County 2014  County (current)  Kenya (current)
   HEALTH PERSONNEL    
 Nurses (per 100,000 people) 41   86/100000  55
 Doctors (per 100,000 people)  4  7/100000  10
 Clinical officers (per 100,000 people)  15  20/100000  21
   HEALTH FACILITIES    
 Public  57  144  4,929
 Nongovernmental  2  0  347
 Faith-based  20  12  1,081
 Private  4  10  3,797
       


Department’s COVID-19 Response 
  • ‌Construction of an isolation ward at KCRH for highly infectious diseases. Operationalization of isolation centres across the county were equipped with beds. KCRH – 21, Ortum – 10, Kacheliba, Sigor and Chepereria – 2 each 
  • ‌402 health care workers were trained on the pandemic management and Infection Prevention Control 
  • ‌Sensitization of 250 health care workers and 1600 community health volunteers effected. 
  • ‌Active surveillance, screening and testing points set within Murkwijit, Kishaunet, marich and Chesegon 
  • ‌Stocking of PPEs for the health care workers and disinfection and fumigation of 42 towns and centres against COVID – 19 
  • ‌Radio community engagement talks [228] and 30 interpersonal engagements through community healthcare volunteers


             1. Pharmacy Section
‌This section ensures that residents are provided with safe and effective healthcare through; 
ACCESS - to the right medicine and other pharmacy services. 
‌SAFETY- staff are qualified, trained, and comply with professional standards, guidelines and codes of conduct to ensure provision of the right medicine at the right dose.
COMMUNICATION- Kapenguria county referral hospital pharmacy will provide you open, timely and appropriate communication about your health and medication. 
PRIVACY- personal information kept private and confidential. 
‌                 2. Medicine Section 
‌The department offers a wide range of comprehensive inpatient services including an array of diagnostics, as well as integrated longitudinal outpatient chronic and non-communicable disease care. We welcome willing partners to collaborate with us in the many areas that require improvement to enhance quality service delivery to the people of West Pokot County and its environs.
‌                   3. Laboratory Section 
‌This section endeavors to offer effective leadership in Quality Laboratory diagnostic services, advocate improved laboratory quality systems and provide effective timely patient treatment outcome monitoring services, as well as the leading center of excellence in the West Pokot County in the promotion of laboratory quality services. 
‌Quality Objectives 
  • ‌To leverage principles of best practice in our operation through enforcement and policy compliance mechanism. 
  • ‌To promote safety practices, reliability and suitability of accurately validated equipment and procedures. 
  • ‌To ensure that the integrity of patient and customer results obtained from KCTRHL are reliable, timely and of high quality 
  • ‌Ensure compliance to international standards in particular ISO 15189: 2012.standard 
‌                    4. Child Health and Pediatrics Section. 
‌This section offers clinical services to all children up to the age of 14 years. The staff include nurses, clinical officers, nutritionists, medical officers and Pediatricians. It also serves as a learning unit offering internship to medical officer interns, clinical officer interns, nursing officer interns and KMTC students. 
‌Its inpatient department composed of a general pediatrics unit and a vibrant state of the art new born unit. 
‌           -The pediatric ward is a 36-bed unit that offers pediatric medical, surgical and orthopedic services. It hosts one isolation unit with three beds and a newborn section for neonates admitted beyond one week of age. 
‌            -The newborn unit is divided into four sub-sections. The premature room for babies born below 1500g weight; the term baby room for babies born beyond 1600g; an isolation room for neonates requiring this service and a four-bed kangaroo mother care unit. It has ten incubators 12 cots and emergency resuscitation area for stabilizing emergency care category A babies. This has two rescucitaires. It is in close proximity with the delivery room to allow prompt response for all neonatal needs in the county. It has an average of 50 admissions per month.
‌The pediatric outpatient services are offered in three subsections 
  • ‌Routine vaccination and weighing done at the child welfare clinic. 
  • ‌Emergency pediatric services and outpatient care at the IMCI clinic that acts as our pediatric accident and emergency department. 
  • ‌Pediatrics outpatient clinic – this is run by the consultant pediatrician for outpatient specialized cases required for various children referred from the IMCI clinic or from the entire county.
 Project Description Ward Project Status
 COMPLETION OF OPERATION THEATRE AT KACHELIBA SUB COUNTY HOSPITAL SUAM, WEIWEI, CHEPARERIA COMPLETE
 COMPLETION OF ICU AND CASUALTY AT KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
 CONSTRUCTION OF EYE UNIT AT KACHELIBA SUB COUNTY HOSPITAL  SUAM  COMPLETE
 CONSTRUCTION OF TOILETS AT KACHELIBA HOSPITALS  SUAM  COMPLETE
 COMPLETION OF PERIMETER WALL (FENCING) & GATE FOR BLOOD BANK  KAPENGURIA  COMPLETE
 CONSTRUCTION OF MODEL LABORATORIES AT CHEPARERIA, SIGOR AND KACHELIBA SUB COUNTY HOSPITALS  WEIWEI, SUAM  ONGOING
 PURCHASE OF COLD ROOM EQUIPMENTS FOR BLOOD BANK UNIT  KAPENGURIA  COMPLETE
 PURCHASE OF OXYGEN PLANT FOR KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
 CONSTRUCTION OF CHEWARANY DISPENSARY  ENDUGH  COMPLETE
 CONSTRUCTION OF MATERNITY WING AT KISERA  LOMUT  COMPLETE
 CONSTRUCTION OF MATERNITY WING AT ANNET  LOMUT  COMPLETE
 COMPLETION AND EQUIPING OF ARPOLLO DISPENSARY  LOMUT  COMPLETE
 CONSTRUCTION OF PARUA MATERNITY WING  BATEI  COMPLETE
 COMPLETION OF KERELWA DISPENSARY  BATEI  COMPLETE
 COMPLETION OF SEBIT DISPENSARY BATEI   COMPLETE
 CONSTRUCTION OF SOBUKWO DISPENSARY  BATEI  COMPLETE
 CONSTRUCTION OF STAFF HOUSES AT SEBIT DISPENSARY  BATEI  COMPLETE
 CONSTRUCTION OF PIT LATRINES AT KRURU DISPENSARY-  RIWO  COMPLETE
 COMPLETION AND EQUIPING OF SEREWO HEALTH CENTRE  RIWO  COMPLETE
 RENOVATION OF CHEMAKEW DISPENSARY RIWO   COMPLETE
 CONSTRUCTION OF STAFF HOUSES AT LETWA DISPENSAY  SOOK  COMPLETE
 RENOVATION OF KONYAO HEALTH CENTRE  KAPCHOK  COMPLETE
 RENOVATION OF CHEMOTONG DISPENSARY  CHEPARERIA  COMPLETE
 COMPLETION AND EQUIPING OF CHEPKORNISWO DISPENSARY  CHEPARERIA  COMPLETE
 COMPLETION OF MATERNITY WING AT NARAMAM HEALTH CENTRE  CHEPARERIA  COMPLETE
 COMPLETION OF TIRKEN DISPENSARY CHEPARERIA  COMPLETE
 CONSTRUCTION AND COMPLETION OF MERUOBONG DISPENSARY  SUAM  COMPLETE
 FENCING OF TIYINEI DISPENSARY  SUAM  COMPLETE
 CONSTRUCTION OF STAFF HOUSES AT KANYERUS DISPENSARY  SUAM  COMPLETE
 CONSTRUCTION OF TENDAPOS(MORWONGAR) DISPENSARY  SUAM  COMPLETE
 CONSTRUCTION AND COMPLETION OF MATERNITY WING AT TIYINEI DISPENSARY  LELAN  COMPLETE
 COMPLETION OF MATERNITY WING AT MOKOYON DISPENSARY  LELAN  COMPLETE
 COMPLETION OF POROWO DISPENSARY  LELAN  COMPLETE
 CONSTRUCTION OF CHEPUNGON DISPENSAR  WEIWEI  COMPLETE
 FENCING OF PTOKOU DISPENSARY    COMPLETE
 BUILDING OF PIT LATRINE AT PTOKOU DISPENSARY  WEIWEI  COMPLETE
 EXTENSION OF VARANDAH AT PTOKOU DISPENSARY  WEIWEI  COMPLETE
 CONSTRUCTION OF MALE WARD AT TAMKAL DISPENSARY  WEIWEI  COMPLETE
 CONSTRUCTION OF MATERNITY WING AT KADOKONY DISPENSARY  MNAGEI  COMPLETE
 CONSTRUCTION OF TAMPALAL DISPENSARY  MNAGEI  COMPLETE
 COMPLETION OF TALON DISPENSARY SEKERR   COMPLETE
 COMPLETION OF CHORWA DISPENSARY  SEKERR  COMPLETE
 COMPLETION OF CHORWA DISPENSARY(DRAINAGE SYSTEM  SEKERR  COMPLETE
 CONSTRUCTION OF MATERNITY WING AT KAIBOS  SIYOI  COMPLETE
 CONSTRUCTION OF KRENGOT DISPENSARY  SIYOI  COMPLETE
 COMPLETION OF KALAPATA DISPENSARY  ALALE  COMPLETE
 COMPLETION OF NAKWOILAP DISPENSARY  ALALE  COMPLETE
 FENCING AND CONSTRUCTION OF PIT LATRINES AT KASITOT DISPENSARY  ALALE  COMPLETE
 FENCING OF NASAL DISPENSARY  ALALE  COMPLETE
 FENCING OF LENGOROK DISPENSARY  ALALE  COMPLETE
 FENCING OF NAUYOPONG DISPENSARY  ALALE  COMPLETE
 CONSTRUCTION OF PIT LATRINES AND WATER TANK AT NAKWOILAP DISPENSARY  LELAN  COMPLETE
 CONSTRUCTION OF PIT LATRINES AND WATER TANK AT KALAPATA DISPENSARY  LELAN  COMPLETE
 COMPLETION AND EQUIPING OF MBARU DISPENSARY  LELAN  COMPLETE
 COMPLETION AND EQUIPING OF CHELOPOY DISPENSARY  KIWAWA  COMPLETE
 COMPLETION AND EQUIPING OF NANGOLESINYO DISPENSARY  KIWAWA  COMPLETE
 COMPLETION AND EQUIPING OF KASES DISPENSARY  KIWAWA  COMPLETE
 COMPLETION AND EQUIPING OF WASAT DISPENSARY  KIWAWA  COMPLETE
 COMPLETION AND EQUIPING OF KAURIONG DISPENSARY  KIWAWA  COMPLETE
 FENCING OF TAKAIYWA DISPENSARY KIWAWA   COMPLETE
 FENCING OF NYANGAITA DISPENSARY  RIWO  COMPLETE
 RENOVATION OF NYANGAITA DISPENSARY    COMPLETE
 PROPOSED CONSTRUCTION OF CHEPOTARAM STAFF HOUSE    COMPLETE
 PROPOSED CONSTRUCTION OF CHEPTIANGWA MATERNITY WING  CHEPARERIA  COMPLETE
 PROPOSED CONSTRUCTION OF KOSITOT DISPENSARY  LOMUT  COMPLETE
 PROPOSED CONSTRUCTION OF HOSPITAL LAB AT CHEPARERIA SUB COUNTY HOSPITAL  CHEPARERIA  COMPLETE
 PROPOSED CONSTRUCTION OF WARD 7 AT KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
 PROPOSED CONSTRUCTION OF A PIT LATRINE AT CHEPOTARAMA DISPENSARY  ENDUGH  COMPLETE
 PROPOSED RENOVATION OF LAUNDRY, TOILETS, KITCHEN AND OFFICE IN WARD 7  KAPENGURIA  COMPLETE
 COMPLETION OF LETWA DISPENSARY  SOOK  COMPLETE
 CONSTRUCTION OF ISOLATION WARD 8 - KCRH  KAPENGURIA  COMPLETE
 CONSTRUCTION OF DRUG STORE AT KACHELIBA SUB-COUNTY HOSPITA  SUAM  COMPLETE
 CONSTRUCTION OF PUBLIC TOILETS AT KACHELIBA HOSPITAL  KACHELIBA  COMPLETE
 CONSTRUCTION OF TOILETS AT SIGOR SUBCOUNTY HOSPITAL  WEIWEI  COMPLETE
 PROPOSED CONSTRUCTION OF PUBLIC TOILET AND WASHROOM IN KAPENGURIA REFFERAL HOSPITAL(WARD 6)  KAPENGURIA   COMPLETE
 CONSTRUCTION OF EYE UNIT AT KACHELIBA SUB- COUNTY HOSPITAL  SUAM   COMPLETE
 RENOVATION OF MATERNITY THEATRE(WALLS,ROOFING,TILES AND PAINTING)  KAPENGURIA   COMPLETE
 RENOVATION OF WARD ONE AT KCRH  KAPENGURIA   COMPLETE
 RENOVATION OF MATERNITY WARD(WARD 4)  KAPENGURIA   COMPLETE
RENOVATION AND EQUIPING OF DOCTORS LOUNGE   KAPENGURIA   COMPLETE
 CONSTRUCTION OF BOUNDARY WALL AT KCRH (CASUALITY)  KAPENGURIA   COMPLETE
 CASUALITY LEVELLING AND PAVEMENT WORKS AT KCRH  KAPENGURIA   COMPLETE
 KACHELIBA HOSPITAL PLUMBING WORKS  SUAM   COMPLETE
 INSTALLATION OF ELECTRICAL DISTRIBUTION BOARD (SWITCH BOARD) AT KCRH  KAPENGURIA   COMPLETE
 CONSTRUCTION OF PTOKOU DISPENSARY  WEIWEI   COMPLETE
 RENOVATION OF KESOT DISPENSARY ENDUGH    COMPLETE
 COMPLETION OF TUWIT DISPENSARY  KAPCHOK   COMPLETE
 COMPLETION OF TIYINEI MATERNITY SUAM    COMPLETE
Health Centres Development
  • ‌Initiation of new inaugural dialysis services at the Renal Unit in KCRH and setting up of three-bed capacity ICU unit and amenity ward [ The King David Wing] 
  • ‌Massive infrastructural facelift at KCRH including the renovation of four wards. 
  • ‌Construction and equipping of maternity wings at rural facilities to enhance access to martenal care services at Kakodony, Annet, Chepkechir and Kanyarkwat. Kakodony dispensary in Mnagei ward was commissioned 
  • ‌Construction and operationalization of modern laboratory in Chepareria Sub County Hospital 
  • ‌Opening of new dispensaries across the county at Moruebong, Morwongar, Kasitet and Nasal dispensaries along Kenya-Uganda border 
  • ‌New facilities operationalized at Sebit and Kiwakan dispensaries through the first ever Facility Improvement Bill for the county 
  • ‌Construction of drug stores in Kacheliba Sub County Hospital and opening of satellite blood bank in Makutano 
  • ‌Assortment of medical equipment that is incubators, ultra sound machines, electric beds and operation theatre tables through the networking of the deputy governor Dr. Nicholas Atudonyang and Saving Mothers team 
  • ‌Timely purchase of drugs for KCRH, sub county hospitals and all rural health facilities. West Pokot County received latest consignment toto get its drugs from KEMSA 
  • ‌A monitoring and evaluation team constituted to track delivery and usage of medicine. 
  • ‌Recruitment of specialists, paediatricians, surgeon, gynaecologist and other five consultants to offer specialised treatment 
  • ‌Human Resources deployed 233 health workers of various cadres under the Universal Health Care 
  • ‌KCRH under a team of medics led by Dr. Karuri performed a first successful brain surgery

Utilities vehicles
  • ‌Purchased of ambulances and placed at periphery health facilities to assist in emergencies and referral cases 
  • ‌Utility vehicles acquired; one from T.S H/UHC and donation from the national government and two motorbikes for TB services and another for immunization

Kenya Medical Training College 
  • The county government also entered an agreement with KMTC. The MoU outlines areas of strengthened partnerships which entail rolling out of programmes tailored to meet specific needs of the West Pokot. Short courses on community health care were areas identified 
  • Governor’s push to have at least 30% of new admissions at Kapenguria KMTC be allocated to locals has been honoured. This is a big milestone in availing training opportunities for youth who are interested in venturing the medical field. 


Community Health 
  • Establishment of 50 new community health units and 500 new community health volunteers trained on basic module for integrated community health services 
  • Tapach and Siyoi wards were open defecation free and 158 villages certified 
  • Sensitization of 249 Assistant chiefs, 14 ACCs, 5 deputies and county commissioners on sanitation and nutrition [SanNut] integrations programme supported by UNICEF sensitization of 86 HCWs on SanNut program supported by UNICEF