Professional Documents
Culture Documents
Ali Hassan Attachment Report
Ali Hassan Attachment Report
BY
DECEMBER 2023
DECLARATION
Student’s declaration
This Attachment Report is my original work and has not been presented to any other
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This Attachment Report has been submitted with my approval as a supervisor at Garissa
University.
DEDICATION
I dedicate this Attachment Report to my family members for commitment and support they
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ACKNOWLEDGEMENT
My first gratitude goes to the almighty Allah for granting me good health, knowledge and
sanity to attend attachment and write this report. I also appreciate my supervisor for his
guidance in coming up with this report. I appreciate the Management facility of AL-
Maqdis for giving me a humble chance to work with their esteemed institution for my
wonderful and a big success and I learnt so much from all of you. My regards also go to all
my lecturers during the entire course and the university administration. Sincere
appreciations to my colleagues who helped me in compiling this report, without all of you,
this report could not have been complete. I would also like to thank all those who in one
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TABLE OF CONTENTS
DECLARATION.................................................................................................................i
DEDICATION..................................................................................................................iii
ACKNOWLEDGEMENT.................................................................................................iv
SECTION ONE..................................................................................................................1
1.0 GEOGRAPHICAL
LOCATION ......................................................................................................1
1.1 Historical Background..................................................................................................1
1.2 Vision........................................................................................................................ 1
1.3 Mission...................................................................................................................... 1
1.4 High Level Policy Objective and Co-
Value............................................................................... 1
1.5 The Key
Policy ........................................................................................................................ 2
1.6 The Office of Assistant Sub county commissioner......................................................5
Africa And Regional Organisations...................................................................................5
Administration General
Institutional Arrangements In The Implementation Of MTEF
Recent Budget Reforms: Introduction Of Medium Term Expenditure Framework
Public Expenditure Management Prior To The Introduction Of The Medium Term
Expenditure Framework.....................................................................................................9
1.7 Organizational chart...................................................................................................11
1.8 Duration of Attachment..............................................................................................12
SECTION TWO...............................................................................................................13
ATTACHMENT EXPERIENCES...................................................................................13
2.1 GENERAL ACTIVITIES UNDERTAKEN..............................................................13
2.2 Specific Activities Undertaken...................................................................................14
2.3 AN ANALYSIS OF LEARNED KNOWLEDGE AND APPLIED SKILLS............16
2.4 A PROFILE OF SKILLS AND COMPETENCIES GAINED..................................17
2.5 COMPETENCIES GAINED......................................................................................19
2.6 OBSERVATIONS AND CRITIQUE........................................................................19
2.7 Strategy for utilization of contacts established during attachment.............................21
SECTION THREE...........................................................................................................23
SUMMARY, CONCLUSION AND RECOMMENDATIONS......................................23
3.1 SUMMARY...............................................................................................................23
3.2 CONCLUSION..........................................................................................................24
3.3 RECOMMENDATION..............................................................................................24
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SECTION ONE
experienced, Qualified and well trained staffs.it offers variety of medical services such as
Nursing, medical laboratory, Maternity, Optical scanning, Minor Surgery, Altra Sound
among other services. It is known for providing quality services to both in-patient and out-
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Professionalism and ethics: The Faculty shall nurture responsible professionalism,
promote mentorship, maintain ethical behaviour and etiquette.
Leadership: The Faculty shall provide leadership in setting the national and
international health agenda.
Research culture: The Faculty shall initiate and sustain relevant, creative,
innovative and inventive research and ethical for the benefit of mankind.
Meritocracy and team-work: The Faculty shall promote meritocracy and foster a
work environment characterized by team spirit and teamwork.
Corporate governance and social responsibility: Good corporate governance,
sensitivity to needs of the society and respect for human rights shall be the hallmark
of the Faculty.
Respect for and conservation of the environment: The Faculty promotes protection
of the environment.
1.5 The key policy objectives are:
1. To promote awareness of health care among all sections of the Indian people.
2. To promote awareness among functionaries involved in Health and Hospital
Management.
2.1 To promote research in the field of Health and Hospital Management. in order to
improve the efficiency of Health Care delivery Systems.
2.2 To promote the development of high quality hospital services and community
health care.
2.3 To promote a forum for the exchange of ideas and information among health and
hospital planners, academicians, administrators, various statutory bodies and the
general public for the improvement of Hospital and Health Care delivery Systems.
2.4 To develop norms and standards for accreditation of the Health Care Organization
and adopt means of evaluation of such institutions, so as to improve the quality of
health care in the community.
3 To provide opportunities for training and research in all aspects of Hospital Services
Health Care Delivery System and Health Care Administration.
4 To update the knowledge and skill of the Health & Hospital Administrators and other
personnel involved in the management of health care organization through
continuous education and research.
5 To promote and grant recognition to research in the fields of Health and Hospital
Management and to grant awards, scholarship and assistance in other suitable forms to
meritorious individuals and institutions.
6 To act as Advisory /Consultative Body, in the best interest of community and country,
to Central and State Governments, Public Sector Undertakings, Health Care Delivery
Organization, Public Health & Health System Development, Teaching and Training
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Organization and any other Health related allied organization, when need so arises or
services are asked for.
7 To provide Health Care Advocacy for the benefit of health system management and to
endeavor to become a national advisory body for union and state governments.
8 To publish text books and periodic monographs on current and futuristic trends in
health and hospital management.
9 To help in preparation of SOPs, Manuals, Literature and Books on Health Care
Management, Quality & Accreditation, Health Care Technology, Health Care Industry
related subjects, Text Books for Health Management Courses for benefit of the
Students & Faculty, Hospital and Health Care Organizations and Academic
Institutions.
10 To undertake Professional Consultancy in the field of Health System Management,
Quality & Accreditation, Health Technology Assessment, Medical Tourism, Disaster
Management, Health Care Delivery Organization, Public Health Facilities & Services
for overall improvement of the facilities.
11 To conduct inter hospital/ Institution awards competition on various parameters to
bring competitiveness for improving healthcare quality & training.
12 To recognize and felicitate the individuals who have made exceptional and significant
contributions in the field of Health and Hospital Management in general and to the
Academy in particular.
Team Work
The management and the entire workforce at the office of Al-Maqdis Medical Centre
management embrace teamwork spirit so that through synergy they can achieve their
objectives better and ensure provision of high quality services to the public. The
management ensures that people have the best coordination of activities, to work well
together.
Staffs focus
The workers are at the center of the success of any organization: They should be well
trained, motivated and well handled so as to create a succeeding environment. The
Administration department of office of Al-Maqdis Medical Centre has put this in front of
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anything else so as to boost productivity and performance. Most of the staff members are
given chance to go back to colleges and universities to further their studies.
Professionalism
The Board and the staff shall adhere to impeccable and beyond reproach professional and
personal standards in carrying out their duties and serving the public. They shall also
endeavor to be committed to the provision of quality services to the citizens.
Administration General
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Administration General
Functions
15) Develop and implement a talent management and succession planning strategy
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Improve collaboration with technical officers from relevant government agencies
Improve management of transition of security system.
Mainstream Cross cutting issues and public participation Enhance engagement with
both locals and non-locals to Enhance Media Security Relations
Enhance relations with other Government agencies Enhance Media m
onitoring
Just like all other countries who adopted MTEF, an elaborate system of institutions was
The introduction of the Medium Term Expenditure Framework required a concerted effort across
all Ministries and Departments of Government. As a start, a core team of MTEF Secretariat was set
up in the Ministry of interior and national administration. The Secretariat was coordinating and
directing the implementation of MTEF on a full time basis. The secretariat was also expected to
make arrangements for capacity building within the secretariat and also for familiarizing and
market, estate among others. This study is set to assess how effective the outreach
the youth.
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(iii) Sect-oral Working Groups (SWGs)
Initially seven Sect-oral Working Groups were set up and later on increased to eight
sectors, namely: Security Matters, Citizen services e.g providing identification card ,
Public Administration, Public Safety, Law and Order, Information Communication and
The SWGs, work closely with line Ministries, and are responsible for developing sect-
ensuring that the inputs, activities, outputs and outcomes are in line with the national
objectives. Each sector has a core secretariat based at the Ministry of Planning and
National Development and incorporates Ministries and other stakeholders as and when
required.
Affairs, Debt Management, External Resources, Accountant General, Pensions, GITS, Macro
Department of Ministry of Planning and National Development. This team considers the budget
proposals and also monitors developments that may arise in the course of implementation of the
budget.
Through internal reviews of the performance of the budget process the government
realized that its public expenditure management was inconsistent with the objectives of
achieving high and sustained growth of the economy necessary for reducing the levels
of poverty. The performance of the public sector in itself had become a constraint to the
growth prospects of the private sector and thus to overall economic growth. The
composition of public expenditure was inappropriate and inefficient. It was this review
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that emphasized the need to have a comprehensive reform of the public expenditure
Arising from this review and its recommendations the Government adopted the
Medium Term Expenditure Framework (MTEF) which would guide the efficient and
expenditure in the GDP. The MTEF was and is expected to achieve three tasks:
Maintain aggregate fiscal discipline by ensuring that policy changes are consistent with
xpenditure Framework
Before the introduction of MTEF in 2000, policy making, planning and budgeting were
taking place independently of each other. In Kenya Planning was confined into Ministry
of Planning whereas budgeting was confined in the Ministry of Finance. Despite having
taken various reforms particularly in the budgeting process the budget was not
delivering. The resources available were distributed thinly on too many projects not
linked at all to the policy priorities. This often resulted into stalled projects, increase in
pending bills (Budgetary Arrears), low funding to priority areas and hence non delivery
of intended services.
Although at the start of the Forward budget or the annual budget it was a requirement
that there is a forecast of the aggregate resources. Over the years there was the tendency
to over-estimate revenues which resulted into the adjustments of the budget in the
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course of the year. The over estimation was mainly driven by the fact that as the deficit
had been a performance criterion more efforts were made towards achieving the
variable than processes that could lead to the restructuring of the expenditure patterns
and composition.
During the period when the budgetary reforms were being instituted the country
recorded high fiscal deficit some of which were due to lack of discipline whereas others
were due to other external factors such as lack of flow of funds from development
partners. The budget was adjusted as soon as was presented to parliament. This was
occasioned by the fact that in an effort to balance the budget expenditure adjustments
were made on areas where commitments had been made as such the Ministry of
Finance would then request Ministries to make re-allocations (virements) or issue them
entered into that were higher than the approved budget and also due to programmes
The other weakness of the budget was lack of a process of costing and prioritization.
appraisal was not developed therefore viability of projects just depended on arguments
The Staff
Al- Maqdis Medical Centre Administration has a highly motivated and committed working
team of about 5 spearheaded by the General County Commissioner Officer. All the staff
possesses great qualifications and experience in handling their respective areas of work.
There is also a subordinate staff that assists in various sections. This group plays a major
role in ensuring the smooth day to day running of the ministry. The permanent and
subordinate staffs have contributed tremendously to the growth and success of the ministry
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1.7 organizational chart
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1.8 Duration of Attachment
I was in the administration office of Al-Maqdis Medical Centre located along Ngamia
Road for a duration of twelve consecutive weeks starting from 18th September 2023 to 4TH
December 2023. During this time I learnt how the interior administration department runs
and was able to get my knowledge well opened up and as per the performance therein.
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SECTION TWO
ATTACHMENT EXPERIENCES
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2.2 Specific Activities Undertaken
Some of the responsibilities and duties included:
Receiving and welcoming patients.
Receiving complaints from patients discuss and sort them out.
Organizing and preparing of the minutes of the meeting held by both staffs and
subordinate staffs.
Undertaking research for various parts of Al-Maqdis and assisted in key places.
Admitting of inpatient to the hospital.
Directing patients where they are supposed to be.
Giving out forms and printing patients pre-scribed drugs.
Answering phone calls in the reception office.
Answering question asked by the patients
Filling the departmental cards of NHIF and Insurance.
Filling of the documents in the delivery notes and then dispatching to other
departments.
Arranging and attending staff meeting for the week in order to curb problems arise.
Training of staffs in order to serve the clients submitting returned claims .
Monitoring budgets and preparing reports
Maintaining medical and staff records
Tracking medical and office supplies
Monitor budgets and prepare reports
Maintain medical and staff records
Track medical and office supplies stock
Update patient health records, including admissions and insurance data
Create work schedules for staff members
Keep records of expenses and suggest ways to minimize costs
Answer queries from doctors, nurses and patients
Liaise with medical staff to identify efficiencies in the facility’s operations
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Ensure compliance with current healthcare regulations
General administration receivable functions
Prepared and submitted patient medical bills
Analyzed discrepancies and unpaid discharge bills
Maintained and sort out office files
General office functions
Prepared minutes on meeting held after observation
Tracked staff vacation and sick time
General support functions
Assisted in month end reporting procedures
Assisted with staff expense reports
Performed filing and general administrative tasks
Preparing weekly returns on weekly incidents to be acted on.
Directing and supervising the work of medical staff
Establishing organizational goals
Planning and implementing programs, such as human resources (HR)
administration#
Overseeing finances and related operations, such as budget planning, authorizing
expenses, and creating financial reports
Communicating with staff, departments, and board members
Hiring and training staff
Monitoring resource use and allocation
Ensuring that facilities are up to standard and meet current regulatory requirements
To act as Advisory /Consultative Body, in the best interest of community and
country, to Central and State Governments, Public Sector Undertakings, Health
Care
To provide Health Care Advocacy for the benefit of health system management and
to endeavor to become a national advisory body for union and state governments.
To publish text books and periodic monographs on current and futuristic trends in
health and hospital management.
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To help in preparation of SOPs, Manuals, Literature and Books on Health Care
Management, Quality & Accreditation, Health Care Technology, Health Care
Industry related subjects, Text Books for Health Management Courses for benefit
of the Students & Faculty, Hospital and Health Care Organizations and Academic
Institutions.
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Planning skills
During the attachment period I learnt planning skills, starting by noting down things to do
and then with step by step execute each activity at a time in order to avoid delay, waste of
time and confusion of activities that will eventually lead to non-accomplishment of the
assigned duties.
Interrelation skills
I was able to relate with different kinds of staff and visitors in my line of work and able to
solve problems amongst staff that needed my attention. Different kinds of people need to
be handled in different ways and so it was my responsibility to ensure good interrelation
skills to all staff.
Technical Skills
I was able to acquire skills on how to operate the office equipment e.g. the computers and
printers in the office.
Decision making skills
During determination of various cases, I acquired decision-making skills on how and when
to involve certain parties in solving crises issues when arises.
Leadership skills
I gained this skill by observing how the leaders in the ministry showed direction to their
juniors and in the manner in which they made decisions in relation to the day-to-day
activities of the ministry and also acquired the skill of leading by example.
Multi-tasking
This skill refers to one’s ability to carry out different tasks at the administration involved. I
gained the skills as I worked in different sections of the ministry. I managed to apply
different skills to work in different sections of the ministry.
Maintaining records: During the attachment period I gained the knowledge on public
Administration as well as preparing weekly returns, reports and forward the incidents
occurred.
Analytical Skills
I acquired skills in analyzing most issues that rose within the ministry and any kind of
problem that was within my area of work and tried to come up with solutions.
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2.5 COMPETENCIES GAINED
I learnt to manage time well, this helped me to reach my target and the ministry’s set
targets. This was important to prevent the last minute rush.
I was able to work under minimal supervision, followed the working schedules and was
able to work on reports and any duty assigned to me without any one to supervise me.
I was able to work with others towards achieving the ministry’s goals and fostered the
team work spirit at the office of Assistant County Commissioner and this was important in
such that it helped me in setting realistic goals.
During attachment I managed to work under tight schedules, meet deadlines, and achieved
the best out of it.
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2.6 OBSERVATIONS AND CRITIQUE
2.6.1 Observations
During the attachment I observed the following strengths:
The staff at the office of assistant county commissioner generally worked as a team and
adhered to their core values which include,
Efficiency: Staff is swift and efficient in every duty they undertake. This ensures
maximum productivity and good quality work.
Accountability: There are records in all departments that are well maintained to ensure
accountability of every activity during the course of work. Also there are supervisors in
charge of every Department to ensure that everyone is held responsible for every duty.
Commitment: All staffs are committed to good performance and quality work all for the
good of the ministry.
Gender equity: The management ensures that the policies set are well adhered to and they
give guidance on staffing, all gender is treated and given opportunity equally
Self-discipline: All staffs have self-discipline and they are not pushed to do what is right.
This promotes peace, efficiency, good employer – staff relationship and promotes team
work.
Self-drive: Staffs work to their level best even in the absence of the employer and the
management. They work under tasks or at hourly rate and they ensure that their tasks are
completed before close of the day. Generally, the staffs are cooperative and focused
towards achieving the set goals for the success of the Ministry and they promote the spirit
of togetherness.
Team Spirit: The staffs are united and they work in teams to ensure success of the firm
2.6.2 Critique
During the attachment I faced the following challenges;
a) Lack of better and safe ways of storing data hence in case of misplacement of the disks,
the data may be lost.
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b) Insufficient staff as the number of staff is smaller compared to the work available.
c) The work could not allow innovation since the work was repetitive day in day out and
week after week.
d) Creativity – the ministry does not give room for new staff opinions since it was locked
within the ministry policies and regulations.
e) Lack of management information system in place hence a lot of handling of manual data
leading to lots of paperwork within the ministry and subsequent.
g) Low motivation within the subordinates’ due to salary arrears that runs for almost a year
and also lack of non-monetary incentives like promotions and training of staff.
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SECTION THREE
3.1 SUMMARY
During the attach period, I came to learn a great deal mostly with regard to record keeping,
data entry, team work, data handling and also how to generally manage the administration
effectively. It was a very good opportunity to put into practice most of the theory work that
I had learnt in class hence it made me understands better each and every aspect concerning
Administration and adapt to the workplace faster than expected.
It came to my notice that the Administration department followed most of the rules and
regulations set by the ministry to the later when carrying out its daily activities. I
established that most of the items and services by the ministry were procured from
qualified personnel.
I also observed that most of the orders of the office equipment were made through a phone
call and the purchase orders followed later and the payments were made through a cheque
after a period of 30 days. On receiving of the supplies by the store keeper, I observed that
the store keeper was the one inspecting and accepting the suppliers at the same time. This
could prove to be costly to the ministry because the store keeper can be easily
compromised if no one else is taking care of the inspection bit. The goods supplied should
meet all the specifications that were offered in the local purchase order (L.P.O). Goods
supplied should meet the six (R’s) of purchasing i.e. at the right place, at the right time, of
the right quantity, of the right quality of the right price and from the right source. After
determining all these, the store keeper should sign the documents.
3.2 CONCLUSION
Generally, I was able to learn a lot for the period and also put into practice most of the
theory work that I had learnt in class.
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I recommend that the Administration department to have an insight of how office work
process is carried out using management information systems.
The course work knowledge learnt at Garissa University acted as a guideline when I was
undertaking the exercise. Lastly I greatly appreciate the skills imparted by the team of
lecturers of the institution as they coincided with the skills required and demanded not only
by ministry I was attached to but also in the job market at large.
3.3 RECOMMENDATION
From my observation during the period at the Office of Assistant County commissioner,
the following recommendations were made:
I recommend that not only the administration department but also the entire ministry
automates all its processes by networking computers in all departments. This will make
work easier where they will be able to have a data base and also enhance easier control of
the system information.
I also recommend that the ministry to recruit more qualified staffs in order to meet the set
out targets in the administration and stores department to ensure duties are carried out in a
more professional, efficient and effective manner.
The ministry should take their staffs to seminars and workshops especially those organized
by KISM (Kenya Institute of Supplies Management) so that they can gain relevant
knowledge and skills on administration and the current innovations in that field. I also
recommend that the public administration process should follow all the set rules and
regulations set by the government in order to avoid corruption.
I recommend that the ministry to invest in motivating their staff by promotions, salary
increments and updating the payment of staffs’ salaries and also staff recognition. This will
greatly impact positively on the levels of production by the staffs.
Lastly, I encourage the ministry to get involved in community projects commonly known
as Corporate Social Responsibility (CSR). This normally improves the public image of the
ministry which may have been tainted at some point by changing its corporate culture.
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