UGUNJA SUBCOUNTY HEALTH COMMITTEE MEETING WITH SIAYA COUNTY

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.

Table 1: 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 (U 5 MR) per 1000 234 159 91 74 Maternal Mortality Ratio (MMR) per 100000 >>>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 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

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 Nurses Pharmacists Pharmacy Technologists Laboratory Scientists 10 37 1 (shared) 3 36 90 2 24 26 53 2 21 ? ? ? Laboratory Technologists ? 24 24

HUMAN RESOURCE FOR HEALTH (2) Training of Health Workers Siaya MTC Bondo MTC Matibabu School of Nursing Clinical Medicine Nursing 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

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