02/11/2025
Key Achievements in the Health Sector under H.E. Mandera Governor Mohamed Adan Khalif (Hon. MAK)
Strengthened Health Infrastructure
1. 115 operational health facilities across the county, comprising: One Level V facility (MCTRH)
a. Six Level IV hospitals
b. 70 dispensaries
c. 38 health centers
2. 128 Community Health Units established across the county.
3. 22 dispensaries constructed and fully operationalized.
4. 36 health facilities rehabilitated to improve access and service utilization.
5. 20 dispensaries upgraded to health centers to offer a wider range of healthcare services.
6. 8 modern maternity wings constructed and operationalized to promote safe maternal deliveries.
7. 7 new laboratories and administrative blocks completed to strengthen diagnosis and treatment.
8. 18 health facilities solarized to ensure uninterrupted power supply for essential services like maternity and cold chain management.
9. Kutulo theatre constructed and awaiting operationalization.
10. Banisa and Lafey theatres operationalized, reducing referrals by over 50%.
11. MCTRH now boasts three fully functional and equipped operation theatres, handling both major and minor surgical cases efficiently.
Human Resource for Health
1. A total of 1,698 health staff currently serving across all levels of care.
2. 480 new health workers recruited in the current financial year to strengthen service delivery.
3. Promotion of 120 health staff, enhancing motivation, retention, and career progression.
4. Over 200 health personnel trained on maternal and neonatal care, improving service quality and outcomes.
5. 12 additional specialist doctors recruited, expanding specialized care access across the county.
6. Continuous in-service training and professional development to enhance staff competence and retention.
Leadership and Governance Reforms
1. Appointment of CEO for Mandera County Teaching and Referral Hospital (MCTRH) and granting of autonomy to the facility for efficient management.
2. Establishment of hospital boards for MCTRH and all subcounty referral hospitals to strengthen governance and accountability.
Improved Referral and Emergency Services
1. A robust referral system linking all subcounty health facilities.
2. 12 fully equipped ambulances stationed across subcounties for rapid emergency response.
3. 3 newly acquired ambulances to boost referral capacity.
4. Over 2,000 patient referrals handled annually, demonstrating an active and efficient emergency network.
5. 653 referral cases managed in the last quarter alone, including:
a. 227 maternal cases
b. 426 medical and surgical cases
Medical Supplies and Equipment
1. Over Ksh 200 million spent on procurement of drugs and medical equipment in the past year.
2. Procurement frequency increased from twice to six times a year, ensuring constant availability of essential medicines and supplies.
Community Health and Primary Care
1. 128 Community Health Units fully operationalized across all wards.
2. 1,268 Community Health Promoters (CHPs) trained, equipped, and actively serving communities.
3. 9 Primary Care Networks (PCNs) established and functional, improving linkages between communities and health facilities.
4. Deployment of the Electronic Community Health Information System (eCHIS) to enhance data-driven decision-making and service delivery.
Improved Health Outcomes
• Antenatal care (ANC) visits increased to over 70,000 annually.
1. Safe deliveries rose to over 23,000 per year, reducing maternal and neonatal mortality.
2. Fully immunized children increased to more than 29,000, reflecting improved child health coverage.
3. Malnutrition significantly reduced — Global Acute Malnutrition (GAM) dropped from 28% to 20%, and Severe Acute Malnutrition (SAM) reduced from 5% to 3%.
Health Financing and Insurance Coverage
1. Over 104,000 residents registered under the Social Health Authority (SHA) and actively benefitting from coverage.
2. SHA claims processing system established and functional in all subcounty hospitals, ensuring timely reimbursements and improved hospital cash flow.
Specialized Care and Hospital Services
1. All specialist clinics fully operational at MCTRH, offering services such as renal, orthopedic, ENT, ophthalmology, and maternal health.
2. Establishment of a fully functional renal unit at MCTRH and Elwak Subcounty Hospital, operating 24/7.
3. Improved access to surgical, pediatric, and diagnostic services at county and subcounty levels.
Overall Summary Impact on the People
1. Improved access to quality and affordable healthcare across all subcounties.
2. Drastic reduction in referrals outside the county for specialized services.
3. Enhanced maternal and child health outcomes.
4. Strengthened community-level health systems for preventive and promotive care.
5. Creation of job opportunities for health professionals and youth.
6. Restoration of public confidence in the county health system.
