Kenya
Antiretroviral Therapy Information System (ARTIS)
In many developing countries, patient tracking systems in hospitals are underdeveloped. The data collection and reporting systems in hospitals often times do not exist or do not function optimally. Generally this problem is more pronounced in bigger institutions than in the smaller institutions. With the scale up of HIV/AIDS programs, health care facilities now need to strengthen their patient tracking for HIV/AIDS services such as antiretroviral therapy (ART), prevention of mother-to-child transmission, and voluntary counseling and testing. ARTIS was designed to track individual patients receiving ART, so as to provide more personalized care. The application of ARTIS covers: patient enrollment, assessment, recruitment, management, and treatment outcomes.
ARTIS has been implemented in Zambia and Kenya. The system was implemented in ten pilot facilities providing ART in each country. The Pre-ART and ART registers, Comprehensive Care Clinic Card, Monthly Summary Sheet, and Cohort Sheet were developed to fit each of the individual country’s health care systems, health services, and reporting needs. Once developed, the hospital staff from the pilot sites were trained in ARTIS and the system was installed at the facilities. Implementation of ARTIS in both Zambia and Kenya continues.
National Health Accounts
Health Systems 20/20 is supporting the Kenyan Ministry of Health in its third round of National Health Accounts (NHA), which aims to track national resource flows for health care overall, HIV/AIDS, and reproductive health for the fiscal year 2005/06. This information will be used to inform the official health care financing strategy of the government and to help assess the impact of recent policies aimed at addressing inequities. The estimation process entails the collection of data from a number of sources, both primary and secondary. Primary collection efforts will include the implementation of a general household health expenditure and utilization survey as well as questionnaires targeted for donors, nongovernmental organizations, employers, and insurance schemes. Results are expected by early 2008.
Read more about Health Systems 20/20 and NHA.
Who is Doing What with Pay for Performance in Health in Developing Countries: A Snapshot of Findings from an Online Survey
Type: Presentation
Country: Belize, Brazil, Burundi, Kenya, Pakistan
Health workforce attrition in the public sector in Kenya: a look at the reasons
Country: Kenya
Kenya National Health Accounts 2005-2006
Type: Report
Country: Kenya
What Happens to HIV/AIDS Funds at the Country Level? A Comparative Analysis of Before and After the Donor Influx in Kenya, Malawi, Rwanda, Tanzania and Zambia
Type: Report
Country: Kenya, Malawi, Rwanda, Tanzania, Zambia
National Health Accounts and Public Expenditure Reviews: Redundant or Complementary Tools?
Type: Brief
Country: Ethiopia, Kenya, Nigeria, Sub-Saharan Africa
Article on Health Workforce Attrition in the Public Sector in Kenya Published in Human Resources for Health
Aug 6 2009Kenya, like many other countries in sub-Saharan Africa, has been affected by shortages of health workers in the public sector. Data on the rates and leading reasons for health worker attrition in the public sector are key in developing effective, evidence-based planning and policy on human resources for health. Health Systems 20/20 and Abt staff members Slavea Chankova, Stephen Muchiri, and Gilbert Kombe co-authored an article entitled “Health workforce attrition in the public sector in Kenya: a look at the reasons” recently published in Human Resources for Health.
More...National Health Accounts Used to Expand Access to Health Care in Kenya
May 5 2009Speaking at the March 27th launch of the third round of National Health Accounts (NHA) in Kenya, the Honorable Prof Anyang’ Nyong’o, Minister of Medical Services, noted that although household expenditure on health services in Kenya has declined, the current levels are too high and present a barrier to accessing health care services for poor households. “I will raise this issue with the government to ensure that more resources are allocated to the health sector and we are seen to be moving towards the Abuja target” stated the Minister.
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