Medical Services and Public Health

• The hospital has a fully equipped Renal Unit and has started to offer dialysis services to patients (MES Project).
• The main hospital has an ongoing ultra modern maternity unit.
• The pediatric ward is now operational and the laboratory equipped.
• The radiology and two theatres are now fully equipped.
• Plans are underway for a County Store and to upgrade the facility into a teaching and referral hospital

• Construction of Maternal and Child Health Block and renovation of a mortuary are now complete and are set to be equipped in the coming financial year.
• Also fully equipped are the Radiology section, Theatre, and the CSSD unit (MES Project) as well as the laboratory, laundry, and maternity.
• Renovations and equipping are underway
• Plans are underway to fully upgrade the hospital into level 4 standards

• The laboratory and stores are now expanded.
• In partnership with national government, we have put up two theatres and sixty bed capacity wards.
• Procurement of equipment’s ongoing.
• Plans are underway to fully upgrade the hospital to a fully fledged level 4 hospital

• Upgraded to level 4, by operationalizing the theatre, opening of the inpatient and equipping of various departments in partnership with  Korean aid agency (KOICA).
• In partnership with KOICA, Community Health Systems strengthening is ongoing

• This facility serves a large and rapidly growing population in Kajiado North Sub County.
• We have constructed a maternity, Theatre, perimeter wall, a mortuary and renovated old buildings.
• A sixty-bed ward at the facility is underway and additional staff houses.
• The  laboratory and the maternity ward are fully equipped.
• The facility is in the process of being upgraded to level 4.

• The facility is now operational
• The facility has maternity wing, Inpatient wing, general outpatient wing, and staff house
• Fencing works are underway

• New Maternities have been constructed at Njukini, Illasit, Rongai Health Centre, and olekasasi health centres
• Laboratories have been initiated in Olekasasi, Matasia, Kimana, Mile 46, and Enkorika Health Centres and are at different stages of completion
• Mortuary services will soon be introduced to Rongai Health Centre
• Several other upgrading works have been undertaken at Namanga Health Centre, Kimana and Mashuuru Health centre
• Several equipment’s and other works have been undertaken in 16 Health centres

• Number of dispensaries increased from 71 to 98
• Among the 27 newly initiated new dispensaries, Matasia Health Center,-Enkisukudo Dispensary, Nentonai Dispensary, Olchorro dispensary, Kimah dispensary, eluanata dispensary,  Loolakir Health centre,  Kisharu, Kiloh dispensary, and Kumpa Dispensary are fully operational
• Meshenani Dispensary, Enkoireroi Dispensary, Oloilalei dispensary, Emurkeya dispensary, Koora dispensary,  Lempei Dispensary,  Kalesirua Dispensary,  Olmerrui  dispensary,  Esarunoto dispensary,   Ewagan Health Centre,  Impiron dispensary,  Lemongo dispensary,  Enkii dispensary,  Loolepo dispensary,  Moilo dispensary,   ilmotio dispensary,  embarbal dispensary, Oldepe dispensary,  Gataka Dispensary, Isara dispensary,  and Ilpatimaro dispensary are at different stages of completion

• Mashuru Health Center, Ngatataek Health Center
  In partnership with KOICA, the department has established 40 community units and increased outreaches.
• New maternity wings have been done at Gataka dispensary, Oloosirkon, Ereteti, Oloolua, Emumwenyi, Oldorko, Prison dispensary, and Olgulului maternity and are different stages of completion
• County government has undertaken rehabilitation of burnt down dispensary at olooloilero and started new construction works for condemned Ekong Narok dispensary- works at different stages of completion
• County Government undertook to complete former stalled CDF projects such as Oldepe, Emurkeya, and Megumi dispensaries
• County Government partnered with other stakeholders to complete and renovate several dispensaries such as Kisharu, Nentonai dispensary, and Oloyiankalani dispensary

• The department has continued to focus on completing projects that had either stalled or had taken quite some time to complete. The health facilities are at advanced stages and are almost complete. Examples of ongoing projects are Upgrading and equipping of Kajiado County Referral Hospital Maternity wing, upgrading and equipping of Loitokitok sub county hospital, and Upgrading and equipping of Ngong Hospital.
• In partnership with KOICA, Kitengela hospital has been upgraded and equipped. My government has continued to invest on completion of various projects being undertaken in various Health Centres and Dispensaries.
  Key milestone in strengthening our referral services will be acquisition of
  modern MRI and CT Scan machines for Kajiado & Loitokitok Hospitals which is at procurement. We are also in the process of acquiring 5 new ambulances and 20 motorbikes from our partners.
  The department has also distributed medical equipment’s to various health facilities across the county.

• The Department of Health has continued to enhance financing of health
  sector. This is a big challenge facing the department. The Department is
  focusing on Universal Health Care to improve availability of funds to the
  health facility and has on this month launched the NHIF drive which will
  ensure all our residents access services without the risk of incurring
  catastrophic expenditure.

The Department has engaged 72 Nurses on contract and engaged 5 more
consultants to address this major challenge. There has also been
rationalization in terms of staff deployment to ensure equitable services in our
health facilities.
The department plans to recruit 100 health staff who will be deployed to
various health facilities across the county.

To improve on this, the department has started the process of constructing a
warehouse to address the current challenge of drug shortage in our health
facilities. There has also been consistent procurement of commodities, staff
training, and use of information technology in ordering and monitoring
consumption.

The Department has just gazetted new boards for all the main Hospitals and
election for committees for primary health facilities is ongoing. There has also
been strong partnership with our partners whose support has really

strengthened service delivery in hard to reach areas. Through the support of
partners, the chair persons and treasurers of health facility management
committees have been trained on their roles to improve governance.

The Department through support of ICT Department has linked all our main
hospitals to internet and landline telephones. This has improved communication
and report transmission. We have also acquired new ICT equipment’s such as
computers and laptops to improve service delivery.

Through our partners, we were able to do a Nutrition Survey, this has informed
our interaction in the health sector especially in areas of drought that causes
acute malnutrition especially for the under-fives.

(i) Health Care Services Bill to address the challenges of health care financing
and improve service delivery at the facility level.
(ii) Community Health Services Bill to address the challenges faced at Level 1
(Community level) especially the management of volunteers.
(iii) County Health bill to address general health especially management and
oversight at the facility level.
(iv) Public Health and Sanitation Bill to address general environmental health and
sanitation services across the County.