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Set Up of the Nyamira County Referral Hospital
Legal Health Mandates of Nyamira County Government
The Nyamira County Government derives its legally devolved health functions from the Fourth schedule part 2(2) of The Constitution of Kenya 2010, the Transition to Devolved Government Act, 2012 and the attendant Gazette Notices in particular Legal Notice No. 159 of the Kenya Gazette Supplement No. 116, Legislative Supplement No. 51 of 9th August, 2013. Herein are some of the health functions that are devolved to the County Government of Nyamira:
Project Justification
Current national government health sector budgetary allocations in Nyamira County basically finance recurrent expenditures such as salaries, maintenance and clinical services. Current revenue collections from the existing facilities are inadequate to finance significant capital and expansion expenditure beyond the current scope of operations. Meanwhile, there is rapidly growing pressure in demand for healthcare services within and from without the County. The equally rapidly changing medical case mix, scientific and technological developments and increasing patient demand is driving a growing need for investment in healthcare systems and infrastructure to meet the 2030 Health Pillar Goals objectives. The County government and National governments have limited resources to respond to these needs. To address this challenge we consider it prudent to turn to the PPP approach to access funding for the project under contracts for the design, construction, financing and management of the new facility.
This project will specifically address the use of Public Private Partnership (PPP) approach to fund capital investment in physical infrastructure, medical equipment and health management systems. It will consider the healthcare social infrastructure aspect ranging from diagnostic and treatment especially for non-communicable diseases which are on the increase throughout the region. Currently, there are only two referral hospitals in Kenya; Kenyatta National Hospital and Moi Teaching and Referral hospital both of which are at least 300 kilometres away from the region. There being no facility to offer highly-specialized care in the lake basin region, this true referral facility will have a population catchment of at least 10 Million people and also serve as a medical tourism centre for citizens from Eastern Uganda, Southern Sudan and Northern-eastern Tanzania.
Project Description
Nyamira County is seeking a private investor who shall design, build, operate and transfer a world-class medical referral facility. Our concept is modelled around the efficacy of the referral system with the main objective of reaping its maximum benefits. Benefits of good referral system are many and include increasing the efficiency and effectiveness of the health system; strengthening peripheral health facilities and improving decision making capacity at lower levels, promoting cooperation and complementation between the three levels of care. Besides, patients will enjoy expert advice, superior technical examination, advanced technical intervention, care beyond the existing facility’s capability and currently unavailability of resources.
We envisage that the new referral hospital will be able to tend to the needs of the patients who were previously referred out for outpatient and inpatient services from the Lake Victoria Region and also attract those patients from outside this region from areas that lack these facilities. In addition opportunity lies in the utilisation of the facilities by medical teaching institutions whose students require hospital experience as it will be inundated with all the requisite services required for their internship. Through this the facility is set to be the leading teaching hospital in the region and thus harness on research and modern technology to expand and grow.
Project Need and Scope
The project need is assistance of Nyamira County government to secure necessary funds for construction of a new 450-bed capacity referral hospital that will provide quality health and medical care services for the population Lake Region and its environs. Further, opportunities for investment training and teaching opportunitiesalongside medical tourism support services will also be integrated into the project.
Role of the Private Sector include:
The Role of Nyamira County Government include:
The Role of Nyamira County Government include:
Project Justification
Current national government health sector budgetary allocations in Nyamira County basically finance recurrent expenditures such as salaries, maintenance and clinical services. Current revenue collections from the existing facilities are inadequate to finance significant capital and expansion expenditure beyond the current scope of operations. Meanwhile, there is rapidly growing pressure in demand for healthcare services within and from without the County. The equally rapidly changing medical case mix, scientific and technological developments and increasing patient demand is driving a growing need for investment in healthcare systems and infrastructure to meet the 2030 Health Pillar Goals objectives. The County government and National governments have limited resources to respond to these needs. To address this challenge we consider it prudent to turn to the PPP approach to access funding for the project under contracts for the design, construction, financing and management of the new facility.
This project will specifically address the use of Public Private Partnership (PPP) approach to fund capital investment in physical infrastructure, medical equipment and health management systems. It will consider the healthcare social infrastructure aspect ranging from diagnostic and treatment especially for non-communicable diseases which are on the increase throughout the region. Currently, there are only two referral hospitals in Kenya; Kenyatta National Hospital and Moi Teaching and Referral hospital both of which are at least 300 kilometres away from the region. There being no facility to offer highly-specialized care in the lake basin region, this true referral facility will have a population catchment of at least 10 Million people and also serve as a medical tourism centre for citizens from Eastern Uganda, Southern Sudan and Northern-eastern Tanzania.
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