Health Management Teams · HMT Health Management Teams HPAC Health Promotion Advisory Committee ......

iDepartment of Health Services and Promotion of Health Investments

KISUMU COUNTY

Health Management Teams

THE COUNTY GOVERNMENT OF KISUMU

Department of Health Services and Promotion of Health Investments

Job Descriptions Handbook

REPUBLIC OF KENYA

ii Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

iiiDepartment of Health Services and Promotion of Health Investments

KISUMU COUNTY

“This publication is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the

responsibility of IntraHealth International and do not necessarily reflect the views of USAID or the United States Government.”

iv Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

FOREWORD

The Kenya Constitution 2010 provides for the right to the highest attainable standard of Health to every Kenyan, and assigns a fundamental duty on the State to take legislative, policy and other measures, including setting standards to achieve progressive realization of the rights set out under Article 43 of the of the Constitution of Kenya 2010.

Devolution of health services in Kenya has been characterized with many challenges especially in the management of health workforce specifically role conflict exacerbated with unclear organizational structure, maldistribution of health workforce- with rural areas being the worst hit- and performance management among others. To address these challenges the County Government of Kisumu, the Department of Health Services, County Public Health Service Board and office of the County Secretary came together and identified a team that drove the development process of the Job Description for Kisumu County Health Management Team and Jaramogi Oginga Odinga Teaching and Referral Hospital to completion.

I wish to thank all stakeholders involved in the development of these Job Descriptions including County Health Department, County Public Service Board, Office of the County Secretary, Human Resource Department and IntraHealth’s USAID funded Human Resource for Health (HRH) Capacity Bridge Project. The County Government of Kisumu and County Public Service Board wishes to issue these Job Descriptions to the Department of Health for the County Government of Kisumu towards better management of health workers.

Eng. Nashon OguyaThe Chair, County Public Service BoardCounty Government of Kisumu

vDepartment of Health Services and Promotion of Health Investments

KISUMU COUNTY

ACKNOWLEDGEMENT

The department of Health and Health Investments in Kisumu County sincerely acknowledges the contributions and the hard work of teams and organizations that contributed to the development of Job Descriptions for the department of health. In particular we wish to acknowledge the valuable contribution of the CEC health services Kisumu, Hon. Dr Elizabeth Ogaja, for providing leadership in the development process, the management of health teams- County, referral and Sub-County hospitals led by Dr Dickens Onyango through the HRH Officer, Grace Grace Ajwang, for coordinating the process to completion.

Special thanks to Kisumu County Public Service Board, led by the Chair, Engineer Nashon Oguya and his team for supporting the process. Thanks to all Kisumu County cadres of health services officers who participated in the development, internal and external validation including Partners, Unions and other Stakeholders for their input towards the successful completion of the document.

The department of Kisumu County Health and Health Investments appreciates the financial and technical support provided by the United States Agency for International Development (USAID) through funded HRH Capacity Bridge led by Chief of Party, Mr Meshack Ndolo, for facilitating the process. Many thanks to Dr Linet Nyapanda, Assistant Director County System Strengthening through the consultant, Mr. Joseph Mathenge and the Coastal Cluster Manager, Ms Anne Malubi for supporting the development of Job

Descriptions.

Insert Signature

Dr Lusi J.O.Chief Officer of HealthKisumu County

vi Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

ACRONYMS

AIE Authority to Occur Expenditure

AWP Annual Work Plans

CDHS County Director of Health Services

CEC County Executive Committee

COR Code of Regulations

DCP Disease Control and Prevention

DHIS Digital Health Information System

ECN Enrolled Community Nurse

EPI Expanded Programme on Immunization

FH Family Heath

HIS Health Information System

HMC Health Management Committee

HMT Health Management Teams

HPAC Health Promotion Advisory Committee

ICT Information Communication Technology

ICU Intensive Care Unit

IEC Information Education and Communication

IPD In-Patient Department

JOOTRH Jaramogi Oginga Odinga Teaching and Referral Hospital

KQMH Kenya Quality Model Health

KRCHN Kenya Registered Community Health Nurse

KRN Kenya Registered Nurse

MPDB Medical Practitioners and Dentists Board

OPD Out Patient Department

PMTCT Prevention of Mother to Child Transmission

PKI Performance Key Indicators

RH Reproductive Health

SOPs Standard Operating Procedures

STD Sexually Transmitted Diseases

TWG Technical Working Group

viiDepartment of Health Services and Promotion of Health Investments

KISUMU COUNTY

TABLE OF CONTENTSII. County Director of Public Health......................................................................................1

III. County Head of Disease Control and Prevention ............................................................4

IV. County Malaria Control Coordinator ................................................................................6

V. County Head of Environmental Health and Sanitation .....................................................8

VI. County Head of Family Health .......................................................................................10

VII. County Reproductive Health Coordinator ......................................................................12

VIII. County Nutrition Officer .................................................................................................14

IX. County TB and Leprosy Coordinator .............................................................................16

X. County Community Health Coordinator. ........................................................................18

XI. County Health Promotion Officer ...................................................................................20

MEDICAL SERVICES JOB DESCRIPTIONS FOR KISUMU COUNTY .................................22

I. County Director of Medical Services..............................................................................22

II. Head Rehabilitative Services ……………………………………………………………… .25

II. County Chief Nurse ........................................................................................................27

II. Head of Commodity Management .................................................................................30

III. Head of Diagnostic Services ..........................................................................................33

IV. Head of Emergency and Referral Services ....................................................................35

V. Executive Assistant ........................................................................................................38

VI. Head of Health Administration & Management Support ................................................40

VII. Human Resource for Health Officer ...............................................................................43

VIII. Senior Accountant ..........................................................................................................46

SUB-COUNTY HEALTH MANAGEMENT JOB DESCRIPTIONS FOR KISUMU COUNTY ....48

I. Medical Officer of Health for Sub-County .....................................................................48

II. Sub-County Public Health Nursing Officer ....................................................................51

III. Nursing Officer in Charge of Health Centre ………………………………………………. .53

IV. Medical Officer…………………………………………………..............…………………..55

III. Sub-County Health Records and Information Officers ...................................................57

IV. Sub-County Clinical Officer ...........................................................................................59

V. Sub-County Public Health Officer ..................................................................................61

VI. Sub-County Reproductive Health Coordinator ..............................................................64

VII. Sub-County Nutrition Officer ..........................................................................................67

VIII. Sub-County Malaria Control Coordinator ......................................................................69

VIV. Sub-County Health Administrative Officer………………… ............................................71

X. Sub-County Community Health Services Focal Person ................................................74

XI. Sub-County Medical Laboratory Technologist...............................................................76

XII. Sub-County EPI Coordinator. .........................................................................................78

viii Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

1Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

I. COUNTY DIRECTOR OF PUBLIC HEALTH

1. JOB INFORMATION

a JOB TITLE COUNTY DIRECTOR OF PUBLIC HEALTH

b Job Relationships

Reports to Chief Officer of Health

Supervises

a) Head Division of Disease Control and Prevention b) Head Division of Family Health c) Head Division of Environmental Health and Sanitationd) Head Division of Primary Health Services

Works closely with County Director of Health

Contacts High level Internal and external interactions with CEC, partners, central government etc

2. JOB PURPOSE

The Jobholder is the technical head of the Public Health Management function at the County and ensures efficient delivery of Public Health Services by leading the implementation of County Public Health systems, structures and policies

The Jobholder plays an advisory role in advising the County Health Executive Officer on development of Public Health Policies and strategies and legislation then leads the implementation of those policies and strategies and laws

3. TOOLS, EQUIPMENT AND RESOURCESa) County Public Health Plan,,Strategy and Lawsb) County Public Health Management Directorate Organization Structurec) County pool of Public Health Department motor vehiclesd) County Public Health staffe) County Public Health budget

4. JOB DUTIES AND RESPONSIBILITIES

Provides leadership to County Public Health Teams

a) Advises the County Executive Officer, Health – on Public Health policies, strategies and legislation.

b) Leads the evaluation of County Public Health programs, services standards and policies on continuous basis and prepares routine monitoring and evaluation reports to aid decision making.

c) Based on monitoring and evaluation reports, makes recommendation for improvement in form of proposed Public Health policies, systems and legislation.

d) Develops systems and structures for promotion of Public Health standards within the Kisumu County.

e) Plays a lead role in the advocacy for policies and legislation for effective environment management in the County for sustainable environment and Public Health.

f) Leads operational research activities to ensure continuous collection and analysis of data on environment and Public Health and ensure timely, comprehensive and informative reports to aid future decision making.

2 Department of Health Services and Promotion of Health Investments

KISUMU COUNTY

g) Leads initiatives for promotion of Public Health and safety awareness and knowledge through education, awareness and advocacy programs or campaigns.

h) Initiates and promotes partnerships and collaborations with partners, and stakeholders including but not limited to civil society, private sector and international community for the purpose of improving Public Health in Kisumu County.

i) Puts in place a sound system for surveillance for early identification of Public Health risks and disease outbreaks throughout the County.

j) Puts in place systems and structure for rapid response to identified risks to Public Health and safety and disease outbreaks

k) Puts in place mechanisms for enforcement of Public Health regulations and Laws.

l) Coordinate performance appraisal of Public Health Officers and responsible for ensuring all Public Health Officers are appraised.

m) Provide leadership and management oversight for medical professionals in emergency preparedness and response activities.

n) Coordinates continual evaluation and appraisal of current Public Health programs and projects to determine progress, challenges, weaknesses and recommend opportunities and solutions for up-scaling and replication.

o) Performs any other duties as assigned by the Head of the County Chief Executive Officer for Health

5. KEY PERFORMANCE INDICATORS (KPI)

i. No of programs or activities funded by donors and partners from proposals initiated by the Director.

ii. Level of Public Health and safety enjoyed by Kisumu County residents including water and sanitation.

iii. Frequency of disease related to poor environment, water and sanitation.iv. Response time and effectiveness in responding to disease outbreak.v. Satisfaction of the stakeholders in health sector in Kisumu County on the technical leadership

provided by the Director.vi. Budget utilizationvii. Completion times in implementation of Public Health programs and projects.viii. Level of awareness and knowledge by Kisumu County residents in Public Health issues, risks

and best practices.

6. JOB SPECIFICATIONS

QUALIFICATIONS ESSENTIAL

Academic Post graduate degree in Public Health and Health Systems Management

Professional Registered professional with the relevant professional body.

ExperienceAt least seven years of experience in Public Health in public, private or NGO sector of which at least five are in senior management position.


KISUMU COUNTY

Essential skills and competence

a) Mastery of Public Health program design and implementation practices.b) Competence in monitoring and evaluation of Public Health programs.c) Ability to think strategically with creative problem solving skills.d) Training in Senior Management Coursee) Must have a practical experience in health researchf) Capacity to train, mentor and coach.g) Good communication and interpersonal skills, good facilitation skills and

clinical training skills.

Personal attributes

a) Membership of recognized medical associations and health advisory panelsb) Team playerc) Meets the requirements of Chapter 6 of the Constitution of Kenyad) Proven record of results in the health management

7. WORKING ENVIRONMENT

Frequent local travel and occasionally regional and international travel is required. Jobholder may also be required to work long hours and weekend when necessary.

8. LEVEL OF SUPERVISION AND GUIDANCE REQUIRED

The Jobholder is expected to work independently with minimum supervision from the County Executive for Health but will however consult on a regular basis.

The Jobholder is expected to exercise close supervision of the County Public Health Team.

9. AUTHORITY, DECISION MAKING AND ACCOUNTABILITY

The Jobholder exercises decision making authority on administrative and technical decisions within approved laws, policies and procedures; but plays an advisory role on development of health laws, policies, structures and procedures.

SIGNATURE OF JOBHOLDER:

Date signed:

Approved by:Signature of the person with the authority to approve the job description

Date approved: Date upon which the job description was approved

Reviewed: Date when the job description was last reviewed


KISUMU COUNTY

II. COUNTY HEAD OF DISEASE CONTROL AND PREVENTION

1. JOB INFORMATION

A JOB TITLE COUNTY HEAD DISEASE CONTROL AND PREVENTION DIVISION

B Job Relationships

Reports to County Director of Public Health

Supervises Sub county Staff in the Disease control and Prevention

Works closely with

a) Head of Environmental Health and Sanitationb) County Malaria Control Coordinatorc) County HIV AIDS and STI Coordinatord) County TB Coordinatore) Disease Surveillance and Control Coordinatorf) Community Health Promotion and Schools Coordinatorg) Vaccine and Immunization Coordinator

Contacts Medium Level Internal and External interactions with mainly other senior officers at County and Sub-County level

2. JOB PURPOSE

To ensure effective management of preventable and communicable diseases with a view to promoting the health of Kisumu County residents.

3. TOOLS, EQUIPMENT AND RESOURCES

a) Disease control and prevention programme documentation.

b) County budget for disease prevention and control.


Supports the Director of Public Health to develop sound disease control and prevention plans and programmes.

a) Ensure that policy, standards and guidelines are disseminated and understood.

b) Assist the Director of Public Health in carrying out disease surveillance activities.

c) Coordinate with other section and division heads mobilizes resources through partners and stakeholder forums.

d) Coordinate disease outbreak response and other Public Health emergenciese) Participate in County Management Team meetings.f) Promote collaboration of County Health Teams in disease surveillance and control.g) Coordinate the continual evaluation and appraisal of Public Health Officers reporting to the positionh) Develop and dissemination relevant literature and materials on disease and Public Health awareness

and education.

i) Assist the director in managing partnerships and collaborations in disease prevention and control.

j) Coordinates staff training programmes on disease prevention and control.

k) Participate in County health promotion programmes.

l) Any other responsibilities as delegated by the County Director.


i. Number of health preventive and primitive programs successfully implemented.ii. Number of disease control, prevention and control policies, standards and procedures put in


KISUMU COUNTY

placeiii. Number of training programs organized for Public Health teams.iv. Prevalence of major preventable diseases at the County

v. Number of comprehensive surveillance reports prepared at agreed’8 intervals and disseminated to all stakeholders.

vi. Number of proposals submitted to partners, donors and stakeholders that receive positive response and funded

vii. Number of collaborative forums hold with partners donors etc.



Academic A minimum of a Bachelor’s degree health sciences or equivalent.

Professional Membership in professional body for Public Health professionals

ExperienceAt least six years in health three of which should be in a senior managerial position in Public Health


Competence in managing change management interventions. Excellent communication and interpersonal skills. Excellent Statistical analysis and interpretation. Capacity to train, mentor and coach. Capacity to provide leadership to the section, motivate employees and ensure high

productivity. Mastery of policies, standards and procedures in preventive and promotive health.

Personal attributes Team player. Meets the requirements of Chapter 6 of the Constitution. Proven record of results in the previous employment.


Jobholder will work mostly within the office, but will be required to travel within the County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently with reasonable supervision from the County Director of Public Health. The Jobholder will also exercise reasonable supervision of section heads.


The job-holder is accountable for day to day decision on disease control and surveillance but expected to consult with the Head of the Division on any non-routine matter; and is expected to exercise initiative, discretion and be proactive in carrying out duties


Date signed:

Approved by: Signature of the person with the authority to approve the job description




KISUMU COUNTY

III. COUNTY MALARIA CONTROL COORDINATOR

1. JOB INFORMATION

A JOB TITLE COUNTY MALARIA CONTROL COORDINATOR

B Job Relationships

Reports to Head of Disease Control and Prevention

Supervises Sub-County Malaria Coordinators

Works closely with HIV AIDS and STD Coordinator

Contacts A lot of external contacts with partners and frequent internal contacts with program staff.

2. JOB PURPOSE

To keep Malaria as a prevalent disease under control by coordinating County Malaria Control Programs and providing advice and technical expertise on Malaria control and prevention to the Director of Public Health and entire County Public Health Team.


County Malaria Control Program


Coordinates the development and implementation of Malaria Control Programs in the County.

i. Works closely with County Health and Public Health Teams to develop malaria surveillance measures.

ii. Disseminates Malaria Control guidelines and standards to the Sub-Counties.

iii. Initiates resource mobilization activities for Malaria Control services.

iv. Collaborate and coordinate with stakeholders supporting Malaria Control services

v. Plans and coordinates staff development initiatives in Malaria Control and management competencies.

vi. Coordinates monitoring, evaluation and reporting of malaria surveillance control activities

vii. Coordinate the continual evaluation and appraisal of Public Health Officers reporting to the position

viii. Performs other duties assigned by the Director of Health Services


i. Quality and timely Malaria surveillance reports.ii. Quality and cost effective research conducted on Malaria health issues and research findings


KISUMU COUNTY

disseminated on a timely basis to the County Director of Public Health.iii. Level of health staff competence in Malaria surveillance, control and management.iv. Number of successfully implemented Malaria Control Programs



Academic Bachelor’s degree in Health Sciences or equivalent

Professional Registration with relevant professional body

ExperienceMinimum of six years’ experience at least three of which should be in middle management position in the public sector.

Essential skills/competence

i. Competence in management of Malaria surveillance, control and management programmes.

ii. Excellent statistics and analytical skills.iii. Good ICT skills.iv. Capacity to train, mentor and coach.v. Good understanding of health challenges in devolved government.vi. Competence in program coordinationvii. Sound knowledge of Public Health issues, policies , standards and procedures

Personal attributesi. Team player.ii. Meets the requirements of Chapter 6 of the Constitution of Kenyaiii. Proven record of results in the previous employment.


Jobholder will work mostly within the office, but may be required to travel within the County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently, but consult closely with all section heads and program coordinators.


The position is mainly advisory and coordinative with minimal decision making authority.


Date signed:





KISUMU COUNTY

IV. COUNTY HEAD OF ENVIRONMENTAL HEALTH AND SANITATION

1. JOB INFORMATION

A JOB TITLE HEAD ENVIRONMENTAL HEALTH AND SANITATION

B Job Relationships

Reports to Director of Public Health

Supervises WASH Coordinator Vector control Coordinator City Public Health Officer/s

Works closely with Head of Disease Control and Prevention

Contacts Significant internal and external contacts with County Public Health Teams and the public

2. JOB PURPOSE

To maintain high standards of environmental health and sanitation by overseeing the implementation of interventions that assure the general public of their enjoyment of clean and healthy environment.


County Environmental Health Management Programme


i. Coordinates the development of policies, standards and procedures for sound management of environmental health.

ii. Coordinates dissemination of information and materials for public awareness and education on environmental health.

iii. Carry out constant review of existing policies standards and procedures on environmental health.

iv. Responsible for coordinating efforts on enforcement of compliance with local national and international laws and regulations as applicable for the County.

v. Establishes performance standards to measure, competence, effectiveness and efficiency for Public Health services.

vi. Puts in place measures for continuous evaluation of level of adherence with environmental laws, standards and procedures including monitoring level of compliance with noise and water control standards and regulation.

vii. Coordinates the continual evaluation and appraisal of Public Health Officers reporting to the position.

viii. Ensures strong linkages and effective collaboration with stakeholders for effective service delivery within the County.

ix. Studies and evaluates trends and the causes of diseases within a specific population.

x. Promotes new approaches and methods in prevention and control of communicable diseases in the County.

xi. Liaises with other stakeholders in carrying out disaster preparedness and response within the County.

xii. Responsible for development of standards and policies for effective management of solid waste in the County.

xiii. Establish performance standards to measure, competence, effectiveness and efficiency of Public Health Officers.


KISUMU COUNTY

xiv. Promote and strengthen coordination and partnership among key stakeholdersxv. Any other responsibilities as designated by the Director Public Health.


i. Number of Periodic monitoring and evaluation reports of Public Health prepared and submitted.ii. Number of training programs developed and conducted for the community.iii. Level of adherence with Public Health standards and policies.iv. Quality of water and air enjoyed by the publicv. Level of control of noise and environmental pollutionvi. Solid waste management measures in placevii. Maintenance of proper housing standardsviii. Constant inspection of premises for safetyix. Level of enforcement of existing environmental health laws



Academic Minimum of a Bachelor’s degree in Environmental Health Sciences

Professional Membership in professional body for Public Health professionals

ExperienceSix years of experience in Public Health three years of which should be in a senior managerial position


a. Competence in the development and enforcement of Public Health standards policies and procedures

b. Excellent communication and interpersonal skills.c. Capacity to train, mentor and coach.d. Comprehensive understanding of Public Health challengese. Good understanding of the Public Health act and giving evidence in court.f. Competence to develop and manage partnerships and collaborations

Personal attributes

a. Team player.b. Meets the requirements of Chapter 6 of the Constitution.c. Proven record of results in the previous employment andresults oriented

person


The Jobholder will work mostly within the office, but will be required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.


The jobholder is expected to work largely independently but the Director Public Health will provide supervision on a needs basis.


The Jobholder makes routing operational and technical decisions within the section but is expected to consult with the Director Public Health on any non-routine matter. The Jobholder plays an advisory role to the development of policies, procedures and standards for Public Health and Environment.


Date signed:





KISUMU COUNTY

V. COUNTY HEAD OF FAMILY HEALTH

1. JOB INFORMATION

A JOB TITLE HEAD OF FAMILY HEALTH

B Job Relationships

Reports to Disease Control & Prevention Coordinator

Supervisesa. Sub-County TB, Leprosy Coordinatorsb. County Reproductive Health Coordinator

Works closely withHealth promotion & school health, HIV&AIDS, disease surveillance, Malaria and non-Communicable Disease Coordinators

Contacts Frequent external contacts with stakeholders and partners and frequent internal contacts with Public Health teams.

2. JOB PURPOSE

The Jobholder ensures delivery of quality and comprehensive Family Health by coordinating Family Health programs and activities in the County. The Jobholder also advises the County Head of Disease Control and Prevention on Family Health guideline and policy development.

3. TOOLS, EQUIPMENT AND RESOURCESi. County Family Health Programsii. County Family Health Budgetiii. Family Health Program Staff


i. Provides leadership in the development, review, interpretation, dissemination and implementation of policies and procedures that relate to family.

ii. Coordinates the continual evaluation and appraisal on current Family Health programs.iii. Ensures strong linkages and effective collaboration across programs and divisions for effective

Family Health service delivery within the County.

iv. Monitors, evaluates and reports on the quality of Family Health Care in the County.

v. Plays a liaison role between the County and stakeholders, partners and central government on matter of Family Health.

vi. Coordinates implementation of on-going Family Health programs.

vii. Responsible for the implementation of County education and awareness activities geared at promoting Family Health.

viii. Liaises with the Commodity Office to ensure continuous supply of family planning supplies throughout the year.

ix. Establishes performance standards to which to measure, competence, effectiveness and efficiency of Family Health services.

x. Participates in the mobilization of resources for Family Health programmes and activities.xi. Promotes and strengthens coordination and partnership in Family Health among key

stakeholders.xii. Monitors Family Health supplies and stock levels and informs the Head of Commodities.xiii. Monitors the proper utilization of Family Health resources and commodities to ensure they are

used for intended purpose.xiv. Any other responsibilities as designated by the Director of Public Health.


KISUMU COUNTY


a) Number of Family Health policies, guidelines and procedures reviewed.b) Number of new programs and activities on Family Health launchedc) Number of Family Health monitoring and evaluation reports prepared and submitted.d) Competence level of Family Health Program staff e) Timeliness in and success rate in implementation of ongoing Family Health programs.f) Number and effectiveness of training programs conducted for Family Health staff.g) Timeliness In the distribution of Family Health materials to Sub-Ccounties.h) Rate of adoption of family planning methods.



AcademicMinimum of a Bachelor’s degree in Medicine. Master’s Obstetrics and Gynaecology or Pediatrics

Professional Registration with relevant professional body.

ExperienceAt least six years’ experience in Family Health at least three which should be in senior level in the public sector.


a. Well informed on modern methods, technology and medicine on Family Health.b. Excellent communication and interpersonal skills.c. Excellent analytical skills.d. Competence in Statistical analysis and interpretation. e. Capacity to train, mentor and coach.f. Capacity to provide leadership to the section, motivate employees and ensure

high productivity.g. Comprehensive understanding of Public Health challenges.

Personal attributes

a. Team player.b. Meets the requirements of Chapter 6 of the Constitution.c. Result Oriented.d. Passionate about Family Health.


The Jobholder will work mostly within the office, but will be required to travel within the County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently with minimal supervision from the Director of Public Health, who will, provide supervision on a needs basis.


The Jobholder makes routing operational and technical decisions within the relating to Family Health programs but is expected to consult with the head of the Disease Prevention and Control Head.


Date signed:





KISUMU COUNTY

VI. COUNTY REPRODUCTIVE HEALTH COORDINATOR

1. JOB INFORMATION

A JOB TITLE HEAD REPRODUCTIVE HEALTH COORDINATOR

B Job Relationships

Reports to Head of Family Health

Supervises Sub-County RH Coordinators

Works closely withSub-County TB and Leprosy Coordinators

Contacts Some external contacts with Ministry of Health Officials and Partners and frequent internal contact with County Health Management Team and Sub-County Family Health Teams

2. JOB PURPOSE

The County FH coordinator ensures effective and efficient provision of Reproductive Health Services in the County and advises Head of Family Health on Reproductive Health standards and policies.


i. County TB Health Programs

ii. County TB Health Budget

iii. Family TB and Leprosy Program Staff


Responsible for updating and dissemination of polices standards and guidelines on RH.

i. Coordinates training of staff and partners on RH methods and standards.

ii. Participation in the review RH & ASRH Policies & Guidelines.

iii. Monitoring and evaluation of RH Services in the County.

iv. Compiling of RH reports County level.

v. Ensuring implementation of guidelines and policies, including quality RH services

vi. Plays a liaison role between the County and stakeholders, partners and central government on matter of RH.

vii. Coordinates planning and budgeting for RH services.

viii. Participates in resource mobilization by among other things doing proposals to partners.

ix. Leads monitoring, evaluation and reporting of RH programmes and activities by among other things collecting and analyzing data to assess progress made, shortcomings and challenges experienced and learning gained for future improvement.

x. Participate in other duties, as assigned by the Head of Family Health Division.

xi. Monitors RH supplies and stock levels and informs the Head of Commodities.

xii. Monitors the proper utilization of RH resources and commodities to ensure they are used for intended purpose.


KISUMU COUNTY


i. Annual work plan in place and adhered to.ii. Percentage implementation of ongoing Family Health program.iii. Number of monitoring and evaluation reports submitted.iv. Timeliness of reports on RH commodities stock levels and shortages.v. Number of forums held with RH stakeholders.vi. Number of new initiatives on RH launched in the County.



Academic Minimum of a Bachelor’s degree in Nursing.

Professional KRN/KRM Senior Management Course

Experience At least five years of which at least two should be in a senior position in a

public office.


Competence in developing RH programs, standards and guidelines. Excellent communication and interpersonal skills. Updated knowledge of modern RH methods, technology and practices. Excellent statistical analysis skills. Competence and skills in developing and implementing change

management programs. Competent mentor and coach. Capacity to provide leadership to the section, motivate employees and

ensure high productivity. Comprehensive understanding of health sector requirements. Meets the requirements of Chapter 6 of the Constitution.

Personal attributes A good team player. Good mentor and coach Passionate about RH


Jobholder will work partly in the office, but will be required to travel within the County. Work may sometimes extend past working hours and into the weekend.

8. LEVEL OF SUPERVISION / GUIDANCE REQUIRED

Jobholder works with a degree of independence but reports constantly to the Head of Family Health.



Date signed:




The Jobholder will make routine administrative and technical decisions with existing RH programs and plays advisory role on policy and programme development.


KISUMU COUNTY

VII. COUNTY NUTRITION OFFICER

1. JOB INFORMATION

A JOB TITLE COUNTY NUTRITION OFFICER

B Job Relationships

Reports to Head of Family Health Division

Supervises Sub-County Nutrition Officers

Works closely with Clinical services departments

Contacts

Head of Family Health Division Other section heads External contacts within the health department Partners in nutrition

2. JOB PURPOSE

To facilitate delivery of effective and holistic health care for patients with nutrition related ailments and improvement of Community Health by promotion balanced feeding habits through education and awareness programs.

3. TOOLS, EQUIPMENT AND RESOURCESa. County Nutrition Health Programsb. County Nutrition Management Budgetc. County Nutrition Program Staff


Coordinate programs and activities aimed at ensuring provision of clinical nutrition care and support in disease management.

i. Coordinate programs and activities aimed at providing rehabilitative nutrition services.ii. To coordinate programs and activities aimed at promotive and preventive nutrition services.iii. To enforce laws, policies and guidelines on nutrition rights in the constitution, nutrition laws,

international agreements and protocols.iv. To Coordinate nutrition programs in the County.v. To Undertaking Nutrition Surveillance in the County.vi. Nutrition emergency mitigation services.vii. Coordination of all nutrition partners in the County. viii. Updating the medical personnel in upcoming issues in nutrition.ix. Assessment of hospitals to be designated as baby friendly.x. In liaison with the nutrition council enforce the regulation of therapeutic feeds, supplementary

feeds and foods with health claims.xi. To Ensure Nutrition staff development and deployment in County.

xii. To ensures timely procurement and distribution of nutrition commodities for facilities according to need.

xiii. To perform other duties relating to nutrition management and programs as may be delegated by the supervisor.


KISUMU COUNTY


i. Percentage of annual work plan implementedii. Percentage of approved/planned nutrition programs implementediii. Number of monitoring and evaluation reports on nutrition improvement prepared and

implemented.iv. Prevalence of malnutrition and related ailments in the Countyv. Quality of care given to patients with malnutrition conditions.vi. Continuous reduction on number of malnutrition prevalencevii. Adequate provision of equipment and supplies for management of nutrition cases.



Academic Minimum of a Bachelor’s degree in Nutrition/Food and Dietetics

Professional Membership of relevant professional body

ExperienceMinimum of five years experience in nutrition management.


Competence in change management. Sound Knowledge of nutrition conditions and their management Ability to think strategically with creative problem solving skills Good communication and interpersonal skills, good facilitation skills and

clinical training skills.

Personal attributes Meets the requirements of Chapter 6 within the Constitution. Team player




Jobholder is expected to work independently with constant consultation with the Head of Disease Prevention and Control.


The Jobholder makes routing operational and technical decisions regarding nutrition management but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

VIII. COUNTY TB AND LEPROSY COORDINATOR

1. JOB INFORMATION

A JOB TITLE COUNTY TB AND LEPROSY COORDINATOR

B Job Relationships

Reports to Head of Disease Prevention and Control

Supervises Sub-County Nutrition Officers

Works closely with Head of Family Health

Contacts Frequent external interaction with partners and stakeholders. Frequent interaction with TB and Leprosy Program staff

2. JOB PURPOSE

To keep Tuberculosis and Leprosy as a highly prevalent disease in Kisumu County under control by providing advice and technical expertise on TB control and prevention to the Director of Public Health and entire County Health Team.


County Tuberculosis & Leprosy Control Programme


a) Prepares County TB leprosy control annual plans and budgets

b) Coordinates County TB/HIV technical group meeting and activities.

c) Resource mobilization for TB, leprosy and lung disease activities within the Sub-County.

d) Convening and coordinating stakeholders’ activities

e) Advocate for best practices in TB, Leprosy and lung disease management among doctors and

other general health workers in the County, NGO, private health services and the community

f) Coordinates TB, Leprosy and lung disease programs and activities in County

g) Responsible for collection and analysis of data on TB and leprosy prevalence and treatment

from sub counties and County hospitals and compiling reports for sharing with the County and

forwarding to the National TB, Leprosy and Lung Disease Unit.

h) Providing feedback to the ZTLC /SCTLC and other partners on the analysis of data related to

TB, leprosy and lung disease activities within the County.

i) Initiates, designs and implements various training programmes for County and Sub-County

level health care staff.


a) Number of stakeholder and partner forums on TB

b) Number of new programs or initiatives in TB control

c) Quality and timely TB surveillance reports.


KISUMU COUNTY

d) Timeliness of Monitoring and Evaluation reports in TB

e) Prevalence of TB and leprosy in the Countyf) Level of health staff competence in TB surveillance, control and management.



Academic Bachelor’s degree in Health Sciences or equivalent


ExperienceMinimum of five years’ experience at least three should be in middle management position in the Public Health sector.


Knowledge of TB and Leprosy management and prevention Competence in health programs design and management Good skills in coordination Competence in program monitoring and evaluation Good interpersonal skills, good facilitation skills and clinical training skills.

Personal attributes Meets the requirements of Chapter 6 within the Constitution. Team player



8. LEVEL OF SUPERVISION AND GUIDANCE REQUIREDThe Jobholder is expected to work independently with close consultation with the supervisor.


He or she makes routing operational and technical decisions regarding TB and Leprosy programs but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

IX. COUNTY COMMUNITY HEALTH COORDINATOR

1. JOB INFORMATION

A JOB TITLE COUNTY COMMUNITY HEALTH COORDINATOR.

B Job Relationships

Reports to: Head of Primary Health Services

Supervises Sub-County Community Health Coordinators.

Works closely withAll the Community Health Program Officers at the County level

Contacts External contacts with donors and partners internal contacts with program staff

2. JOB PURPOSE

To coordinate Community Health services in the County, in the areas of policy implementation, program me development, evaluation and documentation. The jobholder also advices on matters pertaining to Community Health Services.

3. TOOLS, EQUIPMENT AND RESOURCESa. County Family Health Programsb. County Family Health Budgetc. Family Health Program staff


Works with stakeholders and partners in the design of Community Health programs.i. Coordinates programs and activities for Community Health in the County

ii. Recommends and participates in policy formulation, interpretation and implementation of Community Health services.

iii. Participate in supervision, coaching and mentorship of all Community Health services in the County.

iv. Analyzes, interprets and prepares statistical reports on Community Health services.

v. Disseminates policy guidelines, manuals and other materials to Sub-County focal persons; supervises and monitors all Community Health services in the County

vi. Provides leadership & guidance in planning, implementation and evaluation of Community Health services in the Sub-Counties.

vii. Participates in resource mobilization for Community Health services.

viii. Collaborates and coordinates with stakeholders

ix. Plans and coordinates for human resource development and trainings

x. Performs other duties assigned by the supervisor on preventive and promotive service

xi. Coordinates monitoring and evaluation of Community Health programs and activities.

xii. Provide leadership on advocacy communication and social mobilization of health issues


KISUMU COUNTY

affecting the community in the County


i. Number of stakeholder and partner forums on Family Healthii. Number of new programs or initiatives in Family Healthiii. Quality and timely reports On M&E activities for Family Health programs.iv. Prevalence of disease related to poor Family Health v. Level of health staff competence in Family Health managementvi. Number of training programs on Family Health.


QUALIFICATIONS

Academic Bachelors Degree in Health related field


Experience Five years’ experience on Family Health


Sound knowledge of Family Health issues, causes and treatment Skills in health programme design and implementation Skills and program monitoring and evaluation Good communication and interpersonal skills, good facilitation skills

and clinical training skills.

Personal attributes Meets the requirements of Chapter 6 the Constitution. Team player


Jobholder will work mostly within the office, but will be required to travel within theC. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently in close consultation with the supervisor, who will, provide supervision on a needs basis.


The jobholder makes routing operational and technical decisions within Family Health Programs but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

X. COUNTY HEALTH PROMOTION OFFICER

1. JOB INFORMATION

A JOB TITLE COUNTY HEALTH PROMOTION OFFICER

B Job Relationships

Reports to Head of Disease Prevention and Promotion

Supervises Sub-County Health Promotion Officers

Works closely with Sub County Community health Coordinators

Contacts Frequent contacts with partners and public and frequent contacts with health promotion staff

2. JOB PURPOSE

To facilitate effective and holistic health care by ensuring proper care for nutrition related ailments and improvement of community balanced feeding through education programmes.


County Health Promotion Programs


Identifying and prioritizing County health promotion needs by conducting health needs assessments and other health surveys

a) Coordinating health policy advocacy, health communication and social mobilization

b) Compiling and consolidating Health Promotion Annual Work Plans (HP AWP)

c) Coordinating health promotion activities in the area of jurisdiction

d) Coordinating Health Promotion Advisory Committee ( HPAC)

e) Facilitating sensitization of the community on health promotion interventions

f) Developing and disseminating health information, education and communication materials (IEC)

g) Creating awareness on prevention and control of diseases (changing risky behaviours and lifestyles)

h) Training Community Health Extension Workers on health promotion

i) Assessing patient and Community Health education activities /Steering health promotion activities at the health facilities

j) Coordinating school health promotion programmes

k) Preparing Health Promotion Annual Work Plans (HP AWP)

l) Mobilizing local resources for implementation of health promotion programmes

m) Organizing shows and exhibitions

n) Member of Inter-County VMMC Task Force, TWG for Malaria, Reproductive Health, Nutrition, WASH.


KISUMU COUNTY

o) Conducting Support Supervision, Monitoring and Evaluation for Health Promotion programmes


i. Percentage of annual work plan implementedii. Number of Evaluation and monitoring reports on nutrition improvement programmes prepared

and submitted.iii. Quality of care given to patient with malnutrition conditions.iv. Continuous reduction on number of mal nutrition prevalencev. Number of new health promotion initiatives in a year



AcademicMinimum of Bachelor’s degree in Nutrition or Food Science and Dietetics


Experience Minimum of five years’ experience in nutrition management.


Knowledge of nutrition management Competence in health awareness and education programme

development Good interpersonal skills, good facilitation skills and clinical training

skills. Good collaboration and networking skills

Personal attributes Meets the requirements of Chapter 6 of the constitution. Team player




The jobholder is expected to work independently with close consultation with supervisor, who will, provide supervision on a needs basis.


The Jobholder makes routing operational and technical decisions on Health Promotion but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

I. COUNTY DIRECTOR OF MEDICAL SERVICES

1. JOB INFORMATION

A JOB TITLE COUNTY DIRECTOR OF MEDICAL SERVICES

B Job Relationships

Reports to County– Health Services

Supervises

i. County Nursing Services Officer

ii. County Diagnostic Services Officer

iii. County Rehabilitative Services Officer

iv. County Commodity Management Officer

v. County Referral Facilities Officer in-charge

Works closely with County Director of Public Health

Contacts High level internal and external contacts with senior central government and partner officials.

2. JOB PURPOSE

The Jobholder is the technical head of the Health Management function at the County and ensures efficient

delivery of health care services by leading the implementation of County Health Management systems,

structures and policies.


Provides technical leadership to the Department to ensure efficient operations.

i. Promote the mission vision and objectives of the Department of Health.

ii. Responsible for full implementation of approved County Health Management systems,

structures and policies.

iii. Provide leadership and management oversight for medical professionals in emergency

preparedness and response activities.

iv. Develops systems and structures for sound implementation of Public Health standards

v. Puts in place systems and structure for disease surveillance and response to disease

outbreaks.

vi. Coordinates continual evaluation and appraisal of current health management programs,

identify priorities and recommend opportunities for up-scaling and or replication.

vii. Ensure continuous assessment of the effectiveness of the existing programs and project

designs, structures, methodology, planning and budgeting processes and making

recommendations for future project implementation and design.

viii. Identify critical areas and emerging issues in health sector and advise the County Officer

of Health regularly on the same.

ix. Evaluate the quality of medical services practices through the advancement of appropriate

standards and research priorities within the County.

MEDICAL SERVICES JOB DESCRIPTIONS FOR KISUMU COUNTY


KISUMU COUNTY

x. Advises the County Health Executive for Health on resource requirements including

staffing, medical supplies and overall level of funding.

xi. Create an environment in which excellence, patient safety, research and development can

flourish to meet the challenges of the 21st century.

xii. Meets and collaborates with various stakeholders for the purpose of lobbying for both

financial and human resources, fostering improved health services and operations in the

County.

xiii. Responsible for ensuring County Health staff are adequately trained, properly deployed

and are performing as expected.

xiv. Advises the County Executive for Health on staff grievances and their resolution.

xv. Facilitates development of programs proposals with budgets, work and implementation

plans for the County

xvi. Any other duties as may be assigned by the County Officer of Health


i. Timely and quality advice and alerts provided to the satisfaction of the County Officer of Health.

ii. Satisfaction of the stakeholders in health sector in Kisumu County on the technical aspect of

Health Care Management in the County.

iii. Level of implementation of approved County Health plans, systems and structures.

iv. Overall level of patient and public satisfaction with delivery of health care services

v. Level of health staff satisfaction with the quality of leadership provided by the Director.

vi. Comprehensive monitoring and evaluation reports on quality of health care management in the

County.

vii. Frequency and intensity of preventable disease outbreak.

viii. Reduction Infant mortality rates in the County

ix. Reduction on mother mortality at delivery

x. Rate of new HIV/AIDS infections



Academic Post graduate degree in health management or equivalent (Desirable)

Professional A register specialist doctor with the Kenya Medical and Dentist Practitioners Board with at least 5 years standing

ExperienceAt least seven years of experience in Public, private and NGO health sector of which at least five are in senior management position.


i. Mastery of health program design and implementation practices.ii. Competence in monitoring and evaluation of health programs.iii. Ability to think strategically with creative problem solving skills.iv. Proven record of results in the previous employment.v. Meets the requirements of chapter 6 within the constitution.vi. Excellent managerial skills.vii. Membership of medical associations and health advisory panelsviii. Commitment to an in-depth understanding of the devolution process.


KISUMU COUNTY

Personal attributes

a) Good interpersonal skills, good facilitation skills and clinical training skills.

b) Team playerc) Meets the requirements of chapter 6 within the constitutiond) Proven record of results in the health management


The job involves a lot of local travel and minimal international travel. Mostly normal working hours although

occasionally Jobholders might be called upon to work long hours and weekends to manage planned

County level health campaigns and respond to a health crises and emergency at County level


The Jobholder is expected to work independently with minimum supervision from the County Officer of

Health; However is expected to consult on a regular basis with the County Officer of Health and alert the

latter immediately anything out of the ordinary occurs (management by exception).


The Jobholder exercises authority in administrative and technical decisions but within the policy

guidelines issued by the County Executive for Health. The Jobholders play an advisory role on policy

matters.


Date signed:





KISUMU COUNTY

II. HEAD OF REHABILITATIVE SERVICES

1. JOB INFORMATION

A JOB TITLE COUNTY HEAD OF REHABILITATIVE SERVICES

B Job Relationships

Reports to County Director Medical Services

Supervisesi. County Physiotherapistii. County Occupational Therapistiii. County orthopedic Technologist

Works closely with Head of Diagnostic Services

Contacts Some external contracts with patients and stakeholder

2. JOB PURPOSE

The division head is responsible for ensuring high quality rehabilitative services at the County through coordination, quality and quality assurance.


Develop, maintain and implement rehabilitative services policies and procedures that conform to current standards of rehabilitation practice and operational policies.

i. Evaluate service needs, staffing and equipment requirements for rehabilitative services to ensure that the needs of the community are met within the County.

ii. Develop and maintain documentation systems for continuity assessment, treatment and referrals.

iii. Provide leadership and vision for rehabilitative services, development and advancement within the department and community.

iv. Initiate the development of rehabilitative services MOH coded data tools

v. Evaluate trends, practices, new technology, supplies and equipment for applicability and use in providing quality rehabilitative services

vi. Collaboration with other divisions for proper coordination and enhance teamwork for quality rehabilitative services.

vii. Establish a departmental plan and channels of communication to achieve the goals and objectives of the rehabilitative services.

viii. Participates in resource mobilization by among other things doing proposals to partners.

ix. Leads monitoring, evaluation and reporting of rehabilitative services, programmes and activities by among other things collecting and analyzing data to assess progress made, shortcomings, challenges experienced and learning gained for future improvement.

x. Establish performance standards to measure competence, effectiveness and efficiency of rehabilitative services personnel and activities.

xi. Keep the Director of Medical Services informed about rehabilitative services and activities.

xii. Any other duty as assigned by the Director of Medical Services


KISUMU COUNTY


i. Plans policies, guidelines and SOPS actively adopted and aligned.ii. Annual budgets, operating plans and strategic initiatives developed and implemented.iii. Active and supportive staff environment.iv. Comprehensive monitoring and evaluation reports submitted on timev. Reports of periodic staff appraisals conductedvi. Number and quality of training programmes.vii. Patient and family satisfaction with quality of rehabilitative services



Academic

Minimum Bachelor’s degree in Physiotherapy, Occupational Therapy and Orthopedic Rehabilitative Services

Desirable Master’s degree in Physiotherapy, Occupational Therapy and Orthopedic Rehabilitative Services

Desirable Postgraduate Diploma in Palliative care, Hand Therapy, Orthotics and Prosthetics

Professional SLDP/SMC

Experience Minimum 10 years relevant experience in both private and public sector At least five in middle management position


Mastery of rehabilitative services, policies and standards Excellent statistical analysis skills Good communication and interpersonal skills, facilitation skills and training

skills Meets the requirements of Chapter 6 of the Constitution of Kenya Evidence of successful change management in previous employment.

Personal attributes Team player.




Jobholder is expected to work independently with minimal supervision from the County director of medical services. The Jobholder will also work closely section heads within the division.??????


The Jobholder makes routing operational and technical decisions within the section but is expected to consult with the Director of Medical Services on any non-routine matters and plays an advisory role on policies and programme development.


Date signed:





KISUMU COUNTY

III. COUNTY CHIEF NURSE

1. JOB INFORMATION

A JOB TITLE COUNTY CHIEF NURSE

B Job Relationships

Reports to Director Medical Services

Supervises

• All the CHMT nurses falling under medical services

• County Hospital Nursing Officers

• Sub-County Nursing Officers

Works closely withHead of Emergency and Referral Services and Head of Commodity Management

Contacts Frequent internal contacts at all levels high external contacts with National Government and stakeholders

2. JOB PURPOSE

The Jobholder is responsible for directing, planning, coordinating, evaluating and supervising the effective delivery of quality nursing care and related services within the County through sound County nursing systems, structure, policies


Develop, maintain and implement nursing policies and procedures that conform to current standards of nursing practice and operational policies while maintaining compliance with County and national laws and regulations.

i. Evaluate service needs and staffing requirements for nursing services to ensure that the needs of the people are met within the County.

ii. Develop and maintain documentation systems for continuity of care and record storage that assures compliance with local, County and federal regulations.

iii. Responsible for creating and evaluating structures and processes to facilitate vertical and horizontal communication in a timely manner.

iv. Provide leadership and vision for nursing’s philosophy, development and advancement within the department and society.

v. Maintain the quality and cost-effectiveness of nursing services.vi. Promote a practice environment that empowers nurses to provide effective, compassionate and

efficient nursing care.vii. Study and evaluate trends and practices, new technology, methods and systems, supplies and

equipment for applicability and use in providing nursing care and increasing the efficiency and effectiveness of the Nursing Services.

viii. Interpret and define; in collaboration with other medical departments the scope and limitations of the nursing practice in order to provide for the safe, appropriate and effective nursing care.

ix. Plan, organize, direct, evaluate and control the goals and programs of the Nursing Service to coordinate responsibilities and major activities and to develop and implement the department plans to County nursing care.

x. Establish a departmental plan and channels of communication to achieve the goals and objectives of the nursing services department.


KISUMU COUNTY

xi. Establish performance standards to which to measure competence, effectiveness and efficiency of nursing service personnel and activities.

xii. Keep the Director of Medical Services informed about nursing issues and activities.xiii. Any other duty as assigned by the Head of the Division.xiv. Giving technical advice in a nursing fieldxv. Development or dissemination of polices, standards and policy guidelinesxvi. Reviewing health care policies relating to nursing servicesxvii. Initiating development and review of training programs in nursing xviii. Monitoring and evaluation reports of nursing services at County level government.xix. Ensuring recommendations from nursing research is utilized to inform policy development at

County levelxx. Ensuring implementation of guidelines for nursing commoditiesxxi. Training and development of nursing staffxxii. Annual Planning and budgeting for nursing servicesxxiii. Ensuring compliance with nursing standards guidelines and ethics


i. Nursing policies and standards promoted and followed throughout the County.ii. Number of supervisory visitsiii. Service needs and staffing requirement reports submitted.iv. County strategic nursing plans created and implemented.v. Nursing quality assessments reports.vi. Comprehensive Training needs assessments for all nursing units in the County.vii. Overall competence levels among nursesviii. Adequate and proper staffing and distribution of nurses within the County.ix. Overall quality of nursing care within the County



Academici. Bachelor’s degree in nursingii. Masters in Nursing (Desirable)

Professional a) Registered with NCK b) Practicing License

Experiencei. Minimum of 12 years’ experience in Public, private and NGO Nursing Servicesii. At least five in middle management position


i. Highly competent in standard nursing procedures ii. Good interpersonal skills, facilitation skills and nursing training skillsiii. Ability to evaluate the quality of the nursing care servicesiv. Ability to think strategically with creative problem solving skillsv. Evidence of successful change management in previous employment

Personal attributes

i. Team playerii. Meets the requirements of chapter 6 within the constitutioniii. Proven record of results in the management of nursing services especially

development of nursing systems, structures, procedures and policies



KISUMU COUNTY

The job involves a lot of local travel and minimal international travel. Mostly normal working hours although occasionally Jobholders might be called upon to work long hours and weekends to manage planned County level health campaigns and respond to health crises and emergencies at County level


The Jobholder is expected to work independently but in consultation with the Director of Medical Services. The Jobholder is expected to exercise close supervision of nursing officers under his or her supervision.


The Jobholder exercises authority over approval of the transfer and deployment of Resources to County and Sub-County hospitals and dispensaries including nursing equipment and staff. The Jobholder plays an advisory role to director of Medical Services on systems, structure, policies and procedures.


Date signed:





KISUMU COUNTY

IV. HEAD OF COMMODITY MANAGEMENT

1. JOB INFORMATION

A JOB TITLE HEAD OF COMMODITY MANAGEMENT

B Job Relationships

Reports to County Director of Medical Services

Supervises County Pharmacists and non-pharmaceutical nurse

Works closely withHeads of County Health units reporting to the County Director of Medical Services

Contacts

• Director of Medical Services

• Staff within the division

• External stakeholders in the sector.

2. JOB PURPOSE

The job’s main purpose is to ensure adequate supplies of pharmaceutical and non-pharmaceutical supplies throughout the County to ensure smooth operation of health care facilities. Working in coordination with the Procurement Office, the Jobholder coordinates the acquisition, storage and distribution of pharmaceuticals, non-pharmaceuticals and other health commodities in the County.


Ensure timely preparation of annual procurement plan by all health facilities in the County in consultation with relevant departments.

i. Participate in annual process of pre-qualifying pharmaceutical and none pharmaceutical suppliers and maintains supplier data base in consultation with County tender committee.

ii. Ensures an efficient inventory management and control system is in place for accurate determination of stock and re order levels for every health facility.

iii. Works closely with the Procurement Office to ensure orders for supplies are placed on time.

iv. Follows up with suppliers to ensure timely, correct and safe delivery of commodities.

v. In coordination with procurement office Puts in place a system for receiving commodities received against orders placed for all facilities and aggregates this information in a report on quarterly basis.

vi. Facilitate documentation and inventory management of commodities received.

vii. Aggregates list of expired commodities decommissioned for disposal and submits to the procurement department for formal disposal.

viii. A Member of the Procurement Committee.

ix. Assist the Director Medical Services in implementation of existing relevant Public Private Partnerships.

x. Any other responsibilities as delegated by the County Director of Medical Services.

xi. Corrects and collates information from user department on quality of commodities and suitability


KISUMU COUNTY

for intended purpose as part of quality management.

xii. Works with the Procurement to ensure that all commodity stores are suitable for commodity storage

xiii. Trains stores staff on the handling of commodities


a) Sound inventory management system in placeb) Inventory stock outs and availability reportsc) Prequalified Commodity supplier database in place.d) Stock records of essential health products and technologiese) SOPs displayed and followed.f) Efficient record management system in placeg) Quality of commodity storage and handling at all stages of the supply chainh) Adherence to approved commodity procurement plani) Response time to emergency commodity supply needsj) Records of tracer drugs managed in a timely manner.k) Well-developed budgets, annual procurement plans and annual work plans developed,

implemented, monitored and evaluated periodicallyl) Health Commodity Management Policy guidelines available m) Number of price surveys conducted.n) Periodic staff appraisals conducted and interventions implemented.o) Records of collaboration meetings available



Academic Minimum Bachelor Degree in pharmacy

Professional Recognized professional qualification in Supplies Management

ExperienceMinimum six years’ experience in commodity management at least five of which should be in senior management position


Good knowledge of health commodity quality specifications Good knowledge of health commodities supply chain management Good knowledge of health commodity storage, handling and

preservation standards Competence in the development of supplies management and

inventory management system Ability to think strategically. Excellent managerial skills

Personal attributes

Emotional intelligencea. Team playerb. Meets the requirements of Chapter 6 of the Constitutionc. Proven record of results in the health management

ICT savvy Good networker


KISUMU COUNTY




The Jobholder is expected to work independently with minimal supervision from the County Director of Medical Services and will however work closely with Procurement Office and heads health care facilities.


The job is mainly a coordinative role and most decisions are made in consultation with other Jobholders.


Date signed:





KISUMU COUNTY

V. COUNTY HEAD OF DIAGNOSTIC SERVICES

1. JOB INFORMATION

A JOB TITLE HEAD OF DIAGNOSTIC SERVICES

B Job Relationships

Reports to Director Medical Services

Supervises Laboratory Services and Imaging

Works closely with

Head of Commodities Managing

Head of Emergency and Referral Services

County Medical Engineer

Contacts Suppliers of medical equipment

Contracted maintenance service providers

2. JOB PURPOSE

To ensure proper health care for patients in the County through reliable diagnostic services to assure effective clinical care


Ensure that policy, standards and guidelines for all diagnostic procedures and processes are developed, documented and disseminated to all staff in diagnostic services.

i. Responsible for ensuring adherence to laid down diagnostic policies, standards and policies through a sound monitoring evaluation and reporting system.

ii. Responsible for mobilizing resources from alternative sources including partners and donors. iii. Prepares specifications for diagnostic machines and commodities for procurement purposeiv. Advices the Director of Medical Services on quality improvement plans for diagnostic services and

responsible for implementing approved improvement plans.v. In collaboration with other sections and divisions assist with the preparation and implementation of

annual budgets, operating plans, and strategic initiatives for diagnostic services.vi. Advices the Director of Medical Services on staffing needs for diagnostic staff.vii. Coordinates with head of Commodity Management to ensure supply of adequate and quality

consumable for County laboratories and radiology facilities.viii. Responsible for ensuring proper and balanced deployment of diagnostic staff in County health facilities.ix. Promotes staff career development, appraisal and motivation.x. Promotes intersectional and interdivisional collaboration.xi. Performs any other responsibilities as delegated by the County director medical services.


i. Policies and procedures reviewed, understood and implemented within the County.ii. Overall quality of diagnostic services as determine by serviceability of diagnostic machines, quality of

images from imaging machines, reliability of laboratory results etc.iii. Progress report in the implementation of approved budgets, plans and action plansiv. Comprehensive, timely and accurate monitoring and evaluation reports.v. Maintain records of staff and equipment.vi. The number of training needs assessment conducted.


KISUMU COUNTY

vii. Number of training programs conducted for staff in diagnostic services.



AcademicBachelor’s degree in health related field. A Masters degree in health related field will be an added advantage

Professional Registered practitioner in Radiology or Pathology with relevant professional body

ExperienceSix years’ of experience in Public, private and NGO health five years of which should be in a senior managerial position


a) Comprehensive understanding of modern diagnostic technology and practices

b) Competence in Quality Management System (QMS)c) Good communication and interpersonal skills, facilitation and training skills.d) Skills in Statistical Analysis and Interpretatione) Proven record of results in the previous employment f) Meets the requirements of Chapter 6 of the Constitution of Kenya Good

leadership and managerial skills

Personal attributesi. Team playerii. Meets the requirements of Chapter 6 of the Constitution of Kenyaiii. Proven record of results in the health management


The job involves a lot of local travel and minimal international travel. Mostly normal working hours although occasionally Jobholders might be called upon to work long hours and weekends to manage planned County level health campaigns and respond to a health crisis and emergency at County level


Jobholder is expected to work independently with minimal supervision from the County director of medical services. The Jobholder will also supervise the section heads within the division to work independently.


The job is mainly a coordinative role and most decisions are made in consultation with other Jobholders


Date signed:





KISUMU COUNTY

VI. COUNTY HEAD OF EMERGENCY AND REFERRAL SERVICES

1. JOB INFORMATION

A JOB TITLE HEAD OF EMERGENCY AND REFERRAL SERVICES

B Job Relationships

Reports to CDH of Medical Services

SupervisesStaff and consultants dealing with emergency situations

Works closely with

Head of Commodities

County Chief Nurse

Officers in charge of hospitals and dispensaries

Contacts Minimal external contacts but frequent interaction with emergency care teams at Sub Counties

2. JOB PURPOSE

The head of emergency and referral; Effective coordination and management of emergency services and referral systems within the County. This includes development of a sound County health disaster response framework.


i. Supports the Director of Medical Services in the development of a County Health Disaster Response Plan

ii. Supports the development of a County referral and emergency response system

iii. Develop and review policies and guidelines for emergency services and referral systems.

iv. Inspect and report to the relevant authority the infrastructure status to support the emergency and referral system.

v. Develops County health emergency response policies and guidelines.

vi. Maps out County health risks exposure and common emergencies.

vii. Disseminates information on emergency prone sites and guidelines for emergency services and referral systems.

viii. Mobilize resources (financial and human) to support emergency services.

ix. Collaborate with other relevant stakeholders at the County level on referrals, emergencies and disaster preparedness to ensure proactive response system.

x. Establish partnerships and collaborations for delivery of efficient emergency and referral services.

xi. Monitor and evaluate County level service providers in regards to their emergency and referral systems.

xii. Establish training needs for various staff and service providers in relation to emergency services and the referral system.


KISUMU COUNTY

xiii. Any other responsibilities as assigned by the County Director of Medical Services.


i. Infrastructure to support emergency services and referral systems put in place.

ii. Approved referral and emergency policies and guidelines.

iii. Level of adherence established policies, guidelines and procedures in emergency situations.

iv. Visibility of clear collaboration between partners during emergencies and disasters.

v. Monitoring and evaluation framework put in place to monitor, evaluate and report on emergency

and referral service delivery

vi. Number of MOUs established.

vii. Quick and effective response to disasters and emergencies.

viii. Evaluations conducted on referral and emergency services and recommendations implemented.

ix. Training needs established and training programs conducted.



Academica) Minimum Bachelor degree in a health related fieldb) Desirable Masters in disaster management and response

Professional c) Recognized qualification in emergency health cared) Diploma in a health related field

ExperienceA total of six years’ experience in health five of which should be in emergency care management


i. Good networking and collaboration skills including competence to develop

and manage sound relationship with donors, partners and stakeholders

ii. Good analytical skills including Statistical analysis and interpretation.

iii. Skills in Change Management

iv. Capacity to train, mentor and coach.

v. Competence to provide leadership in emergency situations

vi. Competence to lead a multidisciplinary team in emergency situation

vii. Sound knowledge of County emergency and disaster management plans and

resources

viii. Comprehensive understanding of emergency and referral challenges.

Personal attributes

i. Can think and make quick decisions in emergency situations

ii. Well composed

iii. Good in networking

iv. Meets the requirements of Chapter 6 of the Constitution of Kenya.


KISUMU COUNTY




The Jobholder is expected to work independently in consultation with the head of division, who will, provide supervision on a needs basis.


The Jobholder is accountable for the his or her decisions and actions.Makes routing operational and technical decisions within the section but is expected to consult with the head of the division on any non-routine matter; Is also expected to exercise initiative, discretion and be proactive in carrying out duties.


Date signed:





KISUMU COUNTY

OFFICE OF THE COUNTY EXECUTIVE COMMITTEE MEMBER - HEALTH SERVICESVII. EXECUTIVE ASSISTANT

1. JOB INFORMATION

A JOB TITLE EXECUTIVE ASSISTANT

B Job Relationships

Reports to County Executive Committee Member for Health

SupervisesJunior and subordinate staff in the County Executive Committee Member for Health’s office

Works closely with Directors and heads of departments

Contacts Frequent interaction with members of the public and senior officials at the County and health stakeholders.

2. JOB PURPOSE

The Jobholder provides effective administrative support and effective coordination for the CEC – Health’s office and diary. The Executive Assistant will also manage all protocol issues.


Coordinate the day to operations of the office of the CEC of Health.

i. Manage the CEC of Health’s files and records.

ii. Coordinates routine activities between the directors and senior officers that can be attended to without personal input of the CEC of Health.

iii. Plans and schedules meetings and appointments.

iv. Makes travels arrangements for the CEC- Health and guests.

v. Deals with correspondence which includes replying of routine communication and coordinating replies requiring interdepartmental input.

vi. Ensures that all protocol requirements are adhered to for the CEC- Health.

vii. Represents the CEC – Health in routine internal meetings and other external events.

viii. Supervises junior and subordinate staff including drivers and office assistants.

ix. Ensures that adequate safety and security arrangements are in place for the CEC Health and the Office of the CEC.

x. Any other duty as assigned by the CEC-Health.


KISUMU COUNTY


a) Day to operations of the office of the CEC of Health managed to the satisfaction of the CEC.b) Effective and efficient filling system for the office of the CECc) All, meetings and appointments well planned and properly scheduled.d) Travels arrangements for the CEC- Health and guests made on time, properly and well-

coordinated.e) Correspondence dealt with in a timely manner including replying of routine communication.f) All protocol requirements are adhered to.g) Timely and quality briefing of the CEC provided.h) Satisfaction of the CEC on the quality of representation in meetings and other events.i) Adequate safety and security arrangements in place for the CEC Health and the Office of the

CEC.



Academic Minimum of a Bachelor’s degree in Social Sciences or equivalent

Professional Diploma in business administration/Office management

ExperienceAt least three years of which at least three should be in a senior position in a public office.


i. Training in office management or other courses in public relations or communication.

ii. Competence in protocol management.iii. Good skills in planning and coordination.iv. Excellent oral and written communication skills.v. Excellent interpersonal skills.vi. Fluent in English and Kiswahili.vii. Proficiency in ICT.viii. In depth understanding of protocol issues.

Personal attributes

a) Meets the requirement of Chapter 6 of the Constitution of Kenya 2010.b) Highly self-confidentc) Easily wins trustd) Team player


The jobholder mainly works in an office set up with minimal field activities and travel.


The Jobholder works under close supervision by the CEC Health although the Jobholder should be able to act independently.


The Jobholder will make routine administrative and technical decisions. Mostly exercises authority of CEC by implementing decisions made


Date signed:





KISUMU COUNTY

VIII. COUNTY HEAD OF HEALTH ADMINISTRATION & MANAGEMENT SUPPORT

1. JOB INFORMATION

A JOB TITLEHEAD OF HEALTH ADMINISTRATION & MANAGEMENT SUPPORT

B Job Relationships

Reports to County Executive Committee (CEC) for Health

Supervisesa) Head of Accountsb) Head of Administrative functionsc) Head Supply chain management

Works closely withCounty Director of HealthCounty Director of Public Health

Contacts Frequent external interactions with suppliers & service providers and senior officials in the Department

2. JOB PURPOSE

To support the County Executive for Health in developing and implementing a sound framework of managing support functions of Finance, Human Resource, Procurement and Administration.


To develop and implement sound system and structures for management of health expenditure in the County. This includes ensuring proper record and book keeping for accountability.

i. To develop systems and structures for tracking utilization of health resources to ensure they are only used for planned purpose.

ii. To support the CEC-Health to develop monitoring, evaluation and reporting framework to continuously evaluate progress in implementation of program, utilization of resources and compliance with established policies and procedures

iii. To coordinate the development and documentation of health strategies, plans and programmes.

iv. To support the CEC –Health in implementation of the health component of County Strategic Plan and Master Plan.

v. To develop systems and structures for effective storage and distribution of health commodities in all County health facilities.

vi. To support the County Director of Procurement in developing in development of specifications for health commodities and selection of suppliers.

vii. To work with the Director of Procurement to appraise and evaluate performance of commodity suppliers.

viii. Ensure that Public Health programs are consistent with Public Health laws and regulations.

ix. Assist in the development of the annual budget for health in the County.


KISUMU COUNTY

x. Promote an environment of transparency and accountability.

xi. Administers facilities, infrastructure.

xii. To develop structures for effective management, utilization, repair and maintenance of health fleet of motor vehicles including ambulances.

xiii. To be responsible for the deployment, training and appraisal of support staff including drivers, security guards, cleaners etc.

xiv. Ensure safety and security within the hospital and departmental premises in accordance with Public Health and occupation safety and guidelines.

xv. Working with the County ICT director, ensure development, implementation and utilization of a sound ICT capacity in health management.

xvi. Ensure health facilities especially buildings comply with safety, health and other laws and regulations and are well maintained.

xvii. Be responsible for administration of service provider contracts in maintenance of ICT facilities, buildings motor vehicles, security etc. in health department.

xviii. To put in place a sound framework for deployment, training, transfer and appraisal of health staff.

xix. Any other responsibilities as delegated by the chief officer.


a) Well prepared and documented health plans, programmes budgets etc.

b) Department up to date with information relevant to County and National health laws.

c) Full and proper accounting of all health resources

d) Compliance of expenditure with budgets and program designs

e) Allocated resources are used for intended or planned purpose

f) Up to date administrative policies, procedures, standards and practices.

g) Adequate infrastructure and facilities to meet County health needs.

h) Performance appraisals conducted for all staff in support functions.

i) Effective security in place for all health facilities and staff.j) Adequate and quality commodities available where and when needed



AcademicMinimum of Bachelors degree in social sciences. Masters degree in Business Administration, Health Economics or Health Systems is an added advantage

Professional Post-graduate diploma in Health Administration

Experience At least six years’ experience two of which should be in a senior management

position in the public sector


KISUMU COUNTY


Meets the requirements of Chapter 6 of the Constitution

Competence in change management

Excellent communication and interpersonal skills.

Excellent analytical skills.

Competent ICT skills.

Capacity to train, mentor and coach.

Capacity to provide leadership to the section, motivate employees and ensure

high productivity.

Comprehensive understanding of health administration.

Personal attributes

Team player. Emotional intelligence. Results oriented person




Jobholder is expected to work independently with minimal supervision from the CEC-Health and exercise close supervision of staff in support functions.


The job-holder makes routing operational and technical decisions within the section but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

IX. HUMAN RESOURCE FOR HEALTH OFFICER

1. JOB INFORMATION

A JOB TITLE HUMAN RESOURCE FOR HEALTH OFFICER

B Job Relationships

Reports to County Chief Officer for Health

Supervises HRH Staff in the Department

Works closely with Head of Health Administration and Management

Contacts Minimal external contacts and frequent internal contacts with health staff.

2. JOB PURPOSE

To support the Chief Officer Health in the development and implementation of HR functions in the County Health Department.


To support the director of health and Public Health in implementing the County HR policies and procedures in the health department.

i. Disseminates and provides guidance to staff on the Public Service Code of Regulations, Code of Ethics and other service regulations.

ii. Implements and monitor HRM strategies in the Health Department.

iii. Contributes to the development and articulation of HR policy systems and processes for the County.

iv. Responsible for following up matters relating to promotions and payments, deductions, salaries and disciplinary cases for staff in the department.

v. Conduct regular staff establishment analysis against norms and standards and identified gaps.

vi. Provides leadership in the recruitment of casual employees and contract staff in accordance with the employment act in consultation with the County Public Service Board.

vii. Initiates employment documentation for all new employees.

viii. Processes recommendations for staff advancement by the directors for promotion, upgrading and re-designation in accordance with the applicable schemes of service.

ix. Ensure manual and electronic filing systems are updated, secure and maintained with appropriate level of confidentiality.

x. Updates and maintains an accurate, reliable and robust GHRIS to support management decision making.

xi. Initiates processes aimed at supporting staff to improve quality of work life.


KISUMU COUNTY

xii. Ensure work safety and security in accordance with Public Health, occupational safety and other requirements.

xiii. Identifies training needs and recommends/facilitates staff training.

xiv. Facilitates career/personal development of staff through communication to the staff of the opportunities that may arise.

xv. Participate in the development of departmental work plan and budget, based on the County health strategic plan.

xvi. Implements recommendations proposed by Divisional and Unit heads on HR matters.

xvii. Contributes to the work of various committees related to HR management.

xviii. Prepares and submits monthly/quarterly reports on HR.

xix. Identifies and applies HRH best practices.

xx. Any other responsibilities as delegated by Chief Officer.


a) Full implementation of County HR policy and procedures in the Health Department.

b) Public Service Code of Regulations, Code of Ethics and other service regulations disseminated,

understood and adhered to.

c) HRM strategies in place and periodically monitored.

d) Improving health staff satisfaction.

e) Staff gaps identified and initiatives to address them taken.

f) Recommendations provided in relation to advancement, promotion, upgrading and re-designation.

g) Updated manual and electronic filing systems.

h) GRIS updated and maintained.

i) Environment that promote career development present.

j) Safety and security in the workplace ensured.

k) Staff induction policy implemented in Health Department.

l) Monthly and quarterly reports produced.

m) HRH best practices applied.

n) Frameworks developed to guide benchmarking for Kisumu with other counties



Academic Minimum of a Bachelor’s degree or equivalent in social sciences and HRM.

Masters in social sciences and Post graduate diploma in HRM will be an added advantage

Professional A Member of IHRM


KISUMU COUNTY

Experience Minimum of three years’ experience


Competence in development and implementation of HR Policies and

Strategies

Knowledge of Kenya Labor Laws

Excellent communication and interpersonal skills.

Excellent analytical skills.

Competent ICT skills.

Excellent Statistical Analysis and interpretation of HR data

Capacity to train, mentor and coach.

Capacity to provide leadership to the section, motivate employees and

ensure high productivity.

Comprehensive understanding of HRH.

Personal attributesi. Team playerii. Meets the requirements of Chapter 6 of the Constitution of Kenyaiii. Proven record of results in the health management

6. WORKING ENVIRONMENTThe Jobholder may be required to work occasionally long hours and weekends. Certain amount of travel may be necessary.

7. LEVEL OF SUPERVISION / GUIDANCE REQUIREDThe Jobholder is expected to work independently but in close consultations with the CO Health.

8. AUTHORITY, DECISION MAKING AND ACCOUNTABILITY The Jobholder mainly plays an advisory role with very limited decision making.

Signature of Jobholder:

Date signed:





KISUMU COUNTY

X. SENIOR ACCOUNTANT

1. JOB INFORMATION

A JOB TITLE SENIOR ACCOUNTANT

B Job Relationships

Reports to Head of Administrative and Management Support

Supervises Accounts assistants Partner accountants

Works closely with Head of section

Contacts Frequent interaction with suppliers and some internal contacts with staff

2. JOB PURPOSE

To ensure effective management of financial resources within the Department.


Oversees the financial needs of the Department.

i. Assist with the costing and budgeting.

ii. Draft and update procedures to guide audit staff and the approach and methods to be used to conduct audits.

iii. Direct the development of unit costing for the department programs and services.

iv. Ensure periodic performance appraisals of staff within the section.

v. Provide technical assistance in the development of the annual budget plan.

vi. Conduct all accounting and financial reporting to relevant authorities.

vii. Disburses funds in a timely manner.

viii. Ensure collection of all necessary paid documents.

ix. Adheres to County and national requirements of financial control.

x. Preparation and presentation of monthly cash forecast, variance report, progress report, annual accounts and so on.

xi. Liaise with auditors, bankers, donors and other key stakeholders.

xii. Any other responsibilities as delegated by head of the section.


i. Costing and budgeting conducted.ii. Procedures for audit and finance understood and adhered to.iii. All budget plans in place and adhered to.iv. Effective performance appraisals of staff under him/her conducted.v. Funds disbursed on time.


KISUMU COUNTY

vi. County and national financial requirements adhered to.vii. Monthly cash forecasts, variance report, progress report, annual accounts and others of quality

and prepared on time.viii. Contact maintained with relevant stakeholders.



AcademicA minimum of Bachelor’s degree in Finance or Accounting or equivalent. Masters in any of these: Audit, Accounts, Finance, Public Health will be an added advantage

Professional CPA 11

ExperienceMinimum of four years’ experience at least two in middle management position


Sound knowledge of public financial management procedures and policies.

Good budgeting skills Excellent analytical skills. Competent ICT skills. Statistical analysis and interpretation. Capacity to train, mentor and coach. Comprehensive understanding of financial management for public sector

Personal attributes Team player. Meets the requirements of Chapter 6 of the Constitution of Kenya




The Jobholder is expected to work independently with head of section, who will, provide supervision on a needs basis.


The jobholder makes routing operational and technical decisions within the section but is expected to consult with the head of the section on any non-routine matter and is expected to exercise initiative, discretion and be proactive in carrying out duties


Date signed:





KISUMU COUNTY

SUB-COUNTY HEALTH MANAGEMENT JOB DESCRIPTIONS FOR KISUMU COUNTYI. MEDICAL OFFICER OF HEALTH FOR SUB-COUNTY

1. JOB INFORMATION

A JOB TITLE MEDICAL OFFICER OF HEALTH FOR A SUB- COUNTY

B Job Relationships

Reports to The County Director of Health Services

SupervisesThe Health Management Team members and program officers for the Sub-County, Primary health facilities( health centers, dispensaries & health posts)

Works closely withSub-County Administrator/Sub- County Veterinary and Agriculture Officers

Contacts

Medium level interaction with partners and national government officials and very frequent internal interactions with County and Sub-County Health Teams

2. JOB PURPOSE

The Jobholder ensure effective delivery of quality health care to Sub-County residents by providing leadership to the Sub-County teams involved in the delivery of primary health care, environmental health, promotive and preventive health services, disease surveillance, control, epidemic responses and primary health facilities (health centers, dispensaries and health posts) in a specified district of jurisdiction.


a) Computer with internet connectivity, office stationery, vehicle, finances for operations and maintenance.

b) Sub-County Health and Public Health Budget

c) Sub-County pool of motor vehicles


To Provide leadership in all the fields of health care in the Sub-County.

a) To Create enabling environment for sustained collaboration with the stakeholders and partners for the purposes of advancement of the optimum health care services.

b) To implement the Sub-County Monitoring and Evaluation framework and ensure that monitoring, evaluation and reporting activities in Public Health are conducted as required

c) Lead the delivery of emergency and referral services in consultation with relevant County Emergency and Referral Services Officer

d) Be responsible for mobilizing necessary resources from within and without the Sub- County to implement planned health projects, activities and interventions as at the Sub-County.


KISUMU COUNTY

e) Shall be responsible for the ensuring prudent utilization of financial and other resources assigned to the Sub-County health Management Team.

f) Shall be responsible for the proper management of all assets of the department of health in the Sub-County including but not limited to fixed assets (buildings, land etc.) and movable assets (vehicles, machinery etc.).

g) Shall ensure that County Health policies and programmes are implemented in the Sub-County of jurisdiction.

h) Shall be responsible for ensuring appraisal of all Sub-County health staff.

i) Shall be responsible for effective supervision of the Sub-County health staff ensuring they perform their duties and deliver the best possible health care to County residents.

j) Shall supervise all primary health facilities (both public and private) in the Sub-County to ensure safe, effective and efficient health care delivery.

k) Shall be responsible for Community Health promotion by ensuring formation of community units and sustained community dialogues and action days to promote preventive and promotive health care services. This will include effective coordination and supervision of Sub-County Community Health focal officers.

l) Shall perform any other role, function or duty assigned to him by the County Director of Health Services or Sub-County Administrator


i. Percentage coverage of: immunization, skilled birth attendances, latrine coverage, hand-washing systems (both facilities and home based).

ii. Percentage of TB treatment success, HIV/AIDS treatments iii. Prevalence of HIV/AIDS and TBiv. Number of stakeholders forum held and no. of stakeholders attending the meetings.v. Epidemic responses, investigations, containment and eliminations - Response time and time

taken to contain the situationvi. Budget utilizationvii. Percentage level of implementation of planned programmes at the Sub-County.


QUALIFICATIONS

Academic Basic Medical Degree (MB, ChB, MD, MBBS)

Professional

Registration by the Kenya Medical Practitioners & Dentists Board or other relevant body

Additional trainings in management and leadership

Experience Four years’ experience in health delivery


KISUMU COUNTY


i. Competence disease investigation methodologyii. Public Health statistical analysis skills, health risks, trends &

forecasting skillsiii. Disease control skillsiv. Collaboration and networking skillsv. Demonstrable training , mentorship and facilitation skillsvi. Ability to prioritize and delegate is therefore an inherent

requirement.i. Planning skills

vii. Budgeting skills

Personal attributes

ii. Good Communication, tactical and diplomatic skills

iii. Meets constitutional requirements on integrity

iv. Passionate about health

v. Team player

vi. A good networker and mentor


The job is involved in extensive field work, travelling outside the office regular meetings. There may arise frequent competing activities and deadlines.


The Medical Officer of Health for the Sub-County is closely supervised by the Director of Health Services for the County and works closely with Sub-County Administrator. The Jobholder exercises close supervision of the Sub- County health team

Supervision from any other officers apart from the Director of Health Services and higher ranks to the Medical Officer of Health shall be possible only on official sanctioning and recommendation of the Director of Health services


The Medical Officer of Health for the Sub-County shall make decisions in consultation with Health Management Team and the County Department of Health.


Date signed:





KISUMU COUNTY

II. SUB-COUNTY PUBLIC HEALTH NURSING OFFICER

1. JOB INFORMATION

A JOB TITLE SUB-COUNTY PUBLIC HEALTH NURSING OFFICER

B Job Relationships

Reports to Sub-County Medical Officer of Health

Supervises All Nursing staffs working in a health facilities

Works closely with Sub-County Health Management Team

Contacts CHMT, SCHMT and partners

2. JOB PURPOSE

The Jobholder shall be responsible ensuring high quality services at the primary health facilities.

3. TOOLS, EQUIPMENT AND RESOURCESa) Adequate pool of nursesb) Adequate nursing commodities


i. Provide leadership to the staff deployed at the primary health facilities

ii. Shall ensure an inclusive and accountable budgeting process of health facilities at the Sub-County

iii. Shall be responsible for the adherence to established standards and procedures for primary health

care delivery at the primary health facilities

iv. Shall provide technical support to the staff at the facility on recommended health practices and

nursing procedures.

v. Shall ensure proper deployment of staff available at the Sub-County to all health facilities

vi. Shall be responsible for the prudent, effective and efficient resource management according to the

current standard practices at all health facilities

vii. Shall be responsible for the monitoring and evaluation of the quality of services delivery and

commodities management of the facilities.

viii. Shall assign Duties and Responsibilities to all the officers at Sub-County health facilities h for the

purposes of effective, efficient and safe service delivery

ix. Shall perform any other function as shall be assigned by the Sub-County medical officer of health.

x. Shall be a technical lead in programmatic interventions falling under the docket.


i. Overall quality of primary health care provided

ii. Adherence to established policies, standards and procedures.

iii. Level of staff discipline and productivity

iv. Service delivery times and time taken by patients at the facility

v. Percentageof staff in health facilities appraised


KISUMU COUNTY

vi. Success rate for immunization programmes in health facilities


QUALIFICATIONS

Academic Kenya Registered Community Health Nurse (KRCHN)


ExperienceThree years’ experience in a busy health facility

Additional training in midwifery is added advantage


i. Knowledge of standard out-patient Nursingii. Administrationiii. Technical Communication skillsiv. Leadership skills v. Management skillsvi. Team player

Personal attributes Person of integrity


The Jobholder shall be expected to work on odd hours including nights, weekends and public holidays


The Jobholder shall closely supervise all the technical and support staffs working in all primary health facilities. And shall work with a fair level of independence but supervised by the Sub-County medical officer of health and the County Health Management Team.


The Jobholder shall make decisions on the daily running of the primary health facilities to provide effective and efficient service delivery.

The Jobholder shall make decision on programmes on primary health services.

He or she shall cooperate with different partners to assist in improving primary health care services.


Date signed:





KISUMU COUNTY

III. NURSING OFFICER IN CHARGE OF A HEALTH FACILITY

1. JOB INFORMATION

A JOB TITLE NURSING OFFICER IN CHARGE OF A HEALTH CENTRE

B Job Relationships

Reports to Sub-County Medical Officer

Supervises All staffs working in a health facility

Works closely with Sub-County Nursing Officer

Contacts Frequent interaction with patients and members of the public and frequent internal interactions with staff at the Health Center

2. JOB PURPOSE

The Jobholder shall be responsible ensuring high quality services at the primary health facilities.


To provide leadership to the staff deployed at the Health Center

i. To be responsible for the adherence to established standards and procedures for primary health

care delivery at the Health Center.

ii. Shall provide technical support to the staff at the facility on recommended health practices and

nursing procedures.

iii. To ensure that the land, buildings and other fixed assets of the Health Center are safeguarded

and put to good use.

iv. To safeguards the medical equipment and machines at the facility and ensure they are well

accounted for.

v. Shall be responsible for the prudent, effective and efficient resource management according to

the current standard practices

vi. Shall be responsible for the monitoring and evaluation of the services and commodities of the

facility

vii. Shall assign Duties and Responsibilities to all the officers she/she works with for the purposes

of effective, efficient and safe service delivery

viii. Shall perform any other function as shall be assigned by the Sub-County health Management Team


i. Overall quality of primary health care provided

ii. Adherence to established policies, standards and procedures.

iii. The level of resource management done- assets, finances, equipment


KISUMU COUNTY

iv. Level of staff discipline and productivity

v. Service delivery times and time taken by patients at the facility


QUALIFICATIONS MINIMUM DESIRABLE

Academic Kenya Registered Community Health Nurse (KRCHN)

Professional KRCHN, RM

ExperienceThree years’ experience in a busy health facility

Additional training in midwifery is added advantage


• Knowledge of standard out-patient Nursing • Good first aid skills• Emergency resuscitation skills• Administration

• Technical Communication skills

Personal attributes• Good in empathy• Team player• Person of integrity


The Jobholder shall be expected to work on odd hours including nights, weekends and public holidays


Shall closely supervise all the technical and support staffs working in the health facility

Shall work with a fair level of independence but supervised by the Sub-County Health Management Team and any other higher program officers and authority


The Jobholder shall make decisions on the daily running of the health facility to provide effective and efficient service delivery.


Date signed:





KISUMU COUNTY

IV. MEDICAL OFFICER

1. JOB INFORMATION

A JOB TITLE MEDICAL OFFICER

B Job Relationships

Reports to Head of Health Facility or Hospital

Supervises Medical Officer Interns, & Medical Students

Works closely withNursing Officer in Charge

Clinical Officer in Charge

Contacts Frequent interaction with patients and families and frequent interaction with pharmacy, nursing and diagnostic staff

2. JOB PURPOSE

To perform all medical, surgical or any other clinical procedures under unit in which he or she shall be placed.


The Jobholder shall perform daily ward rounds within the stipulated department

a) To oversee patient clerkship, diagnosis and admission of patients at the hospital’s accident and emergency department.

b) To perform emergency resuscitation on patients as required

c) Initiate treatment protocols, and follow up and review of in patients

d) To ensure timely consultation on patients conditions with the respective consultants

e) To organize departmental meetings, CMEs and regular mortality audits

f) To supervise medical officer interns and give guidelines and trainings on patient management.

g) To perform any other function as shall be assigned by the head of department or medical superintendent


i. Rapidity of emergency response/ resuscitations done

ii. Number of patients given quality health care.

iii. Number of CMEs, mortality audits and meetings done.

iv. Patient satisfaction with MO care

v. Adherence to established standards and procedures

vi. Adherence to ethics and code of conduct


KISUMU COUNTY


QUALIFICATIONS MINIMUM

Academic Bachelor of Medicine and Bachelor of Surgery (MB;ChB)

Professional Registration by Kenya Medical Practitioners and Dentists Board

Experience Having completed a year of medical internship


• Knowledge of standard clinical procedures in in-patient and out-patient care.

• Knowledge of common drugs usage and dosage.

• Competence to perform standard surgical procedures.

Personal attributes

• Passionate about good health

• Good empathy

• Patient person

• Team player

• Ability to coach and mentor


The Jobholder is frequently on call at odd hours including nights and public holidays


The Jobholder shall work with minimal supervision and exercises minimal supervision to over the team of health staff under him or her

8. AUTHORITY, DECISION MAKING and ACCOUNTABILITY

The Jobholder exercises full authority and discretion and the delivery of patient care and performance of clinical and surgical procedures but minimal managerial and supervisory authority


Date signed:





KISUMU COUNTY

V. SUB-COUNTY HEALTH RECORDS AND INFORMATION OFFICERS

1. JOB INFORMATION

A JOB TITLESUB-COUNTY HEALTH RECORDS AND INFORMATION OFFICERS

B Job Relationships


Supervises Health Records Information Officers

Works closely withSub-County Health Management Team and facilities in charges

Contacts Minimal external contacts with Health sector stakeholders and constant contact with health staff

2. JOB PURPOSE

Responsible for proper records management and collection, analysis, interpretation and dissemination of data and reports at the Sub-County

3. TOOLS, EQUIPMENT AND RESOURCESa) Adequate Records Officersb) Record Management System


Responsible for implementation of a sound structure for record management at the County.

a. Ensures proper training of staff on record management policies, standards and procedures, use of reporting tools reporting templates.

b. Ensures proper implementation and running of DHIS at the Sub-County.

c. Compiles and disseminate Sub-County Health Reports

d. To analyze, interpret and disseminate data of specific indicators per health facilities

e. Supervise health records management officers at the Sub-County including appraising their performance

f. Any other responsibilities as designated by the Sub-County Medical officer of health.


i. Level of adherence to record management standards and procedures at Sub-Countyii. Accuracy of data entry into the DHISiii. No of records officers appraisediv. No of reports prepared and submitted on timev. No of complaints regarding record managementvi. Accuracy of statistics compiled and submitted


KISUMU COUNTY


QUALIFICATIONS

Academic Diploma in Health Records and Informatics

Professional Membership in professional board.

ExperienceTwo years’ of experience in Health Records Management in busy health facility.


i. Excellent analytical skills.

ii. Excellent ICT and statistical analytical skills.

iii. Capacity to train, mentor and coach the health work force.

iv. Comprehensive understanding of health records system.

v. Good level of scientific understanding of the design and working of DHIS

Personal attributesi. Good interpersonal skillsii. Observes confidentialityiii. Meet constitutional requirements on integrity


Jobholder will work mostly within the office, but will be required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently with close consultation the Sub-County MOH who will, provide supervision on a needs basis.


The Jobholder makes routine operational and technical decisions within the section but is expected to consult with the Sub-County medical officer of health on any non-routine matter.


Date signed:





KISUMU COUNTY

VI. SUB-COUNTY CLINICAL OFFICER

1. JOB INFORMATION

A JOB TITLE SUB- COUNTY CLINICAL OFFICER

B Job Relationships


Supervises Clinical Officers

Works closely with Sub-County Health Managed Team

Contacts Some external contacts with stakeholders and members of the public and frequent internal interaction with health staff

2. JOB PURPOSE

To ensure delivery of high quality clinical services at the Sub-County


a) Pool of clinical officers


To develop, review and ensure implementation of comprehensive standards and procedures for clinical officer services at the Sub-County.

i. To advise the Sub-County Medical Officer and the staffing needs for clinical officers

ii. To coordinate training of clinical officers

iii. To advice the Sub-County Medical Officer on the deployment and utilization of medical officers

iv. To conduct training needs analysis for clinical officers.

v. To ensure welfare of clinical officers

vi. To ensure effective supervision and appraisal of clinical officers in the Sub- County

vii. To disseminate information on emerging issues and best practices to clinical officers

viii. Any other responsibilities as designated by the Sub- County Medical officer of health.


i. Proper deployment of Clinical Officersii. Competence level for Clinical Officersiii. Number of Clinical Officers appraisediv. Adherence of Clinical Officers to best practices in clinical care as determined by the number of

complaints and compliments received from patientsv. Level discipline and performance levels among Clinical Officersvi. Number of clinical officers updated on emerging issues and best practices


KISUMU COUNTY


QUALIFICATIONS

Academic Diploma in Clinical Health


Experience Two years of experience as a clinical officer in busy health facility.


a. Sound knowledge of standard clinical standards and procedures

b. Excellent communication and interpersonal skills.

c. Capacity to train, mentor and coach.

d. Comprehensive understanding of Public Health challenges

Personal attributesa. Good interpersonal skillsb. Good in empathy c. Team player


Jobholder will work mostly within the office, but will be required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently with the Sub- County MOH who will provide supervision on a needs basis.


The Jobholder is accountable for his or her decisions and actions. Theb latter also makes routing operational and technical decisions within the section but is expected to consult with the Sub-County MOH on any non-routine matter and is expected to exercise initiative, discretion and be proactive in carrying out duties.


Date signed:





KISUMU COUNTY

VII. SUB-COUNTY PUBLIC HEALTH OFFICER

1. JOB INFORMATION

A JOB TITLE SUB- COUNTY PUBLIC HEALTH OFFICER

B Job Relationships


Supervises Public Health Officers

Works closely with Sub-County Medical Officer.

Contacts Very frequent interaction with members of the public and frequent internal interactions with County Public Health Team

2. JOB PURPOSE

Jobholder is responsible of ensuring high standards of Public Health and environmental health in the -+Sub-County.


a. Sub-County Public Health plan/programme b. Sub-County pool of Public Health motor vehiclesc. Essential Public Health commoditiesd. Public Health promotion materials


Review, interpret and implement policies and procedures that relate to Public Health at the Sub-County.

i. Responsible for effective implementation of County Public Health policies, programmes and activities at the Sub-County.

ii. Coordinate the continual evaluation and appraisal of Public Health Officers at the Sub-County including establishing performance standards to which to measure, competence, effectiveness and efficiency of Public Health Officers.

iii. Implementation of health collaborations and partnerships with stakeholders for effective service delivery within the Sub-County.

iv. Study and evaluate trends and the determinants of diseases within a specific population at the Sub-County.

v. Responsible for ensuring Sub-County Public Health team embrace new a’8pproaches and methods in prevention and control of communicable diseases in the Sub-County.

vi. Ensure effective disseminate IEC material at the Sub-County.vii. Liaise with other stakeholders in carrying out disaster preparedness and response within the

Sub-County.viii. Appraise all Public Health staff at Sub-Countyix. Promote and strengthen coordination and partnership among key stakeholdersx. Supervise over subordinates [ PHO’S/ PHT’S]xi. Any other responsibilities as designated by the Sub- County Medical officer of health.


KISUMU COUNTY


i. Number of Comprehensive water and food safety surveillance reports prepared and submittedii. Level of noise and environmental pollution from sample assessments doneiii. Sound Solid Waste Management practicesiv. Level of adherence to set housing standardsv. Number of appraisal reports for all staff prepared in accordance with recommended practices

and submitted on time.vi. Level emergency preparedness and response systems in place.vii. Number of awareness and training programs conducted for the community and County Public

Health staff.viii. Adherence to approved budget ix. Standards of Food standards and general hygiene in all public eating places.x. Number of premises for safety at set intervalsxi. Number of disease investigate reports prepared xii. Timeliness in control communicable, infectious diseases and food poisoningxiii. Level of enforcing on environmental health laws


QUALIFICATIONS

Academic Diploma in Environmental Health Sciences

Professional Membership in professional board

Training in Supervisory Management

Experience Two years’ of experience in Public Health


a) Good leadership skillsb) Excellent communication and interpersonal skills.c) Excellent ICT and statistical analytical skills.. d) Capacity to train, mentor and coach.e) Comprehensive understanding of Public Health challenges and issuesf) Good understanding of the Public Health act and giving evidence in courtg) Sound knowledge of Public Health standards, policies and procedures.a) Good communication, tactical and diplomatic skills

Personal attributes

b) Meets constitutional requirements on integrityc) Passionate about healthd) Team playere) A good networker and mentor


The Jobholder will work mostly within the office, but will be required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.


KISUMU COUNTY


The jobholder is expected to work independently with the Sub-County MoH who will, provide supervision on a needs basis.


The Jobholder has authority over routine decisions and utilization of resources within approved budget.


Date signed:





KISUMU COUNTY

VIII. SUB-COUNTY REPRODUCTIVE HEALTH COORDINATOR

1. JOB INFORMATION

A JOB TITLE SUB-COUNTY REPRODUCTIVE HEALTH COORDINATOR

B Job Relationships


SupervisesMaternal and Child Health Services in the Sub-County, Primary health facilities( Health centers, dispensaries & health posts)

Works closely with SCHMT Members

Contacts Frequent interaction with RH/FP implementing partners and County RHC

2. JOB PURPOSE

The Jobholder ensure effective delivery of quality Reproductive Health care to Sub- County residents by providing leadership to the Sub-County teams involved in the delivery of primary health care, environmental health, promotive and preventive health services, disease surveillance, control, epidemic responses and primary health facilities (health centers, dispensaries and health posts) in a specified district of jurisdiction. 3. TOOLS, EQUIPMENT AND RESOURCES

a. Sub-;.County Reproductive Health programmeb. Reproductive Health commoditiesc. Adequate pool of Reproductive Health staff in health centers


Coordinates Reproductive Health programs activities in the Sub-County-aimed at strengthening the delivery of these services in consultation with the SCMOH

i. Coordinates Partner activities in Reproductive Health in the Sub-County.

ii. Plans and coordinates quarterly RH stakeholders meeting in the Sub-County

iii. Writes proposals for grants or funding to improve Reproductive Health services in the Sub-County.

iv. Promotes, participates and coordinate RH research activities being undertaken in the Sub-County.

v. Supervises Reproductive Health activities and services in all health facilities within the Sub-County.

vi. In consultation with Sub-County commodities and pharmacy sections to ensure availability of Reproductive Health commodities e.g. vaccines, FP commodities, equipment and their equitable distribution.


KISUMU COUNTY

vii. Coordinates staff development activities in Reproductive Health (i.e. OJT, mentorship refreshers and workshops.) in Sub-County.

viii. Coordinates Implementation of reproductive programmes in the Sub-County e.g. Adolescent sexual Reproductive Health (ASRH, Cancer prevention and control program, Family planning, EmOC, PMTCT, Maternal and Neonatal Heath).

ix. Receives and verifies monthly facility reports for any discrepancies on RH/FP data.

x. To work closely with SCDSC on weekly maternal and neonatal death reports.

xi. A member and Secretary of the SC Maternal death review committee and ensures all maternal/perinatal deaths are notified and reviewed/audited.

xii. Monitors and Evaluates the Reproductive Health services within the Sub-County in order to strengthen the gaps noted so as to improve quality of service.

xiii. Performs any other duties that may be delegated to from time to time by the SCMOH, SCHMT and County HMT


i. No of deliveries by skilled staff in the Sub-County

ii. Reduction in the burden of non-;communicable diseases by early detection and treatment

and follow up of RT cancers such as cervical cancer

iii. Access and utilization of Family Planning services in Sub-County

iv. No RH and FP data review meetings


QUALIFICATIONS

Academic Higher Diploma in RH or BSc Nursing

Professional Registration by the Nursing Council of Kenya

Additional trainings in management and leadership (Certificate) by

Experience At least two years’ experience


KISUMU COUNTY


i. Short course in RH such as CPR, EMONC, PMTCT, ASRH,

ADVOCACY, etc

ii. Resource mobilization skills

iii. Monitoring and evaluation

iv. Training, mentorship and OJT

v. Supervision skills

vi. Good command of IT

vii. Anticipate risks and taking measures to mitigate against them

Personal attributes

i. Good communication, tactical and diplomatic skills

ii. Meets constitutional requirements on integrity

iii. Passionate about health

iv. Team player

v. A good networker and mentor


The job entails extensive filed work, travelling outside the office and regular meetings.

Frequent competing activities and deadlines may arise.


The Sub-County Reproductive Health Coordinator is closely supervised by the Sub-County MOH and works closely with other SCHMT.


The Sub-County RH Coordinator shall make decisions in consultation with the Sub-County MOH and the SCHMT.


Date signed:





KISUMU COUNTY

IX. SUB-COUNTY NUTRITION OFFICER

1. JOB INFORMATION

A JOB TITLE SUB-COUNTY NUTRITION OFFICER

B Job Relationships

Reports to Sub-County MOH

Supervises Nutritionist at the facility level

Works closely with Sub-County health Management Team and partners

Contacts

Sub-County Medical Officer Of Health Other Unit heads External contacts within the health department And partners in nutrition

2. JOB PURPOSE

To facilitate effective and holistic health care by ensuring proper care for nutrition related ailments and improvement of community balanced feeding through education programmes.


Ensures Provision of clinical nutrition care and support in disease management and Rehabilitative Nutrition services.

i. Ensures Provision of promotive and preventive nutrition services.

ii. Monitor and ensure enforcement of nutrition rights in the implementation of the constitution, nutrition laws, international agreements and protocols.

iii. Co-ordinates Nutrition programs in the County

iv. Undertaking Nutrition Surveillance in the County

v. Nutrition Emergency mitigation services

vi. Co-ordination of all nutrition partners in the County.

vii. Updating the medical personnel in upcoming issues in nutrition.

viii. Assessment of hospitals to be designated as baby friendly.

ix. In liaison with the nutrition council enforce the regulation of therapeutic feeds, supplementary feeds and foods with health claims.

x. Ensures Nutrition staff development and deployment in County.

xi. Ensures timely procurement and distribution of nutrition commodities for facilities according to need


KISUMU COUNTY


a) Percentage of work plan implemented or adhered to.b) Stakeholders database prepared and updatedc) Number of Evaluation and monitoring reports on nutrition improvement programmes on the

County prepared.d) Quality of care given to patient with malnutrition conditions based on patient satisfaction reportse) Continuous reduction on number of mal nutrition prevalence



Academic Diploma in Nutrition or Food and Dietetics


ExperienceMinimum of two years’ experience in nutrition management.


a) Competence in change management.b) Knowledge of nutrition managementc) Ability to think strategically with creative problem solving skillsd) Good communication and interpersonal skills, good facilitation and clinical

training skills.

Personal attributesa) Meets the requirements of chapter 6 of the Constitution of Kenya.b) Team player




Jobholder is expected to work independently in consultation with head of division, who will, provide supervision on a needs basis.


The Jobholder makes routing operational and technical decisions within the section but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

X. SUB-COUNTY MALARIA CONTROL COORDINATOR

1. JOB INFORMATION

A JOB TITLE SUB-COUNTY MALARIA CONTROL COORDINATOR

B Job Relationships

Reports to County Malaria Control Coordinator

Supervises Sub-County Health Facilities

Works closely with Sub-County Health Management Team

Contacts Mainly internal contacts

2. JOB PURPOSE

To keep malaria as a highly prevalent disease under control by providing advice and technical expertise on Malaria Control and prevention by the Sub-County Public Health and entire Sub-County Health Team.


a) ICT equipment and malaria guidelinesb) Sub-County Malaria Control Programmec) Malaria Control budgetd) Adequate pool of staff in Malaria Control programs


Coordinates development and implementation of Malaria Control programs in the Sub-County.

a. Works closely with Sub-County health and Public Health teams to develop malaria surveillance measures.

b. Disseminates Malaria Control guidelines and standards from the County to the health facilities.

c. Mobilizes partners to support activities for Malaria Control services within the Sub-County.

d. Collaborates and coordinates with stakeholders supporting Malaria Control services

e. Plans and coordinates staff development initiatives in Malaria Control and management competences.

f. Coordinates monitoring, evaluation and reporting of malaria surveillance control activities

g. Performs other duties assigned by the Sub-County Medical Officer of Health.


a) Number of quality and timely Malaria surveillance reports.b) Number of research conducted on Malaria health issues and research findings disseminated

on a timely basis to the County Director.c) Level of health staff competence in Malaria surveillance, control and management.d) Malaria prevalence


KISUMU COUNTY



Academic Diploma in Health Sciences or equivalent.


Experience Minimum of two years’ experience

Essential skillsand competence

a) Competence in management of Malaria surveillance, control and management programs.

b) Excellent statistics and analytical skills.c) Good ICT skills.d) Capacity to train, mentor and coach.e) Good understanding of health challenges in devolved

government.f) Meets the requirements of Chapter 6 of the Constitution.g) Sound knowledge of Public Health issues, policies , standards

and procedures

Personal attributes

a) Team player.b) Meets the requirements of Chapter 6 of the Constitution of

Kenya.c) Proven record of results in the previous employment.


The Jobholder will work mostly within the office, but may be required to travel within the County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently, but consult closely with the County Malaria Control Coordinator.


The position is mainly advisory and coordinative with minimal decision making authority.


Date signed:





KISUMU COUNTY

XI. SUB-COUNTY HEALTH ADMINISTRATIVE OFFICER

1. JOB INFORMATION

A Job Title Sub-County Health Administrator Officer

B Job Relationships

Reports to Sub- County MOH

SupervisesHead of AccountsHead of Administrative functionsHead Supply chain management

Works closely with SCHMT

Contacts Frequent external interactions with suppliers & service providers and senior officials in the Department

2. JOB PURPOSE

To support the Sub-County MOH in developing and implementing a sound framework of managing support functions of Finance, Human Resource, Procurement and Administration.

3. TOOLS, EQUIPMENT AND RESOURCESa) Physical health facilitiesb) Pool of qualified staff in support functionsc) Support functions budget


To develop and implement sound system and structures for management of health expenditure at Sub County level. This includes ensuring proper record and book keeping for accountability.

i. To develop systems and structures for tracking utilization of health resources to ensure they are only used for planned purpose.

ii. To support the Sub County Medical Officer for Health to develop monitoring, evaluation and reporting framework to continuously evaluate progress in implementation of program, utilization of resources and compliance with establishes policies and procedures

iii. To coordinate the documentation of health strategies, plans and programmes.

iv. To support the Sub county medical officer for Health in the implementation of the health component of County Strategic Plan especially health facility master plans

v. To develop systems and structures for effective storage and distribution of health commodities in all the sub county health facilities.

vi. To support all the procurement functions at Sub County level

vii. Assist in the development of the annual budget for health at Sub County level.

viii. Promote an environment of transparency and accountability at sub county level.

ix. To develop structures for effective management, utilization, repair and maintenance of health fleet of motor vehicles including ambulances at sub county level.


KISUMU COUNTY

x. To manage deployment, training and appraisal of support staff including drivers, security guards, cleaners etc.

xi. Ensure safety and security within the hospital premises in accordance with public health and occupation safety and guidelines.

xii. Ensure health facilities especially buildings comply with safety, health regulations and are well maintained.

xiii. Manage the administration of service provider contracts in maintenance of ICT equipments, buildings, motor vehicles, security etc. in health department.

xiv. To put in place a sound framework for deployment, training, transfer and appraisal of health staff.

xv. Any other responsibilities as delegated by the Sub County Medical Officer Health.


i. Adherence to and proper accounting of all health resources as determined by number of audit queries raised

ii. Compliance of expenditure with budgets and program designs

iii. Percentage of resources used or not used for intended or planned purpose

iv. Number of upto to date administrative policies, procedures, standards and practices.

v. Number of infrastructure and facilities improvements or upgrades done.

vi. Number of Performance appraisals conducted for staff in support functions.

vii. Effective security in place for all health facilities and staff as determined by no of reported security breach incidents



Academic Minimum of a Bachelor degree in social sciences.

Professional Post graduate diploma in Health Administration

Experience At least three years’ experience in the public sector


a. Competence in change management

b. Excellent communication and interpersonal skills.

c. Excellent analytical skills.

d. Competent ICT skills.

e. Capacity to train, mentor and coach.

f. Capacity to provide leadership to the section, motivate

employees and ensure high productivity.

g. Comprehensive understanding of health administration.


KISUMU COUNTY

Personal attributes

a. Team player.

b. Meets the requirements of Chapter 6 of the Constitution of

Kenya.

c. Emotional intelligence.

d. Results oriented person




The jobholder is expected to work independently with minimal supervision from the CEC-Health and exercise close supervision of staff in support functions.


The jobholder makes routine operational and technical decisions within the section but is expected to consult with the head of the division on any non-routine matter.


Date signed:





KISUMU COUNTY

XII. SUB-COUNTY COMMUNITY HEALTH SERVICES FOCAL PERSON

1. JOB DESCRIPTION

JOB TITLE SUB-COUNTY COMMUNITY HEALTH SERVICES FOCAL PERSON


Supervises Community Health Assistants, Community Health Volunteers

Works closely with Community Health Teams

Contacts Frequent interaction with stakeholders and partners and all Community Health staff

2. JOB PURPOSE AND JOB SUMMARYThe jobholder is responsible for planning and coordination of Community Health services. The head also, manages people and resources in the section in the most effective and efficient way.

3. TOOLS, EQUIPMENT AND RESOURCESAdequate pool of staff in Community Health

4. DUTIES AND RESPONSIBILITIESi. Sensitizing communities on available health services and emerging issues

ii. Monitoring, evaluating and preparing Community Health reports

iii. Facilitating and planning health activities at community level

iv. Advocating and mobilizing resources for Community Health activities

v. Facilitating and developing Community Health volunteers and members of Community Health committees

vi. Conducting functionality assessment of community units using standard tools

vii. Analyzing and interpreting health data from community units after being summarized by CHEWs

viii. Validating Community Health services data in Sub-County DHIS

ix. Conducting Community Health diagnoses and research.

x. Coordinate the continual evaluation and appraisal of Community Health assistants.

xi. Ensure strong linkages and effective collaboration with stakeholders for effective service delivery within the Sub-County.

xii. Designing and developing IEC materials for Community Health services.

xiii. Establish performance standards to which to measure, competence, effectiveness and efficiency of Community Health assistants.

xiv. Promote and strengthen coordination and partnership among key stakeholders

xv. Supervise over Community Health assistants

xvi. Coaching and mentoring staff

xvii. Any other responsibilities as designated by the Sub-County Medical Officer of Health.


KISUMU COUNTY

5. PERFORMANCE INDICATORSa. No of meetings with stakeholdersb. Awareness forums with staffc. New Community Health initiatives commenced

6. EMPLOYEE SPECIFICATIONS

JOB TITLE MINIMUM DESIRABLE

Academic qualification Bachelor’s degree in Environmental Health sciences

Professional qualificationsMember of APHOK;

Senior Management Course;

Lengths and type of experience At least two years in middle management position

Essential skills and competencies.

a. Diligent and committed to undertake functions of Community Health Services

b. Team playerc. Excellent communication and interpersonal skills.d. Excellent analytical skills.e. Competent ICT skills.f. Statistical analysis and interpretation. g. Capacity to train, mentor and coach.h. Capacity to provide leadership to the section, motivate employees and

ensure high productivity.i. Comprehensive understanding of Public Health challengesj. Attention to detailk. Able to work both alone and with a teaml. Keeping records and reporting advising Public Health Officers on

environmental sanitation matters.

7. WORKING CONDITIONSThe Jobholder will work mostly in the field thus required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.


Jobholder is expected to work independently with minimal supervision from the supervisor and exercise close supervision of staff in support functions.

9. AUTHORITY, DECISION MAKING AND ACCOUNTABILITY The Jobholder is accountable for his or her decisions and actions and makes routine operational and technical decisions within the section but is expected to consult with the SCMOH on any non-routine matters. Is also expected to exercise initiative, discretion and be proactive in carrying out duties.


Date signed:





KISUMU COUNTY

XIII. SUB-COUNTY MEDICAL LABORATORY TECHNOLOGIST.

1. JOB INFORMATION

JOB TITLE SUB-COUNTY MEDICAL LABORATORY TECHNOLOGIST


Supervises Medical Laboratory Technologist and Technician

Works closely with Clinical staff

Contacts X-ray machine maintenance providers

2. JOB PURPOSE AND JOB SUMMARYThe job-holder manages and supervises the activities of the facility laboratory in accordance with established protocols and oversees the clinical tests and accurate test results.

3. TOOLS, EQUIPMENT AND RESOURCESWorking X Ray machines

4. DUTIES AND RESPONSIBILITIESi. Ensure adherence to quality assurance procedures. Contribute in the development, updating of SOPs,

manuals(job aids)

ii. Ensure equitable distribution of kits and reagents.

iii. Carries out quarterly support supervision in all the laboratory within the Sub-County.

iv. Responsible for ensuring proper usage of lab reporting tools

v. To do mentorship and competency assessment needed to strengthen skills and knowledge of the laboratory staffs.

vi. Assess the skills gaps and conduct trainings to mend the gaps

vii. To participate in EQA and IQC

viii. Conduct monthly CMEs and CPDs.

ix. Identify priorities and recommend opportunities for up scaling or replication of successful environmental health program within the Sub-County.

x. Ensure strong linkages and effective collaboration with stakeholders for effective service delivery within the Sub-County.

xi. Study and evaluate trends and the determinants of diseases within a specific

xii. Performs any other responsibilities as designated by the Sub-County Medical officer of Health.

5. KEY PERFORMANCE INDICATORSi. Number of Medical laboratory Policies and procedures reviewed, understood and implemented

within the Sub-County.

ii. Number of monitoring and evaluation reports on of laboratory practices and implementation


KISUMU COUNTY

process.

iii. Level emergency preparedness and response systems in place.

iv. Number of training programs conducted for the laboratory staffs.

v. Availability of reagents and test kits.

6. EMPLOYEE SPECIFICATIONS

ACADEMIC QUALIFICATION DIPLOMA, HIGHER NATIONAL DIPLOMA

Professional qualificationsMembership in professional body

SMC(Supervisory Management Course)

Lengths and type of experience At least two years in middle management position

Essential skills and competencies.

i. Knowledge of modern laboratory techniquesii. Team player.iii. Excellent communication and interpersonal skills.iv. Excellent analytical skills.v. Competent ICT skills.vi. Statistical analysis and interpretation. vii. Capacity to train, mentor and coach.viii. Capacity to provide leadership to the section, motivate employees and ensure

high productivity.ix. Attention to detailx. Able to work alone as well as with a teamxi. Good understanding of the Public Health act and giving evidence in court

7. WORKING CONDITIONS.The Jobholder will work mostly within the office, but will be required to travel within the Sub-County. Work may sometimes extend past working hours and into the weekend.

8. LEVEL OF SUPERVISIONThe Jobholder works with minimum supervision of Sub-County Medical Officer of Health

9. AUTHORITY, DECISION MAKING AND ACCOUNTABILITY The Jobholder makes routine operational and technical decisions within the section but is expected to consult with the SCMOH on any non-routine matter.


Date signed:





KISUMU COUNTY

XIII. SUB-COUNTY EPI COORDINATOR.

1. JOB INFORMATION

JOB TITLE SUB-COUNTY EPI COORDINATOR


Supervises Immunization Services in the Sub-County and Nurses in the Sub-County.

Works closely with All health staff

Contacts Sub-County health staff

2. JOB PURPOSEThe Jobholder is responsible for coordinating delivery of promotive and preventive health serviceswithin the Sub-County through immunization services in the primary health facilities, outreaches in hard to reach areas and immunization campaigns.

3. TOOLS, EQUIPMENT AND RESOURCESSub-County EPI Program

4. DUTIES AND RESPONSIBILITIESi. The Jobholder works closely with the Sub-County Medical Officer Of Hto plan, organise and coordinate

immunization services within the Sub-County.

ii. The officer is responsible for the development and implementation of the Sub-County immunization micro plans.

iii. Organises and coordinates Sub-County immunization stake holders meetings

iv. The Jobholder is responsible for quantifying and forecasting of EPI commodities which includes the antigens and non pharmaceutical for the facilities in the Sub-County.

v. The Jobholder also carries out periodic monitoring and evaluation of immunization services through performance review meetings and analysis of reports.

vi. Supervises Health care workers conducting immunizations, provides guidance and mentorship to them to ensure that quality service is provided.

vii. Organises updates, trainings and CMEs for Health care workers on immunization.

viii. Compilation of monthly immunization reports and forward to the Sub-County Medical Officer of Health and to the County.

ix. Ensures availability of commodities to the facilities e.g. vaccines non pharmaceuticals and equipment on regular distribution basis and on need.

x. Participates in teaching and evaluation of students and qualified staffs on orientation posted to the Sub-County for practical experience.

xi. Works closely with the Sub-County Disease surveillance officer to monitor any adverse events following immunization and mobilise for necessary action and report accordingly.


KISUMU COUNTY xii. Carryout any other Duties and esponsibilities as assigned by the Sub-County Medical Officer of

Health and County Health Management Team.

5. PERFFORMANCE INDICATORSi. Number of monitoring and evaluation reports submitted on timeii. Availability of essential commoditiesiii. Number of EPI forums organizediv. Percentage level of implementation of EPI Programmes

6. JOB SPECIFICATION

QUALIFICATION

Academic Bachelors Degree in Psychology

ProfessionalRegistration by the Nursing Council Of Kenya.

Additional training in Basic Epidemiology

Experience Three years experience

Essential skills and competencies

a) Ability to work with others as a team player

b) Ability to understand human dynamics and how they affect performance.

c) Ability to analyse performance in relation to set targets.

d) Ability to set targets and work towards achieving them.

e) Capacity to mentor , train and coach

f) Good understanding of the challenges entailed in the Nursing practice.

g) Supervision skills

h) Skills in monitoring and evaluation.

7. WORKING CONDITIONThe job entails working within the office and in the field attending to issues arising from facilities regarding immunization and cold chain.; May work past working hours and at times into the weekends.

8. LEVEL OF SUPERVISIONClosely supervised by the Sub-County Medical Officer of Health and Sub-County Health Management Team.

9. AUTHORITY, DECISION MAKING AND ACCOUNTABILITYMakes decisions in consultation with SCMOH and the officer is accountable for the decisions he or she makes.


Date signed:





KISUMU COUNTY

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