KIPPRA conducts three regional health dissemination workshops
KIPPRA hosted three regional workshops to disseminate findings of a study titled ‘Assessment of Health Care Delivery under Devolved System’. The events were held in Nakuru (13th October 2017), Mombasa (17th October, 2017) and Nyeri (23rd October 2017) and attracted the participation of health sector leaders from all the 47 counties.
Kenya’s new Constitution introduced county governments and the devolution of various functions among them health care. The KIPPRA study, which was spearheaded by the Social Sector Division, was aimed at assessing health care delivery in the country under the devolved system of government.
The study endeavored to determine changes brought about by key policy reforms aimed at improving the delivery and uptake of health care services. The study assessed the extent of interaction between target communities and their respective county governments in planning and budgeting for the delivery of health care. It also explored citizens’ uptake of and perceptions on primary health care services in their respective counties. The study identified specific areas where public health care had improved since 2013 as well the challenges and constraints affecting healthcare delivery.
One of the key findings in the study is that health care services had generally improved since 2013. However, a number of constraints were reported including: Poor and varying remuneration for health workers; increase in the number of health facilities but are poorly equipped with staff and medicine; poor human resource management and development; rampant health workers’ strikes; inability to attract and retain specialists, especially in county health facilities; inadequate funding for the health sector; increased recurrent expenditure as opposed to focus on development needs; minimal health research in counties; poor public participation in health decisions and lack of a clear framework for citizen engagement; lack of a standardized framework to guide construction of health facilities hence substandard structures in some counties; poor water supply, sanitation and toilets in some counties; some staff lacking medical cover; risk allowance not applying to all staff; inadequate beds and ambulances; inadequate staff to man the recently leased health equipment such as for Renal, ICUs and ENT units across counties and irregular staff remittances by County administration to relevant authorities such as bank loan repayments, NSSF and NHIF.
The Nakuru forum brought together participants from Nakuru, Nyamira, Kisii, Migori, Homa Bay, Kisumu, Siaya, Busia, Bungoma, Kakamega, Vihiga, Trans Nzoia, Bomet, Kericho, Narok, Laikipia, Baringo, Nandi, Elgeyo Marakwet, Uasin Gishu, Samburu, West Pokot, and Turkana counties. Representatives from Nairobi, Kiambu, Kajiado, Murang’a, Kirinyaga, Nyeri, Nyandarua, Embu, Tharaka-Nithi, Meru, Isiolo and Marsabit counties converged in Nyeri while the Mombasa forum included health representatives from Makueni, Machakos, Kitui, Mandera, Wajir, Garissa, Taita Taveta, Lamu, Tana River, Kilifi, Kwale and Mombasa counties.
Three senior health officers from each county including the county executive officers in charge of health, county directors of health, officers in charge of administration and staffing, representatives of health workers and officers in charge of finance and procurement of health commodities participated in the forums.