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Core Functions

Core Functions
According to the fourth schedule of the Kenyan constitution and various ministerial circulars the core functions of the Department of Health Services are:
•    Provision and management of county health services
•    Provision of emergency medical services  and disaster management
•    Promotion of primary health care
•     Licensing and control of undertakings that sell food to the public
•    Cemeteries, funeral parlours and crematoria
•    Waste management.
•    Development of County specific health legislation and policies
•    Development of health infrastructure
•    Resource mobilization
•    Planning, implementation, monitoring and evaluation of service delivery
•    Financial management
•    Procurement of Medical supplies and equipment
•    Human resource recruitment, development and management
•    Manage clinics, dispensaries, health centres and hospitals

Department’s Policy Objectives
 The Nyamira county Health Sector Vision and Goal aims to realize the following six policy objectives:
1.    Eliminate communicable conditions. This is to be achieved through reducing the burden of communicable diseases until they are no longer of major public health concern. 
2.    Halt and reverse the rising burden of non-communicable conditions. This is to be achieved by ensuring clear strategies for implementation of interventions to address all the identified non communicable conditions in the country. 
3.    Reduce the burden of violence and injuries. This is to be achieved by putting in place specific strategies, in collaboration with stakeholders in other sectors, which address the underlying causes of injuries and violence.
4.    Provide essential health care. These will include preventive, promotive and curative services that are affordable, equitable, accessible, and responsive to client needs.
5.    Minimize exposure to health risk factors. This aims at strengthening health promoting interventions which address risk factors to health, and facilitating use of products and services that lead to healthy behaviour in the population.
6.    Strengthen collaboration with other sectors. This aims to adopt a ‘Health in all Policies’ approach, which ensures the Health Sector interacts with and influences design, implementation and monitoring processes in all health-related sector actions.

Key Health Indicators

Impact level Indicators

County estimates

National

Source of information, year

Life Expectancy at birth (years)

63

60

KNBS, 2008

Crude mortality   (per 1,000 population)

13

106

CRD, 2012/13

Neonatal Mortality Rate (per 1,000 births)

30

31

KNBS 2012,

Infant Mortality Rate (per 1,000 births)

46

56

KNBS 2012

Under 5 Mortality Rate (per 1,000 births)

58

74

KNBS 2012

Maternal Mortality Rate (per 100,000 births)

385

400

Ministry of Devolution & Planning ,2013

Adult Mortality Rate (per 100,000 births)

6.57

30

CRD, 2012/13

HiV Prevarence

6.4

 

NASCOP


Functional Health Facilities by Type and Ownership
The County Health services are organized across three tiers of service delivery: Community services that focus on organizing appropriate demand for services, Primary care and hospital services that focus on responding to this demand. There are a total 69 Community units; 130 health facilities that include Hospitals, health centres and dispensaries of which 62.3% are owned by public, 12.3% owned by Faith Based Organizations (FBO) while 25.4% are privately owned.

Ownership

Primary Care

Hospitals

Total

Community Units

Government

73

8

81

69

FBOs

16

0

16

0

Private for profit

33

0

33

0

Total

122

8

130

69