Project


Health Accountability Project-HAP

Chapter: Kenya | Project range: Local | Year: 2018

Chapter details

About the chapter:
Founded in 1999 in Kenya, TI-Kenya is a not-for-profit organisation with the aim of developing a transparent and corruption-free society. TI-Kenya is one of the autonomous chapters of the global Transparency International movement. The organisation has 20 years’ experience in governance work at the national and county levels. These include direct engagement with the Government, the private sector, individuals and groups. TI-Kenya uses advocacy as its signature approach; this is complemented by other approaches such as partnerships’ development, research, capacity building and civic engagement, with the focus sectors comprising health, education, security (police), humanitarian aid, natural resource governance (climate governance, extractives and land).

CPI Score: 27

CPI Rank: 144


View chapter Profile

Summary

Access to medicines, vaccines and other products

Partners

National Partners:
Community Governmental Institution NGO or Civil Society Organisation

Theory of Change

Landscape

Accessibilty of essential drugs by the Citizens in Elgeyo Marakwet County is a challenge. Drugs pilferage in public health facilities is rampant and where the drugs have been supplied, there is no system in place to track its dispensation to the clients and the general public do not have the requisite knowledge on how they can oversight public health services and especially relating to drugs. Thus, TI-Kenya under the Health Accountability Project (HAP) sought to increase the accessibility of essential drugs and medicines within the public health facilities in Elgeyo Marakwet County by promoting citizen and public health stakeholders’ engagement and by promoting adoption of ICT systems that will enhance availability of drugs and medicines.

The combination of citizen led accountability initiatives and use of ICT accountability system such as the Mobile Drug Tracking System solution (previously implemented by TI-Kenya in two public health facilities within Elgeyo Marakwet County) will therefore increase the accessibility of essential drugs and medicines within the public health facilities in Elgeyo Marakwet County.

The accountability initiatives was aimed at promoting effective and substantive civic engagement and civilian oversight to ensure adequate access to essential drugs and medicines within the public health facilities in Elgeyo Marakwet county as follows:

• Empower members of the public in Elgeyo Marakwet County on the health management system and the county budget process affecting supply and management of essential drugs and medicines through development, production and dissemination of IEC materials and capcity building modules. The citizens will then be able to demand for information from the relevant health departments on essential medicines and drugs and provide an oversight role to ensure proper supply and management of essential drugs and medicines.

• Building the capacity of the members of the health facility management committees, health public officials and community health volunteers on effective management and oversight role in the provision of essential drugs and medicines as they play a critical role in supply and management.

• TI-Kenya will also lobby and advocate for scale up of MDTS by the Elgeyo Marakwet County Government to support the supply and management of drugs and medicines within public health facilities, because the system is aimed at promoting transparency and accountability in the supply and management of essential drugs and medicines for effective service delivery. The system is currently being used in two health facilities and therefore TI-Kenya proposes the scale up to other 20 health facilities within Elgeyo Marakwet County.

Activities

  1. Building the capacity of the members of the health facility management committees, health public officials and community health volunteers on effective management and oversight role in the provision of essential drugs and medicines as they play a critical role in supply and management.
  2. Lobbying and advocating for scale up of MDTS by the Elgeyo Marakwet County Government to support the supply and management of drugs and medicines within public health facilities, because the system is aimed at promoting transparency and accountability in the supply and management of essential drugs and medicines for effective service delivery. The system is currently being used in two health facilities and therefore TI-Kenya proposes the scale up to other 20 health facilities within Elgeyo Marakwet County.
  3. Empowering members of the public in Elgeyo Marakwet County on the health management system and the county budget process affecting supply and management of essential drugs and medicines through development, production and dissemination of Information Educative and Communication materials and capcity building modules. The citizens will then be able to demand for information from the relevant health departments on essential medicines and drugs and provide an oversight role to ensure proper supply and management of essential drugs and medicines.

Achievements

  1. The County Government of Elgeyo Marakwet have committed to have a technological system dubbed Integrated Commodity Management System (ICMS) in place within her County Referral Hospital to manage the dispensation of drugs, manage her facility staff and the revenue collected in the same facility. This is aimed at enhancing transparency and accountability in general management of the facility.
  2. The County Government of Elgeyo Marakwet have committed to have a technological system dubbed Integrated Commodity Management System (ICMS) in place within her County Referral Hospital to manage the dispensation of drugs, manage her facility staff and the revenue collected in the same facility. This is aimed at enhancing transparency and accountability in general management of the facility.
  3. As a result of the empowerment and improved capapcity among the health care practitioners in the county, the County's Health and Sanitation department are now procuring drugs and other medical commodities and supplying them direct to the public health facilities, as opposed to having them in one central place and distributing them later to the health facilities.
  4. Through TI-Kenya's engagement with the Elgeyo Marakwet County Government since the inception of the project, the County has set up a complaint redress mechanism inform of a charged phone number where citizens share their feedback on service delivery. The "complaints" are acted upon as soon as possible by special committee installed by the County Executive.

Lessons Learnt

  • Entry point of a project is critical for its success. The commitment and acceptance by the County Government of Elgeyo Marakwet to adopt a technological system to manage her drugs was influenced by TI-Kenya's involving them since the design to implementation of the Health Accountability project