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Health and Sanitation REPUBLIC OF KENYA COUNTY GOVERNMENT OF BUSIA DEPARTMENT OF HEALTH AND SANITATION Consolidated County Level Annual Work Plan Year: July 2020 – June 2021 Contents Contents ...................................................................................................................................................................................................... 2 Table of Contents ................................................................................................................................. Error! Bookmark not defined. Executive Summary .............................................................................................................................................................................. 4 Acknowledgements .............................................................................................................................. Error! Bookmark not defined. Section 1: Overview of the Health Sector Situation in the Sub-County ................................................................................................... 6 1.1. Sub-County Population and Demographics ................................................................................................................................. 7 1.1.1. Population Breakdown and Description ............................................................................................................................... 7 1.1.2. Health Sector Catchment Population for the County ............................................................................................................ 8 1.2. Health Sector Investment Status in the Sub-County .................................................................................................................... 8 1.2.1. Distribution of Tracer Health Infrastructure Elements ......................................................................................................... 8 1.2.2. Distribution of Health Workforce ....................................................................................................................................... 10 1.2.3. Health Commodities, Supplies and Products ...................................................................................................................... 14 1.2.4. Health Management Information Systems/ Monitoring and Evaluation ............................................................................ 16 1.2.5. Previous Financial Year Government Health Expenditure ................................................................................................. 16 1.2.6. Health Sector Management, Coordination, Leadership and Governance ........................................................................... 19 Section 2: Situation Analysis and Priority Setting ................................................................................................................................. 21 2.1 Major Health Conditions/Issues Observed in the County .......................................................................................................... 22 2.2 Problem Analysis and Priority Interventions ............................................................................................................................. 26 Section 3: Annual Program Based Work Plan ....................................................................................................................................... 35 3.1 Annual Performance Targets ...................................................................................................................................................... 36 3.2 Annual Program Based - Service Delivery Workplan ............................................................................................................... 39 Program 1: Curative and Rehabilitative Health Services ................................................................................................................. 39 Program 2: Preventive and Promotive Health Services .................................................................................................................... 48 Program 3: General Administration, Planning, Management Support and Coordination ................................................................ 95 Section 4: Program-Based Budget Distribution ................................................................................................................................... 124 4.1 Budget Summary by Program and Sub-Program ..................................................................................................................... 125 4.2 Budget Summary by Program Area and Source of Funds ....................................................................................................... 126 2 FOREWORD The mandate of the department of health is provision of quality health services, promotion of equity in access, financial risk protection and overall governance and stewardship of the health sector. To execute this mandate there is an absolute need for an annual workplan that is in tandem with county strategic plan. This 2020/2021 annual work plan for the Department of health and sanitation is pegged on the previous three years’ baseline of 2016/2017, 2017/2018 and 2019/2020. It is also key as its implementation will inform the department’s performance midway through the implementation of the County Integrated Development Plan 2 and the health strategic plan 2018-2023. Busia County is one of the 47 counties in Kenya, located in the former Western Province and covers an area of 1394.5sq km. The County has seven Sub Counties namely: Bunyala, Butula, Matayos, Nambale, Samia, Teso North and Teso South. Annual work plan 2020/2021 is an important document that will guide the department in implementation of activities in the county. The development of the annual workplan has been done through a consultative process of all the stakeholders in the health sector. The plan is based on the various documents in the health sector namely: Busia County Integrated Development Plan Busia County Health sector strategic and investment plan 2018-2023, Busia County monitoring and evaluation plan 2018-2023, Busia County nutrition action plan 2019-2023 (CNAP) and Busia County health commodity quantification report 2020. The The department of health and sanitation carries more than half of the county workforce and executes its mandate through funding from the CGB and implementing partners. Malaria, HIV are the leading cause of morbidity and mortality. The department has three key program areas namely: Curative & Rehabilitative Health Services and Preventive & Health Promotion Services and General Administration & Support Services. We sincerely thank the National government, CGB, all partners including the World Bank and other NGOs for the great support. We appreciate your support towards the implementation of our previous and current work plan for FY 2019/2020. This document was developed through a consultative process involving all stakeholders working within Busia County and beyond. H.E Hon. Moses Mulomi Ag County Executive Committee Member Department of Health and Sanitation Deputy Governor - Busia County 3 Executive Summary Busia County Health Sector Strategic and investment plan 2018-2023 recognizes high quality of life as a pillar towards accelerating economic development as envisioned in vision 2030 and as a realization of fundamental human rights. This annual work plan 2020/2021 provides the department of health activities and priorities that enable it move towards attainment of the goal and mission of the department. The County has a population of 913,531 with male: female ratio of 1:1 (48% male and 52% female), the estimated number of households in Busia is 194,368 with an average family size of 4.7. The county outpatient utilization rate stood at 1.90 where Matayos Sub County had highest utilization of 3.34. The county has 160 health facilities at various levels of classification with 184 functional community health units. Busia county is operating with a lean staff of 1,189. The County still has a high burden of communicable diseases (Malaria, TB, Diarrhea, and HIV) and in the recent years, there has been notable rise in cases of non- communicable diseases as well, with hypertension, Diabetes and cancer in the lead. This plan is estimated to cost 5,910,438,016. According to the plan budgeted amount for program one curative and rehabilitative health services is 118,752,750, Program two, Preventive and Promotive health services is projected at 1,915,204,605 and lastly program three General administration, planning, management support and coordination is 3,876,480,661. Dr. Isaac Omeri Chief Officer - Department of Health & Sanitation 4 Acknowledgement The development of the Busia County annual work plan 2020/2021 in the department of health is a culmination of the efforts of all health sector stakeholders that were spearheaded by the county health management team (CHMT). Invaluable efforts and commitments went into this endeavor. The Department of Health and Sanitation acknowledges the various individuals and organizations who participated in the development of the County Annual Work-plan 2020/2021. We appreciate the leadership of the CGB led by H.E Governor Sospeter Odeke Ojaamong’ (EGH, EBS), Ag CECM H.E Hon. Moses Mulomi (Deputy Governor), the Chief Officer for Health and Sanitation Dr. Isaac Omeri for their goodwill and support. Special appreciation goes to the County Health Management
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