A healthy and productive county with equitable access to quality health care.

To provide quality health services for socio-economic development of the people of Nyamira County.

Afya yetu Uchumi wetu.

Our mandate is the management of health services in Nyamira County under the devolved governance structure.

The county health strategic and investment plan 2013/14-2017/2018 is based upon 7 policy orientations namely;

1. Service Delivery Systems
2. Health Financing
3. Health Information
4. Health Leadership
5. Health Infrastructure
6. Health Products and Technologies
7. Health Workforce

Health infrastructure is the foundation of these pillars whose theoretical linkage the expected health outcomes is as shown below;

The attainment of stability of these pillars is through the progressive achievement of 6 strategic objectives that the Department of Health Strategic and Investment Plan 2014/15-2017/18 has identified as follows;

1. Eliminate Communicable Conditions
2. Halt, and reverse the rising burden of non-communicable conditions
3. Reduce the burden of violence and injuries
4. Provide essential health services
5. Minimize exposure to health risk factors
6. Strengthen collaboration with health related sectors

There are 130 health care facilities; 81 public, 16 Faith based and 33 private. The department currently has a workforce of about 803 spread across the five sub counties.

Among the key health statistics are:

1. Crude death rate of 13 per 1,000 people
2. Infant mortality rate of 46 per 1,000 live births
3. Child mortality rate of 58 per 1,000 live births
4. The maternal mortality rate is 385 per 100,000 births
5. HIV prevalence is currently projected to be 6.9%,
   a significant increase from 3.8% in 2009
6. Among children under five years of age, 3.4% are underweight

The county health strategic plan 2013/14-2017/18 has been developed to provide on guidelines on interventions aimed at tackling health problems in the county. The focus is on providing suitable and modern health infrastructure to improve access and service delivery. The annexed report is a summary of the renovation and construction works being undertaken by the department.

According to the fourth schedule of the Kenyan constitution and various ministerial circulars the core functions of the Department of Health Services are:

1. Provision and management of county health services.
2. Provision of emergency medical services and disaster management.
3. Promotion of primary health care.
4. Licensing and control of undertakings that sell food to the public.
5. Cemeteries, funeral parlours and crematoria.
6. Waste management.
7. Development of County specific health legislation and policies.
8. Development of health infrastructure.
9. Resource mobilization.
10. Planning, implementation, monitoring and evaluation of service delivery.
11. Financial management.
12. Procurement of Medical supplies and equipment.
13. Human resource recruitment, development and management.
14. Manage clinics, dispensaries, health centres and hospitals.

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.

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.

Functional Health Facilities by Type and Ownership

The County Health services are organized across three tiers of service delivery:

1.  Community services that focus on organizing appropriate demand for services.
2. Primary care.
3. 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.