Department of Health & Medical Services
A healthy and productive county population
To build a responsive, client centered and evidence based health system for accelerated attainment of highest standards of health to all in Laikipia County.
Context and Strategy for Budget Intervention in the Health Sector
The health infrastructure consists of five (5) hospitals, with two (2) county referral hospitals at Nanyuki and Nyahururu and three (3) sub county hospitals at Doldol, Kimanjo and Rumuruti. The county has 8 public health centres and 54 public dispensaries. In addition, there are 3 private hospitals, 1 nursing home; 1 private health centre, 6 private dispensaries and 33 private clinics. The doctor-population ratio stands at 1:12,500 while the nurse-population ratio is 1:1,000 thus sustained funding is needed to maintain and improve the current level of health services, facilitate development of health infrastructure to improve capacity to deliver health services and recruit more health personnel to ensure that the county continues to cope with the demand for accessible and quality health services.
Health services in the County are primarily provided by the County Government. Other actors in the provision of health services include the National government, Faith Based Organizations (FBO) and privately owned facilities. The County Government remains the main source of health financing. Other actors in health financing include the National Government, NGOs, donors through national donor funded programs, and to a smaller extent, well-wishers.
The average distance to health facilities is six kilometres. There are about 10 per cent of the households lying in the range of zero to one kilometer from the nearest health facility; while 40 per cent lie within the range of 1.1 to 4.9 Km. The remaining 50 per cent of households are found over five kilometers to the nearest health facility.
The County Department of Health is charged with developing local health policies laws and programs and coordinates their implementation. We also coordinate implementation of national health policies and laws at the county level and provision of effective and accessible health services. This responsibility is discharged in the Department through day to day management of human resources for health, overseeing the management and governance of county health services and facilities, provision of health products, and utilization of funds allocated to facilitate development and equipment of health facilities.
The County Department of Health also acts as a repository of data, statistics and information related to health in the county for both internal and external use to aid in making, policies, laws and planning in health. In addition, the department is charged with coordinating public and private sector health programs within the county, and working hand in hand with these stakeholders to realise shared goals.
Strategic Objectives of the Health Sector
The strategic objectives of the health sector are linked to Kenya’s health policy. These objectives include:
- to reduce morbidity and mortality in Laikipia County due to communicable conditions;
- to halt and reverse the rising burden of non-communicable conditions;
- to reduce the burden of violence and injuries;
- to provide essential health services;
- to minimize exposure to health risk behaviours; and,
- to strengthen collaboration with health related sectors
Partners/Stakeholders Contributing to the Laikipia Health Sector
The key partners in the sector are:
Other County Government Departments; and specifically those charged with Education, Agriculture, Finance, Water, Environment, and Infrastructure. These Departments help to contribute to better health outcomes in their day to day health activities.
National Government Ministry of Health. The Ministry is responsible for health policy, national guidelines, standards and implementation of national health programs in the County.
International Partners like DANIDA, UNICEF, WHO, World Bank that fund and support programs in the County.
Local NGOs like APHIA Plus Nuru Ya Bonde, the Futures Group, Centre for Health Solutions (CHS), Caritas Nyeri, Marie Stopes Kenya and IntraHealth International Capacity Bridge Project.
Bilateral UK Partners including THET trust; South Western Ambulance Service NHS Foundation Trust; and Torbay and South Devon Health and Care NHS Trust.
Australian Government through Anglican Overseas Aid.
The Ol Lentille Trust which has made significant investments in health infrastructure and services at Kimanjo Sub County Hospital and in the Community.
Group ranches, including Murpusi, Tiamamut, Makuriat and Naibor that have organized into full community units.
Private ranches, including Borana, Ol Pejeta, Kuki Gallmann’s, Sosian, Segera and Ol Jogi.
Conservancies like Ol Pejeta, Mount Kenya Wildlife Conservancy.
Financial institutions in Nanyuki and Nyahururu like Family Bank, KCB, Equity and Standard Chartered Bank.
Business Community in Laikipia County including Sportsman’s Arm’s Hotel and Old House Hotel.
Horticultural Farms and Supply Chain Organisations like KHE, Waitrose Foundation (in Partnership with KHE 1977 Ltd and Wealmoor Ltd), Finlays Kenya and Likii Farm.
The health sector in Laikipia County has improved the delivery of health services through regular and steady supply of medical drugs, acquisition of modern equipment and employment of more health personnel. In summary the sector has accomplished the following:
- Laikipia runs 2 public county hospitals, 3 sub county hospitals, 8 health centres and 54 dispensaries. These facilities have been supported through timely provision of essential drugs and products.
- The department has recruited and deployed additional staff to the health facilities mainly clinical officers, nurses and laboratory technologists.
- Towards reduced distance, costs and time in accessing health facilities, the county has to date operationalized 4 dispensaries that were funded by the National Government Constituency Development Fund and partners at Ngenia, Kanyoni, Naibor, Debatas and Posta.
- Investments in ensuring that residents travel in less than 30 minutes in accessing health facilities are at advanced stage. To date, 5 dispensaries have been completed and are to be operationalized by March 2017 at Baraka, Maili Saba, Mbogoini, Kundarilla and Shalom. In addition, 14 dispensaries are budgeted for in 2016/17 at Mukima, Nguo, Githuci, Muyrak, Maundu ni Meri, Kariguini, Kiamarig
- a, Tandare, Seria, Nakwaga, Nkando, Male, Bahati and Rabal.
- Health services have also improved at all levels following upgrading of facility infrastructure at Lokusero, Loniek, Matanya, Kalalu, Dol Dol, Nanyuki and Nyahururu.
- Referral services have improved through ambulance services system that has a fleet of 10 vehicles. In addition, the Beyond Zero mobile clinic supports the referral services on maternal care.
- Maintenance of the health facilities has also been supported through establishment of ablution blocks, incinerators, perimeter fences, gates, water storage,
RENAL UNIT COMPLEX AT NANYUKI REFERRAL HOSPITAL