5TH Annual Devolution Conference 2018
The 5th Annual Devolution Conference – 2018 took place at Kakamega High School in Kakamega County from 23rd to 27th April 2018.The conference was hosted by the Council of Governors in partnership with the Ministry of Devolution and Arid & Semi-Arid Land(ASAL), the Senate, the County Assemblies Forum and other stakeholders .The conference brought together 6,000 people from different sectors such as; Health, Trade, Agriculture, Urban Planning & Infrastructure, Private Sector, National and County Government representatives and Members of the Public.
The Conference also focused on the president’s Big four Agenda where there were break out session to
Discuss more on Health, Trade, Agriculture and Urban Planning & Infrastructure where there was impactful contribution from the members of the Public, and Private Sector. All sessions were chaired by the Cabinet Secretaries (CS) or Principal Secretaries (PS) from the various Sectors. In attendance was the CS Ministry of Trade, Industries and Cooperatives Mr. Adan Mohamed, CS Ministry of Energy Mr. Charles Keter, PS Housing and Urban Development Mr. Charles Mwaura, the PS Crop Development, Dr. Richard Lesiyampe, PS Irrigation Fred Sigor, the PS ASAL Mr. Michael Powon, the PS Devolution Mr. Nelson Marwa, the Chief Administrative Secretary Ministry of Health Dr. Rashid Aman and the PS Health Mr. Peter Tum among many others.
There were plenary sessions which Portrayed strong political will, to ensure that the Big 4 National Agenda is achieved and to demonstrate the political commitment to Devolution. Deputy President, William Ruto emphasized the importance of the Big 4 Development Agenda which will transform Kenya. The Big 4 agenda will also help deepen Devolution and benefit all Kenyans. He reiterated that partnership will be very key in achieving the big 4 Agenda.
The President in his speech emphasized that Health is very key in the big four Agenda “We aim, by 2022, to give every family in the Republic access to Affordable Healthcare. Again, this is no small task and it will require a reimagining of the status quo. In defining this aspiration, I recognize that County governments are at the closest point of inflection when it comes to the provision of Health services at the grassroots.
There will be the hard work of financing this dream and restructuring all the institutions critical to its success. We will have to improve the quality of our facilities and manage the cost and quality of drugs; we will also have to train and recruit more Doctors and Nurses. Equally, all of us will have to work together to fit existing programmes into the new plan. Still, the work will be well worth it. A win in Healthcare today is a decisive win for generations to come.”
The PS for Health Peter Tum expressed an overarching vision of affordable Healthcare as captured in the Kenya Health Policy 2014 – 2030. He emphasized that the Ministry of Health has scaled up their interventions in order to be able to achieve the goals set out in the policy. Already, such interventions have led to reductions in maternal deaths. He briefly reminded the attendees that the Universal Healthcare Coverage pilot program would be held in 4 Counties, namely, Nyeri, Kisumu, Machakos and Isiolo. The lessons from this will determine the way forward in relation to the Universal Healthcare Coverage Agenda.
Prof. Khama Rogo from the World Bank stated that for interventions to be successful, the difference must be made at County Level. For instance, we should allow training for Human Resources for Health to be implemented at county level. He emphasised that Universal Healthcare Coverage will be achieved when we capitalise Devolution.
Kenya Healthcare Federation (KHF) represented the private Health sector through the attendance of Dr. Amit Thakker – Chairman, Dr. Jacqueline Kitulu – Director, Ms. Faith Muigai – Director, and Dr. Peter Kamunyo – Director.
There was a session on ‘Critical Enablers for Optimizing Health Sector Performance’ where Dr. Amit Thakker – Chairman – KHF was part of ‘’ panel in this session. In his remarks, he highlighted that the private sector contributes a lot in the Healthcare and will continue to advance the Health Sector in Financing; Innovations such as Telemedicine; Stakeholder engagement and Healthcare service delivery. Sanda Ojiambo from Safaricom added that the Big 4 agenda provides great opportunities for transforming Business.
There were booths where the attendees displayed their products and services. Moreover the KHF members who showcased the organization’s products and services at the booths were; Management Science for Health, Pharm Access Foundation, AMREF and Philips.
The Devolution Conference was well attended and gave all the relevant stakeholders a platform to engage on important issues in relation to key sectors. KHF was able to engage with Government officials and showcase the importance of private sector contributions to the Kenyan Health sector.
The Deputy President Willam Ruto closed the meeting by appreciating the attendees for their unified effort towards Devolution. “I would like to pay tribute to all of you for your devotion to the success of Devolution. Rest assured, you have a strong supporter of Devolution in this Administration. Let us all define our leadership through service, work, and delivery. The magic of Devolution, after all, is in service delivery. That is what Kenya needs; that is what our people need. By the time this leadership term is over, we will be celebrating 60 years of self-rule. We are the ones with the power to ensure that we have something to show for that time.”
Communique KHF 2018(Click to Download)
Communique – Kenya Health Forum 2018(Click to Download)
Kenya Healthcare Federation (KHF) holds the first Ministerial Stakeholders Forum (MSF) for the year 2018 with newly appointed Principal Secretary Mr Peter Tum
Principal Secretary (PS) for Health Kenya, Mr Peter K. Tum hosted his first Ministerial Stakeholders Forum (MSF) on 17th April 2018 at Afya Annex. The Forum which was co-chaired by Dr. Amit N. Thakker, Chairman of Kenya Healthcare Federation was well attended by Ministry of Health (MOH) officials, KHF Directors, KHF Committee Chairs, Faith Based Organizations (FBOs), Non-Governmental Organizations and Kenya Private Sector Alliance (KEPSA) coordinators.
The PS, in his opening remarks, acknowledged that engagement with the private sector is important due to the critical role it plays in all areas of Health, most importantly; policy development, supply chain of Health Commodities, Service Delivery in terms of facilities, Employment of Health workers, Patient Management , use of Technology, Research and Specialized Training. He noted that only by synergising the Public and Private Sector can we achieve Universal Healthcare Coverage (UHC).
Dr. Thakker, extended his appreciation to the Ministry of Health for recognising the role of the private sector as the engine of growth and creating an enabling environment. These conditions have led to significant growth of the private sector in Kenya that currently caters for half the health work force as well as 50% of the current facilities in Kenya. The current contribution to Gross Domestic Product (GDP) is slightly over 2.3%, which is well above the Sub-Saharan African Countries average of 1.7%.
Mr Stephen Macharia – Public Private Partnership (PPP Unit – MOH) gave a presentation that highlighted the key issues discussed in previous MSF meetings. He identified the significance of the private sector as it has the highest number of healthcare facilities contributing to 54%. In addition, he pointed out that there is need to focus on the lower income level of the population that are not covered by health insurance. There is therefore a huge market for the Private Health Insurance.
There were Seven emerging issues identified among the private sector as; Health Regulations, Healthcare Financing, Supply Chain, E-Health and Technology, Public Private Partnerships, Human Resources and Quality & Standards.
Dr Amit Thakker addressed the first issue as Health Regulations, where He offered KHF inclusion in the Health Act implementation committees and stressed the need to have a neutral regulatory body (Health Benefits Regulatory Authority),that will govern both the Private and Public financing Institutions as we embark on accelerating Coverage for Universal Healthcare (UHC).
Mr Isaac Nzyoka (Chair – KHF Healthcare Financing Committee) expressed support of the government’s agenda on UHC. In his presentation, he stated that there is need to strengthen the role of the private sector in terms of Health Care financing because it has a lot to offer. Private Insurers have over 200 financial distribution centres in the country that can be very useful. He noted that one of the biggest challenges in UHC is reaching the entire population. The Private Sector can achieve this through technology that can enroll members and manage overall process efficiency.
Dr Louis Machogu – Vice Chair KHF Supply Chain Committee, emphasized that the cost of care needs to be reduced and we can do so by promoting local manufacturers of medicine through appropriate incentives. Both sectors need to come together to utilize the 5000 registered private sector pharmacists to negotiate lower costs. VAT on medical devices are calculated on the patient bill and this ought to be reversed. Regulations need to be strengthened for control on parallel imports and influx of substandard products.
Ms. Daniella Munene (Member KHF e-Health Committee) spoke on E-health and Technology where She requested that the harmonized coding system at National Hospital and Insurance Fund (NHIF) be shared with the private sector which will result into a rich Data and innovation between the two sectors if they work together.
Ms. Joyce Wanderi – KHF Director & a member of KHF – PPP Committee proposed that the Public and Private Sector should organize a retreat to prioritize what the various pillars should be focusing on towards scaling up PPPs. She suggested greater transparency in the procurement process as well as looking at strengthening the PPP unit at MOH.
Mr. Ken Auma – Chair KHF Human Resource for Health Committee (HRH) Committee, Enlightened the members on the Multi Stakeholder Partnership (MSP) initiative under taken by KHF in regard to the 3 health cadres that need support which can play a role in UHC. He proposed that a unified curriculum be put in place for the 3 cadres and incentives be given to assist KMTC in the training process.
Anthony Jaccodul Vice – Chair KHF Quality & Standards Committee presented on quality and standards where He stressed on the need to include the Private Sector in the process of making Kenya Quality Model for Health (KQMH) the minimum standards certifying tool in Kenya as well as introducing a harmonized national coding system to enable data share.
Ms. Pauline Irungu, Vice Chair – Health NGOs Network (HENNET) emphasised that UHC needs to feature Quality of Care much more prominently.
Dr. Sam Mwenda, Chair – Christian Health Association of Kenya (CHAK) reiterated that Kenyans need to be empowered to access facilities that they have not been able to, this will enhance the change.
The meeting was very productive with the hope of good collaboration in the Health sector towards achieving quality and affordable healthcare for all Kenyans.
Kenya Healthcare Federation(KHF) Leadership Team First Meeting with the Cabinet Secretary Ministry of Health
The Kenya Healthcare Federation (KHF) Leadership Team and Ministry of Health(MOH) had a courtesy call with the Cabinet Secretary of Health Mrs. Sicily Kariuki to plan for the upcoming Ministerial Stakeholders Forum (MSF).
KHF and MOH officials briefed the CS on the past six MSF engagements and the progress achieved in the past years. The Health Bill 2016 that subsequently become an act in 2017 and is currently under implementation is one of the success cases where KHF has worked with the Ministry through the MSF. Taxation waiver on imported pharmaceutical raw materials, implementation on the Joint Inspection Checklist and discussions on VAT on medical devices are some of the industry healthcare matters discussed within MSF in 2017.
This year the private sector plans to work with the Ministry to accelerate healthcare access by encouraging local manufacturing of medicines with commitment towards quality and affordability, Promoting the concept of UHC in partnership with county governments towards achieving affordable healthcare for all in keeping with the Big 4 agenda, interface with the government on problem solving opportunities within the ICT sector through data sharing and interoperability, Educating the counties on PPP acts guided under the national PPP framework is also key as KHF is now working closely and directly with the county governments to achieve deepen affordable healthcare for all.
The Cabinet Secretary urged KHF on the need to invest more on health to deliver on UHC with pooled investments. She commended the private sector efficiency and innovation in delivering healthcare within satisfactory timelines and commits the governments’ interest to work with private sector and achieve quality and accessible healthcare. She advised KHF to continue working with the Governor of Isiolo County Hon Mohamed Kuti as he is a very resourceful towards demand driven engagements.
There are great investments opportunities in the healthcare sector in Kenya from all over the world that needs clear definition of partnership structures with value add towards achieving UHC. KHF and MOH will hence work together and evaluate tangible impact in unlocking these opportunities.