Devolution healthcare in kenya
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Devolution & Healthcare in Kenya. Kipyego Jairus Masika Moses (Presenter) 11 th EACS , AHIVCo , La Baume, Aix, en Provence, France. BACKGROUND. Kenya>> East Africa Population – 44 Million (67/ km 2 ) Area – 581,000 km 2 GDP (PPP) per capita - $1800 Doctors – 8000

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Devolution & Healthcare in Kenya

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Devolution healthcare in kenya

Devolution & Healthcare in Kenya

Kipyego Jairus

Masika Moses (Presenter)

11thEACS, AHIVCo, La Baume, Aix, en Provence, France


Background

BACKGROUND

  • Kenya>> East Africa

  • Population – 44 Million (67/ km2)

  • Area – 581,000 km2

  • GDP (PPP) per capita - $1800

  • Doctors – 8000

  • Clinical officers - 9000

  • Nurses – 68,000

http://www.knbs.or.ke/


Kenyan hiv aids situation

Kenyan HIV/AIDS Situation.

  • A major public health concern.

  • First case detected in 1984.

  • Declared a national disaster in 1999.

  • It’s the leading cause of morbidity & mortality

  • Over 430,000pts are on ART.

  • Currently prevalence 5.2 %

www.nascop.or.ke


Political structure

Political Structure

  • New Constitution – 2010

  • Presidential System

  • Devolved Republic

    • Legislature – Senate, Parliament

    • Judiciary

    • Executive

  • 47 Counties – Run by Governors & County Assemblies


Source cra www crakenya org

Source: CRA - www.crakenya.org


Devolution of healthcare

Devolution of Healthcare

Functions (4th Schedule, Constitution 2010)

  • National Government:

    • National referral health facilities

    • Health policy

    • Education & Training


Functions of county governments

Functions of County Governments

  • County health facilities

  • Ambulance services

  • Primary health care

  • Licensing & Control of public food places

  • Cemeteries, funeral parlours and crematoria

  • Waste disposal


Opportunity

Opportunity

  • Building efficient County Health Systems

  • Improved access

  • Business – procurement, construction

  • Competition amongst counties

  • New regional referrals centres/ CoEs

  • Focus on local health problems/challenges


Challenges

Challenges

  • Delay in Legislature (General Health Bill)

  • Devolving some functions:

    • Health care workers

      • Remuneration

      • Employment/ deployment/ equitable distribution

      • Specialist Training

    • Quality Assurance

      • Medical/Surgical supplies

    • Regional Referral Centres

      • Serve several counties

      • Budgetary allocation


Kenya

KENYA...

  • Lake Turkana

Mtwapa


Maasai mara game park

Maasai Mara Game Park


Devolution healthcare in kenya

END


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