It has drawn upon on selected published and grey literature on health financing, fp and uhc within in the kenya context. The health policy proej ct is a five year cooperatvi e agreement funded by the u. A strategy for the delivery of level one services community health strategy. There is documented evidence of a national policy andor ministry of health moh guidelines for a recommended minimum package of services to be provided by antenatal care anc facilities. Jun 28, 2010 in addition and very crucially, mental health was integrated into.
Kenya environmental sanitation and hygiene strategic framework kessf 2016 2020 ix keshsf national environmental sanitation and hygiene strategic framework keshp kenya environmental sanitation and hygiene policy kes kenya shillings keph kenya essential package of health mca member of county assembly mdgs millennium development goals. Community strategy the kenya essential package for health kephs. Mission the health systems 2020 cooperative agreement, funded by the u. In 2007, the ministry of public health and sanitation adopted a community health strategy to reverse the poor health outcomes in. The series of reports on essential packages of health services benefitted from the valuable input of several people. Kenya reproductive, maternal, newborn, child and adolescent health rmncah investment framework ministry of health government of kenya jan uary 31, 2016.
Maternal mortality ratio and neonatal mortality rate trends in kenya have remained unacceptably high in a decade. Kehp kenya essential health package kemsa usaid united states agency for international development. Kdhs kenya demographic and health survey keph kenya essential package for health kessa kenya scholars and studies association. Republic of kenya ministry of health health sector human resources strategy 2014 2018 published by. The kenya essential package for health at level 1 water sector. Only one county nyeri met the level taskforce on high innovative international financing for health systems hltf adjusted per.
Strategy implementation in kenya 2 ministry of health 2006 taking the kenya essential package for health to the community. This chapter provides an overview of the health system in kenya as a context in which to view the findings of the 2004 kenya service provision assessment kspa 2004 survey. The kenya essential package for health keph introduced six lifecycle cohorts1 and six service delivery levels2. Kenya on the right path to achieving universal health. Among the main functions of this cadre is providing basic preventive and curative health care services at household level, as. Kdhs kenya demographic and health survey keph kenya essential package for health kessa kenya scholars. The kenya brief is the companion to the technical brief entitled health financing and family planning in the context of universal health care. Kenya health strategic plan east africa centre for. The role of health workers who are not oral health professionals 20 essential elements of oral health policy 21 chapter 3. Health and sanitation mophs, and its partners in kenya. It was prepared by jenna wright for the health finance and governance project. Kenya health system assessment 2010 republic of kenya. Jmp service ladders for waste disposal in health care facilities in uganda 36 figure 27.
Define health education, health promotion, health, and wellness, and compare and contrast each concept. Mental health policy in kenya an integrated approach to. Ministry of health sector planning and monitoring department afya house po box 3469 city square nairobi 00200, kenya email. An essential package of health services ephs can be defined as the package of services that. A brief history of tuberculosis control who world health. In 2007, the ministry of public health and sanitation adopted a community health strategy to reverse the poor health outcomes in order to meet millennium development goals 4 and 5. Against this background, the sector has taken on the task of defining longterm strategies for addressing the constraints to human resource development and management so as to effectively. In kenya, at the request of the ministries of health, hpp provided technical assistance in applying onehealth to cost the kenya health sector strategic plan iii, 20122017, reflecting the interventions under the kenya essential package of health, as well as national disease strategies for programs that include hivaids, tuberculosis, malaria. The overall goal of the community strategy is to enhance. The health system structure needed to deliver the defined health services in an efficient, equitable, and sustainable manner to the population 2. Keph kenya essential package for health kemsa kenya medical supplies authority knbs kenya national bureau of. The author thanks jodi charles and scott stewart office of health systems, bureau of global health, united states agency for international development for their leadership and guidance throughout the study period. Although they are volunteers, chws have a significant role to play in delivering the kenya essential package for health at the community level.
October 2015 chws are engaged in a variety of essential health activities, such as maternal and newborn care, parent support groups, timed and targeted counseling ttc, nutrition support, and immunizations. Keph kenya essential package for health kes kenyan shilling ketraco kenya electricity transmission company ltd kosap kenya offgrid solar access project kpi key performance indicator kplc kenya power and lighting company kw kilowatt led lightemitting diode liion lithiumion. A manual for training community health extension workers. Effectiveness of kenyas community health strategy in. View norms and standards for health service delivery.
Community strategy the kenya essential package for health. This country snapshot is one in a series of 24 snapshots as part of an activity looking at the governance dimensions of essential packages of. Aim of norms and standards for the sector the norms and standards are a presentation of the expected inputs that are needed, to ensure efficient, and effective delivery of defined health services to the population in kenya. It may not be sold, or used in conjunction with commercial purposes. An essential package of health services ephs can be defined as the package of services that the government is providing or is aspiring to provide to its citizens. A strategy for the delivery of level one services, was developed in 2006. Ministry of health kenya hospices and palliative care. Taking the kenya essential package for health to the community. Halt, and reverse rising burden on non communicable conditions 23. Kenya essential package for health keph health service levels, source.
The kenya essential package for health at level 1 a manual for training community health extension workers published by. Clinical care should be provided as indicated in the essential package of care for adults in addition to the following. The healthcare system in kenya usaid assist project. Jmp service ladders for water services in health care facilities in kenya 40. To succeed in planning the huge increase in staff required to deliver the keph a more dynamic. Accelerating attainment of universal health coverage kenya health sector strategic and investment plan khsspi. Kenya has therefore developed a set of services to be provided to its citizens. One of its key innovations is the recognition and introduction of level 1 service, which aimed at empowering kenyan households and communities to take charge of improving primary health care their. This means that delivery of kenyas essential package for health keph is jeopardized due to inadequate staffing levels especially in counties such as turkana, uasin gishu, wajir, kajiado, and garissa which operate at staffing levels below 10 ministry of health tna report. Effective and transparent implementation of the kenya essential package for health. Early testing for hiv infection should be provided for every child regardless of the entry point into health system including eid for children less than 18 months of age 3. Kenya population situation analysis published by the government of kenya supported by united nations population fund unfpa kenya country o.
Living in a rural area of kenya can be deadly, especially for a pregnant mother or very young child, and much of kenya is rural. The kenya essential package for health, keph, has been updated to reflect this focus. Kenya on the right path to achieving universal health coverage date of publication. Country scores for enabling environment indicators for wash in healthcare facilities in eritrea 42 figure 30. This report presents kenyas reproductive maternal neonatal hild and adolescent health rmncah investment framework for kenya to realize the vision 2030, the constitution of 2010 and the health sector strategic and investment plan 201418 and sustainable development goals sdgs. Realizing the importance of empowering households and communities in the delivery of the keph at level 1, the ministry of health and sector partners developed and. Minimum package of antenatal care services defined definition. The basic package of oral care bpoc 25 essential health packages. Kenya s ephs, referred to as the kenya essential package for health, is clearly defined in the kenya health sector strategic and investment plan khssp for july 2014june 2017 and the taking the kenya essential package for health to the community. Kenyas community health workers today, world vision supports an estimated 4,725 community health workers in kenya. Threefourths of kenyas population live in rural areas 75%, and kenya is a global health workforce crisis country. The kenya essential package for health defines six levels of service delivery.
Taking forward action on human resources for health hrh with dfidogac and other partners. This strategy document sets out the approach to be taken to ensure that kenyan communities have the capacity and motivation to take up their essential role in health care delivery. Discuss criticisms of the accepted definitions of health. This is well articulated in the ministry of health joint programme of work and funding, 200607200910, the mophs strategic plan 20082010 and the second national health sector strategic plan nhssp ii of 20052010. Provision of essential health package in public hospitals. Mar 25, 2016 the essential package of health services ephs in kenya kenyas ephs, referred to as the kenya essential package for health, is clearly defined in the kenya health sector strategic and investment plan khssp for july 2014june 2017 and the taking the kenya essential package for health to the community. Essential health packages ehp delivery is likely to strengthen service delivery.
Minimum package of antenatal care services defined. March 11, 2020 the world health organization who continues to advocate for the member states to make decisive progress towards universal health coverage uhc by taking bold political steps at the highest level of government towards ensuring that their populations are able to access essential highquality. Strategic plan nhssp 20182022 as well as the kenya health financing strategy. Agency for international development under agreement no. An essential package of health services ephs can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. The policy exhibits kenyas health sectors obligation, under the national. Jmp service ladders for water services in health care facilities in kenya 40 figure 29. Keph kenya essential package for health kemsa kenya medical supplies.
Kenya environmental sanitation and hygiene strategic. It presents information on the background of the kenya health policy framework and the. Mar 25, 2016 essential package of health services country snapshot. Key health messages for level 1 of the kenya essential. Kenya essential package for health keph at the community level. Level 1 refers to the specific approach to community level health care services described in the community strategy. The implication of the shortage of health workforce. Focus on kenya health policies the kenya health policy 20122030 offers guidelines to ensure momentous improvement in the status of health in kenya, in line with the provision of the new constitution of kenya 2010, vision 2030, and other global commitments. There are no cardiologists, oncologists, and nephrologists. Kehp kenya essential health package kemsa usaid united states. The kenya essential package for health keph introduced. The nhif benefit package is modelled along the kenya essential healthcare package. Health insurance cbhi, shi, maternal, neonatal and child health mnch, publications, universal health coverage essential package of health services country snapshot.
The essential package of health services ephs in kenya kenya s ephs, referred to as the kenya essential package for health, is clearly defined in the kenya health sector strategic and investment plan khssp for july 2014june 2017 and the taking the kenya essential package for health to the community. It now defines health services and interventions to be provided for each. Health financing and family planning in the context of. Ministry of health afya house cathedral road po box 30016 00100.
Outline the components of the healthcare system and their outcomes. The kenya essential package for health keph is the new approach through which the goals of the national health sector strategic plan nhssp ii will be accomplished. Kenya essential medicines list 2016 universal health 2030. During this time, major health sector reforms, principally focusing on decentralization and an essential health package, occurred. This strategy document has now been revised to the current strategy. Promoting oral health in africa prevention and control of.
In addition and very crucially, mental health was integrated into. Essential package of health services country snapshot. Kenyas ephs, referred to as the kenya essential package for health, is clearly defined in the kenya health sector strategic and investment plan khssp for july 2014june 2017 and the taking the kenya essential package for health to the community. Apply health promotion concepts to several case studies and identify how a nurse could work with a patient, family, or community to foster health. The kenya essential package for health keph keph4 is a lifecohort based approach to the delivery of healthcare services, which defined in a comprehensive manner, the services which the sector is to prioritize so as to maintain health at all the different stages of life.