24 May 2025

24 May 2025

Brief Summary

The speaker discusses Kenya's efforts to digitize healthcare services, improve facility financing, and collaborate with the private sector. Key points include the use of digital tools by community health promoters, the digitization of health facilities for better data sharing and referral systems, the ability of health facilities to retain and reinvest funds they generate, and the benefits of these models for private sector investment and expanded healthcare coverage.

  • Digitization of community health services and facilities.
  • Improved financial autonomy and accountability for health facilities.
  • Collaboration with the private sector to enhance healthcare infrastructure and services.

Digitization of Community Health Services

Community health promoters in Kenya use digital phones to record basic health information, such as blood pressure and blood sugar levels. They also remind mothers and caregivers about prenatal care and child immunizations. This data is transmitted and shared across health administrators, which facilitates the digitization of health facilities.

Interoperability and Referral Systems

The digitization efforts enable the interrelatability of data between health facilities, creating an efficient referral system. Community health promoters can refer patients to the nearest primary care network, and from there, patients can be referred to secondary and tertiary institutions as needed.

Private Sector Collaboration

Kenya collaborates with the private sector to avoid overburdening the public health infrastructure. This collaboration extends to specialized hospitals, warehousing, and logistics, including tracking drugs from their origin to the consumer.

Facility Improvement Financing Act

Kenya recently passed the Facility Improvement Financing Act, which allows health facilities to retain and reinvest the funds they generate from service delivery. This policy strengthens financial autonomy and accountability at the facility level. Funds allocated from the national government go directly to the specific facility without intermediaries.

Financial Autonomy and Resource Management

The Facility Improvement Financing Act gives health facilities autonomy, allowing them to generate more funds through donations from partners. These donations go directly to the facilities to improve infrastructure, commodities, staff retention (human resources for health), and equipment.

Reinvestment and Service Improvement

Internally and externally generated resources are reinvested directly into service improvement and infrastructure upgrades. This model helps to derisk investments for private players while achieving value for money and expanding healthcare coverage for all citizens.

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