UGUNJA SUB-COUNTY
HEALTH COMMITTEE
MEETING WITH
SIAYA COUNTY HEALTH EXECUTIVE
Date: 3 October 2014
Venue: 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) 136
per 1000
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
6
Males
37
41 or 59??
-
59
Females
43
-
61
Life Expectancy (yrs)
SITUATION ANALYSIS 1
This 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 2
WARD
Table 2: Ward Based Health Facilities
HOSPITAL
HEALTH CENTER DISPENSARY
UGUNJA
1. Ambira
1. Ligega
1. Rambula
2. St Raphael
3. 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 all
6 of 9 Power available but
erratic and unreliable
Solar - Urgent
INFRASTRUCTURE (2)
HEALTH SERVICES STATUS
ACTION
Staff Houses
Water Supply
9 of 9 No Staff Houses
8 of 9 Bore Hole water close by
8 of 9 Bore Hole close by
7 of 9 No Rain Water harvesting
facility
URGENT
URGENT
Aerial Tanks and Submiscible pumps
Rain Water Harvesting
Tanks
Power Supply
3 of 9 No Power at all
6 of 9 Power available but
erratic and unreliable
7 of 9 No Maternity Ward
(Converted Rooms)
7 of 9 No MCH Facilities
Maternity
MCH
Solar – Urgent
URGENT
URGENT
INFRASTRUCTURE (3)
ACCESS ROADS
STATE OF ACTION
ROAD
Uhuyi Dispensary
Poor
Tingare Dispensary
Poor
Sikalame Dispensary
Poor
Sigomere-Musanda Road
Urgent Action
EQUIPMENT AND SUPPLIES
ITEM
STATUS
ACTION
Pharmacy
Drugs Irregular Supply and Basic Drugs for Common
Poor Storage Facilities
Ailments
KEPI 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
Nurses
37
Pharmacists
1 (shared)
36
90
2
26
53
2
Pharmacy
Technologists
Laboratory
Scientists
Laboratory
Technologists
3
24
21
?
?
?
?
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