STUDENT’S NAME: NYAKOE RUTH MORAA

REGISTRATION NUMBER: BB02/SR/MN/13264/2020

DEPARTMENT: BUSINESS MANAGEMENT

INSTITUTION :MAASAI MARA UNIVERSITY

SCHOOL: BUSINESS ECONOMICS

PROGRAMME: BACHELOR OF SCIENCE IN HUMAN RESOURCE MANAGEMENT

INSTITUTION ATTACHED: NAROK COUNTY REFERRAL HOSPITAL

COURSE TITTLE: INTERNSHIP IN HUMAN RESOURCE MANAGEMENT

COURSE CODE: BHR 3208-1

UNIVERSITY SUPERVISOR: DR. SANKEI

 DECLARATION
I declare that I Nyakoe Ruth is the sole writer of this industrial attachment report. The details

of training and experience documented in this report describe my involvement as an attachee

in Narok County referral Hospital in the Human Resource department Registry Office.

Therefore ,all the information contained in this report is correct to the knowledge that have

acquired during my attachment period.

STUDENT’S NAME: NYAKOE RUTH

SIGNATURE……………………………………. DATE…………………………………

UNIVERSITY SUPERVISOR: DR. SANKEI

SIGNATURE…………………………… DATE…………………………………………

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 ABSTRACT
This report is a compilation of twelve weeks industrial attachment I had at Narok County

Referral Hospital, Human Resource Department. The report summarizes the work done

during this period, challenges encountered, my expectations as a student, highlights of tasks

performed, and the points of the attachment compared to the curriculum.

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 ACKNOWLEDGEMENTS
I would like to express my supreme gratitude to my Industry Supervisor Mary Sianoi who

gave me valuable time and a chance to learn something despite having a busy schedule.

I would like to thank the staff members of Narok County Referral Hospital for their

cooperation, support and giving ma an opportunity for me to have practical experience in the

organization.

I thank Maasai Mara University including the attachment program in our curriculum thus

helping students to develop skills, knowledge and Competence needed in the workplace.

I would like to express my gratitude to Narok County Referral Hospital for the opportunity

to practice my attachment enabling me to meet my personal expectations as a Human

Resource Management Practitioner.

Finally, I express my deep appreciation to my family for the encouragement and personal

support towards making my attachment a success.

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 DEDICATION
This study is whole heartedly dedicated to my parents who have been my source of

inspiration and gave me strength to press on during my attachment period. They continually

provided me with moral, spiritual, and financial support.

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 LIST OF FIGURES
FIGURE 2.1: ORGANIZATIONAL STRUCTURE..............................................................................5

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 TABLE OF CONTENTS

DECLARATION.....................................................................................................................II

ABSTRACT...........................................................................................................................III

ACKNOWLEDGEMENTS..................................................................................................IV

DEDICATION.........................................................................................................................V

LIST OF FIGURES...............................................................................................................VI

CHAPTER ONE:.....................................................................................................................1

INTRODUCTION....................................................................................................................1

1.1 INTRODUCTION ON THE INSTITUTION ATTACHED..........................................1

1.2 STUDENT’S PERSONAL EXPECTATIONS................................................................1

CHAPTER TWO:....................................................................................................................2

2.1 HISTORY OF NAROK COUNTY REFERRAL HOSPITAL....................................2

2.1 OBJECTIVES OF NAROK COUNTY REFERRAL HOSPITAL...............................3

2.2 MISSION OF NAROK COUNTY REFERRAL HOSPITAL.......................................3

2.2 VISION OF NAROK COUNTY REFERRAL HOSPITAL..........................................3

2.3 CORE VALUES OF NAROK COUNTY REFERRAL HOSPITAL............................3

CHAPTER THREE:................................................................................................................5

3.1 ORGANIZATIONAL STRUCTURE OF NAROK COUNTY REFERRAL HOSPITAL. 5

............................................................................................................................................5

3.1 COMPLETED AND ONGOING PROJECTS................................................................6

3.2 PHYSICAL INFRASTRUCTURE AND SERVICES....................................................7

3.2.1 OUTPATIENT UNIT.....................................................................................................7

3.2.2 INPATIENT UNIT..........................................................................................................7

CHAPTER FOUR:...................................................................................................................8

DESCRIPTION OF VARIOUS DEPARTMENT IN NAROK COUNTY REFERRAL

HOSPITAL...............................................................................................................................8

4.1 HUMAN RESOURCE MANAGEMENT DEPARTMENT..........................................8

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4.1.1 OBJECTIVES OF HR IN NAROK COUNTY REFERRAL HOSPITAL................8

4.1.2 ROLES AND FUNCTIONS OF THE...........................................................................8

HR STAFF..........................................................................................................................8

4.1.3 EQUIPMENT USED IN HUMAN RESOURCE MANAGEMENT

DEPARTMENT.......................................................................................................................8

4.2 PROCUREMENT DEPARTMENT.................................................................................9

4.2.1 OBJECTIVES OF PROCURENT DEPARTMENT IN NAROK COUNTY

REFERRAL HOSPITAL........................................................................................................9

4.2.2 ROLES AND FUNCTIONS OF THE PROCUREMENT STAFF.............................9

4.2.3 EQUIPMENT USED IN PROCUREMENT DEPARTMENT.................................10

4.3 ACCOUNTS DEPARTMENT........................................................................................10

4.3.1 OBJECTIVES OF ACCOUNTS DEPARTMENT IN NAROK COUNTY

REFERRAL HOSPITAL......................................................................................................10

4.3.2 ROLES AND FUNCTIONS OF THE ACCOUNTS STAFF....................................11

4.2.3 EQUIPMENT USED IN PROCUREMENT DEPARTMENT.................................11

CHAPTER FIVE:..................................................................................................................12

SUMMARY, CONCLUSION, RECOMMENDATIONS..................................................12

5.1 BENEFITS /LEARNING..............................................................................................12

5.2 CONCLUSION.................................................................................................................12

5.3 RECOMMENDATION...................................................................................................13

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 CHAPTER ONE:

INTRODUCTION

1.1 INTRODUCTION ON THE INSTITUTION ATTACHED

The Narok County Referral Hospital is situated in Narok Town.

It is the leading health facility in the County.

Its main objective is to ensure universal access to quality health services consisting of

promotive, preventive, curative, and rehabilitative services to all people in the County.

1.2 STUDENT’S PERSONAL EXPECTATIONS

As a Human Resource Management Student, I have my personal expectations which includes

gaining work ethics, developing work-based skill, knowledge and competency and optimize

my learning experience.

CHAPTER TWO:

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2.1 HISTORY OF NAROK COUNTY REFERRAL HOSPITAL.
Narok County Referral Hospital is a public Hospital under the Narok County Department of

health and sanitation. The hospital is in Narok town, Narok North Sub County. The hospital

serves a population of around 1, 157, 873 people on referral basis and 41,500 in catchment. It

is the only level IV facility in parts of Bomet County (Mulot area) and Kajiado County

( Mosiro)

The hospital has 36 sections with a total of 388 staff. The hospital has a bed capacity of 195

with average of 90 -110 bed occupancy of daily. The hospital opened its doors in 1930 during

the colonial era with clay and bricks buildings. In 1938-1941 the buildings were upgraded

by the native industrial training department. The British Government added some wards

which currently house the administration block. In 1942 the Italian prisoners of war under

the British Government built staff quarters. Which were Later demolished in the year 2020

to pave way for the development of the new hospital wing. Post Independent period in 1983,

Nyayo ward and the Outpatient department were built by Kenyan Government and

commissioned by then President, Daniel Toroitich Arap Moi. In the period between 1994-

2007, the amenity ward was built by cost sharing funds. In 2007-2008 Operation Eyesight

Universal in conjunction with the Government of Kenya further constructed the Eye Unit,

Theatre and Eye/Surgical Ward.

Following devolution, The Narok County Government did renovation of all buildings in the

period between 2015-2016 and subsequently upgraded the hospital to a County Referral

Level IV Hospital. The National Government under the MES project constructed a State of

the art Renal, CT scan and Intensive Care Unit In 2016-2017. Moreover, modern theatre

and radiological equipment were further installed after rehabilitation of both Theatre and

Radiology Units. In 2019 to date, the County government embarked on an ambitious massive

upgrade of the hospital to level V Teaching Referral Hospital.

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2.1 OBJECTIVES OF NAROK COUNTY REFERRAL HOSPITAL.
Eliminate communicable disease.

i. Halt and reverse rising burden of NCDs.

ii. Reduce the burden of violence and injuries.

iii. Provide essential health care.

iv. Minimize exposure to health risk factor.

v. Strengthen collaboration with private and health care sectors

2.2 MISSION OF NAROK COUNTY REFERRAL HOSPITAL.

To provide equitable, accessible, affordable, acceptable quality healthcare services to all

Kenyans,

2.2 VISION OF NAROK COUNTY REFERRAL HOSPITAL.

A Centre of excellence in provision of healthcare services in the South Rift Region.

2.3 CORE VALUES OF NAROK COUNTY REFERRAL HOSPITAL.

Client centered: The client remains our focus on all decision making.

Professionalism: We uphold the highest standards and professional ethics as a basis of

ensuring our clients get best possible quality services

Teamwork: We endeavor to promote team spirit and at the same time seek to reward

individual effort.

Environment Friendly: We endeavor to provide a safe and friendly physical and social

hospital environment.

Equity, inclusivity and patriotism: We strive to ensure our services are within reach of

different socioeconomic segments of the population and seek to deliver equitable health

benefits in line our national philosophy.

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 Innovation: In our quest for provision of quality healthcare, we endeavor to develop new

ideas and technologies through promotion of creativity and learning.

CHAPTER THREE:
3.1 ORGANIZATIONAL STRUCTURE OF NAROK COUNTY REFERRAL

HOSPITAL.
CECM -HEALTH &
SANITATION

COUNTY HEALTH CHIEF OFFICER-MEDICAL

SERVICES CHIEF OFFICER -PUBLIC HEALTH
SERVICES BOARD 4
 COUNTY DIRECTOR OF
HEALTH

HOSPITAL MANAGEMENT MEDICAL SUPERITENDENT

COMMITEE

CURATIVE HABILITATIVE PREVENTIVE & ADMINSTRATIVE &

&REHABILITATIVE PROMOTIVE SUPPORT

CLINICAL SERVICES PHYSIOTHERAPY SANITATION & HYGINE

NURSING HUMAN RESOURCE
OCCUPATIONAL MCH/FP SERVICES
PHARMACEUTICAL MANAGEMENT
THERAPY NUTRITION
DIAGNOSTICS SUPPLY CHAIN
MENTAL HEALTH DISEASE SURVEILANCE
SURGICAL MANAGEMENT
DENTAL TECHNOLOGY DISEASE PREVENTION
SPECIALIZED CLINICS FINANCING
HEALTH INFORMATION SY AND CONTROL GENERAL ADMINSTATION
MEDICAL SOCIAL WORKERS ICT & MARKETING

Figure 2.1: Organizational Structure

3.1 COMPLETED AND ONGOING PROJECTS.

S/N0 NAME AND DESCRIPTIONS OF YEAR STATUS
PROJECTS STARTED
1 Modern Casualty area and Construction of 2021 Complete
Ablution block.
2 Removal of Asbestos, replacement with 2021 Complete
improved iron sheet, roof catchment and

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 floor tilling.
3 Installation of Kenya Power Lighting 2020 Complete
Company GA standard GM 2020 indoor
substation 1000 KVA
4 Construction of soakage area and reeds. 2019 Complete
5 Hospital Board Room. 2019 Complete
6 New Narok County Referral Hospital Block 2020 Ongoing
with bed capacity of 400 beds, 5storey
building with all departments including an
oncology center.
7 Kenya Medical Training College Narok. 2020 Ongoing
8 Constructions of perimeter fence along 2019 Ongoing
Narok County Referral Hospital.
9 Expansion of Narok County Referral 2020 Ongoing
Mortuary.
10 Supply and Installation of Mortuary Cooling 2020 Ongoing
Equipment.

3.2 PHYSICAL INFRASTRUCTURE AND SERVICES.

3.2.1 Outpatient unit

1. Maternal Child Health/ Family Planning Services.

2. Outpatient curative services and dental services.

3. Rehabilitative services.

4. Accident and emergency department services.

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 5. Intensive Care Unit (ICU)

6. Laboratory Services.

7. Radiology Services.

8. Pharmacy Services.

9. Outpatient Theatre

10. Renal Services

11. Health Records and Information Services.

3.2.2 Inpatient Unit

The inpatient unit has a bed capacity of 195 and is composed of 7 service delivery

points as indicated below;

1) Maternity Unit with 47 beds

2) Newborn Unit with 10 Nursery cots and 5 Incubators

3) Pediatric Ward with 32 beds

4) Male medical/ Surgical ward with 45 beds

5) Surgical/Eye wards with 29 beds

6) Female Medical/Gynecological ward with 29 beds

7) Amenity ward with 10 beds

8) Intensive Care Unit

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 CHAPTER FOUR:

DESCRIPTION OF VARIOUS DEPARTMENT IN NAROK COUNTY REFERRAL

HOSPITAL.

4.1 HUMAN RESOURCE MANAGEMENT DEPARTMENT

The Human Resource Department deals with the recruitment of employees in various

positions of the hospital.

This department creates policies and regulations for the employees.

This department is actively responsible for the hospital growth and optimum service.

4.1.1 OBJECTIVES OF HR IN NAROK COUNTY REFERRAL HOSPITAL.

To ensure the right people with right skills, for the job position in the hospital.

4.1.2 ROLES AND FUNCTIONS OF THE

HR STAFF

Ensure that the hospital complies with the employment regulation norms.

They are the people who complete the necessary paperwork to document that doctors, nurses,

lab technicians and other health care professions are eligible to work.

4.1.3 EQUIPMENT USED IN HUMAN RESOURCE MANAGEMENT

DEPARTMENT.
 Organization Chart

 Staffing Plan

 Employee Handbook

 Compliance documents

 Time and attendance Policy

 Recruiting document

 Dress Code Policy

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  Training and Development

 Contracts

 Compensation and benefits overview

4.2 PROCUREMENT DEPARTMENT

Hospital procurement is a process of purchasing goods and services to a large scale that are

cost effective and give a quality result for hospitals.

This process determines if the sales representative promote a product or if the product exists

in an extra stock.

4.2.1 OBJECTIVES OF PROCURENT DEPARTMENT IN NAROK COUNTY

REFERRAL HOSPITAL.
To save cost and supply the requirements of business in the most convenient and

conventional ways.

To process errorless system for the procurement process.

4.2.2 ROLES AND FUNCTIONS OF THE PROCUREMENT STAFF

 Create and maintain relationship with vendors/ suppliers

 Estimate and establish budgets for purchases.

 Make professional decisions in fast paced environment.

 Review all vendors and suppliers.

 Maintain purchase records and other important data

 Negotiate pricing and supply contracts.

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4.2.3 EQUIPMENT USED IN PROCUREMENT DEPARTMENT
 A well-managed Inventory

 Procurement for e-commerce companies

 Oracle Procurement Cloud

 Contract and Vendor Management

 Inventory Management for retail/brands

 Full Command of Company Payment

4.3 ACCOUNTS DEPARTMENT

Hospital accounting is a particular system of accounting which accumulates communication

and interprets historical and projected economic data that are useful for the purpose of

ascertaining the financial position and operating results of a hospital.

The department is responsible for the financial growth of a hospital.

It sets up budgets, plans and arrange financial resources to maintain the smooth running of

the hospital.

This department is also responsible for purchasing of medical supplies and staff wage.

4.3.1 OBJECTIVES OF ACCOUNTS DEPARTMENT IN NAROK COUNTY

REFERRAL HOSPITAL
 To help the hospital to operate efficiently by making sure that it has money available

to pay its expenses and is effectively collecting its revenue.

 To create financial statements in line with the hospital accounts standards

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4.3.2 ROLES AND FUNCTIONS OF THE ACCOUNTS STAFF
 Recording financial transactions

 Reviewing financial statements

 Evaluating accounting systems

 Calculating tax liability

 Recommending accounting best practices.

4.2.3 EQUIPMENT USED IN PROCUREMENT DEPARTMENT

 Computers

 Telephones

 Financial reports

 Stationery

 Email

 Internet

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 CHAPTER FIVE:

SUMMARY, CONCLUSION, RECOMMENDATIONS

5.1 BENEFITS /LEARNING

During the twelve weeks of my Industrial attachment, I learnt about different types of leaves

which include Annual leave, Maternity leave, Paternity leave, Child adoption leave, Study

leave, Unpaid leave and Terminal leave. I also learnt about Computation and processing of

leave forms.

I learnt about keeping of records which I did by arranging employees’ files according to the

year of employment, filing of employees’ personal documents.

I learnt more on computer skills through word processing, typing and printing of documents.

I also developed my communication skills by receiving and passing information in and out of

office.

I learnt how to write different types of letters such as arrival letters, release letters, letter of

deployment.

I also learnt about disciplinary cases such as Gross Misconduct, how to deal with disciplinary

cases, how to make decisions, how to write show case and summon letters.

I learnt on Benefits and Compensation, Pension Scheme and Gratuity.

5.2 CONCLUSION
In conclusion, I benefited a lot during my industrial attachment. I managed to apply

theoretical knowledge from the university into practice through many tasks which I

performed in the Human Resource Management department, Registry Office.

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I improved on the skills like listening, presentation, secrecy matters, creativity and

innovation, communication, self- reliance, adaptability and flexibility, record keeping,

photocopying, typing and printing and acting freely around people.

5.3 RECOMMENDATION
I would like to suggest that clients use official language or come with someone who can

communicate/ translate what the clients intends to communicate

The client should try to use a polite language.

I would like to suggest that the attachees to be involve in trainings such as recruitment,

selection and placement so that they can develop skills knowledge and competency in

conducting recruitment process.

The offices in the institution should have vast space to accommodate more attachment

students.

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