3. ongata rongai health centre
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The Ongata-Rongai Health Centre receives limited inputs from the central government such as medicines, equipment, and supplies on a quarterly basis not based on need. It also receives some funding from user fees and occasional grants but has limited autonomous management. There is no separation of functions between the Ministry of Health which regulates, disburses, and provides services. While a suggestion box and community representative exist, there is no effective mechanism for consumer voice or supervision. Recommendations include granting more autonomy, setting clear indicators and targets, improving quality, and paying staff based on outputs to increase motivation.
3. ongata rongai health centre
- 1. PRESENTATION FROM ONGATA-RONGAI HHHHHEALTH CENTREPRESENTED BYnouk Daniel, Dorcus, Anouk, Ahmadshah, Nancy, .
- 2. Presentation outlineInputs of the health unitSources of fundingFund holderHealth systemSeparation of functionsMultisector PBF activitiesPatients opinion regarding health care
- 3. Profile of the health facilityLocation: OngataRongaiCoverage population: Around 100,000Number of staff: 34 (5 clinical officers, 14 nurses, 7 public officers, one clerk, one nutritionist, 3 support staff, 4 casual workersHealth Centre Management Committee (9 members)
- 5. INPUTS: Does the health facility receive inputs? Which ones ? Autonomous management?Yes, the health facility receives limited inputs like Medicines, Equipment and other supplies from the central GovernmentSupplied on quarterly basis and not based on needSome inputs from vertical programmes like Marie Stopes, Mosquito netsThe medicine stores was almost emptySalaries are paid from the ministry to staff , fix and lowLimited autonomous management, used the revenue collected from user fees to purchase some medicines and pay for casual staff (Casual staff work harder than the clinical staff)Received some funding ksh.240.000 about a week ago which will supplement to purchasing lab reagents, emergency drugs etc (this was a new scheme)
- 7. Sources of funding:The funding comes from the GovernmentHowever, they also collect some revenue from user fees. For example:OPD- Ksh.50 Delivery-Ksh. 300Referral-Ambulance Ksh . 1300
- 9. Independent fund holder?There is no independent fund holder
- 10. MonopolyThe health facility contain monopolistic organization (MoH) for the distribution of essential drugs e.g. Kenya National Medical StoresHowever, the user fees collected can also be used to purchase some supplies in the private pharmacies.
- 11. Separation of functions: Fund regulator, fund disbursement, service provision and strengthening consumer voice?This is no separation of functions:MoHThe in charge however, reportedly said they have suggestion box in place-often found emptySupervision is not effective (once-twice a year) by the district team
- 12. Consumer VoiceNo mechanism in place, however, community rep. in the committeeSuggestion box in place but not used-Empty
- 13. Incinerator was in place, but not used
- 14. Conclusions/observationsClassic input-based health service provisionLimited autonomy utilisation of user fees to pay casual workers, some limited medicinesQuite a large catchment population to serve (120,000 population)-projection 2009Staff Salaries low Approximately 20,000 KshNo financial expert e.g. an accountantThe incinerator was in place but however not in use
- 15. Recommendation PBF ExpertsMore Autonomy should be granted Clear indicators and targets needs to be understood by all the staffQuality improvement Workload- paid according to outputsto motivate the staff
- 16. Asantesana