Level 4 Hospitals in Kenya
Level 4 hospitals in Kenya include facilities that provide highly specialized services, level 4 hospitals have the resources to provide adequate medical and surgical services and also incorporate all Level 3 Hospitals facilities.
For a hospital to be classified as a Level 4 Hospital in Kenya it has to have the following;
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- Emergency, general and specialized operations are handled at the facility.
- Has the capacity to manage medical, surgical, pediatric and gynecological in-patients, radiology services, renal dialysis, tuberculosis management, and mortuary and autopsy services.
- In terms of equipment, the rental unit should have at least five dialysis machines, there should also be an MRI machine, CT scan, and mammography machine.
- It should also have an endoscopy, laparoscopy, and colonoscopy.
- Level 4 requires more specialized personnel with at least 16 resident medical officers, two anesthesiologists, two general surgeons, two gynecologists, two pediatrics and two radiologists.
- Provides a highly active antiretroviral therapy (HAART), antiretroviral (ARV) prophylaxis for children born of HIV-positive mothers, male circumcision, pelvic inflammatory disease (PID) management, and screening for animal transmitted conditions.
- Should have a 150- bed capacity for an inpatient with 30 beds each for male, female, pediatric, antenatal and postnatal wards.
- The facility also screens for and examines cervical, breast and prostate cancers, vaccination for yellow fever, tetanus, hepatitis B and rabies, management of surgical and medical and advanced life support, management of high-risk pregnancies and obstetric complications, pre-term labor, and cesarean sections.
- The facility should be built on a five-acre piece of land or an office space of approximately 2,500 square meters.
- The labor ward should have at least three delivery beds and two resuscitating beds while the new-born unit should have at least five incubators and five cots.
- The least number of clinical officers that such a hospital should employ is 195 specialists with 76 special nurses, 4 pharmacists, 2 clinical Pharmacists, and 8 pharmaceutical technologists.
- There should be at least six beds at the Intensive Care Unit (ICU) with an equivalent bed capacity for the High Dependency Unit (HDU) and radiology.
Level 4 Hospitals in Kenya
List of Level 4 Hospitals in Kenya
List of Level 4 hospitals in Kenya in alphabetical order;
- Ahero Sub-District Hospital
- Alupe Sub-District Hospital
- Ambira Sub-District Hospital
- Annex Hospital Nakuru
- Awendo Sub-District Hospital
- Bahati District Hospital
- Bamba Sub-District Hospital
- Baragoi Sub-District Hospital
- Bokoli Sub-District Hospital
- Bondo District Hospital
- Buna Sub-District Hospital
- Bungoma District Hospital
- Busia District Hospital
- Bute District Hospital
- Butere District Hospital
- Chebiemit District Hospital (Marakwet)
- Chemolingot Sub-District Hospital
- Chepareria Sub-District Hospital
- Cheptais Sub-District Hospital
- Cheptalal Sub-District Hospital
- Chepterwai Sub-District Hospital
- Chuka District Hospital
- Chulaimbo Sub-District Hospital
- Dadaab Sub-District Hospital
- Dagoretti Sub -District Hospital (Mutuini)
- Doldol Sub-District Hospital
- Ekerenyo Sub-District Hospital
- Elburgon Nyayo Sub District Hospital
- Eldama Ravine District Hospital
- Elwak Sub-District Hospital
- Embakasi District Hospital
- Endebess Sub-District Hospital
- Engineer District Hospital
- Esani Sub-District Hospital
- Etago Sub-District Hospital
- Faza Sub-District Hospital
- Fort-Ternan Sub-District Hospital
- Garbatulla District Hospital
- Gatundu District Hospital
- Gesusu Sub-District Hospital
- Giaki Sub-District Hospital
- Gilgil Sub District Hospital
- Githongo Sub-District Hospital
- Got Agulu Sub-District Hospital
- Gucha District Hospital
- Habaswein Sub-District Hospital
- Hola District Hospital
- Homa-Bay District Hospital
- Hulugho Sub-District Hospital
- Huruma District Hospital
- Ibacho Sub-District Hospital
- Ibeno Sub-District Hospital
- Iftin Sub-District Hospital
- Igegania Sub-District Hospital
- Iguhu District Hospital
- Ikanga Sub-District Hospital
- Isebania Sub-District Hospital
- Ishiara Sub-District Hospital
- Isiolo District Hospital
- Iten District Hospital
- Iyabe Sub-District Hospital
- Jibana Sub-District Hospital
- Kabarnet District Hospital
- Kabondo Sub-District Hospital
- Kacheliba Sub-District Hospital
- Kajiado District Hospital
- Kamwosor Sub-District Hospital
- Kandiege Sub-District Hospital
- Kangema Sub-District Hospital
- Kangundo District Hospital
- Kanyakine Sub-District Hospital
- Kanyangi Sub-District Hospital
- Kapedo Sub-District Hospital
- Kapenguria District Hospital
- Kapkatet District Hospital
- Kapsabet District Hospital
- Kaptarakwa Sub-District Hospital
- Kaptumo Sub-District Hospital
- Karatina District Hospital
- Karungu Sub-District Hospital
- Kathiani Sub-District Hospital
- Katulani Sub-District Hospital
- Kauwi Sub-District Hospital
- Kayole II Sub-District Hospital
- Kehancha District Hospital
- Kendu Bay Sub-District Hospital
- Kenyenya Sub-District Hospital
- Kericho District Hospital
- Keroka District Hospital(Masaba)
- Kerugoya District Hospital
- Keumbu Sub-District Hospital
- Khorof Harar Sub-District Hospital
- Khunyangu Sub-District Hospital
- Kiambu District Hospital
- Kianjokoma Sub-District Hospital
- Kianyaga Sub-District Hospital
- Kibirichia Sub-District Hospital
- Kibunga Sub-District Hospital
- Kibwezi Sub-District Hospital
- Kihara Sub-District Hospital
- Kijauri Sub-District Hospital
- Kilgoris District Hospital
- Kilifi District Hospital
- Kimbimbi Sub-District Hospital
- Kimilili District Hospital
- Kinango District Hospital
- Kinoro Sub-District Hospital
- Kipkelion Sub-District Hospital
- Kirwara Sub-District Hospital
- Kisau Sub-District Hospital
- Kisegi Sub-District Hospital
- Kisumu District Hospital
- Kitale District
- Kitui District Hospital
- Kocholwo Sub-District Hospital
- Kombewa Sub-District Hospital
- Kwale District Hospital
- Kyuso Sub-District Hospital
- Lafey Sub-District Hospital
- Lamu District Hospital
- Likoni Sub-District Hospital
- Likuyani Sub-District Hospital
- Lodwar District Hospital
- Loitokitok Sub-District Hospital
- Lokitaung Sub-District Hospital
- Lolgorian Sub-District Hospital
- Londiani District Hospital
- Longisa District Hospital
- Lopiding District Hospital
- Lumakanda District Hospital
- Macalder Sub-District Hospital
- Madiany Sub-District Hospital
- Magutuni Sub-District Hospital
- Makindu District Hospital
- Makueni District Hospital
- Malava District Hosptial
- Malindi District Hospital
- Mandera District Hospital
- Manga Sub-District Hospital
- Manyala Sub-District Hospital
- Maragua District Hospital
- Maralal District Hospital
- Marani Sub-District Hospital
- Mariakani District Hospital
- Marigat Sub-District
- Marsabit District Hospital
- Masalani District Hospital
- Masimba Sub-District Hospital
- Masogo Sub-District Hospital
- Matiliku District Hospital
- Matunda Sub-District Hospital
- Matungu Sub-District Hospital
- Matuu Sub-District Hospital
- Mbagathi District Hospital
- Mbalambala Sub-District Hospital
- Mbeu Sub-District Hospital
- Mbita Sub-District Hospital
- Mbooni District Hospital
- Meteitei Sub-District Hospital
- Miathene District Hospital
- Migori District Hospital
- Migwani Sub-District Hospital
- Mikinduri Sub-District Hospital
- Mikumbune Sub-District Hospital
- Miranga Sub-District Hospital
- Modogashe District Hospital
- Moi (Voi) District Hospital
- Molo Sub District Hospital
- Moyale District Hospital
- Mpeketoni Sub-District Hospital
- Msambweni District Hospital
- Mt. Elgon District Hospital
- Mt. Kenya Sub-District Hospital
- Muhoroni Sub-District Hospital
- Mukurwe-ini Sub-District Hospital
- Murang’a District Hospital
- Muriranjas District Hospital
- Muthara Sub-District Hospital
- Mutitu Sub-District Hospital
- Mutuati Sub-District Hospital
- Mwala Sub-District Hospital
- Mwambirwa Sub-District Hospital
- Mwatate Sub-District Hospital
- Mwingi District Hospital
- Naitiri Sub-District Hospital
- Naivasha District Hospital
- Nandi Hills District Hospital
- Nanyuki District Hospital
- Narok District Hospital
- Navakholo Sub-District Hospital
- Ndhiwa Sub-District Hospital
- Nduru Sub-District Hospital
- Ngao District Hospital
- Ngong Sub-District Hospital
- Ntimaru Sub-District Hospital
- Nunguni Sub-District Hospital
- Nuu Sub-District Hospital
- Nyacheki Sub-District Hospital
- Nyahera Sub-District Hospital
- Nyahururu District Hospital
- Nyamache District Hospital
- Nyambene District Hospital
- Nyamira District Hospital
- Nyamusi Sub-District Hospital
- Nyando District Hospital
- Nyangena Sub-District Hospital
- Nyathuna Sub-District Hospital
- Ogongo Sub-District Hospital
- Ol’kalou District Hospital
- Olenguruone Sub-District Hospital
- Ololulung’a District Hospital
- Othaya District Hospital
- Othoro Sub-District Hospital
- Port Reitz District Hospital
- Port Victoria SDH
- Rachuonyo District Hospital
- Rangwe Sub-District Hospital
- Rhamu Sub-District Hospital
- Rongo Sub-District Hospital
- Roret Sub-District Hospital
- Ruiru Sub-District Hospital
- Rumuruti Sub-District Hosptial
- Runyenjes District Hospital
- Saboti Sub-District Hospital
- Shibwe Sub-District Hospital
- Siakago District Hospital
- Siaya District Hospital
- Sigor Sub-District Hospital
- Sigor Sub-District Hospital
- Sigowet Sub-District Hospital
- Sio Port District Hospital
- Sirisia Sub-District Hospital
- Suba (Sindo) District Hospital
- Sultan Hamud Sub-District Hospital
- Takaba Sub-District Hospital
- Tambach Sub-District Hospital
- Taveta District Hospital
- Tawa Sub-District Hospital
- Teso District Hospital (Kocholia)
- Tharaka (Marimanti) District Hospital
- Tigoni District Hospital
- Timau Sub-District Hospital
- Tot Sub-District Hosptial
- Tseikuru Sub-District Hospital
- Tudor Sub-District Hospital
- Victoria Sub-District Hospital
- Vihiga District Hospital
- Wajir District Hospital
- Webuye District Hospital
- Wesu District Hospital
- Wundanyi Sub-District Hospital
- Yala Sub-District Hospital
- Ziwa Sub-District Hospital
Level 4 Hospitals in Kenya should provide the following:
- Curative and preventive care and promotion of health of the people in the district;
- Quality clinical care by a more skilled and competent staff than those of the health centres and dispensaries;
- Treatment techniques such as surgery not available at health centres;
- Laboratory and other diagnostic techniques appropriate to the medical, surgical, and outpatient activities of the district hospital;
- Inpatient care until the patient can go home or back to the health centre;
- Training and technical supervision to health centres; as Well as resource centre for health centres at each district hospital;
- Twenty-four-hour services;
The following clinical services are provided in Level 4 Hospitals in Kenya
- Obstetrics and gynaecology;
- Child health;
- Medicine;
- Surgery, including anaesthesia;
- Accident and emergency services;
- Non—clinical support services;
- Referral services;
- Contribution to the district-wide information generation, collection planning, implementation and evaluation of health service programmes.