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    READ: Did you know that the law now recognises Intersex children?

    Breaking: Judiciary fund operationalised 12 years later

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  • Real Estate
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  • Tech
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    KenGen: How Dams Prevent Flooding – A Tale Of The Seven Forks Dam Cascade

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    • Agribusiness
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Kenyan Business Feed
  • Home
  • News
    Why Ruto May Not Be Sworn in Even if He Wins

    Why Ruto May Not Be Sworn in Even if He Wins

    READ: Did you know that the law now recognises Intersex children?

    Breaking: Judiciary fund operationalised 12 years later

    Rwandan’s in Diaspora Deposit Sh926 million

    Rwandan’s in Diaspora Deposit Sh926 million

    List of LG products that can be controlled and monitored via a mobile App

    Jiji Kenya Bags Two Awards on Safety and Classifieds Categories

    Jiji Kenya Bags Two Awards on Safety and Classifieds Categories

    Why IEBC Didn’t Print Special Ballot Papers for the Visually Impaired

    Why IEBC Didn’t Print Special Ballot Papers for the Visually Impaired

    Business Tycoon Eyeing MP Seat Caught Up  in Sh300m fraud Case

    Business Tycoon Eyeing MP Seat Caught Up in Sh300m fraud Case

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

  • Markets
    Rwandan’s in Diaspora Deposit Sh926 million

    Rwandan’s in Diaspora Deposit Sh926 million

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    Mdundo hits 20 million active users across Africa 

    Mdundo hits 20 million active users across Africa 

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

    Agilitee Unveils Electric Car to Retail at  Sh1.1Million

    Agilitee Unveils Electric Car to Retail at Sh1.1Million

    More Than a Million Children to Benefit From Sh3.1 billion Program

    More Than a Million Children to Benefit From Sh3.1 billion Program

    BrighterMonday Bags Top E-recruitment Portal of the Year Award 2022

    BrighterMonday Bags Top E-recruitment Portal of the Year Award 2022

    Anti-Counterfeit Authority Names Dr. Mbugua Njoroge as CEO

    Anti-Counterfeit Authority Names Dr. Mbugua Njoroge as CEO

    Technology Sector Partners Launch Digital Talent Program

    Technology Sector Partners Launch Digital Talent Program

  • Real Estate
    Fanaka Real Estate Unveils Foundation to Support Charity Programs

    Fanaka Real Estate Unveils Foundation to Support Charity Programs

    HFC launches Ultimate Banking for Customers in Kenya and Diaspora

    HFC launches Ultimate Banking for Customers in Kenya and Diaspora

    Centum Re Debt Status Analysis As Of 30th September 2021

    Centum Real Estate Posts Sh650M Operating Profit For The Year Ended 31st March 2022

    centum

    How the students have benefited from Centum PLC

    National Construction Authority Suspends Licences of 18 Contractors

    National Construction Authority Suspends Licences of 18 Contractors

    CCI Global, Gateway Real Estate Africa start Construction of new Contact Centre in Kenya

    CCI Global, Gateway Real Estate Africa start Construction of new Contact Centre in Kenya

    NEMA Re-Introduces Another Tax for Developers

    NEMA Re-Introduces Another Tax for Developers

    Centum Digitalizes Real Estate Sector

    Centum Digitalizes Real Estate Sector

    Superior Homes Launches Reward Program for Investors

    Superior Homes Launches Reward Program for Investors

  • Tech
    Demand for Foldable Smartphones Projected to Increase in 2022

    Demand for Foldable Smartphones Projected to Increase in 2022

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

    NCBA launches Sh 2B Electric Vehicle finance deal for customers

    BrighterMonday Bags Top E-recruitment Portal of the Year Award 2022

    BrighterMonday Bags Top E-recruitment Portal of the Year Award 2022

    Samsung Unveils New Foldable Devices

    Samsung Unveils New Foldable Devices

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    Nokia Adds more Devices to its 2022 Gadget Potfolio

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  • World Business
    Kenyan Lands Ksh 2.6 Trillion Construction Project in Saudi Arabia

    Kenyan Lands Ksh 2.6 Trillion Construction Project in Saudi Arabia

    Former Japanese prime minister Shinzo Abe has been shot

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    Why Mercedes Benz is Recalling Their Old Models

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    Cold comfort awaits a springtime Davos

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    Meet The Richest Man Who Can Fund Kenya’s Budget Alone for 10years

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    EA Sports End 29 Years of Video Game Partnership With FIFA

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    Central African Republic Adopts Bitcoin as an Official Currency

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    Netflix Stock Collapses After Losing 200,000 Subscribers

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  • KBF
    • All
    • Agribusiness
    • Banking
    • Insurance
    • Manufacturing
    • Opinion
    KenGen: How Dams Prevent Flooding – A Tale Of The Seven Forks Dam Cascade

    KenGen: How Dams Prevent Flooding – A Tale Of The Seven Forks Dam Cascade

    KBL Invests Sh76 Million In A National Consumer Promotion

    KBL Invests Sh76 Million In A National Consumer Promotion

    ‘Jua Kali’ Traders Equipped on How to Access to Global Markets

    ‘Jua Kali’ Traders Equipped on How to Access to Global Markets

    CIC Insurance Profits Rise 38 Percent to Sh464

    CIC Insurance Profits Rise 38 Percent to Sh464

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    LG unveils 2022 Side-by-Side and Top Freezers Refrigerator Lineup

    Kenyan Consumers to enjoy 20-minute delivery from Jumia Food

    Kenyan Consumers to enjoy 20-minute delivery from Jumia Food

    BURN Cookstoves Awarded ISO 9001:2015 Certification for High-Quality Standards  

    BURN Cookstoves Awarded ISO 9001:2015 Certification for High-Quality Standards  

    General Insurers pay claims worth Sh16.85Bn in three months

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    Agilitee Unveils Electric Car to Retail at  Sh1.1Million

    Agilitee Unveils Electric Car to Retail at Sh1.1Million

    • Agribusiness
    • Banking
      Britam settles on veteran Tom Gitogo as CEO

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      I&M Bank Launches Single Regional Account and Real-Time Payments Platform

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      Absa Set for Sh2 Billion Digital Systems Upgrade

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      How much money have you saved this year?

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      Absa hosts women entrepreneurs for the PanAfrican InspireME Conference

      Family Bank, Aqua to Advance More  Financing to SME’s in The Water Space

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      Kuscco’s George Magutu appointed to head global cooperatives body

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    • Insurance
      CIC Insurance Profits Rise 38 Percent to Sh464

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      Faulu Revamps of its Trade Finance Solutions

      Faulu Revamps of its Trade Finance Solutions

      Zamara Feted as the Overall Best Insurance Broker of the Year

      Zamara Feted as the Overall Best Insurance Broker of the Year

      How Rot in The Insurance Sector is Exposing Kenyans to Lose Funds

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      Jubilee Acquires Additional Stake in SEACOM

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      Family Bank is The Best in Customer Satisfaction-Survey

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    • Manufacturing
    • Opinion
      Is KRA to Blame For Deaths Caused By Illicit Brews?

      Is KRA to Blame For Deaths Caused By Illicit Brews?

      Opinion: Deploying contemporary Information Technology solutions for Academic Delivery

      Opinion: Deploying contemporary Information Technology solutions for Academic Delivery

      How COVID-19 Impacted the Adoption of Digital Health Technology

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      Why Kenyan economy is headed Pakistan direction

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      Opinion: Create favorable conditions for increased value add in manufacturing

      Opinion: Recovery, growth key to creation of jobs in industries

      Lifestyle innovation is making home-life healthier for families

      Lifestyle innovation is making home-life healthier for families

      Car Loans Offering Convenient Mobility To Middle And Low-Income Families

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      OPINION: Africa’s War to Secure the Internet  

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      Prioritize long-term energy cost reduction for sustained industry growth

      Prioritize long-term energy cost reduction for sustained industry growth

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Why PHC is the solution to Kenyas’ health challenges

by Neymar
June 1, 2021
in Health, Opinion
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By Dr Mercy Onsando 

As Kenya Celebrates it 58th Madaraka Day, achievements have been made in all the sectors however, too many people in Kenya continue to die from preventable and treatable illnesses.

This comes despite numerous efforts by the government to commit to fight poverty, illiteracy, and diseases over the past 50 years.

The ratio of doctor to patient in Kenya is currently estimated at 1 doctor to every 16,000 patients.

This high number, coupled with underfunfing of the health ministry has made it almost impossible for the implementation of Primary Health Care (PHC) to all Kenyans.

Its systems are weak, Kenyan citizens are not well informed on what it is, what it’s not and its overall value on the citizens’ health. All these aspects lead to poor access and poor quality of PHC service delivery in the country.

In this opinion piece, I would want us to highlight a few aspects of PHC: and what the government and wthe role Kenyans can play in order to enjoy the benefits of the scheme.

Strengthening PHC

PHC is not just the provision of first-contact personal health care services, or a set of priority health interventions for low-income populaces, It addresses the majority of an individual’s health prerequisites all through their lifetime (from the time one is in his/her mother’s womb as well as when they are leaving in different environmental settings).

The health Scheme comprises physical, mental, and social well-being and it is people-centered rather than disease-centered.

PHC is a whole-of-society approach that includes health promotion, disease prevention, treatment, rehabilitation, and palliative care.  PHC  is supposed to be executed in 8(eight)components;  which health education,  Nutrition, Reproductive health services, Maternal and Child Healthcare, Water and Sanitation, Immunization programs, control of endemic diseases, and provision of essential medication, rehabilitation, and palliative.

 Majorly, the Kenyan health systems and the community broadly focus on curative health care. This is demonstrated in the health budgets, health plans, and uptake of health services in the country. Most Kenyans are concerned about their health when they get sick. During other times most of them do not put any effort into prevention. The government on the other hand concentrates on curative at the extent of preventive and promotive. The government of Kenya’s health budget has its highest budget allocated to the curative and very little amount on preventive measures such as immunization, public education to mention but a few. 

For example in FY 2019/2020, the total national budget approved by the national assembly was Ksh. 1.9 trillion.  Ksh. 93 billion was allocated to the Ministry of Health(MoH) to finance national health programs.

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The MoH allocated  Ksh. 9 billion to Preventive and Promotive Health services which is one of the components of PHC services. The allocation to the public health sector in the FY 2019/20, represents  5% of the total national budget, which is far much below the 15% recommended by WHO while the PHC related programs (Preventive and Promotive Health (PPH)Health services) was  9.7% of the total health budget. 

Health cost in Kenya is very expensive and this can be attributed to the observation that most people are sick with preventable diseases. Some citizens do not care concerning their health,  we have people leaving in environments that are not clean, they have no water to wash their food or their hands this being a major way of preventing diseases. 

A pandemic like COVID 19 that broke out in Kenya and other countries in 2020 has demonstrated that prevention can make us prevent the citizens from contracting diseases hence prevent the health systems from being overwhelmed.  Prevention of disease will help our people to leave healthy lives, prevent diseases and also reduce death/mortality.

Moreover, the health facilities are not accessible in most of the community settings this is confirmed by the UHC pilot report generated by  Kenya in 2019.  Nevertheless, the movement in response to this issue has planned to establish health facilities closer to the people.  But one very worrying thing is that most of the PHC supporting health facilities are poorly equipped, the doctor-patient ratio is poor.

In other instances, such facilities are often faced with medicine stock out. This in itself forces the citizens to be referred or refer themselves to the level 4&5 of the health facilities leading congestion and stretching to the health facility resources including but not limited to human resource for health.

Kenya among other countries has gone further and committed to implementing Universal Health Coverage (UHC) to ensure “health for all.” UHC is expected to promote quality, accessibility, and health that will relieve the citizens from the burden of health financing health.

PHC is a cornerstone of a sustainable health system for UHC and health-related Sustainable Development Goals (SDGs).

Call on the government to:

  1. Enhance PHC structures and implement the policies and plans developed recently and address the health system gaps that were identified during the UHC pilot as these gaps will hinder the success of PHC. The gaps included access, quality, the challenge of stock-out, and the burden of the financing. Kenyans have been funding their PHC services from their pocket.
    1.  Allocate sufficient services to PHC programs in Kenya. The government should consider allocating 1% of its GPD and sustain this percentage. Most of the PHC services in Kenya are funded by donors we need the Kenyan government to transit to domestic financing for PHC programs. The health sector should increase its attention on preventive and promotive services.
    2. Relief the citizens from the burden of financing PHC services by ensuring that all the PHC services are included in the essential services package that should be 100%  catered by NHIF.
    3.   The government to promote community empowerment focusing on prevention and promotive and alongside this the government to give attention to the  Community Health Workers/ Volunteers(CHWs/ CHVs) needs. These workers should be motivated and be equipped with the knowledge, skills, and equipment needed to have them support PHC work at the community level. The Community Health Workers need to be motivated by increasing their stipend. The stipend should be at least Kes. 10000 per month and should be standard for all the counties. Kenya should have in place laws to govern CHWs work in the health sector.

By Dr Mercy Onsando, is the HENNET Chief Executive Officer


Kenyan Business Feed is the top Kenyan Business Blog. We share news from Kenya and across the region. To contact us with any alert, please email us to [email protected]

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