OTHORO LEVEL 4 HOSPITAL Background Othoro Level 4 Hospital is a government facility situated along Kisumu Oyugis road in Rachuonyo East Sub County (formerly Kabondo Kasipul sub-county). The facility has a catchment population of 14,928 out of whom 567 are under 1 year and 2,463 are under 5 years. The facility is expected to cater for 3,702 women of reproductive age and in 2016 expected to deliver 597 children.
Staffing
Community Units The facility is supported by 2 CHUs: Kakangutu East, and Miriu and each has 15 CHVs and 6 community Peer Educators supervised by two CHEWs. The CHVs responsibilities include ensuring client retention, documentation of referrals, adherence and psychosocial support, community/facility linkages, contact tracing, conducting health promotion activities, and Positive Health. There are also the community PEs who work closely with the facility PEs and CCC staff to ensure identification and enrolment of clients into the community PSSGs.The community Pes support care & treatment defaulter tracing as well as clients to be linked to care.
Achievements
Enabled the Hospital to increase its deliveries to 82 % through robust home follow ups, household mapping of ANC mothers in the household, referral by CHV for ANC and facility delivery
Integrated HIV services in the MCH/FP clinic
Enhanced capacity of facility staff through training, OJT, CMEs, mentoring and preceptorship
Improved provider: client ratio through human resource support including HTS -2, Nurse-1, Lab. Tech-1 & Data clerk-1
Acquired furniture (tables and chairs), benches, file cabinets, delivery couches and delivery packs for the facility.
Improved stocking of Basic MNCH equipment e.g. Delivery sets, paediatric Ambubags, Kiwi, baby warmer, foetoscopes, BP machine & thermometer
Improved stocking 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 use
Challenges
Late ANC attendance leading to low 4th ANC visit.
Delay in making 1st ANC visit leading to more deliveries at homethe CHVs escort clients to HF for delivery.
Increased work load at maternity since many mothers from other catchment areas come for delivery services at the facility.
Achievement in some selected Indicators 2015/2016 Indicators
Qtr1
Qtr 2
Qtr 3 Qtr 4
Total
EPP
145
145
145
145
580
New ANC
76
106
112
87
381
Skilled deliveries
105
86
97
99
387
Imm. Penta-1
108
89
93
105
395