Universal Health Coverage(UHC) Program Stakeholder Sensitization
The Ministry of Health(MoH) held a Universal Health Coverage(UHC) Program Stakeholder Sensitization meeting to Kenya Healthcare Federation(KHF) at Sarova PanAfric Hotel in Nairobi on 7th November 2018.The meeting was chaired by the Cabinet Secretary, Ministry of Health Mrs. Sicily Kariuki and co – chaired by Dr. Amit N. Thakker ,Chairman ,Kenya Healthcare Federation(KHF) In her opening remarks, Mrs. Kariuki thanked the private health sector team led by their chairman Dr. Amit N. Thakker for honoring the invitation to the meeting at such a short notice. In additional she expressed her gratitude for the fruitful partnership between Kenya Healthcare Federation and Ministry of Health.
The CS stated that the way to deliver UHC is through NHIF on a premium base. “This was the initial thinking. However, with time it has become clear that the UHC dream would not be implemented by 2022 as initially envisaged. This model highlighted challenges like the high cost involved in targeting vulnerable populations. The new approach to this was to balance political and practical implementation. As such, the government with technical advice from experts and in consultation with the county governments so it best fit to provide free healthcare services to its citizens via the county public health facilities.” Said Mrs.Sicily Kariuki, CS Ministry of Health.
The advantages of this new model includes: Strengthen community and public health systems, institutionalize a referral system and Utilize the resources available without causing further strain.The CS informed the inattendance that the pilot phase will still be in 4 counties which include Machakos, Kisumu, Isiolo and Nyeri. For a period of six months before scaling up. This pilot phase will help interrogate the institutional framework to deliver social protection through a health scheme. Some of the requirements prior to implementation includes: A legal and regulatory framework to deliver social protection through a health scheme,strengthen KEMSA to provide commodities and supplies to deliver UHC, a robust monitoring and evaluation framework, Customer care reference in terms of standards and redress mechanisms and a promotive preventive approach will help achieve a more economical viable solution.
It was reiterated that new model of implementing UHC was highly supported by the President, Governors and Parliament. The key focus on the new model will lie on offering promotive and preventive health services. “We need to strengthen Public Health Services, Community Health Services,and Health Systems to respond to the needs of the population and a continuum of care to offer basic and specialized services” Said Mrs.Sicily Kariuki, CS Ministry of Health. There was discussion around the funds available to implement the pilot phase of the UHC, Where It was reported that the allocation criteria was equitable based on: County population, equitable share of resources, poverty estimates, outpatient utilization rates, In-patient utilization rates, burden of disease, crude death rates, health facility density and Physical access to health facilities
Dr Amit N. Thakker, Chairman Kenya Healthcare Federation shared the federation’s position, which was in line with the affordable healthcare for all, as declared by H.E President Uhuru Kenyatta on 12th December 2017. He stated the private sector will fully support the UHC model. “Private sector is happy that MOH is accepting the reality around UHC implementation. The suppliers old debt at KEMSA should be paid and going forward, there should be: Prudent management of the funds, commend the stepwise approach safer and more sustainable and strengthen institutional capacity especially at the county level and county facilities. Private sector must operate in a sustainable way, even if the margins are small. They must be willing to give concessions to government on price.” Dr. Amit N. Thakker, Chairman, Kenya Healthcare Federation
Dr. Thakker emphasized on: Strengthening institutional capacity especially Supply chain – quality, Good Manufacturing Product(GMP) 10% preferential rate, KEMSA reforms especially in markups, unregulated parallel imports, counterfeit medicines and pricing regulations, Health services – support for higher levels of care by referral mechanism, preferential prices for public referrals, Financing – support innovative county schemes, support by insurers in claims and fraud management, technology support and Training and academia – HRH capacity, training in classrooms and practices in public sector facility. There was an agreement that KHF will present a position paper to the CS after consulting it’s membership.Major Discussions centred on: Role of private sector healthcare providers? It was agreed that the focus of the pilot phase would be in government facilities, where It was noted that there is a risk of patients overflow that would happen in the immediate period of declaring free health services in the four counties. However, Emergency care fund to cater for the costs incurred by private sector – this will be considered in the special fund that has been set aside to manage referrals of indigent populations for specialized care.
Regulations and reforms: it was noted that NHIF – this is in progress alongside that of KEMSA,on formation of the Kenya Food and Drug Authority – there was an update that discussions are being held in conjunction with the Ministry of Agriculture and relevant stakeholders will be involved, concerning supply chain on reimbursement framework for supply chain commodities, it was highlighted that intensive efforts are being put in place to strengthen KEMSA including their ability to supply commodities outside their framework. In additional to this questions around strengthening pharmaceutical services and assuring quality and addressing governance issues, price controls were discussed. They were deferred to the existing platform that is already handling the same. There were also discussions on provision of quality of healthcare. It was noted That UHC is not just about healthcare financing noting this, the private sector is willing to share best practices on the same.
Biometrics to identify recipients of the pilot phase and also to streamline electronic medical records was tackled this was brought to the attention of the attendees that there is a plan to register populations residing in the four pilot counties in order to contain the demand but also to be able to measure and evaluate progress. It was emphasized that this being a pilot phase, there was a lot of room for lessons learned and better positioning of the private sector in the scale up of UHC to the rest of the 43 counties.
The Private Health Sector to support Health Benefit Advisory Panel
As a way to expand access to higher quality health services and achieve Universal Health Coverage (UHC) the government of Kenya is looking at public private partnership (PPP) so as to leverage capital, managerial capacity and know how from the private sector. The government of Kenya is also increasingly promoting PPPs as a means to unlock financing and expertise in vision 2030. Important strides have been made in order to build the necessary regulatory frameworks and support systems that can facilitate PPPs to add value to the health sector.
Kenya Healthcare Federation (KHF) through Public Private Partnership (PPP) committee identifies the gaps within the public health sector and advocates on how to fill the gaps. During the presidential round table and ministerial stakeholder forum. The PPP committee held its quarterly meeting at Kenya Healthcare Federation offices on 23rd August 2018.This was the first meeting held under the directorship Dr. Jacqueline Kitulu and Ms. Joyce Wanderi. The meeting was chaired by the committee director, Dr. Kitulu.
The committee has held several engagements with the ministry of health through Ministerial Stake holder Forum. During the eighth ministerial stakeholder forum, the health cabinet secretary, Mrs. Sicily Kariuki, who chaired the meeting , emphasized on Universal Health Coverage as big task that the ministry is looking at and requires a lot of time and resources, of which cannot get from the government alone. “With lots of requirement in terms of time and resources therefore, this is where the dialogue around Public – Private Partnership (PPP) is important and we should consider the future of PPPs in this sector. It is important that there is one side from the private sector.” Mrs. Sicily Kariuki Health CS.
The ministry of health established a Benefits Advisory Panel that was tasked with coming up with costs and packages. The private sector was invited for a stakeholder engagement role. Dr. Amit Thakker – Chairman Kenya Healthcare Federation concurred with the CS where he emphasized that Inclusiveness is important as Ministerial Stakeholder Forum is made the epitome of Non-State Actors.
The benefit Advisory Panel invited Kenya Healthcare Federation that represents the private health sector for a stakeholder breakfast meeting at Sarova Panafric hotel on 3rd August 2018 to discuss more on the benefit package. It was noted that National Health Insurance Fund(NHIF) may be overburdened and cannot be relied on as the key financier for Universal Health Coverage however, the poor may not be covered. There was a consensus that the benefits advisory panel should share the package with the private sector, inorder to identify the gaps hence have discussions on how to fill the gaps.
KHF has held five county stakeholder engagements i.e. Kirinyaga, Makueni, Isiolo, Uasingishu and Kisumu to assess the financing models that have been established, identify the gaps hence advice on how to fill the gaps. There was a consensus on reviewing the PPP ACT and the committee should also ensure the PPP retreat should be planned this is because the health CS Mrs. Sicily Kariuki assured of her readiness to attend the retreat. There were elections carried out for the new committee chair and vice chair where Mr. Antony Okoth was re-elected to be the Committee chair and Dr.Christine Sadia as the vice chair.
Private health sector advocates for quality healthcare services and patient safety
Healthcare regulations and quality standards are aimed at ensuring that health services are safe, effective and of good quality, and that they are provided in accredited healthcare facilities by duly qualified health professionals.
The Kenya Healthcare Federation (KHF) health regulations and quality standards committee held a breakfast meeting at KHF offices on 16th August 2018. The meeting was chaired by the committee chair, Ms. Millicent Olulo. In their previous meeting, the committee had engaged Ms. Doris Mueni, Deputy Director, Kenya Accreditation Services (KENAS), to clarify on the functions of accreditation and certification bodies. She advised that accreditation ensures an organization is competent to perform specific functions in a reliable, credible and accurate manner, while certification is provided to mark compliance with a standard or specification. There are major benefits of accreditation such as quality improvement in internal operations, safeguarding credibility of results from conformity assessment activities, and improved market image.
There has been much engagement between Ministry of Health (MoH), Kenya Bureau of Standards (KEBS) and the Kenya Accreditation Service (KENAS) to see how to adopt the Kenya Quality Model for Health (KQMH) as national standards for quality and patient safety. It was noted that KQMH has been revised and piloted in four counties and that the next steps as outlined in the tool are roll out of adequate human resources for health, definition of the private sector’s and counties’ roles, establishment of clear road maps based on the pilot and assessment, making a sustainability plan, and identifying public – private partnership (PPP) opportunities for the private sector in implementing KQMH.
It was also noted that there should be discussions with MoH on the Universal Health Coverage (UHC) agenda, particularly on the following aspects: Whether it is prudent to solely rely on the National Health Insurance Fund (NHIF) to deliver UHC for Kenyans – would this compromise quality of care? Secondly, there needs to be a focus on quality assurance and a reliable supply chain. Ms. Faith Muigai urged KHF to have a strong position on quality of care. Ms. Muigai will develop a position statement to advocate for quality of care for UHC which will be presented to the Parliamentary health committee. There was a suggestion that Dr. Charles Kandie and Dr. Jared Nyakiba who deal with quality and safety policies at MoH be invited to the next committee meeting to enrich further discussions on accreditation of hospitals and patient safety.
The committee held elections of officials for a new term. Ms. Millicent Olulo and Mr. Antony Jaccodul were re-elected as chair and vice chair respectively. This was the first committee meeting under the directorship of the newly elected vice chair, Dr. Elizabeth Wala, and Director, Ms. Faith Muigai.
Seventh East Africa Healthcare Federation Conference
Ethiopia hosted the 7th annual East Africa Federation conference at Africa Union (AU) Headquarters in Addis Ababa from 9th to 10th July 2018. The conference is held annually and hosted in turns by EAHF members Kenya Healthcare Federation, Uganda Healthcare Federation, Rwanda Healthcare Federation, Burundi Healthcare Federation, Tanzania Private Health Sector and Ethiopia Private Health Facilities Employers Association. Last year’s conference was hosted by Tanzania Private Health Sector in Dar-es Salaam Tanzania.
The theme of the Addis Ababa conference was “Revolutionizing Healthcare through Digital Technology in Africa”, with the objectives as; to enhance the progress of healthcare in the region through technological advancements, to bring private sector stakeholders and policymakers under one roof to discuss means to achieve health and health related sustainable development goals and to engage in high level discussions on public private partnerships (PPP). The conference was graced by His Excellency Dr. Amir Aman, Minister of Health for Ethiopia, and senior officials from the World Bank and the African Development Bank.
In attendance were multi-lateral and bi-lateral development partners, such as USAID, CDC, international development organizations, and international institutions including the AU. From the private sector, international investors, CEOs, as well as medical directors of hospitals and medical universities were in attendance. In his opening remarks, the conference director Dr. Dawit Moges, of Sister Akelesia Memorial General Hospital said “ The primary goal for this conference is to bring together global leaders, policy makers, health professionals and investors as well as friends and partners of healthcare from around the world in an open dialogue, under one roof to discuss the issues facing the sector and to develop possible strategies on how the private sector can become aware and more engaged in initiatives taking place in public – private partnerships (PPP).
In her welcome address, the president of The East Africa Healthcare Federation, Ms. Zelealem Fisheha noted that “Access to good health is a right for all; each and every one of us wants to live in good health and healthy conditions; but it is a right that a lot of citizens in East Africa still cannot enjoy today. Ms. Fisheha expressed that “Using digitization, we will push through a paradigm shift in healthcare. From being expensive, reactive, and system – oriented, we make healthcare abundant, proactive and patient focused”.
Kenya Healthcare Federation (KHF),Chairman Dr. Amit Thakker thanked the private health sector team in Ethiopia for hosting them and for the great advocacy role they are doing. “The biggest challenge in achieving equitable healthcare across our continent is the lack of information sharing between all stakeholders. High quality of knowledge exchange about all healthcare requirements and activities is the first step towards strengthening the quality of policies and regulations that form the bed rock of robust national programs. Hence it is critical to focus on dialogue and strong partnerships between the government and private sector at the national, regional and continental level.” Said Dr. Thakker. The two-day conference brought together over 400 participants as well as a number local and international exhibitors.
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).
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.
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.
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.
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.
Kenya Healthcare Federation (KHF) 3rd Bi-Monthly Members Meeting.
Kenya Healthcare Federation held the third bi-monthly member’s meeting on 30th May 2018 at Kenya Private Sector Alliance – Shelter Afrique Building, Nairobi, from 2:00pm to 4:00pm.The chairman Dr. Amit Thakker, started off the meeting by welcoming all the member, new KHF members, guests and partners to the meeting.
The meeting reported on active Mininsterial Stakeholder Forum(MSF) involvement following the 2018 focus areas. KHF has officially been include KHF in the Health Act 2017 Implementation Committees and an introduction of overarching regulatory authority for medical plans (Health Benefits Regulatory Authority).
A major focus was put on presidential round table (PRT), where Dr. Thakker updated the attendees on the current position of Presidential Round Table(PRT). KEPSA has held three Presidential Round Tables focusing was on the BIG 4 Agenda, the private sector presented on their key role they’ve been mandated concerning the big four agenda. There was an emphasy that corruption is a major setback while delivering the big four agenda and this needs to be addressed and H.E President Uhuru Kenyatta reiterated that he is not going to spare any details on the BIG 4 agenda because that’s his major focus for social economic till 2022.Manufacturing was first pillar that was discussed where it was given much time and attention .one of the key areas that will be focused on in manufacturing is regulations.
It was agreed that affordable housing will be the second one, Affordable healthcare will be third and food security will be the last one. While focusing on Public-Private Partnership, it was noted that there has been a mismatch on the role of government and private sector where both sectors don’t have a clear understanding of their functions. This has been a major setback for growth and function of Public Private Partnership and hinders the growth of GDP. Dr. Thakker emphasized that the major gap while enhancing PPP growth is the lack talent in both sectors. Dr. Thakker however, informed the attendees that he had a discussion with the Health CS Mrs. Sicily Kariuki where he suggested that the communication strategy should be revised because the current one is very weak.
There was a clarification on the health agenda where it has been mistook that the health agenda states “Achieving universal Healthcare” but the correct one is “affordable healthcare for all” where the ministry of health looks at scaling up NHIF in order to reduce out of pocket by Kenyans while accessing quality and affordable healthcare. KEPSA highlighted that it’s important to put the poor at the fore front while strategizing and delivering quality and affordable healthcare. Kenya Healthcare Federation was asked to prepare and present a strategy on how the private health sector will contribute towards achieving Universal Healthcare.
(KEPSA) has put together five key areas to focus on while preparing for the next PRT as follows, the private sector must speak with a unified voice as it pushes its agenda at the Presidential Round Table(PRT), Ministerial Stakeholder Forums(MSF) and other Public Private Dialogues(PPD) platforms. KEPSA leaders to support and engage in the BIG 4 pillars in the preparatory activities so as to get tangible business priority issues tabled at the roundtable. The key Public-Private Dialogue Engagements that KEPSA has prioritized within the next month that all feed into PRT include: Judiciary Roundtable, Speakers’ Roundtable and Council of Governors.
The structure of the next PRT presentations to mirror the BIG 4 McKinsey document already prepared by the government, Identify specific industries that will deliver on the agenda. What private sector will deliver, Specific challenges, the interventions we are seeking from government, the impact on jobs, sector growth projection, enterprises to be created and a quantum of additional investments.
KHF has organized County Stakeholder Forum (CSF) for Health that will engage seven counties namely: Kirinyaga, Mombasa, Nairobi, Uasingishu, Kisumu, Makueni and Isiolo.The aim of the forum is advocacy towards achieving Universal Health Coverage, where KHF is directly engaging the CECs to advise on what should be put in place inorder to achieve UHC. During the county engagement, it was well noted that the counties have been focusing on primary Health Care. Dr. Amit Thakker highlighted that if the County Stakeholder forum is well implemented there will be an improvement in the delivery of quality and affordable healthcare.
The Nation Media Group presented on upcoming National Leadership Forum Themed: Universal Health Care, which will take place on 5th July at University of Nairobi Auditorium. Mr. David Aduda from Nation Media Group highlighted on the importance of KHF participating in the Forum in order to present a unified voice of the private health sector.
Health Regulations and Quality Standards Committee (HR&QS) engagement with Kenya Accreditation Service (KENAS)
In order to ensure delivery of quality and affordable Healthcare, a Healthcare Organization should be assessed and qualify for certification and accreditation. There has been a misunderstanding between accreditation and certification of an organization. Most Kenyans are not very sure on where to go for specific healthcare services, because once a Health Centre bares an accreditation or certification label only, does it indicate that it’s fully qualified to offer specific services? HR&QS Committee aims to clarify this while ensuring that Health services offered are of good quality as recommended.
This first committee meeting was graced by Ms Doris Mueni – Deputy Director KENAS, who clarify on the functions of the two bodies as; accreditation ensures that an organization is competent to perform specific functions in a reliable, credible and accurate manner, while certification means compliance with a standard or specification. There are major benefits of Accreditation such as quality improvement in internal operations, safeguard credibility of results from conformity assessment activities and improved market image.
Doris further clarified that KENAS does not accredit hospitals directly, but accredits certifiers of Hospitals e.g. Pharm Access offers certifications through the Safe care Programme, KENAS also does a conformity assessment test to vouch for competence on specific departments in different facilities thus do not accredit all departments. Below are some of the KENAS accredited facilities; 32 Medical laboratories (Government, Private, FBOs), 45 Testing and Calibration Laboratories, 7 Inspection bodies and 3 Certification bodies. KENAS also accredits these models to offer certification services as an assurance for quality and patient safety.
There has been a lot of engagements going on between Ministry of Health (MoH), Kenya Bureau of Standards (KEBS) and Kenya Accreditation Service (KENAS) to see how to adopt Kenya Quality Model for Health (KQMH) as a national standards for Quality and Patients safety. Doris clarified that National Hospital Insurance Fund (NHIF) certification is supported by the Medical board and Pharmacy and Poisons Board (PPB), using the KQMH standard and It’s best if certification is done by Independent bodies since NHIF certification is for rebates. Moreover, NHIF is not accredited by KENAS but can be certified by law.
A close out program on joint inspection was done on 26th February 2018 where a total of 2138 facilities both Public and Private were visited and inspected for the last one year during pilot phase. The Lessons learnt from this exercise, will inform Universal Healthcare Coverage. Patient perspective on quality will be incorporated in the next document to be developed. It was however noted that more inspectors will be needed and trained for the national roll out.
The Health Act 2017 key goal is to create a unified health system that aligns with the Constitution, by spearheading regulatory changes and coordinating the interrelationship between the National and County Government. This committee will represent the private sector on, Legislation &Regulations and Promotion & Advancement of Public Health/Lactation Stations.
The meeting was well attended by committee members namely; HUQAS, AAR Healthcare, Health Store EA, PSK and KENAS.