WHO Kenya Health Sector Strategic Plan fa

1 Republic of KenyaKenya Health Sector Strategic PlanTransforming Health Systems: Achieving Universal Health Coverage by 2022 July 2018 June 2023 Kenya Health Sector Strategic PlanTransforming Health Systems: Achieving Universal Health Coverage by 2022 July 2018 June 2023 Republic of Kenyaii Kenya Health Sector Strategic PlanContentsFigures ..ivTables ..vAbbreviations ..viiiForeword ..ixAcknowledgements ..xExecutive Summary ..1 Chapter One: Background ..10 Introduction ..10 Kenya Health Sector Strategic plan 2018 2023 and global and regional Health commitments ..10 Kenya Health development agenda ..12 Kenya Health Sector Strategic plan 2018 2023 and the Constitution ..13 Kenya Health Sector Strategic plan 2018 2023 and the Kenya Health Policy 2014 2030 ..13 Kenya Health Sector Strategic plan 2018 2023 and the Kenya Vision 2030.

2 13 Kenya Health Sector Strategic plan 2018 2023 and the Third Medium-Term plan of the Kenya Vision 2030 ..14 Kenya Health Sector Strategic plan and the country s universal Health coverage aspirations ..15 Devolution of Health services ..16 Implementation of the Kenya Health Sector Strategic plan 2018 2023 ..16 Development of the Kenya Health Sector Strategic plan 2018 2023 ..17 Chapter Two: Situation Analysis ..18 Introduction ..18 Summary of the results of the Health Sector performance reviews 2014 2018 ..18 Burden of disease ..19 Trends in mortality ..19 Trends in morbidity ..20 Health risk State of Health services and Health status ..21 Eliminate communicable conditions (policy objective 1) ..22 Halt and reverse the rising burden of non-communicable conditions and mental disorders (policy objective 2).

3 23 Reduce the burden of violence and injuries (policy objective 3) ..24 Provide essential Health care (policy objective 4) ..25 Minimize exposure to Health risk factors (policy objective 5) ..28 Strengthen collaboration private and other sectors that have an impact on Health (policy objective 6) ..28 Kenya Health Sector Strategic plan iii Strengthening the Health system and providing universal Health care ..29 Health investment areas ..32 Leadership and governance ..32 Financing ..32 Infrastructure ..34 Human resources for Health ..38 Products and technologies ..40 Research and development ..41 Monitoring and evaluation ..42 Service delivery ..43 Chapter Three: Strategic Direction ..46 Overview of Kenya Health Policy 2014 2030 ..46 Objectives of the Kenya Health Policy 2014 2030.

4 46 Principles of the Kenya Health Policy 2014 2030 ..46 Direction of the Kenya Health Sector Strategic plan 2018 2023 ..47 Objectives of the Kenya Health Sector Strategic plan 2018 2023 ..48 Priority areas of action of the Kenya Health Sector Strategic plan 2018 2023 ..48 Priority outputs of the Kenya Health Sector Strategic plan 2018 2023 ..51 Health security ..53 Chapter Four: Health -System Investment Areas, Key Outputs and Related Actions ..55 Introduction ..55 Health service delivery ..55 Overview ..55 Key outputs and actions ..58 Health leadership and governance ..61 Overview ..61 Key outputs and actions ..62 Human resources for Health ..63 Overview ..63 Key outputs and actions ..63 Health products and technologies ..66 Overview ..66 Key outputs and actions.

5 67 Health financing ..69 Overview ..69 Key outputs and actions ..69 Health infrastructure ..70 Overview ..70 Key outputs and actions ..70iv Kenya Health Sector Strategic plan Health information monitoring and evaluation ..73 Overview ..73 Key outputs and actions ..73 Health research and development ..78 Overview ..78 Key outputs and actions ..78 Chapter Five: Resource Requirements ..80 Introduction ..80 Resource requirements for implementation of the Kenya Health Sector Strategic plan 2018 2023 ..80 Costing methodology ..80 Summary of cost estimates for implementation of the Kenya Health Sector Strategic plan 2018 2023 ..81 Cost estimates for implementation of the Kenya Health Sector Strategic plan 2018 2023 by Health programme and Health -system investment area.

6 81 Available resources ..82 Introduction ..82 Available resources by year and by source ..82 Financial gap analysis ..83 Chapter Six: Implementation Arrangements ..84 Introduction ..84 Stakeholders ..84 Health - Sector stakeholders ..84 Stakeholder roles ..84 Partnership arrangements ..85 Introduction ..85 Health - Sector partnership structures ..86 Partnership and coordination priorities ..87 Planning and budgeting ..87 Common planning Common budgeting framework ..87 Communication ..88 Implementation risks and their mitigation ..89 Chapter Seven: Monitoring And Evaluation ..92 Introduction ..92 Purpose ..92 Indicators and Targets ..93 Monitoring Evaluation mechanisms ..94 Kenya Health Sector Strategic plan vReferences ..95 Annexes ..98 Annex A: Summary of The Results of The Health Sector Performance Reviews 2014 2018.

7 98 Annex B: Indicators and Targets of The Kenya Health Sector Strategic plan 2018 2023 ..101 Annex C: KHSSP 2018 2023 Implementation plan ..115vi Kenya Health Sector Strategic PlanFiguresFigure : Sustainable Development Goals ..11 Figure : Interrelation between the Health -related Sustainable Development Goals and targets ..12 Figure : Overview of the Kenya Health Sector Strategic plan and universal Health coverage conceptual framework ..16 Figure : Disability-adjusted life years in Kenya , by disability (2013 and 2017) ..20 Figure : Disability-adjusted life years in Kenya , by risk factor (2013 and 2017) ..21 Figure : Full immunization coverage, by county (2013/14 and 2016/17) ..22 Figure : Progress towards the targets for eliminating communicable conditions (2016/17) ..23 Figure : Cases of cancer (2017/18).

8 24 Figure : Maternal and newborn Health coverage indicators (2014 2018) ..26 Figure : Coverage of skilled-delivery services, by county (2013/14 and 2016/17) ..26 Figure : Woman of reproductive age using FP products (2015/16 and 2017/18) ..27 Figure : Facility-based maternal mortality rate (2014 2018) ..27 Figure : Exclusive breastfeeding, by county (2013/14 and 2016/17) ..28 Figure : Proportion of stunted children, by county (2013/14 and 2016/17) ..29 Figure : Universal Health coverage in Kenya overall design ..31 Figure : Past and ongoing programmes aimed at universal Health coverage in Kenya ..31 Figure : Sources of Health financing in Kenya over time ..33 Figure : Health facility density, by county (2018) ..36 Figure : Status of hospital equipment (2018) ..37 Figure : Status of information and communication technology and emergency transport, by county (2018).

9 38 Figure : Kenya Health Policy 2014 2030: orientations, objectives, and goal ..46 Figure : Vision, mission, goal and theme of the Kenya Health Sector Strategic plan 2018 2023 ..47 Figure : Organization of service delivery ..56 Figure : Requirements for effective Health - Sector Kenyan Health information system ..73 Figure : Interplay among Health - Sector stakeholders ..84 Figure : Kenya Health Sector Partnership and Coordination Framework 2018 2030 ..86 Figure : Monitoring and evaluation logical framework ..92 Kenya Health Sector Strategic plan viiTablesTable : Universal Health coverage aspirations of Kenya ..15 Table : Trends in mortality ..19 Table : Underlying causes of death ..19 Table : Gender-based violence ..25 Table : Number of Health facilities, by type (2019) ..35 Table : Distribution of Health -related human resources, by Sector (2018).

10 39 Table : Targets of the Kenya Health Policy 2014 2030 ..50 Table : Priority services of the Kenya Essential Package for Health within the Kenya Health Sector Strategic plan 2018 2023 ..51 Table Priority indicators and targets of the Kenya Health Sector Strategic plan 2018 2030 ..52 Table : Indicators and targets for investments in essential interventions that are not related to achievement of the Sustainable Development Goals ..54 Table : Areas of intervention in organization of service delivery ..57 Table : Estimated total cost of implementing the Kenya Health Sector Strategic plan 2018 2023 ..81 Table : Estimated total cost of the Kenya Health Sector Strategic plan 2018 2023, by Health programme and Health -system investment area ..81 Table : Estimated and projected financial resources available for implementation of the Kenya Health Sector Strategic plan 2018 2023, by source.