Department of Health and Sanitation


HON. PAUL P'KUKOT WOYAKAPEL
County Executive Committee Member 


‌NELLY SOPRIN
Chief Officer 


Vision 
‌- A disease free community
‌Mission
‌- To provide quality health care.  
Core Values;
‌ accessible, 
‌user- friendly, 
‌timely Responsive. 
Sub-sections 
‌Reproductive and Preventive health
‌Curative and Rehabilitative Health Services
‌                                

‌               
‌                                          Status Of Key Health Indicators in The County 
 ‌                          i. Diseases Prevalence and Morbidity 
‌The most common diseases in the county include malaria, respiratory tract infections, diarrhoea and stomach ache. Malaria prevalence remains high at 42 percent. The use of treated nets has helped to significantly reduce infection and transmission of Malaria and more effort is needed to ensure its continued use. There is also need for closer monitoring of HIV/AIDS infection due to its socioeconomic impact on households and communities. Females are more vulnerable to sickness than males in the county.



‌CURRENT FULLY IMMUNIZED = 58.1% 
‌CURRENT SKILLED DELIVERY= 60.1% 
‌CURRENT CPR= 23%
‌                            ii. Health Service Access 
‌The county has health facilities managed by the County Government of West Pokot ranging from Level 2 to 5. The county has numerous gaps in most of the health system blocks. Most notably in Human Resources for Health in terms of levels of care under Level One (community health services) there are 252 community units spread across the sub counties. 
‌Under Level Two (dispensaries and health centres) there are 105 health facilities, 10 being Health Centres. The county also has five county hospitals under Level Four. Currently there are no tier five facilities but plans are underway to upgrade the county referral hospital to Level five. Furthermore, the County has 1 Non-Governmental Organizations (NGO) health centre facility and 12 Private facilities of which, one is a nursing home. 
‌The ideal situation would be for each sub-County to have a level 4 facility and several level 3 and 2 facilities. West Pokot County is served by 4 hospitals, 8 health centres and 142 dispensaries. Kapenguria County hospital and Ortum Mission Hospital are the two major health facilities in the County.
‌                              iii. Nutritional Status 
‌The percentage of children at risk of malnutrition stands at 6.6 percent. Chronic malnutrition rate stands at 35% at the county. Currently, there are efforts by development partners to improve on child nutrition. Development partners work with the department of health, sanitation and emergencies to address nutrition. 
‌                              iv. Immunization 
‌Immunization coverage is still low in the county. With other parts of the country gearing to the achievement of 100 percent immunization coverage, the immunization coverage (fully immunized child) in the county stands at 58.1 percent. This is attributed to low staffing of health facilities, few and inaccessible health facilities and nomadic life style. Most affected areas are: Kasei, Konyao, Sook, Seker and Chepkokogh. 
‌                              v.Family Planning Services 
‌The contraceptive acceptance in the county is low, modern contraceptive prevalence rate currently stands at 23%. This is attributed to the culture of valuing many children as source of wealth and protection in the community, ignorance and high illiteracy. Due to awareness creation and family planning campaign, this acceptance is expected to rise. In order to increase the contraceptive acceptance levels, there is need for awareness creation and family planning campaign and reduction in the cost of family planning commodities.
‌                              vi. County Health Parameters

County 2014  County (current)  Kenya (current)
   HEALTH PERSONNEL    
 Nurses (per 100,000 people) 41   86/100000  55
 Doctors (per 100,000 people)  4  7/100000  10
 Clinical officers (per 100,000 people)  15  20/100000  21
   HEALTH FACILITIES    
 Public  57  144  4,929
 Nongovernmental  2  0  347
 Faith-based  20  12  1,081
 Private  4  10  3,797
       


Department’s COVID-19 Response 
  • ‌Construction of an isolation ward at KCRH for highly infectious diseases. Operationalization of isolation centres across the county were equipped with beds. KCRH – 21, Ortum – 10, Kacheliba, Sigor and Chepereria – 2 each 
  • ‌402 health care workers were trained on the pandemic management and Infection Prevention Control 
  • ‌Sensitization of 250 health care workers and 1600 community health volunteers effected. 
  • ‌Active surveillance, screening and testing points set within Murkwijit, Kishaunet, marich and Chesegon 
  • ‌Stocking of PPEs for the health care workers and disinfection and fumigation of 42 towns and centres against COVID – 19 
  • ‌Radio community engagement talks [228] and 30 interpersonal engagements through community healthcare volunteers



     Project Description Ward Project Status
     COMPLETION OF OPERATION THEATRE AT KACHELIBA SUB COUNTY HOSPITAL SUAM, WEIWEI, CHEPARERIA COMPLETE
     COMPLETION OF ICU AND CASUALTY AT KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
     CONSTRUCTION OF EYE UNIT AT KACHELIBA SUB COUNTY HOSPITAL  SUAM  COMPLETE
     CONSTRUCTION OF TOILETS AT KACHELIBA HOSPITALS  SUAM  COMPLETE
     COMPLETION OF PERIMETER WALL (FENCING) & GATE FOR BLOOD BANK  KAPENGURIA  COMPLETE
     CONSTRUCTION OF MODEL LABORATORIES AT CHEPARERIA, SIGOR AND KACHELIBA SUB COUNTY HOSPITALS  WEIWEI, SUAM  ONGOING
     PURCHASE OF COLD ROOM EQUIPMENTS FOR BLOOD BANK UNIT  KAPENGURIA  COMPLETE
     PURCHASE OF OXYGEN PLANT FOR KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
     CONSTRUCTION OF CHEWARANY DISPENSARY  ENDUGH  COMPLETE
     CONSTRUCTION OF MATERNITY WING AT KISERA  LOMUT  COMPLETE
     CONSTRUCTION OF MATERNITY WING AT ANNET  LOMUT  COMPLETE
     COMPLETION AND EQUIPING OF ARPOLLO DISPENSARY  LOMUT  COMPLETE
     CONSTRUCTION OF PARUA MATERNITY WING  BATEI  COMPLETE
     COMPLETION OF KERELWA DISPENSARY  BATEI  COMPLETE
     COMPLETION OF SEBIT DISPENSARY BATEI   COMPLETE
     CONSTRUCTION OF SOBUKWO DISPENSARY  BATEI  COMPLETE
     CONSTRUCTION OF STAFF HOUSES AT SEBIT DISPENSARY  BATEI  COMPLETE
     CONSTRUCTION OF PIT LATRINES AT KRURU DISPENSARY-  RIWO  COMPLETE
     COMPLETION AND EQUIPING OF SEREWO HEALTH CENTRE  RIWO  COMPLETE
     RENOVATION OF CHEMAKEW DISPENSARY RIWO   COMPLETE
     CONSTRUCTION OF STAFF HOUSES AT LETWA DISPENSAY  SOOK  COMPLETE
     RENOVATION OF KONYAO HEALTH CENTRE  KAPCHOK  COMPLETE
     RENOVATION OF CHEMOTONG DISPENSARY  CHEPARERIA  COMPLETE
     COMPLETION AND EQUIPING OF CHEPKORNISWO DISPENSARY  CHEPARERIA  COMPLETE
     COMPLETION OF MATERNITY WING AT NARAMAM HEALTH CENTRE  CHEPARERIA  COMPLETE
     COMPLETION OF TIRKEN DISPENSARY CHEPARERIA  COMPLETE
     CONSTRUCTION AND COMPLETION OF MERUOBONG DISPENSARY  SUAM  COMPLETE
     FENCING OF TIYINEI DISPENSARY  SUAM  COMPLETE
     CONSTRUCTION OF STAFF HOUSES AT KANYERUS DISPENSARY  SUAM  COMPLETE
     CONSTRUCTION OF TENDAPOS(MORWONGAR) DISPENSARY  SUAM  COMPLETE
     CONSTRUCTION AND COMPLETION OF MATERNITY WING AT TIYINEI DISPENSARY  LELAN  COMPLETE
     COMPLETION OF MATERNITY WING AT MOKOYON DISPENSARY  LELAN  COMPLETE
     COMPLETION OF POROWO DISPENSARY  LELAN  COMPLETE
     CONSTRUCTION OF CHEPUNGON DISPENSAR  WEIWEI  COMPLETE
     FENCING OF PTOKOU DISPENSARY    COMPLETE
     BUILDING OF PIT LATRINE AT PTOKOU DISPENSARY  WEIWEI  COMPLETE
     EXTENSION OF VARANDAH AT PTOKOU DISPENSARY  WEIWEI  COMPLETE
     CONSTRUCTION OF MALE WARD AT TAMKAL DISPENSARY  WEIWEI  COMPLETE
     CONSTRUCTION OF MATERNITY WING AT KADOKONY DISPENSARY  MNAGEI  COMPLETE
     CONSTRUCTION OF TAMPALAL DISPENSARY  MNAGEI  COMPLETE
     COMPLETION OF TALON DISPENSARY SEKERR   COMPLETE
     COMPLETION OF CHORWA DISPENSARY  SEKERR  COMPLETE
     COMPLETION OF CHORWA DISPENSARY(DRAINAGE SYSTEM  SEKERR  COMPLETE
     CONSTRUCTION OF MATERNITY WING AT KAIBOS  SIYOI  COMPLETE
     CONSTRUCTION OF KRENGOT DISPENSARY  SIYOI  COMPLETE
     COMPLETION OF KALAPATA DISPENSARY  ALALE  COMPLETE
     COMPLETION OF NAKWOILAP DISPENSARY  ALALE  COMPLETE
     FENCING AND CONSTRUCTION OF PIT LATRINES AT KASITOT DISPENSARY  ALALE  COMPLETE
     FENCING OF NASAL DISPENSARY  ALALE  COMPLETE
     FENCING OF LENGOROK DISPENSARY  ALALE  COMPLETE
     FENCING OF NAUYOPONG DISPENSARY  ALALE  COMPLETE
     CONSTRUCTION OF PIT LATRINES AND WATER TANK AT NAKWOILAP DISPENSARY  LELAN  COMPLETE
     CONSTRUCTION OF PIT LATRINES AND WATER TANK AT KALAPATA DISPENSARY  LELAN  COMPLETE
     COMPLETION AND EQUIPING OF MBARU DISPENSARY  LELAN  COMPLETE
     COMPLETION AND EQUIPING OF CHELOPOY DISPENSARY  KIWAWA  COMPLETE
     COMPLETION AND EQUIPING OF NANGOLESINYO DISPENSARY  KIWAWA  COMPLETE
     COMPLETION AND EQUIPING OF KASES DISPENSARY  KIWAWA  COMPLETE
     COMPLETION AND EQUIPING OF WASAT DISPENSARY  KIWAWA  COMPLETE
     COMPLETION AND EQUIPING OF KAURIONG DISPENSARY  KIWAWA  COMPLETE
     FENCING OF TAKAIYWA DISPENSARY KIWAWA   COMPLETE
     FENCING OF NYANGAITA DISPENSARY  RIWO  COMPLETE
     RENOVATION OF NYANGAITA DISPENSARY    COMPLETE
     PROPOSED CONSTRUCTION OF CHEPOTARAM STAFF HOUSE    COMPLETE
     PROPOSED CONSTRUCTION OF CHEPTIANGWA MATERNITY WING  CHEPARERIA  COMPLETE
     PROPOSED CONSTRUCTION OF KOSITOT DISPENSARY  LOMUT  COMPLETE
     PROPOSED CONSTRUCTION OF HOSPITAL LAB AT CHEPARERIA SUB COUNTY HOSPITAL  CHEPARERIA  COMPLETE
     PROPOSED CONSTRUCTION OF WARD 7 AT KAPENGURIA HOSPITAL  KAPENGURIA  COMPLETE
     PROPOSED CONSTRUCTION OF A PIT LATRINE AT CHEPOTARAMA DISPENSARY  ENDUGH  COMPLETE
     PROPOSED RENOVATION OF LAUNDRY, TOILETS, KITCHEN AND OFFICE IN WARD 7  KAPENGURIA  COMPLETE
     COMPLETION OF LETWA DISPENSARY  SOOK  COMPLETE
     CONSTRUCTION OF ISOLATION WARD 8 - KCRH  KAPENGURIA  COMPLETE
     CONSTRUCTION OF DRUG STORE AT KACHELIBA SUB-COUNTY HOSPITA  SUAM  COMPLETE
     CONSTRUCTION OF PUBLIC TOILETS AT KACHELIBA HOSPITAL  KACHELIBA  COMPLETE
     CONSTRUCTION OF TOILETS AT SIGOR SUBCOUNTY HOSPITAL  WEIWEI  COMPLETE
     PROPOSED CONSTRUCTION OF PUBLIC TOILET AND WASHROOM IN KAPENGURIA REFFERAL HOSPITAL(WARD 6)  KAPENGURIA   COMPLETE
     CONSTRUCTION OF EYE UNIT AT KACHELIBA SUB- COUNTY HOSPITAL  SUAM   COMPLETE
     RENOVATION OF MATERNITY THEATRE(WALLS,ROOFING,TILES AND PAINTING)  KAPENGURIA   COMPLETE
     RENOVATION OF WARD ONE AT KCRH  KAPENGURIA   COMPLETE
     RENOVATION OF MATERNITY WARD(WARD 4)  KAPENGURIA   COMPLETE
    RENOVATION AND EQUIPING OF DOCTORS LOUNGE   KAPENGURIA   COMPLETE
     CONSTRUCTION OF BOUNDARY WALL AT KCRH (CASUALITY)  KAPENGURIA   COMPLETE
     CASUALITY LEVELLING AND PAVEMENT WORKS AT KCRH  KAPENGURIA   COMPLETE
     KACHELIBA HOSPITAL PLUMBING WORKS  SUAM   COMPLETE
     INSTALLATION OF ELECTRICAL DISTRIBUTION BOARD (SWITCH BOARD) AT KCRH  KAPENGURIA   COMPLETE
     CONSTRUCTION OF PTOKOU DISPENSARY  WEIWEI   COMPLETE
     RENOVATION OF KESOT DISPENSARY ENDUGH    COMPLETE
     COMPLETION OF TUWIT DISPENSARY  KAPCHOK   COMPLETE
     COMPLETION OF TIYINEI MATERNITY SUAM    COMPLETE

    •      The proportion of villages declared ODF increased from 43 to 57% ‌

      ·         ‌TB treatment outcomes; the proportion of those bacteriologically confirmed cured rose from 59.3% to 67%

      ·         Proportion of the fully immunized child at 1 year increased to 56.1% from 49%

      ·         ‌Proportion of PLHIVs identified increased from 80% to 98.8%, with linkage to CARE & RX increasing marginally to 97.3% up from 94%

      ·         In nutrition however, saw an increase in wasting, underweight and stunting (KDHS, KHIS, 2024 SMART Survey)

      ·         Health infrastructure ; Makutano HC phase 1, Phase 1 of Makutano Health Centre, Opol, Wasat, Pusol, Napitiro & Chemworor Dispensaries were completed 100%, office block at Kacheliba Sub county Hospital, at the County Referral hospital; the doctor’s lounge, rainwater harvesting, the perimeter wall and renovations at the blood bank were completed

      ·     Ward specific projects; Staff houses in Kaptolomwo and konyao health centres, Maternity units in embough, Orolwo and Parayon dispensary, Propoi and Ywaleteke dispensaries were equipped and pit latrines in Auskion completed, renovations in Lodupup, Lokna and Kongelai dispensaries were also completed

      ·         Trained of 16 HTS counsellors), 

      ·         ‌‌Conducted TA in GK prisons Kapenguria, KASF 11 Mid- term review, trained 32 officers on GBV and Sensitised 48 gatekeepers

      ·         Recruited 5 interns by AMPATH ( Murkwijit, Keringet , Kanyarkwat, Konyao and Kabichbich)

      ·         Conducted quality Assessment for Kapenguria County Referral Hospital and Chepareria Sub County Hospital on GBV

      ·         ‌Training of 94 CHPs on community PMTCT from West Pokot and Kacheliba Sub counties

      ·         ‌Held CA cervix screening at Alale, Amakuriat and Konyao

      ·         HIV testing at Sekerr and Mbara gold mines, CMEs on GBV, Sensitization of law enforcers on GBV and human rights for KPs

      ·         ‌‌Conducted outreaches for 2315 Female sex workers supported by NEPHAK

      ·         Trained 100 CHPs on leishmaniasis in endemic areas of Pokot central ( Tikit, Sarmach , Nasolot and Orwo ), West pokot ( Miskwony, Letwa and Turkwel) and North Pokot ( Ombolion, Kotulpogh, Kases and Nasal)

      ·         ‌Sensitisation of 180 community on kalaazar

      ·         Baseline survey in 9 H/Fs on DM/HTN HIV/NCDs integration assessment in 10 H/Fs

      ·         20000 children with acute malnutrition reached for treatment, 50% of children 6-59 months supplemented with vitamin A,

      ·         ‌80% of children 12-59 months dewormed, over 500 CHVs trained on BFCI,

      ·         50 health workers trained on IMAM, 80 health outreaches a total of 118 health facilities and 81 integrated health outreaches implement high impact nutrition interventions integrated to MCH/IMCI services

      ·         Acceleration of Micro nutrient supplementation was conducted during Malezi bora weeks

      ·         Recruited 10 nutrition staff. 

            Received and distributed of CCE from UNICEF under CCEOP 2 and 3

      ·         ‌29 CCE which included 4 solar fridges, 22 electric fridges and 3 freezers and distributed to the 4 sub counties

      ·         101 health facilities were visited for vaccinations

      ·         WASH; received support from PWJ, Deployed officers to support the SanNut Surge in Suam and Kapchok Wards Pokot North Sub-County

      ·         HPTU; ordered essential medicines worth ksh. 46,000,000 from KEMSA for 145 operational facilities

      ·         ‌Laboratory; 389635 tests were done by 76 lab officers across the county Received 5,400 tests of GeneXpert cartridges and 1000 LF-LAM strips for TB diagnosis

      ·         ‌Trained 524 Community Health promoters on Community Baby Friendly Initiative ( c-BFI), 206 Community Health promoters and 14 CHAs trained on Community Based surveillance ( CBS) , supported by ACF ( Action Against Hunger), 

      ·         RMNCAH; Trained 25 health care workers on Cancer screen and treat by the National Cancer control program, distributed 9 thermal ablation machines to 9 facilities (4 Hospitals and 5 Health Centres) for treatment of cervical cancer lesions

      ·         Trained 25 health care workers on hormonal intrauterine Device (HIUD) and Subcutaneous (SC) Depo provera

      ·         ‌School Health; Formed 10 school health clubs and murals in schools by partner support, sensitised 60 Public Health Officers,40 Head Teachers, 40 school Health Patrons on school health policy

      ·         ‌Malaria Control Programme; conducted malaria case management in 40 Health facilities (10 in each sub-county)

      ·         ‌Conducted entomological surveillance for malaria vectors in Pokot North, Pokot Central and West Pokot Sub-counties,

      ·         ‌Reporting rates of malaria indicators is above 91.5%,

      ·         Radiology; Conducted 7,179 diagnostic examinations both ultrasound and general X-Rays, supported Saving mothers by giving accurate diagnosis, trained 6 Radiographers on basic ultrasound examinations, improved on FIF collection, a total of Kshs. 1,496,000, trained 6 Radiographers on basic ultrasound examinations, trained 4 radiographers on new basic machine nosology, completion of new radiology department

      ·         Medical Engineering; Repaired 5 cold chain refrigerators, repaired two autoclaves, installed theater equipment in Kacheliba, trained staff on use of the equipment Taken Oxygen contractor and AMREF staff to Alale, Kabichbich, Lomut, Ortum, Chepareria, Kacheliba and KCRH

      ·         Trained 65 CHMT/SCHMT,100 CHA/PHOs and 1463 CHPs on eCHIS digital reporting platform

      ·         ‌340 CHPs on community health basic module. 592 CHPs

      ·         Performed 700 cataract operations

      ·         16 health care workers and 540 community actors including CHP trained on cross border TB

      ·         ‌10 community outreaches

      ·         ‌Posted 2 new lab officers to Surumben & Tapach

      ·         Reduced malaria incidence rate per a 1000 population from 110.4 in the year 2022 to 94.2 in the year 2023

      ·         ‌Acquisition of 29 Cold chain Equipment from UNICEF,

      ·         ‌Redistribution of solar Fridges and gas fridges to facilities in West Pokot and Kipkomo Sub counties