2.5 Kapkatet Hospital Presentation Dr. Sigilai LMG Health Conference 30Jan13

KAPKATET DISTRICT HOSPITAL

LEADERSHIP, MANAGEMENT & GOVERNANCE TRAINING SUCCESS :

HEALTH SYSTEMS MANAGEMENT (HSM)

PRESENTER: DR. KENNETH SIGILAI MEDICAL SUPERINTENDENT

KAPKATET DISTRICT HOSPITAL

Location: Kericho County, Rift Valley Province

KAPKATET DISTRICT HOSPITAL

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

KDH FACTFILE

To provide high quality accessible and acceptable health services and excellent training facilities

VisionTo be a prime hospital of choice in South Rift Valley Province of Kenya

Mission Statement

Started to fill a gap identified during MoH survey conducted in 2007/2008

It’s a six week, 3 modules courseTwo weeks spent in class followed by 4 weeks in the facility after each module

Three training cohorts so far7 Kapkatet staff

HSM Training

1. Strengthen Leadership and Governance structures

2. Strengthen Human Resource Management3. Strengthen Financial Management4. Improve Infrastructure, Medical Equipments

and Commodities Management5. Strengthen Health Information Management

System6. Improve Service Delivery

HSM TRAINING OBJECTIVES (Building Blocks)

Cohort 1 & 2:◦Development of hospital 5 year investment plan (2011-2015)

Cohort 3:◦Expansion of Casualty

HSM main outcome measure for Kapkatet DH

Strengths◦Qualified/skilled health Personnel ◦Good and Modern Infrastructure◦Modern Diagnostic Equipment

Weaknesses◦Resource constraints◦Ad-hoc planning◦Poor management skills

Situation Analysis

Opportunities◦Development Partners◦Collaborating Medical Training Institutions

Threats◦Poverty◦Insecurity◦High staff turnover

A 5 year Kapkatet District Hospital Investment (strategic) plan developed

Casualty expansion plan developed

Results / Achievements

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

Additional Achievements

Clean Environment for Quick Recovery

Computerized OPD (EMR)

Modern medical equipment

2006/2007 2007/2008 2008/2009 2009/2010 2010/2011 -

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

OPD AT-TENDANCE

IP AD-MIS-SIONSHOSPITAL DELIVERIES

LABO-RATORY TESTS

Increased Demand for Service

2006/2007 2007/2008 2008/2009 2009/2010 2010/2011 -

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

FIF COL-LECTIONS

GRANTS

Improved Financial Management

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

Challenges in implementing Investment Plan

Continued implementation of investment plan

Cascading HSSM training to HODs

Mid-term review next yearContinued fundraising for investment plan projects

Way Forward

MOMSHSM FacilitatorsDevelopment Partners: WRP/PEPFAR

HMC & HMT Kapkatet District Hospital

All Staff Kapkatet District Hospital

Acknowledgement