by Lorraine Anyango.
Medicines used to treat chronic disease have been taking a large proportion of total volume in the health facilities in Kisumu County in the last four months.
It’s further expected that chronic disease medicine volumes will increase dramatically if continued access is provided under the Universal health care program.
This is according to a recent medicines situation report submitted by the County Pharmacist dated March 18th 2019.
The chronic disease medicines are regularly provided and used for the lifetimes of individuals who need them.
Additional problems of affordability that faced people living with chronic diseases due to the lifelong nature of treatment and the frequent need for combination therapy have been reduced and nearly eliminated since the launch of the UHC pilot program in the county.
Pre- UHC pilot program, was characterized with low availability of medicines in the public sector, and patients were often forced to purchase some of the essential medicines in the private sector. This has however changed. High medicine prices were largely responsible for increase the cost of treatment.
During the same period, Kisumu County decided to decentralize their procurement process in an effort to meet local needs through increased local involvement, accountability and flexibility.
Kisumu County has shifted from push to pull distribution systems thereby creating the need for health facility data for distribution planning and ordering.
Under UHC, Kisumu country was allocated 510 Million shillings for health products and technologies and basic equipment.
Even with this allocation, Kisumu County department of health has faced challenges when attempting to address the medicines supply gap.
The challenges arises due to the county level budget for procurement of health products for primary health care not being maintained, so as to complement support from the national government.
Kisumu county government owes KEMSA a total of Ksh 77,526,555.98 in unpaid invoices for essential medicines and medical supplies delivered to Kisumu county health facilities, even though KEMSA has made efforts it may not always manage 100% fill rate.
Essential medicines and medical supplies that were supplied at the inception of UHC pilot have been used by most facilities well within the period ending 14th March 2019 with some stocks still in place although a few of the facilities have reported stock outs of some of the commodities.
KEMSA, however, failed to supply some essential medicines up to date, and these have been stocked out in nearly all the facilities. The most significant ones include ceftriaxone 1g injection, albendazole 400mg tablets, nifedipine 20mg SR tablets, chlorhexidine digluconate 7.1% for cord care, benzyl penicillin 5mu inj, phenobarbitone inj. and ampiclox 500mg capsules.
“There’s need to budget for county level procurement of stocked out medicines since such a situation is bound to occur again.” Dr Lawrence Otieno the County pharmacist notes.
Pharmacy workforce shortages constitute a major capacity limitation to the provision of pharmaceutical services and access to medicines in Kisumu County. The county currently has 46 pharmacists and 35 pharmaceutical technologists against a minimum requirement of at least 70 pharmacists and 190 pharmaceutical technologists.
“Recruitment of additional pharmacy workforce should be considered when developing medicines policies and pharmaceutical services and integrated into broader human resources for health strategic plans.” Dr Otieno adds.
The relative contributor to the county burden of disease of HIV/AIDS, TB and malaria, is relatively is huge in Kisumu county. The implications for the delivery and use of pharmaceuticals are profound.
However medicines for HIV/AIDs, TB and malaria drugs are supplied by the national government through KEMSA free of charge to the county. Whereas antiretrovirals and TB medicines are supplied on monthly basis, antimalarials and family planning commodities are supplied on quarterly basis.
In February 2019, the Health Information Systems department at the Ministry of Health introduced data sets for reporting of tracer essential medicines and non-pharmaceuticals onto the DHIS2. Kisumu county department of health is keen to embrace the usage of this reporting platform as it will give a clear visibility of the medicines availability across the county health facilities. Consumption reports from the month of March going forward will be submitted through DHIS2 rather than excel based emails.
Analysis of consumption is complicated by the diversity of commodity management systems used by health facilities. The need for more comprehensive information system is particularly acute in low level health facilities especially those that do not have trained pharmaceutical personnel.
As the county shifts from the Excel based reporting to the DHIS2 platform for reporting of tracer commodities, there’s need to support the sub county pharmacists to adequately tackle the challenges involved with reporting.
Kisumu County Governor Prof Anyang’ Nyong’o today led the county leadership and stakeholders to a meeting with the United Cities and Local Governments of Africa (UCLG Africa) to deliberate and elaborate meaning and implication of hosting the 2021 Africities summit at the Grand Royal Swiss Hotel.
Speaking during the meeting, the Secretary General of the UCLG Africa, Mr. Jean Pierre Elong Mbassi outlined the importance of the summit, what to expect and the preparation to put in place to enable success of the event.
According to Mr Mbassi, the Africities summit takes a period of five days which normally begin on Tuesday and ends on Saturdays adding that effective transport system, availability of good hospitality Services, TV streams/network, press room, exhibition space, good registration system, proper security system and good content of the meeting were some of the preparatory guidelines to be put in place
The Secretary General urged Kisumu County Governor Anyang’ Nyong’o to consult Moroccans about the experience to enhance better planning.
Governor Nyong’o on his part welcomed the move saying that the meeting will brace Kisumu county and Kenya as a whole for better opportunities by building partnership with other states.
The UCLGA Secretary General is in the county for a two days’ visit, to engage the leadership and stakeholders on the modalities of the upcoming summit that involves mobilization of communities, local authorities and the national government as well as financial institutions, civil society groups and development partners.
Africities summit is a Pan-African event that is held every three years in one of the five regions of Africa with the view of mobilizing communities and local authorities in African countries, as well as financial institutions, civil society groups and development partners at continental and international level.
The Summit is aimed at addressing major questions based on the construction of the 2063 Vision of Africa with debate proposed by the African Union Commission.
The 9th edition of the Africities Summit will be convened by United Cities and Local Governments of Africa and hosted by the City of Kisumu, the government of Kenya and the ministry of Devolution and ASAL.
Officials from Council of governors, Kisumu County Deputy Governor, County Executive officials, Speaker of the County assembly, County commissioner and representatives from the
Ministry of Devolution were among the stakeholders who were present during the meeting.
By Benter Anyango
Edited By Matilda Atieno
The County Government of Kisumu in collaboration with the Communications Authority of Kenya (CAK) organized an ICTconsumer forum dubbed‘Kikao Kikuu’.on the 18th April, 2019 at the Jomo
Kenyatta Sports Ground.
The event, held under the theme “Efficient Service Delivery through Technology and Innovation”. brought together members of the public, IT experts from CAK and the county
government, service providers and consumer organizations. The authority sought to address issues from the public concerning communication.
Speaking at the event, the Director General of CAK, Mr. Francis Wangusi said the forum aimed at getting feedback from the public concerning how the authority and other service providers
were handling customer issues.
The Director General also urged the public to register for Huduma number which will help reduce cases of impersonation through phone calls and other media such as Facebook which
has seen Kenyans lose important information, money and other valuables to fraudsters.
While reading the Governors speech, the County Minister for Education and ICT, Dr. John Ogone said Kisumu is committed to improving service delivery through ICT.
“Kisumu County is privileged to have excellent access to communication services. We are leveraged on technology to enhance service delivery,” read part of the speech.
Areas which the County is committed in improving service delivery through ICT included revenue collection, resource systems such as SMS, creation of business and incubation
centres, institute measures to protect consumers and also address network outages, cyber security, data protection among others.
The event began on 15th with road shows across the County. Members were treated to entertainments and informative sessions which included active public participation.. Experts gave response to questions from the public while those who answered questions correctly walked away with lots of prizes from the Communications Authority and the County
Kisumu County residents are urged to take advantage of the ongoing huduma number registration exercise at the Jomo Kenyatta Sports ground in Kisumu.
Speaking in Kisumu earlier today, CS for Interior and Coordination of National Government, Dr. Fred Matiangi emphasized on the need to register for the huduma number as it will help integrate crucial government data in one database.
Kisumu County governor, Prof. Anyang’ Nyong’o who accompanied the CS urged residents to turn up and register for the Huduma Number, the governor hailed the exercise as one which will ease the provision of government services to its citizens. The Governor called upon those present at the event to act as ambassadors and help have the message reach everyone in the county, adding that Huduma number is very important and all Kenyans need to consider registering for it.
“If you want a passport, a bank loan or even business registration license, you will need Huduma number,” emphasized governor Nyong’o.
Huduma number registration was launched by President Uhuru on the 3rd of April 2019 in Machakos County and is aimed at getting all Kenyans to register for the number to help ease service delivery.
According to the CS, about 5 million Kenyans have so far registered for the huduma number. Dr. Matiang’i ordered county commissioner of Kisumu to ensure the number of registration kits was added and that registration centers open at 6:00 am to start the exercise. He downplayed the linking of the exercise to the satanic views and urged all Kenyans to turn up and register.
The CS was in the county to oversee the ongoing registration of the Huduma Number. The visit by the CS came days after the suspension of the Kisumu county registration exercise that was to start on the 10th of April 2019. Also present at the event were the deputy governor Dr. Mathews Owili, the Kisumu county women representative Hon. Rosa Buyu and Hon. Jared Okello among other dignitaries.
By Felix Nyabala
Edited By Matilda Atieno
Governor Prof. Anyang’ Nyong’o today launched the much awaited stipend for community health workers (CHWs), a program that is set to boost Primary Healthcare in Kisumu East.
The program is aimed at promoting the wellness of community members by enabling accessibility, inter-sectional collaboration, health promotion and community participation.
In his speech Kisumu Governor Prof Anyang’ Nyong’o, urged Kolwa community members to make use of the local health facilities served by the community health workers. This follows the benefits accorded to the CHWs during the launch.
About 2500 healthcare workers have each received a stipend of Ksh 2000 per month back dated from January 2019 and NHIF cover of Ksh 500 registration. The Governor, mentioned that the national government has set aside 45M to support CHWs across the country.
Speaking during the launch, the County Minister for Health Dr. Rosemary Obara congratulated the CHWs for their unfailing hard work to ensure that community members are at their best in terms of health care. She cited the progress in the health sector, reminding residents of the new theatres available in the sub counties, promising that Gita health centre and Nyakach sub county hospital are set to receive theatre services soon.
The CHWs received their payment in form of a cheque back dated from January, bicycles to facilitate their movement in their line of duty as well as the computer for electronic data recording.
A similar exercise was simultaneously carried out in Nyakach Pap Onditi sub county hospital, steered by the Deputy Governor, Dr, Mathew Owili.
By Benter Anyango
Edited By Matilda Atieno
Kisumu County’s investment in community and primary health care.
About 2500 community health workers (CHW) are set to benefit from 45 million shillings set-aside by the county government of Kisumu as stipend.
The amount has been budgeted to cover for 6 months stipend before the next financial year commences. Each of the CHW’s will be receiving Ksh 3000 on a monthly basis.
Governor Peter Anyang Nyong’o will on 12th of April launch the payment at Angola hospital in Kisumu East Sub-county, during which he will pay off the first batch of 16 million shillings to the CHW’s.
The remuneration is in line with the promise given by the County Government of Kisumu as an appreciation for the services rendered by the health volunteers who are equally distributed and designated at the units.
Kisumu’s county government had committed to pay stipends following a community health policy that was reviewed by the council of governors.
As part of capacity building for volunteers and CHW’s, a 13 module curriculum was also developed including 6 basic and 7 technical manual for the community volunteers.
This step will go a long way in the impact created by Universal Healthcare (UHC) which is linked directly to health at the household level through primary health care.
Primary health care encompasses correct health seeking behavior, the correct knowledge about health and wellness, use of clean water for drinking, proper house hold hygiene and excreta disposal and adequate nutrition of a balanced diet, child immunization and monitoring of pregnant women and sufficient mental health and stability and oral health. (Continuum of health care)
One of the challenges under UHC was the decision to pay community health workers a stipend as a way of appreciation to their work in promoting health and providing services to communities.
Numerous arguments and counter have been advanced on the ability to sustain the payment to community health workers since the onset of their usage in 1978 when they started working as volunteers known as CHV’s.
The Kisumu county government realizing their immense value has taken a bold step to begin paying this providing remuneration that will go a long way in incentivizing this cadre of workers to have faith and perform better in their work places.
In Kisumu County the CHW’s form the largest single health work force and have been delivering services pro- bono.
It’s a major land mark in history that the governor will unlock the door of non -payment to this faithful and dedicated workers.
Apart from the stipend the county government is embarking on programs to develop their income generating base to guarantee their adherence and sustainability to the work as well as their medical cover under NHIF.
Angola health center, situated in Kisumu East sub county is a shining example of an integrated development program where practical skills are offered to the community especially the vulnerable groups and knowledge and appropriate attitude change is exchanged and grounded .
Angola is one of the designated places benefitting from food security programs and enterprise programs, clean water provision, early child hood development and youth stroke adolescent empowerment.
The overall result is predictable development of all age groups. This programs will adapt well to the new dispensation of making the villages centers and engines of development within the sub counties in particular and the county overall.
“It our intention to replicate this model in all the sub counties in Kisumu.” Governor Nyongo says.
The community unit structure comprises CHCs, CHVs, CHWs, households, and affiliate health facilities. The nearest health facility is the community’s link for seeking all health services.
The community unit, which draws its membership from the catchment area, is led by the CHC and office personnel to support the CHVs in their community-related health work. Post- devolution, there is increased investment by counties on the community strategy, with revision of the strategy designed to reach communities mainly through employed staff with the support of volunteers (5 CHWs from 2 per 1000 HHs). A community health policy has been drafted and is being reviewed by the Council of Governors.
It seems that all basic preparations have been made and what is remaining is getting consensus and endorsement by MOH and counties with agreed design changes if necessary and scale up to ensure that Kenya is investing more on prevention and promotion. Currently, there are 4587 community units established with 4048 CHWs and 90758 CHVs, and only 7 counties met average of deploying 2 CHWs per county.
There is however need to re-examine and strengthen the community strategy as a means of reaching the community. This should include the mobilization of additional resources for community based interventions and leveraging the use of community health workers in enrolling the population on to the National Hospital Insurance Scheme.
Comprehensive and integrated care for the bulk of the assorted health problems in the community is more efficient than relying on separate services for selected problems, partly because it leads to a better knowledge of the population and builds greater trust.
By Lorraine Anyango
Kisumu County is currently working on a partnership with the Planning department of Maseno University to plan on the recently gazetted towns. This is in line with the Urban Areas and Cities Act that will see the four satellite urban centers i.e. Kombewa, Maseno, Katito and Sondu converted into towns.
This collaboration will be cost effective to the County since it’s a government to government arrangement. The planning exercise is important for purposes of service delivery in those areas such as water, sanitation, infrastructure planning and access to the Kenya Urban Support Program funds.
It’s in the light of this that Kisumu Governor, Professor Anyang’ Nyong’o and the Vice Chancellor of Maseno University, Professor Julius Nyabundi signed an M.O.U to fast track the process.
The planning of the border towns will put to rest the perpetual political upheavals in those areas focus being put on service delivery.
The Vice Chancellor, was accompanied by the University DVC’s; Prof. Catherine Muhoma and Professor Chacha alongside Dr. Kola the department’s Dean.
The initiative was introduced by the County department of Lands under the leadership of CEC, Dickson Obungu and the Ag.Chief Officer, Arch. Steve Gome
Kisumu Deputy Governor, Dr. Ochieng Owili, joined Ambassador of the Kingdom of the Netherlands, H.E Mr. Frans Makken for a luncheon meeting at the Capital Club East Africa in Nairobi for a discussion on the Kenya Pooled Water Fund joint initiative.
The discussions focused on ways of opening new funding window for Water Service Providers. Kisumu County government is seeking partnerships for funding to expand water supply within the County.
The meeting was attended by among others Governor Ole Tunai of Narok County, Eddy Njoroge the chairman of KPWF, Embu and Nyeri County Government representatives and USAID officials.
The Governor of the Central Bank of Kenya Dr. Patrick Ngugi Njoroge called on the Kisumu Governor, Professor. Anyang’ Nyong’o at his office.
The purpose of this visit was to deliberate on how the County Government of Kisumu and the Central Bank of Kenya can improve services rendered to the County. These included: fast tracking the processes of money transfers, promotion of SME’s among many others.
The County Minister for Finance, Nerry Achar on his part, lauded the Central Bank Kenya for their cooperation with the county
Also present was the Central Bank of Kenya Board Chairman, Mr. Mohammed Nyaoga among other board members.
The Agricultural Society of Kenya (ASK) is in the process of modernizing Kisumu showground through development and implementation of a master plan to guide developments.
This will be realized through interaction, development collaboration based on mutual understanding between the County and the ASK.
It’s against this backdrop that ASK Board Members called on Kisumu Governor, Professor Anyang’ Nyong’o at his office.
Some of the improvements and investment projects that are envisaged in the master plan includes;
- . Improvement of infrastructure within the showground and it’s surrounding.
- Exposition hall and conference center.
- Sporting arena
- A business incubation center.
- A recreational facility.
- In offensive light industries (value addition).
- A hotel
Establishment of these facilities will go a long way in attracting more events to Kisumu due to availability of facilities, boost urban tourism, boost local revenue, and create employment opportunities thus uplifting the status of Kisumu County.