The number of Kenyan women dying from pregnancy related complications either during pregnancy, while giving life or in the time after childbirth is very high and currently stands at 488 deaths for every 100.000 births.
But out of Kenya’s 47 counties close to 50 % of all deaths related to pregnancies happens in only 6 counties. To reduce the overall number of deaths related to childbirth and pregnancies these six counties is the initial focus for the Private Sector Health Partnerships.
Here you can find information on these counties that is useful if you think about engaging in one of them.
Lamu County is located in North-Eastern Coast of Kenya covering a total land surface area of 6273.1 km2.
The population of the county as projected in 2012 stands at 112,551.
There are 42 health facilities in Lamu County. 24 government owned, 3 owned by faith-based organizations, 1 NGO owned and 14 private institutions composed of 3 level five facilities, 5 health centres, 1 nursing home and 33 dispensaries.
Among the challenges facing Lamu is population growth owing to migration into Lamu from other parts of the country, fuelled partly by the anticipated opportunities accruing from the Lamu Port South Sudan-Ethiopia Transport (LAPSSET) Corridor. Other challenges include landlessness and poor land management, insufficient social services such as healthcare and education, inadequate supply of piped and fresh water, under-developed infrastructure and food insecurity.
Migori County is situated in the south-western part of Kenya. The county covers an area of 2,596.5 km2 including approximately 478 km2 of water surface.
The total population of Migori County according to the 2009 population census was 917,170 comprising of 444,357 males (48.6%) and 472,814 females (51.4%). This figure is expected to grow to stand at 1,243,272 persons in 2017.
Among the challenges facing Migori is the lack of appropriate technology and skills to produce, process, preserve and market its agricultural products. The county is also faced with inadequate infrastructure facilities and energy for industrialization. Most of the health facilities are seriously understaffed and lack adequate medical equipment. Essential services such as housing, water and electricity are lacking. Attracting and retaining medical personnel in many of these facilities have remained difficult for the county and worse still, requisite professional cadres such as doctors, nurses and clinical officers are in short supply.
Mandera County is located in the North Eastern part of Kenya and covers an area of 25,991.5 km2.
The county has an approximate population of 1,025,756 comprised of 559,943 men and 465,813 women.
The main development challenges facing Mandera County are food insecurity, environmental degradation, poverty, poor transport and communication infrastructure, droughts, insecurity, high illiteracy levels, water scarcity and poor urban and rural planning.
There are six Level IV facilities in the county, nine level III facilities, 24 Level II facilities, six Nursing homes and 60 Private clinics. The doctor/population ratio is 1:114,000 while the nurse/population ratio is 1:25,000.
Marsabit County borders Ethiopia to the North and covers an area of 70,961.3 km2.
The population is currently estimated at 316,206. This comprised of 164,105 males and 152,101 females. The 2009 Census recorded a population of 291,166 (52% Male & 48% Female).
The major development challenges facing Marsabit is water scarcity, drought, poor roads network, inadequate markets for local products, poverty and insecurity.
There are two level IV hospitals, three mission/NGOs hospitals, one nursing home, eight Level III hospitals, three private health centres, 32 Level II hospitals and 15 private clinics. The ratio of doctor to patient in the county is 1:63,825 while that of nurse to patient is 1:1,868.
Wajir County is located in the North Eastern region of Kenya and covers an area of 56,685.9 km2.
Projections from the Kenya 2009 Population and Housing census indicate that the county has a total population of 727,965 which is projected to be 852,963 in 2017. Males comprise 55 per cent of the population whereas female population account for 45 per cent.
The major development challenges facing Wajir are low agricultural and livestock production, food shortage, poor roads and inadequate health facilities and services.
There are 80 public health facilities, 27 private facilities and 2 facilities run by NGO/missions. The county has 10 level IV hospitals, 26 level III health centers, 46 level II health centers, 46 dispensaries and 24 clinics. According to the 2005/2006 KIHBS, 95.9 per cent of the population has to cover more than 5 km to access a health facility and only 4.1 per cent access a health facility within less than 1 km.
Isiolo County is located in the lower eastern region of Kenya and covers an area of approximately 25,700 km2.
The county’s population stood at 143,294 as per the 2009 Population Census comprising of 73,694 males and 69,600 females. The population was projected to rise to 191,627 by 2017.
Among the major development challenges in Isiolo are inadequate water and sanitation, high population growth, food insecurity, poverty and high HIV/AIDS prevalence.
Over 70 percent of the county’s inhabitants live in the rural areas where health facilities are inadequate, inaccessible, and unaffordable. The county has two level four health facilities, five level two health facilities and 34 level one health facilities. Most county’s public health facilities lack adequate personnel.
Public Private Partnerships in Kenya is governed under the PPP Act 2013 and managed by the PPP Unit within the National Treasury.
The scope of the Government’s program for PPP is the creation of new infrastructure, and the expansion and refurbishment of existing assets such as solid infrastructure for health care.
It is currently estimated that there is a funding gap of approx. US$ 2 to 3 Billion per year that is needed to address the infrastructure requirements in the next 5 to 8 years. The Government of Kenya therefore wish to engage the private sector to bring this additional capital and to improve the efficiency of delivering public services.
Read more http://www.pppunit.go.ke/