Category Archives: News

Setting up Ethiopia Healthcare Federation

Setting up Ethiopia Healthcare Federation

Kenya Healthcare Federation sets foundation for Ethiopia Healthcare Federation

The Ethiopian Private Health Sector organized a committee, to visit Kenya Healthcare Federation (KHF) on June 6th – 8th 2018, with the aim of meeting with the secretariat and member associations of Kenya Healthcare Federation as recommended by the World Bank consultant. The main objective was to interact with their experience and gain knowledge on how to organize and structure the anticipated Ethiopian Healthcare Federation,that will be the voice of the Non State Actors (NSA) in the health sector. The Ethiopian team met with various KHF members including Kenyan Association of Pharmaceutical Industry (KAPI), Pharmaceutical Society of Kenya (PSK), National Nurses Association of Kenya (NNAK), Kenya Medical Women’s Association (KEMWA) and Kenya Medical Association (KMA).

Pharmaceutical Society of Kenya meeting with the Ethiopian Delegates                                             

KAPI was represented by Dr. William Mwatu, Dr. Francis M. Karanja and Dr. Eva Amwayi who introduced themselves to the Ethiopian delegation as one of the pioneer associations to be established in the pharmaceutical sector. It plays a great role in safe – guarding the interests of its members by getting involved in policy drafting and implemention. It also has implemented a self-regulatory system within its member institutions which has played a key role in a fostering a close working relationship between its stakeholders and public sector. It’s financial sustainability is guaranteed through membership contributions, projects supported by partners such as; the World Bank, IFC, Netherlands embassy as well as Public – Private Partnership (PPP) programs in the sector. The association’s membership is voluntary and open to institution in the pharmaceutical sector that subscribes to KAPI’s code of ethics.

The Pharmaceutical Society of Kenya (PSK) was represented by their CEO, Dr. Daniella Munene, Dr. Munene introduced the 58 year old organization to the Ethiopian delegates, informing them that PSK seeks to promote ethical practice and promote continuous professional development (CPD) amongst it’s members. She went on to explain that PSK membership is drawn from members working in private, NGO and public sectors provided they are registered by regulator, the Pharmacy and Poisons Board. The society provides CPD to members, requiring them to attain a certain number of CPD points annually for renewal of membership. PSK membership is in turn a mandatory requirement for annual licensure by the regulator .

This constitutes a self – regulatory model which goes a long way in curbing malpractice and gives the society leverage in enforcing membership. The National Nurses Association of Kenya (NNAK) was represented by their President, Mr. Alfred O. Obengo. He informed the Ethiopia delegation that NNAK fifty years old and one of the strongest members of the KHF due to it’s numbers. The association functions in all 47 counties of the nation. At grass root level, the local branches of the association deals with the local county administrative organs. The national association has a seat at KHF where it presents the issues that are not solved at the county level. This is the key benefit cited by Mr. Obengo that NNAK has gained from being a member of KHF. He further elaborated that KHF has contributed a lot to the Universal Health Coverage(UHC) agenda of the country, as the government has identified private sector as missing link in UHC – realization. Other benefit of KHF membership as mentioned by Mr. Obengo are networking and – new business opportunities its members. NNAK also provides a CPD program to its members, who must demonstrate that they attained the minimum number of CPD points at the time of annual license renewal.

Dr. Christine Sadia, National Chair of Kenya Medical Women’s Association (KEMWA) introduced her association to the Ethiopian team, informing them that the association has a strategy known as “From Womb to Tomb” that focuses on women, encouraging them to take care of themselves in the midst of their demanding dual roles of home makers and health professionals. Membership is open to all healthcare professionals. Their members are also members of their parent Kenya Medical Association(KMA).KEMWA has a program that supports their members to go back to school to further their education.  Dr. Jacqueline Kitulu, President, Kenya Medical Association(KMA), welcomed the Ethiopians and explained that  KMA has a very strong voice in KHF as it is also represented in the Board of Directors.

Kenya Medical Association together with Kenya Medical Women Association and Ethiopian Delegates

The Ethiopian delegates were later invited for a dinner meeting by COSMOS Pharmaceuticals where, Dr. Dawit Moges expressed his gratitude for the warm welcome and hospitality given by KHF Secretariat, In addition, he applauded the advocacy work being done by different Healthcare Associations in Kenya saying, “As a pioneer in the region KHF has accomplished lots of impressive deeds that should be taken as exemplary and should be considered to be installed in ours. The Ministerial Stakeholder Forum” and the “Presidential Round Table” could be the first milestone that should be given emphasis while drawing the roadmap of the long journey of Ethiopia Healthcare Federation. Openness to all health associations for membership and revenue generation through projects can also be emulated” He concluded.







Healthcare Financing

Healthcare Financing


The Role of Private Health Sector in Achieving Universal Health Coverage

The healthcare finance committee held a dinner meeting at Pride Inn Hotel in Westlands on 13th August 2018 to discuss finance advocacy progress that the committee has made towards achieving universal health coverage(UHC). The meeting was chaired by the committee chair Dr. Isaac Nzyoka. This was also the first meeting under the directorship of the new elected Board Director, Dr. Walter Obita. The healthcare finance committee has been mandated to oversee the UHC advocacy agenda at Kenya Healthcare Federation, while reflecting and amplifying the voice of the private sector. The committee has been able to hold county health stakeholders forums(CSF) in five counties.

Kenya Healthcare Federation Chairman, Dr. Amit Thakker, speaking during an engagement with Health Benefits Advisory Panel held at Sarova PanAfric Hotel,Nairobi

The focal areas of the CSF engagements were: educating counties on different financing schemes, social/private empowering counties on healthcare financing opportunities they have i.e. private insurance, macro insurance and public insurance, encouraging innovations e.g. Makueni care and Kitui care and bringing together the public and private stakeholders in healthcare financing. County health departments have been evaluating financing models that ensure equitable access to quality and affordable healthcare, without financial strain, for all their people. Different counties have identified different financing models.

Nationally, the national hospital insurance fund(NHIF) has been positioned as the main financier for  universal health coverage(UHC). This is a good initiative, but there are fears of overburdening of NHIF and that the poor & marginalized may be left out. This has resulted in various that will cover the poor, the old people and marginalized.

“To reach the Ministry of Health (MOH) aspirations of achieving UHC by 2022, there is need for greater innovation and ‘business unusual.’ It is essential that we ensure that coverage or affordable healthcare for the poor are part of the agenda and that the poor are not left out.” Dr. Amit Thakker, Kenya Healthcare Federation Chairman ,said in one CSF. Dr. Thakker further recommended that NHIF should be reformed to be more responsive to counties needs and that private medical insurance schemes should also be reformed to create a more enabling environment that encourages innovation. Moreover, he said “NHIF should only focus on growth once it has the capacity to ensure that it can handle increased coverage.”

There was positive feedback from the counties on the CSF engagements, saying they benefited from the forum in terms of thinking about healthcare financing options for their population. They realized that they cannot solely rely on NHIF to deliver Universal Health Coverage, however the county should implement their own favorable models that will include the poor and the old people without financial strain.

In parallel, the Benefits Advisory Panel, set up by the Heath Cabinet Secretary Mrs. Sicily Kariuki, to come up with costs and packages for UHC, invited KHF for a stakeholder engagement to discuss on the benefits packages and costs. It was noted that NHIF was not clear on how the poor will be covered. Dr. Amit Thakker requested the panel to share the benefits and cost packages with KHF team so that they can evaluate for any gaps and further advise on what should be done inorder to improve it.