CoG web Admin

CoG web Admin

Monday, 02 November 2020 17:28


The 11th Annual Mashujaa Day 2020 celebrations were held at the Gusii Stadium, Kisii County. Since Kenya’s independence, the celebrations were traditionally held at the Kenya Nyayo National Stadium, in Nairobi. However, in the last seven years, following the adoption of a fresh policy by H.E. the President Uhuru Kenyatta, the celebrations have been hosted on a rotation basis by different counties, with the aim of fostering national integration and cohesion. The positive effects of this directive to individual counties are indubitably evident. It was made apparent in the radiance that Kisii county exuded right from the vibrant stadium to all the infrastructural upgrades that catch your eye as soon as you set foot in the County. It is through this directive that counties are able to showcase their uniqueness and ultimately their rich diversity. It is also a great economic boost for the counties as it brings together local and international guests requring various county services. Such events are also held concurrently across the Counties and presided over by the respective County Governors. Kisii joins the band wagon of 6 other counties to host such celebrations namely: Narok, Nyeri, Nakuru, Kakamega, Machakos and Mombasa
The 25,000-seating capacity Gusii stadium was open to approximately 3000 guests as opposed to the thousands of Kenyans that would usually join the celebrations due to the current pandemic and restriction to mitigate the same. Anyone entering the facility was tasked to strictly adhere to the Covid-19 containment measures including wearing a mask, sanitizing, and also keeping physical distance. Among the dignitaries present were H. E President Uhuru Kenyatta, first Lady Margaret Kenyatta, Deputy President Dr. William Ruto, Honorable Raila Odinga, Chief Justice and President of the Supreme Court, Cabinet secretaries, Excellency Governors led by the chairman H.E Wycliffe Oparanya, speaker of the National assembly, members of the diplomatic core among others.
In his remarks, the host Governor, H. E James Ongwae thanked the President for the chance to host the event saying it has opened up great opportunities for the county’. Further, he thanked the President for supporting the various projects in the county. “Your Excellency, just to mention a few projects, with your help, we have completed over 12 road projects, we have completely tarmacked the Gusii stadium which is now of International standards, the Kegati water projects is up and running and now generates 27m litres of water per day as opposed to the previous 6m litres. Complete upgrade of the energy system, establishment of the Central Bank money collection centre, creation of a passport centre and so much more are the strides we have taken with your Excellencies’ aid. Words can never suffice to express gratitude’’. He further urged the National Government to invest in soapstone mining which he said, is only found in Kisii County.
“Nationhood is a journey started by our forefathers but one that is yet to be completed’’, said the President while making his remarks. He celebrated the ancient and modern day heroes and heroines who have selflessly given themselves to bring the much needed change in our country. Those he honored include the Abagusii founding fathers who fought for Kenya’s independence, health workers who have been instrumental to the fight against covid-19, and young innovators whom he described as key drivers of the country’s development and law enforcers keeping the nation safe.
Deputy President Dr. William Ruto also recognized all the millions of ordinary Kenyans in villages, towns and cities who work with diligence, commitment, determination and integrity across various sectors of the economy.
In his remarks, the former prime Minister Honourable Raila Odinga lauded the president for the decision to have the National events celebrated in the counties. He also joined in celebrating the forefathers from the Kisii community who helped salvage the Nation from the hands of the colonialists.
As he concluded, the President urged citizens never to give up but rather audaciously pursue their dreams and be champions of positive change.

The Council of Governors (CoG) and the Senate Standing Committees on Agriculture, livestock and fisheries have resolved to review all policies in the Agriculture sector, in order to ensure conformity to the Constitution and enhance the sector’s productivity. This resolution was the result of a two-day consultative conference held in Mombasa County. In his opening remarks, the CoG Chairman, H.E. Governor Wycliffe Oparanya reiterated that Agriculture is devolved. "To realize this, we need policy and legislative reforms in the agriculture sector to spur growth in this sector. This is why as Governors we decided to have a sit down with both the National Assembly and the Senate Standing Committees on Agriculture, livestock and fisheries to discuss implementation of agriculture functions by the Counties. We also need to address the legal bottlenecks in the implementation of agriculture functions and how to address challenges affecting the agriculture sector at the County level", said Oparanya.
COG Agriculture Committee Chairman H.E Governor Muthomi Njuki emphasized the need for the CoG as well as the Standing Committees of both Houses to address the perennial issues that fall under implementation of agricultural functions in devolution, " As Counties, we had agreed that 10 percent of the annual budget at the County and National Governments should be allocated to the agriculture sector. Now our moral responsibility is to ensure that our issues are resolved in order to implement various regulations affecting the sector to minimize financial losses, increase production and income to farmers‬" said H.E Muthomi.
Speaking on behalf of the members of the Senate standing committee on Agriculture and Fisheries, Committee Chair Senator Njeru Ndwiga, agreed with the Governors that the Agriculture Sector is grappling with many challenges and both levels of government need to work together in order to root out stumbling blocks within the sector. “We have resolved to work together in order to tackle various obstacles that have plagued this sector especially when it comes to these so called ‘cartels’”, said Sen. Ndwiga.
The CoG and the leadership of the Senate standing committee on Agriculture and Fisheries agreed and approved 21 resolutions that are geared towards ensuring that policies are in tandem with the constitution.
The recommendations also seek to further strengthen the agriculture sector by ensuring that functions that are devolved are run and managed by county governments and that funds for the same functions are given to the devolved units though a read out joint communique.

Monday, 02 November 2020 17:21


‘’We are happy with the progress we have made so far in the implementation of the 2010 Constitution. In a record short period, we have 47 County Governments up and running and as we speak, this country has witnessed tremendous changes in terms of governance, involving people in decision making and devolving resources to marginalized communities”, marked the Cabinet Secretary, Ministry of Devolution and ASALs (CS) Hon Eugene Wamalwa during the Legal Awareness Week, 2020. Stakeholders at the event were in agreement that significant strides have been achieved in sectors that are devolved and the objects of devolution are being felt, albeit not without challenges.
Themed "Securing Constitutionalism and the Rule of Law: Reflection on 10 years of the Kenyan Constitution’’, this year’s event ran from 12th- 16th of October with the third day focusing on devolution. It is an annual fete organized by the Law Society of Kenya (LSK) aimed at providing free legal aid and civic education to citizens.
The gains of devolution cannot be gainsaid. All over the country, there is very strong support for devolution. Begged with the question of whether or not rural Counties would ever match up to the standards of urban Counties like Nairobi, Ms. Rosemary Njaramba, the Head of the Legal Department at the Council of Governors in a rejoinder reassured the participants that overtime this will be possible since resources are now going to the grassroots. ‘’Look at Mandera County for instance; it experienced its first C- Section in 2014 after devolution became operational. Hospitals in the Counties are now able to do open heart and brain surgeries. We shall get there for sure.’’
The forum, however, noted that there have been drawbacks impeding the progress of devolution; the most notable one being corruption. Panelists agreed that corruption is a cancer that poses as one of the biggest threats to development. Sharing in the pertinent discussions, Mr. Theuri, the chairperson of the LSK Nairobi Branch marked that corruption is not just a problem in the Counties but rather, a common problem throughout the country. The other dominant challenge raised is the funding snag made apparent in the recent delay by the Senate to pass the third basis for sharing revenue. The National Government has also continued to hold on to some of the County Government functions.
To stem the corruption menace, the session recommended the institutionalization of constitutionalism, so that the many laws in place are actually utilized in fighting corruption. The session also recommended the need to strengthen the capacity of Members of the County Assembly in performing their oversight function. Further, leaders were called upon to have in them the political good will to fight corruption.
On funding, stakeholders taking part in the event were in concurrence that there was need for increased allocations to the County Governments but concurrently, Counties were urged to utilize resources prudently and strengthen generation of Own Source Revenue. To improve the enabling environment for devolution, the Council of Governors representative emphasized on the urgent need for the restructuring of Regional Development Authorities and parastatals that continue to perform County functions, thereby causing wastage of funds and duplication of roles.
The session also noted and appreciated the enhanced Intergovernmental relations between the two levels of government that have been witnessed during the COVID-19 period. It was reported that in the last seven (7) months, the National and County Government Coordinating Summit had held three (3) meetings.
Unanimously, the forum affirmed that indeed devolution is working and that if well implemented, is the cure for underdevelopment. A clarion call was made to all citizens to groom devolution in order for its objects to be fully achieved.

Friday, 09 October 2020 06:23

Launch of Isiolo youth Innovation Center

Council of Governors chairman Wycliffe Ambesta oparanya on Thursday, 18th October, 2020 commissioned Isiolo Youth empowerment Centre.
Accompanied by Isiolo Governor Mohamed Kuti, Machakos Governor Alfred Mutua, U.K Deputy High Commissioner for Kenya Julius Court, Kenya School of Government Director Professor Ludeki and Kenya Film Classification Board Chairman Dr.Ezekiel Mutua leaders visited Isiolo Stadium, the Modern Market before the launch of the Youth Empowerment Centre.
Hundreds of youths are set to benefit from the pioneer youth innovation centre in Kenya that has been established courtesy of Partnership between the County Government, Kenya School of Government and other development partners such as United Nations Development Programme (UNDP), Department For International Development (DFID) and the Norwegian Embassy. Electronics giant Huawei will also provide internet connectivity for use at the centre.The Centre encompasses an ICT cyberspace with a computer lab where young people thinking about using the internet to eke a livelihood will receive training on mobile and computer applications, and will also provide a platform for youths interested in innovations, while those in the entertainment industry will also receive training in film making to enable them fully exploit their talents to earn a living.
Isiolo Governor Mohamed Kuti said that the centre will go a long way towards dealing with the challenge of unemployment among the youth, which has been identified as a major reason why many young people are lured into violent extremism and radicalization as well as other harmful practices such as drug and substance abuse.Governor Kuti made assurances that the recruitment exercise for beneficiaries will ensure a fair chance for both genders as well as people with disability, calling upon local youths to exercise patience as the innovation centre cannot handle all the interested youths at once. He said that the centre will only handle 50 youths at a go, with those completing their free courses paving the way for another group of fifty youths.
Also in attendance were Huawei Kenya CEO Mr. Adam Lane and CAS

The Council of Governors committee on Information and Technology on 29th September appeared before the Senate Standing committee on ICT for a consultative meeting on several issues in the ICT sector at the County Level.

Speaking during the virtual meeting, H.E Governor Ndiritu Muriithi – a member of the ICT committee told the senate of the important role that ICT has played in the Counties and especially during the COVID19 period. “ICT is a backbone for our day to day business and has helped us (County Governments) to continue offering services to the people despite the restrictions on gatherings and physical meetings due to the ongoing pandemic. It is because of ICT that we are able to meet here today,” said the Laikipia Governor.

Governor Ndiritu also reiterated the importance of data use for decision making in the Counties. However, data collected and available in the Counties today may sometimes not be very dependable for decision making due to the fact that Kenya National Bureau of Statistics is still a Nairobi based institution. In his remarks, he proposed that KNBS presence in the Counties needs to be improved and the data available need to be ICT based for easier interpretation and consumption.

Through the Ministry of ICT, the National Government has laid the National Optic Fibre Backbone (NOFBI) throughout the 47 Counties. The NOFBI project was aimed at ensuring connectivity in all the 47 counties of Kenya. The implementation of the project aims to ease communication across counties as well as improve government service delivery to the citizens. Phase 1 of the project was completed in 2009 and established a National Optic Fibre Backbone Infrastructure with access points in most of the district headquarters and some border towns.

To this end, the NOFBI project has reached the 47 Counties, however, some Counties are still experiencing challenges with the project including connectivity and damaged infrastructure. The Senate Committee meeting was aimed at identifying the challenges faced by individual County Governments and design interventions that would ensure that the National backbone is put into good use. Further, through the meeting, the Council of Governors briefed Senator Gideon Moi who is also the chair of the Senate committee on the County ICT interventions during the COVID 19 period. County interventions during this period have ensured that the Counties Governments continue to run during the COVID19 period.

While making his submission on behalf of the Council of Governors, Governor Professor Anyang’ Nyong’o outlined the many interventions made by County Governments during the COVID 19 period as well as the gaps that need to be addressed. “As County Governments we moved fast to ensure that services were still being offered to residents. All County Governments have set up County hotline numbers for reporting and contact tracing of COVID patients. We are leveraging bulk SMS and social media as well as electronic media platforms to share critical information with the people,” Said the Kisumu County boss. “However, we still have a myriad of challenges that are making us not to fully depend on ICT based solutions in our day to day activities and running of County Governments.

These challenges include, lack of proper legislation, lack of capacity and training among staff among others,” added Governor Nyong’o. In his proposal to cure the existing gaps on ICT at the Counties, H.E Pro. Anyang’ Nyongo has proposed to the Senate Committee the consideration to devolve the ICT Authority that will ensure availability of relevant ICT skills and personnel in every County. This will boost the County skill set and development of ICT solutions that can be used in revenue collection, data collection and management as well as capacity building on ICT at the County level.

The Senate Standing committee is expected to communicate to the Council of Governors on the way forward, complete with an intervention work plan in a week’s time.

Sunday, 04 October 2020 11:51

National COVID-19 conference

“The primary purpose here is to look at lessons learnt as well as best practices but fundamentally ask ourselves whether we organized our resources in the most optimal way and whether we have mechanisms of ploughing back lessons learnt for future undertakings,” said President Uhuru Kenyatta today as he opened the 12th National Covid-19 Conference at the Kenyatta Intercontinental Convention Centre (KICC) in Nairobi.
The conference was attended by County Governors led by the CoG Chairman H.E. Wycliffe Oparanya, Cabinet Secretaries, Senior government officials as well as stakeholders, in an aim to take stock of the government’s response to the COVID19 pandemic and advise on new measures.
In his remarks, the Head of State urged all participants to take stock of all the measures taken since March when the first case was confirmed in the country, so as to determine the way forward.
“For the last six months, the country has been in a ‘Season of Paradox’. Since March this year, when we recorded the first COVID-19 case, it became necessary to shut down the economy in order to save it. We had to avoid our loved ones, especially the elderly, because we care for their health and cherish their wisdom. And, it became necessary to withdraw our children from schools in order to secure their future. All this, was a paradox – a conflict between the ‘new normal’; and what we think the ‘normal’ should be’, said President Kenyatta
Uhuru called upon on all Kenyans to be realistic and to keenly evaluate the measures put in place by the government and see if they are effective in controlling the spread of COVID-19
“Today, however, we face an even greater paradox. As we flatten the Corona Curve, it may appear like victory, is on sight. Yes, the COVID positivity rate has fallen from 13% in June, 7% in August and is now at 4.4% in September. With these figures, we can be tempted to celebrate, more so because we are now below the 5% positivity rate recommended by the World Health Organization (WHO) for re-opening” said President Kenyatta.
Speaking on behalf of the County Governments, CoG Chairman H.E Wycliffe Oparanya lauded the partnership between the National government and the Counties in terms of fighting the pandemic despite the challenges between the two.
“Over the last six (6) months, County Governments in tackling the prevention, control and management of the pandemic have learnt a number of lessons from what worked and what did not work and the challenges that still confront us. One key lesson is that in times of crisis you have no choice but to stick together. The pandemic brought the two levels of government closer and this should be the way to relate always”, said Oparanya.
In regards to a recovery plan, Governor Oparanya stated that the County Governments had developed the County COVID-19 Socio-economic Re-engineering Recovery Strategy which would be subsequently be rolled out to Counties for implementation upon its launch. The Council of Governors would be tasked to ensure that this Recovery Plan is mainstreamed into the County Integrated Development Plans (CIDPs).
“This document should help assist Counties to reengineer government processes in the face of the COVID challenges and begin to address the socio-economic gaps and challenges that have emerged. Indeed, it will be an integral document as County Governments embark on preparation of Annual Development plans and County Budgets for the Financial Year 2021/22” , he concluded.
The National COVID 19 Conference follows immediately after the County Governments COVID 19 virtual conference that was held on 31st August 2020 under the theme County Governments resilience in the COVID19 era: Reflecting on the past and building sustainability for the future.


The Council of Governors, Kenya Institute for Public Policy Research and Analysis (KIPPRA), County Governments, researchers, development partners, and sector stakeholders has developed the County COVID-19 Re-Engineering and Recovery Strategy 2020/21-2022/23 that embeds the principles of response, recovery and thriving. The Strategy aims at boosting Counties’ economies by leveraging on five pillars:
• Boosting private sector activity;
• Policy, legislatives, and institutional reforms;
• Strengthening County Government’s preparedness and response to pandemics and disasters;
• Enhancing Information Communication Technology (ICT) capacity for business continuity; and
• Investing in human resource development.
The COVID 19 pandemic has affected negatively most sectors of the economy. Many people have lost jobs, development has been affected while the general economy has failed to grow as projected due to the effects of the pandemic. The health sector of the County, which is a devolved function in Kenya has been hit hard despite the gains that have been made as part of the COVID 19 response.
The pandemic highlights the need to promote innovations and adopt modern technologies in the path to enhancing self-reliance. The Kenyan youth have shown the capability to adapt with innovations to help in responding to the pandemic. Youth have come out to develop ventilators, ICU beds among other commodities with locally available materials. The Government has since nurtured some of these talents by procuring the locally made commodities to promote the local talent as opposed to importing them. “It takes our commitment as government to nurture innovations by re-energizing our institutions of technical training, science, technology and engineering to maintain the momentum for innovation to the level of being commercialized. This also presents an opportunity for our research and policy institutions to relook at the kind of innovation model the country and counties require in economic transformation.” Coins Governor Nyong’o who is a member of the steering committee on the development of the strategy.
With the development of the recovery strategy, another 47 County specific strategies have been developed and will be launched together with the generic strategy that will guide individual Counties towards recovery during and post COVID 19.

Sunday, 04 October 2020 11:22

Financing climate action

“Our action on climate change is urgent, the more we delay, the more we will pay in lives and money,” said Ban Ki-moon, Former Secretary-General of the United Nations.
The issue of climate change is one that has been undermined for long. As more years go by, the more the climate change impacts continue to ravage the globe.
Kenya is one of the countries that have registered adverse effects of climate change, this especially in Counties, a common case was Budalangi area in Busia County for instance is reknown for being flood prone. Lake Baringo, Nakuru, Turkana are the other areas notorious for flooding and in fact, currently, their water levels are rising displacing thousands of people and destroying hard- earned property. The other recent and notable case of climate change effects was the West Pokot one in 2019 where flash floods caused massive landslides causing major havoc. The Eastern counties are also known for being drought- prone. It has caused hunger, which has caused deaths of many people and at the same time impeding efforts to attain food security.
Truly, the effects of climate change are not just slanted on the environment side but are cross- cutting. It has had effects on the food security and poverty reduction efforts, availability of water, health, built environment and so on. It has also shaken up the economy as a lot of money has had to be used to mitigate the effects. With devolution, such counties were supposed to have reported many success stories but the effects of climate change have slowed development.
In light of this, the efforts to build resilience to adaptive capacities of Kenyan communities to the effects of climate change are being boosted. The Word Bank program on Financing Locally Led Climate Action (FLLLCA) is one such seeks to support the Government of Kenya in strengthening local resilience to the impact of climate change, natural hazards, and other shocks/stressors by building capacity to plan, implement and monitor resilience investments in partnership with county governments and communities. This will be achieved through capitalizing on the National Climate Change Fund and subsequent County Climate Change Funds, building county level capacity for planning and implementation of local climate action and strengthening national level capacity for coordination, monitoring and reporting.
The Programme will be implemented at the National and county level to support the enablers as outlined in the National Climate Change Action Plan and is organized along the policy, legal and regulatory framework for climate change , capacity building, decentralized financing, community led actions, technology and innovation and measuring climate results components.
The County readiness assessments for the Programme for the North Rift, Lake region, South Eastern Kenya and Jumuiya ya Kaunti za Pwani Blocs have been concluded. The readiness assessments are meant to determine the status of County Governments in enacting relevant climate change laws and the County climate change fund mechanism which are minimum access conditions for fund access.


Sunday, 04 October 2020 11:00

Kisumu to host Africities summit 2021

On 25th of September, 2020 a multi-agency committee involving state and county officials was inaugurated to prepare for the Africicties Summit 2021 that will be held in Kisumu County. This comes after successful negotiations held in 2018in Marrakech Morocco. Among those involved in the preparations are officials from the ministries of Devolution, Interior, Treasury, Foreign Affairs, Transport, ICT, Housing and Urban Planning and the Council of Governors.
The event that is set to take place in Mamboleo showground will be a platform to grow not only Kisumu County but also the entire Lake Region Economic Bloc and Kenya at large. According to the Kisumu County Governor, the Summit will place Kisumu in the world map. He said Kisumu's accommodation and meeting facilities are almost sufficient. “There are 4,961 decent beds in the city and about 9,866 others in the region”, Governor Nyong'o said.
Devolution CS Wamalwa during the signing of the MoU to host the Africities Conference in Kisumu noted the summit will be very beneficial to the Kisumu County Government as it will boost its efforts in elevation of Kisumu City to an International City. He further pinpointed that it will be a great platform to share Kenya’s devolution story. “The hosting of the Summit in Kisumu provides Kenya with an opportunity to share our experiences in implementing the devolved system of government. The adoption of devolution by Kenya through the 2010 Constitution presented a unique opportunity to empower our sub national governments, including cities and municipalities, to improve on service delivery and respond to the aspirations of their citizens”, said the CS.
Africities is the United Cities and Local Governments of Africa's (UCLG- Africa) flagship pan-African event that is held every three years in one of the five regions of Africa. It focuses on the need for Local Africa to learn, promote and present a new approach to sustainable development. It is premised upon SDGs 11 –sustainable cities and communities which seeks to make cities and human settlements inclusive, safe, resilient and sustainable and the need to address challenges that hamper the realization of UN’s 2063 Agenda.
As Jane Jacob would say, “Cities have the capability of providing something for everybody, only because, and only when, they are created by everybody.” The importance of this summit cannot be gainsaid as it seeks to address development and urban renewal of African cities. The last Africities Summit was held in 2018 in Marrakech, Morocco. The next, which is the 9th edition, will be in Kenya, Kisumu County from the 16th to 20th November, 2021. This will be the second time Kenya is hosting the Summit as it held its first one in 2006. The summit is expected to host around 8,500 delegates from all over the globe. Kisumu will be the first intermediary city, aside from the main cities to host the summit.
The Kisumu County Government as a host has kick started preparations to for the summit. Major revamping is being done around the city. Governor H.E Anyang’ Nyong’o has assured that he is working closely with the National Government to ensure the fruition of the summit. The Governor noted that the pandemic partly slowed the process but appreciated that there is still enough time to plan. “The Covid- 19 will not dampen our commitment to host the summit. We already have planning committees in place and we have enough time to plan. We shall deliver a successful event”, he concluded.



By the end of 26th May 2020, Kenya had recorded 1,348 cases of COVID-19 since the first case was reported in March 2020. Fifty-three people had succumbed to the disease. The Kenyan government led by the President has put in place containment measures related to mobility, physical distancing, targeted mass testing, quarantine and isolation centres among other initiatives. Counties have invested extensively in implementing these measures including re-focusing resources to strengthen the healthcare system to respond to the COVID-19 pandemic.
The COVID-19 transmission mitigation measures e.g. curfew and travel restrictions may ultimately place vulnerable people seeking health care services at greater risk. Analysis of the 2014-2015 Ebola outbreak suggests that the increased number of deaths caused by measles, malaria, HIV/AIDS, and tuberculosis attributable to health system failures, exceeded deaths from Ebola. Special groups such as pregnant women, children and people living with disabilities, people with chronic illnesses and older people may experience an increased interruption of care caused by COVID-19, leading to high morbidity and mortality in the Country.

Essential services include, but are not limited to:
• Emergency outpatient care- management of injuries
• Critical inpatient services including for emergency surgical procedures
• Emergency surgeries, eye and dental procedures
• Antenatal, Maternity, contraception and postnatal services
• Nutrition -Management of acute malnutrition among children under five and pregnant and lactating women.
• Vaccines and Immunization services
• Child health services including growth monitoring, follow-up for chronic condition and treatment of illnesses commonly affecting children such as malaria
• Monitoring, Provision of medication for chronic non-communicable diseases such as Diabetes, Hypertension and mental health conditions
• Cancer treatment, renal dialysis
• Auxiliary services, such as basic diagnostic imaging, laboratory services, and blood bank services

County governments have put in places several measures to ensure uninterrupted provision of essential health services. Some of these are highlighted below:

Infection Control and Prevention Measures
• Hand washing points in all health facilities
• Use of sanitizers
• Consistent use of face masks
• Keeping safe distance (at least 2M) in all health care settings
• Reducing visitors to hospitals
• Frequent cleaning and disinfection of surfaces, equipment and floors at health facilities
• Safe disposal of wastes at the health facilities is done. Medical waste is disinfected then incinerated

Reproductive, Maternal, Newborn and Child Health (RMNCH)
• All persons are screened for COVID-19 symptoms (fever, cough, shortness of breath) including temperature check at the entrance to the health facility
• Antenatal Care (ANC) services are offered uninterrupted
• All patients wear masks
• Baseline investigations for co-morbidities are done
• Patient education on both pregnancy and COVID-19 is done
• All clients are evaluated for extended prescriptions where applicable
• Public education on Gender Based Violence (GBV), communication of hotlines for GBV and services for GBV are prioritized
• All children with respiratory tract symptoms are kept at least six feet away from other children
• Children with in-drawing pneumonia are prioritized for COVID-19 testing
• Health workers with respiratory tract illness (regardless of COVID-19 status) are exempted from duties in Newborn Units
• Infants and caregivers coming for immunization services are triaged for possible exposure and appropriately directed to a point of care
• Community Health Workers are deployed to mobilize caregivers to continue seeking immunization services

Nutrition Services
• Caregivers of children who are above one (1) year are encouraged to continue monitoring their children’s’ weight and should they notice that their children are losing weight or adding no weight at all, should visit the nearest health facility for checkup
• Routine screening for malnutrition is continuing at Out Patient Departments (OPD) with strict adherence to Infection Prevention and Control (IPC) procedures and protocols
• Rations per beneficiary are organized ahead of the scheduled distribution
• Extend the number of days are given for Out-patient Therapeutic Care (OTP) services, depending on the usual number of clients and capacity of the health facility (space, available human resource etc.), with an objective of ensuring no contact between clients and crowding at OTP sites
• 4-week OTP rations are provided for children with Severe Acute Malnutrition, and CHVs are assigned for home follow-up

Chronic Illnesses e.g. hypertension, diabetes, HIV
• Continued screening for chronic illnesses is done at health facilities
• Tele-health is done where applicable
• Multi-month drug dispensing when possible
• Models have been adopted that assist service delivery e.g. follow up of clients through mobile phone such as m-shwari
• All patients being evaluated for respiratory illnesses such as Pneumonia, Asthma, COPD, Tuberculosis are also evaluated for COVID-19
• Clients at risk of poor compliance and complications of chronic diseases are enabled to access medication, accompanied by constant follow-ups

Mental Health
• There may be a lot of clients seeking mental health services, in light of the COVID-19 pandemic. There is currently access to telephone counseling through the 719/1190 contact for the general public as well as health workers who are affected by the pandemic. These services are linked to county facilities where emergency psychiatric services are available to clients
• Multi-month dispensing for psychiatric patients where possible

County Governments continue to put more effort in the fight against COVID 19 by refocusing resources and mobilizing more resources from development partners and well-wishers in the Counties. These efforts are meant to ensure that the health system is not overwhelmed by the pandemic. County Governments also continue to encourage residents not to shy from seeking the much required health services for fear of contracting COVID 19 as proper measures have been put in place in all health centres and health workers skilled through training with the necessary skills to deal with the pandemic.

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