It is a starting point for managers, programme officers, monitoring and evaluation staff and others. Senior lecturer,university of nairobi, school of education. 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. Provision of essential health package in public hospitals.
Kenyas community health workers today, world vision supports an estimated 4,725 community health workers in kenya. More than 60% of mothers are not attended by trained health personnel during. The unicef somalia representative sikander khan speaking at the launch of the essential package of health services in mogadishu on 6 may 2014 about the urgent need to reduce the unacceptably high number of preventable child deaths in somalia. Globally, there is an acute shortage of human resources for health hrh, and the greatest burden is borne by lowincome countries especially in subsaharan africa and some parts of asia. The kenya essential package for health keph introduced in the nhssp ii.
The nhif benefit package is modelled along the kenya essential healthcare package. The kenya essential package for health keph introduced. Kenyas ephs, referred to as the kenya essential package for health, is clearly defined in the kenya health sector strategic and. A manual for training community health extension workers. The essential health package, a government program launched in the early 2000s, places emphasis on immunization, reproductive health, and nutrition. What to purchase in the absence of a health financing strategy, benefit objectives and priority setting have not always been explicit or transparent. It may not be sold, or used for any commercial purpose. 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. 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. Clinical care should be provided as indicated in the essential package of care for adults in addition to the following.
The snapshot explores several important dimensions of the ephs in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. The kenya essential package for health keph introduced six lifecycle cohorts1 and six service delivery levels2. 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. Qualitative study conducted in eight health facilities. Essential package of health services launched in somalia. Kenya essential package for health keph key health system actors and their roles national strategy and action plan for quality improvement qi. Health and sanitation mophs, and its partners in kenya.
Kenyas prevailing population growth rate remains above the countrys resources inspite of endeavours to manage the population growth to levels. This shortage has not only considerably constrained the achievement of health related development goals but also impeded accelerated progress towards universal health coverage uhc. To promote, respect and observe the rights of persons with mental disorders in accordance with national and international laws. Key health messages for level 1 of the kenya essential package for health a manual for community health extension workers and community health workers published by. A strategy for the delivery of level one services, intends to make keph a reality at level 1 the community level. Health and recovery plans harps will manage care for adults with significant behavioral health needs. It now defines health services and interventions to be provided for each. Health policies in kenya and the new constitution for vision 2030 agnes w. Accelerating attainment of universal health coverage kenya health sector strategic and investment plan khsspi. Keph kenya essential package for health kemsa kenya medical supplies authority knbs kenya national bureau of statistics. Halt, and reverse rising burden on non communicable conditions 23.
Mental health policy in kenya an integrated approach to. The implication of the shortage of health workforce. Perhaps the biggest change will be at the interface between community and the health sector, where it is proposed that a. Ministry of health sector planning and monitoring department afya house po box 3469 city square nairobi 00200, kenya email. 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. Essential health package malawi government program. Perhaps the biggest change will be at the interface between community and the health sector, where it is proposed that a cadre of voluntary workers be introduced. Health financing and family planning in the context of. Keph kenya essential package for health kemsa kenya medical supplies agency kepsa kenya private sector alliance. 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.
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. Jun 28, 2010 in addition and very crucially, mental health was integrated into. Outline the components of the healthcare system and their outcomes. The essential packages manual is a comprehensive guide for successful sexual and reproductive health and rights programmes for young people. Taking forward action on hrh world health organization. Addressing the sexual and reproductive health srh needs of young people remains a challenge for most developing countries. The kenya essential package for health at level 1 water sector. The kenya health policy 20122030 offers guidelines to ensure momentous improvement in the status. Pdf provision of essential health package in public. Nov 14, 20 addressing the sexual and reproductive health srh needs of young people remains a challenge for most developing countries.
It was prepared by jenna wright for the health finance and governance project. Jmp service ladders for water services in health care facilities in kenya 40. Kenya reproductive, maternal, newborn, child and adolescent health rmncah investment framework ministry of health government of kenya jan uary 31, 2016. A strategy for the delivery of level one services, was developed in 2006. Essential package of health services country snapshot. Kenya essential package for health keph health service levels, source. 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. Kenya essential medicines list 2016 health publications. In contrast, in richer countries, packages are often described according to what they exclude. The kenya health policy 201430 commits to strengthening the health care system and service delivery, and the kenya health sector strategic and investment plan 201418 aims to achieve the highest possible health standards responsive to peoples needs moh 2014a, b, moh 2012. This document, taking the kenya essential package for health to the community. The kenya essential package for health at level 1 a manual for training community health extension workers published by.
Among the main functions of this cadre is providing basic preventive and curative health care services at household level, as. Read more inspire your inbox sign up for daily fun facts about this day in history, updates, and special offers. This study explored the perceptions and experiences of health service providers hsp in providing srh services to young people in kenya. Kenya essential package for health keph at the community level. Sexual reproductive health service provision to young. 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. This strategy document has now been revised to the current strategy. 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. View norms and standards for health service delivery. Kehp kenya essential health package kemsa usaid united states agency for international development. 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.
In addition and very crucially, mental health was integrated into. Ministry of health national health policy contents page 1. In this regard, the national ministry of health and the county health departments will continue to provide stewardship in coordination of the sector and further strengthen future engagement processes. Rwandas community health worker programr summary background the rwanda chw program was established in 1995, aiming at increasing uptake of essential maternal and child clinical services through education of pregnant women, promotion of healthy behaviors, and followup and linkages to health services. As other areas of health planning, formulating an essential service package is a valueladen exercise, even when wrapped in apparently objective cloths. This shortage has not only considerably constrained the achievement of healthrelated development goals but also impeded accelerated progress towards universal health. Keph kenya essential package for health khp kenya health policy khssp kenya heath sector strategic and investment plan kmtc kenya medical training college knh kenyatta national hospital kqm kenya quality model llitns long lasting insecticides treated nets mf malefemale mch maternal child health. Essential health service packages world health organization. The kenya essential package for health, keph, has been updated to reflect this focus. Although they are volunteers, chws have a significant role to play in delivering the kenya essential package for health at the community level. Essential public health functions, health systems, and health security developing conceptual clarity and a who roadmap for action 3 capacities and institutional arrangements that can transform health care delivery into a people and communitycentred model of care.
Effectiveness of kenyas community health strategy in. Kenya environmental sanitation and hygiene strategic. Jmp service ladders for waste disposal in health care facilities in uganda 36 figure 27. Community strategy the kenya essential package for health. Kenya has therefore developed a set of services to be provided to its citizens. Kenya health strategic plan east africa centre for. Key policy directions building blocks and outcomes of the healthcare system kenya essential package for health keph key health system actors and their roles national strategy and action plan for quality improvement qi.
Sexual reproductive health service provision to young people. The comprehensive primary health care services package introduction at the request of the department of health, a comprehensive primary health care service package of primary health care services has been developed by the centre for health policy university of the witswatersrand and the centre for. The document was developed through wide consultation among stakeholders in the sector to help revitalize community health services 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. Community strategy the kenya essential package for health kephs. Essential public health functions, health systems, and health security developing conceptual clarity and a who roadmap for action 3 capacities and institutional arrangements that can transform health care delivery into a people. Keph kenya essential package for health kqmh kenya quality model for health lcd liquid crystal display mdgs millennium development goals moh ministry of health moms ministry of medical services mophs ministry of public health and sanitation nhssp national health sector strategic plan pdca plan, do, check, act. During this time, major health sector reforms, principally focusing on decentralization and an essential health package, occurred. Keph kenya essential package for health kessa kenya scholars and studies association kfs kenya fertility survey.
While acknowledging the sectors longstanding human resource challenges, the ministry of health. They will facilitate the integration of physical health, mental health, and substance use services for individuals requiring specialized approaches, expertise and protocols which are not consistently found within most medical plans. Essential health packages ehp delivery is likely to strengthen service delivery. Maternal mortality ratio and neonatal mortality rate trends in kenya have remained unacceptably high in a decade. The healthcare system in kenya usaid assist project. To integrate the mental health services within the kenya essential package for health keph d. A strategy for the delivery of level one services community health strategy. Keph proposed in the second national health sector strategic plan 2005. The packages eventually chosen at the end of long and labourintensive formulation processes are frequently unimaginative versions of the standard set of phc services. 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. 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. Objectives by the end of the unit, the participant will be able to.