. There is a functional district health council, hospital boards, governance structures and clinic committees. . All health facilities are provincialised. . Functional district management teams are in place to guide primary health care re-engineering. . District Clinical Specialist Teams (DCST) have been appointed and functional. . School health teams have been established. . Seven hundred and sixty community health workers have been employed on persal. . Two hundred and twenty one community health workers have been deployed in primary health care engineering. . Fifteen primary health care nurses have been deployed in primary health care re engineering. . Three hundred and twenty seven community health workers have been trained on ward based approach. . Twenty five primary health care nurses have been trained on ward based approach. . Forty-one (41) retired nurses have been appointed. . In addressing the Intergrated Chronic Disease Management (ICDM) fast lanes have been introduced and issuing of two to three months medication to patients who adhere to treatment.