June 2018

iiiKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

1 1

2

2.2

2.3

2.4

3.2 ..........................................................................................................20

3.3

4......................................................................................................30

4.2

4.3 ..................................................................................32

................................................................................................................33

5

.....................................................................36

5.2 ...........................................................................................38

5.3 ..........................................................................42

5.4 ......................................................................................47

5.5 ..................................................................50

5.6 .........................................................................................56

5.7 .............................................................................................58

5.8 ...........................................................................60

6.2 ........................................................................................................................63

6.3 .....................................................................................................................64

........................................................................................................65

7.2 ......................................................................................70

7.3 .....................................................................................................76

7.4 .....................................................................................................76

iv Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

.............................................................................80

8.2 ............................................................................83

8.3 ............................................................84

8.4 ..........................................................................................................................84

.........................................................2

.................................................................................6

..............................7

..........................................20

.........................................................................................................................22

.........................................................................................................................................................24

...............................25

.........................27

............................................................28

......29

..................................................32

.......................................33

...................................................................................................................33

...............................................................................35

...........................................................................................36

...................................................38

vKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

...........................................43

.......................................................................................................44

.................................................................45

......................................................................................46

......................................................................................47

..................................................................................49

................................................................................................53

.....................................................................................57

.........................................................................................59

.......................................................................................................60

....................................62

............................62

..............................................................................................................................................63

......................63

........................64

..............................................................64

........................................................64

.....................................................................................65

....................................66

.......................................................66

.........................................................................66

......................................................................................68

.........................................................................77

.......................................................................80

vi Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

....................................6

....................................................................................30

.................................................................................................34

...........................................................36

.......................................................................39

.........................................................................................39

.........................................................47

..................................................47

....................................................50

.........................................................................................................56

..........................................................................73

.................................................................79

viiKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

viii Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

FOREWORDThe development of the Kenya Health Sector Strategic and Investment Plan 2014-2017 is guided by

country with a high quality of life by 2030” by transforming the country from a third world country into an

approach involving all the key stakeholders in the health sector, while taking cognizance of all new actors

milestones in a way that is responsive and accountable to the health needs to Kenyan people. We look

James W Macharia

Cabinet Secretary

Ministry of Health

ixKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

PREFACE

achieved through appropriate policies and programs the health sector will undertake.

the strengths, challenges and some of the underlying weaknesses within the current social, economic and

in the plan to the health goals.

outcomes that will be targeted for the people of Kenya, outputs required to be achieved across the

based approach, and it allows a clear focus on the clients of the health services and linkages of health

My acknowledgement goes to all various stakeholders who contributed towards development of this plan.

The development of the plan was made possible through the technical advisors obtained from our

of Universal Health Coverage in our country and improving Kenyans’ quality of life.

Dr. Khadijah Kassachoon

Principal Secretary

Ministry of Health

x Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

xiKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

xii Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

xiiiKenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

xiv Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

326 458 530 604

335 335 335 335

1Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2

3

1 The Government of Kenya developed the Kenya Vision 2030

2 Kenya Health Policy, 2012 - 2030

3 End Term Review of the Kenya Health Policy Framework, 1994 – 2010

2 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

4

5

4 United Nations, 1948. Universal Declaration of Human rights, Article 25

3Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

-

4 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

5Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

6 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

29.3 24.2

2 9.0 2

3 3 7.2

4 6.3 4

5 6.0 5 6.0

6 5.8 6 4.8

7 3.3 7 2.0

8 2.8 8

9 9

Source: Respective Demographic and Health Surveys

7Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

5

8 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

- -

-

-

- -

-

-

-

-

-

-

-

-

-

-

- -

-

-

- -

9Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

-

-

-

-

-

- - -

-

-

-

-

-

-

-

-

10 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

11Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

equitable,

60 72

5.4

8

12 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

13Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

(scale up of

-

-

-

14 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

INPUTS/PROCESSES OUTPUTS OUTCOMES IMPACT

IMPROVED QUALITY OF CARE

Eliminate Communicable condi�ons

Halt / reverse Non Communicable Diseases

Reduce violence and injuries

Provide essen�al health care

Minimize risk factor exposure

Strengthen cross sectoral collabora�on

BETTER HEALTH,

IN RESPONSIVE

MANNER

H

TL

AE

HS

EC

RU

OSE

R

KHSSP Chapter 6

KHSSP Chapter 5

KHSSP Chapter 4

KHSSP Chapter 3

KHSSP Chapter 2

HIGHER DEMAND FOR SERVICES

BETTER ACCESS TO SERVICES

Organiza�on of Service Delivery

Human Resources for Health

Health Infrastructure

Health Products & Technologies

Health Informa�on

Health Leadership

Health Financing

Health Research

15Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

16 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

Current HealthServices

KEPH aspira�on

17Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

18 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

19Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

Policy Objective KEPH Services Program areas contributing to KEPH services

HIV TB MAL NCD NTD VIP NUTAccelerate reduction of the burden of Communicable Conditions

ImmunizationChild HealthScreening for communicable conditionsAntenatal CarePrevention of Mother to Child HIV TransmissionIntegrated Vector ManagementGood hygiene practicesHIV and STI preventionPort healthControl and prevention neglected tropical diseases

Halt, and reverse the rising burden of non communicable conditions

Community screening for NCDsInstitutional Screening for NCD’sWorkplace Health & Safety Food quality & Safety

Reduce the burden of violence and injuries

Pre hospital CareCommunity management of violence and injuriesDisaster management and response

Provide essential health services

OutpatientsEmergencyMaternityIn patientClinical laboratorySpecialized laboratoryRadiologyOperativeSpecialized therapySpecialized servicesRehabilitation

Minimize exposure to health risk factors

Health Promotion (including health Education)Sexual educationSubstance abuse

Physical activity

Strengthen collaboration with health related sectors

Safe waterSanitation and hygieneNutrition servicesPollution controlHousingSchool healthWater and Sanitation Hygiene

Population managementRoad infrastructure and TransportVeterinary services

20 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2013/14 2014/15 2015/16 2016/17 2017/18

79 85 88 90 90

50 70 95 95 95

85 85 90 90 90

63 80 90 90 90

60 70 80 90 90

44 60 85 85 85

30 45 58 70 85

40 20 5

49 60 85 85 90

50 50 45 40 35

50 50 60 70 75

3 3 2

3 5 5 3

3 3 2 2

2 3 3 2

4 4 3 2 2

0.5 0.5

8 6 5 3

44 46 50 60 65

45 65 75 80 80

400 350

60 50 35 20

8 6 5

30 25 20 5

0.40 0.60 0.70 0.85 0.90

36 50 70 80 80

6

35 25

32 50 70

30 60 80

21Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2013/14 2014/15 2015/16 2016/17 2017/18

85

40 30

60 70 85

35 30

5

60 70 75 80 80

34 45 70

65 75 80

30 40 50

35 50

34 50 55 70 85

22 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2

2 2

2 2

2 2

2 2

2 2

3 All

3 All

4

2

2

2 All

2

3 All

All

All

5 All

4 All

3

4

4

2

All

All

All

All

All

All

All

4 All

3 All

4 All

4 All

All

3 All

3 All

3 All

3 All

3 All

3 All

All

2 All

23Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

3

2

2

4

4

5

4

4

4

4 2

4

4

4

All?

4 All

All

24 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

All

4 All

All

All

All

4 All

4 All

2 All

-

-

-

25Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2 All

2 All

3 All

3 All

3 All

4 All

5 All

3 All

4 All

4 All

3 All

4 All

4 All

3 All

3 All

3 All

3 All

4 All

4 All

3 All

4 All

4 All

4 All

2 All

4 All

3 All

3 All

4 All

4 All

5 All

6 All

4 All

3 All

4 All

4 All

5 All

5 All

4 All

4 All

2 All

4 All

4 All

5 All

5 All

4 All

4 All

26 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

6 All

6 All

6 All

6 All

6 All

3 All

4 All

4 All

4 All

6 All

6 All

6 All

6 All

6 All

5 All

3 All

2 All

3 All

3 All

4 All

4 All

5 All

5 All

5 All

5 All

6 All

6 All

6 All

6 All

5 All

4 All

4 All

4 All

4 All

4 All

4 All

4 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

5 All

4 All

4 All

4 All

4 All

27Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2

2

2

3

4

4

2

2

2

2

2

All

2 All

3 All

2

2

28 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

29Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

4 All4 All

All4 All4 All4 All4 All4 All

AllAll

4 All4 All4 All2 All

All2 All3 All4 All2 All4 All4 All4 All4 All4 All4 All4 All4 All

2 All2 All2 All2 All4 All4 All4 All4 All4 All4 All2 All

All4 All4 All4 All4 All4 All

All3 All

30 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

31Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

32 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

33Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2 3 4

80 90 90

65 80 90

85 95 95

80

83 88 90

45 20

70 85

8 5

5.6 4.5 4

90

2 3 4

34 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

35Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

20 30 459035 65 8045 85 95

70 855 7 740 65 70

5 255 45 40

2.5 2.525 60 705030 25 258 2 2

4.5 82 2.5

60 25 565 80 8033 25

80 85700500400 47 470 8065 95 9570

5025 70 8525 70 853 5 53 20 2030

36 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

37Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

38 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0 47 47

0 6 20

0 25 47

2 5 8

439

0 47 47

47 47 47

0 47 47

0 6 30

0 20 47

0 6 20

-

-

-

39Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

40 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

41Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0

0 48 48

0

0

0

0 30% 80%

0 47 47

0 47 47

0 49 49

0 47

0

0

0

0

0

0

0

0 47 47

0 47 47

0 47

0 47

0 30

2 4

42 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0

0 2 4

6 20 47

2 4 4

30%

0 2 4

0

0

0 2 2

43Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0.40.4

962 0.2359

2.5

0.3

7.20.53.73.0

03.0

3.0572

0.6 0.4

452947 0.2585552495506

0.2

0

8.7

05.42.6

4670.7

00.9 0.7

724 0.2

0.6

0.30

753 0.2576

0.6

28.327.50.8

7040.6

0.20.40.9

0

825 0.2

2.02.72.20.9

0.8

2.50.6

749 0.2

44 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

2239 0.54 69.9%

2 4723 64.7% 35.3%

3 772 34.7% 65.3%

4 27.9%

5 25.9%

6 0.07 70.0% 30.0%

7 0.04 62.4% 37.6%

8 0.04 60.0% 40.0%

9 552 60.3% 39.7%

0.27 53.3% 46.7%

477 66.9%

0.03 67.4% 32.6%

0.07 34.0% 66.0%

206 0.05 58.7%

2909 0.70 58.7%

0.36 47.2% 52.8%

497 53.7% 46.3%

347 0.08 42.7% 57.3%

496 27.4% 72.6%

20 0.30 70.8% 29.2%

737 26.9%

22 68.3%

23 82.5%

24 207 0.05 57.5% 42.5%

25 239 0.06 57.7% 42.3%

26 583 36.9%

27 845 0.20 94.2% 5.8%

28 2492 0.60 36.8% 63.2%

29 452 37.2% 62.8%

30 0.03 38.9%

9682 2.32 44.2% 55.8%

32 395 0.09 42.8% 57.2%

33 347 0.08 75.5% 24.5%

34 0.04 48.0% 52.0%

35 0.00 40.0% 60.0%

36 6 0.00 0.0%

37 28 67.9%

38 8306 49.7% 50.3%

67075 44.3% 55.7%

45Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

408

262

5

206

through;

o

o

o

o o o

management

o o

o

46 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0 47 47

0 30

30 30

0 2 5

0 30

30%

3 5

0

0 47 47

0

47Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

44 440

9 44 554 439

48 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

6

49Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0

20 47

0

0 47 47

0 47

30

30

2 2

?

2 2

47

50 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

30

300

51Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

7

52 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

53Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

00000

000

Establish HTA (national HPT appraisal mechanism)*

Institutionalize Heath Technology Assessment (HTA) to guide evidence-based use of EHPTFunctioning HTA system

01

1n/a

50%100%

0047

47

0

60%

54 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

03

3

0 0 0 030

47

0 0 0 047

47

047

47

050

%

0 050

%

0 0

75%

55Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018 55 July 2014 – June 2018

000000

048

48

048

48

9

56 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

57Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

4 4 4

0 47 47

30

5 70

0 47 47

0 47 47

0 47 47

?

0 2 2

0

0

4 4

0 4 4

58 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

59Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

0

0

0

20% 25% 40%

0% 40% 50%

care

3% 2%

60 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

4 4 4

40

0 2 2

0

61Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

62 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

326 458 530 604

335 335 335 335

335 335 335 335

63Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

335 335 335 335

%45%

6%100%

64 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

45%

29%

0 0 0 5%

0 0 0 0 0%

0 0 0 0 2%

0 0 0 0

100%

28%

23%

998 998 984 969

65Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

8

8 Transition to devolved Government Act 2012

66 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

67Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

9

9 Section 46(1)b of the County Government Act of 2012. Section 148(5) of the Public Finance Management Act of 201210 Article 176 (2) of the Constitution of Kenya

68 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

69Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

70 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

71Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

KNH

72 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

-

-

-

-

-

73Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

o

o o

21

74 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

75Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

76 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

77Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

78 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

79Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

80 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

52 56 65

95 80

400 300

25

74 50 35

45 30 20

30 20

80 80 80

8

6 5 4

4 4 3

2

45 30 20

65 78 85

79 90 90

50 95 95

85 90 90

63 90 90

60 90 90

44 85 85

30 70 85

40 5

49 85 90

81Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

50 40 35

50 70 75

2

5 3

2 2

3 2

4 2 2

0.5 0.5

5 3

44 60 65

45 80 80

400

60 20

6 5

30 5

0.40 0.85 0.90

36 80 80

35

32

30

85

60 85

35

5

60 80 80

34 70

65 80

30 50

50

2 3 4

80 90 90

65 80 90

85 95 95

80

83 88 90

45 20

70 85

8 5

5.6 4.5 4

20 30 45

90

35 65 80

45 85 95

82 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

70 85

5 7 7

40 65 70

5 2

55 45 40

2.5 2.5

25 60 70

50

30 25 25

8 2 2

4.5 8

2 2.5

60 25 5

65 80 80

33 25

80 85

70

0

50

0

40

0 47 47

0 80

65 95 95

70

50

25 70 85

25 70 85

3 5 5

3 20 20

30

83Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018

84 Kenya Health Sector Strategic And Investment Plan (KHSSP) July 2014 – June 2018