UGUNJA SUB-COUNTYHEALTH COMMITTEE

MEETING WITH SIAYA COUNTY HEALTH EXECUTIVE

Date: 3 October 2014Venue: Parklands Club

Siaya County and the Sub-Counties

INTRODUCTION

• The Health of our people in Ugunja Sub-County and by extension, the whole of Siaya County citizenry, is extremely poor as clearly indicated in the Ugunja Sub-County and Siaya County Strategic Plans (2013-2018).

• The above concern is captured in the Table 1 below.

Table1: CRITICAL HEALTH INDICATORS

Health Indicator Ugunja Siaya Nyanza Kenya Neonatal Mortality Rate (NMR) per 1000

- 39 - 31

Infant Mortality Rate (IMR) per 1000

136 111 60 52

Under 5 Mortality Rate (U5MR) per 1000

234 159 91 74

Maternal Mortality Ratio (MMR) per 100000

>>>488 >>488 >488 488

HIV Prevalence (%) 15 17 15 6Life Expectancy (yrs)Males 37 41 or 59?? - 59Females 43 - 61

SITUATION ANALYSIS 1This disturbing situation compelled the Sub-County Health Committee set up by the MP Hon. James Opiyo Wandayi, to conduct a situation analysis on the status of health services in the constituency.

The findings of this survey is the subject of our discussion this evening

• The Sub-County had 13 Health Facilities:• Public Health Facilities 10 • Mission Facilities 2• Private Facilities 1.

SITUATION ANALYSIS 2Table 2: Ward Based Health Facilities

WARD HOSPITAL HEALTH CENTER DISPENSARY

UGUNJA 1. Ambira 1. Ligega 1. Rambula 2. St Raphael3. St Patrick Methodist*

SIGOMERE 1. Sigomre 1. Got Osimbo

2. Tingare 3. Uluthe

4. Uloma

SIDINDI 1. Rangala*2. Inuka@

1. Uhuyi 2. Sikalame 3. Simenya

SITUATION ANALYSIS 3

• Situation analysis conducted in Public Health Facilities:• Two (2) Health Centers (Ligega and Sigomere)• Seven (7) Dispensaries (Rambula, Got Osimbo, Tingare,

Uluthe, Uhuyi, Sikalame and Simenya)

• Situation analysis not done in Ambira Sub-County Hospital• Had a Strategic and a Work Plan.

FINDINGS (1)

•Major deficiencies in the areas of:

• Infrastructure

• Equipment and Supplies

• Human resource

RECOGNITION AND APPRECIATION

WORK ALREADY DONE

RECOGNITION AND APPRECIATION

SIGOMERE WARD (County Govt and MCA Hon Andrew Omwende)• Twin, 2 bedroomed Staff Houses at Sigomere Health Center• Uloma Dispensary• Power Supply to Tingare Dispensary (CDF)

UGUNJA WARD (County Government)• St Raphael Dispensary • Ambira Sub-County Hospital - Ward G/Floor (CDF)

SIDINDI WARD (County Government)• Water Supply for Simenya Dispensary (County Govt) • Sikalame Water Supply (CDF)

SITUATION ANALYSIS FINDINGS

INFRASTRUCTURE (1)

SECURITY ACTION

Fence 5 of 9 No Fence Urgent

Gates 6 of 9 Gate

Urgent

ACREAGE Minimum needed 5 acres Solicitation for more land

Power 3 of 9 No Power at all6 of 9 Power available but erratic and unreliable

Solar - Urgent

INFRASTRUCTURE (2)HEALTH SERVICES STATUS ACTION Staff Houses 9 of 9 No Staff Houses URGENT Water Supply 8 of 9 Bore Hole water close by

8 of 9 Bore Hole close by7 of 9 No Rain Water harvesting facility

URGENT Aerial Tanks and Sub-miscible pumpsRain Water Harvesting Tanks

Power Supply 3 of 9 No Power at all6 of 9 Power available but erratic and unreliable

Solar – Urgent

Maternity 7 of 9 No Maternity Ward (Converted Rooms)

URGENT

MCH 7 of 9 No MCH Facilities URGENT

INFRASTRUCTURE (3)

ACCESS ROADS STATE OF ROAD

ACTION

Uhuyi Dispensary Poor Sigomere-Musanda Road Urgent Action

Tingare Dispensary Poor

Sikalame Dispensary Poor

EQUIPMENT AND SUPPLIESITEM STATUS ACTION

Pharmacy Drugs Irregular Supply and Poor Storage Facilities

Basic Drugs for Common AilmentsKEPI Fridge for Vaccines, Fridges for Medicines and Laboratory Reagents

Laboratory Services No Labs in most of Facilities

Basic Lab equipment and Reagents for diagnosis Common Diseases – Malaria, TB, Typhoid

HUMAN RESOURCE FOR HEALTH (1)Cadre Number in

Place Total Needed

Balance

Medical Officers

2 4 2

Clinical Officers 10 36 26Nurses 37 90 53Pharmacists 1 (shared) 2 2Pharmacy Technologists

3 24 21

Laboratory Scientists

? ? ?

Laboratory Technologists

? 24 24

HUMAN RESOURCE FOR HEALTH (2)Training of Health Workers

Siaya MTC Bondo MTC Matibabu School of Nursing

Clinical Medicine Nursing Nursing

Nursing Health Records and Information

Health Records and Information

TRAINING HEALTH WORKERS (3)

• Quality of Training• Number of County trainees in these Colleges• Number of Trainees in other MTCs

• Higher Level Technology Courses• Clinical Officers

• Paediatrics• Anaesthesia• Ophthalmology• Ear Nose and Throat• Reproductive Health• Skin and Lung

• Nursing

AMBIRA SUB-COUNTY HOSPITAL

URGENTLY NEEDED•Ward Upper Floor•Water Supply •Staff Houses•Waiting Areas•Xray Unit•Mortuary

SUMMARY (1)

ALL HEALTH FACILITIES• Security

• Perimeter Fence, Gates and Power• Acreage

• Water Supply• Power Supply• ACCESS ROADS• Maternity• Maternal Child Health Unit• Strong Community Service (CHW and CHEWS)

SUMMARY (2)

HEALTH PERSONNEL• Absorb all Health Workers under Partners• Recruit and Retain Health Workers

INCREASE NUMBER OF HEALTH PERSONNEL THROUGH ACTIVE TRAINING• Identify School Leavers• Support them for training• Bond them

MEDICAL TRAINING IN THE COUNTY• Facilitate to Provide Quality Training

THANK YOU FOR LISTENING