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KENYA HEALTH SECTOR PARTNERSHIP

KENYA HEALTH SECTOR PARTNERSHIP. Third IHP+ Country Health Sector Teams Meeting Brussels, December 2010. Kenya Health Sector Partnership. PARTICIPATING PARTNERS Ministry of Medical Services (MOMS) Ministry of Public Health & Sanitation (MOPHS) Development Partners in Health (DPHK)

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KENYA HEALTH SECTOR PARTNERSHIP

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  1. KENYAHEALTH SECTOR PARTNERSHIP Third IHP+ Country Health Sector Teams Meeting Brussels, December 2010

  2. Kenya Health Sector Partnership PARTICIPATING PARTNERS • Ministry of Medical Services (MOMS) • Ministry of Public Health & Sanitation (MOPHS) • Development Partners in Health (DPHK) • Health NGO Network (HENNET) • Public-Private Partners for Health Kenya (PPPH-K)

  3. Kenya Health Sector Partnership Health SWAp Code of Conduct signed August 2007 • Ministry of Finance • Ministry of Health (now MOMS, MOPHS) • 15 Development Partners • 3 private-sector partners

  4. Kenya Health Sector Partnership Guiding Documents for the Partnership • Kenya Vision 2020 & medium-term plans • Kenya Health Policy Framework (KHPF) • Kenya Health SWAp Code of Conduct (COC) • National Health Sector Strategic Plan (NHSSP) • Paris Declaration commitments • Millennium Development Goals commitments • IHP+ commitments

  5. Kenya Health Partnership Structures • Health Sector Coordinating Committee (HSCC) • HSCC Steering Committee • SWAp Secretariat • Development Partners in Health (DPHK) • Health NGO Network (HENNET) • Inter-Agency Coordinating Committees (ICCs) covering 17 key systems and technical areas • Provincial and District Stakeholders Forums

  6. Joint Financing Agreement Joint Financing Agreement (JFA) for the Health SWAp signed in September 2010: • Ministry of Finance • Ministries of Health (MOMS, MOPHS) • DANIDA, World Bank • Other partners expected to join over time • Creates joint funding baskets for service delivery at all levels, procurement, HRH, capacity and systems development

  7. Monitoring the Partnership • Code of Conduct (COC) performance reviewed for past 3 years as part of annual sector performance monitoring processes. • COC indicators largely match Paris Declaration and IHP+ partnership indicators. • COC tools still need improvement and are reviewed and updated annually based on reporting experiences.

  8. Status and Progress Country Ownership • Split of MOH into MOMS and MOPHS in 2008 has fragmented leadership in the sector. • Quality of coordinating structures is improving, but still needs attention. • New challenges for the sector are emerging from new Constitution – decentralization, and constitutional “right to health”

  9. Status and Progress Alignment with Country Systems • Remains a challenge: DPs perceive GOK systems to still be weak and high-risk for channeling funds and monitoring inputs. • Systems-strengthening efforts are in progress, but are not well harmonized and coordinated. • Some partners cannot move towards budget support, but all are willing to improve efforts to strengthen GOK systems.

  10. Status and Progress Harmonisation • Still a challenge: many parallel structures and processes place undue burdens on MOHs and result in duplication of efforts and fragmented support to national programmes. • But there is renewed commitment from all partners to improve on harmonization and coordination. • New JFA provides opportunities for coordinated basket funding.

  11. Status and Progress Managing for Results • Joint planning and review processes have improved considerably, but still need attention. • HMIS systems are providing better quality data, and systems strengthening continues. • Data to monitor equity issues is improving. • Use of data for decision-making still needs improvement at all levels.

  12. Status and Progress Mutual Accountability • Work on improving comprehensive sector budget and expenditure reporting and analysis continues. • Sector reporting to the public on plans and achievements needs more attention.

  13. Kenya Partnership Dashboard (1) • xx

  14. Kenya Partnership Dashboard (2) • xx

  15. Kenya Partnership Dashboard (3) • xx

  16. Kenya Partnership Dashboard (4) • Most indicators stagnated; these are mainly to do with issues of alignment • Three out of 12 indicators (10%) to do with country ownership, managing results and mutual accountability showed improvement from past years.

  17. Way forward Ownership • Develop new Health Sector Policy and NHSSP III • Undertake capacity building on leadership of MOH and County teams Alignment • Operationalize JFA and encourage additional DPHKs to join • Strengthen GOK financial management and procurement systems Harmonization • GOK and DPs to increase efforts to harmonize inputs on systems strengthening and key programme support. Managing for results • Institutionalize data quality monitoring systems and regular quarterly reporting • Build capacity and improve practices of using data for decision-making. Mutual accountability • Introduce annual ‘health status of the nation’ reports

  18. Conclusions • The Kenya Health Sector Partnership has progressed considerably over the past few years, though still has challenges to address. • Efforts should concentrate on improving alignment and harmonization for the sector to move forward on issues set out in Paris Declaration, IHP+ and MDG commitments.

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