Increased individuals and CSOs knowledge on human rights, provisions of constitution and policies promoting the right to health in Kenya.
As a result there is increased number of individuals and CSOs making use of human rights knowledge to demand for quality health care services leading to an increase in demand and utilization of health care services in target communities.
Promoted access to health care services at community levels.
This was achieved through communication, information and awareness campaigns, community mobilization and advocacy to address social cultural barriers hindering access to Maternal, Newborn and Child health (MNCH) and Prevention of Mother to Child HIV Transmission (PMTCT) services. Support for establishment of community health units, capacity development of community of health volunteers (CHVs) including facilitating their home visits and linking clients to health facilities was provided. As a result there has been an increase in demand for MNCH and PMTCT services leading to increased number of ANC visits, facility deliveries, and children immunized, adherence to ART and reduced number of children born with HIV. There has also been increased uptake of family planning services which has led to reduced cases of unwanted pregnancies and HIV infections. Target regions for community health services were Mazeras and Kafuduni Community Health Units of Kinango Sub County in Kwale County and Malindi and Kilifi North sub counties of Kilifi County in the Coast Region of Kenya.
Promoted demand side accountability mechanisms.
This is by enabling individuals and CSOs in target communities to acquire knowledge and skills for social accountability. As a result there is an increase in number of individuals and CSOs participating in monitoring of health services delivery in local health facilities including developing community score cards, participating in development of facility level work plans, service charters and complaints re-address mechanisms. This has contributed to increased levels of consultations between community members, health care workers (HCWs) and County and sub County Health Management Teams (CHMTs) in target health facilities. This has contributed to an improved relationship between HCWs and community members; inclusion of community needs in facility level and County Integrated Development Plans and Annual Operational Plan (AOPs).
Increase participation in decision making processes by
- Enhancing the capacity of health facility committees to comprehend their roles and responsibilities. This has enabled them to proactively make governance decisions for their respective facilities thereby strengthening community members’ representation in health sector decision making processes.
- Conducting budget literacy campaigns that include sensitizing community members on budget making process and avenues for engagement with national and county governments. As a result there is an increase in number of individuals and CSOs participating in budget making processes including pre-and post-budget hearing forums, submitting budget memorandums and proposals and analyzing budget estimates for each financial year. An increase in incorporation of individuals and CSOs demands into the national and county budgets is witnessed contributing to increased budget allocation and expenditure in health sector in each financial year.
- Build individuals and CSOs awareness and capacity in public expenditure tracking. This is achieved by fostering citizen’s access to policy and budget information, enabling collection and analysis of government budget and expenditure data for each financial year and disseminating budget tracking reports to government officers and policy makers for action and the public to garner support for change.
Increased participation in health policy development both at national and county levels.
This has been achieved by conducting /adopting research on components of health system to inform health sector advocacy initiatives, conduct dialogue forums on health laws and policies, building policy advocacy partnerships and collaborative platforms. There is also provision of platforms for civil society to engage with policy makers- Members of Parliament, Members of County Assembly. These strategies have increased number of individuals and CSOs engaging national and county governments in policy development initiatives; increased number of contributions including proposals and memorandums to policy making organs for consideration. This has contributed to enactment of policies that capture target community members views, suggestions and opinions. Examples of these policies include The Health Act, 2017, Public Benefit Organisations Act 2013, draft Maternal and Child Health Bill, 2017, The Mental Health Bill, 2016, Hospital Boards Bills, Community Health Volunteers Bill,