2.5 kapkatet hospital presentation dr. sigilai lmg health conference 30jan13
DESCRIPTION
Presentation during the session on LMG Training Successes at the First National Conference on Health Leadership, Management and GovernanceTRANSCRIPT
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KAPKATET DISTRICT HOSPITAL
LEADERSHIP, MANAGEMENT & GOVERNANCE TRAINING SUCCESS :
HEALTH SYSTEMS MANAGEMENT (HSM)
PRESENTER: DR. KENNETH SIGILAI MEDICAL SUPERINTENDENT
KAPKATET DISTRICT HOSPITAL
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Location: Kericho County, Rift Valley Province
KAPKATET DISTRICT HOSPITAL
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Ownership: GOK (Government)Catchment Population : 132,760 Bed Capacity: 189Health Workforce: 135◦ 19 Doctors◦ 61 Nurses
KDH FACTFILE
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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
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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
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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)
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Cohort 1 & 2:◦Development of hospital 5 year investment plan (2011-2015)
Cohort 3:◦Expansion of Casualty
HSM main outcome measure for Kapkatet DH
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Strengths◦Qualified/skilled health Personnel ◦Good and Modern Infrastructure◦Modern Diagnostic Equipment
Weaknesses◦Resource constraints◦Ad-hoc planning◦Poor management skills
Situation Analysis
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Opportunities◦Development Partners◦Collaborating Medical Training Institutions
Threats◦Poverty◦Insecurity◦High staff turnover
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A 5 year Kapkatet District Hospital Investment (strategic) plan developed
Casualty expansion plan developed
Results / Achievements
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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
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Clean Environment for Quick Recovery
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Computerized OPD (EMR)
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Modern medical equipment
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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
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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
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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
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Continued implementation of investment plan
Cascading HSSM training to HODs
Mid-term review next yearContinued fundraising for investment plan projects
Way Forward
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MOMSHSM FacilitatorsDevelopment Partners: WRP/PEPFAR
HMC & HMT Kapkatet District Hospital
All Staff Kapkatet District Hospital
Acknowledgement