khf presentation to dphk

East Africa Healthcare

Conference

Key Issues

1st May, 2012

About KHF

• KHF is the Kenya Private Sector Alliance (KEPSA) umbrella health sector representative body

• Dedicated to engaging the government and all relevant stakeholders towards achieving quality healthcare through enabling policies that maximise the contribution of the private sector.

Organogram

Board of Directors

CEO

Private Sector Liaison Manager*

Programme

Officer*

Programme Officer*

Healthcare Financing

Public Private Partnership

Supply Chain

Standards and Ethics

Health Regulations

Administrator

Healthcare Financing

• The role of NHIF – 2M Families on NCS

- 600K Families on CS

- 700 members informal

• Market Penetration & Low Cost Schemes

• Regulation – IRA rules , MIP Law and HMOs

• Partnership with Innovative Schemes eg OBA

MoF 33.90%

HH out of

pocket, 24.50%

Private sector, 7.10%

Donors,34.50%

Sources of Funds

Input financing, 58.3

%

Fee-for-service, 32.5%

Admin, 8.4%

How do they pay for services

Equity Quality Efficiency

Barrier to access; creates inequity

Incentive for customer oriented quality, but none for technical quality

Incentive for waste

No financial barrier

No incentives for quality

No incentives to limit waste

Public Private Partnership

• Building Trust between Private and Public Sector

• Development Partners esp USAID, IFC/ WB

• Regular Communication and interaction

• Secretariat Challenges

• PPP Unit within Ministry provides updates to PPP – HK

A public-private initiative bringing together

the state and non-state actors in health

SUPKEM

GOK

SUPKEM

PPP HK – Update

P 1 – Dialogue Process

• Letter of Intent – Health a Leading Example

• 16 Board Members – 8 Private 8 Public

P 2 – Policy Engagement

• Health Laws, NHSSP

• Devolution process following New Constitution

P 3 – Partnerships

• PPP Mapping

• Possible Projects

Supply Chain

• Counterfeits in our Markets

• Cost of Imports , Duties , CET

• Cost of Distribution and improving access

• Subsidies and Transition Strategies

• Regulation – PPB and MPDB

• Demystify generics v/s counterfeits

• KEMSA and its role

• Self Regulation

Standards and Ethics

• Common Claim Forms for Medical Schemes

• Fee Guidelines and Free Market

• ICD Coding and Pharmacy / Lab coding

• Accreditation Standards – ISO , JCI etc

• Counterfeit Professionals – use of Title’s

• Traditional & Alternative Medicine

• CPD and in-service Training

Health Regulations

• New Health Law – Health Services Commission

• Health Acts , NHSSP

• Health Benefits Regulatory Authority

• County System and its impact

KHF Key achievements

Membership

( Kshs1.5M PY)

Corporates Professional Associations

Institutional Associations

Advocacy PMRT (Quarterly)

MSF SRT, NESC, ICC, SWaP

Health Surveys Baseline Surveys (BAF)

Kenya Health Monitor (IPSOS)

Conferences and

Partnerships

East AfricaHealthcareFederation

VariousConferences

International Linkages

PPP Activities Letter of Intent

PPP- HK PPD

KHF Partners – Thank you for your

Support

• Government of Kenya

• UHF and APHFTA

• Development Partners in Kenya

• Synovate / IPSOS

Thank you for your time

Dr Amit N Thakker athakker@khf.co.ke (+254 722 513987)