This document discusses the devolution of health services in Kenya following the new constitution of 2010. It summarizes that health services are now managed at the county level while the national government focuses on policy, referral hospitals, and training. It outlines the challenges of transitioning to this new system, including establishing new governance structures and changing the employment of health workers. Faith-based organizations still play an important role in healthcare delivery and need to find ways to engage with each county government to ensure access to resources and their patients' needs are still met under the devolved system.
Health policy is a national task based on meeting community needs and respecting social, geographical and cultural variations. Ministry of health and population (MOHP) is the formal organization responsible for health policy formulation. The Egyptian health care system faces multiple challenges in improving and ensuring the health and wellbeing of the Egyptian people. The system faces not only the burden of combating illnesses associated with poverty and lack of education, but it must also respond to emerging diseases and illnesses associated with modern, urban lifestyle. Emerging access to global communications and commerce is raising the expectations of the population for more and better care and for advanced health care technology.
Health policy is a national task based on meeting community needs and respecting social, geographical and cultural variations. Ministry of health and population (MOHP) is the formal organization responsible for health policy formulation. The Egyptian health care system faces multiple challenges in improving and ensuring the health and wellbeing of the Egyptian people. The system faces not only the burden of combating illnesses associated with poverty and lack of education, but it must also respond to emerging diseases and illnesses associated with modern, urban lifestyle. Emerging access to global communications and commerce is raising the expectations of the population for more and better care and for advanced health care technology.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare.
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses the unique holistic aspect of church-based health systems, how public-private partnerships function in Kenya to deliver healthcare, and challenges faced by faith-based health services.
At the CCIH Annual Conference in 2016, Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses how the organization addresses the increasing problem of non-communicable diseases in Kenya.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare.
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses the unique holistic aspect of church-based health systems, how public-private partnerships function in Kenya to deliver healthcare, and challenges faced by faith-based health services.
At the CCIH Annual Conference in 2016, Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses how the organization addresses the increasing problem of non-communicable diseases in Kenya.
Early in August, President Trump issued an executive order focused on improving rural health. In response, the U.S. Department of Health and Human Services (HHS) is moving forward with a series of assertive measures featured in a formal strategic plan to remedy the significant healthcare challenges of farmers and others living in rural communities. It addresses access to quality care, medical staffing, technology, clinical innovation, reimbursement and sustainability.Read the story and contact John Baresky for further details.
Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms.
During the webinar, attendees will be presented with:
- An overview of the basic roles and responsibilities of federal and provincial governments within our healthcare system
- A review of the key players and structures operating within the system
- The differences between engaging politicians and bureaucrats when advocating within the healthcare system. Each has important and different roles to play.
At the 2016 CCIH Annual Conference, Jane Kishoyian of the Christian Health Association of Kenya discussed how the organization works with faith communities and religious leaders to scale up family planning and improve health.
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAK
1. “Promoting Access to quality healthcare”
Devolution
of health services in kenya
Issues affecting Faith Based Health
Services
By Dr Samuel Mwenda
General Secretary, CHAK
2. “Promoting Access to quality healthcare”
The Faith Based Health Network in Kenya
• CHAK is a national FBO network of the Protestant Churches’
health facilities, programmes and Medical Training Colleges and
Universities.
• CHAK core functions include; advocacy, health service delivery,
health systems strengthening, partnerships & networking and HIV&
AIDS programmes.
• CHAK collaborates closely with the Catholic Health Commission
of Kenya which coordinates the Catholic health facilities - within the
framework of the Church Health Services Coordinating
Committee.
• The FBOs in Kenya (Christians & Muslims) have a partnership
framework (MoU) with Ministry of Health that guides
partnership engagement, support and accountability. Partnership is
coordinated through the Faith Based Health Services
Coordinating Committee
• FBOs are recognized as key stakeholders in the Health sector
since they contribute about 35% of the health coverage
4. “Promoting Access to quality healthcare”
THE CONSTITUTION OF KENYA, 2010
has mandated devolution – promulgated
27th August 2010
5. “Promoting Access to quality healthcare”
Constitution of
Kenya 2010
Counties – 47
One National
Govt
6. “Promoting Access to quality healthcare”
New Constitution & Health
• Constitution of Kenya, which was promulgated
on 27th August 2010, provides for the right to
health care services. Chapter four (4) on the
Bill of Rights states in Article 43(1a) that every
person has the right to the highest
attainable standard of health, which
includes the right to health care services,
including reproductive health care, and in
Article 43(2), that a person shall not be
denied emergency medical treatment.
Christian Health Association
of Kenya
7. “Promoting Access to quality healthcare”
Implication of devolution to
Health
• According to the Fourth Schedule of the
Constitution, County Governments
are entrusted with all functions
related to health care
• National Government is responsible
for health policy and national referral
health facilities which
Christian Health Association
of Kenya
8. “Promoting Access to quality healthcare”
STRUCTURE OF COUNTY GOVERNMENT
katemburu@yahoo.com
8
DEPUTY GOVERNOR
GOVERNOR
HEAD OF COUNTY
PUBLIC SERVICE
EXECUTIVE COMMITTEE (COUNTY MINISTERS)
COUNTY DIRECTORS (10)
COUNTY ASSEMBLY
- SPEAKER
- ELECTED MEMBERS
• FINANCE & ACCOUNTING
• AGRIC & LIVE STOCK
• ENV & NATIONAL RESOURCES
• HEALTH SERVICES
• EDUC CULTURE, SOCIAL
• PHYSICAL PLANNING/HOUSING
• PUBLIC WORKS &UTILITIES
• PUBLIC SERVICE MGMT
• TRADE, IND. DEV. & REG.
• ROADS & TRANSPORT
COUNTY SERVICE DEPARTMENTS
ELECTED CIVIL SERVANTS APPOINTED DEPARTMENTSKEY
9. “Promoting Access to quality healthcare”
Major changes in Health
• HRH are employed and directly managed by
County including payment of salary
• Prioritization, Planning, Budgeting, resource
allocation are done at County and approved
by County Assembly
• Direct management of Public Health facilities
and health services at the County level
• Counties procure medical commodities
• National manage and fund medical training
and is responsible for emergencies
Christian Health Association
of Kenya
10. “Promoting Access to quality healthcare”
Challenges
• Competing Political vs Technical process
• Transition well planned but not followed
• Establishment of new County Health
Governance structures
• HRH deployment/change of employer
and associated instability
• Delayed enactment of Health Law to
guide alignment to new Constitutional
MandateChristian Health Association
of Kenya
11. “Promoting Access to quality healthcare”
Kenya Health Policy 2014-2030
• Policy Goal
– “Attaining the highest possible standard of health
in a manner responsive to the needs of the
population”
• Policy Focus
– Realization of the right to health – as
outlined in the Constitution 2010
– Devolution of Health services: National
limited to policy, regulation, capacity building and
national referral institutions. County Governments
responsible for health service delivery
Christian Health Association
of Kenya
12. “Promoting Access to quality healthcare”
Kenya Health Policy Objectives
• Eliminate communicable diseases
• Halt and reverse the rising burden of non-
communicable diseases
• Reduce the burden of violence and
injuries
• Provide essential health care
• Minimize exposure to health risk factors
• Strengthen collaboration with other
sectors
•
Christian Health Association
of Kenya
13. “Promoting Access to quality healthcare”
KHP-Health service delivery system
redefined into 4 tier system
• Community services
• Primary care services – Dispensaries,
Health Centres and Maternity Homes of
Government and Private
• County Referral Health Services –
Hospitals
• National Referral Services
This includes all actors in the health system
including FBOs and private sector
Christian Health Association
of Kenya
14. “Promoting Access to quality healthcare”
Role of FBOs in Devolved Health Sector
• Health services delivery through the 4 tiers following the
set policies & guidelines
• Training of health workers through FBO MTCs &
Hospitals
• Community based health promotion and disease
prevention
• Participate in the County and National health referral
system
• MEDS to offer an efficient, competitive and reliable supply
chain for health commodities
• Partner and collaborate in planning, implementation
and monitoring of health programmes
• Support medical emergency response initiatives
Christian Health Association
of Kenya
15. “Promoting Access to quality healthcare”
Issues of concern to FBOs
• Continued access to Essential Public Health
commodities - Vaccines, TB Drugs, HIV test kits, ARVs, ACT
• Enabling policy environment
• HRH - Staff secondment
• Health care financing:-NHIF, Government policy of free
maternity deliveries and PHC services
• Inclusion in planning and resource allocation
• Facilitation in referral system and HRH training
• Access to Donor funding – bilateral & multi-lateral
• Recognition of existing FBO - MoU with MOH and
inclusion in HMIS at county and national level
• Increased burden of taxation, licensing and regulation
Christian Health Association
of Kenya
16. “Promoting Access to quality healthcare”
Way forward for FBOs
• FBOs have to establish strategies and
mechanisms for mutually beneficial
engagement with every county
government
• We need to build evidence to support
advocacy at county level
• We need to find ways of managing and
surviving the competing political
interestsChristian Health Association
of Kenya