Health service delivery in Kenya has rapidly been expanding in scope and complexity over the last two decades.  Several new interventions have been introduced in the sector during this period, in addition to the existing interventions.  The proposed Kenya Health Strategic and Investment Plan 2012 / 13 – 2017/18 brings together the full range of expected interventions to be provided by the tiers of care, into the Kenya Essential Package for Health.  It therefore calls for up to date information on health investments across the seven (7) sector policy orientations (Service Delivery Organization, Health workforce; Health Information, Health Products: Health financing, Health Infrastructure and Health Leadership)  This information would guide the sector on gaps that exist and so investment priorities needed to attain the service outcomes fo the KHSSP.  At present, most of the information on the respective investments is outdated or partial.

As counties prepare to take up their functions as per the 2010 Constitution, an understanding of their readiness to take up their functions is needed so as to appropriately target capacity building support required to make them functional and develop strategic and implementation plans.  However, as part of the handover of county assets, the Health sector is expected to have a comprehensive inventory of its assets and liabilities that need to be handed over.  At present, the sector does not have a comprehensive set of information to inform it on what needs to be handed over and their state of functionality.

The service availability and Readiness assessment mapping (SARAN) is a comprehensive mapping exercise (census) for the services and readiness for all health service units(both state and non state) to provide the essential health services and the infrastructure that exists.

The overall aim of the SARAM is to understand the capacity for Service provision that exists in Kenya. The information shall be used for both National and County Governments in their planning for service provision.

Specifically, the SARAM will

  • Verify Health Facility geocodes for all facilities in the MFL, using a standard approach
  • Collect geocodes for facilities still missing in the MFL
  • Collect comprehensive sector information on provision of KEPH interventions across the Country
  • Map available inputs for Health Service delivery that exist across the Country.
  • These include information on the Health Workforce, Health Infrastructure (physical infrastructure, equipment, transport, ICT), and Health Products
  • Collate information on readiness of health facilities to provide the defined health services
  • This includes availability of knowledge, supplies, and capacities needed to ensure available inputs are being used to produce required outputs

As a result of the SARAM, the sector will have the following – nationally, and by County:

  • Up to date information on assets for hand over, and to inform the Investment Planning in the KHSSP
  • Up to date and comprehensive geocode information on all existing health facilities
  • Information on facility readiness, and so priority processes needed to improve provision of services

Basic information, as the HR mapping exercise will collect more comprehensive information

The Univeristy of Nairobi is conducting the census in Nairobi Region which includes Nairobi and Kajiado Counties and the Central Region which included Kiambu, Murang'a, Nyeri, Kirinyaga and Nyandarua Counties.

Currently most data upload will be done electronically and remotely through the District Health Information System (DHIS).  The DHIS is a web based data entry and analysis portal; rolled out in all the districts of the 47 counties between April–September 2011. Data is keyed in by the District Health Information Officer; and users across Kenya can access the system online through modems and Local Area Networks.

On Kenya Health Policy 2012-2030, the policy direction points towards seven key investment areas. These: financing, leadership and governance; health commodities and supplies chain management; health information system, health workforce, integrated service delivery, and infrastructure. These are the basic building blocks for high quality health care system.

For SARAM-UoN we have two broad regions

  • Nairobi Region- Nairobi and Kajiado Counties
  • Central Region -Nyeri,Kirinyaga,Nyandarua,Kiambu,Murang’a

We have, for administrative purposes, divided the two broad regions into 4 sub-regions

  • Sub-region 1:
  1. Nyeri County(Nyeri North,Nyeri South,Kieni East,Kieni West,Mathira East,Mathira West, Mukurweini,Nyeri Central,Tetu);
  2. Kirinyaga County(Kirinyaga Central,Kirinyaga North,Kirinyaga East,Kirinyaga West,Kirinyaga South);
  3. Nyandarua County(Nyandarua North,Kinangop,Mirangini,Nyandarua Central,Nyandarua West,Nyandarua South).
  • Sub-region 2:
  1. Kiambu County(Kiambu West,Kiambu East, Ruiru, Kikuyu, Lari, Limuru, Gatanga, Gatundu North, Gatundu South,Githunguri,Thika East and Thika West districts)


  1. Murang’a County(Muranga North,Muranga South,Muranga West, Kahuro, Kiharu, Kandara, Kigumo, Mathioya districts)
  • Sub-region 3:
  1. Kajiado County(Isinya,Kajiado North,Kajiado Central,Mashuru and Loitokitok districts)
  • Sub-region 4:
  1. Nairobi County (Dagoretti,Langata,Westlands,Starehe, Kamukunji,Kasarani, Makadara,Njiru and Embakasi districts)
  • SARAM-UoN will be in four data collection teams each working on a sub-region
SARAM questionnaire final tool March 2013.doc1.33 MB
SARAM questionnaire Management tool final March 2013 (1).doc627 KB