Health Governance Process
Strengthening civil society organisations capacity to effectively engage in Public Finance Management (PFM) processes relating to Universal Health Coverage (UHC) in Kenya. This is by:Read more Strengthening the capacity of public officer’s at national and county government levels to effectively promote public participation and service delivery. Improving quality, standards, accessibility, transparency and accountability of health services delivery
Conducting civic education on Constitution, governance and PFM legal frameworks.
Mobilising civil society organisations into coalitions and strengthening their capacity to advocate and engage national and county governments in PFM laws, policies and procedures reforms.
Advocating for review of PFM Act, 2012 to allow for direct transfer and expenditure of health budgets at health facility levels.
Advocating for full operationalization of County Budget and Economic Forums (CBEF) including decentralisation for the CBEF to sub county, Ward and health facility levels for wider consultations and representation of vulnerable and marginalised groups.
Strengthening the capacity for CSOs, vulnerable and marginalised groups to participate in planning and budget making process at national and county government levels.
Developing and disseminating policy briefs on legislative and administrative changes on PFM.
Organising and facilitating capacity training workshops for national and county government officials, health care workers, County Health Management Team (CHMTs), civil society organization including vulnerable and marginalised groups on rights based approach to health services delivery and sovereignty of the people in decision making processes.
Informing and educating HFMC members about their roles and responsibilities, recruitment processes and terms of references. Conducting capacity trainings for HCWs, HFMC and CHMTs on health governance.
Developing and disseminating right to health, UHC and devolution information, materials, and bulletins.
Providing technical and logistical support to health facilities to establish and operationalize customer care and complaints desks.
Providing technical and logistical support to health facilities to develop facility level customer services charter, complaints and redress mechanisms.
Informing and educating citizens about the facility services charter, complaints mechanism and code of conduct.
Sensitizing civil society organisations, local leaders, health care workers and citizens at facility levels on the concept of community score card as a social accountability tool.
Conducting capacity trainings civil society organisations, local leaders, health care workers and citizens at facility levels on community score card.
Empowering and providing support to civil society organisations to monitor implementation of UHC policies, plans, budget and services using community score card among other social accountability tools.
Engaging in Civil Society Engagement Mechanism (CSEM) at national, regional and global levels by;
Accessing, analysing and critiquing government of Kenya UHC Country progress report, political promises and commitments on UHC agenda (as committed under the Big Four Agenda and during the World Health Assembly);
Contributing to development CSOs independent report on UHC progress in Kenya for national dialogue and global CSEM.
Participating in national and global Civil Society Engagement Mechanisms to network, learn and share experiences on UHC agenda in
Strengthening the capacity of public officer’s at national and county government levels to effectively promote public participation and service delivery.
Improving quality, standards, accessibility, transparency and accountability of health services delivery
Advocating for Improved Mental Health Legislations and Investments in Kenya
The organization is achieving this by: Championing the right to health for persons with mental health disabilities. That is, Empowering civil society and organisations of people with lived experience of mental health disabilities to participate in planning and budgeting processes for mental health at Ministries of Health, Planning and Finance both national and county government levels.
Analysing mental health legal and policy frameworks in Kenya. The analysis revealed that:
Mental health is a health problem characterized with human rights violations, stigma and discrimination.
Kenya’s mental health services are guided by the Mental Health Act no 10 of 1989. The Act was never implemented fully since its passage due to lack of political will and budgetary allocations. The Act has now been overtaken by the 2010 Constitution and requires a total overhaul in order to conform to the aspirations of the new constitutional order especially the rights based framework which is the opposite of the bio-medical model perpetuated by the 1989 Act. This gap was also identified by the Health Act, 2017 which provided for the opportunity to enact a mental health law.Read more
Creating awareness of mental health in the community and among decision and policy makers at community, county and national government levels.
Creating awareness in the community of the international human rights norms and standards, as articulated in instruments such as the United Nations Convention on the Rights of Persons with Disabilities (CRPD).
Empowering persons with lived experience of mental health problems to assert and claim their human rights especially in accessing health services.
Enabling county and national health facilities and institutions to implement their human rights obligations and uphold the rule of law.
Promoting meaningful participation of people with lived experience of mental health problems in decision and policy making processes.
Promoting participation of civil society and organizations of people with lived experience of mental health problems in review and development of mental health legislations in Kenya through:
Mobilising establishment of mental health policy advocacy coalitions at county and national government level.
Providing technical and logistical support to coalitions of organizations of people with lived experience of mental health problems and civil society organisations to analyse and critique Mental Health Bills; conduct advocacy meetings /outreach / consultations with the drafting team, Technical Working Groups and policy makers on draft mental health Bills; develop and submit suggestions, petitions and recommendations for consideration by decision and policy makers.
Promoting transparency and accountability of government by tracking government’s accountability to global and national commitments, policy and budget implementation for improved mental health services in Kenya using social accountability tools.
Conducting annual learning and experience sharing workshop on mental health legislative process
Championing the right to health for persons with mental health disabilities. That is,
Empowering civil society and organisations of people with lived experience of mental health disabilities to participate in planning and budgeting processes for mental health at Ministries of Health, Planning and Finance both national and county government levels.
Advocacy for WASH in Health Care Facilities
Poor WASH conditions in HCF are negatively affecting access and delivery of health care services. WASH conditions are characterized by lack of toilets and water for patients, care givers and service providers, unhygienic toilets, poor water quality, water shortages and lack of hand washing detergents, and unclean environment. Read more
HERAF is involved in:
Improving policy and decision makers’ awareness of WASH requirements in HCF for increased demand for WASH’ secure healthcare services in Kenya. This is by:
Raising awareness of WASH in HCF as human right issue to ensure improvement of WASH conditions in HCF
Disseminating national policy guidelines and standards on WASH at HCF among health care providers, facility management committee members, community members, policy makers and decisions makers.
Advocating for implementation of Kenya Environmental Sanitation and Hygiene Policy 2016 – 2030 in healthcare facilities for improvement WASH conditions.
Advocating for development and implementation of WASH policies and guidelines at HCF levels.
Engaging with Ministries of Health, Planning and Finance at national and county government levels for increased funding for WASH in health care facilities.
Advocating for inclusion of WASH targets in Annual Operational Plan for County governments and HCF
Advocating for budget line for WASH infrastructure in County and National government budgets.
Tracking budget allocation and expenditure for WASH at HCF.