HUMAN RESOURCES FOR HEALTH INFORMATION COUNTY Source: www.ihris.or.ke; September 2017

Mombasa Cadre Representation Cadre Distribution (Excluding Nursing) Clinical Officers, 111 180 Snapshot Community Health Dental staff, 31 170 Rehabilitative staff, 53 Support staff, 170 Service Staff, 6 Diagnostics & Imaging, 14 Total Population Total Facilities Health Workers People Living with HIV Environmental Health 160 Plaster Staff, 2 staff, 90 Health Administrative Pharmacy Staff, 56 140 staff, 101 126 Nutrition staff, 13 Health Information ICT, 23 120 1,271,920 1631 111 250 54,310 Hospital Source: 2017 estimates Source: iHRIS Source: 2015 Estimates 101 Source: MFL Maintenance 100 90 89 Mombasa County covers an area of 229.7 Km2 excluding 65 Km2 of water Staff, 11 mass. The county is situated in the South Eastern part of Coast region. It 80 borders County to the North, County to the South West and the 60 56 53 Indian Ocean to the East. The County is divided into six sub-counties, namely: Nurses and specialist Mvita , Jomvu , , Kisauni, and . nurses, 728 Medical 40 31 Laboratory 23 Cluster Health Workforce Establishment Scientists, 75 20 14 13 2000 9 6 5 3 2 Mombasa, 1631 1500 Kilifi, 1426 Medical Officers & 0 Specialists, 126 1000 Kwale, 1051 Medical Social Work, 5 , 396 Taita Taveta, 721 500 Tana River, 373 0 County Service Delivery Relative to Health Workers Age distribution County Medical Specialists Doctors, Nurses and Clinical Officers per 10,000 population Who recommended Threshold Medical Specialists/Consultants No. of Staff Numbers 25 Paedtricians 5

20 18 Physicians 3 Medical Officers/Specialists 126 489 489 General surgeons 7 15 13 500 476 Nursing (All Cadres) 728 Obs/ Gynae 4 10 7 8 7

Clinical Officers 111 people 6 400 Radiologist 1 Population (2017 Estimates) 1,271,920 5 Anaesthetists 5 - 300 Ophamologists 1 Kilifi Kwale Lamu Mombasa Taita Tana River ENT Surgeons 2

No of COs, MOs & Nurses per10,000 Nurses MOs & COs, ofNo Taveta Population served by 1 Medical 200 Orthopaedic Surgeons 2 Officer/Specialist 10,095 63 114 Maxillo Facial Surgeon 1 Population served by 1 Other Cadres Nurses 100 Psychiatrist 1 Doctor/Clinical Officer 5,367 100% Oncology 1 90% 0 Pathologists 2 Population served by 1 Nurse 1,747 80% 585 443 728 287 156 Doctor to Nurse Ratio 1:6 70% Ages 18-27 Ages 28-37 Ages 38-47 Ages 48-57 Ages 58-65 Total 35 60% 728 People Living with HIV (NACC, 50% 2015) 54,310 40% HIV Services Indicators Vs HIV Workforce DHIS2 Data Population of PLHIV Served by 1 30% 841 608 902 434 217 20% Currently on HIV Treatment (July 2017) HIV Treatment Workforce (Doctor+CO+Nurse) 56 10% 246 2000 1866 500 0% 472 1800 450

Kilifi Kwale Lamu Mombasa Taita Tana Staff Retirement Projections

Taveta River 1600 400 1400 350 Proportion of health workers by gender 1200 300 2025 53 951 1000 877 250 Cadre Female Male Total 800 683 200 Clinical Officers 60 51 111 2024 46 598 Male, 575, Treatment HIV On 600 150

Community Health Service Staff 3 3 6 35% 400 100 Workforce Treatment HIV 52 200 49 50 Dental staff 19 12 31 Female, 2023 38 0 5 6 0 Diagnostics & Imaging 6 8 14 1056, 65% Likoni District Kongowea Health Tudor District Kisauni Dispensary Environmental Health staff 46 44 90 2022 47 General Hospital Hospital Centre Hospital (Mombasa) Health Administrative staff 57 44 101 Total Tested (July 2017) Nurses & VCT Counselors Health Information ICT 15 8 23 2021 42 Year 700 657 400 Hospital Maintenance Staff 2 7 9 Staff Establishment in Facility Levels 606 350 2020 46 600 340 Medical Laboratory Scientists 42 47 89 Female Male 536 300 500 Medical Officers & Specialists 58 68 126 500 446 440 439 2019 41 250 Medical Social Work 3 2 5 450 400 Nurses and specialist nurses 600 128 728 400 200 2018 46 Tested 300 Nutrition staff 12 1 13 350 150 200 Pharmacy Staff 34 22 56 300 100 2017 24 Counselors VCT & Nurses 250 233 Plaster Staff 1 1 2 100 50 200 Rehabilitative staff 18 35 53 200 27 170 0 10 20 30 40 50 60 0 4 2 6 0 Support staff 77 93 170 150 Kongowea Health Likoni District Magongo (MCM) Coast Province Jomvu Model 103 103 100 Centre Hospital Dispensary General Hospital Health Centre VCT Counselors 3 3 100 44 Health Promotion Officers 1 1 50 Distribution of Staff in Main Hospitals 0 Coast Province General Hospital District Hospital Tudor District Hospital (Mombasa) Administrative & Support Staff Health Service Delivery Cadres Grand Total 1056 575 1631 Level 2 Level 3 Level 4 Level 5 400 100% Proportion of health workers to facility workload 350 90% Ratio of number of health workers versus no patients based on July 2017 DHIS2 Data 300 80% HCW : Workload Ratio 250 HCW : Workload Ratio Top Least Staffed 70% Top 5 Most Staffed 200 300 60% 56 12 263 150 605 179 69

10 10 250 232 Workers Health of No. 50% 10 9 100 8 40% 8 200 189 50 149 30% 6 150 120 0 20% 4 100 10% 2 1 25 10 50 67 8 0% 0 Coast Jomvu Kuu Tudor Junda Nys 0 Coast Province General Port Reitz District Tudor District Hospital Likoni District Hospital Province (MCM) District Dispensary Dispensary Shimo-La Maunguja CDF Jomvu Hospital Hospital (Mombasa) General Dispensary Hospital (Kilindini) Tewa Health Dispensary Medicare Dispensary Model Hospital (Mombasa) Centre (GK Health This publication is made possible by the support of the American People through United States Agency for International Development (USAID).The contents are Prison) Centre the sole responsibility of Mombasa County Government and do not necessarily reflect the views of USAID or the United States Government. IntraHealth International | P.O. Box 66726 – 00800 | Ring Road/Lower Kabete Rd, Westlands, | , | www.intrahealth.org