Advocacy and engagement with MOH, NHIF and County Goverments
One of the core mandates of CHAK is advocacy, partnership and representation of Protestant Churches Health Services with Government, international organizations including UN Agencies, Development Partners and Private Sector. CHAK has evolved into a credible voice of the faith based health sector in Kenya and Africa. Through our approach of nurturing strategic partnerships, value based interactions and evidence based advocacy, CHAK has continued to grow its organizational image in the health sector.
Advocacy activities in 2015
At national level, CHAK continues to play a key role in providing leadership to the Faith Based Health Services Coordinating Committee (FBHSCC). This committee coordinates joint engagement on matters of common interest. Through this committee, the Faith Based Health Sector in 2015 selected representatives to the Kenya Coordinating Mechanism (KCM) for Global Fund, PEPFAR CSO Leadership Team and NHIF Board FBO nominees.
The FBHSCC also held a meeting with KCM and Global Fund Projects Principal Recipients which discussed Global Fund supported projects performance in Kenya, the contribution of FBOs and opportunities for enhancing FBOs engagement and access to funding. The FBHSCC is coordinating joint efforts for engaging Development Partners for Health in Kenya (DPHK)
The General Secretary of CHAK, Dr Samuel Mwenda was elected Vice-Chair of KCM to deputize the Principal Secretary (PS-MOH). This has provided opportunity to interact with Global Fund structures at leadership level in Kenya, the Africa Region and Globally.
As the chair of the KCM Management Sub-Committee, Dr Mwenda was appointed to co-chair the Council of Governors Health Committee – Global Fund KCM engagement strengthening sub-committee. The meetings created valuable opportunity for the General Secretary to build partnerships for CHAK and the FBO health sector.
Opportunities to collaborate with County Health Management teams in the implementation of Malaria and TB prevention and management programmes in the counties were enhanced and CHAK served effectively as a sub-recipient of Global Fund grants that supported services delivery to communities in various counties.
In addition, CHAK advocacy resulted in the allocation of two new TB diagnostic technology equipment known as GeneXpert which were procured by the MOH through Global Fund Grant. These equipment are serving in the regional referral labs in PCEA Chogoria and AIC Kijabe hospitals.
NHIF Rebates Review
Our persistent partnership and advocacy engagement with NHIF gave rise to positive results. NHIF has introduced new in-patient medical cover rebates and new out-patient medical cover through capitation. NHIF members are required to register with accredited service providers where they would be receiving their outpatient services. Out-patient services are funded through capitation arrangement where each beneficiary is allocated a budget of Ksh1,200 per year and the funds paid in advance quarterly.
The maternity delivery package has been enhanced. Normal delivery rebates have risen from Ksh8,000 to Ksh10,000 while for Caeserian Section the package has been enhanced from Ksh16,000 to Ks 30,000.
Dialysis support for patients with kidney failure has been improved from Ksh2,500 to Ksh8,000 per session. Daily In-patient rebates for FBO Hospitals have been enhanced from a range of Ksh1,600 – 2,200 to a range of Ksh2,500 – Ksh3,500 per day depending on hospital facilities, services and capacity.
CHAK welcomed with appreciation the improved benefits package and compensation to providers and will be monitoring the impact on service provision by MHUs to facilitate evidence based advocacy and further partnership engagement with NHIF.
Introductory meetings were held with various counties. Follow up meetings were also held between the county departments and specific MHUs. The counties engaged for introductory meetings during the period were Turkana, West Pokot and Elgeyo Marakwet. The county engagement meetings encouraged CHAK MHUs and other FBOs to work in partnership with MOH to support health service delivery through sharing the limited resources available from both parties.