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SCHEDULE (r. 7)
Category Facility Description Services Infrastructure Personnel
Level 1
(i). Community Health
Unit
Health Unit with a
maximum of 5000
population (1000
households) and is an
equivalent of a sub-
location.
Provides the first contact
with the healthcare
delivery systems, and is
linked with the
next/adjacent health
facility.
focuses on—
(a) ensuring individuals,
Households and
communities carry out
Appropriate healthy
behaviours; and
(b) recognition of signs
and symptoms of
conditions that need to
be managed at other
levels of the system
(a) Preventive
(b) Health Promotion &
Education
(c) Diagnosis and
management of
minor illness
(d) Early detection of
conditions,
screening and
referral
(e) Enforcing adherence
to care and Defaulter
Tracing
(a) Community based
Health Information
Systems.
(b) E-health tools
(c) Chalk boards &
teaching aids.
(d) CHV kits
(a) Any registered &
licensed health workers
(b) Community Health
Extension Worker
(c) Community Health
Volunteers
Level 2 1. Health clinic This facility is the second
level of care that offers
basic outpatient services.
(i) Basic outpatient
services;
(ii) Basic emergency
(a) At least three rooms
being─
(i) a reception;
(ii) a consulting room;
(a) Any registered and
licensed health
professional
2
services;
(iii) minor surgical
procedures services
within the scope of
practice;
and
(iii) a treatment room or
observation;
(b) a procedure room, if
procedures are done at
the facility;
(c) a First Aid Kit;
(d) a Health Information
Management System;
(e) a waste management
system;
(f) Emergency equipment;
(g) Sterilization equipment
(h) Basic equipment
relevant to the scope of
practice
(i) Running water
(j) Power source
(k) ICT equipment
(l) Ablution facilities
(m) Storage facilities
(n) proof of contract with a
licensed waste disposal
company
(2) Dental Clinic An outpatient facility for
the treatment of dental
related problems.
(a) Dental services (b) At least three rooms
being─
(i) a reception;
(ii) a consulting room;
and
(iii) a treatment room or
observation;
(a) Dentist; and
(b) Dental Assistant or
Nurse
3
(c) A sterilization room
containing the
prescribed equipment
used by the dental
practitioner for─
(i) the promotion of oral
health;
(ii) the prevention,
diagnosis and treatment
of oral diseases; and
(iii) the rehabilitation of
oral structures;
(d) a specialized dental
chair with accessories,
in the case of a
comprehensive clinic-
Unit;
(e) basic normal clinic
chair;
(f) all equipment for
extraction and minor
oral surgery, filling;
and
(g) ART instruments,
including a scaler, with
effective infection
control.
(h) Emergency tray
(i) ICT Equipment
3. Dispensary This facility is the second (o) Basic outpatient (i) Out-patient The facility should have a
4
level of care that offers
basic outpatient services. It
encompasses public,
private, school based,
company based and faith
based facilities.
services;
(p) Basic Emergency
Services;
(q) Preventive services;
(r) Immunization;
(s) Maternal & Child
health;
(t) Screening for
communicable
&NCD’s
conditions;
(u) Integrated vector
management;
(v) good hygiene
practices;
(c) Health Promotion &
Prevention of
communicable, Non-
Communicable diseases
and mental health
(d) Port health
services;
(e) community
management of
violence and injuries
(f) pre-hospital
care;
(g) emergency
maternity services;
(h) Infection
Prevention & Medical
waste management’;
(i) Sterilization
waiting bay
(ii) One
consultation
room
(iii) Treatment &
procedure
room
(iv) Sluice room
(v) Sterilization
room
(vi) Basic
procedure
equipment
(vii) Infection
prevention
and medical
waste
management
mechanism
(viii) Running
water
(ix) One or two
examination
couch(es)
(x) Delivery bed
(xi) Resuscitaire
(xii) Infrastructure
& equipment
to offer basic
(routine)
laboratory
services
(xiii) ICT
minimum of the following
personnel;
(a) Two Nurses
(b) Public Health technician
(c) laboratory
technologist/technician
(d) Nutrition & dietic
technician
5
services
(j) food quality and
safety services;
(j) reproductive
health services;
(k) basic laboratory
services;
(l) Environmental,
safe water, sanitation
and hygiene;
(m) Promotion of
nutrition services;
(n) substance abuse
services;
(w) promotion of
school health
including
deworming;
(x) Provide linkage
with community
health services
equipment
(xiv) Ablution
facilities
(xv) Power source
(xvi) Storage
facility
(xvii)
(xviii) Access to
ambulance
services
(xix) Cancer
screening
equipment;
(xx) Emergency
Obstetric
care
equipment;
(xxi) Community
Health Kits
(CHK)
4.Mobile Clinic Health facility that
operates through migration
of the clinics from one area
to another, with each
mobile clinic linked to a
static health facility from
where it operates beyond
the reach of the static
facility which provides
staffing, administrative
Provides─
(a) maternity services;
(b) primary care services;
(c) curative, MCH/FP
services;
(d) emergency services;
and
(e) specific services
for─
(a) Infrastructure and
equipment to offer─
(i) basic outpatient
services;
(ii) emergency maternity
services;
(iii) basic laboratory
At least one from each the
following:
(a) General clinical officer;
(b) Public health technician;
(c) Nurse;
(d) Laboratory
technician/technologist
(e) Any other registered and
licensed health
professional required as
6
services and storage of
supplies and other
necessary needs.
(i) HIV, TB, Malaria,
CA screening
services;
(ii) referral services;
(iii) defaulter
tracing; and
(iv) neglected tropical
conditions.
services;
(iv) minor surgical
procedures;
(v) outreach services
(vi) Sterile packs
(vii) ICT equipment
per the services provided
5. Eye Clinic A health facility for the
treatment of outpatient eye
clients (including optical)
for not more than twelve
hours.
(a) (b) At least three rooms
being─
(i) a reception;
(ii) a consulting room;
and
(iii) a treatment room or
observation;
(c) a procedure room, if
procedures are done at
the facility;
(d) a health information
management system;
(e) a First Aid kit;
(f) a waste management
system; and
(g) proof of contract
with a licensed waste
disposal company.
(a) an ophthalmic nurse;
(b) an ophthalmic clinical
officer; or
(c) ophthalmologist who
exclusively offers eye
care services.
6. Home-Based care
service
Health care service
provided at the patient’s
home
a. Treatment
b. Nursing care
c. Dressing
d. Physiotherapy
a. Emergency kit
b. First aid kit
c. Hygiene kit
d. Dressing packs
a. All registered and
licensed health
professionals
7
e. Nutrition
f. Others as
prescribed
e. Other equipment
and infrastructure
as per the scope of
practice
7. Funeral Homes-
Stand alone
A facility where─
(a) dead bodies are stored;
and
(b) undergo autopsy
before cremation or
burial;
(c) additional services
including-
(i) the sale of coffins;
(ii) cremation;
(iii) burial;
(iv) transportation of
bodies,
may be provided.
At least─
(a) one pathologist; and
(b) morgue attendant.
LEVEL 3A
1. Comprehensive
Health Centre
A health facility that
provides comprehensive
curative, preventive,
promotive and
rehabilitative health
services including
maternity theatre services.
(public, private or faith-
based), this will include
Nursing Homes, Cottage
Hospitals and Maternity
homes that meet the bare
minimum for a Level 3B
facility.
provides─
(i) curative services;
(ii) outpatient services;
(i) inpatient services;
(ii) emergency
obstetric operations
(caesarean section)
(iii) New born care
(iv) Basic rehabilitation
services
(v) referral services;
(vi) Minor surgical
procedures;
At least─
(a) One outpatient waiting
bay
(b) three consultation
rooms;
(c) one treatment room;
(d) one maternity theatre to
have the following;
(i). standardized
operation table
(ii). Overhead/mob
ile theatre light
(iii). Anaesthetic
At least─
(a) Visiting /resident
specialist;
(b) two medical officers;
(c) six clinical officers;
(d) one graduate clinical
officer;
(e) two specialized
clinical officers
8
(vii) limited emergency
inpatient services;
(viii) mental health
services;
(ix) Basic oral health
services;
(x) health promotion;
(xi) maternity services
for normal
deliveries;
(xii) caesarian section
services,
(xiii) antenatal care
(ANC);
(xiv) family planning (FP)
services;
(xv) immunization
services;
(xvi) Class C laboratory
services;
(xvii) Basic radiologic
and imaging
services;
machine
(iv). Resuscitaire
for the new
born
(v). Sluice room
(vi). Standard
receiving &
releasing room
(vii). Changing
rooms (male &
female)
(viii). Scrub area
(ix). Recovery
room (2 beds)
(e) one minor theatre (out-
patient)
(f) one records room;
(g) support services to
include:
(i) kitchen;
(ii) laundry;
(h) health information
management systems;
(i) inpatient bed capacity
of between sixteen to
Forty beds being
disturbed between
male, female, paediatric
and maternity ward;
(j) Pharmacy;
(k) one general store;
(f) twelve Kenya
Enrolled Community
Health Nurses;
(g) eight Kenya
Registered
Community Health
Nurses;
(h) two Kenya
Registered Nurses;
(i) two psychiatric
Nurses;
(j) two registered
midwives;
(k) two nutrition &
dietetic officers;
(l) two nutrition &
dietetic technologists
(m) one anaesthetist;
(n) one Sign Language
staff;
(o) One pharmacist;
(p) three pharmaceutical
technologists;
(q) two Plaster
Technicians or
Technologists;
(r) one orthopaedic
9
(xviii) nutrition services
(xix) School health
services
(xx) Provide linkage
between health
facility and
community health
services (CHS)
(l) Infrastructure and
equipment of Class C
laboratory;
(m) one labour ward
with standard delivery
bed, Resuscitaire and a
fully equipped
emergency tray
(n) Toilet & ablution
facilities (one toilet for
12 patients of each sex)
(o) Public health office;
(p) basic radiological and
imaging facilities;
(q) surgical procedures
facilities;
(r) Central Sterilization
Services Department;
(s) Waste disposal
mechanism
(t) staff housing/hostel;
(u) a fenced incinerator;
(v) one placenta
pit/Macerator
(w) one motorcycle;
(x) communication
equipment;
(y) water storage for roof
catchment;
technologist;
(s) three physiotherapists;
(t) three occupational
therapists;
(u) One dental
technologists;
(v) Two Community Oral
Health Officers;
(w) one health promotion
officers;
(x) Two social workers;
(y) one health
administrative officer;
(z) three clerks;
(aa) one supply chain
assistant;
(bb) three health records
information
management officers;
(cc) one ICT officer;
10
(z) composite pit;
(aa) power source
(bb) MCHFP kit;
(cc) Cancer screening
equipment
(dd) Oxygen supply and
suction machine;
(ee) fence and gate.
(ff) ramp/disability friendly
infrastructure
(gg) clean source of water
(a) firefighting equipment
(b) ICT equipment
(c) Access to ambulance
services
(d) Equipment and
infrastructure for
radiologic and imaging;
(e) Community health kits
(CHK)
(dd) two bio-medical
engineering
technicians;
(ee) five medical
laboratory
technologists/technicia
ns;
(ff) one graduate public
health officer;
(gg) Two public health
officers;
(hh) one public health
technicians;
(ii) Two radiographer;
(jj) Support staff to be
determined by
institution capacity;
LEVEL 3B 1. General
medical &
dental clinic
Medical officer
BDS
LEVEL 3C
2. Basic Health
Centre
A health facility that has
been Gazetted as a health
centre owned by the
(a) curative services;
(b) outpatient services;
(c) inpatient services;
At least─
(f) Outpatient
11
MOH, other governmental
organization or licensed to
a faith based organization,
community or registered
organization including a.
school, company, church,
mosque, NGO, or
humanitarian organization,
that offers many
ambulatory health services
and generally offer
preventive and curative
services appropriate to
local needs.
(d) referral services;
(e) additional outpatient
care, largely limited
to minor surgery on
outpatient basis;
(f) limited emergency
inpatient services for
emergency inpatients
including patients,
awaiting referral and
on twelve hours
observation;
(g) limited oral health
services;
(h) individual health
education;
(i) maternity services for
normal deliveries;
(j) antenatal care (ANC);
(k) family planning (FP)
services
(l) immunization
services; and
(m) offers laboratory
services of Class B
(n) Minor surgical
procedures
waiting bay
(g) three consultation
rooms;
(h) one treatment
room;
(i) one minor theatre
at outpatients;
(j) MCHFP clinic;
(k) one records room;
(l) inpatient bed
capacity of
between eight and
sixteen beds being
distributed among
male ward, female
ward, paediatric
ward and
maternity ward;
(m) sterilization room
(n) Pharmacy ;
(o) one general store;
(p) Two rooms for
administration
purposes;
(q) Infrastructure and
equipment for
class B laboratory
(routine and basic
laboratory tests);
(r) one labour ward
with two standard
delivery beds;
(s) one delivery room
12
with two delivery
beds;
(t) Public health
office;
(u) a support
services unit to
include─
(v) a kitchen; and
(w) laundry;
(x) Health
Information
Systems;
(y) Waste disposal
mechanism;
(z) Infection
prevention &
control
mechanism;
(aa) staff housing for
at least two members of
staff;
(bb) toilet & ablution
facilities (one
toilet for every 12
patients for
separate sex);
(cc) mechanism for
hand washing;
13
(dd) fenced incinerator;
(ee) a placenta pit;
(ff) holding room for
dead bodies;
(gg) one motorcycle;
(hh) communication
equipment;
(ii) water storage for
roof catchment;
(jj) fence and gate;
(kk) composite pit;
(ll) ramp/disability
friendly
infrastructure
(mm) clean
source of water
(nn) firefighting
equipment
14
(oo) Access to
ambulance
services
(pp) Cancer screening
equipment
Level 4A
Primary care
hospital
This is the principal
primary referral
hospital.
It offers services that
compliment primary
health care services to
allow for a delivery of a
more comprehensive
care with catchment
population of 100,000
persons.
(a) Out-patient services
(b) Laboratory services of
Class D
(c) Specialist therapy
services
(d) Integrated HIV/AIDS,
TB management;
(e) services for
elimination of
communicable
diseases;
(f) specialized out patient
services;
(g) screening for animal
transmitted
conditions;
(h) provides─
(i) Highly Active
Anti-Retroviral
Therapy
At least─
(a) (a) One general
outpatient waiting bay
with
(b) (i) Three consultation
rooms
(c) (ii) nursing station
(d) (iii) dressing room
(e) (iv) injection room
(f) (v) minor theatre
(g) (vi) outpatient
pharmacy
(h) (vii) health records
office
(i) (viii) triage area
(j) (ix) accident and
emergency department
(k) (x) Recovery ward
(l) (xi) sluice room
(m) (xii) special clinics for
gender based violence
and the youth
At least-
(a) one medical officer;
(b) two public health officers
and one technicians;
(c) six general clinical
officers;
(d) one specialized clinical
officer
(e) twelve Kenya Enrolled
Community Health
Nurses;
(f) eight Kenya Registered
Community Health
Nurses;
(g) one registered midwife
(h) One Psychiatric nurse
(i) one Sign Language staff;
(j) two pharmaceutical
technologists;
(k) one physiotherapist
(l) one plaster technician
(m) One occupational
15
(HAART);
(ii) AntiRetro Viral
(ARV)
prophylaxis for
children born of
HIV +ve mothers;
(f) screening, diagnosis
and management
for─
(i) cervical cancer
(iii) breast cancer
(iv) prostate
cancer
(v) other forms of
cancer
(a) evacuation services
for injuries;
(b) Mass casualty
management and
referral
(c) provides essential
services;
(d) management of
surgical emergencies
including trauma care;
(n) (xi) staff lounge
(o) (b) clinical departments
with
(i) One waiting bay;
(ii) Two consultation
rooms;
(iii) nursing
station;
(iv) nurse in-
charge office;
(v) cloak rooms for
staff and clients;
(vi) Staff resource
centre;
(vii) drug cabinet;
(viii) Oxygen source
(ix) Scrub area
(x) changing rooms with
lockers;
(xi) laminar flow air
system for operating
theatres;
(p) general equipment
including─
(i)defibrillator;
(ii) ventilator;
(iii) modern
therapists;
(n) One Community Oral
Health Officers;
(o) Three laboratory
technologists/technician ;
(p) One Social Workers;
(q) Two clerks;
(r) One health records
information management
officer;
(s) two nutrition & dietetic
technologists;
(t) Support staff to be
determined by institution
capacity;
two security officers
16
(e) advanced life
support;
(f) management of
emergency obstetric
care;
(g) radiology & imaging
services;
(h) general operations;
(i) specialized
operations;
(j) management of
medical, surgical,
pediatric and
gynecological in-
patients;
(k) specialized therapy
services;
(l) Palliative care;
(m) rehabilitative services;
(n) physiotherapy; and
(o) speech and hearing
communication system
and ICT infrastructure;
(iv) automation in all
areas;
(v) fire-fighting
equipment;
(vi) standby generators;
(vii) UPS back-ups;
(q) catering and laundry,
maintenance;
(r) biomedical engineering;
(s) general cleaning
services;
(t) infection control
infrastructure;
(u) Infrastructure and
equipment for Class D
laboratory services
(xii) specialized
therapy services;
(xiii) out-patient
17
therapy.
(p) Mental health
services;
(q) Health promotion;
(r) Nutrition services
(s) E-health services
(t)
services;
(xiv) in-patient with a
bed capacity of between
one hundred and one
hundred and fifty beds
(h) radiological and
imaging
infrastructure and
equipment;
(i) one maternity theatre
to have the
following;
(i) standardized
operation
table
(ii) Overhead/mob
ile theatre
light
(iii) Anaesthetic
machine
(iv) Resuscitaire
for the new
born
(v) Sluice room
(vi) Standard
receiving &
releasing
room
(vii) Changing
rooms (male
& female)
18
(viii) Scrub area
(ix) Recovery
room (2 beds)
(x) One general operating
theater;
(xi) mortuary
infrastructure and
equipment;
(xii) dialysis machine;
(xiii) at least one dental
unit room with
sterilization facilities;
(xiv) Central Sterile Supply
Department
(xv) one ENT services
room;
(xvi) mental health clinic;
(xvii) MCH/FP
department
(xviii) one labour ward
with two standard
delivery bed,
Resuscitaire and a fully
equipped emergency
tray and a sound
drainage system;
(v) one nursery room with
baby cots or two
19
incubators;
(vi) nutrition room;
(ii) two operating theatre
beds;
(iii) administration block
with various offices;
(j) one pharmacy for
in- patient;
(ee) a support services
unit with─
(i) kitchen; and
(iii) laundry;
(ff) One public health
office;
(gg) staff quarters for at
least six persons on
duty;
(hh) toilet & ablution
block (one toilet for
12 persons of various
sexes)
(ii) Hand washing
facilities
(jj) source of running
water;
(kk) water reservoir;
(ll) one placenta
pit/macerator;
(mm) Standby
generator/power back
up;
(nn) Fenced incinerator;
20
(oo) one motorcycle;
(pp) one utility vehicle;
(qq) one ambulance;
(rr) a composite pit;
(ss) water storage for roof
catchment;
(tt) fence and gate.
(uu) Ramp & disability
friendly infrastructure
LEVEL 4B 1. Specialist
standalone –
medical
(j)
LEVEL 4C 1. Specialized health
clinic
Offers one or more
specialized services,
limited to diagnostic ,
outpatient, daycare and
consultancy services
a. Specialized
services
a. Infrastructure and
equipment
relevant for the
delivery of
specialized
services
a. Registered, licensed and
recognized specialists in
the relevant fields.
Level 5
Hospital Level 5 A health facility is a
secondary referral hospital.
That provides services
offered in a Level 4
facility and more
comprehensive set of
services together with
internship services for
medical staff, research
and serve as training
centres for paramedical
staff. The focus is on
comprehensive and
specialized curative and
Provides services offered
in a Level 4 facility and
in addition the following
specialized services;
(a) nephrology services
(b) cardiology services
(c) emergency services
(d) endocrinology
(e) orthopedic services
(f) neurology services
(a) at least two hundred
beds;
(b) outpatient with:
(i). waiting bay
and triage area
(ii). Reception/regi
stration area
(iii). Health records
information;
(iv). Six
consultation
rooms with
examination
beds;
At least─
(a) fifty medical
officers;
(b) anesthesiologists;
(c) one oromaxillofacial
anesthesiologist;
(d) two cardiologists;
(e) four general surgeons;
(f) two orthopaedic
surgeons;
(g) one cardiothoracic
surgeon;
(h) one critical care
21
rehabilitative care.
(v). Two injection
rooms;
(vi). One dressing
room;
(vii). One minor
theatre;
(viii). Autoclave
(sterilization
room);
(ix). Nurse station
(room);
(x). Staff lounge;
(xi). Resource
room/centre;
(xii). One plaster
room;
(xiii). Two or more
dental units;
(xiv). Pharmacy;
(xv). One ENT
room;
(xvi). One
ophthalmic
unit;
(xvii). One plaster
room;
(xviii). One
orthopedic
room;
(xix). Nursing in-
charge office;
(xx). Nursing,
counselling
physician;
(i) two ENT surgeons;
(j) two gastroentologists;
(k) three Obs/Gyne
specialists;
(l) two palliative care
specialists;
(m) one neonatologists;
(n) one nephrologist;
(o) one neurologist;
(p) one plastic surgeon or
reconstructive surgeon;
(q) one neuro-surgeon;
(r) One oncologists;
(s) two ophthalmologists;
(t) one optometrist;
(u) one dermatologists;
(v) four paeditricians;
(w) two pathologists;
(x) two psychiatrists;
22
room;
(xxi). Accident &
Emergency
department
with at least 4
beds;
(xxii). Specialized
clinic for:
(a) Paediatrics
(b) Medical
(c) Obs/gyn
(d) Mental health
(e) TB,HIV/AIDS
and Chronic
illnesses
(c) MCHFP UNIT with;
(i). One
immunization
room
(ii). One ANC
room
(iii). One FP room
(iv). One nutrition
room
(v). Waiting bay
(d) Radiological &
Imaging Infrastructure
including;
(i). X-ray
(ii). Mammograp
hy
(y) four radiologists;
(z) one rheumatologist;
(aa) two specialist
physicians or Internist;
(bb) one public health
specialist;
(cc) one urological surgeon;
(dd) forty four general
clinical officers;
(ee) Twelve specialized
clinical officers;
(ff) Ten Nurses with Masters
Degree;
a. Advanced Practice
Nurse (APN)
b. Advanced Practice
Midwives (APM)
(gg) Two hundred BSN
Nurses; (1 BSN Nurse to
supervise 6 nurses per
shift 3 shifts in 24 hours)
(hh) Fifty critical care
nursing nurses;
23
(iii). CT Scan
(iv). Ultrasound
(v). MRI
(e) Renal Dialysis unit
with at least
(i). 5beds and
one isolation
bed;
(ii). one
endoscopy &
colonoscopy
(iii). Intensive
care unit with
at least 5
beds & 7
monitors and
one isolation
room;
(iv). High
dependency
unit with at
least 4 beds;
(f) One maternity unit
with at least;
(i). 4 delivery beds
in labour ward;
(ii). 2 emergency
trays;
(iii). Delivery packs;
(iv). Resuscitaires;
(v). 2 suction
machines;
(vi). One operating
(ii) two forensic nurses;
(jj) one hundred and Kenya
Enrolled Community
Health nurses;
(kk) One hundred and sixty
Kenya Registered
Community Health
nurses;
(ll) eighty Kenya Registered
Nurses;
(mm) ten nephrology
nurses;
(nn) ten oncology nurses;
(oo) ten ophthalmic nurses;
(pp) fifty paediatric nurses;
(qq) fifty palliative care
nurses;
(rr) ten psychiatrist nurses;
(ss) fifty Registered
Midwives;
24
theatre;
(vii). Antenatal ward;
(viii). Post natal
ward(normal
delivery);
(ix). Post natal ward
(C/S delivery);
(x). New born unit
with at least 10
incubators and
one phototherapy
machine;
(xi). EBM room;
(g) Inpatient with at least
two hundred beds:
(i). Male ward
(ii). Female ward
(iii). Paediatric
ward
(iv). Surgical
(female,
male,
children)
(v). Gynaecologic
al ward
(vi). Mental health
(vii). Burns unit
(viii). Isolation
ward
(ix). Nursing
station
(x). Treatment
(tt) two Sign Language staff;
(uu) thirty theatre nurses;
(vv) four anaesthetist nurses;
(ww) fifty Accidents &
Emergency nurses;
(xx) six pharmacists;
(yy) four clinical
pharmacists;
(zz) one oncology
pharmacist;
(aaa) ten pharmaceutical
technologist;
(bbb) six plaster
technicians or
technologists;
(ccc) six orthopaedic
technologists;
(ddd) general
physiotherapists;
(eee) occupational therapists;
25
room
(xi). Drug cabinet
(xii). Sluice rom
(xiii). Holding
room
(xiv). Patient
records
(xv). Covered
patient
walkways
(h) At least 3 operating
theatres for:
(i). General
Surgery
(ii). Gynaecological
(iii). Any other
specialist
theatre
(i) Standby generator
(j) Biomedical
engineering
equipment
(k) Physiotherapy &
occupational therapy
infrastructure and
equipment
(l) Orthopedic & plaster
equipment
(m) Dental unit with at
least 3 dental chairs
(n) CPD room
(o) Mortuary to
(fff) two clinical
psychologists;
(ggg) ten dental officers;
(hhh) one maxillofacial
surgeon;
(iii) one
paediatric dentist;
(ffff) one orthodontists;
(gggg) ten dental
technologists;
(hhhh) ten general
radiographer;
(iiii) two ultrasonographers;
(jjjj) one mammographer;
(kkkk) three CT scan or
MRI radiographer;
(llll) two dental
radiographer;
(mmmm) two therapy
radiographer;
(nnnn) two nuclear medicine
technologists;
(oooo) one radiation
26
accommodate at least
20 bed
(p) Water storage tanks
(q) Roof catchment
(r) One fenced incinerator
(s) Yard for odd or
desolate equipment
(t) Motorcycle
(u) Two utility vehicles
(v) 4 wheel ambulances
(w) Kitchen with adequate
space for storage,
cooking, service and
office
(x) Drug store for
pharmaceutical and
non-pharmaceutical
(y) Fence and gate
(z) Signage
(aa) Patient charter
(bb) two general
operating theatres;
(cc) :
(dd) an Intensive Care
Unit;
(ee) radiology unit
with x-ray machine;
(ff) specialist clinics;
monitoring and safety
officer;
(pppp) medical social
workers;
*** Thirty Laboratory
technologists
(qqqq) one Medical
Superintendent;
(rrrr) two health
administrative
officers;
(ssss) two human resource
management officers;
(tttt) twenty clerks;
(uuuu) two secretaries
(vvvv) six accountants;
(wwww) six
supply chain
assistants;
(xxxx) two supply chain
officers;
(yyyyy) six health records
information
27
(gg) MRI Machine;
(hh) CT scan machine;
(ii) dialysis machine;
(jj) endoscopy&
colonoscopy unit;
(kk) mammography
machine;
(ll) ultra sound machine;
(mm) one waiting room;
(nn) six consultation
rooms;
(oo) one registration
room;
(pp) two injection
rooms;
(qq) one plaster room;
(rr) one minor theatre;
(ss) one dental unit
room;
management officers;
(zzzz) four ICT officers;
(aaaaa) one medical
engineer;
(bbbbb)six medical
engineering
technologists/technici
ans;
(ddddd) five nutrition and
dietetic officer;
(eeeee) ten nutrition and
dietetic
technologists/technici
ans;
(ggggg) two cateress;
(hhhhh) four public health
officers;
(iiiii) twenty cooks;
(jjjjj) drivers;
(kkkkk) sixty support staff;
(lllll) mortuary attendants;
and
28
(tt) one ENT services
room;
(uu) Infrastructure and
equipment for a Class E
laboratory;
(ii) MCH/FP department
(iii) one maternity ward
for six deliveries; and
(iv) one high
dependency unit with
six cots;
(vv) four operating
theatre beds being one
each for─
(k) one maternity
theatre to have the
following;
(xix) standardized
operation
table
(xx) Overhead/mob
ile theatre
light
(mmmmm) security
officers.
29
(xxi) Anaesthetic
machine
(xxii) Resuscitaire
for the new
born
(xxiii) Sluice room
(xxiv) Standard
receiving &
releasing
room
(xxv) Changing
rooms (male
& female)
(xxvi) Scrub area
(xxvii) Recovery
room (2 beds);
(ii) cold case;
(iii) general emergencies;
and
(iv)ophthalmic cases;
(ww) one
intensive care unit with
four beds;
(xx) medical engineering
unit;
(yy) administration
department with
various offices;
30
(i) pharmacy
(ee) a support services
department with─
(i) kitchen; and
(ii) laundry;
(ff) one public health
office;
(gg) radiology unit;
(hh) one x-ray room;
(ii) one USS room;
(jj) one mortuary;
(kk) staff quarters for at
least eight persons on
duty;
(ll) ablution block;
(mm) ten stance pit
latrine;
(nn) source of running
water;
(oo) water reservoir;
31
(pp) one placenta pit;
(qq) one generator house;
(rr) one incinerator;
(ss) one motorcycle;
(tt) two vehicles;
(uu) one ambulance;
(vv) a composite pit;
(ww) water storage for
roof catchment; and
(xx) fence and gate.
Level 6A National Referral and
Teaching Hospitals
and Specialized
Hospitals
A health facility that─
(a) offers services for
elimination of
communicable diseases;
(b) screening for animal
transmitted conditions;
(c) provides─
(i) Highly Active Anti-
Retroviral Therapy
(a) (b) on at least ten acres of
land;
(c) at least three hundred
beds;
(d) internship centres of at
least one hundred and
fifty beds;
(e) an operating theatre;
(f) an Intensive Care Unit;
At least─
(a) fifty medical
officers;
(b) anesthesiologists;
(c) one oral
maxillofacial
anesthesiologist;
(d) two cardiologists;
32
(HAART);
(ii) AntiRetro Viral
(ARV) prophylaxis
for children born of
HIV +ve mothers;
(d) male circumcision;
(e) Pelvic Inflammatory
Disease (PID)
management;
(f) screening for─
(i) cervical cancer for all
women in the
reproductive age
group; and
(ii) breast cancer
screening for women;
(g) prostate examination
for men;
(a) evacuation services
for injuries;
(b) disaster risk reduction
interventions;
(c) facility disaster
(g) radiology unit with x-
ray machine;
(h) specialist clinics;
(i) MRI Machine;
(j) CT scan machine;
(k) dialysis machine;
(l) endoscopy&
colonoscopy unit;
(m) mammography
machine;
(n) ultra sound machine;
(o) one waiting room;
(p) six consultation rooms;
(q) one registration room;
(r) two injection rooms;
(s) one plaster room;
(t) one minor theatre;
(e) four general
surgeons;
(f) two orthopaedic
surgeons;
(g) one cardiothoracic
surgeon;
(h) one critical care
physician;
(i) two ENT surgeons;
(j) two
gastroentologists;
(k) three Obs/Gyne
specialists;
(l) two palliative care
specialists;
(m) two neonatologists;
(n) two nephrologists;
(o) one neurologist;
(p) one plastic surgeon
or reconstructive surgeon;
(q) one neuro-
33
response planning;
(d) disaster management;
(e) provides essential
services;
(f) vaccination for
yellow fever, tetanus
and rabies;
(g) management of
surgical emergencies
including trauma care;
(h) advanced life support;
(i) management of
pregnancy
complications;
(j) management of
abnormal pregnancies;
(k) management of pre-
term labour;
(l) caesarean section;
(m) radiology services;
(n) outpatient turnover of
more than two hundred
(u) one dental unit room;
(v) one ENT services
room;
(w) Infrastructure and
equipment for Class F
laboratory;
(x) MCH/FP unit with─
(i) one immunization
services room;
(ii) one FP coordination
room;
(iii) one antenatal
coordination room;
(iv) one maternity ward
for six deliveries; and
(v) one high dependency
unit with six cots;
(y) inpatient services;
(z) two hundred beds for
male inpatients;
(aa) two hundred beds
surgeon;
(r) four oncologists;
(s) two
ophthalmologists;
(t) one optometrist;
(u) one
dermatologists;
(v) one paediatric
endocrinologist;
(w) one paediatric
nephrologist;
(x) one paediatric
neurologist;
(y) one paediatric
surgeon;
(z) four paeditricians;
(aa) two pathologists;
(bb) four psychiatrists;
(cc) four radiologists;
(dd) one rheumatologist;
34
and fifty;
(o) emergency operations;
(p) general operations;
(q) specialized operations;
(r) management of
medical, surgical,
pediatric and
gynecological in-
patients;
(s) laboratory services;
(t) specialized therapy
services;
(u) HIV/AIDS
management;
(v) tuberculosis
management;
(w) Palliative care;
(x) rehabilitative services;
(y) physiotherapy; and
(z) speech and hearing
therapy.
for female and children
inpatients;
(bb) four operating
theatre beds being one
each for─
(i) Gynae emergencies;
(ii) cold case;
(iii) general emergencies;
and
(iv)ophthalmic cases;
(cc) one
intensive care unit with
four beds;
(dd) medical engineering
unit;
(ee) administration unit
with─
(i) one pharmacyor
drug dispensing
room;
(ii) one cash office;
(ee) four specialist
physicians or Internist;
(ff) one medical
endocrinologist;
(gg) two public health
specialists;
(hh) one urological
surgeon;
(ii) one child and
adolescent psychiatrist;
(jj) one community
psychiatrist;
(kk) one forensic
psychiatrist;
(ll) forty four
general clinical officers;
(mm) fourteen graduate
clinical officers;
(nn) four specialized
clinical officers;
(oo) two clinical officer
lung & skins ;
35
(iii) two stores;
(iv) two administration
offices; and
(v) one room for health
records;
(ee) a supply services
unit with─
(i) kitchen; and
(ii) laundry;
(ff) one
community services
room;
(gg) radiology unit;
(hh) one x-ray room;
(iii) one USS room;
(yy) one mortuary;
(zz) staff quarters for at
least eight persons on
duty;
(aaa) ablution block;
(bbb) ten stance pit
(pp) two clinical officers
ophthalmology or cataract
surgerys;
(qq) two clinical officers
paediatrics;
(rr) two clinical officers
reproductive health;
(ss) two clinical officers
dermatology or venereology;
(tt) two clinical
officers Orthopaedics;
(uu) fifteen clinical
officers anaesthetists;
(vv) two clinical officers
co psychiatry/mental health;
(ww) two clinical officers
oncology or palliative care;
(xxi) Fifty Nurses with
Masters Degree
a. Advanced
Practice Nurse
(APN)
b. Advanced
Practice
36
latrine;
(ccc) source of running
water;
(ddd) water reservoir;
(eee) one placenta pit;
(fff) one generator house;
(ggg) one incinerator;
(hhh) one motorcycle;
(iii) two vehicles;
(jjj) one ambulance;
(kkk) one support
vehicle;
(lll) a composite pit;
(mmm) water storage for
roof catchment; and
(ooo) fence and gate.
Midwives (APM)
(xxii) One Thousand BSN
nurses ( 1 BSN to
supervise 6 nurses per
shift in 24 hours;
(zz) one hundred critical
care nursing nurses;
(bbb) two forensic
nurses;
(ddd) two hundred and
sixty Kenya Registered
Community Health nurses;
(eee) eighty Kenya
Registered Nurse nurses;
(ggg)thirty nephrology
nurses;
(hhh) twenty oncology
nurses;
(iii) ten ophthalmic
nurses;
(jjj) fifty paediatric &
neaonatal nurses;
37
(kkk) fifty palliative care
nurses;
(lll) twenty psychiatrist
nurses;
(mmm) sixty Registered
Midwives;
(nnn) two Sign Language
staff;
(ooo) sixty theatre nurses;
(ppp) four anaesthetist
nurses;
(qqq) fifty Accidents &
Emergency nurses;
(rrr) six pharmacists;
(sss) four clinical
pharmacists;
(ttt) one oncology
pharmacist;
(uuu) ten pharmaceutical
technologist;
(vvv) six plaster
technicians or technologists;
38
(www) six orthopaedic
technologists;
(xxx) general
physiotherapists;
(yyy) two BSc
physiotherapy;
(zzz) three specialized
physiotherapists;
(aaaa) occupational
therapists;
(bbbb) two clinical
psychologists;
(cccc) ten dental officers;
(dddd) two
oromaxillofacial surgeons;
(eeee) six
paediatric dentists;
(ffff) two Orthodontists;
(gggg) ten dental
technologists;
(hhhh) ten general
radiographer;
(iiii) two ultrasonographers;
39
(jjjj) one mammographer;
(kkkk) three CT scan or
MRI radiographer;
(llll) two dental
radiographer;
(mmmm) two therapy
radiographer;
(nnnn) two nuclear medicine
technologists;
(oooo) one radiation
monitoring and safety
officer;
(pppp) medical social
workers;
(qqqq) one Medical
Superintendent;
(rrrr) two health
administrative officers;
(ssss) two human resource
management officers;
** Forty two laboratory
technologists
(tttt) twenty clerks;
(uuuu) two secretaries
40
(vvvv) six accountants;
(wwww) six
supply chain assistants;
(xxxx) two supply chain
officers;
(yyyyy) twelve health
records information
management officers;
(zzzz) four ICT officers;
(aaaaa) two medical
engineers
(bbbbb) medical engineering
technologists;
(cccccc) six medical
engineering technicians;
(ddddd) twenty nutrition and
dietetic officer;
(eeeee) twelve nutrition and
dietetic technologists;
(fffff) four nutrition
anddietetic technicians;
(ggggg) two cateress;
41
(hhhhh) four public health
officers;
(iiiii) twenty cooks;
(jjjjj) drivers;
(kkkkk) sixty support staff;
(lllll) mortuary attendants;
and
(mmmmm) security officers.
** 4 Graduate Public Health
Officers
** 8 Public Health Officers
LEVEL 6B 1. Specialized
Hospital
A health facility that offers
specialized services
exclusively or a group of
specialized services,
among others, radiological
services, oncology
services; ophthalmology
services,
dental services and
renal.
(a) (b) waiting bays;
(c) doctors’ rooms;
(d) nursing station;
(e) Head of department’s
office;
(f) nurse in-charge’s
office;
(g) intern’s office;
(h) cloak rooms for staff
and clients;
A resident specialist in
charge of the area of
specialty of the institution.
42
(i) staff lounge room;
(j) medical material
store room;
(k) sluice room;
(l) drug cabinet;
(m) changing rooms with
lockers;
(n) laminar flow air
system for operating
theatres;
(o) general equipment
including─
(i)defibrillator;
(ii) ventilator;
(iii) modern
communication
system and ICT
infrastructure;
(iv) automation in all
areas;
(v) fire-fighting
43
equipment;
(vi) standby generators;
and
(vii) UPS back-ups;
(viii) catering and
laundry, maintenance;
(ix) biomedical
engineering;
(x) general cleaning
services; and
(xi) infection control
infrastructure;
(p) laboratory equipment;
(q) outpatient or inpatient
beds;
(r) radiological and
imaging equipment
including ultra sound
scan, x– ray, endoscopy
and laparoscopy
equipment;
(s) general Surgical