NATIONAL COUNCIL FOR LAW REPORTING SPECIAL ISSUE LIBRARY THE KENYA GAZETTE Published by Authority of the Republic of Kenya (Registered as a Newspaper at the G.P.O.) Vol. CXXII — No. 24 NAIROBI, 4th February, 2020 Price Sh. 60 GAZETTE NOTICE No. 786 THE MEDICAL PRACTITIONERS AND DENTISTS ACT (Cap. 253) THE MEDICAL PRACTITIONERS AND DENTISTS (MEDICAL INSTITUTIONS) (AMENDMENT) RULES, 2017 (LAT. 3 of 2017) CATEGORIZATION OF FACILITIES IT IS notified for the general information of the general public that in exercise of powers conferred by section 23 of the Medical Practitioners and Dentists Act, the Cabinet Secretary for Health, after consultation with the Medical Practitioners and Dentists Council, has categorized the following facilities under section 15 of the Act. Categorization Facility Description and services Level 1 Community Health facility that focuses on— Health Facility (a) ensuring individuals, households and communities carry out appropriate healthy behaviours; and (b) Recognition of signs and symptoms of conditions that need to be managed at other levels of the system. Level 2 1. Medical Clinic A health facility for — (a) treating outpatients; and (b) intended for use for not more than 12 hours to provide services including but not limited to— (i) basic outpatient services; (ii) emergency maternity services; (iii) basic laboratory services; (iv) minor surgical procedures; and (v) outreach services (2) Dental Clinic An outpatient faCility for the treatment of dental related problems. 3. Dispensary/ A health facility for— Faith Based organizations) (a) outpatient services; (b) immunization; (c) child health; (d) screening for communicable conditions; (e) prevention mother to child HIV transmission; (f) institutional screening for NCDS; [701 702 THE KENYA GAZETTE 4th February, 2020 Categorization Facility Description and services (g) integrated vector management; (h) good hygiene practices; (i) HIV and STI prevention; (I) Port health; (k) control and prevention of neglected tropical diseases; (1) community management of violence and injuries (m)pre-hospital care; (n) emergency maternity services; (o) work place health and safety services; (p) food quality and safety services; (q) reproductive health services; (r) limited laboratory services; (s) health promotion; (t) safe water, sanitation and hygiene; (u) nutrition services; (v) pollution control services; substance abuse services; (w) micronutrient deficiency control; (x) housing school health; (y) food fortification advocacy (z) Population Management services; and (aa) road Infrastructure and Transport. 4. Mobile Clinic Health facility that operates through migration of the clinics from one area to another, with each mobile clinic linked to a static health facility from where it operates beyond the reach of the static facility which provides staffing, administrative services and storage of supplies and other necessary needs and provides — (a) maternity services; (b) primary care services; (c) curative, MCH/FP services; (d) emergency services; and (e) specific services for— (i) HIV, TB, Malaria, CA screening services; (ii) referral services; (iii) defaulter tracing; and (iv) Neglected tropical conditions. Eye Clinic A health facility for the treatment of outpatient eye clients (including optical) for not more than twelve hours. Level 3A 1. Basic Health A health facility that has been Gazetted as a health centre owned by the MOH or other governmental Centre organization or licensed to a faith based organization, community or registered organization including a. school, company, church, mosque, NGO, or humanitarian organization, that offers many ambulatory health services and generally offer preventive and curative services appropriate to local needs, including — (a) curative services; (b) outpatient services; (c) inpatient services; (d) referral services; (e) additional outpatient care, largely limited to minor surgery on outpatient basis; (f) limited emergency inpatient services for emergency inpatients including patients, awaiting referral and on twelve hours observation; (g) limited oral health services; (h) individual health education; 4th February, 2020 THE KENYA GAZETTE 703 Categorization Facility Description and services (i) maternity services for normal deliveries; (j) antenatal care (ANC); (k) family planning (FP) services (1) immunization services; and (m) routine and specific laboratory services , including malaria; smear test for TB; HIV testing. Level 3B 1. Comprehensive A health facility that— Health Centre (a) focuses on appropriate preventive and promotive care as in KEPH interventions; (b) provides— (i) curative services; (ii) outpatient services; (iii) inpatient services; (iv) referral services; (v) additional outpatient care, largely limited to minor surgery on outpatient basis; (vi) limited emergency inpatient services for emergency inpatients including patients, awaiting referral and on twelve hours observation; (vii) limited oral health services; (viii) individual health education; (ix) maternity services for normal deliveries; (x) caesarian section services/maternity theatre, (xi) antenatal care (ANC); (xii) family planning (FP) services; (xiii) immunization services; (xiv) routine and specific laboratory services , including malaria; smear test for TB; HIV testing; (xv) blood transfusion services; (xvi) radiologic and imaging services; and (xvii) surgical procedures. 2. Medical or An outpatient facility including group with no inpatient beds that offer— Dental Centre (a) medical or dental consultation services; (b) basic laboratory services; (c) Pharmacy services; (d) Medical or dental procedures; (e) radiological services. 2. Funeral Home A facility where— (a) dead bodies are stored; and (b) undergo autopsy before cremation or burial; (c) additional services including- (i) the sale of coffins; (ii) cremation; (iii) burial; (iv) transportation of bodies, may be provided. 3. Nursing Home A health facility that is licensed to a resident practitioner to offer outpatient and inpatient services. or Cottage Hospital 4. Maternity A health facility that is licensed to a resident prac..i*ner to offer outpatient and inpatient services, exclusively, Home for maternity clients. i.e. ANC, delivery and newtiofin care, and postnatal services. Level 4 1. County A health facility that— Hospital or Internship (a) offers services for elimination of communicable diseases; Training Centre (b) screening for animal transmitted conditions; 704 THE KENYA GAZETTE 4th February, 2020 Categorization Facility Description and services (c) provides — (i) Highly Active Anti-Retroviral Therapy (HAART); (ii) AntiRetro Viral (ARV) prophylaxis for children born of HIV +ve mothers; (d) male circumcision; (e) Pelvic Inflammatory Disease (PID) management; (f) screening for— (i) cervical cancer for all women in the reproductive age group; and (ii) breast cancer screening for women; (g) prostate examination for men; (h) evacuation services for injuries; (i) disaster risk reduction interventions; (j) facility disaster response planning; (k) disaster management; (1) provides essential services; (m) vaccination for yellow fever, tetanus and rabies; (n) management of surgical emergencies including trauma care; (o) advanced life support; (p) management of pregnancy complications; (q) management of abnormal pregnancies; (r) management of pre-term labour; (s) caesarean section; (t) radiology services; (u) outpatient services of outpatient turnover of more than two hundred and fifty; (v) emergency operations; (w) general operations; (x) specialized operations; (y) management of medical, surgical, pediatric and gynecological in-patients; (z) laboratory services; (aa)specialized therapy services; (bb)HIV/AIDS management; (cc)tuberculosis management; (dd)Palliative care; (ee)rehabilitative services; (ff) physiotherapy; and (gg) speech and hearing therapy. 2. Specialized A health facility that offers specialized services exclusively or a group of specialized services, among others, Hospital radiological services, oncology services; ophthalmology services, dental services and renal. Level 5 County Referral A health facility that— Hospitals (a) offers services for elimination of communicable diseases; (b) screening for animal transmitted conditions; (c) provides— (i)Highly Active Anti-Retroviral Therapy (HAART); (ii) AntiRetro Viral (ARV) prophylaxis for children born of HIV +ve mothers; (d) male circumcision; (e) Pelvic Inflammatory Disease (PID) management; (f) screening for— (i) cervical cancer for all women in the reproductive age group; and 4th February, 2020 THE KENYA GAZETTE 705 Categorization Facility Description and services (ii) breast cancer screening for women; (g) prostate examination for men; (h) evacuation services for injuries; (i) disaster risk reduction interventions; 6) facility disaster response planning; (k) disaster management; (1) provides essential services; (m) vaccination for yellow fever, tetanus and rabies; (n) management of surgical emergencies including trauma care; (o) advanced life support/Intensive Care Unit (ICU); (p) management of pregnancy complications; (q) management of abnormal pregnancies; (r) management of pre-term labour; (s) caesarean section; (t) radiology services; (u) outpatient services of outpatient turnover of more than two hundred and fifty; (v) emergency operations; (w) general operations; (x) specialized operations; (y) management of medical, surgical, pediatric and gynecological in-patients; (z) laboratory services; (aa)specialized