The Department of Public Health and Sanitation is one of the Oldest Departments in the Ministry of Health. The first public health officer, by then called sanitary inspector was employed in 1907. The title has undergone several charges to the current Public Health Officer (PHO) and Public Health Technician (PHT).The department has staffs in the County, Sub-Counties, Wards and Villages.

A healthy County

The functions for the Public Health Department under the above section 2 are;

  • Health education and promotion
  • Inspection and licensing of medical premises
  • School health program
  • Environmental health
  • Disease surveillance
  • Occupational health and safety
  • Food and water quality and safety
  • Hygiene and sanitation
  • Disease prevention and control
  • Licensing and control of undertakings that sell food to the public including food safety and control
  • Refuse removal, Refuse dumps and solid waste management
  • Solid waste disposal including enforcement of national waste management policies, standards and laws with respect to land filling, incineration with energy recovery, compositing, recycling and operation of transfer stations.

The county was ranked number 2 out of 47 counties in terms of sanitation. The indicators were number of people using pit latrines, ration of pupils to toilet in school, sanitation budget allocation, open defecation free areas etc this was made possible because the Department of public health coordinates more than twenty (20) non- governmental organizations who deals with water and sanitation/ hygiene activities. This is done through seven (7) Environmental Sanitation Technical working Groups namely

  1. 1.      Sanitation and Hygiene promotion technical working group
  2. 2.      Sanitation marketing and promotion technical working group
  3. 3.      House Hold water treatment and safe storage technical working group
  4. 4.      School water, sanitation and Hygiene technical working group
  5. 5.      Health care waste and general waste management technical working group
  6. 6.      Policy research and resource mobilization technical working group
  7. 7.      Urban sanitation technical working group

The above helps to address the issues of environmental health risks factors which are key in disease prevention.

All the top ten diseases in the county are preventable using simple doable actions which can save the county more than 2 billion every year that can be used for other economic activities within the county. The major causes of morbidity and mortality in the county are:

  • Respiratory systems diseases-
  • Diarrheal diseases –
  • Accidents/ injuries
  • Malaria
  • Pneumonia-

The department is implementing community led total sanitation in order to achieve MDG no.7 and lower diarrhea causes.


Laboratory Services play a crucial part in the County Health sector. They provide evidence Based Diagnosis, treatment and care enabling the county population to access quality health services. Globally, Laboratory medicine has been used  and is still being used to detect, prevent and treat various health related problems, it is therefore a integral  tool  in the modern world that can never be ignored.

The County Laboratory services, as part of the County health system, support the following health services component:

  • Patient diagnosis and treatment monitoring
  • Disease surveillance and control
  • Health promotion programs
  • Disease prevention activities
  • Health Research for policy formulation

There are six levels of health care of which five offer medical laboratory services

  • Community health services: no laboratory services
  • Dispensary and health clinics: basic laboratory services
  • Health centers and nursing homes: limited laboratory services
  • Primary/Sub county hospital: laboratory services for inpatients and outpatients
  • Secondary/Provincial Hospitals( NakuruP.G.H): comprehensive laboratory services for inpatient, outpatients,  referral and teaching
  • Tertiary: National Reference laboratories/Research centers: highly specialized laboratory services.


  • The medical laboratories are the gold standard for evidence based practice in the management and prevention of disease
  • Medical laboratory provide evidence for better health interventions.


  • In  Nakuru County,  Laboratories offer high quality services  attributed to the fact that,  three of our Laboratories are under accreditation process.
  • This is a stepwise approach to implementing a WHO Accreditation scheme for Laboratories ISO 15189  It is an international scheme that makes Quality the core of Laboratory processes.
  • The Laboratories under the scheme are NakuruP.G.H, Regional Blood Transfusion Centre and Naivasha Sub county Hospital
  • NakuruP.G.H  has attained 2 Stars and expected to be fully ISO satisfied soon after assessment.
  • These laboratories are enrolled to External quality assessment programs that compare quality in laboratories within the country and outside, and  have been scoring highly.

The services provided by these Laboratories are:

  • Hematological test
  • Biochemical Tests
  • Histological tests
  • Cytological Tests
  • Microbiological tests
  • Parasitological Tests
  • Blood and Blood product Transfusion services

All offered at  high quality standards by highly qualified personnel, at  an affordable price.

Receive Quality Laboratory services for Quality Health care.