Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12984
Country/Region: Kenya
Year: 2011
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Overview

This is a new mechanism expected to be in place in FY 2011. This new mechanism is expected to fill a critical gap in programming that arises from having predominantly regional based service delivery mechanisms particularly in providing support to national level programs and other related departments and divisions in the Ministries of Health.

Comprehensive Goals and Objectives

Provide support to key departments in the Ministry of Public Health and Sanitation and the Ministry of Medical Services.

Contribute to the development of key national strategies, treatment guidelines etc. and ensure their linkage to regional service delivery.

Contribute to ensuring coordination of support amongst multilateral and bilateral development partners in service delivery.

Background

In late 2009 USAID/Kenya conducted a review of their APHIA II health portfolio along four main thematic lines Policy, Service Delivery, Health Systems Strengthening and Monitoring & Evaluation. One of the key findings from the Service delivery assessment was that whereas the regional service delivery partners contributed a great deal to improving service delivery particularly in HIV/AIDS the program had tended to bypass the National Government and been largely unresponsive to national priorities and strategies as well as being insufficiently collaborative with National GOK in ensuring synergy particularly in responding to underserved health needs, especially maternal and child health and community health needs.

It is to ameliorate this criticism that USAID/Kenya intends to have a national Service Delivery mechanism that will ensure closer collaboration between national and regional service delivery ensuring regional partners are responsive to national policies, strategies, and guidelines.

Key activities

The mechanism is anticipated to provide support to and help build the capacity of national level Ministry of health departments and divisions. Key amongst these are the National AIDS Control Council (NACC) and the National AIDS and STI Control Program (NASCOP).

In addition the Ministries of Health are anticipating updating the current National Health Sector Strategy beginning calendar year 2011. This mechanism is expected to provide support for this exercise and ensure that the strategy is informed by the field.

The mechanisms is expected to help key departments in the Ministries of health improve the overall coordination of service delivery amongst the multilateral and bilateral development partners.

Linkages to the Partnership Framework/GHI principles

This mechanism will contribute to the following principles:

The principle of increasing impact through strategic coordination and integration through enhancing the capacity of Ministries of Health departments to better coordinate service delivery activities of the various development partners.

The principle of encouraging country ownership and investing in country-led plans by ensuring that not only capacity building of departments but also assisting in the development and roll-out of national strategies in service delivery.

Geographic coverage and target populations

The scope of the program is national and will target all populations.

Key contributions to health system strengthening

Focus on creating a sustainable service delivery program by building the capacity of national departments and divisions to better support their ongoing programs.

Strategy for Cost-efficiency

This project is expected to enhance cost-efficiency by representing regional based service delivery projects at national level meetings thus reducing their travel time and costs to participate in these meetings. In addition the mechanism anticipates enhancing and building the oversight role of national level departments to ensure well coordinated and run country programs.

Monitoring and Evaluation plans

These will be developed and key indicators and milestones highlighted

Funding for Care: Adult Care and Support (HBHC): $0

None

Funding for Care: Orphans and Vulnerable Children (HKID): $0

None

Funding for Treatment: Adult Treatment (HTXS): $0

None

Funding for Testing: HIV Testing and Counseling (HVCT): $0

None

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

None

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

None

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

None

Key Issues Identified in Mechanism
Malaria
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning