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

 Location: Kericho County, Rift Valley Province

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

 To provide high quality accessible and acceptable health services and excellent training facilitiesVision  To be a prime hospital of choice in South Rift Valley Province of Kenya

 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

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 6. Improve Service Delivery

 Cohort 1 & 2: ◦ Development of hospital 5 year investment plan ( )  Cohort 3: ◦ Expansion of Casualty

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

 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

 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

 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

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

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