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Devolution & Healthcare in Kenya

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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  1. Devolution & Healthcare in Kenya Kipyego Jairus Masika Moses (Presenter) 11thEACS, AHIVCo, La Baume, Aix, en Provence, France

  2. 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/

  3. 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

  4. Political Structure • New Constitution – 2010 • Presidential System • Devolved Republic • Legislature – Senate, Parliament • Judiciary • Executive • 47 Counties – Run by Governors & County Assemblies

  5. Source: CRA - www.crakenya.org

  6. Devolution of Healthcare Functions (4th Schedule, Constitution 2010) • National Government: • National referral health facilities • Health policy • Education & Training

  7. 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

  8. 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

  9. 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

  10. KENYA... • Lake Turkana Mtwapa

  11. Maasai Mara Game Park

  12. END

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