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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


                                Administrator


  Private Sector Liaison   Healthcare     Public Private     Supply   Standards      Health
        Manager*           Financing       Partnership       Chain    and Ethics   Regulations


Programme      Programme
 Officer*        Officer*
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
Sources of Funds
                   How do they pay
                     for services
                        Admin,
                         8.4%

       Donors,
       34.50%


                        Fee-for-
                        service,     Equity         Quality       Efficiency
                         32.5%
       Private                       Barrier to     Incentive for Incentive for
       sector,
       7.10%
                                     access;        customer      waste
                                     creates        oriented
       HH out                        inequity       quality, but
         of
       pocket,
                                                    none for
       24.50%                                       technical
                                                    quality
                          Input      No financial   No            No
                        financin
                         g, 58.3
                                     barrier        incentives    incentives to
                            %                       for quality   limit waste
        MoF
       33.90%
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        Corporates     Professional     Institutional
                                  Associations     Associations
( Kshs1.5M PY)

   Advocacy          PMRT            MSF          SRT, NESC, ICC,
                   (Quarterly)                         SWaP

Health Surveys      Baseline     Kenya Health
                  Surveys (BAF) Monitor (IPSOS)

Conferences and    East Africa      Various       International
                   Healthcare     Conferences       Linkages
 Partnerships      Federation

 PPP Activities     Letter of       PPP- HK            PPD
                     Intent
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)

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Khf presentation to dphk

  • 1. East Africa Healthcare Conference Key Issues 1st May, 2012
  • 2. 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.
  • 3. Organogram Board of Directors CEO Administrator Private Sector Liaison Healthcare Public Private Supply Standards Health Manager* Financing Partnership Chain and Ethics Regulations Programme Programme Officer* Officer*
  • 4. 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
  • 5. Sources of Funds How do they pay for services Admin, 8.4% Donors, 34.50% Fee-for- service, Equity Quality Efficiency 32.5% Private Barrier to Incentive for Incentive for sector, 7.10% access; customer waste creates oriented HH out inequity quality, but of pocket, none for 24.50% technical quality Input No financial No No financin g, 58.3 barrier incentives incentives to % for quality limit waste MoF 33.90%
  • 6. 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
  • 7. A public-private initiative bringing together the state and non-state actors in health SUPKEM GOK SUPKEM
  • 8. 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
  • 9. 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
  • 10. 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
  • 11. Health Regulations • New Health Law – Health Services Commission • Health Acts , NHSSP • Health Benefits Regulatory Authority • County System and its impact
  • 12. KHF Key achievements Membership Corporates Professional Institutional Associations Associations ( Kshs1.5M PY) Advocacy PMRT MSF SRT, NESC, ICC, (Quarterly) SWaP Health Surveys Baseline Kenya Health Surveys (BAF) Monitor (IPSOS) Conferences and East Africa Various International Healthcare Conferences Linkages Partnerships Federation PPP Activities Letter of PPP- HK PPD Intent
  • 13. KHF Partners – Thank you for your Support • Government of Kenya • UHF and APHFTA • Development Partners in Kenya • Synovate / IPSOS
  • 14. Thank you for your time Dr Amit N Thakker athakker@khf.co.ke (+254 722 513987)