CHAK Strategic Plan 2011-2016 has categorized the core objectives and activities into seven strategic directions:
Strategic direction 1: Health service delivery
- HIV& AIDS programs – prevention, treatment, care, support and stigma mitigation
- Health Programs and policy – these include malaria, TB, reproductive health, eye care, communicable and non-communicable diseases
- Essential drugs access and rational drug use
- Coordination of capacity building
- Technical support to Member Health Units
- Disaster preparedness and emergency response in Member Health Units
- Primary Health Care through implementation of the Community Strategy
Strategic direction 2: Health systems strengthening
- Enhanced participation of Member Health Units in health sector joint planning and monitoring (Annual Operational Planning and District Health Sector Stakeholders Forums)
- Support efforts towards specification of medical equipment in Kenya through participating in Kenya Bureau of Standards (KEBS) standards committee
- Mobilization of resources through project proposals in response to relevant specific areas of felt needs by MHUs
- Technical architectural support services
- Medical Equipment management through Health Care Technical Services (HCTS) for all church health facilities
- Governance and management support for MHUs
- Capacity strengthening of CHAK Regional structure (RCCs) and further devolution to the County level
Strategic direction 3: Governance and accountability
- Support to CHAK governance structures
- Financial management and reporting
- Internal and external audit services
- Donor compliance and reporting
- Ensure Legal/statutory compliance
- Support MHUs in the strengthening of financial management policies
- CHAK secretariat administration including procurement and logistics support
- Assets maintenance and management
Strategic direction 4: Research, advocacy and communication
- Conduct operational research to inform programmes improvement and document best practices and lessons learnt
- M&E for projects and programmes
- HMIS for health service and systems data and resource management
- ICT to enhance information retrieval, processing, dissemination and storage
- Publications and Resource Centre for information storage and dissemination
- Conduct Advocacy for the implementation of the MoU between Government and Faith based health services
Strategic direction 5: Human resources for health
- Facilitate Generic CHAK HRM Policy Manual implementation
- HRM capacity building
- Support to CHAK Medical Training Institutions
- HRH motivation and retention strategies
- Performance based management systems implementation
- Work climate improvement initiatives
Strategic direction 6: Health care financing and sustainability
- Conduct a costing study of health services for evidence based service pricing
- Enhance efficiency in resource management through implementation of CHAK HMIS software
- Partner with NHIF for inpatient & outpatient insurance medical cover including support health facilities in compliance and mobilization of communities for NHIF enrolment
- Explore and promote innovative Income Generating Activities
- Capacity building in proposal writing for fundraising for MHUs
- Support CHAK Guest House & Conference Centre in the development and implementation of a Business Strategy
Strategic direction 7: Grant management
- HSSF fund disbursement and reporting systems development and monitoring for CHAK Health facilities
- AIDS Relief project site management - funds disbursement and accountability
- Global Fund sub-sub recipient function for MHUs
- Technical assistance/capacity building in financial management
Below is more information on some of the core CHAK activities
Advocacy and lobbying
CHAK has achieved notable recognition and involvement in policy discussions in line with the substantial role played by its members in health care provision in Kenya. CHAK lobbies on behalf of its members with Government and other stakeholders in health for allocation of resources, secondment of staff and involvement in policy dialogue.
CHAK serves as the secretariat for the MOH-FBHS-TWG, a structured forum for regular engagement with the Government and Development Partners in health. Through strategic advocacy and the work of the MOH-FBHS-TWG, the Faith Based Health Services providers completed the process of developing an MoU with Government. The MOU was signed in July 2009 by religious leaders from CHAK, KEC and SUPKEM and Permanent Secretaries in the Ministry of Medical Services and Ministry for Public Health & Sanitation.
CHAK engages both reactive and proactive approaches to advocacy depending on the issues to be addressed. Operational research and documentation is done to build an evidence base to support advocacy efforts while a database of CHAK MHUs and the health services they provide is maintained at the Secretariat. CHAK collaborates with KEC, MEDS, SUPKEM, HENNET and other stakeholders in its advocacy efforts.
CHAK has hosted the Africa Christian Health Association’s Platform (ACHAP) Secretariat since 2007. ACHAP creates major opportunities for advocacy within the African continent and also globally in various international events.
CHAK being an ecumenical national network presents a unique forum and opportunity for networking and exchange of experiences as well as resources among members. CHAK facilitates networking between members through Regional Coordinating Committees, the Annual Health Conference and Annual General Meeting, inter-facility visits, sharing of information and publication of articles in the network newsletter, CHAK Times.
CHAK networks with other organizations both nationally and internationally, working closely with the Ministry of Health, NACC, NASCOP, KEC, HENNET, KENAAM, APHIAPlus projects, AfriAfya, and other health sector stakeholders.
CHAK recognizes the need for Church health facilities in Africa to share best practices and experiences for lesson learning. The Association networks with other Christian Health Associations in Africa through the Africa CHAs Platform (ACHAP). ACHAP produces the Africa CHAs Bulletin quarterly in both English and French to aid in sharing of best practices among Christian Health Associations in Africa and their partner organizations. It also hosts the Biennial CHAs Conference which in various regions of Africa every two years.
Medical equipment programme
CHAK runs a Medical Equipment Programme known as Health Care Technical Services (HCTS), which procures, installs, repairs and maintains medical equipment in church health facilities in Kenya. The programme operates a National HCTS workshop for medical equipment maintenance and facilitates procurement of spare parts and medical equipment.
The workshop technicians provide a wide range of routine maintenance services and specialize in X-ray and anesthesia equipment installation and maintenance, serving church health facilities around the country.
Promoting access to essential drugs and medical supplies through MEDS
CHAK in partnership with the Kenya Episcopal Conference (KEC) own and support a drug procurement agency, Mission for Essential Drugs and Supplies (MEDS). MEDS has over 25 years experience in providing essential drugs and medical supplies to faith-based and other non-profit making health facilities in Kenya and eastern Africa, benefiting poor and marginalized communities.
The quality of drugs from MEDS is guaranteed through stringent supplier evaluation and quality analysis in its World Health Organisation pre-qualified laboratory. MEDS also provides training and technical support in rational drugs use and stock management for FBO Health Facilities.
HIV AIDS programmes
CHAK through its member health facilities provides comprehensive HIV/AIDS prevention, care and treatment services. The strategies engaged include behavior change communication, pediatric and adult ARV treatment, PMCT, VCT, home-based Care (HBC) including palliative care, Post Exposure Prevention/Prophylaxis (PEP) and management of opportunistic infections.
CHAK has run several HIV prevention, care and treatment projects with funding from PEPFAR (USAID and CDC) and Global Fund. CHAK has been a consortium member in the APHIA II USAID funded projects and the follow on APHIA Plus project. The AIDSRelief Project funded by CDC/HARSA through the CRS Consortium has contributed to major capacity building of CHAK in high quality HIV treatment.
The CHAK network has several CD4 count and viral load machines to enable health facilities provide good quality and comprehensive care and treatment for HIV/AIDS patients.
CHAK facilitates capacity building of health workers in HIV/AIDS prevention, treatment, care and support through seminars and facility based mentorship.
A key area of focus for CHAK is stigma reduction and mitigation of rights of PLWHAs through a project titled 'Promoting access to justice for PLWHAs in Kenya'. The organization collaborates with other stakeholders in HIV/AIDS policy development, planning and implementation and works closely with NASCOP and NACC.
Communication, documentation and publication
Communication is central to ensuring CHAK members and the Secretariat are constantly updated on policy and other developments in the health sector and the network.
CHAK publishes and disseminates a network newsletter CHAK Times, the Association’s Annual report, reports of major CHAK events, research findings and other publications.
A database of CHAK members is maintained at the CHAK Secretariat to enhance efficiency in information dissemination while a resource centre located at the Secretariat provides MHUs with access to information in both electronic and printed form.