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Outline of the Project

Project Name

Project for Strengthening Community Health Strategy

Country

Kenya

Date of R/D Signed

December 9, 2010

Project Site

Nairobi

Term of Cooperation

October 1, 2011 - September 30, 2014

Implementing Organization

Department of Primary Health Services, Ministry of Public Health & Sanitation（MoPHS）

Project Background

Implementing community health services is a top priority of the MoPHS, and its partners in Kenya's health sector. The recognition and introduction of level 1 service is one of the key innovations identified in the Kenya Essential Package for Health (KEPH) in which six life-cycle cohorts and six service delivery levels are introduced.KEPH aims at empowering Kenyan households and communities to take charge of improving their own health.

The Community Health Strategy (CHS) in alignment to KEPH aims at improving health indicators by implementing critical interventions at the community level. The overall goal of the CHS is to enhance community access to health care in order to improve productivity and thus reduce poverty, hunger, and child and maternal deaths, as well as improve education performance across all the stages of the life cycle.

While progress has been observed in the CHS implementation since the government initiated its rollout in June 2006, the national rollout faces various challenges at the national level (MoPHS) including: diversity of the country (geographic settings and demography) not properly considered in the current CHS model, limited piloting of the current CHS model (not much evidence collected from the field to inform policy development, absence of a National Communication Strategy for CHS, absence of a National M&E Framework for CHS, shortage/high turn-over of Community Health Extension Workers (CHEWs) and Community Health Workers (CHWs), inadequate operational budget and tools for supportive supervision and inadequate coordination and resource mobilization to scale up CHS.

Overall Goals

Roll-out of effective Community Health Strategy (CHS) implementation is accelerated.

Project Purpose

Evidence-based policy cycle for implementation of CHS is strengthened through national capacity development.

Outputs

  1. CHS coordinating function among stakeholders to operationalise policy is strengthened.
  2. Guidelines/tools for CHS operation are developed and revised.
  3. CHS Monitoring & Evaluation (M&E) framework* and implementation plan are in place.
  4. Effectiveness of policies/guidelines/tools for CHS is assessed through OR and results are presented to policy level.

Project Activities

1-1To develop and review DCHS annual operations plan (AOP) for CHS policy implementation at the national level
1-2To review and revise Terms of Reference (TOR) for CHS Inter-agency Coordinating Committee (ICC) for effective coordination.
1-3To develop, review and update TOR for TWGs to ensure to meet its purpose as needed.
1-4To hold regular TWG meetings to discuss development of guidelines and tools.
1-5To develop the standard operating procedure (SOP) guideline for CHS operation for partners.
1-6To support holding national and regional stakeholders forums for CHS in implementation sites.
1-7To conduct local exchange visits and study tours for experience sharing.
1-8To share and disseminate the relevant information on CHS through ICC and other platforms with stakeholders to inform policies.
1-9To facilitate review and revision of policies/guidelines/tools on CHS based on the findings and evidence from the community.
2-1To facilitate/develop communication strategy on CHS.
2-2To facilitate/develop communication and advocacy tools i.e. Job Aids, website, promotion video.
2-3To facilitate/develop, revise and standardise the new training manuals for human resources at level 1.
2-4To facilitate/develop training package for human resources at level 1.
3-1To facilitate development of draft M&E framework, including indicators, tools, data collection methods and procedures, use of information at all levels.
3-2To facilitate development of M&E implementation plan based on the M&E framework.
3-3To pre-test the draft M&EE framework in selected OR sites.
3-4To introduce the finalized M&E framework in the OR sites.
3-5To compile the data collected through M&E framework.
3-6To share the results of M&E implementation with stakeholders at all levels.
4-1To conduct systematic desk review on Community Health Systems Strengthening.
4-2To hold regular consultative meeting with CHS Technical Advisory Committee and other stakeholders.
4-3To develop study protocol based on the systematic desk review and assessment.
4-4To conduct baseline survey and situation analysis and to propose intervention models (e.g. retention plan, performance indicators) in the OR sites.
4-5To support establishment of CUs in the selected intervention sites as per the study protocol.
4-6To conduct endline survey in the selected sites.
4-7To analyze the data and summarize and disseminate the results.

Input

Japanese Side:

  1. Assignment of experts:
    Chief Advisor, Community Health, Communication & Advocacy, Operations Research, M&E, Project Coordinator
  2. Project operational cost:
    Training, stakeholders forum, Activities in the selected intervention sites
  3. Provision of necessary equipment for the Project operation
  4. Training (in Japan and/or in a third country)

Kenyan Side:

  1. Assignment of counterparts (C/Ps)
  2. Arrangement of the office space for the Project
  3. Utility cost for the Project office and the Project sites
  4. Personnel cost of C/Ps

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