KENYA MEDICAL TRAINING
COLLEGE
DEPARTMENT OF CLINICAL
MEDICINEBASIC DIPLOMA:
COMMON HSM LECTURES
ORGANIZATION OF HEALTH CARE SERVICES IN KENYA
BY
KISHASHA MESHACK, PhD(on), MPH, MScHSM, BScPH, HNDRH, HNDA, DCMS
Organization of health services
in Kenya
The government of Kenya devolved the ministry of Health and re-
organized its services from its headquarters at Afya house to the lowest
low of the counties:
The organization structure is as illustrated:
Organization of Administrative
services
Principal Secretary
Planning and policy Director General of Health services
Preventive & Curative & Rehabilitative Standards County Health
Promotive services Department Regulation Dept Services
Organization of health Care
services in Kenya
MOH
National Hospitals ( Level 6)
County Teaching & Referral Hospitals (Level 5)
County Referral Hospitals (Level 4)
Health centers/ Maternity Homes & Sub county Hospitals (L-3)
Dispensaries & Clinics ( Level 2)
Community ( Level 1)
Organization
Tiers of Health services in Kenya
1. Primary care- promotion, preventive, curative,
2. Secondary care- expertise management- cancer, renal
3. Tertiary care – specialized care for short or extended
period/complex
4. Quaternary care- advanced, highly specialized, not widely accessible
Parastatals under ministry of
health
1. Kenya medical Training college
2. Kenya medical Research Institute
3. National Hospital Insurance Fund (SHA)
4. Kenyatta National Hospital
5. Moi Teaching and Referral Hospital
6. Kenyatta University Teaching & Referral Hospital
7. * JOORTH
8. KEMSA
Regulatory Agencies
1. Nursing Council of Kenya
2. Clinical Officers Council;
3. Medical practitioners and Dentists Board
4. Kenya Medical Technicians & Technologists (KMLTTB)
5. Pharmacy and poison Board
6.
Organization
Functions of the health care system
• Leadership and governance
• Health financing
• Service delivery
• Medical products, vaccines and technologies
• Health Information systems
• Research etc
• Human health workforce
Organization
Mandate of the ministry of Health
• National Policy formulation
• Provisions of guidelines on tariffs
• Oversight
• Research- conducting studies- administrative /managerial
• Immunizations
• Regulatory- monitoring quality and standards
• Provision of technical support
Organizations
Roles and responsibilities of MOH , HQS
Executed through the chief technical officer (Director General) via six
directorates:
1. Administrative services
2. Health standards, quality Assurance and regulations
3. Curative and rehabilitative services
4. Policy planning and Health care financing
5. Preventive and promotive services
6. National Quality control laboratories.
Organization
Other National Hospitals
1. Aga Khan , Nairobi
2. Nairobi Hospital
Assignments
3. 1. List the health care services offered at:
a). National hospitals
b). County Referral and Teaching Hospitals
c). County hospitals (d). Health facility. (e )dispensaries (f) community
