"... and on the either side of the river was there the tree of life, which bore twelve kinds of fruit, and yielded her fruit every month: and the leaves of the tree were for the healing of the nations." ... Rev 22.2

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Kenyan Quality Model for Health (KQMH) in CHAK health facilities

Introduction

Quality improvement in health care is currently a priority objective in Kenya. In 2012 the Department of Standards and Regulations under the Ministry of Health (MoH) launched the Kenyan Quality Model for Health (KQMH). CHAK is not only a member of the  Technical Working Group (TWG) that supports the department of Standards and Regulations in sensitization and awareness creation on KQMH but also contributed to the development of the curriculum for Trainers of Trainers (ToTs)  in quality model of health that will be used  in health facilities throughout Kenya.  This program is supported by Bread for the World, and the assistance included one full time technical advisor.

The KQMH is currently under review, and CHAK is a key participant in the process, focusing on success and active implementation of the KQMH not only in the government health facilities but also in the private and faith based health facilities. 

Quality management support for CHAK member health units with training and capacity building had achieved significant progress by the end of 2015. Quality in CHAK healthcare has potential to increase its competitive edge against the growing competition, improve customer satisfaction and hence grow the market share of the clientele base within their catchment areas. It will assist CHAK health facilities to manage external factors more effectively, enhance communication and inculcate continuing quality improvement.

Kenya’s devolution process has increased competition for service delivery. In addition Health facilities are being audited by NHIF regarding quality to support their accreditation and determine their rebates level. Therefore it is very beneficial for CHAK members to improve their quality of healthcare services.
 

Rationale

In 2012 the Department of Standards and Regulations under the Ministry of Health launched the Kenyan quality Model for Health (KQMH). CHAK was appointed to a Technical Working Group to support the department in sensitization of health facilities on KQMH and development of a syllabus for Trainers of Trainers in order to implement this model countrywide.

Finalization of the MOH-sponsored syllabus for the KQMH took longer than expected, hence CHAK developed a modular course to meet the demand from its members.

This modular course had the same content as the MOH syllabus and adopted a step-wise approach to building health facility capacities and systems.

It is important that CHAK member health facilities be trained in this quality model in order to improve their success factors within the devolved system. The model would also enable them to meet the NHIF criteria for compliance which is based on KQMH indicators of quality.

CHAK member facilities continue to express interest in quality management capacity building. CHAK has included quality management in her 2013-2016 revised strategic plan in view of its increasing importance. CHAK is represented at the KQMH Technical Working Group of the MOH and other stakeholder meetings on quality management in health care.

Implementation strategy

The programme is targeted to be implemented in the 20 largest CHAK hospitals as a start before rolling out to the smaller ones.

The objective of the project is to improve the overall quality of health care systems and services in CHAK member health facilities and also to contribute the Kenya Quality Model for Health nationally.

The implementation strategy is three-pronged:
1.    Capacity building
2.    Facility based quality improvement managers appointment
3.    Integration of KQMH in the health facility strategic plans

By the end of 2015, 10 CHAK health facilities had completed the 4 KQMH training modules while a total of seven CHAK health facilities had appointed quality officers

Nationally, Kenya had successfully completed the training of trainers (TOT) and certification was done in November 2015. The MOH has expressed the need to continue training, networking and sharing experiences.