Presentation during the session on LMG Training Successes at the First National Conference on Health Leadership, Management and Governance

1. LEADERSHIP, MANAGEMENT &
GOVERNANCE TRAINING SUCCESS :
HEALTH SYSTEMS MANAGEMENT
(HSM)
PRESENTER: DR. KENNETH SIGILAI
MEDICAL SUPERINTENDENT
KAPKATET DISTRICT HOSPITAL

2.  Location: Kericho County, Rift Valley Province

3.  Ownership: GOK
(Government)
 Catchment Population :
132,760
 Bed Capacity: 189
 Health Workforce: 135
◦ 19 Doctors
◦ 61 Nurses

4.  To
provide high quality accessible
and acceptable health services
and excellent training facilities
Vision
 Tobe a prime hospital of choice
in South Rift Valley Province of
Kenya

5.  Started to fill a gap identified
during MoH survey conducted in
2007/2008
 It’s a six week, 3 modules course
 Two weeks spent in class
followed by 4 weeks in the facility
after each module
 Three training cohorts so far
 7 Kapkatet staff

6. 1. Strengthen Leadership and
Governance structures
2. Strengthen Human Resource
Management
3. Strengthen Financial Management
4. Improve Infrastructure, Medical
Equipments and Commodities
Management
5. Strengthen Health Information
Management System

7.  Cohort 1 & 2:
◦Development of hospital 5 year
investment plan (2011-2015)
 Cohort 3:
◦Expansion of Casualty

8.  Strengths
◦ Qualified/skilled health Personnel
◦ Good and Modern Infrastructure
◦ Modern Diagnostic Equipment
 Weaknesses
◦ Resource constraints
◦ Ad-hoc planning
◦ Poor management skills

9.  Opportunities
◦ Development Partners
◦ Collaborating Medical Training
Institutions
 Threats
◦ Poverty
◦ Insecurity
◦ High staff turnover

10. A 5 year Kapkatet District
Hospital Investment (strategic)
plan developed
 Casualty expansion plan
developed

11.  Improved staff motivation and attitude
 Increased workload
 Improved FIF revenue collection
 Implementation of investment plan projects
◦ More lab equipment purchased
◦ Fencing of the hospital compound
◦ Computerization of services
◦ Sinking of a borehole & rain harvesting
◦ Renovations of MCH & Chest clinics
completed
◦ Funds for renovations of CCC received

15. 160,000
140,000
OPD
120,000
ATTENDAN
100,000 CE
IP
80,000
ADMISSIONS
60,000
40,000 HOSPITAL
20,000
DELIVERIES
-
2006/2007 2007/2008 2008/2009 2009/2010 2010/2011

16. 35,000,000
30,000,000
FIF
25,000,000 COLLECTIO
NS
20,000,000
GRANTS
15,000,000
10,000,000
5,000,000
-
2006/2007 2007/2008 2008/2009 2009/2010 2010/2011

17.  Understaffing, especially in nursing
department. We are still less than 50% of
nurse staff norms
 Buildings maintenance cost exacerbated
by initial poor workmanship
 Resource mobilization from external
sources not fully realized for capital
intensive projects: HDU/ICU, oxygen plant
 Cascading of HSS training beyond the
original six not realized

18.  Continued implementation of
investment plan
 Cascading HSSM training to
HODs
 Mid-term review next year
 Continued fundraising for
investment plan projects

19.  MOMS
 HSM Facilitators
 Development Partners:
WRP/PEPFAR
 HMC & HMT Kapkatet District
Hospital
 All Staff Kapkatet District Hospital