Below are some findings from the Kisumu County CIDP 2018-2022 in various sectors.
-The health sector in Kisumu is facing a number of challenges among which malaria is a leading cause of morbidity in all age groups despite the intentions put in place such as testing, treatment and provision of mosquito nets to the residents.
-The top five (5) causes of morbidity in Kisumu County in all age groups are malaria, upper respiratory tract infections, diarrhea, skin diseases and respiratory diseases.
– Doctor to patient ratio in Kisumu stands at 1:44,634 while a nurse to population ratio is 1:2,383 against the recommended World Health Organization (WHO) standards of 1 physician per 1,000 people while nurse to population ratio stands at 1:435.
-Kisumu County has 1,848 healthcare personnel against a demand of 21,891 which means that they have a shortage of 20,043 healthcare workers. The gap in health human resource is glaring and needs to be addressed urgently.
-Other Challenges facing health sector are: inadequate supply of essential drugs; lack of organized support for Community Health Volunteers (CHVs); persistent social-cultural and religious beliefs and practices which are barriers to good health outcomes; poor reproductive and sexual health outcomes and high fertility rates which has led to high levels of dependency rates
-The maternal and infant mortality rates are high according to the statistics provided by Kisumu County Integrated Development plans. There are high HIV/AIDs prevalence rates which stands at 19.5% against a national average of 6.9%.
Land and Housing Sector
-The mean land holding size in Kisumu County is 1.6 acres according to the CIDP 2018-2022. Only 61.3 percent of the land has title deeds. It is estimated that 78.8 per cent of the land is owned by individuals, 10.7 percent is leased and 0.4 per cent is community land while 4.9 per cent is owned by the County government.
-Challenges facing the land and housing sector in Kisumu County include: Under utilization of land in Kisumu County, lack of enjoyment of security tenure, rapid spread of informal settlements and rapid urbanization with low infrastructure.
-Current projects being conducted in Kisumu County include: urban renewal at Kibuye and Lumumba estates, Ksh. 3 billion project is projected to provide affordable and social housing to the local residents.
Water and Sanitation
-According to Water and Sanitation Programme (WSP) report of 2014, approximately 30.4% of people in Kisumu use improved latrine; 31.3% unit unimproved latrines while 12.4% practice Open Defecation (OD).
– According to WASREB Impact Report 2018, the percentage of Kisumu County Water Coverage stands at 66%, hours of water supply stands at 24 hours; revenue collection and efficiency stands at 97%; Non-Revenue Water (NRW) is 41% and Sewerage coverage is 48% .
-Kisumu County generates 5,720 tons of solid waste every day out of which 25% is collected for open disposal at Kajulu dumpsite. However, recent media reports have indicated that some contractors are disposing waste at Kachok dumpsite which should not be the case as it is being relocated to Kajulu.
-Water coverage in Kisumu County currently stands at 58 percent. Seme has the lowest water coverage at 29% against Kisumu Central Sub County which has the highest water coverage at 72%.
-Nyalenda “A” has the highest share of people accessing improved sources of water at 88% as opposed to South West Nyakach with the least coverage of 22%.
-Kisumu County has gazette water supplies covering a total area of 956 square kilometers with an average water production of 38,308 cubic meters per day.
-Kisumu County has identified many issues in the education sector. These are: high levels of school drop-out/low transition rates; weak foundation at ECDE level; obsolete curriculum used at VTCs; low budgetary allocation for Vocational Training Centers.
-It is estimated that there are 2,752 children with special needs in the form of speech, hearing and visual out of which 1,954 of them are in public schools. The rest are in private schools across Kisumu County.
-There are 483 public ECDE centers in Kisumu County. Out of this, 217 are located on permanent building structures, 237 are on temporary structures while 29 fall under others. A total of 187 of these ECDE centers have access to clean piped water, 136 ECDE centers have wells and 59 depend on water vendors while 60 schools use other water sources. The County school feeding programme targets children in both private and public schools.
-Kisumu County Vocational Training Centers (VTCs) there are a total of 57 instructors against a demand of 184 instructors. This means that there is a gap of 127 instructors. Kisumu CIDP 2018-2022, indicates that other VTC centers such as Withur, Kochogo, Kandaria, Obwolo and Kiancha are not yet registered and hence are not operational.