24 May 2025

0:00 One, community health promoters, individuals that walk from household to household and their work very mind. Just check blood pressure, check check blood sugar, ensure that they identify pregnant women who are in the households and teenage mothers and encourage them to go for uh pregnancy and equally ensure that they distribute commodities, drugs, um assessment of common childhood ailments among the children and equally at our uh the work of the community health promoter is is joined to a formal facility through referral system. So our

0:48 CHP is our level one and then moves to refers people to the level two which is a form of health facility. Uh when we go to facility improvement financing initially in Kenya um money meant for help would be reallocated. It will it goes to roads goes to disaster management. You have spared some little money for maybe um uh some outbreak then it's just reallocated. Uh but the facility improvement financing act which is now in force

1:33 makes sure that we have reined every coin that is made for um uh every coin that is made for health whether it is in terms of donation whether it is from the ex checker or any money that comes in for health. Then we have the digital health act of 2023. The inter relatability of data from the patient to the facility that if you're referred from a level two to a level three then you'll find your data there. You're referred from level three to level four and all the way to the tary uh facilities then you find your data there. Equally in in in terms of uh uh

2:21 bodies that regulate health systems, uh we are able to have depart of all our human resources for health in one place and we are also able to know that uh this health h the health the skilled health workforce are working at the specific facilities they are employed and they will not fake that they have treated somebody probably you are 500 kilometers away your number has been used then the system detects and you do not get paid. So the digital health um the digital health act helps us to make sure everything is in one super high one

3:09 digital health super highway. And finally the other act of the social health insurance financing really only 20% of our people used to access services through our national health insurance fund but we have broadened it to ensure everybody is not left behind from the informal settlements informal sector and to the employed and the one thing that we have done is to ensure that The social health insurance agency has now three funds in it. Instead of the just one fund, we have three funds. And the first fund which is the primary health healthcare fund, it's executed. So the

3:55 government pays uh the government uh pays claims to facilities directly to the facilities the primary healthcare facilities and these facilities they have been mapped out into primary health care networks. So we already know in a certain geographical area this the number of facilities are here and going by the the um by the population that is in that place. You treat a patient, you refund it. Then we have the social health insurance fund which is pulled money pulled together. You pay your 2.75% of your gross and uh that is for

4:44 everyone. And this money is now used to um to help people access services at the secondary level where you need maybe specialized care. Then we have the final fund which is the the emergency chronic and critical illness uh long-term ailments emergencies. You know my country now what we call border border bord border and you'll find in the informal settlements that's the mode of transport and many of times is when we get accidents here and there and when you take them to facilities they are requested to probably pay a deposit and they not up that is why the government

5:31 set up the emergency chronic and critical illness fund that is under the social health authority and uh uh it's also exterri. So it's the government that feeds for whatever excesses that you could be having from the uh secondary uh treatment. Therefore that's the base that we built because we realized if you want to roll out universal health coverage then it must be anchored on very strong roots and the only is to anchor everything into law and ensure that people are following that law. Therefore,

6:16 um primary healthcare is taking the center stage of all that if you realize we have also introduced the national equipment services program. We have requested all the county governments to give us their needs so that the national equipment services program we are able to equip the facilities now that we already have the insurance for everybody. But we need facilities to also be on good shape in terms of infrastructure, equipping the facilities, human resources and uh and um any other that comes with it. We We've had compelling examples from Kenya

7:02 and other countries providing that we are not alone in this journey. I am sure Kenya is just an example.