FIRST SCHEDULE
TECHNICAL CLASSIFICATION OF LEVELS OF HEALTH-CARE DELIVERY
LEVEL 1: COMMUNITY HEALTH SERVICESFunctions–(a)Facilitates individuals, households and communities to carry out appropriate healthy behaviours;(b)Provides agreed health services;(c)Recognizes signs and symptoms of conditions requiring referral;(d)Facilitates community diagnosis, management and referral.Note: The In-charge is the community health extension worker.LEVEL 2: DISPENSARY/CLINICFunctions—(a)This is a health facility with no in-patient services and provides consultation, treatment for minor ailments;(b)Provides rehabilitative services;(c)Provision of preventive and promotive services.Note: The In-charge is a nurse or clinical officer.LEVEL 3: HEALTH CENTREFunctions—(a)It provides out-patient care;(b)Provision of limited emergency care;(c)Maternity for normal deliveries;(d)Laboratories, oral health and referral services;(e)Provision of preventive and promotive services;(f)In-patient observations.Note: The In-charge is the clinical officer or medical officer with at least two years managerial experience.LEVEL 4: PRIMARY HOSPITALFunctions—(a)Clinical supportive supervision to lower level facilities;(b)Referral level out-patient care;(c)In-patient services;(d)Emergency obstetric care and oral health services;(e)Surgery on in-patient basis;(f)Client health education;(g)Provision of specialized laboratory tests;(h)Radiology service;(i)Proper case management of referral cases through the provision of four main clinical specialties (i.e internal medicine, general surgery, gynaeobstetrics and paediatrics) by general practitioners backed by appropriate technical devices;(j)Proper counter referral;(k)Provision of logistical support to the lower facilities in the catchment area;(l)Coordination of information flow from facilities in the catchment area.Note: The In-charge is a registered medical practitioner with a Master's degree in a health related field.LEVEL 5: SECONDARY HOSPITALFunctions—(a)Provision of specialized services;(b)Training facilities for cadres of health workers who function at the primary care level (paramedical staff);(c)Serves as an internship centre for all staff, up to medical officers;(d)Serves as a research centre, that provides research services for issues of county importance;Note: The In-charge is a registered medical practitioner with a Masters degree in a health related field.LEVEL 6: TERTIARY HOSPITALFunctions–(a)Provides highly specialized services. These include—(i)general specialization;(ii)discipline specialization; and(iii)geographical/regional specialization including highly specialized healthcare for area/regional specialization;(b)Research centre, provides training and research services for issues of national importance.Note:1. The In-charge is a registered medical practitioner with a Masters degree in a health related field and with training and experience of over ten (10) years in senior management.2. Level 6 shall be National Referral Hospitals and established in every County.3. Facilities from levels 2-5 can be upgraded or downgraded by the Director-General based on a set criteria.
SECOND SCHEDULE
PROVISIONS RELATING TO THE CONDUCT OF BUSINESS AND AFFAIRS OF THE COUNCIL
1.Vacation of officeA member other than an ex officio member may—(a)at any time resign from office by notice in writing, in the case of the Chairperson, to the President, and in the case of any other member, to the Cabinet Secretary;(b)be removed from office by the President or the Cabinet Secretary, as the case may be, if the member—(i)has been absent from three consecutive meetings of the Council without the permission of the Council;(ii)is adjudged bankrupt or enters into a composition scheme or arrangement with his or her creditors;(iii)is convicted of an offence involving dishonesty or fraud;(iv)is convicted of a criminal offence and sentenced to imprisonment for a term exceeding six months or to a fine exceeding ten thousand shillings;(v)is incapacitated by prolonged physical and mental illness;(vi)is found to have acted in a manner inconsistent with the aim and objectives of this Act;(vii)fails to comply with the provisions of this Act relating to disclosures; or(viii)is otherwise unable or unfit to discharge his or her functions as a member of the Council.2.Meetings(1)The Council shall hold at least four meetings in every financial year and not more than four months will lapse between one meeting and the next.(2)Meetings shall be convened by the Chairperson or in his or her absence by the vice-Chairperson.(3)Unless three quarters of the members otherwise agree, at least fourteen days; notice of a meeting shall be given to every member.(4)The Chairperson shall preside over all the meetings of the Council or in his or her absence, the meetings shall be presided over by the vice-Chairperson or in both of their absences, by a person elected by the Council at the meeting for that purpose.(5)A decision of the Council shall be by a majority of the members present and voting and, in the case of an equality of votes; the person presiding at the meeting shall have a second or casting vote.(6)The first order of business of the Council shall be to elect a vice-Chairperson.3.QuorumThe quorum for the conduct of business of the Council shall be half of the members, unless a unanimous decision is reached, decisions shall be by a majority vote of members present, and in the case of an equality of votes, the Chairperson or the person presiding shall have a casting vote.4.MinutesMinutes of all meetings shall be kept and entered in books kept for that purpose.5.Disclosure of interest(1)If a member is directly or indirectly interested in any matter before the Council and is present at the meeting of the Council at which the matter is the subject of consideration, he or she shall, at the meeting and as soon as practicable after the commencement, disclose that fact and shall be excluded at the meeting at which the matter is being considered.(2)A disclosure of interest made under this section shall be recorded in the minutes of the meeting at which it is made.6.Allowances of the CouncilThe Chairperson and members of the Council shall be paid such allowances as the Cabinet Secretary in consultation with the Salaries and Remuneration Commission shall determine.7.Powers of the Cabinet Secretary(1)The Council shall operate under the supervision of the Cabinet Secretary.(2)Where the Council fails to maintain any prescribed standard in the fulfilment of its functions under this Act, the Cabinet Secretary may give general or special directions to the Council describing the extent of the failure and stating the steps required to remedy the situation.
THIRD SCHEDULE
PROVISIONS RELATING TO THE CONDUCT OF BUSINESS AND AFFAIRS OF THE AUTHORITY
1.Meetings(1)The Authority shall hold at least four meetings in every financial year and not more than four months will elapse between one meeting and the next.(2)Meetings shall be convened by the Chairperson or in his absence by the vice-Chairperson.(3)Unless three quarters of the members otherwise agree, at least fourteen days notice of a meeting shall be given to every member.(4)A meeting shall be presided over by the Chairperson, or in his absence by the vice-Chairperson or in their absence, by a person elected by the Board at the meeting for that purpose.(5)A decision of the Board shall be by a majority of the members present and voting and, in the case of an equality of votes, the person presiding at the meeting shall have a second or casting vote.(6)The first order of business of the Board shall be to elect a vice-Chairperson.2.QuorumThe quorum for meeting shall be five members.3.MinutesMinutes of all meetings shall be kept and entered in books kept for that purpose.4.Conflict of InterestA member of the Authority who has a direct or indirect personal interest in a matter being considered or to be considered by the Board shall as soon as reasonably practicable after the relevant facts concerning the matter have come to his knowledge, disclose the nature of his interest to the Board.5.Disclosure of interest by members of the boardA disclosure of interest in a matter shall be recorded in the minutes of the meeting of the Board and the member shall not be present while that matter is being dealt with by the Board and shall not take part in any deliberations or vote relating to the matter.6.Remuneration of members of the BoardThe Authority shall pay the members of the Board such allowances and expenses as are determined by the Cabinet Secretary.
FOURTH SCHEDULE
PROVISIONS AS TO THE CONDUCT OF BUSINESS AND AFFAIRS OF THE COMMITTEE
1.Meetings(1)The Committee shall hold at least four meetings in every financial year and not more than four months will elapse between one meeting and the next.(2)Meetings shall be convened by the Chairperson or in his absence by the vice-Chairperson.(3)Unless three quarters of the members otherwise agree, at least fourteen days notice of a meeting shall be given to every member.(4)The Chairperson shall preside over all the meetings of the Committee or in his absence, the meetings shall be presided over by the vice-Chairperson or in both their absences, by a person elected by the Committee at the meeting for that purpose.(5)A decision of the Committee shall be by a majority of the members present and voting and, in the case of an equality of votes, the person presiding at the meeting shall have a second or casting vote.(6)The first order of business of the Committee shall be to elect a vice-Chairperson.2.QuorumThe quorum for meeting shall be five members.3.MinutesMinutes of all meetings shall be kept and entered in books kept for that purpose.4.Conflict of InterestA member of the Committee who has a direct or indirect personal interest in a matter being considered or to be considered by the Committee shall as soon as reasonably practicable after the relevant facts concerning the matter have come to his knowledge, disclose the nature of his interest to the Committee.5.Disclosure of interest by members of the CommitteeA disclosure of interest in a matter shall be recorded in the minutes of the meeting of the Committee and the member shall not be present while that matter is being dealt with by the Committee and shall not take part in any deliberations or vote relating to the matter.6.Remuneration of Committee membersThe Committee shall pay the members of the Committee such allowances and expenses as shall be determined by the Cabinet Secretary.