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SCHEDULE (r. 7)

Category Facility Description Services Infrastructure Personnel

Level 1

(i). Community Health

Unit

Health Unit with a

maximum of 5000

population (1000

households) and is an

equivalent of a sub-

location.

Provides the first contact

with the healthcare

delivery systems, and is

linked with the

next/adjacent health

facility.

focuses on—

(a) ensuring individuals,

Households and

communities carry out

Appropriate healthy

behaviours; and

(b) recognition of signs

and symptoms of

conditions that need to

be managed at other

levels of the system

(a) Preventive

(b) Health Promotion &

Education

(c) Diagnosis and

management of

minor illness

(d) Early detection of

conditions,

screening and

referral

(e) Enforcing adherence

to care and Defaulter

Tracing

(a) Community based

Health Information

Systems.

(b) E-health tools

(c) Chalk boards &

teaching aids.

(d) CHV kits

(a) Any registered &

licensed health workers

(b) Community Health

Extension Worker

(c) Community Health

Volunteers

Level 2 1. Health clinic This facility is the second

level of care that offers

basic outpatient services.

(i) Basic outpatient

services;

(ii) Basic emergency

(a) At least three rooms

being─

(i) a reception;

(ii) a consulting room;

(a) Any registered and

licensed health

professional

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services;

(iii) minor surgical

procedures services

within the scope of

practice;

and

(iii) a treatment room or

observation;

(b) a procedure room, if

procedures are done at

the facility;

(c) a First Aid Kit;

(d) a Health Information

Management System;

(e) a waste management

system;

(f) Emergency equipment;

(g) Sterilization equipment

(h) Basic equipment

relevant to the scope of

practice

(i) Running water

(j) Power source

(k) ICT equipment

(l) Ablution facilities

(m) Storage facilities

(n) proof of contract with a

licensed waste disposal

company

(2) Dental Clinic An outpatient facility for

the treatment of dental

related problems.

(a) Dental services (b) At least three rooms

being─

(i) a reception;

(ii) a consulting room;

and

(iii) a treatment room or

observation;

(a) Dentist; and

(b) Dental Assistant or

Nurse

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(c) A sterilization room

containing the

prescribed equipment

used by the dental

practitioner for─

(i) the promotion of oral

health;

(ii) the prevention,

diagnosis and treatment

of oral diseases; and

(iii) the rehabilitation of

oral structures;

(d) a specialized dental

chair with accessories,

in the case of a

comprehensive clinic-

Unit;

(e) basic normal clinic

chair;

(f) all equipment for

extraction and minor

oral surgery, filling;

and

(g) ART instruments,

including a scaler, with

effective infection

control.

(h) Emergency tray

(i) ICT Equipment

3. Dispensary This facility is the second (o) Basic outpatient (i) Out-patient The facility should have a

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level of care that offers

basic outpatient services. It

encompasses public,

private, school based,

company based and faith

based facilities.

services;

(p) Basic Emergency

Services;

(q) Preventive services;

(r) Immunization;

(s) Maternal & Child

health;

(t) Screening for

communicable

&NCD’s

conditions;

(u) Integrated vector

management;

(v) good hygiene

practices;

(c) Health Promotion &

Prevention of

communicable, Non-

Communicable diseases

and mental health

(d) Port health

services;

(e) community

management of

violence and injuries

(f) pre-hospital

care;

(g) emergency

maternity services;

(h) Infection

Prevention & Medical

waste management’;

(i) Sterilization

waiting bay

(ii) One

consultation

room

(iii) Treatment &

procedure

room

(iv) Sluice room

(v) Sterilization

room

(vi) Basic

procedure

equipment

(vii) Infection

prevention

and medical

waste

management

mechanism

(viii) Running

water

(ix) One or two

examination

couch(es)

(x) Delivery bed

(xi) Resuscitaire

(xii) Infrastructure

& equipment

to offer basic

(routine)

laboratory

services

(xiii) ICT

minimum of the following

personnel;

(a) Two Nurses

(b) Public Health technician

(c) laboratory

technologist/technician

(d) Nutrition & dietic

technician

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services

(j) food quality and

safety services;

(j) reproductive

health services;

(k) basic laboratory

services;

(l) Environmental,

safe water, sanitation

and hygiene;

(m) Promotion of

nutrition services;

(n) substance abuse

services;

(w) promotion of

school health

including

deworming;

(x) Provide linkage

with community

health services

equipment

(xiv) Ablution

facilities

(xv) Power source

(xvi) Storage

facility

(xvii)

(xviii) Access to

ambulance

services

(xix) Cancer

screening

equipment;

(xx) Emergency

Obstetric

care

equipment;

(xxi) Community

Health Kits

(CHK)

4.Mobile Clinic Health facility that

operates through migration

of the clinics from one area

to another, with each

mobile clinic linked to a

static health facility from

where it operates beyond

the reach of the static

facility which provides

staffing, administrative

Provides─

(a) maternity services;

(b) primary care services;

(c) curative, MCH/FP

services;

(d) emergency services;

and

(e) specific services

for─

(a) Infrastructure and

equipment to offer─

(i) basic outpatient

services;

(ii) emergency maternity

services;

(iii) basic laboratory

At least one from each the

following:

(a) General clinical officer;

(b) Public health technician;

(c) Nurse;

(d) Laboratory

technician/technologist

(e) Any other registered and

licensed health

professional required as

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services and storage of

supplies and other

necessary needs.

(i) HIV, TB, Malaria,

CA screening

services;

(ii) referral services;

(iii) defaulter

tracing; and

(iv) neglected tropical

conditions.

services;

(iv) minor surgical

procedures;

(v) outreach services

(vi) Sterile packs

(vii) ICT equipment

per the services provided

5. Eye Clinic A health facility for the

treatment of outpatient eye

clients (including optical)

for not more than twelve

hours.

(a) (b) At least three rooms

being─

(i) a reception;

(ii) a consulting room;

and

(iii) a treatment room or

observation;

(c) a procedure room, if

procedures are done at

the facility;

(d) a health information

management system;

(e) a First Aid kit;

(f) a waste management

system; and

(g) proof of contract

with a licensed waste

disposal company.

(a) an ophthalmic nurse;

(b) an ophthalmic clinical

officer; or

(c) ophthalmologist who

exclusively offers eye

care services.

6. Home-Based care

service

Health care service

provided at the patient’s

home

a. Treatment

b. Nursing care

c. Dressing

d. Physiotherapy

a. Emergency kit

b. First aid kit

c. Hygiene kit

d. Dressing packs

a. All registered and

licensed health

professionals

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e. Nutrition

f. Others as

prescribed

e. Other equipment

and infrastructure

as per the scope of

practice

7. Funeral Homes-

Stand alone

A facility where─

(a) dead bodies are stored;

and

(b) undergo autopsy

before cremation or

burial;

(c) additional services

including-

(i) the sale of coffins;

(ii) cremation;

(iii) burial;

(iv) transportation of

bodies,

may be provided.

At least─

(a) one pathologist; and

(b) morgue attendant.

LEVEL 3A

1. Comprehensive

Health Centre

A health facility that

provides comprehensive

curative, preventive,

promotive and

rehabilitative health

services including

maternity theatre services.

(public, private or faith-

based), this will include

Nursing Homes, Cottage

Hospitals and Maternity

homes that meet the bare

minimum for a Level 3B

facility.

provides─

(i) curative services;

(ii) outpatient services;

(i) inpatient services;

(ii) emergency

obstetric operations

(caesarean section)

(iii) New born care

(iv) Basic rehabilitation

services

(v) referral services;

(vi) Minor surgical

procedures;

At least─

(a) One outpatient waiting

bay

(b) three consultation

rooms;

(c) one treatment room;

(d) one maternity theatre to

have the following;

(i). standardized

operation table

(ii). Overhead/mob

ile theatre light

(iii). Anaesthetic

At least─

(a) Visiting /resident

specialist;

(b) two medical officers;

(c) six clinical officers;

(d) one graduate clinical

officer;

(e) two specialized

clinical officers

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(vii) limited emergency

inpatient services;

(viii) mental health

services;

(ix) Basic oral health

services;

(x) health promotion;

(xi) maternity services

for normal

deliveries;

(xii) caesarian section

services,

(xiii) antenatal care

(ANC);

(xiv) family planning (FP)

services;

(xv) immunization

services;

(xvi) Class C laboratory

services;

(xvii) Basic radiologic

and imaging

services;

machine

(iv). Resuscitaire

for the new

born

(v). Sluice room

(vi). Standard

receiving &

releasing room

(vii). Changing

rooms (male &

female)

(viii). Scrub area

(ix). Recovery

room (2 beds)

(e) one minor theatre (out-

patient)

(f) one records room;

(g) support services to

include:

(i) kitchen;

(ii) laundry;

(h) health information

management systems;

(i) inpatient bed capacity

of between sixteen to

Forty beds being

disturbed between

male, female, paediatric

and maternity ward;

(j) Pharmacy;

(k) one general store;

(f) twelve Kenya

Enrolled Community

Health Nurses;

(g) eight Kenya

Registered

Community Health

Nurses;

(h) two Kenya

Registered Nurses;

(i) two psychiatric

Nurses;

(j) two registered

midwives;

(k) two nutrition &

dietetic officers;

(l) two nutrition &

dietetic technologists

(m) one anaesthetist;

(n) one Sign Language

staff;

(o) One pharmacist;

(p) three pharmaceutical

technologists;

(q) two Plaster

Technicians or

Technologists;

(r) one orthopaedic

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(xviii) nutrition services

(xix) School health

services

(xx) Provide linkage

between health

facility and

community health

services (CHS)

(l) Infrastructure and

equipment of Class C

laboratory;

(m) one labour ward

with standard delivery

bed, Resuscitaire and a

fully equipped

emergency tray

(n) Toilet & ablution

facilities (one toilet for

12 patients of each sex)

(o) Public health office;

(p) basic radiological and

imaging facilities;

(q) surgical procedures

facilities;

(r) Central Sterilization

Services Department;

(s) Waste disposal

mechanism

(t) staff housing/hostel;

(u) a fenced incinerator;

(v) one placenta

pit/Macerator

(w) one motorcycle;

(x) communication

equipment;

(y) water storage for roof

catchment;

technologist;

(s) three physiotherapists;

(t) three occupational

therapists;

(u) One dental

technologists;

(v) Two Community Oral

Health Officers;

(w) one health promotion

officers;

(x) Two social workers;

(y) one health

administrative officer;

(z) three clerks;

(aa) one supply chain

assistant;

(bb) three health records

information

management officers;

(cc) one ICT officer;

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(z) composite pit;

(aa) power source

(bb) MCHFP kit;

(cc) Cancer screening

equipment

(dd) Oxygen supply and

suction machine;

(ee) fence and gate.

(ff) ramp/disability friendly

infrastructure

(gg) clean source of water

(a) firefighting equipment

(b) ICT equipment

(c) Access to ambulance

services

(d) Equipment and

infrastructure for

radiologic and imaging;

(e) Community health kits

(CHK)

(dd) two bio-medical

engineering

technicians;

(ee) five medical

laboratory

technologists/technicia

ns;

(ff) one graduate public

health officer;

(gg) Two public health

officers;

(hh) one public health

technicians;

(ii) Two radiographer;

(jj) Support staff to be

determined by

institution capacity;

LEVEL 3B 1. General

medical &

dental clinic

Medical officer

BDS

LEVEL 3C

2. Basic Health

Centre

A health facility that has

been Gazetted as a health

centre owned by the

(a) curative services;

(b) outpatient services;

(c) inpatient services;

At least─

(f) Outpatient

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MOH, other governmental

organization or licensed to

a faith based organization,

community or registered

organization including a.

school, company, church,

mosque, NGO, or

humanitarian organization,

that offers many

ambulatory health services

and generally offer

preventive and curative

services appropriate to

local needs.

(d) referral services;

(e) additional outpatient

care, largely limited

to minor surgery on

outpatient basis;

(f) limited emergency

inpatient services for

emergency inpatients

including patients,

awaiting referral and

on twelve hours

observation;

(g) limited oral health

services;

(h) individual health

education;

(i) maternity services for

normal deliveries;

(j) antenatal care (ANC);

(k) family planning (FP)

services

(l) immunization

services; and

(m) offers laboratory

services of Class B

(n) Minor surgical

procedures

waiting bay

(g) three consultation

rooms;

(h) one treatment

room;

(i) one minor theatre

at outpatients;

(j) MCHFP clinic;

(k) one records room;

(l) inpatient bed

capacity of

between eight and

sixteen beds being

distributed among

male ward, female

ward, paediatric

ward and

maternity ward;

(m) sterilization room

(n) Pharmacy ;

(o) one general store;

(p) Two rooms for

administration

purposes;

(q) Infrastructure and

equipment for

class B laboratory

(routine and basic

laboratory tests);

(r) one labour ward

with two standard

delivery beds;

(s) one delivery room

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with two delivery

beds;

(t) Public health

office;

(u) a support

services unit to

include─

(v) a kitchen; and

(w) laundry;

(x) Health

Information

Systems;

(y) Waste disposal

mechanism;

(z) Infection

prevention &

control

mechanism;

(aa) staff housing for

at least two members of

staff;

(bb) toilet & ablution

facilities (one

toilet for every 12

patients for

separate sex);

(cc) mechanism for

hand washing;

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(dd) fenced incinerator;

(ee) a placenta pit;

(ff) holding room for

dead bodies;

(gg) one motorcycle;

(hh) communication

equipment;

(ii) water storage for

roof catchment;

(jj) fence and gate;

(kk) composite pit;

(ll) ramp/disability

friendly

infrastructure

(mm) clean

source of water

(nn) firefighting

equipment

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(oo) Access to

ambulance

services

(pp) Cancer screening

equipment

Level 4A

Primary care

hospital

This is the principal

primary referral

hospital.

It offers services that

compliment primary

health care services to

allow for a delivery of a

more comprehensive

care with catchment

population of 100,000

persons.

(a) Out-patient services

(b) Laboratory services of

Class D

(c) Specialist therapy

services

(d) Integrated HIV/AIDS,

TB management;

(e) services for

elimination of

communicable

diseases;

(f) specialized out patient

services;

(g) screening for animal

transmitted

conditions;

(h) provides─

(i) Highly Active

Anti-Retroviral

Therapy

At least─

(a) (a) One general

outpatient waiting bay

with

(b) (i) Three consultation

rooms

(c) (ii) nursing station

(d) (iii) dressing room

(e) (iv) injection room

(f) (v) minor theatre

(g) (vi) outpatient

pharmacy

(h) (vii) health records

office

(i) (viii) triage area

(j) (ix) accident and

emergency department

(k) (x) Recovery ward

(l) (xi) sluice room

(m) (xii) special clinics for

gender based violence

and the youth

At least-

(a) one medical officer;

(b) two public health officers

and one technicians;

(c) six general clinical

officers;

(d) one specialized clinical

officer

(e) twelve Kenya Enrolled

Community Health

Nurses;

(f) eight Kenya Registered

Community Health

Nurses;

(g) one registered midwife

(h) One Psychiatric nurse

(i) one Sign Language staff;

(j) two pharmaceutical

technologists;

(k) one physiotherapist

(l) one plaster technician

(m) One occupational

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(HAART);

(ii) AntiRetro Viral

(ARV)

prophylaxis for

children born of

HIV +ve mothers;

(f) screening, diagnosis

and management

for─

(i) cervical cancer

(iii) breast cancer

(iv) prostate

cancer

(v) other forms of

cancer

(a) evacuation services

for injuries;

(b) Mass casualty

management and

referral

(c) provides essential

services;

(d) management of

surgical emergencies

including trauma care;

(n) (xi) staff lounge

(o) (b) clinical departments

with

(i) One waiting bay;

(ii) Two consultation

rooms;

(iii) nursing

station;

(iv) nurse in-

charge office;

(v) cloak rooms for

staff and clients;

(vi) Staff resource

centre;

(vii) drug cabinet;

(viii) Oxygen source

(ix) Scrub area

(x) changing rooms with

lockers;

(xi) laminar flow air

system for operating

theatres;

(p) general equipment

including─

(i)defibrillator;

(ii) ventilator;

(iii) modern

therapists;

(n) One Community Oral

Health Officers;

(o) Three laboratory

technologists/technician ;

(p) One Social Workers;

(q) Two clerks;

(r) One health records

information management

officer;

(s) two nutrition & dietetic

technologists;

(t) Support staff to be

determined by institution

capacity;

two security officers

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(e) advanced life

support;

(f) management of

emergency obstetric

care;

(g) radiology & imaging

services;

(h) general operations;

(i) specialized

operations;

(j) management of

medical, surgical,

pediatric and

gynecological in-

patients;

(k) specialized therapy

services;

(l) Palliative care;

(m) rehabilitative services;

(n) physiotherapy; and

(o) speech and hearing

communication system

and ICT infrastructure;

(iv) automation in all

areas;

(v) fire-fighting

equipment;

(vi) standby generators;

(vii) UPS back-ups;

(q) catering and laundry,

maintenance;

(r) biomedical engineering;

(s) general cleaning

services;

(t) infection control

infrastructure;

(u) Infrastructure and

equipment for Class D

laboratory services

(xii) specialized

therapy services;

(xiii) out-patient

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therapy.

(p) Mental health

services;

(q) Health promotion;

(r) Nutrition services

(s) E-health services

(t)

services;

(xiv) in-patient with a

bed capacity of between

one hundred and one

hundred and fifty beds

(h) radiological and

imaging

infrastructure and

equipment;

(i) one maternity theatre

to have the

following;

(i) standardized

operation

table

(ii) Overhead/mob

ile theatre

light

(iii) Anaesthetic

machine

(iv) Resuscitaire

for the new

born

(v) Sluice room

(vi) Standard

receiving &

releasing

room

(vii) Changing

rooms (male

& female)

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(viii) Scrub area

(ix) Recovery

room (2 beds)

(x) One general operating

theater;

(xi) mortuary

infrastructure and

equipment;

(xii) dialysis machine;

(xiii) at least one dental

unit room with

sterilization facilities;

(xiv) Central Sterile Supply

Department

(xv) one ENT services

room;

(xvi) mental health clinic;

(xvii) MCH/FP

department

(xviii) one labour ward

with two standard

delivery bed,

Resuscitaire and a fully

equipped emergency

tray and a sound

drainage system;

(v) one nursery room with

baby cots or two

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incubators;

(vi) nutrition room;

(ii) two operating theatre

beds;

(iii) administration block

with various offices;

(j) one pharmacy for

in- patient;

(ee) a support services

unit with─

(i) kitchen; and

(iii) laundry;

(ff) One public health

office;

(gg) staff quarters for at

least six persons on

duty;

(hh) toilet & ablution

block (one toilet for

12 persons of various

sexes)

(ii) Hand washing

facilities

(jj) source of running

water;

(kk) water reservoir;

(ll) one placenta

pit/macerator;

(mm) Standby

generator/power back

up;

(nn) Fenced incinerator;

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(oo) one motorcycle;

(pp) one utility vehicle;

(qq) one ambulance;

(rr) a composite pit;

(ss) water storage for roof

catchment;

(tt) fence and gate.

(uu) Ramp & disability

friendly infrastructure

LEVEL 4B 1. Specialist

standalone –

medical

(j)

LEVEL 4C 1. Specialized health

clinic

Offers one or more

specialized services,

limited to diagnostic ,

outpatient, daycare and

consultancy services

a. Specialized

services

a. Infrastructure and

equipment

relevant for the

delivery of

specialized

services

a. Registered, licensed and

recognized specialists in

the relevant fields.

Level 5

Hospital Level 5 A health facility is a

secondary referral hospital.

That provides services

offered in a Level 4

facility and more

comprehensive set of

services together with

internship services for

medical staff, research

and serve as training

centres for paramedical

staff. The focus is on

comprehensive and

specialized curative and

Provides services offered

in a Level 4 facility and

in addition the following

specialized services;

(a) nephrology services

(b) cardiology services

(c) emergency services

(d) endocrinology

(e) orthopedic services

(f) neurology services

(a) at least two hundred

beds;

(b) outpatient with:

(i). waiting bay

and triage area

(ii). Reception/regi

stration area

(iii). Health records

information;

(iv). Six

consultation

rooms with

examination

beds;

At least─

(a) fifty medical

officers;

(b) anesthesiologists;

(c) one oromaxillofacial

anesthesiologist;

(d) two cardiologists;

(e) four general surgeons;

(f) two orthopaedic

surgeons;

(g) one cardiothoracic

surgeon;

(h) one critical care

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rehabilitative care.

(v). Two injection

rooms;

(vi). One dressing

room;

(vii). One minor

theatre;

(viii). Autoclave

(sterilization

room);

(ix). Nurse station

(room);

(x). Staff lounge;

(xi). Resource

room/centre;

(xii). One plaster

room;

(xiii). Two or more

dental units;

(xiv). Pharmacy;

(xv). One ENT

room;

(xvi). One

ophthalmic

unit;

(xvii). One plaster

room;

(xviii). One

orthopedic

room;

(xix). Nursing in-

charge office;

(xx). Nursing,

counselling

physician;

(i) two ENT surgeons;

(j) two gastroentologists;

(k) three Obs/Gyne

specialists;

(l) two palliative care

specialists;

(m) one neonatologists;

(n) one nephrologist;

(o) one neurologist;

(p) one plastic surgeon or

reconstructive surgeon;

(q) one neuro-surgeon;

(r) One oncologists;

(s) two ophthalmologists;

(t) one optometrist;

(u) one dermatologists;

(v) four paeditricians;

(w) two pathologists;

(x) two psychiatrists;

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room;

(xxi). Accident &

Emergency

department

with at least 4

beds;

(xxii). Specialized

clinic for:

(a) Paediatrics

(b) Medical

(c) Obs/gyn

(d) Mental health

(e) TB,HIV/AIDS

and Chronic

illnesses

(c) MCHFP UNIT with;

(i). One

immunization

room

(ii). One ANC

room

(iii). One FP room

(iv). One nutrition

room

(v). Waiting bay

(d) Radiological &

Imaging Infrastructure

including;

(i). X-ray

(ii). Mammograp

hy

(y) four radiologists;

(z) one rheumatologist;

(aa) two specialist

physicians or Internist;

(bb) one public health

specialist;

(cc) one urological surgeon;

(dd) forty four general

clinical officers;

(ee) Twelve specialized

clinical officers;

(ff) Ten Nurses with Masters

Degree;

a. Advanced Practice

Nurse (APN)

b. Advanced Practice

Midwives (APM)

(gg) Two hundred BSN

Nurses; (1 BSN Nurse to

supervise 6 nurses per

shift 3 shifts in 24 hours)

(hh) Fifty critical care

nursing nurses;

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(iii). CT Scan

(iv). Ultrasound

(v). MRI

(e) Renal Dialysis unit

with at least

(i). 5beds and

one isolation

bed;

(ii). one

endoscopy &

colonoscopy

(iii). Intensive

care unit with

at least 5

beds & 7

monitors and

one isolation

room;

(iv). High

dependency

unit with at

least 4 beds;

(f) One maternity unit

with at least;

(i). 4 delivery beds

in labour ward;

(ii). 2 emergency

trays;

(iii). Delivery packs;

(iv). Resuscitaires;

(v). 2 suction

machines;

(vi). One operating

(ii) two forensic nurses;

(jj) one hundred and Kenya

Enrolled Community

Health nurses;

(kk) One hundred and sixty

Kenya Registered

Community Health

nurses;

(ll) eighty Kenya Registered

Nurses;

(mm) ten nephrology

nurses;

(nn) ten oncology nurses;

(oo) ten ophthalmic nurses;

(pp) fifty paediatric nurses;

(qq) fifty palliative care

nurses;

(rr) ten psychiatrist nurses;

(ss) fifty Registered

Midwives;

24

theatre;

(vii). Antenatal ward;

(viii). Post natal

ward(normal

delivery);

(ix). Post natal ward

(C/S delivery);

(x). New born unit

with at least 10

incubators and

one phototherapy

machine;

(xi). EBM room;

(g) Inpatient with at least

two hundred beds:

(i). Male ward

(ii). Female ward

(iii). Paediatric

ward

(iv). Surgical

(female,

male,

children)

(v). Gynaecologic

al ward

(vi). Mental health

(vii). Burns unit

(viii). Isolation

ward

(ix). Nursing

station

(x). Treatment

(tt) two Sign Language staff;

(uu) thirty theatre nurses;

(vv) four anaesthetist nurses;

(ww) fifty Accidents &

Emergency nurses;

(xx) six pharmacists;

(yy) four clinical

pharmacists;

(zz) one oncology

pharmacist;

(aaa) ten pharmaceutical

technologist;

(bbb) six plaster

technicians or

technologists;

(ccc) six orthopaedic

technologists;

(ddd) general

physiotherapists;

(eee) occupational therapists;

25

room

(xi). Drug cabinet

(xii). Sluice rom

(xiii). Holding

room

(xiv). Patient

records

(xv). Covered

patient

walkways

(h) At least 3 operating

theatres for:

(i). General

Surgery

(ii). Gynaecological

(iii). Any other

specialist

theatre

(i) Standby generator

(j) Biomedical

engineering

equipment

(k) Physiotherapy &

occupational therapy

infrastructure and

equipment

(l) Orthopedic & plaster

equipment

(m) Dental unit with at

least 3 dental chairs

(n) CPD room

(o) Mortuary to

(fff) two clinical

psychologists;

(ggg) ten dental officers;

(hhh) one maxillofacial

surgeon;

(iii) one

paediatric dentist;

(ffff) one orthodontists;

(gggg) ten dental

technologists;

(hhhh) ten general

radiographer;

(iiii) two ultrasonographers;

(jjjj) one mammographer;

(kkkk) three CT scan or

MRI radiographer;

(llll) two dental

radiographer;

(mmmm) two therapy

radiographer;

(nnnn) two nuclear medicine

technologists;

(oooo) one radiation

26

accommodate at least

20 bed

(p) Water storage tanks

(q) Roof catchment

(r) One fenced incinerator

(s) Yard for odd or

desolate equipment

(t) Motorcycle

(u) Two utility vehicles

(v) 4 wheel ambulances

(w) Kitchen with adequate

space for storage,

cooking, service and

office

(x) Drug store for

pharmaceutical and

non-pharmaceutical

(y) Fence and gate

(z) Signage

(aa) Patient charter

(bb) two general

operating theatres;

(cc) :

(dd) an Intensive Care

Unit;

(ee) radiology unit

with x-ray machine;

(ff) specialist clinics;

monitoring and safety

officer;

(pppp) medical social

workers;

*** Thirty Laboratory

technologists

(qqqq) one Medical

Superintendent;

(rrrr) two health

administrative

officers;

(ssss) two human resource

management officers;

(tttt) twenty clerks;

(uuuu) two secretaries

(vvvv) six accountants;

(wwww) six

supply chain

assistants;

(xxxx) two supply chain

officers;

(yyyyy) six health records

information

27

(gg) MRI Machine;

(hh) CT scan machine;

(ii) dialysis machine;

(jj) endoscopy&

colonoscopy unit;

(kk) mammography

machine;

(ll) ultra sound machine;

(mm) one waiting room;

(nn) six consultation

rooms;

(oo) one registration

room;

(pp) two injection

rooms;

(qq) one plaster room;

(rr) one minor theatre;

(ss) one dental unit

room;

management officers;

(zzzz) four ICT officers;

(aaaaa) one medical

engineer;

(bbbbb)six medical

engineering

technologists/technici

ans;

(ddddd) five nutrition and

dietetic officer;

(eeeee) ten nutrition and

dietetic

technologists/technici

ans;

(ggggg) two cateress;

(hhhhh) four public health

officers;

(iiiii) twenty cooks;

(jjjjj) drivers;

(kkkkk) sixty support staff;

(lllll) mortuary attendants;

and

28

(tt) one ENT services

room;

(uu) Infrastructure and

equipment for a Class E

laboratory;

(ii) MCH/FP department

(iii) one maternity ward

for six deliveries; and

(iv) one high

dependency unit with

six cots;

(vv) four operating

theatre beds being one

each for─

(k) one maternity

theatre to have the

following;

(xix) standardized

operation

table

(xx) Overhead/mob

ile theatre

light

(mmmmm) security

officers.

29

(xxi) Anaesthetic

machine

(xxii) Resuscitaire

for the new

born

(xxiii) Sluice room

(xxiv) Standard

receiving &

releasing

room

(xxv) Changing

rooms (male

& female)

(xxvi) Scrub area

(xxvii) Recovery

room (2 beds);

(ii) cold case;

(iii) general emergencies;

and

(iv)ophthalmic cases;

(ww) one

intensive care unit with

four beds;

(xx) medical engineering

unit;

(yy) administration

department with

various offices;

30

(i) pharmacy

(ee) a support services

department with─

(i) kitchen; and

(ii) laundry;

(ff) one public health

office;

(gg) radiology unit;

(hh) one x-ray room;

(ii) one USS room;

(jj) one mortuary;

(kk) staff quarters for at

least eight persons on

duty;

(ll) ablution block;

(mm) ten stance pit

latrine;

(nn) source of running

water;

(oo) water reservoir;

31

(pp) one placenta pit;

(qq) one generator house;

(rr) one incinerator;

(ss) one motorcycle;

(tt) two vehicles;

(uu) one ambulance;

(vv) a composite pit;

(ww) water storage for

roof catchment; and

(xx) fence and gate.

Level 6A National Referral and

Teaching Hospitals

and Specialized

Hospitals

A health facility that─

(a) offers services for

elimination of

communicable diseases;

(b) screening for animal

transmitted conditions;

(c) provides─

(i) Highly Active Anti-

Retroviral Therapy

(a) (b) on at least ten acres of

land;

(c) at least three hundred

beds;

(d) internship centres of at

least one hundred and

fifty beds;

(e) an operating theatre;

(f) an Intensive Care Unit;

At least─

(a) fifty medical

officers;

(b) anesthesiologists;

(c) one oral

maxillofacial

anesthesiologist;

(d) two cardiologists;

32

(HAART);

(ii) AntiRetro Viral

(ARV) prophylaxis

for children born of

HIV +ve mothers;

(d) male circumcision;

(e) Pelvic Inflammatory

Disease (PID)

management;

(f) screening for─

(i) cervical cancer for all

women in the

reproductive age

group; and

(ii) breast cancer

screening for women;

(g) prostate examination

for men;

(a) evacuation services

for injuries;

(b) disaster risk reduction

interventions;

(c) facility disaster

(g) radiology unit with x-

ray machine;

(h) specialist clinics;

(i) MRI Machine;

(j) CT scan machine;

(k) dialysis machine;

(l) endoscopy&

colonoscopy unit;

(m) mammography

machine;

(n) ultra sound machine;

(o) one waiting room;

(p) six consultation rooms;

(q) one registration room;

(r) two injection rooms;

(s) one plaster room;

(t) one minor theatre;

(e) four general

surgeons;

(f) two orthopaedic

surgeons;

(g) one cardiothoracic

surgeon;

(h) one critical care

physician;

(i) two ENT surgeons;

(j) two

gastroentologists;

(k) three Obs/Gyne

specialists;

(l) two palliative care

specialists;

(m) two neonatologists;

(n) two nephrologists;

(o) one neurologist;

(p) one plastic surgeon

or reconstructive surgeon;

(q) one neuro-

33

response planning;

(d) disaster management;

(e) provides essential

services;

(f) vaccination for

yellow fever, tetanus

and rabies;

(g) management of

surgical emergencies

including trauma care;

(h) advanced life support;

(i) management of

pregnancy

complications;

(j) management of

abnormal pregnancies;

(k) management of pre-

term labour;

(l) caesarean section;

(m) radiology services;

(n) outpatient turnover of

more than two hundred

(u) one dental unit room;

(v) one ENT services

room;

(w) Infrastructure and

equipment for Class F

laboratory;

(x) MCH/FP unit with─

(i) one immunization

services room;

(ii) one FP coordination

room;

(iii) one antenatal

coordination room;

(iv) one maternity ward

for six deliveries; and

(v) one high dependency

unit with six cots;

(y) inpatient services;

(z) two hundred beds for

male inpatients;

(aa) two hundred beds

surgeon;

(r) four oncologists;

(s) two

ophthalmologists;

(t) one optometrist;

(u) one

dermatologists;

(v) one paediatric

endocrinologist;

(w) one paediatric

nephrologist;

(x) one paediatric

neurologist;

(y) one paediatric

surgeon;

(z) four paeditricians;

(aa) two pathologists;

(bb) four psychiatrists;

(cc) four radiologists;

(dd) one rheumatologist;

34

and fifty;

(o) emergency operations;

(p) general operations;

(q) specialized operations;

(r) management of

medical, surgical,

pediatric and

gynecological in-

patients;

(s) laboratory services;

(t) specialized therapy

services;

(u) HIV/AIDS

management;

(v) tuberculosis

management;

(w) Palliative care;

(x) rehabilitative services;

(y) physiotherapy; and

(z) speech and hearing

therapy.

for female and children

inpatients;

(bb) four operating

theatre beds being one

each for─

(i) Gynae emergencies;

(ii) cold case;

(iii) general emergencies;

and

(iv)ophthalmic cases;

(cc) one

intensive care unit with

four beds;

(dd) medical engineering

unit;

(ee) administration unit

with─

(i) one pharmacyor

drug dispensing

room;

(ii) one cash office;

(ee) four specialist

physicians or Internist;

(ff) one medical

endocrinologist;

(gg) two public health

specialists;

(hh) one urological

surgeon;

(ii) one child and

adolescent psychiatrist;

(jj) one community

psychiatrist;

(kk) one forensic

psychiatrist;

(ll) forty four

general clinical officers;

(mm) fourteen graduate

clinical officers;

(nn) four specialized

clinical officers;

(oo) two clinical officer

lung & skins ;

35

(iii) two stores;

(iv) two administration

offices; and

(v) one room for health

records;

(ee) a supply services

unit with─

(i) kitchen; and

(ii) laundry;

(ff) one

community services

room;

(gg) radiology unit;

(hh) one x-ray room;

(iii) one USS room;

(yy) one mortuary;

(zz) staff quarters for at

least eight persons on

duty;

(aaa) ablution block;

(bbb) ten stance pit

(pp) two clinical officers

ophthalmology or cataract

surgerys;

(qq) two clinical officers

paediatrics;

(rr) two clinical officers

reproductive health;

(ss) two clinical officers

dermatology or venereology;

(tt) two clinical

officers Orthopaedics;

(uu) fifteen clinical

officers anaesthetists;

(vv) two clinical officers

co psychiatry/mental health;

(ww) two clinical officers

oncology or palliative care;

(xxi) Fifty Nurses with

Masters Degree

a. Advanced

Practice Nurse

(APN)

b. Advanced

Practice

36

latrine;

(ccc) source of running

water;

(ddd) water reservoir;

(eee) one placenta pit;

(fff) one generator house;

(ggg) one incinerator;

(hhh) one motorcycle;

(iii) two vehicles;

(jjj) one ambulance;

(kkk) one support

vehicle;

(lll) a composite pit;

(mmm) water storage for

roof catchment; and

(ooo) fence and gate.

Midwives (APM)

(xxii) One Thousand BSN

nurses ( 1 BSN to

supervise 6 nurses per

shift in 24 hours;

(zz) one hundred critical

care nursing nurses;

(bbb) two forensic

nurses;

(ddd) two hundred and

sixty Kenya Registered

Community Health nurses;

(eee) eighty Kenya

Registered Nurse nurses;

(ggg)thirty nephrology

nurses;

(hhh) twenty oncology

nurses;

(iii) ten ophthalmic

nurses;

(jjj) fifty paediatric &

neaonatal nurses;

37

(kkk) fifty palliative care

nurses;

(lll) twenty psychiatrist

nurses;

(mmm) sixty Registered

Midwives;

(nnn) two Sign Language

staff;

(ooo) sixty theatre nurses;

(ppp) four anaesthetist

nurses;

(qqq) fifty Accidents &

Emergency nurses;

(rrr) six pharmacists;

(sss) four clinical

pharmacists;

(ttt) one oncology

pharmacist;

(uuu) ten pharmaceutical

technologist;

(vvv) six plaster

technicians or technologists;

38

(www) six orthopaedic

technologists;

(xxx) general

physiotherapists;

(yyy) two BSc

physiotherapy;

(zzz) three specialized

physiotherapists;

(aaaa) occupational

therapists;

(bbbb) two clinical

psychologists;

(cccc) ten dental officers;

(dddd) two

oromaxillofacial surgeons;

(eeee) six

paediatric dentists;

(ffff) two Orthodontists;

(gggg) ten dental

technologists;

(hhhh) ten general

radiographer;

(iiii) two ultrasonographers;

39

(jjjj) one mammographer;

(kkkk) three CT scan or

MRI radiographer;

(llll) two dental

radiographer;

(mmmm) two therapy

radiographer;

(nnnn) two nuclear medicine

technologists;

(oooo) one radiation

monitoring and safety

officer;

(pppp) medical social

workers;

(qqqq) one Medical

Superintendent;

(rrrr) two health

administrative officers;

(ssss) two human resource

management officers;

** Forty two laboratory

technologists

(tttt) twenty clerks;

(uuuu) two secretaries

40

(vvvv) six accountants;

(wwww) six

supply chain assistants;

(xxxx) two supply chain

officers;

(yyyyy) twelve health

records information

management officers;

(zzzz) four ICT officers;

(aaaaa) two medical

engineers

(bbbbb) medical engineering

technologists;

(cccccc) six medical

engineering technicians;

(ddddd) twenty nutrition and

dietetic officer;

(eeeee) twelve nutrition and

dietetic technologists;

(fffff) four nutrition

anddietetic technicians;

(ggggg) two cateress;

41

(hhhhh) four public health

officers;

(iiiii) twenty cooks;

(jjjjj) drivers;

(kkkkk) sixty support staff;

(lllll) mortuary attendants;

and

(mmmmm) security officers.

** 4 Graduate Public Health

Officers

** 8 Public Health Officers

LEVEL 6B 1. Specialized

Hospital

A health facility that offers

specialized services

exclusively or a group of

specialized services,

among others, radiological

services, oncology

services; ophthalmology

services,

dental services and

renal.

(a) (b) waiting bays;

(c) doctors’ rooms;

(d) nursing station;

(e) Head of department’s

office;

(f) nurse in-charge’s

office;

(g) intern’s office;

(h) cloak rooms for staff

and clients;

A resident specialist in

charge of the area of

specialty of the institution.

42

(i) staff lounge room;

(j) medical material

store room;

(k) sluice room;

(l) drug cabinet;

(m) changing rooms with

lockers;

(n) laminar flow air

system for operating

theatres;

(o) general equipment

including─

(i)defibrillator;

(ii) ventilator;

(iii) modern

communication

system and ICT

infrastructure;

(iv) automation in all

areas;

(v) fire-fighting

43

equipment;

(vi) standby generators;

and

(vii) UPS back-ups;

(viii) catering and

laundry, maintenance;

(ix) biomedical

engineering;

(x) general cleaning

services; and

(xi) infection control

infrastructure;

(p) laboratory equipment;

(q) outpatient or inpatient

beds;

(r) radiological and

imaging equipment

including ultra sound

scan, x– ray, endoscopy

and laparoscopy

equipment;

(s) general Surgical

44

procedures theater,

where applicable; and

(t) autopsy equipment.

(aa) (ff)

Made on the …………………………………………………, 2019

,

Cabinet Secretary for Health.