Kenya Healthcare Federation was represented by the Chairman Dr Amit Thakker in this year’s German-African Healthcare Symposium that took place on the 18th October 2017 in Ellington Hotel, Nürnberger Berlin. The symposium is an official side-event of the 2017 World Health Summit and brought together high-level experts from Africa, Germany and Europe to discuss and shed light with an economic perspective to the results of the G20 Healthcare Conference, which took place in May 2017.
The event which is in particular directed to medium sized enterprises was organized by Afrika-Verein Veranstaltungs (AVV) and German Healthcare Partnership (GmbH). Dr Amit Thakker was privileged to join the health security panel alongside Prof. Dr Thomas Büttner: Member of the Board of Trustees of the German Fund for World Population, Dr Anthony Nsiah-Asare: Director General Ghana Health Service and Judith Helfmann-Hundack, Afrika-Verein der deutschen Wirtschaft (AV). The session touched on spread of disease, prevention & detection and coordinated response for a public health emergency.
Kenya Healthcare Federation has in the recent past engaged the Ministry of Health (MoH) Council of Governors (CoG) and the Kenya National Union of Nurses (KNUN) and relevant officials in a mid to end the nurses strike Stalemate.
In a meeting with KHF Director Ms. Winnie Shena and Human Resource Committee Chair Mr. Kennedy Auma, Mr. Meshack Ndolo CoG Health representative stated that they have held several discussions with KNUN to try and end the stalemate to no avail. The strike however remain illegal as stated by the court and the CoG is still committed to fresh talks to end the 4 months standoff. Mr. Ndolo urged the county leaders to individually own up the stalemate by seeking other Interventions undertaken by some counties like Nandi, Bomet, Uasin Gishu and partly Kimabu who have gone back to work not based on the CBA.
The genesis of the standoff was when the CoG was tasked by the Salary and Remuneration Commission (SRC) to demonstrate affordability and sustainability of the CBA. Nurses want the implementation of the CBA, including uniform allowance of KES 50,000 / pa. The SRC required that the CBA be pegged on job evaluation done, an exercise that KNUN obtained a court order for nurses not to participate. The 1st report on job evaluations done by SRC was rejected as it termed nurses unskilled creating a second ember to the standoff. The CoG has since organized a re –evaluation with all the relevant stakeholders including NCK, MTRH and KNH and the feedback from SRC was received by CoG.
Ministry of Health Head of Department of Policy, Planning and Health Financing Dr. Peter Kimuu (right) and Kenya Healthcare Federation Chairman, Dr. Amit N. Thakker, display a copy of the signed “One Monitoring and Evaluation Framework in the country at the Intercontinental Hotel.
MBA Students from Colombia University visiting Kenya and KHF to prepare a business case for telemedicine in Lamu under the PSHP Kenya partnership.
Today, the Business Call to Action and the Private Sector Innovation Programme for Health (PSP4H) co-hosted an event to discuss how companies providing health care to low income Kenyans are leveraging mobile technology and to launch the BCTA funded publication, ‘Advancing Bottom of the Pyramid (BoP) Access to Health Care: A Case Study on Mobile Money Platforms’.
The event brought together leaders from private sector companies, government, bilateral donors, civil society and the United Nations. Dr. Izak Odongo made the opening remarks on behalf of the Cabinet Secretary for Health Hon. Dr Cleopa Mailu and launched the report together with Ms Maria- Threase Keating, Country Director UNDP Kenya and Mr. Tony Gardner, Deputy Head, Department for International Development (DFID).
“The Ministry of Health is keen to ensure an enabling regulatory environment to encourage innovation and use of mobile technology in improving the health of Kenyans. M-Health is one of the pillars in the Kenya e-health strategy. The other four are telemedicine, health information system, e- learning and information for citizens,” explained Dr Odongo on behalf of Hon. Mailu. “One of the most important things M-Health will deliver to Kenyans is the ability to dramatically improve health service delivery.”
Speaking at the event Ms Keating said:
“In Kenya today, access to health care services remains a concern especially for those at the lower end of the economic scale. However through the efforts of inclusive business models which aim to include the poor in their value chains, we have seen an emergence of a wide spectrum of services for those at the bottom of the economic pyramid with services ranging from accessible health insurance to primary healthcare services, facilitated by technology and especially mobile platforms.”
Mobile money technology in Kenya has experienced an unprecedented uptake and growth in the last few years. Research has shown that more than half of Kenya’s population earning less than US$2.50 per day (Kshs 250) have access to a mobile phone. As at September 2015, the country had 28.7 million mobile money transfer subscriptions and over US$ 26.8 million (Kshs 2.7 billion) was transacted through mobile money platforms in 2014 – a figure that represents about 43% of the country’s GDP.
For the health sector, mobile money technology offers a unique and wide array of benefits ranging from improved efficiency and financial accountability for businesses, to increased access to health
care financing opportunities for consumers, especially those at the Bottom of the Pyramid (BoP)1. Several initiatives in Kenya that leverage mobile money to increase access to health care to the BoP have largely been pilots that are just beginning to scale up into sustainable and commercially viable enterprises.
Business Call to Action (BCtA) commissioned the report that was launched today in order to investigate the extent to which mobile money platforms are providing a means to scale up inclusive business models and access to health care to people at the BoP. It explores the challenges and opportunities to further scale up access to health care to people at the BoP through inclusive businesses that leverage on mobile money platforms.
Today’s event offered an opportunity for private sector companies profiled in the report to showcase their innovative work, share learning and discuss the opportunities for scaling up the new business models which include using mobile technology for payment for health care, health voucher systems, mobile money based savings and insurance products. Participating companies included MicroEnsure, Pharmaccess, Jacaranda Health and Changamka MicroHealth Ltd.
With funding from UKaid, PSP4H has been researching how the for-profit private sector can sustainably deliver quality, affordable healthcare services to the working poor. Using a market systems approach known as Making Markets Work for the Poor (M4P), the aim is to strengthen the for-profit health sector’s capacity to reach the poor, then conduct research to assess if consumers get improved value for the money (VfM) they spend on health in the private sector when accessing that care.
Jawabu Empowerment Ltd, a beneficiary of technical assistance from PSP4H, showcased their work at today’s event. Their health insurance product Afya Poa, targets the Jua Kali sector and uses a mobile platform to enable premiums to be paid on a daily basis. The product is a combination of health insurance and health savings accounts (HSAs). The health insurance covers both inpatient and outpatient needs for the whole family. Part of the premium is set aside in a HSA to be accessed by the member whenever seeking outpatient treatment.
1 The BoP is defined as the population of people living on less than US$8.4 per day.
Notes to Editors
- The Business Call to Action (BCtA) is a global joint advocacy platform providing public recognition for the private sector’s contribution to development. BCtA’s mission is to challenge companies to advance core business activities that are inclusive of low-income populations and thus contribute to the achievement of sustainable development goals.
- The Business Call to Action is a unique multilateral alliance between key donor governments including the Dutch Ministry of Foreign Affairs, the Ministry for Foreign Affairs of Finland, the Swedish International Development Cooperation Agency, the UK Department for International Development, the US Agency for International Development, and the United Nations Development Programme — which hosts the secretariat — in collaboration with leading global institutions, such as the United Nations Global Compact, Inter-American Development Bank’s Opportunities for the Majority Initiative, and the World Bank’s International Finance Corporation.
- The Private Sector Innovation Programme for Health (PSP4H) is a three-year programme funded by the United Kingdom’s Department for International Development (DFID) and implemented by a consortium led by Cardno Emerging Markets Ltd mandated to conduct action research and explore a new area for DFID Kenya, namely the markets in which poor people pay for-profit providers and shop-keepers for healthcare.
- The overall objective of the PSP4H programme is to learn lessons of how a market systems approach might benefit pro-poor health interventions. The primary target group for the project is the ‘working poor’, who have some disposable income and usually make out-of- pocket payments for health care.
- PSP4H encourages the private sector to invest in providing health care products and services to this target group. The programme partners with the private sector to identify innovative approaches and pilot them; if they are successful and viable, they will be replicated and scaled up. The programme helps mitigate the risk of innovation for investors. Lessons learned and knowledge gained will be documented and shared.
For more information, please visit www.psp4h.com; www.businesscalltoaction.org or follow us on twitter at @psp4h or @BCtAInitiative.
Since its conception in 2004, Kenya Healthcare Federation’s (KHF) network has grown steadily, bringing together a diverse group of private healthcare organisations to network, learn and reason together as a unified voice. This became evident when over 40 healthcare financing champions stepped away from their normal schedule to take part in a groundbreaking topic, “Healthcare Financing and Universal Health Coverage”, on the 23rd of March 2016 at Sankara Hotel Nairobi.
The breakfast meeting which was hosted by Financial Sector Deepening, Kenya Healthcare Federation (KHF) and Private Sector Partnership for Health (PSP4H) realised fruitful discussions around healthcare financing challenges in Kenya and possible solutions for the same. Dr. Omar H. of Ministry of Health Kenya gave the opening remarks where he briefed everybody of the success of the recent Healthcare financing tour to Japan by Kenya organised by JICA.
During the event, findings from the new FSD financial diaries report, “Struggling to thrive: How Kenya’s low income families (try to) pay for healthcare,“ was released in a presentation by Julie Zollmann. The report which includes recommendations for stakeholders working towards UHC, moved the audience to heated dialogs.
Hot topics on the table were issue surrounding NHIF, role of the private sector in achieving UHC, what and how to fix Public Private Partnership (PPP) and private health insurers greater penetrations to the low income market.
Chairman of Kenya Healthcare Federation Dr Amit N. Thakker who was also the chief host, coordinated the roundtable discussions which are to be documented as the views of the private sector as an input for the Kenya Health Financing Strategy. Some of the major Healthcare champions who attended were Dr. Amit N. Thakker of KHF, Dr Omar H of MOH, Mr Daniel Mulinge of NHIF, Mr Isaac Nzyoka of UAP Insurance, Dr Njeri Mwaura and Jane Chuma of World Bank Group and Ron Ashkin of PSP4H.
Organizations who participated in the discussions towards the role of the private sector in Kenya’s strategy to achieve universal health coverage (UHC) included Ministry of Health Kenya, NHIF, KHF through its directors, World Bank Group, PSP4H, JICA, UAP Insurance, PS Kenya, Grameen Foundation, GE Healthcare, Mariestopes Kenya, UNICEF, Pharm Access Foundation, KMA, Kabarak University Health store, FSD, Intrahealth International, Madison Insurance, Microensure, KAFP, CFW Clinics, FSDK, and R4D.
From the FSD financial diaries report, “struggling to thrive” it’s evident that Kenya has made great strides in improving key health outcomes for its population, despite this advances the reality is that the direct and indirect cost of healthcare remain an important barrier to access and in turn better health for Kenyans low income groups. The government effort to eliminate user fees have not solved the cost problem since a large number of visits continue to take place at private facilities and stock outrages often force the poor to purchase drugs from private pharmacies.
KHF’s Healthcare financing committee chaired by Isaac Nzyoka’ of UAP Insurance will continuously engage with the government in healthcare financing policy formulation meetings and specifically the Kenya Health Financing Strategy to voice support and concerns and provide alternative solutions from the private sector to issues facing the healthcare financing.
Dr Amit N. Thakker , Chair of the Kenya Healthcare Federation met with Dr Cleopa Mailu, Cabinet Secretary of Health, Kenya on 18th March 2016 at Afya House.
They discussed about how to scale up the model of collaboration between the public and the private sector in health.
Dr Mailu , who also was previously the chair of the Federation , welcomed the PPP engagement which will continue to augment the initiatives that Ministry of Health has already embarked upon.
Dr Thakker , mentioned that KHF will provide the platform where innovative partnerships and ideas can be incubated to improve the overall health in Kenya. He also shared with the CS all the partnership projects in which KHF remains an active player.
They both agreed to continue with the regular Ministerial Stakeholder Forum meetings on-going where priority areas of concern or partnerships will be discussed with the private sector.
Since its conception in 2004, Kenya Healthcare Federation’s (KHF) membership has steadily, bringing together a diverse group of private healthcare organizations to network, learn and reason together as a unified voice. This became evident in an exclusive lunch meeting at the Boma Inn Hotel in Eldoret organized by KHF and Eldoret Hospital on the 4th of March 2016. KHF members present in the Eldoret area and KHF potential members from the region participated in the meeting to welcome the KHF team and to mark the beginning in KHF’s county engagement.
KHF was represented by Dr. Sam Agutu, KHF Director Mrs. Puja Tank, KHF Administrator.
The meeting’s main aim was to introduce KHF to Uasin Gishu County, as well as getting in touch with KHF members in the county and to highlight the major healthcare issues affecting private organizations at the county level.
Dr. Sam Agutu presented the meeting with more information about KHF, KHF’s current membership and the different membership categories, membership benefits and set out the main recent achievements of the Federation. He also pointed out the role of the county chapters and the process of formulating the chapters.
In the county, healthcare demand trends are changing and there is an increased willingness of the growing Kenyan population at county level to pay for better treatment, which has opened doors to the private health sector. At the county the private sector, under stewardship of KHF, has to play a new role in providing improved healthcare at the county level.
KHF will continuously engage with the government in policy formulation meetings to voice support and concerns and provide alternative solutions to issues facing the health sector.
The delegation composed of:
- Mr. Jack Ranguma (Governor of Kisumu and the Health Chair of the Council of Governors)
- Dr, Omar Ahmed Omar Mohamed (Deputy Head, Department of Policy, Planning and Healthcare Financing / Head of Division, Health Financing, Ministry of Healtj
- Ms. Rhodah Wanjiku Njuguna (Ag. Director, Health Directorate, Health Council of Governers)
- Dr. Andrew Mutava Mulwa (County Executive Committee Member for Health, County Government of Makueni / Chair, Country Executive Forum for Health)
- Ms. Rachel Kaki Nyamai (Chairperson of the Health Committee, National Assembly, Parliament of Kenya)
- Hon. Dr. James Wambura Nyikal (Member of the Health Committee, National Assembly, Parliament of Kenya)
- Ms. Esther Waithera Nginyo (Health Committe Technical Advisor, National Assembly, Parliament of Kenya)
- Dr. Amit Niranjan Thakker (Chairman, Kenya Healthcare Federation)
L to R : Mr. Jack Ranguma, Dr. Amit N. Thakker and Amb Solomon Maina
The team met the Kenyan Ambassador to Japan H.E Amb. Solomon Maina on 18th January and briefed him on the objective of the study tour that was facilitated by JICA.
The Vice-President of JICA warmly received the delegation from Kenya and looked forward to a fruitful collaboration between the two countries. Kenya team had several sessions with leaders from the government and private sector. The health experts shared the challenges and successes of the journey towards Universal Health Coverage in Japan and later demonstrated the overall benefits archived by the country especially in light of the aging population of the Nation.
Japan attained universal health coverage for its citizens in 1961 and currently spends about $ 4,000 per capita for comprehensive healthcare.
13% is the currently paid as out of pocket expenses. 48.6% is contributions from the employer and employee while 38.4% is the public subsidy
The Kenyan team is extremely delighted to have been given this opportunity to learn from Japan. The plans are underway by the Ministry of Health in Kenya for an all- inclusive process towards making a difference in the much needed health finance pillar.
Kenya Healthcare Federation concluded its activities for the year 2015 with an exclusive lunch meeting held at Serena Hotel on the 10th of December. The meeting well attended with members, guests and Development Partners was graced by Hon Stephen Mule as the chief guest.
Stop TB Partnership Kenya who supported the event is leading the way to a world without tuberculosis (TB), a disease that is curable but still kills three people every minute. Founded in 2001, the Partnership’s mission is to serve every person who is vulnerable to TB and ensure that high-quality treatment is available to all who need it.
Ms. Evaline Kibuchi, the National Coordinator of Stop TB Partnership Kenya presented under the theme of “do more, do something, do better together”.
Mr. Jed Ondiko, President of University students’ community organization (UNISCOO) project, presented the Health Care Innovation Challenge (HCIC). This project aims at harnessing creativity amongst students and expertise of academia to produce health solutions that are safe & effective, frugal, scalable and innovative.
The members meeting that followed was chaired by Dr. Amit N. Thakker and also present was the Vice Chair Dr. K. K. Gakombe together with the other Directors of KHF. We were privileged to have Mr. Syed Sohail from Kisumu, Aga Khan Hospital and Dr Timothy Olweny from Evans Sunrise Medical Centre, Nakuru as our invited guests.
The meeting which was attended by over 60 members and guests deliberated on the updates from the following KHF committees.
Healthcare Regulations and Quality & Standards committee report was presented by Millicent Olulo, Supply Chain Committee by William Mwatu, Healthcare Financing Committee by Dr. Amit N. Thakker and Dr. George Rae, Public Private Partnership Committee by Dr. Jaqueline Kitulu and Human Resource for Health Committee by Winnie Shena.
We would like to take this opportunity to wish you a Merry Christmas and a Prosperous New Year as we look forward to more updates in the year 2016 with KHF update, “Your everyday peek behind the health scenes at KHF with exclusive sustainability news resources, tips and more”