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Enhancing Healthcare Management and Support Services in Public Health Sector

This presentation outlines the achievements and advancements in the medical services, technical departments, support systems, and parastatals within the Ministry of Public Health & Sanitation. It covers a range of topics from surgical services to nursing, pharmaceutical management, and diagnostic and forensic services. The implementation of standards, guidelines, training, equipment procurement, and supervision is highlighted to showcase the progress made towards improving healthcare delivery in various levels of care.

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Enhancing Healthcare Management and Support Services in Public Health Sector

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  1. AOP4 Management support performance Dr F.M.KIMANI DIRECTOR FOR MEDICAL SERVICES MINISTRY OF PUBLIC HEALTH & SANITATION

  2. Outline of the presentation • Introduction • Achievements by ; • Medical services Technical departments • Support systems • Parastatals • Conclusion and way forward MINISTRY OF PUBLIC HEALTH & SANITATION

  3. Introduction • Management support plans were based on core functions and responsibilities at the different levels • Provincial level • National level by the divisions, programmes and departments • Parastatals • reports shows the support geared towards delivery of health services in all levels of care (level 1- 6)‘ MINISTRY OF PUBLIC HEALTH & SANITATION

  4. Medical Services technical departments Surgery Medicine Standards and regulatory services Diagnostic and Forensic Technical administration Pharmacy Nursing MINISTRY OF PUBLIC HEALTH & SANITATION

  5. Dept of medicine achievements • Psychosocial and counselling services integrated in health service delivery • Draft standards and guidelines for medical social workers has been developed. • National guidelines on mental health printed and distributed . • Child survival strategy finalised and Launched. MINISTRY OF PUBLIC HEALTH & SANITATION

  6. . Medicine cont • Hospitals were supplied with X-ray logistics • Quarterly supportive supervision done. • The Kenya Board of mental health inspection tours were done. • quarterly nutrition bulletin was produced. • Paediatric care audit done in four hospitals. • Capacity building e.g. Masters in psychiatry; psychiatry nursing • Participation in assessment of nutrition situation in Kenya. MINISTRY OF PUBLIC HEALTH & SANITATION

  7. Surgical and rehabilitative servics • Service standards and guidelines for orthopedic technology was developed and disseminated • Procurement and distribution of equipment (orthopedic, physiotherapy, occupational, dental divisions) • Supportive supervisory visits • midterm evaluation of the National eye care strategic plan MINISTRY OF PUBLIC HEALTH & SANITATION

  8. Surgical cont • Computers procured for division of orthopedic technology • Provincial quarterly feedback meeting held by orthopedic div.. • Trainings ; • 27 clinical officers at KMTC as anesthetists; • ophthalmic clinical officers and nurses trained in improved eye care. MINISTRY OF PUBLIC HEALTH & SANITATION

  9. Surgical cont • Ten senior officers trained in management skills • Forty four orthopedic technologists were trained in management of club foot. • Fifteen of the planned thirty orthopedic technologist were recruited. • A disability survey was done MINISTRY OF PUBLIC HEALTH & SANITATION

  10. Nursing services dept • Finalized the nursing strategic plan • Final draft of the surgical catalogue done. • The nursing policies and standards guidelines finalized, • Draft nursing education policy in place • Participated in integrated supportive supervision • 16 nurses trained in peri-operative nursing and 13 in paediatric nursing. • Nursing workforce analysis was done MINISTRY OF PUBLIC HEALTH & SANITATION

  11. Pharmaceutical services • Kenya National Pharmaceutical Policy adopted. • Quarterly medicines prices and availability surveys were conducted • National framework for pharmacovigilance and post-marketing surveillance was drafted • 70 newly upgraded district hospitals inducted into the pull system. • 100 rural health facilities in Rift Valley province prepared for the pull system. MINISTRY OF PUBLIC HEALTH & SANITATION

  12. Pharmaceutical services • Essential Medicines Management of Supplies (EMMS) guidelines finalised and distributed. • Quantification exercise conducted and report done • Draft of the Kenya Essential Medicines List was developed and reviewed • 91 facility in-charges from Central and Eastern province were trained on the pull system. MINISTRY OF PUBLIC HEALTH & SANITATION

  13. Diagnostic and forensic services • SOPs for TB and malaria diagnosis were developed and disseminated • All provincial laboratories were enrolled on external quality assurance • Internal quality assurance established in 1000 VCT sites. • Trainings; • on laboratory data tools, • 6 laboratory managers trained on quality assurance. MINISTRY OF PUBLIC HEALTH & SANITATION

  14. Diagnostic and forensic services • 147,690 units of donated blood was screened for use. • Support to maintain and service laboratory equipment was given to the facilities. MINISTRY OF PUBLIC HEALTH & SANITATION

  15. Standards and regulatory services • Proposal for accreditation system and for revised KQAM implementation were developed. • A training policy developed and awaits sharing and formal launch. • KQAM master check list and standards for level 2 to 6 were also developed. • A draft e-health strategy developed. MINISTRY OF PUBLIC HEALTH & SANITATION

  16. Standards and regulatory services • Inspection of health facilities was carried out jointly with the professional association boards and councils. • Health professional of the year awards successfully held. • country survey on priority issues to inform policy development was done in collaboration with KEMRI. MINISTRY OF PUBLIC HEALTH & SANITATION

  17. Technical planning and coordination • Revision of the AOP 5 planning tools • planning units trained on the tools and the planning process, • AOP5 developed and launched. • Coordination of development and signing of performance contracts by health managers • Draft National referral strategy • The revision service charter and implementation in hospitals • development of clinical guidelines MINISTRY OF PUBLIC HEALTH & SANITATION

  18. Kenyatta National Hospital • Draft KNH Act prepared with guidance from parliamentary counsel • The hospital service charter translated into Kiswahili and posters displayed in all key service delivery areas, • Accident & Emergency unit opened • Automation of the stores • Phase1of the construction of a boundary fence along Mbagathi road was completed MINISTRY OF PUBLIC HEALTH & SANITATION

  19. KNH • Training needs assessment done, • 1,678 staff were trained in-house on leadership skills and organizational behaviour. • The hospital code of conduct developed and approved. • KNH scientific conference held on 18th-19th September 2008. • Simulator installed and commissioned for cancer treatment. MINISTRY OF PUBLIC HEALTH & SANITATION

  20. Kenya Medical Training College • Basic training curricula reviewed • 4, 000 competent health professionals graduated • KMTC ISO 9001-2008 Certified • 18 short courses conducted targeting health workers • 16 short courses/ seminars for teaching and non-teaching members of staff in the college. • Computers installed in 27 colleges MINISTRY OF PUBLIC HEALTH & SANITATION

  21. Constraints and Challenges • Financial constraints • Competing priorities • Inadequate data/information • Inadequate logistics • Linkage between management support and service delivery MINISTRY OF PUBLIC HEALTH & SANITATION

  22. Way forward • Missing reports to be submitted • Reports to be made for all outputs that had been planned for (as per the AOP4 Plan) • Achievement on management support to be linked to service delivery • Outputs that were not achieved to be re-planned in AOP6. MINISTRY OF PUBLIC HEALTH & SANITATION

  23. THANK YOU MINISTRY OF PUBLIC HEALTH & SANITATION

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