1. STUDENT DETAILS.
NAME OF INSTITUTION: WAKA CMEC TRAINING INSTITUTE
HOSPITAL.
DEPARTMENT: SCHOOL OF NURSING AND MIDWIFERY.
TOPIC: VISION 2030
NAME OF STUDENT: MCSALDOH AND MATILDA
REG NO: DNM9/050/2023 & AND DNM9/059/2023
CLASS: DNM9
2.
3. Other Health flagship projects
ABOUT
a) Locally derived natural Health products- Achieved through regulatory
guidelines to allow regulation of natural health products
4. b) Modernize Kenyatta National Hospital-Entails implementation of ICT
master plan and constructing and equipping a fully fledged 300 bed private
wing,2000 accommodation units and conference facilities for health tourism.
5. Kenya Vision 2030.
It is a long term development blueprint for the country and is motivated by a
collective aspiration for a better society by the year 2030.
6. The Vision
A national Long-term development blue print to create a globally competitive and
prosperous nation with a high quality of life by 2030, that aims to transform Kenya
into a newly Industrializing, middle-income country providing a high quality of life to
all its citizens by 2030 in a clean and secure environment
7. It was launched by the former Late President Mwai Kibaki in the year 2008 as
a vehicle for accelerating transformation for our country into a rapidly
industrializing middle income nation by the year 2030.
8. Pillars of the vision 2030
Economic pillar-Moving the economy up the value chain.
Social pillar-Investing in the people of Kenya.
Political pillar-Moving to the future as one nation.
Enablers and macro-Deploying world class infrastructure facilities and
services.
9. We are going to deal with the social pillar. This pillar mostly involves Kenya's
journey towards widespread prosperity it and involving the building of a just
and cohesive society that enjoys equitable social development in a clean and
secure environment.
10. This quest is the basis of transformation in 8 key social sectors namely;
I. Education and training
II. Health
III. Water and Sanitation
IV. Environment
V. Housing and urbanization
VI. Gender
VII. Youth
VIII. Sports and culture
11. We have been tasked with dealing with one of the 8 quests of the social
pillars.
Health
12. Other Health flagship programmes
and projects
a) Locally Derived Natural Health products-Achieved through refining
existing regulatory guidelines to allow registration of natural health products.
13. b)Modernize Kenyatta National hospital-This will entail implementation of the
ICT masterplan and construction and equipping a fully fledged 300 bed
private wing, 2000 accommodation units and conference facilities for health
tourism.
14. Modernize Moi Teaching and Referral Hospital- This will entail developing Cancer
Management Centre, constructing a children hospital and modernization of
infrastructure and hospital equipment.
15. community based Information
Systems
A Community strategy has been developed in order to
enhance communities’ awareness of the health preventive
and promotive aspects of health, in order for them to
adopt positive health seeking behaviour. The strategy
will be operationalized to promote the participation of
individuals and communities to take charge of their
health. Moreover, the government will put in place
strategies to fast-track implementation of the MOH
Community Strategy by training Community Based Health
workers on preventive and promotive health care
16. Human Resource Strategy
The issue of human resource for the provision of health
services continues to constrain health care delivery due
to the lack of adequate staff. Consequently, there is a
need to develop a human resources strategy to balance the
supply and demand for human resources in the entire
Public Health sector in the country. Similarly, the Human
Resources Information Systems will be implemented.
17. Health Products and
Technologies
Policies, guidelines and legal frameworks to guide the process of procurement and
quality of drugs at both tiers of the governments will be institutionalized to
ensure availability and rational drugs use. During the plan period, the sector will
employ different strategies to ensure quality drugs and commodities for service
delivery and include:Defining and applying an evidenced based essential package of
health products and technologies;
• Establishing rational appraisal mechanism for health product and technologies;
• Promoting local production, research and innovation of essential health products
and technologies;
• Ensure availability of affordable, good quality health products and technologies
19. Health Tourism
The specific strategies to achieve this will be:Positioning the
country as a destination for specialized health and medical
services;
• Training and retaining specialized expertise;
• Giving Kenyans access to specialized medical services within the
country; and
• Creation of employment in specialized health care.
20. Impact
Centre of excellence for medical tourism established; Specialized treatment
facilities expanded.
21. Mainstreaming Research and
Development in Health
The sector will achieve this through developing a
research communication strategy, and establishing and
maintaining a policymaker–targeted website that provides
“one-stopshop” for optimally packaged high quality and
high relevance reviews.
22. Impact
Highly skilled human resource health issues; Appropriate
technologies, products and utility models for improved
service delivery developed.
23. Establish E-Health Hubs in
58 Health Facilities
• The following strategies will be put in place:Establish
and equipping 50 e-health hubs in selected areas by
2017;
• Establish 8 national e-health hubs by 2014;
• Establish a web portal (including inventory of
personnel/specialists and master rota) and develop
software module by 2017; and
• Capacity building for health workers in client exchange
parameters for e-referral.
25. Re-engineering Human Resources for
Health
To realize achievements in this project, the following strategies
will be pursued:
• Training and career paths development for human resources;
• Review and application of evidence based health work force norms
and standards;
• Improving management of the existing health work force by putting
in place attraction, retention and motivational mechanism;
• Putting in place systems to measure performance and competence of
health work force;
• Facilitation of national capacity development
27. Health Care Subsidies for
Social Health Protection
This will be achieved through the following
strategies:Consolidating, expanding (new and existing)
and coordinating social health subsidy mechanism for the
poor with a view of achieving universal coverage;
• Provision of free maternity services in all public
health facilities;
• Expanding coverage of health benefits to all the
indigents;
• Establishing a national social health insurance
mechanism that caters for employees, employers and the
informal sector with a view to gain universal coverage;
28. • Reforming National Hospital Insurance Fund (NHIF) to
effectively act as a vehicle to implement the National
Health Insurance Scheme;
• Designing a harmonized and progressive resource
mobilization strategies targeting all sources of funds,
both domestic and international;
• Strengthening programming of external funding of health
through improved harmonization and alignment to sector
priorities and improved reporting;
• Ensuring efficient allocation and utilization of
resources;
• Progressively eliminating payment at the point of use
of health services, especially by the marginalized.
29. Impact
Framework for management of health subsidies
established; Economically disadvantaged identified and
benefiting; Free maternity services at all public
health facilities provided.
30. Construct Model Level 4
Hospitals
The following strategies will be used:Review the health
facility infrastructure norms to address emerging
considerations such as distance from facility
(enforcement of norms and standards);
• Assessment of the status to identity candidate level 4
hospitals. Results from the Service Availability and
Readiness Assessment Mapping survey will inform this
process; and
• Constructing, upgrading and equipping 100 identified
facilities to conform to the norms and standards for
level 4 hospitals;
32. Improve Access to Referral
Systems
This will be achieved through the following strategies:
Increasing the utilization of services at lower levels of the health services
and reduce self-referral to the higher levels of care;
Developing the service provider’s capacity to offer services and
appropriately refer at each level of the healthcare system;
Improving the system’s ability to transfer clients and specimens between
the different levels of the health care system;
Improving supportive supervision thereby ensuring up to-date
management practices in use across the country;
33. Improving reverse referral and feedback information system;
Improving preparedness and response to emergencies and disasters;
Strengthen outreach systems for provision of health services to
marginalized and vulnerable population;
Provision of quality emergency health services at the point of need
regardless of ability to pay; and
Establishing fully edged low – cost diagnostic centres and provide
adequate screening and treatment facilities for persons with chronic or
terminal conditions, including cancer, diabetes and kidney failure in every
county.
34. Impact
Legal and institutional framework developed;
Communication, related equipment and ambulances for
national and county level procured.
35. Country-wide Scale up of Community
Health High Impact Interventions
The priority focus areas will be achieved through the
following strategies:Provision of level 1 MNCH high
impact interventions services for all cohorts and
socioeconomic groups, including the “differently-abled”
taking into account their needs and priorities;
• Building MNCH high impact interventions capacity of the
Community Health Extension Workers (CHEWs) and
community based resource persons to provide services at
level 1;
36. • Strengthening MNCH high impact interventions health
facility–community linkages through effective
decentralization and partnership for the implementation
of level one MNCH high impact interventions services;
• Strengthening the community to progressively realize
their rights for accessible and quality care and to
seek accountability from facility based health
services;
• Accelerating initiatives targeting nutrition services,
family planning, immunization, sanitation and safe
motherhood
37. Impact
Community units established; Community strategy
coverage for Nutrition, FP, immunization HIV and AIDS
and Malaria services expanded.
38. Develop Equitable Financing
Mechanism
An equitable financing mechanism will be developed
through the introduction of a system to channel funds
directly to health care facilities to ensure that funds
allocated are utilized for their intended purpose. The
following initiatives will be reviewed:
39. • Implement the National Health Insurance Scheme as a
means of financing curative and rehabilitative services
thus leaving the government health system to
concentrate on prevention, research, and policy;
• Channel health funds direct to Health facilities in
line with the HSSF gazette notice;
• Increase resources to underserved or disadvantaged
areas;
40. Scale up the Output Based Approach System for other health services;
Review the Public Health Act to allow disbursement of funds as grants
directly to health facilities;
Empower health facility boards to manage and supervise resources
generated locally and those allocated from the Central Government
41. Impact
Efficient utilization of funds Operational Health Sector
Service Fund National Social Health Insurance Scheme put
in place
42. Strengthen KEMSA
The management of procurement and the supply chain has
been a major constraint in the effort to deliver
equitable, quality and efficient health care service.
Since drugs and other medical supplies are paramount in
the delivery of quality health care, there is need to
strengthen KEMSA to be a strategic procurement agency for
the entire health sector. This will be achieved through
the following strategies:
43. • Enhance KEMSA procurement system to avoid delays
currently witnessed; KEMSA should be able to service a
pull system for all facilities in Kenya in the next
five years;
• Allow Mission for Essential Drugs (MEDs) to compete for
supply of medical supplies and equipment to health
facilities and;
• Refurbishing and strengthening KEMSA regional depots.
45. De-linking the Ministry of Health from
Service Delivery
The Ministry of Health continues to be both a health
regulator as well as a service provider. However, it is
necessary to separate these roles by establishing a
Health Service Commission which is separate from the
Ministry of Health. It is envisioned that the Health
Service Commission will be mandated with Service
delivery, while the Ministry of Health will provide
guidance on policies, standards and guidelines. The
Ministry will also perform the function of regulating
service pension by health providers.
47. Rehabilitation of Health Facilities
The objective of this strategy is to provide a
functional, efficient and sustainable health
infrastructure network in the country. Although the
government has invested in the rehabilitation of the
infrastructure in the last few years, health facilities
have been run down over the years due to lack of
maintenance. Increased attention will be given to
improving the health infrastructure, particularly in
rural and disadvantaged areas and communities.
49. We will now look at the progress made in the Health sector between 2013-2017.
THE PROGRESS
50. Health - Policy, Legal and Institutional
Reforms
• Establish a health policy and legislation, standard
setting and Standard Operating Procedures (SOPs);
• Develop policies to guide and encourage local
manufacturers to produce drugs and commodities locally;
• Develop policies and guidelines to embrace research on
alternative medicines (natural products) underpinned in
the legal and institutional framework;
51. • Develop a national policy on development of physical
facilities;
• Legislate the process of accrediting and licensing
health facilities;
• Finalize health care financing strategy;
• Institutionalize regulatory framework for the control
of health products, health product research and
technologies;
• Developing an explicit research policy and legal
framework to guide research activities by various
institutions.
52. Other Health Flagship Programs and
Projects
Locally Derived Natural Health Products: This will be achieved through
refining existing regulatory guidelines to allow registration of natural health
products of acceptable varying standards of processing.
Modernize Kenyatta National Hospital: This will entail implementation of the
ICT master plan, and constructing and equipping a fully fl edged 300 bed
private wing, 2,000 accommodation units and conference facilities for health
tourism.
Modernize Moi Teaching and Referral Hospital: This will entail developing
Cancer Management Centre, constructing a children hospital and
modernization of infrastructure and hospital equipment.
53. Health Products and Technologies
Policies, guidelines and legal frameworks to guide the
process of procurement and quality of drugs at both tiers
of the governments will be institutionalized to ensure
availability and rational drugs use. During the plan
period, the sector will employ different strategies to
ensure quality drugs and commodities for service delivery
and include:
54. • Defining and applying an evidenced based essential
package of health products and technologies;
• Establishing rational appraisal mechanism for health
product and technologies;
• Promoting local production, research and innovation of
essential health products and technologies;
• Ensure availability of affordable, good quality health
products and technologies
56. Health Tourism
The specific strategies to achieve this will be:
Positioning the country as a destination for specialized health and medical
services;
Training and retaining specialized expertise;
Giving Kenyans access to specialized medical services within the country; and
Creation of employment in specialized health care.
58. Mainstreaming Research and
Development in Health
The sector will achieve this through developing a
research communication strategy, and establishing and
maintaining a policymaker–targeted website that
provides “one-stopshop” for optimally packaged high
quality and high relevance reviews.
59. Impact
Highly skilled human resource health issues;
Appropriate technologies, products and utility models
for improved service delivery developed.
60. Establish E-Health Hubs in 58 Health
Facilities
• The following strategies will be put in place:Establish
and equipping 50 e-health hubs in selected areas by
2017;
• Establish 8 national e-health hubs by 2014;
• Establish a web portal (including inventory of
personnel/specialists and master rota) and develop
software module by 2017; and
• Capacity building for health workers in client exchange
parameters for e-referral.
61. Impact
E-health hubs both in the county and national facilities established and
equipped.
62. Re-engineering Human Resources for
Health
To realize achievements in this project, the following strategies will be
pursued:
Training and career paths development for human resources;
Review and application of evidence based health work force norms and
standards;
Improving management of the existing health work force by putting in
place attraction, retention and motivational mechanism;
63. • Putting in place systems to measure performance and
competence of health work force;
• Facilitation of national capacity development
65. Health Care Subsidies for Social Health
Protection
Tis will be achieved through the following strategies:
Consolidating, expanding (new and existing) and coordinating social
health subsidy mechanism for the poor with a view of achieving
universal coverage;
• Provision of free maternity services in all public health
facilities;
• Expanding coverage of health benefits to all the indigents;
• Establishing a national social health insurance mechanism that
caters for employees, employers and the informal sector with a
view to gain universal coverage;
66. • Reforming National Hospital Insurance Fund (NHIF) to
effectively act as a vehicle to implement the National
Health Insurance Scheme;
• Designing a harmonized and progressive resource
mobilization strategies targeting all sources of funds,
both domestic and international;
• Strengthening programming of external funding of health
through improved harmonization and alignment to sector
priorities and improved reporting;
• Ensuring efficient allocation and utilization of
resources;
• Progressively eliminating payment at the point of use
of health services, especially by the marginalized.
67. Impact
Framework for management of health subsidies established;
Economically disadvantaged identified and benefiting;
Free maternity services at all public health facilities
provided.
68. Construct Model Level 4 Hospitals
• The following strategies will be used:Review the health
facility infrastructure norms to address emerging
considerations such as distance from facility
(enforcement of norms and standards);
• Assessment of the status to identity candidate level 4
hospitals. Results from the Service Availability and
Readiness Assessment Mapping survey will inform this
process; and
• Constructing, upgrading and equipping 100 identified
facilities to conform to the norms and standards for
level 4 hospitals;
69. Impact
Improved access to comprehensive services; Model level
4 Hospitals rehabilitated/upgrades.
70. Improve Access to Referral Systems
This will be achieved through the following strategies:
Increasing the utilization of services at lower levels of the health services
and reduce self-referral to the higher levels of care;
Developing the service provider’s capacity to offer services and
appropriately refer at each level of the healthcare system;
Improving the system’s ability to transfer clients and specimens between
the different levels of the health care system;
Improving supportive supervision thereby ensuring up to-date
management practices in use across the country;
Improving reverse referral and feedback information system
71. Improving preparedness and response to emergencies and disasters;
Strengthen outreach systems for provision of health services to
marginalized and vulnerable population;
Provision of quality emergency health services at the point of need
regardless of ability to pay; and
Establishing fully edged low – cost diagnostic centres and provide
adequate screening and treatment facilities for persons with chronic or
terminal conditions, including cancer, diabetes and kidney failure in every
county.
72. Impact
Legal and institutional framework developed; Communication, related
equipment and ambulances for national and county level procured.
73. Country-wide Scale up of
Community Health High Impact
Interventions
• The priority focus areas will be achieved through the
following strategies:Provision of level 1 MNCH high
impact interventions services for all cohorts and
socioeconomic groups, including the “differently-abled”
taking into account their needs and priorities;
• Building MNCH high impact interventions capacity of the
Community Health Extension Workers (CHEWs) and
community based resource persons to provide services at
level 1;
74. Strengthening MNCH high impact interventions health facility–community
linkages through effective decentralization and partnership for the
implementation of level one MNCH high impact interventions services;
Strengthening the community to progressively realize their rights for
accessible and quality care and to seek accountability from facility based
health services;
Accelerating initiatives targeting nutrition services, family planning,
immunization, sanitation and safe motherhood
75. Impact
Community units established; Community strategy coverage for Nutrition,
FP, immunization HIV and AIDS and Malaria services expanded.
