NPO法人HANDS（ハンズ）｜NPO法人HANDS（ハンズ）Title untitled Created Date 5/7/2008...

Final Report SAMOKIKE March 2008

��

��

��

! 20" 3# 31$

%&'()��*+

HANDS

� � � �

Report No. HANDS/ XIV / 2008 Period covered from 24th March 2005 to 31st March 2008


� �

,- ....................................................................................................................................................................... i Map of Kenya ........................................................................................................................................................ ii Project Site............................................................................................................................................................. iii Project photos ........................................................................................................................................................ v ��/�� .......................................................................................................................................................... xi

./ ....................................................................................................................................................................... 1 0 123 ��4. ............................................................................................................................... 33 1.13 ��567 .............................................................................................................................. 33 1.23 ��589:;��?@........................................................................................... 3 3 3 1.2.13 ��589 ....................................................................................................................... 3 3 3 1.2.23 ��5��?@ ................................................................................................... 4 3 1.33 ��ABCD .......................................................................................................................... 5 3 3 1.3.13 ABEF ........................................................................................................................................... 5 3 3 1.3.23 ��G(CD ................................................................................................................... 6 3 3 1.3.33 HI�J�KLM ........................................................................................................................... 8 0N23 ��AO ............................................................................................................................... 103 2.13 ��PABQRSTU!VT&5RW5X�YZ........................................................... 10 3 2.23 !V>F[��4.\]!^\_`abc............................................................... 12 � � 2.2.1� !VdHC�� ..................................................... 12 � � 2.2.2� !VeHC�� !�� ......................................................................... 18 � � 2.2.3� !VfDHMT"#$%&'()� HC*�+,-./0�12�3456�7�......... 31 � � 2.2.4� !Vg89:;1<��*�=>?@A�BC6�7� .................... 34 � � 2.2.5� !VhDEFG�0�12"HC,� #HIJ'�KL56MN ��7� ..................... 38 � 2.3� ijAO .................................................................................................................................................. 41 � � 2.3.1� ��klmnAO ........................................................................................................... 41 � � 2.3.2� opqrsAO ............................................................................................................................... 41� � 2.3.3� EtuvAO ................................................................................................................................... 41 � � 2.3.4� Bw:;wxijAO ................................................................................................................... 42 � 2.4� �yz{:;��z{5]!|}....................................................................................... 44 � � 2.4.1� ��z{]!5RW5~..................................................................................... 44 � � 2.4.2� ��z{5]!^ ........................................................................................................... 45 � � 2.4.3� �yz{]!� ................................................................................................................... 45 023 > ........................................................................................................................................... 46 � 3.1� > .............................................................................................................................................. 463� 3.2� 55 .............................................................................................................................. 47023 PDM5.......................................................................................................................................... 49 023 ............................................................................................................................................... 51


i

O� � � � � P

QRSTUVWXY HANDS"Health And Development Service'ZM[\ 17] 3^)_M`aBbXYcde!Nf"Japan International Cooperation AgencygJICA'Mhi�;�jkc$%l"the Ministry of Health of the Republic of Kenya'�e!�mnM�;�opqr$%st��uvwxyz�“Project for Improvement of Health Services with a Focus on Safe Motherhood in Kisii and Kericho Districts”{3]J�|}~7

�;�c$%lZM$%l�|} INHSSP I (1999-2000)��M��"MHC�n7'��st#HI��st*�DEFG�0�12�fM$%

l�|} II; NHSSP II (2001-2005)�ZMnM)_89:;1


ii

Map of Kenya


iii

Project Site

q+g� ;,*-á0¯#

�

�


iv

q+gDEz)�-�D° �#

�


v

Project photos

Maternal Care

./Æ01¡g2y��

"á0¯M34567�./'7�

st89�:�g\Y;µ


vii

Health Centre Management

uvwxyzá0¯-�D° �c#(:�

56d�Ðef7

*;�"gvhv-'*�J0iB7á0

¯-�D° �c j.kl O)��mn7�

j.kl O)�()�stéo./pq

"á0¯-rEF6F�./'7�

stuv J0pq7w¯v\z ./� stuv~x

yzV"�D° �M/=5>?5@5A�./'7�

:�56 .3t {�ÈV;|"á0¯MrEF6F�

./'7�

./ �\E* .3t ��(��éo{B

jkr3G"�D° �MtE}7~5D�./'7�

�


ix

Community Activities 89:;1


xi

��

�� k-k�

ANC Antenatal Care ��%¦

CDC Centers for Disease Control and Prevention cH��

CHANIS Child Health and Nutrition Information System �0�12

CORP Community Resource Person q�Y

DCO District Clinical Officer #s

DH(s) District Hospital(s) #HI

DHAO District Health Administration Officer #$%&¡

DHEO District Health Education Officer #$%�º

DHMT District Health Management Team #$%&¡T¢£

DMO District Medical Office #$%&

DMOH District Medical Officer of Health #$%&¤

DMRIO District Medical Record and Information

Officer

#$%¥¦�

DPC District Project Coordinator #$%uvwxyz§K

DPCC District Project Coordination Committee #uvwxyzj_¢£

DPHN District Public Health Nurse #$%¨©L

DPHO District Public Health Officer #ª«¬

DRH Division of Reproductive Health Duv®y1


xii

PHO Public Health Office ª«¬¯

PMTCT Prevention of Mother-To-Child Transmission of HIV HIV¿ÀÁÂ±²

PNC Postnatal Care ��%¦

PROTECO Proposal-type Technical Cooperation ��

RH Reproductive Health Duv®y1


1

È� � � � � É

¬uvwxyzZM·ÊÐ?��µ¶wOz��{ËÊ��34nÌ

MÍÙ�\õ�Î\56�¼nMuvwxyz�³�Î\56�ÓÙ»6�75Ù�\õnZMÏ 1( HC��MÏ 2( HC��µ¶wOz��MÏ 3(#Bb��µ¶wOz��MÏ 4(89:;1<��MË��(M89:;1


2

nnm(MÓÈ?ÕÖýþ"z�;Ã'{N�w�z(B¼n��567¼�¼n

()_Muvwxyz��MN�w�z�o�\õ9÷�{��N{�ý

�¼nn?Ê7


3

Ï 1�� uvwxyzáÈ

1.1� uvwxyz��q

�;�opqr";,*-hiDEz)�-�p'ZMµGD�Ä HIV/�¯��ÁÂ�d»MY&(×�À¬Z?»M$%stZ�4�?Ç��ï{�ý�7Ë�

)?xy�M�;�bìZ�c¹$%stb� 1999�2004"The National Health Sector Strategic Plan 1999�2004'�{�RMqª*��ú¢�MY£�=æ�{È¯ï(¨©MHC ��st#HI��st*�DEFG�0�12�fMhisº»-N9��;m��

µ¶wOzN {Ý(Mqr$%st��{�é�7

�;�(½��ZM¥ 10 �ú(@ 1,000"WHO,UNICEF,UNFPA�2000'n�56½_M�mÊnm�c�Ùâ�7��%�ZM¥�Ö�þ�¥

?Ç��!ð"â��MË��q(ZMÏ(��#$ÄÆ�Ð�Ç"TBA'�%&?'({)*´?ëMstN¹*�+û§¦�,6�â�¼nMMHC ?ÇÏ�$%st(½��·¬Ð?�!��ÄDEFG�µ¶�êLMËHI(½��-.Ð�!��/0Ù

=>(Ý:56?n¼n�â©6�7

M@"qr��(¹��æ1?Q�Z?�M_qr{�� 2-�Ñ2Z36.03â_MÄc[4â� 40.13n×Ø5é6"Kenya Demographic and Health Survey 2003'n?Ê�75(M503��¥��#7BC6�¼nM89:;1


4

�1-1guvwxyz@"$%�

2005]�2006] 2007�2008]

# �� # ��

Iranda� HC Iranda� HC

Kiogoro HC Kiogoro HC

Marani HC Marani HC

Ibeno HC

�

zG�

á0¯

� Ibeno HC

Riana HC Riana HC

Riotanchi HC

��

á0¯ Riotanchi HC

�

�

�

� á0¯

�

�

� Ibacho HC µ�) Ibacho HC

Ainamoi HC Ainamoi HC

Sosiot HC Sosiot HC

Sigowet HC Sigowet HC

Kabianga HC Kabianga HC

Chepkemel HC

�

�

�D° �

�

� Chepkemel HC

Kipkelion HC Kipkelion HC

�

�

�D° �

�

�

� Fort Tenan HC

á\u

�DP Fort Tenan HC

1.2.2� uvwxyz�VWûJn�A

¼�uvwxyzZM� 1-2 (Q�)( 3 ]J{ 4 û(Ñ�~|}f\56MEûRn(\õ-VW�zS{~MTû��UV56�)ë�7

Ï 1ûZM(uvwxyz¡D�;LMhi·Ê§W{~MóX(YZ[�VW�A��R{~7Ï 2 û(�MHC �Æ0nKLMhi��¹×�\»:�{~M·ÊÐ?L�Õ~{+Ê7Ï 3ûZM�\EJ0hi89:;1


5

� 1-2guvwxyz~ûJ

û ûJ ?VW

Ï 1û [\ 17] 3^)_[\ 17] 11^ ·Ê§W�~MEJ0;LMgQ� HC hi89:;1


6

+ 1-1gòàc~N¹n�×Ø

1.3.2� uvwxyz¡Tµ¶�

1'¡D¬uvwxyzZMá0¯# 5»��Ì�«I�


7

6MSAMOKIKEuvwxyz¡Dn7

2'¡D�\Ef\¬uvwxyz�«¬c�ð§KnMHANDS wx¡D�uvÃG2PE


8

+ 1-2guvwxyz°�2f\

1.3.3� ¶\z�áÃ3

T�n½_MÅuvwxyzZM�;�cM$%lnj_~µ¶{nÊ½_Muvwxy

z�Ó\M|}M~(½M�j9ÄNzpv�ë($%lhiuvwxyz�uvw

xyz¡T¢£{´"À 1-3 mO'7EûRn(M$%l��Muvwxyz~|}�j9M��(ZÓÒVW�nnm($%l�NzUV{_¸6?��û|

}*n®g5ñ"¡¦ZMÀ 6mO'72007](¸_MBbn�×ØMQ(qªÑ��56�MÝn?�´-��n�×Ø�5nUl{(MÏûZ-$%&*�×

Ø34{�³(Muvwxyz^J��\nÝ¥{�ë-$%&hiM$%l*�

�

��

��

��

�¯°±�kÓÔ

Õ��¸ÃÖ�«�ºL

�3

ÝÞEßàLÃºL�

GÜ¶3

U��áâZ

��

�� !"#$�

%&'()*+,-./0

12 3�45678!"#$

%&'()�

*+,-./012 9

:;?*+,!"#GÜ¶3

U áâZ3

SÙÚÛ¶3


�3


�3

ÝÞEßàLÃºL�

GÜ¶3

U��áâZ

��@A�

K«¬kÓÔ

×�3


�3

��@B�

«¬Y½¾¹ óq�\E�


9

�{RûÐ(~7;,*-Z$%�yEh��MuvwxyzVW�u

1�0 �{§�M\õ�õhôõ�Înþ´»ÙaÊ7

"'$%l~56uvwxyz¡T¢£

a)� c¹ð_uvwxyz¡T¢£()�gÍ"Joint National Project Steering Committee: JNPSC'-� lM$%l¡�Mst��&¤M±²¯¤M$%lDuv®y1


10

Ï 2�� uvwxyz~¤

¬uvwxyzZMPDM"Project Design Matrix' �|}56\õÎ\(��M¥µÐuvwxyzVW�|}56M~56´7¬�ZMÒuvwxyz~§W"2-1'(ÙáMË��uvwxyzR56\õ(¦ÊM¹×uvwxyzVW�áÈMé³

(@��Î\§M¨©M��¯ï(Ù"2-2'MË6�uvwxyz£¸nnm(ª¸56ÀN9~¤"2-3'M��(¼6�uvwxyz()�£¸hiª¸�õn�Muvwxyz�³M�«�³�Î\(Ù�7

2.1� uvwxyz~§W"\õWR�ë��¬'

¬uvwxyzZM@û� 1ûhi��ûâ�Ï 4û¸��(�MuvwxyzVWn[BM��M ��µ¶wOzM 89:;1


11

HM¹²20052007

� HC Assessment Survey

� HC�³�� HC�³xy� HCMC�VWxy� DEFG��³�

� HC(½�� HISxy� sº»��xy

� DHMT ��w��w �xy

� HANDS½¾¹()��MS³Ì©()��

� HANDS½¾¹()� HC�\E"n¯°,�w'*�

¯�:�

� DHMT O)�*�¯�:�

2007 � 5S1K Performance Assessment

� HC � E p ´ �5S1Kz ~xy(Ù°x\yD�z

{;��

� DPHN()� HC�MS³Ì©� DPHN()� HC�M̄ �:�"¨©L, ¯°,�w'

2007 � HISPerformance Assessment

� 5 Monthly Reports�Ï(ÙM°x\yD

�z{;��7

� HC� HIS~-V;xy(Ùn

��EF¯D

ÃMHIS{�È / DEFG��u�

V;§7

� °x\yD�z{; DMRIO()�û�z�A�1)

� DMRIO()��()�S³Ì©

CA¹²2005 � Community

Assessment Survey

2007 � Community Impact Assessment Survey

� ¥�-º(Ù8

9:;1


12

2.2� \õn¹×uvwxyzVWáÈMÎ\§M¨©¯¯ï

¬�ZMPDM(¥»56\õ�Î\�ë(~56uvwxyzVW�áÈhiMË��õMóÖn?Ê�¯wyzM¯ï(Ù�7?½MJ0MÈ?�¥¼

¢éM?�A(ÙZMÀ"1-1. Training and WorkshopM1-2. Community meeting and CampaignM1-3. MC and Stakeholder meeting'mO�¼n7

2.2.1� \õ½HC��

\õ½gHC��¾é³¿

� ÀÁ¤�{Ý:�� HCMHC�\E�é"Úð'�n� ��|ÂÃ"Maternal Death Review: MDR'�õÂÃ�é� J0��¢�ãéME HC��¢é� Ehv��\u~é½)iEhv��\u{§��J0¢éMð��

� 89:;1_Ç-È�0fMwx¶��:�{BÊ7¼�0f

1¡(ZMqr]^{ÉÊÐ(Ë´ÌèMqr]^Z0fð�g;DÃ{BÊ7

ÍM stN8�:�"Ï 2û'@"n�� HC n#HI*��(ÓÈâ�stN8�:�{BÊ7:�56stN8

ZM¦íN8" Î|MµÏ|Mµ|MÝÐ


13

ÞM National Package (Essential Obstetric Care) J0� "Ï 3û'¬uvwxyzZMM$%lM-$%&Mhi#$%&�Duv®y1


14

ii '½¾Ð��T� 2.5 «�·¬Ð��M¤�LZ½¾Ð��J0{ÌÍ7J0��A

ZMæã�ô-Ñ2-��Mà��MÁÂ±²M�!íì@A?ÇâÊ7½¾Ð��

��ZMQ(M�� HC Ñ2��Ý:{@ë�ë�;LnMæãÑ2�£¤�õM£¤�ë�ÓÈ\»�;L�1){BÊÊ7J0�(ZMDPHNMuvwxyz�\E�E HC{�MÓÈ?Ehv��\u{BÊÊ7

5) stN8��J0"Ï 4û'Ï 2û(E HCn#HI*��(ÓÈ?stN8{:�MÏ 3û(Q(O1÷��Ó

Èn56�stN8"\Y;$¤-µ|MÀ:;µ|MÛÜÝ�|MÙÚN8M Î|MÝÐ


15

� 2-2g� Partners Workshop¤�L{@"nMu1�zMû�z1�z��õ

3CD�ID 1 2 3 4 5 6 7 8 9 10 11 12 Average Highest Lowest

Pre % 49 39 44 50 59 50 63 59 61 44 56 54 52 63 39Post % 75 70 66 76 71 71 68 77 82 74 80 79 74 82 66Balance 26 31 23 26 12 20 5 18 21 30 24 25 22 19 28Pre % 51 63 54 56 59 40 51 61 50 60 54 56 54 63 40

Post % 67 71 79 66 71 74 62 78 65 88 79 75 73 88 62Balance 3E F 9G 33 3H HI 33 3J 3G 9F 9G 3K 3F 9G 99

9LM�ID 1 2 3 4 5 6 7 8 9 10 11 12 Average Highest Lowest

Pre % E3 E9 FN J3 IK EI JF EF GI GF E9 JH 65 80 49Post % 79 77 85 84 82 80 80 78 67 68 77 77 78 85 67Balance 18 14 5 13 33 16 2 9 13 11 14 4 13 5 18Pre % JG IK JH 9K HI JF JH GG GI GE GI 57 78 29

Post % JF FN JI EN GJ KI JG EK J3 JJ J9 73 94 57Balance H H3 3 H3 9H 3E 9 3I 3J 93 3F 3E 3E 9F

HOMID 1 2 3 4 5 6 7 Average Highest Lowest

Pre % JN GG GK IG EN EN JF E3 JF IGPost % FI JE FE F9 FH F9 KE FI KE JEBalance 3I 93 9J HJ 9H 99 3F 9H 3F H3Pre % 63 77 56 33 65 56 GF JJ HHPost % 75 85 71 56 78 78 JI FG GEBalance 39 F 3G 9H 3H 99 3E F 9H

PQCQQ

PROQSTU

PQCQQ

PROQSTU

PQCQQ

PROQSTU

� 2-3g� @" HC�¤�Lé

Kisii Kericho

2005 2007 Increase or decrease 2005 2007 Increase or

decrease Ibacho HC 3 4 � Ainamoi HC 6 6 �Ibeno HC 7 6 � Chepkemel HC 3 3 �

Iranda HC 3 5 � Fort TernanHC 2 2 �

Kiogoro HC 4 5 � Kabianga HC 1 2 �Marani HC 8 7 � Kipkelion HC 3 2 �

Riana HC 6 5 � Sigowet HC 6 6 �

Riotanchi HC 3 4 � Sosiot HC 4 4 �average 4.8 5.1 � average 3.6 3.6 �

ÍM ��|ÂÃ"Maternal Death Review: MDR'�õÂÃ�é��ÂÃÙZMPartners Workshop( HC�\Enqr]^(@{BÊ7

~(ÙZMqr��(Ù��Z~âÊ�M��âÊn

��âÊ HC*Z DPHNn�MHC�\EÄqr]^n�ð{mÊ7

ÞM J0��¢�ãéME HC��¢é¼6M��(¹��J0"National Package, Partners Workshop'{§�¤�L�éZM

c#nm( 22Mð| 44âÊ7¼6ZM2007]�uvwxyz`#�§W()�ná0¯


16

ZÄµ� 613M�D° � 883âÊ"� 2-4mO'7HC�\EZÔ�*�ýWmâ�ëMJ0{§�¤�L�@" HCýW(?�¼nmâÊ7

� 2-4g� Kisii Kerichouvwxyz��(¹��J0{§�¤�L

Kisii Kericho Number of total staff who attend

trainng "2005-2007'

Number of total staff

(2007)

Number of staff who attend

training (2005-2007)

Number of total staff (2007)

Ibacho HC 4 4 Ainamoi HC 4 6

Ibeno HC 2 6 Chepkemel HC 3 3

Iranda HC 4 5 Fort TernanHC 2 2

Kiogoro HC 2 5 Kabianga HC 2 2

Marani HC 5 7 Kipkelion HC 3 2

Riana HC 5 5 Sigowet HC 5 6

Riotanchi HC 5 4 Sosiot HC 3 4

Total 22 36 Total 22 25

æM Ehv��\u~é½)iEhv��\u{§��J0§à¢éMð��

Ehv��\uZMË6#6��J0��(�BÊ7MJ0(mn´?Ê

¤�L(Zuvwxyz�\E�MÀ{��MZYéo{BÊ7ð(¹ZMuvwxy

z@ nMÑ2²Ñ2(@A��ë�;L�ÕÑ(¥�?Ê HC �µ¶{Ký�� HCÑ2*�@A�¥��)(?Ê7

sM 89:;1


17

M2005]§�89:;1


18

2) ]^n HC�\E�è(?ÊÄstN8�ÄÜ��uvwxyzZMHC�0f1¡(]^{Ë´Ì�´7��mM]^�ÉÊÐ?£¸()�M

HC �ÄÜ-��ÓÈ(?�7MstN8(¹ZMÄ?Ç�°±»�§Îm1~(´�)(?�ÓÈ�â�7¼6(ÙZMIGA(�6·¸°±»{ö¸��?ÇM]^n�×Ø�î?��ÓÈn?�n¨ý6�7

3) qr]^n HCn�òå;�� uvwxyzZMd»�VW(qr]^{ÉÊÐ(Ë´Ì�´7Q(M¤�Lnqr]^�

è(��(ÙVßM��J0"Partners Workshop'Z}ûÐ?J0n?Ê7¼�J0Äuvwxyz�ç[?VW()_ HC �\Enqr]^��¹²Äòå;Z3»?Ê7¼�VWZuvwxyz�Ôqr(mùë6�´â_MEq�ÉÊÐ?��6�7

2.2.2� \õ�HC�� !��

\õ� �-1gHC��¢�� !��¾é³¿

� �� !(¹��J0{§� HC��¢é� 89:;1


19

ÍM 5S1KJ0 (Ï 4û)5S1K J0ZMJICA w�p�EDNqr+,¡Dé}§W£$%st"ùr' M��

��éo�mnMá0¯-�D° �c#�@"Ä HC"14 CD'� 5S1K ~nË6()� HCµ¶wOz��"Q(sº»��M½)i� \!��'MDHMTO)��éo./ !��{�Ð(~5675S1K� HC�~ZM� 2-8(Q�n½_M3Ù�Ú?�¯u�J0"� 2-7'{"#Ð(~��¼nMôõÐ(Ä HC�~�ë6�)+67o¸;LJ0nw¯v\z HC*�J0Z_«(M5S1K�y0 \uZMw¯v\z HC�~�õ�¥��{$BM�n�J0�ÉC^�(~7 J0(ZE HC ��( �¢nM�D° �Z HC ¯°,�w($sL), á0¯Z¨©L�E HC)_ 1YÒÙmn7J0��MÄmn¢�5S1Kµ¶w,��n)R56MË��E HC� 5S1K~éo{B¢n567J0~�Muvwxyz�\Ehi DHMTO)�()_ 5S1K�~xyZRûÐ(Ehv��\u56MôõÐ?~n?�)+67

� 2-7g%Ù�Ú?� 5S1KJ0

J0¯u @" àL �A

o¸;L

J0

DHMTO)� �� 5S1Káâ�&£MHC*�o¸(Ù�Nzpv7

w¯v\z

HCJ0

DHMT O)�hiw¯v\z

HC�\E

�� 5S1Káâ�&£M�Ð©hi~XD��R7

5S1K�y0 \u

@" 14 HC��\E

DHMTO)�Mw¯v\z HC(�¢MHANDS �\E

5S1Káâ�&£MË�ôõ(Ùw¯v\z HC �¡|{mn(NzpvMw¯v\z HCÐ©ME HC� 5S1K~(��y0 uG\

ÞM ÍS1K 81�zg81�zÓ'Ehv��\uJ0"Ï 4û'5S1K�y0 \u��É 3ü^�"E HC� 5S1K~É 3C^�'MDHMTO)

�()_ 5S1K �~xy�WR�BC6"uvwxyz�\En DHMTO)�()_E HC{�Muvwxyz®“5S1K Performance Checklist”{;WR'MË��õ{mn(M81�z�Ó'M5S1K~�Ehv��\uJ0{~7@"E HCM5S1Kµ¶w,�"T�J0mn¢'�mn781�zZM5S1K~\õ{E HC×ØM()&£��¼nMÞwEh�µ�{Q HC nË?Ê HC n�*�1n?_M��ÌÍÐ~nî?��*�WN�{ôõÐ(B¼n(®7


20

é³(@��Î\§

uM �� !(¹��J0{§� HC��¢ést��./hiÏ��(¹��J0hiM5S1K ¹×J0(mn HC ��¢éZ+ 42

{,ý�75S1K 81�z��(BÊmn¢*��z�õZMXÎe��nÁm�-(Ù�.ýZM��z(.Ä�mn¢�“ yes ”n.�7¼�¼nZME HC� 5S1K~ôõ{Q�m�â�7M5S1K~Ë6#6� HC{5(��5ñ��¯Q 37.53 9.43%Å�º�Ý: 34.33 28.13=>?2�:¼ 15.63 3.131�:¼ 12.53 03

��:¼xy 6.23 03 *Æ?�ÓÈn.ýÚð (w�1�w�5õÇMÆ?�ÓÈ�?¼n{Q�'

¥DgAlmaco 2007

Æ?56��B»Ù��Z"LM�=>'MË�Ô�J0Äuvw

xyz�N9:�()�n¼2mþ´�MË6{=>(ÄÜ-��M89:;1


21

¨©¯¯ï

� "#Ð? 5S1K�o¸n~HC��¢�� !��(ÙZMHC��·¬áâ(ÙÏ 3ûJ0{BÊ¼n{

·Ê(MÏ 4 ûZË�A;n)_~4Ð? 5S1K J0�~567¼�)?OJ0{BÊ¼nMJ0\õ{1~(~4(V�¼n�´MË�¼nM��¢�¶*��è

?ÒM~d� HC ��xy�Æ?{z�¼n�¥�7Ë�Z89:;1


22

-MMombasa#MAga Khan Health Services()_~� HIS and Health Report Improvement Project��¯zzVhiuvwxyz¹²¢n�Nzpv�BC67¬�QmMc# DMRIOZ HC�� HIS��ë�¥µÐàX{Vß¼n�¥�nnm(Má0¯-�D° �c#� HIS�¯ïMË6(@��@!ªX(Ù¥µ4¨©´�)(?Ê7

ÍM HISJ0"Ï 3û'hiEhv��\u"Ï 4û'¬J0ZMHC �\E(@� HIS !��{�ÐnM�¥ DMRIO ��Q


23

� 2-9gHIS{�È|"HC:�Ñ'

WROCUL�QL�STXOYRZTQC�[ULDT

\��V

]LMRO�G

^_RO�G

`XaQbc�dbXLLQLY

�LDRLXDXb�SXOR

WUCDLXDXb�SXOR

W[ZeZ

�RbQ_ROc

faagLQhXDQUL

`fe

fLdXDQRLD fLdXDQRLD

[XbXOQX

iRjROOXb

�RXbDT�ZXbk

lXmUOXDUOc�ZRCD

eUbbRSDQUL

nodRLCRC

�RXbDT�fLjUOaXDQUL�pUXOM��qqq��eeXSTaRLD�WUdgbXDQULrrrrrrrrrrrrrrrrrrrrrrrrrrrrr��ep�srrrrrrrrrrrrrrrrrrrrrrrrrrrrrr��eTQbMORL�gLMRO�3�cRXOrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr

�etC�XSDQ_QDQRC�

rrrrrrrrrrrrrrrrrrrrrrrrr�^Zfenu

^gDdXDQRLD

[XDROLQDceXOR

^DTROC

`f`�

æM HIS 81�zg81�zÓ'Ehv��\uJ0"Ïû'HIS 81�zZ�¥ 1'�3'� HIS��ë�J0MË�Ô�£¸\õ�_nëMË��

�ÌÍÐ HIS��ë�VW{WN��Ð~56781�z�@"ZMuvwxyz@"n�� HC�Ä 14 CD"á0¯FM�D° �F'MHIS Ehv��\uJ0�� 3 C^JMHC#(Ý¥56Í´8� Monthly Summary Reports"OPD, Workload, CHANIS, EPI, RH'�¥»�A�ÏMË6�û�z�$�xôMHIS {�È-DEF�G��u�V;xy�81�z;(WR567¼6�WRZ“ HIS Performance Checklist ”"uvwxyzn DMRIO()Ê\'{V;é<�õ{Q�¼n()ÊMÄ@" HC �WR�õ{1(×Ø´�)1=567WR(âÊZMDMRIO#�@" HC{S³rME HCË�xy{S³°x\yD�z{;1)?�BC67M81�zZ 1 «�J0Ó'~56MnDMRIOWR�õ{E


24

2) ôÐ?¥¦�¥¦��ô4(ÙZM uvwxyzZd»{Î\ý?Ê7?�MHIS

{�È�o¸ZM¼6�^në(#(T^��{nëû�z"Monthly Report'{Ý¥��nMË��Ë6��{zS�N{Ü?Ê HC �õn�ÇâÊn¼2{MHIS {�È(¥»ã(�(Ë�)?�{Q½»¼nM�{në�\E�è?ÒM

Ô��\EÄ89:;1

úû(éý�¼n�¥��)(?Ê7¼�Z¥¦��ô4(Ù?�Ê|â�ný�7

3) HCn DHMT()�U;§HIS � HC �V;xy(ÙZMHIS {�Èo¸()_@Êý_â_M~d(Q�

�{V;M��Ä��Ï��(�iÙ��"#(Z?Ê?7?�M

HIS{�È�o¸Z?»nmË�Ï 1@n?Êný�7 DHMT()� HIS�U;§(ÙZMDMRIO� !��(ËM�^��{Ô� DHMTO)�nj9��?Ç�VW�BC6�)(?Ê��7|ýýM��Ç¼� HC®^ZMË��{ DHMTO)�j9M=>?Ehv��\u{ A HC (@B?Ç�VWâ�7¼�)(MÒÙ�{��Ä��Ï��(�iÙ��VW�BC6��"��|Â

ÃmO'7

4) g;DÃ��*�U;g;DÃ��*�U;(ÙZMuvwxyzVW��Ö(½Z¥µÐVW(�iÙ�

�¼nZ¥�?Ê7¼��{è�(Z 3]J�uvwxyzûJZèÑZ?ÊnCù�{�?7?�M×� DMRIO *�J0nË� !��Mhi HC �\E� HIS(¹× !��{|ÊJ0�~()_M��î?� HIS��ë�·¸ZèÑ(¥�n¨ý�7Ë�NB��¤ûÐ( HIS��*�VW�Í�6�¼n()ÊMg;DÃ��*�U;nÊ HIS�A;ÐV;mC n?�¼n�


25

N

3

9

H

I

G

E

J

PQCQQ

PROQSTU

PQCQQ

PROQSTU

PQCQQ

PROQSTU

PQCQQ

PROQSTU

PQCQQ

PROQSTU

PQCQQ

PROQSTU

eULjQMRLSQXbQDc �dXSR �TRb_RC `QbRC �DXDQULXOc `RRMmXSk�jOUa�[if^

9NNG

9NNJ

Source:� HC Assessment Survey 2005 and 2007

+ 2-2g HIS¹×Îe-xyc4 (2005 – 2007) Number of HCs which were judged ‘good’ or answered ‘yes’ for each criteria

¨©¯¯ï

1) HIS��(��-.Ð�uv�°HC (½�� HIS ��(ÙZMË��{D��èÑ?�{�¼n�~â_M

1?��§ð{Q�¼n�´?Ê7?�MÒ#(½�� HIS{D�È��aX

â� DMRIO � !��{+_MË�� HC �\E*�J0~MË�Ehv��\u{BÊ¼nMËË��(M�E{~4(�ë�¥µÐ?à÷èn� HIS{�È�o¸MhiDEFG��uo¸{BM��(Ë�\õ{WRM��ÌÍÐ��*�N*�

{+�MnÊ-.Ð?�uv�°�£¸{BÊ¼nZMË��(��ôõÐ?m�â

Êný�7

2) DMRIOo()�î?�# HIS��M×�£¸MQ(Ï 4 û(¸Ê�J0{Ýn?Ê~´ DMRIO ZM��

mèÑ(#�� HIS��(��VW{~B» !{Fý´ný�7Ë�NBM��Muvwxyz��m DMRIO()�@"E HC� HIS�î?��û�zM5(ZË�Ô�st"Q


26

HIS0�12o¸�÷è6��â_MË�)?VW�?�D° �"DEz)�-'nZM0�12�Ú?__Ö�J0~(~�ËÊ7Ë�Zxy�Ú?� 2#�uvwxyz~��mâÊ7

\õ� �-3gHC�sº»�� !��7¾é³¿

� ·¬Ðsº»��"zHØ>�¥¦Msº»�$��xy'

� sº»8�zH>6

� HC�tP¯ÈG¯(·Û»!ª�Úð¾¹×~uvwxyzVW¿

� sº»��J0

� 5S1K J0 (I)� 5S1K 81�z"I'

¹×uvwxyzVW�áÈ

uM sº»��J0"Ï 3û'sº»��J0ZMHC �\E(@sº»��·ÊÐ¶*{�ý�¼n{�Ð( HANDS 1

y;N��È)¯*�{Ý(567J0ZMá0¯-�D° �Ë6#6 3«ÒÙME HC 1"¨©LM$sL'�mn7HC�J0mnYéZ 13"á0¯-�D° �c#'âÊ7

?½M¬J0ZMÏ 4 û(~ 5S1K �·¬áâ�&£mBC6MË�� 5S1K �sº»��·Ê{»m�n?Ê7

2)M3)� 5S1KJ0hi81�z~ÙZM�-1(½��uvwxyzVW�AmO�¼n7

é³(@��Î\§

1) ·¬Ðsº»��"zHØ>�¥¦Msº»�$��xy'·¬Ðsº»��(ÙZMsº»��J0�E HC �Æ?�÷è�z6m��MË

�Æ?�§ðZ HC Rn(Ú?_MèÑ?m�âÊnZý?Ê7?�MË��Ï 4 û� 5S1K ~hiË�\õ81�z(dZME HC nm(NIÐ(sº»JH�Æ?�÷è6Md»� HC sº»JH��(}ûÐ��z67|ýýMº»H�K�KK��¼n()_M�;ûú�m��;��)(º»L�K�{_MzHØ>ÄzHN

�È{Ë6#6�L(��?Ç�1=�?56�)(?Ê"()mO'7

MHC Assessment Survey�õ()�n 2005]uvwxyz@Ön 2007]uvwxyz��T�@" 14HC �sº»H�xy{1)ZM��V;xyM�wMM§MLMá:D1<Ä��Má0¯-�D° �nm(��z6�(+ 2-3)7


27

� � �

()g� 5S1K~Tº»H"N'M~�"O'MChepkemel� HCMKericho

N

3

9

H

I

G

E

J

PQCQQ PROQSTU PQCQQ PROQSTU PQCQQ PROQSTU PQCQQ PROQSTU PQCQQ PROQSTU

�dXSR �bQYLaRLD �XOkLRCC �TRb_RC �RSgOQDc

9NNG

9NNJ

Source:� HC Assessment Survey 2005 and 2007 + 2-3gº0H��xyc4 (2005 - 2007)

Number of HCs which was judged ‘good’ for each criteria

2) sº»8�zH>62007] HC Assessment� Survey�õ()�nM2007] 12^ózMsº»�zH>6«éZ

�"2005][4 43«�2007][4 20«'7PM¼6ZMHC*�sº»:¼0�12�cî(Ëm�"M�#�HC� MM�HCncCÊ'()�m�n¨ý6MuvwxyzVW��n�c4nZ�pÑ�d7

3) HC�tP¯ÈG¯(·Û»!ª�ÚðHC�tP¯ÈG¯(·Û»!ª�Úð(ÙZM1?§W�õ�?7?�M

E HC~d(�C6�tP¯ÈG¯é(ÙZM� 2-10(Q�n½_M2005]hi 2007]á0¯-�D° �c#� HC (½n�z6½_MP¯ÈG¯��;nË6(·Û»=>?!ª�Úð�n�¼n�zÌ6�7çM¼6�P¯ÈG¯(ÙZM

¬uvwxyz:�QG(U;{ö´m�Z?7Ë�NBM¼�c4(ÙZM

S³Ð?uvwxyz�ôõnZ��7PMJ³Ð(ZM´[�J0()� HC �\E


28

� !��(ËMË6�µ;:��m=>(�;-��´�)(?Ên¼nZ±Q5

6�7

� 2-10g HCV;56�tP¯ÈG¯é"[4'

2005 2007á0¯ 2.57 3.57

�D° � 2 3 c#[4 2.29 3.29

¥D:� HC Assessment Survey 2005 and 2007

¨©¯¯ï

1) sº»��(¹��LpÈú�c4sº»��ZÄµn��n¼n�¥��7?�MLpÈú�c4"sº»:

¼0�12�c4'()�n¼2md7PMsº»H��pÑ(ÙZMuvwxyz£

¸()�n¼2�þ´ný�7PM@" 14HC �BÆ?§ð�� HC n5 HC n�*Zâ�ëM� HC (ÙZMóx{ÄÜÍ��R!{M5 HC (ÙZî?��ë�R!��6�7Ë6�(Ù�Ehv��\uZMDHMT()�RûÐ?éo-�û�z�ÓÈn56�7

2) sº»:¼0�12cî*�;Ln� 5S1K~�Sësº»:¼0�12(ÙM$%lZóz� PUSH0�12 PULL0�12*�0�12

cî1{±R�7?�M5S1K ~T� HC �sº»��xyZMzH1)m??xy"()mO'â_MË�)?xyZM0�12cî�âÊXðMHC =>?®T�¥�?ý_?»Md»�UV{ø»¼nZÓÆâÊ7?�M5S1K �~()_Muvwxyz@"�d»� HC sº»H��xy�Æ?¼nZMPULL 0�12*�cî;Lnm?_�m�âÊ7Ë�NBM��0�12c4*�;LnMuv

wxyz@"n?Êá0¯-�D° �#��Ë�Ô�stmM5S1K �o¸{W��0�12cî*�;LnB¼n�Së6�7

\õ� �-4gHC��sthi³� \�=>?!��BC6�7¾é³¿

� � \!�(¹��J0{§� HC�\Eé� $%l�·;(¦ÊM=>?� \!�{~� HC�é

��u�ózM$%lEstÓÈn56�â2sº»ZRûÐ(R�{�¼��äïè"XXt.'â��MW�Ð(EstË�;��(ðCñÓÈ�{$%l(YZË6(·Û´sº»�:¼56�äïè

"XX[['(0�12ýB�±R56�7uvwxyz@ ÖMuvwxyz~ûJ( A0�12ýB�

½¼?C6�¼n�±Q56�Móz�n¼2Ë�~(Z?Ê?v�


29

� � \!�(@��\E�ô§ÄBW�Æ?§

¾¹×~uvwxyzVW¿

� 5S1K J0� "I'� 5S1K 81�z (I)

¹×uvwxyzVW�áÈ

5S1K J0hi81�z�~ZMsthi³� \�=>?!�{ë�ë�J0nm~5675S1K J0ZMst� \¹²(ÙZQ(M¯E1?� \!�{~� HC�é$%l� HC �� \!�(¹��1?·;�_ç`z?ëM¬é³(@

1?é6{�©�¼n�¥�?7?�M2007]� HC Assessment Survey�õZM+ 2-4�n½_M¯E1


30

N

3

9

H

I

G

E

J

PQCQQ PROQSTU PQCQQ PROQSTU

�XjRDc�mUo iRjgCR�dQD

9NNG

9NNJ

Source:� HC Assessment Survey 2005 and 2007 + 2-4g � \!�xyc4(2005 - 2007)

Number of HCs which was judged ‘good’ for each criteria

� � �

()g� � Refuse pit before (left) and after 5S1K (right)

¨©¯¯ï

1) � \!�Æ?§� \!�(¹ZMÆ?�z6m��Mk8?NBZçèÑ(xy�Æ?nZ

ý?xyâ�7Q(¯E1


31

2.2.3� \õnDHMT"#$%&'()� HC*�+,-./0�12�3456�7�

\õ� nDHMT"#$%&'()� HC*�+,-./0�12�3456�7¾é³¿

� E HC*./éo{BÊ DHMT�Yé� ./éo�ë(E HC(�é� DHMT�./éo()��(@�� HC��¢é�·ë§¾¹×~uvwxyzVW¿

� éo./°x\yD�z�\

� *;�*��QmMDHMTO)�Z#��ïÑr-ñ! !{��¼n�¥�n¨ý6�7¼6(~´ DPCCZ� 2-11�n½_â�7


32

� 2-11gEx��(~56´ DPCCé

DPCCéPhase 1 5 Phase 2 2 Phase 3 3 Phase 4 2

?½MÏ 4ûZEhv��\uJ0�ûT�ÝâÊ¼nMÏû��ZM�;�þ��4()_M�±R56 DPCC �ø(?Ê¼n()_M2 �è�n?Ê7

æM d�Ðef:�gá0¯ 1ØM�D° �Ø"Ï 1û'efZá0¯*ØM�D° �*ØMÏû�¸(:�567efZMíìenëì

S¢�TU(;�DEFG�0�12�34��Ðnnm(MDHMT O)�� !34"Q(HC*�+,-./0�12*�U;'��ÐmV;´�)Md�Ðef"Multi Purpose car'n:�567PMef�U;xyZM�MDPCC (½á0¯-�D° �Ë6#6�56�¼nnMO1÷�xyÄefU;��ï�âÊd(ZMË�|§e{B

Ê´7ózMcefnm�ï?»V;56½_MDEFG��Ð��;�õMRûÐst

+,-./MDHMTO)��J0mn�d�p>à"n�;56�7

sM Ë�ÔVW�j_~Ô"Ï 1 – 4û'¬uvwxyzZMVW�ÜÍ®g{�é��ÐM?�VWm� DHMTnnm(MQ

(uvwxyz��Ï 3û�4ûZMDHMTo�J0ÄË�Ô�VW~{Ý��´7Ë6()_MuvwxyzVW�J³Ð( DHMTO)�� !��(��¼n�û$56�7

sM \õ9÷��ë�ÕÖýþJ0"Ï 4û'¬uvwxyzZMÏ 4û��(uvwxyz\õ9÷��~{|}�M2007 ]s

�þ��b�UV(Ë�4��{§�MuvwxyzûJ�9÷�~Z

øñù�{�?m�n?Ê7

Ë�VW{��ÐëMuvwxyz��ST� 2008] 3^M÷¯v�(uvwxyzVW�È?VWO)�âÊ DHMTO)�(@M¼6�uvwxyzVW�zSMuvwxyz\õ{j9��¼nM


33

1) E HC*./éo{BÊ DHMT�YéE HC *�./éo{B#$%&�ÈO)�ZMá0¯-�D° �nm(M#$%&¤

"DMOH'M#$%¨©L"DPHN'M#s"DCO'M#ª«¬"DPHO'M#st� "DMRIO'M#$%&¡ "DHAO'� 5â_MÓÈ(AmÔ�O)��nC�7á0¯#Z 8-10M�D° �Z>ã 4-5°�2ïèM�tqr� HC�()�./éo{B��>ãn?Ê�7

2) ./éo�ë(E HC(�éá0¯ZMá( 2«{�t�st�Rû�«n!ë��MDHMTO)��|ð

()_ÓÒm�á 2«ÓÒ~56�C�Z?7Muvwxyz@"n� HCZ DHMT ��t��Ä�Bé{uë�(ðv?�M~d(ZME HC *��Z 1�3C^(§â§��n?Ê�7

�D° �ZMRû�«Z!ë?7?�MRû�Z?�MHC ��§�øëªnZMT)_m DHMTO)��ýn)*�â�7à DMOH"2007] 3^w'�mnM�D° �Zst./éo{�ë DHMTàµ¶�f�Zmë6½_M��®g�û$56�7

3) DHMT�./éo()��(@�� HC��¢é�·ë§DHMT�./éo(@�� HC��¢·ë§ZM2005]�ÄÄê·�·ë�"[4'M2007

]�·ë�Sã(·ë�"[4'*n��"HC Assessment Survey�õ'7�xnM1) DHMTO)�� HC(��d(×y{»6�)(?ÊM2) DHMTO)��ô§�T)_e!Ð?m�(?ÊM3) HC�\E�1?{ézM�ïñ!(e!»6�M4) HC��È�{{mý�M��©6�7

¨©¯¯ï

1) st+,-.Ð0�1234�ÓÈDHMT ()� HC *�+,ä��0�12�34(ÙZMÏûst��./°x\y

D�z�®�BC6MË�V;()_��./�Ï{�©�¼n��é567?�M~

d(ZMDHMT �d|â�¼nMHC ��ë�èÑ?p>à"ÄË�};�~¥�~â��x()_M°x\yD�z�V;Zõn�Ç?56?n?ÊÊ7çM

Ë��M5S1K hi HIS 81�z�~MDHMT O)��Æë°x\yD�z"G�°x\yD�z'{; HC�xy{��N{��¼n�¥�MË�Ü`{>mMDHMT�

mË�)?R��{;��éo�~�9ô(Ù�ñ��6�)(?Ê7

��ZM5S1K �áâ{st�+,-./�d�Ù�·;n_Ì�?ÇMá0¯-�D° �Ë6#6�#`#�ªX#$�st+,-.Ð0�12�Ï{��5ñ��

¼n��7nZýM3 ]J�uvwxyzVW{>mMDHMT �st+,-�� !��âÊn¼nZ¥��7PM��ZË�ÜÍ®gMhiî?�Ï��"�Å§

�ý�Méo�A�¥¦�´�'�+6�)MË�ë�±í�ÑÄY91$?Ç�1

~(?56�ÓÈ�â�7


34

2.2.4� \õ89:;1<��*�=>?@A�BC6�7�

\õ� � 89:;1<��*�=>?@A�BC6�

¾é³¿

� ��(¹��{§�]^�Yé

� ]^��(¹��¶*��

� ��(¹��àéMmn¢Yé

� ]^Äq�Y�òå�y0 \uMóqpÝ�~é

� g�M89:;1


35

0fð{#./7HC �0fð�xyZ HC �\EÄMHCMCMDHMT �mn��(j9567MË6#6�M�» HC(¹��ï?Çmj9567

ÍM gQ� HC��¥"Ï 2û'uvwxyzZM89:;1


36

)_d»�]^{ HC �VW(Ë´Ì�¼n(\M��(¹��=®VW{B¼n�¥�7

c) 89:;1


37

é³(@��Î\§

uM ��(¹��{§�]^�Yé

89:;1


38

¨©¯¯ï

1) 89:;1�à"1$�ÓÈMuvwxyz

Z89:;1


39

�¼nMIGAnmU;C â_MË¼�U{ëìÖ�DEFG�(ÓÈ?};nU;56�¼nméo56789:;1?DEFG�(¹ZMÕÑ?��6?ëMaí��MDEFG�-Eh�2ÄÑ2Ø>(¦í·;�¥¸56�)(?Ê´

�7M~d( HC�ëìTU¿Ànm(Ä(Ñ2�¥�|m�56�7

ÍM DEFG��ë�>�MTUU;¥¦MÄÜ��~~¤

89:;1


40

ÞM DEFG�-P¯ÈG¯�U;§

Ï 4ûMDEFG�J0ÖM¤�L(�ô¬µ� Î(M +Ñ2"¡>¢£'M��¥ (¹��@!X{7J0�M¤�LBZ¼�@!X�à{QÀ{8¤�M

E HC *ÜBó_M~4(@ë�7uvwxyzZMË6n_Ö(MTU(dMuv�{Q"#HI*�×yÄDEFG�-Eh�2�¥¸MØ>*�¥¸nÊ�A'P¯

ÈG¯m\ME HC *�i7ózZ¼�×�1â�¥��)(?Ê¼nm1)´�7

æM DEFG�-��ÂÃ�Å§

V;56DEFG�-Eh�2|n#HI�Ñ2Ø>�¥»�A{mOn��ÂÃZ

DPCC�X{V;Má0¯-�D° �c#� DHMTO)�nBC67Ë�ÔQ(�ïn56��56XðZMË�|§MDHMTO)�n�ð�X��67

¨©¯¯ï

1) Lp`ún]^�e!uvwxyzZMHC #HI*�S¢TU�34(_ï�´�Mq�Ð`ú"_¥¦

?Ç�§'ÄMÜÐ�ï"TU(m�}MTU};Mef��?Ç'()_M3 ]J�uvwxyz£¸�èZñ!�Lp`ú�d»âÊ7?�ME89:;1


41

2.3� ª¸~¤

2.3.1� uvwxyz¡ð+¥~¤

3]J�¬uvwxyzûJ(½��bÉÁcZ�n½_â�7

�2-14gSAMOKIKE uvwxyzbÉÁc"û�'Ï1û Ï2û Ï3û Ï4û ð|

bÉÁc"' 94,102 33,033 80,687 89,523 297,345

� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � "û«g®'

2.3.2� ½¾¹¯°~¤

«¬Y½¾¹�ª¸Z�n½_â�7

� 2-15g½¾¹�ª¸"[\ 17] 3^�[\ 20] 3^'

¯° M/MÙ

Ï 1û Ï 2û Ï 3û Ï 4û

°�E�È)¯*� 7.33 2 4.4 8

§K£ 1"á0¯¡D' ± 1.37 7.4 7.43

§K£ 2"�D° �¡D' 7.83 2 8.2 7.53

¤�L� "��½¾¹' 7.47 2 7.97 6.43

qr$%/��µ¶wOz½¾¹ 1"sº»��½¾¹'

± ± 2 ±

qr$%/��µ¶wOz½¾¹ 2 5.9 2 5 6.5

89:;1_â�7ÏûZMØ�ec�o¸Muvwxyz@(nm?N9-L»�K

L�ëMª¸c�d»?Ê�7ÏÑMÏû�N9:�}ZM89:;1


42

� 2-16:gN9:�~¤"û�'}�¯û Ï 1û Ï 2û Ï 3û Ï 4û ð|"'

N9:�} 12,047,400 1,740,010 246,820 14,034,230Ë�Ô�N9:�} 7,269,551 3,363,376 548,490 11,181,417� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � "û«g'�

uvwxyz~(nm?È?N9:�ZM�n½_â�7

1'HC*�stN9:�ãc� 1,256,407

2005]ME HC�N9-L»xy{§WM$%ln�ð{ÜM:��N9{!R7¼6�N9ZMHC (½��"��%¦MÑ2'(�5úÓÈêC²?�A{³Wm�M2006 ] 2 ^(E HC (�L567N9-L»�AZM��M¥¦��Mº0��ÑÑ£(Ñ856�7ZÀ 2-2List of Equipment provided to Kisii and Kericho through JICA�hiÀ 2-3List of Equipment provided to Kisii and Kericho through HANDS�{mO7

2) HC*�89:;1


43

7»�.5FAD=�I56DH5�H567¼FDE76�E6�vECEE�F6½�v5HEI=7�D=H7¾}=�¿3/�(Q�7

2) �D° �¡Duãcg1,000,000 KES"�;�0DÃ) À 1,728,000

Ïû�D° �#HI��JH{uvwxyz£¡Dn�;�MÏÑû(_

HI�(à¡D�u567¼�à¡DuZM$%l�ÄcÁ()�m�âÊ7¼6

(AýuvwxyzZMÄ��34��31¡"Ex�MjÂ�3'( 100 �0DÃ"1,728,000'{+¥7


44

2.4� �«�³hiuvwxyz�³�Î\xy

�«�³g

uvwxyz@"qr(½M]^MQ(��%Å�Æ?56�7

¾é³¿

� #��

� �ô(Ëð"()�

� ÃÄhiµGD�

uvwxyz�³guvwxyz@"qr(½MHC hi89:;1?¥�£¤{§�Y�Úð"Skilled birth attendance'� HC(½��¥�hi ANC§¦� �ôð"�Ã�;��(zð\|

� HC�U;hiU;¢·ë§

2-4-1. uvwxyz�³Î\�ë�®È�

uvwxyzZM¬uvwxyz�³uvwxyz@"qr(½MHC hi89:;1


45

2-4-2. uvwxyz�³�Î\§

�õnM�( 2-2.)(MË6#6�ÈÜ"\õ'ZM�ÄZ?»nmárÎ\56MË�¼nmMuvwxyz�³ZárÎ\´ný��Z?n±Q56�7

?�Muvwxyz�³Î\�ë(â©�é³�B#�=>?¥�£¤{§�Y�Ú

ð�(ÙZM¸à~âÊëM¼�(Ù�WRZ¥�?7?�M@" HC

�¥�éMANC §¦é(ÙZÒ6muvwxyzT�×ØMÆ»n"� 2-13'½_M¼�(ÙMuvwxyz�æ�ôõ()�n¼2�þ´7MHC �U;¢�·ë§��m1)56�"� 2-5 hi� 2-6'7�ôð"�Ã�;��(zð\|ZMuvwxyzVWûJM§[{6�)(?Ê7Q(MDEFG�-��ÂÃZM@"

HC uvwxyz:�d�ÐefU;��MDEFG�56��=>?t{#HI

§��¼n�´M¿Ànm(¾¡âÊ|?Ç�d»�56�)(?Ê��"2-2-5'7

2-4-3. �«�³Î\(��

¬uvwxyz��«�³ZMuvwxyz@"qr(½M]^MQ(��%Å�Æ?5

6��â�7¬�³�Î\§{


46

Ï 3�� Ý�n��

3-1� Ý�n��

"'��nÐ�·¬Ð?ªÀ

��{~��MÈ)_m]^(É HC��5ú��´�)(��¼n�Èâ�7Ù_MÝÄ?Ê>Ñ2�´�n

¼nâ�7Ë�ë(ZMb�n?»nm��%¦n 24 ÖJµ¶�Ê>Ñ2�C â�hiLªÀ{MHC��~»¼n�ÓÈâ�7� �

"ê'89:;1


47

#6��Rn(ME#¨ý~��Ó¼ËMó~Ð?�uv�°n?_ý�7

"Í'ìíÐ�uv�°nîíÐ�uv�°�j`

st��nìíÐ?�³�(MQ(¼��;�c�þ´?�ï�Ùâ��

�%ÅÆ?nîíÐ?>_&{�Ê¼n()_M+,��m~��mnm(M)_1

C_Ä��³"ª�'(?Ê¼nZ~4*�WNn?_M+ôõ{�ç7$%y

�89:;1


48

"Ñ'PROTECO(Ù� � �MPROTECO nà�á�2(½�uvwxyz{÷èMÑ]J�~Ü`c¢î(Æ?»àqZâ�m��Mb�UV�(æ�ç��òóôõMÌÍ(ôõ

{ó�¼n{~D»ë(mMBb( JICAnæ�ç( NGO�U�Vñ�j_uvÃG2+,nÌÍ56�¼n��7

� PROTECO �mM§ºáµ�¡T§W(¸�¼n()_M¹²áµ*�¶\z�y�¹²f�34MJICAn�e!()�òàc"Bb'(@��¤��ôõ�67~d�VW~(½mMòàc"Bb'�§�¸6m JICA �â!�®ã56Mæ�ç��Nz�Mb�UV(�iÙ»C {Ê�7


49

Ï 4�� PDM�c

2005]¡ð@� 2006]��(�M3Ù�$%b�~VWª¢�ÆcMhi SAMOKIKE¡ð�J��õ{§�MPDM�é³hiVW��A�cî�ÓÈ�m72007] 7^ NTWC(½ PDM Æ]�ÂÃ{Ü�MDuv®y1


51

Ï 5�� À

À 1� Activity summary � À 1-1� Training and Workshop � À 1-2� Community meeting and Campaign � À 1-3� MC and Stakeholder Meeting À 2� Donation list � À 2-1� Equipment list � À 2-2� List of Equipment provided through JICA � À 2-3� List of Equipment provided through HANDS � À 2-4� Renovation of facility À 3� SAMOKIKE Project PO À 4� PDMÀ 4-1� PDM0"2005'À 4-2� PDM1"2007'À 4-3� PDM changesÀ 5� IEC material À 6� Minutes of JNPSC/NTWC meeting

Equ

ipm

ent L

ist

Safe

Mot

herh

ood

Proj

ect i

n K

isii

and

Ker

icho

(SA

MO

KIK

E) JI

CA

-HA

ND

S-M

oH 2

005-

2008

#D

eliv

ery

date

Item

Mod

el/T

ype

etc.

unit

Am

ount

(KSH

)D

eliv

ery

com

pany

Allo

catio

nM

anag

emen

t in

char

ge(M

oH)

Rem

arks

1st P

hase

(200

5.M

arch

-Dec

embe

r)1

2005

-03-

28V

ideo

cam

era

DC

R-H

C42

E JE

31s

et57

,547

Japa

npu

rcha

seK

isii

DM

OH

220

05-0

3-28

Dig

ital c

amer

aPo

wer

shor

t A52

01

37,8

61Ja

pan

purc

hase

Ker

icho

DM

OH

320

05-0

3-28

Com

pute

rpro

ject

orEM

O-7

451

212,

292

Japa

npu

rcha

seK

eric

hoD

MO

H4

2005

-04-

18In

k-je

tprin

ter

HP

Des

kjet

3845

210

,000

INTE

LLI S

OLU

TIO

NS

Kis

ii &

Ker

icho

DM

OH

520

05-0

5-03

Lase

r prin

ter

HP1

010

126

,000

Nak

umat

tK

isii

DM

OH

2005

-05-

03La

ser p

rinte

rH

P102

026

,000

Nak

umat

tD

RH

DR

H6

2005

-06-

07C

opie

rN

ASH

UA

TEC

Cop

ier 5

16P

117

4,00

0TH

E C

OPY

CA

TK

eric

hoD

MO

H7

2005

-06-

16La

ptop

Com

pute

rTO

SHIB

Asa

telli

tepr

o A

602

378,

160

INTE

LLI S

OLU

TIO

NS

Kis

ii &

Ker

icho

DM

OH

820

05-0

9-24

Fax

tele

phon

ePa

naso

nic

KX

342

238

,000

MIB

NK

isii

& K

eric

hoD

MO

H9

2005

-10-

06C

upbo

ard

Loca

l man

ufac

ture

d16

33,2

80G

.G.K

AR

IUK

IK

isii

& K

eric

hoD

MO

H10

2005

-10-

14V

inyl

Pel

vic

Mod

el S

et1s

et63

,849

Japa

npu

rcha

seK

eric

hoD

MO

H

1120

05-1

0-27

Pow

er g

ener

ator

SH32

00EX

Ele

max

Hon

da 2

.6K

VA

Gen

erat

or S

.No.

1123

119.

1123

093

212

2,96

0Pr

otec

h In

dust

rial

E qui

pmen

tIr

anda

,C

hepk

emel

HC

DM

OH

1220

05-1

1-01

Com

pute

rpro

ject

orEP

SON

PR

OJE

CT

EMP-

TW10

199

,011

Off

ice

Mar

tK

isii

DM

OH

1320

05-1

1-01

Cop

ier

Can

non

FC12

01

37,8

16D

elig

htK

isii

DM

OH

1420

05-1

1-01

Scan

ner

HP

Scan

njet

2400

17,

888

Del

ight

Ker

icho

DM

OH

1520

05-1

1-03

Lapt

op C

ompu

ter

Tosh

iba

Tecr

a A

5S41

65

815,

000

INTE

LLI S

OLU

TIO

NS

DR

H(1

),Kis

ii2

,Ker

icho

(2)

DR

H/D

MO

H

1720

05-1

1-18

Whe

elch

air

1616

8,00

0B

IO-Z

E Q K

ENY

AK

isii

& K

eric

hoD

MO

H

1820

05 Ju

ne-O

ct.

Off

ice

furn

iture

(Det

ail i

s sho

wn

in b

elow

)14

582,

080

Loca

l man

ufac

ture

d an

dot

hers

Kis

ii &

Ker

icho

DM

OH

1920

05-1

0-31

Toyo

ta L

andc

ruis

er H

ard

Stat

ionw

agon

Std

.H

ZJ10

5R-G

CM

RS

Engi

ne: 4

164c

c di

esel

eng

ine

Tran

smis

sion

: 5 sp

eed

man

ual g

earb

ox@

2,72

3,70

02

5,44

7,40

0TO

YO

TA E

ast A

fric

aLt

d.K

isii

& K

eric

hoD

MO

H

2020

05-1

1-02

Toyo

ta L

andc

ruis

er H

ardt

opA

mbu

lanc

eH

ZJ78

R-R

JMR

S

Engi

ne: 4

164c

c di

esel

eng

ine

Tran

smis

sion

: 5 sp

eed

man

ual g

earb

ox@

3,30

0,00

02

6,60

0,00

0TO

YO

TA E

ast A

fric

aLt

d.K

isii

& K

eric

hoD

MO

H

58

#D

eliv

ery

date

Item

Mod

el/T

ype

etc.

unit

Am

ount

(KSH

)D

eliv

ery

com

pany

Allo

catio

nM

anag

emen

t in

char

ge(M

oH)

Rem

arks

2nd

Phas

e (2

006.

Janu

ary-

Mar

ch)

120

06-0

2-22

Shre

dder

CO

MX

Stra

ight

cut

TLH

320

121

,599

Off

ice

Mar

tK

eric

hoD

MO

H20

06-0

2-22

Lam

inat

or25

,000

Off

ice

Mar

tK

isii

& K

eric

hoD

MO

H

220

06-0

3-10

Mat

erni

ty c

are

mat

eria

ls(S

tep

Stoo

l, In

stru

men

t Tro

lley

with

1dr

awer

, Drip

stan

d, E

xam

inat

ion

couc

hes

1453

2,40

0C

RO

WN

HEA

LTH

CA

RE

Kis

ii &

Ker

icho

DM

OH

320

06-0

3-15

Mic

roph

one

BO

SS/M

EGA

139

,000

ECO

TEC

HK

eric

hoD

MO

H5

2006

-03-

20La

ptop

Com

pute

rTo

shib

a Te

cra

A5S

416

119

1,40

0IN

TELL

I SO

LUTI

ON

SD

RH

DR

H7

2006

-03-

20B

inde

rLo

calp

urch

ase

120

,995

Off

ice

Mar

tK

eric

hoD

MO

H

820

06-0

3-21

Pow

er g

ener

ator

ELEM

AX

/HO

ND

A E

NG

INE

GEN

ETR

ATO

RS

SH46

00 E

X-R

220

0,00

0Pr

otec

hR

iota

nchi

,K

abia

n ga

HC

DM

OH

3rd

Phas

e (2

006.

July

-200

7.M

arch

)1

2007

-01-

18M

ater

nity

Exp

erie

nce

jack

etJa

pane

sepu

rcha

se2

77,8

62K

ubot

a ed

ucat

ion

Kis

ii &

Ker

icho

DM

OH

220

07-0

2-12

Del

iver

y be

dLo

calp

urch

ase

136

,000

CR

OW

NK

abia

nga

HC

DM

OH

320

07-0

2-19

Whi

te b

oard

Loca

lpur

chas

e16

142,

400

VA

NG

UA

RD

Kis

ii &

Ker

icho

DM

OH

420

07-0

3-09

Cae

sare

an o

pera

tion

char

tLo

cal p

urch

ase

1656

,272

CR

OW

NK

isii

& K

eric

hoD

MO

H5

2007

/3/

"Sim

u ya

Jam

ii" S

olae

pan

elK

yose

ra K

C40

T-1

1425

2,00

0Te

lesa

les s

olar

Kis

ii &

Ker

icho

DM

OH

620

07/3

/"S

imu

ya Ja

mii"

Sol

a-ba

ttery

Vol

tmas

ter 1

00A

mp

Bat

tery

(3un

its/H

C)

Bat

ter y

aci

d (4

bottl

esx2

0L/H

C)

4233

4,95

0Te

lesa

les s

olar

Kis

ii &

Ker

icho

DM

OH

720

07/3

/"S

imu

ya Ja

mii"

tel

epho

neA

dond

GA

18-6

08(B

G)

1442

0,00

0A

dtel

Kis

ii &

Ker

icho

DM

OH

4th

Phas

e (2

007.

Mey

-200

8.M

arch

)

120

07-0

8-09

"Sim

u ya

Jam

ii" S

trand

cab

les

Twin

& e

arth

cab

le 6

mm

(280

m)

56,0

00K

halu

mbu

s ele

ctric

al &

Elec

troni

csK

isii

& K

eric

hoD

MO

H

220

07-0

8-09

"Sim

uya

Jam

ii"B

atte

rych

arge

rcon

trolle

rSo

llate

k Su

npow

er 6

1449

,000

Kha

lum

bus e

lect

rical

&El

ectro

nics

Kis

ii &

Ker

icho

DM

OH

320

07-0

8-10

"Sim

u ya

Jam

ii" S

olae

pan

elB

rack

et53

x65.

5x4

cm w

ith st

and

1435

,000

Kha

lum

bus e

lect

rical

&El

ectro

nics

Kis

ii &

Ker

icho

DM

OH

59

Ker

icho

/Kis

ii of

fice

furn

iture

(Del

iver

ed 2

005-

2006

)Ite

mU

nit

Inst

alle

d1

Des

k(Im

port)

6K

eric

ho o

ffic

e2

Des

k(Lo

cal m

ade)

3K

eric

ho o

ffic

e3

Cha

ir(C

aste

r)6

Ker

icho

off

ice

4C

hair(

Pipe

)6

Ker

icho

off

ice

5C

hair(

Fold

type

)6

Ker

icho

off

ice

6B

ook

Shel

f3

Ker

icho

off

ice

7C

abin

etLa

rge

1K

eric

ho o

ffic

e8

Side

cab

inet

2K

eric

ho o

ffic

e9

Com

pute

tabl

e1

Ker

icho

off

ice

10Ta

ble

3K

eric

ho o

ffic

e11

Mee

ting

tabl

e se

t1

Ker

icho

off

ice

12Sa

fe1

Ker

icho

off

ice

13D

esk

4K

isii

offic

e14

Cha

ir(C

aste

r)5

Kis

ii of

fice

15C

hair(

Fold

type

)3

Kis

ii of

fice

16C

abin

et3

Kis

ii of

fice

17Ta

ble

2K

isii

offic

e

60

Item

Kis

iiK

eric

hoR

emar

ks

IM

ED

ICA

L E

QU

IPM

EN

T

AD

EL

IVE

RY

SE

T1

Kid

ney

Dis

h (L

arge

)10

55

35

85

546

00

33

20

54

172

Kid

ney

Dis

h (M

ediu

m)

148

81

56

88

588

63

20

28

534

3A

rtery

For

ceps

95

55

56

55

456

54

57

05

537

4G

allip

ot8

55

33

65

540

60

05

10

53

205

Cor

d Sc

isso

r9

53

55

85

545

104

55

55

35

426

Epis

ioto

my

Scis

sor

94

35

46

54

405

53

24

42

429

7C

ord

Cla

mp

1810

109

1010

1010

8716

1010

610

1010

577

8D

isse

ctin

g Fo

rcep

s Too

thed

105

55

51

55

4110

55

05

05

535

9D

isse

ctin

g Fo

rcep

s Non

Too

thed

105

55

57

55

476

55

45

15

536

10B

owl

100

40

38

55

350

51

50

05

218

11Sp

onge

Hol

ding

For

ceps

81

01

10

55

218

00

10

02

011

12N

eedl

e H

olde

r4

33

33

13

323

30

30

31

33

1613

Scis

sor

53

33

33

33

265

33

33

33

326

14Sp

ecul

um4

32

13

03

319

20

00

00

30

5

BD

IAG

NO

STIC

SE

T1

Clin

ical

The

rmom

eter

55

05

05

525

05

05

05

015

2Sy

phig

nom

anom

eter

12

31

01

210

02

03

12

08

3A

dult

Wei

ghin

g Sc

ale

11

01

00

14

11

01

01

04

4B

aby

wei

ghin

g sc

ale

11

11

01

16

11

01

01

04

5St

etho

scop

e1

31

10

22

101

00

21

20

66

Tape

Mea

sure

22

12

12

212

11

11

12

18

7Pr

egna

ncy

Cal

cula

tor

52

22

22

22

194

22

22

22

218

CM

AC

HIN

ER

Y

1El

ectri

c Fo

etos

cope

21

11

11

11

92

11

11

11

19

#2: T

wo

(2) t

o ea

ch D

istri

ct H

ospi

tal a

nd o

ne(1

) to

each

Hea

lth C

entre

(HC

)2

Aut

ocla

ve1

12

11

23

Oxy

gen

gene

rato

r1

11

1

DO

TH

ER

ME

DIC

AL

EQ

UIP

ME

NT

1W

heel

Cha

ir fo

r Adu

lt1

01

11

11

17

10

11

11

11

72

Step

Sto

ol0

00

00

00

60

01

11

11

16

3B

aby

Cot

11

11

01

16

01

01

01

03

4Tr

olly

with

One

Dra

wer

64

5D

rip S

tand

74

Sam

e as

#1

Sam

e as

#1

#3: A

lloca

tion

will

be

dete

rmin

ed b

y th

eD

istri

ct.

Kis

iiK

eric

ho

#1: T

he q

uant

ity o

f the

equ

ipm

ent t

o be

dona

ted

was

det

erm

ined

by

Tech

nica

l Adv

isor

on M

ater

nal C

are

base

d on

the

faci

lity

asse

ssm

ent.

Don

atio

n L

ist (

Dom

ain

of M

ater

nal C

are)

JIC

A /

HA

ND

S / M

oH S

afe

Mot

herh

ood

Proj

ect

61

6Ex

amin

atio

n C

ouch

31

7Ex

amin

atio

n La

mp

on C

asto

rs6

3

EE

QU

IPM

EN

T F

OR

INFE

CT

ION

PR

EV

EN

TIO

N

1D

ust B

ox1

11

11

11

71

11

11

11

7#4

: One

(1) f

or e

ach

HC

2G

um B

oots

22

22

22

214

22

22

22

214

#5: T

wo

(2) f

or e

ach

HC

3Pe

dal B

in2

22

22

212

22

22

84

Rub

ber M

acki

ntos

h5

33

33

33

326

53

33

33

33

265

Gre

en T

owel

(Lar

ge)

331

124

6G

reen

Tow

el (M

ediu

m /

Smal

l)58

238

7C

over

for S

teril

e C

hettl

e Fo

rcep

Con

tain

er84

8M

othe

r's G

own

3821

9M

idw

ife's

Gow

n 38

IIT

RA

ININ

G M

OD

EL

1V

inyl

Pel

vic

Mod

el S

et1

11

12

New

born

Bab

y M

odel

11

11

#7: D

onat

ed to

the

Dis

trict

Rep

rodu

ctiv

eH

ealth

Tea

ms

Sam

e as

#1

#6: T

he sa

me

budg

et w

as a

lloca

ted

to tw

odi

stric

t to

mak

e gr

een

tow

els a

nd o

ther

s. Th

ety

pes a

nd q

uant

ity o

f the

se g

oods

wer

e ba

sed

on th

e pr

opos

al fr

om e

ach

dist

rict.

62

Item

Kis

iiK

eric

hoR

emar

ks

III

OT

HE

R E

QU

IPM

EN

T1

Cab

inet

11

11

11

61

11

14

Sam

e as

#1

2W

all C

lock

22

22

22

214

22

22

22

214

Sam

e as

#5

3Pl

astic

Bas

ket

11

11

11

17

11

11

11

17

Sam

e as

#4

4G

ener

ator

11

11

Sam

e as

#3

IVB

OO

KS

1Sk

ills f

or M

idw

ifery

Pra

ctic

e1

12

Esse

ntia

l Dru

gs P

ract

ival

Gui

delin

es (2

nd e

ditio

n)1

13

Pove

rty a

nd H

ealth

11

4A

naem

ia in

Rur

al A

fric

a1

15

CB

R: A

Par

tipat

ory

Stra

tegy

in A

fric

a1

16

Whe

re W

omen

Hav

e N

o D

octo

r -La

ngua

ge: E

nglis

h1

17

Setti

ng U

p C

omm

unity

Hea

lth P

rogr

amm

es (2

nd E

ditio

n)1

18

Mob

ilisi

ng th

e C

omm

unity

11

9H

ow to

Mak

e M

ater

nal H

ealth

Ser

vice

s Mor

e W

oman

-Frie

ndly

11

10O

xfor

d H

andb

ook

of O

bste

rics a

nd G

ynae

colo

gy1

111

Obs

teric

s Illu

stra

ted

(6th

Edi

tion)

11

12M

yles

Tex

tboo

k fo

r Mid

wiv

es (1

4th

Editi

on)

11

13M

ater

nity

Car

e in

Dev

elop

ing

Cou

ntrie

s1

114

Bai

llier

e's M

idw

ives

Dic

ition

ary

(10t

h Ed

ition

)1

115

Ana

tom

y an

d Ph

ysio

logy

for M

idw

ives

11

16H

ealth

Pro

ject

Man

agem

ent G

uide

11

17Ep

edem

iolo

gy in

Com

mun

ity H

ealth

11

18C

arin

g fo

r Mot

hers

11

19C

linic

al M

anag

emen

t for

Hea

lth C

ente

rs1

120

Envi

ronm

enta

l Hea

lth8

821

Chi

ld H

ealth

(2nd

Edi

toin

)8

822

Com

mun

ity H

ealth

Wor

kers

Man

ual

88

23H

ow to

Run

A S

ucce

ssfu

l Aki

ba n

a M

kopo

Gro

up (f

or te

ache

r: R

ed)

77

24H

ow to

Run

A S

ucce

ssfu

l Aki

ba n

a M

kopo

Gro

up (f

or st

uden

t: gr

een)

77

25St

artin

g A

Com

mun

ity B

ased

Dev

elop

men

t Pro

gram

me:

A P

ract

ical

Gui

de fo

r Com

mun

ity D

evel

opm

ent W

orke

rs7

7

VJO

UR

NA

L S

UB

SCR

IPT

ION

1H

ealth

Pol

icy

and

Plan

ning

11

2B

ritis

h Jo

urna

l of M

idw

ifery

11

3H

ealth

Car

e W

omen

for I

nter

natio

nal

11

VI

RE

GIS

TE

RS

1D

eliv

ery

Reg

iste

rs10

1010

1010

1010

1010

102

Post

par

tum

Reg

iste

rs10

1010

1010

1010

1010

10

Kis

iiK

eric

ho

#8: T

o be

don

ated

to th

e D

istri

ct R

epro

duct

ive

Hea

lth T

eam

s whe

n th

e di

stric

t lib

rary

is re

ady

Sam

e as

#4

and

#8

Sam

e as

#8

Sam

e as

#3

Sam

e as

#4

63

Item

Kis

iiK

eric

hoR

emar

ks

IR

EC

OR

D K

EE

PIN

G1

Cal

cula

tor

77

2H

all P

unch

er7

73

File

(A4)

Bla

ck35

3535

3535

3535

3535

354

File

(A4)

Red

3535

3535

3535

3535

3535

5W

oode

n C

upbo

rd4

4

#10:

The

qua

ntity

of t

he e

quip

men

t to

bedo

nate

d w

as d

eter

min

ed b

y Te

chni

cal A

dvis

oron

Hea

lth C

entre

Man

agem

ent b

ased

on

the

faci

lity

asse

ssm

ent.

IID

rug

Man

agem

ent

1M

etal

Cup

bord

67

2O

utpa

tient

s Reg

iste

r Boo

k21

2121

2121

2121

2121

213

Ant

ibio

tics R

egis

ter B

ook

2121

2121

2121

2121

2121

Sam

e as

#10

Sam

e as

#4

#9: F

ive

(5) f

iles t

o ea

ch H

C

Don

atio

n L

ist (

Dom

ain

of H

ealth

Cen

tre

Man

agem

ent)

JIC

A /

HA

ND

S / M

oH S

afe

Mot

herh

ood

Proj

ect

Kis

iiK

eric

ho

64

Cos

t of H

ealth

cen

tre

reno

vatio

n in

Kis

ii an

d K

eric

ho th

roug

h JI

CA

Dis

trict

HC

Gen

eral

reno

vatio

n(K

ES)

Wat

er sy

stem

sre

nova

tion

(KES

)

Ria

na48

3,49

610

4,60

0

Rio

tanc

hi40

8,85

313

7,21

0

Iran

da32

4,31

032

6,76

0

Kio

goro

218,

924

97,0

30

Iben

o36

1,33

833

6,32

0

Ibac

ho14

3,78

010

9,55

0

Ain

amoi

255,

180

60,7

60

Kab

iang

a22

9,80

012

4,00

0

Sigo

wet

390,

000

95,2

00

Che

pkem

el35

9,40

058

,200

3,17

5,08

11,

449,

630

Kis

ii

Ker

icho

Tota

l

65

��

��

��

�� !"#�

$%&'(��

$%&'(��

��

$%&)(&*+,

��

��

��

��

��+,

��+,

��+,

"#

��

��+,

��+,

��+,

"#

��

"#

��

��+,

��+,

��+,

"#

��

��+,

��+,

��+,

"#

��

��+,

��+,

��+,

"#

��

��+,

��+,

"#

��

��+,

"#

��

��+,

��+,

"#

��

��+,

"#

��

��+,

"#

��

��+,

"#

��

��+,

��+,

"#

��

��+,

-.

/012�342�567893:�;<=>?

&@&&&-&

A'

B)

CA

&@&&

)&

-B

.D

&-

'

E�12�342�F

NG

OGHIJKL

1MN�;OPQ

�RSPQ

D

PTUV

�

�WX3�YZ�[2�\&

DC

A-

')&@

&B

.&&&-

/0�:�42�H]^_W1MN�;OL

`a�bPT

c�7�defg�

�

�WX3�YZ�[2�\-

hij

.

/012�342�5�RSklL

/012�342�5mnkl?

o&p

-@@B

PTUq

-@@C

-@@A

C

-@@'

1MN�;OrX3�

/012�342�HstuvL

o-p

o.p

oDp

��

-.

&@&&&-&

A'

B)

CA

&@&&

)&

-B

.D

&-

'D

DC

A-

')&@

&B

.&&&-

.o&p

-@@B

-@@C

-@@A

C

-@@'

o-p

o.p

oDp

��+,

"#

��

"#

��

"#

��

"#

��

"#

��

"#

��

"#

��

"#

A)

1.��

��+,

"#

��

��+,

"#

��

��+,

��+,

��+,

"#

2.��

��+,

��+,

��+,

"#

3.��

��+,

��+,

"#

B)wix��yz{|}~F

1.��

��+,

"#

��

��+,

"#

2.��

��+,

��+,

"#

�

��

wix��:�;<F}|

V

HC3wix��{|

"#

t_�47y{|wix��5 \¡¢¢£¤L¥"

#{|

3)3)¦§¨©ª«¬5®¢¨¯°\±²³§¨°\t]´°\sµ² °\¶µ¢°

u¨µ¨¯\®µ?

4)¦§¨·¸¥¹¬{|

0H

Cº»PQ

1)¦§¨ª¼½a¾¿À

2)ÁÂ[2e�«¬

5)¦§¨"#HÃµ®ÄÅ°\ÃÆÇL

A)ÈÉ�N�

2)

"#��Ê¬Æ¦ËÌ6ÍN9<ÎFÏËÐÑÒ¹¬

"#

t_�47��ÓPQ¥·£Ô

2)ÕÖ×ØÙÀ

78��FÚ�462Û

1)7Ü��

1)wix��}PQ

1)ÝÞ£wix��

}ßà

wix��

}]¨Åµ¯\Åµ§¥áâ{|

1) 2)

1MN�;OÆf2ã��ä�[2�PQ

/012�342�HstuvL

wix��}ßåæ¥Ê¬{|

��

-.

&@&&&-&

A'

B)

CA

&@&&

)&

-B

.D

&-

'D

DC

A-

')&@

&B

.&&&-

.o&p

-@@B

-@@C

-@@A

C

-@@'

o-p

o.p

oDp

�

�

��

��

��+,

��+,

"#

3.��

��+,

��+,

"#

C)wix��yz{|#çT !rkl

��

"#

��

"#

��

"#

��

"#

D)wix��yz{|�RSrèéSkl

��

"#

��

"#

��

��+,

"#

��

��+,

"#

��

��+,

"#

E)wixy{|��a¾Îêëmn��ìíyîï|

��

��+,

"#

��

��+,

"#

��

"#

��

��+,

"#

A)

��

"#

îð@ÈÉ¥ºyF�m¥ñëòóçru¨µ¨¯\ôµõö

÷ºø¼£ù¥·Ô

#çT��¥Ê¬{|

àò#çT¥·Ô

78��FÚ�462Û

1)3)

¬p¼£[f2;ú2�kl"#

wix��

}ûüklHs¢¯\_µ?ýþfd9f2¥

áâ{|

1) 2)mnÚ�3ä24��{|

1)îð@ÈÉ¥ºy�RSrèéS]¨Åµ¯\Åµ§Hc��6

��L¥�%{|

2)�RSrèéSkl:�;<

3)�RSrèéS�Î�Wklyz{|þfd9f2ÎÅµ

�%

1)1)

��2Û"#

78��FÚ�462Û

1)7Ü��FÚ�462Û

2. H

C3kl��{|

HC

i/c kl��

#çklr}klr��6;O�klrkl

c��6�� !:�;<áâ

1) 2)3)Ú�3ä24�

��{|

78��FÚ�462Û

7Ü��FÚ�462Û

78��FÚ�462Û

1)7Ü��FÚ�462Û

4)�47��

}ûüklý¥"#{|H~

è

��klL

�ipz�mn¥��{|

4)�RSrèéS�Î�Wklyz{|"#

2) 3)

��

-.

&@&&&-&

A'

B)

CA

&@&&

)&

-B

.D

&-

'D

DC

A-

')&@

&B

.&&&-

.o&p

-@@B

-@@C

-@@A

C

-@@'

o-p

o.p

oDp

��

"#

B)

&

��

��+,

"#

��

��+,

��+,

"#

2.��

"#

��

"#

��

��+,

"#

3.��

"#

C)

1.��

��+,

"#

��

��+,

"#

2.��

"#

��

��+,

"#

��

"#

3.��

"#

D)

1.��

"#

��

"#

2.��

��+,

��+,

"#

3.��

"#

1.��

3. D

HM

Ty�|

HC��:�;<�À

.?stuvy�|�RSI�

�

!��÷�Î�lyz{|¥"#{|

2)�

!��÷�lyz{|� ��Ê¬

1)1)

"#

2) 1)

"#

7Ü��FÚ�462Û

stuvy�|7��FÚ�462Û·!ï|

wix��z��RSkl� ��Ê¬

2)

"#

1)mn¥½"F

k{|ìí#�3¥ßà{|

stuv !$p%&'y�|7Ü��ÆHstuvîð?

1)mnyz{|E(PQ

HC)

mnT

3)

wix��z��RSßàF*+F�,PQ

3)mn"#½klyz{|¥"#{|

78��FÚ�462Û

1)stuvy�|7Ü��·!ï|

HCwix��z��RSkl��

2) 1)�

!��÷�lyz{|E(PQ

-ê.HÅµÎêìLkl:�;<

2)mnyz{|� ��Ê¬

/07Ü�Y�¥ÎêF-ê.mn7Ü�Y�¥��{|

1)

�m:�;<��½

stuvy�|7��FÚ�462Û·!ï|

�� !"#$%&'

7Ü��FÚ�462Û

��

-.

&@&&&-&

A'

B)

CA

&@&&

)&

-B

.D

&-

'D

DC

A-

')&@

&B

.&&&-

.o&p

-@@B

-@@C

-@@A

C

-@@'

o-p

o.p

oDp

��+,

"#

��

��+,

��+,

"#

2.��

"#

��

"#

��

"#

��

"#

3.��

��+,

"#

4.1MN�;O3wix��1£2·!ï|

1.��

"#

��

��+,

"#

��

"#

��

"#

��

��+,

"#

��

��+,

"#

2.��

��+,

"#

5.67893:�;<}{|

1.��

��+,

"#

��

��+,

"#

��

��+,

"#

67893:�;<� ��Ê¬

?\6789334F56� ��¥7|

67893:�;<E(¥PQ{|

DH

MT

supe

rvis

ionPQ

2)2)D

HM

Tsu

perv

isio

n��Ê¬

1)´²³µ89¥ßà{|

´²³µÅ7Ü�Y�½c��6��%¥��{|

"#

4)¬p¼£´²³µÅ��Ê¬¥��{|

´²³µÅ��ý¥"#{|

3)

1MN�;OPQ"#

4)

ãf��1MN�;O«:

NPO法人HANDS（ハンズ）｜NPO法人HANDS（ハンズ）Title untitled Created Date 5/7/2008...

Documents

Transcript of NPO法人HANDS（ハンズ）｜NPO法人HANDS（ハンズ）Title untitled Created Date 5/7/2008...