MIGOSI LEVEL 4 HOSPITAL Background
Achievement
Migosi Hospital is a Level 4 government facility situated in Kisumu city, Kondele location, Migosi ward on the KisumuKakamega Highway Kisumu Central Sub County. The facility has a catchment population of 20,103 of whom 764 are under 1 year and 3,217 under 5 years old. The facility is expected to provide service to 5,227 women of reproductive age and in 2016 to deliver 764 babies.
The Hospital has increased its deliveries from 3 in 2012 to 249 in 2015 throught robust home follow ups, household mapping of ANC mothers, referral by CHV for ANC and facility delivery.
Institutionalizing monthly family open days
Integrating HIV services in the MCH/FP clinic
Enhanced capacity of facility staff through training, OJT, Mentorship, CMEs and preceptorship
Increased provider: client ration by human resource support including HTS -2, Nurse-1,CO -1, nutritionist -1 & Data clerk-1
Staffing
Acquired furniture (tables and chairs), benches, file cabinets, delivery couches, computer and delivery packs for facility.
Provision of Basic MNCH equipment e.g. Delivery sets, paediatric Ambubags, Kiwi, baby warmer, foetoscopes, BP machine & thermometer
Provision of IPC/WASH equipment e.g. colour coded bins, bin liners, hand washing facilities, hand sanitizers, point of safe drinking water equipment
Provision of lab equipment e.g. HB machine and other consumables
Revival and providing ORT Corner equipment.
Provision of Child Health Appointment Diaries as well as other IMCI guidelines and IEC materials. Nutritional support e.g. Nutrition Supplements, MUAC tapes, Height board, weighing scale, IEC materials
Provision of data collection tools and mentorship on correct use
Community Units/Community Engagement Challenges
Increased work load at maternity since many mothers are referred by CHVs – support additional staff, MNCH equipment and consumables.
Inadequate working space especially in MCH.
4th ANC performance still below as most clients start ANC clinic visit late.
The facility is supported by 8 CHUs and 105 CHVs supervised by 2 CHEWs 1 PHO and one volunteer CHEW. CHVs Brief are as follows:
Demand creation at community level for service uptake at the facility level.
Defaulter tracing and client follow up for CCC, TB, immunization and ANC visits.
Follow up of mothers for skilled delivery, promotion of FP and growth monitoring.
Facility health talks, Community mobilization for outreaches and