1. DIRECTORATE OF PRISONS HEALTH SERVICES
KENYA PRISONS SERVICE
DIRECTORATE OF PRISONS HEALTH SERVICES

2. Cohort I – January to July 2011
LeHHO Team Members
Cohort I – January to July 2011
1. Dr. John Kibosia – Director of Prison health services
2. Dr. Charles Isiaho - Ag. Director of Health services
Cohort II – June to December 2011m 34,w
Mrs. Mary Chepkonga – ACP, Head of ACU (KPS AIDS Control Unit)
Dr. Eileen Koske – In charge, Langata Women Prison Health Services

3. Background Kenya Prisons Service
Prisons Service in Kenya has been in existence since The services is mandated through Act of Parliament to fulfill the main role of;-
Containing and keeping offenders in safe custody
Rehabilitation and reformation of offenders
Facilitation of administration of justice by producing offenders in courts of justice
Training of young offenders in Borstal institutions and Youth Corrective Training Centres
Provision of facilities for children aged 4 years and below accompanying their mothers to prison
Recruitment, training and development of suitable human resource for the provision of service.

4. Directorate of Prisons Health Service
Background Cont.
Directorate of Prisons Health Service
Until 5 years ago, all prisoners who needed medical attention were referred to Ministry of Health facilities.
In late 2006 the government decided to create the Directorate of Health with the mandate of promoting the inmates staff and the environment they occupy is healthy. The Directorate has now been incorporated into the prison structure.

5. Mission Mission of the Directorate of Health services
To provide quality healthcare to prison community through preventive, curative & referral services

6. Health challenges addressed by the LeHHO teams
Cohort I
To Provide basic dental services in 5 principal prisons
Cohort II
To provide TB screening to 80% of all prisoners in the Langata Women’s prison.

7. Situation as of January 2011 before LeHHO training
All prisoners who needed dental care services were transported to the nearest MOH facility that had dental services. To be able to do this the following was needed;
- Provision of vehicles for transportation
- Provision of security to escort the prisoners
- Finances to take care of the fuel costs and also the pay for the services in the respective hospitals.

8. Measurable result
5 principal prisons will offer dental services by 30th July 2011

9. Justification
KMTC students carried out a study in 2010 in 3 maximum prisons in Kenya on healthcare needs. The study revealed that:
- 70% of referral cases were dental related.
- 90 % of these could be treated with basic dental equipments within the prisons health facilities

10. Obstacles
Funding
Equipment
Personnel
Infrastructure
Challenge
How will we provide dental health services in 5 principal prisons in the light of in-adequate funding for health services, lack of equipment, shortage of staff and lack of dental equipments.

11. Priority actions Recruitment of staff by the KPS
2. Secondment of staff by MoH
3. Procurement of basic dental equipments by KPS
4. Request for support from MoH and Partners to purchase/provide the dental services equipments.

12. Resource mobilization matrix
Name of the stakeholder
Specific request made
Outcome
International Medical Corps ( IMC)
Restorative dental kits
5 boxes of assorted kits were provided
Ministry of Medical Services ( MoMs)
Secondment of staff
Provison of medical supplies ( consumables)
2 Oral health staff seconded to Nairobi West and Kamiti Prisons
MoM committed to continuous supply of these consumables
Dr. Ronald from Switzerland ( private practioner , dental surgeon)
Dental Extraction Kits
Provided kits for Embu and Kakamega principal prisons
Ministry of Home Affairs
Extraction Kits
Provided Kits for Kodiaga, Nyeri, Embu, Nairobi West, P.S.T.C
Kenya Prisons Under the Ministry of Home Affairs
Recruitment
5 Oral health officer were recruited.

13. Achievements as of July 2011(end of LeHHo training)
Dental services were offered in the 5 principal prisons namely; Nyeri, Kodiaga, Embu, Nairobi west and Shimo la Tewa.
In-addition this services were extended to the Prison Service training college (P.S.T.C)
This interventions have helped the prison services to save on; Manpower needed for security of prisoners and cost of dental services outside prison health facilities.

14. Current situation after July 2011
The scope for provision of Dental health services has been expanded to ;
- Kakamega
- Kamiti
- Naivasha prisons
2. Using the concept of the challenge model, we have expanded to other specialized health services;
- Ear Nose and Throat (ENT) services at; the P.S.T.C, Borstal Juvenile Prisons at Shikusa and Shimo la Tewa
3. Minor Surgical procedures have been introduced to all the 40 prison health facilities country wide.

17. Conclusion The Directorate of Prison Health Services have helped to;
Decongest the public health facilities
Provide Primary Healthcare ( PHC) to host communities who are not bale to access health services due to the distances from the healthcare facilities.
It is possible to provide the prisons community with internationally accepted health care services

18. ACKNOWLEDGEMENT The Commissioner Of Prisons
Ministry of Medical Services
Ministry of Home Affairs
Development Partners
Strathmore Business School
USAID and MSH / LMS

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