A family in Kenya. Photo by Carmen Urdaneta
Amid widespread economic and political reforms Kenya has established a significant leadership role in East Africa. Although Kenya has emerged as a vital contributor to the economic growth and political stability of the region, communities still lack the means to sustain the fight against infectious diseases, maternal and infant mortality, malnutrition, and anemia. The root of the problem is not necessarily a lack of human or material resources but inefficient health care delivery systems and a lack of the safe work environments and incentives that would promote the retention of a skilled, passionate health care workforce. MSH has a longstanding commitment to Kenya and a local staff that has worked with a host of Kenyan organizations, both public and private, in the effort to confront challenges at their source. Since the early 1990s, MSH partnerships and programs have increased the availability of health supplies, medicine, vaccines, and laboratory equipment in communities throughout Kenya. The development of strong, decentralized supply chains have been a crucial first step, while supporting and strengthening leadership and management at the national level remains one of the primary goals for initiatives in Kenya. MSH aims to further reinforce the pharmaceutical and laboratory systems throughout the country and plans to train, deploy, and retain the nurses, clinicians, laboratory technicians, and pharmacy specialists that will ensure a professional, sustainable workforce.

Experience in this Country

Leadership, Management and Sustainability (LMS) Program : Kenya

2005–2010

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The Leadership, Management and Sustainability (LMS) Program develops managers and leaders who achieve results in the areas of reproductive health, HIV & AIDS, infectious disease, and maternal and child health. LMS works with health organizations in the public and private sectors to create sustainable programs and systems through improved leadership and management. By strengthening management systems and increasing system-wide leadership, LMS improves the performance of health care organizations at all levels, develops human resources, and builds the capacity to anticipate and respond effectively to changing external environments.

On April 16, 2010,  USAID awarded MSH the Leadership, Management and Sustainability Program/ Kenya Associate Award.  LMS/Kenya is a five-year program (2010-2015) which supports public-sector institutions of the health system, NGOs, FBOs in the health sector, and other USAID partners to strengthen leadership and management capabilities at the national, provincial, district, and community levels to improve access to and use of quality health services and thereby improve the health of the Kenyan population.

Capacity Project

2004–2009

As a partner with IH on the Capacity Project, MSH undertook three main activities to strengthen the Human Resources for Health capacity of Southern Sudan by:

  • Supporting the Human Resources Director of the Ministry of Health to develop a Human Resources for Health Strategy through a baseline assessment of the human resource management needs and a strategy development workshop
  • Developing leadership skills through implementation of the Leadership Development Program throughout the county
  • Finalizing a set of personnel policies and producing a Personnel Policy Manual for the MOH

MEASURE Evaluation

2008–2013

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The MEASURE Evaluation project, which began in 1998, is USAID’s flagship Monitoring and Evaluation project and was established based on the premise that generating demand for and improving the use of data in policy formulation, program planning, monitoring and evaluation improves health systems which in turn affects health outcomes. The project is now in Phase III and is led by the University of North Carolina. In addition to MSH, the partners include Futures Group, JSI, Macro International , and Tulane University. MSH provides capacity building in the area of organization and leadership development to enhance sustainability using MSH’s virtual and other tools and also offers direct support to country M&E teams.

Strengthening Pharmaceutical Systems (SPS) Program

2007–2012

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Strengthening Pharmaceutical Systems is a follow-on to the Rational Pharmaceutical Management (RPM) Plus Program. MSH is pleased to announce that the US Agency for International Development has awarded us the Strengthening Pharmaceutical Systems (SPS) Leader with Associates Cooperative Agreement. SPS will focus on four key results:

  • Improve governance in the pharmaceutical sector
  • Strengthen pharmaceutical management systems to support public health services
  • Contain the emergence and spread of antimicrobial resistance
  • Expand access to and improved use of essential medicines
The five-year, $147.5 million cooperative agreement is led by Dr. Douglas Keene as Program Director, Dr. Sameh Saleeb and Dr. Francis Aboagye-Nyame as Deputy Directors. To help meet goals relating to the key result areas, the SPS Program is building on the successes of RPM Plus while expanding the range of technical areas to include financing, pharmacovigilance, pharmaceutical care, integration of new health technologies, and increased use of the private sector, among others. MSH will accomplish this enhanced program of activities by collaborating with a number of new partner organizations. The SPS core partner team includes: In addition to the core team, MSH is joined by a select group of organizations that will serve as specialized resources for SPS. These organizations include: As we work toward the overall goal of SPS, the SPS team is striving to advance the science and "art" of strengthening pharmaceutical management systems. The SPS Program provides a great opportunity for MSH and USAID to continue supporting developing countries in their quest to increase access to essential medicines and facilitate the scale up of vital treatment programs.

International Network for Rational Use of Drugs Initiative on Adherence to Antiretrovirals (INRUD-IAA)

2006–2011

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The International Network for Rational Use of Drugs (INRUD) was established in 1989 to design, test, and disseminate effective strategies to improve the way drugs are prescribed, dispensed, and used, with a particular emphasis on resource poor countries.

Launched in September 2006, the INRUD-IAA initiative is funded by the Swedish International Development Cooperation Agency. The objectives of the five-year initiative are to—

  • Develop and validate a set of indicators that can be used to monitor adherence to ART
  • Investigate adherence rates and determinants for these rates for ART programs and individuals in two target countries
  • Pilot interventions to improve adherence in individual patients and in programs in two countries
  • Establish the process needed for national AIDS control programs to scale-up successful interventions as part of national policy in the two countries
  • Work with the other three countries in the region to develop national adherence policies and implement interventions to improve adherence

Extending Service Delivery (ESD) for Reproductive Health and Family Planning

2005–2011

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This project builds upon extensive work in reproductive health and family planning (RH/FP) services carried out under Advance Africa (MSH) and the CATALYST (Pathfinder International) projects. The USAID Office of Population and Reproductive Health will support a core agenda focused on increased utilization of quality RH/FP services at the community level among underserved and at-risk groups, especially youth, families in the poorest economic quintiles, postpartum and postabortion clients, and people at-risk for or infected with HIV.

For ESD, MSH has staff based in Guinea, Kenya, and Burundi. In 2010, MSH has worked in or supported Angola, Burundi, Ethiopia, Guatemala, Guinea, Jordan, Kenya, Nigeria, and Yemen.

Video

Legacy Documents

  • View the ESD legacy documents, a series of technical briefs showcasing ESD's approaches and models for delivering family planning and reproductive health services in 18 countries.

Supply Chain Management System Project

2006–2008

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SCMS (the Supply Chain Management System) supplies lifesaving medicines to HIV & AIDS programs around the world and is led by the Partnership for Supply Chain Management (a nonprofit organization established by MSH and JSI). The 17 SCMS international partners are hands-on and actively work to strengthen supply chains, enabling the scale-up of HIV & AIDS treatment in developing countries. SCMS is funded by the President's Emergency Plan for AIDS Relief to help deliver an uninterrupted supply of high-quality, affordable products including: antiretroviral drugs; drugs to treat opportunistic infections such as tuberculosis; and drugs and supplies for palliative and home-based care, HIV rapid test kits, and laboratory equipment. The project focuses on improving forecasting (to determine what drugs are really needed), aggregating demand and negotiating lower prices, and bringing the delivery mechanism closer to the point of use through regional warehouses. SCMS can work anywhere in the world, but is initially focused on the 15 Emergency Plan focus countries.

Rational Pharmaceutical Management Plus Program

2000–2008

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MSH provided technical guidance and assists in strategy development and program implementation both in improving the availability of safe, effective health commodities of assured quality and cost—pharmaceuticals, laboratory diagnostics, vaccines, supplies, and basic medical equipment—and in promoting the appropriate use of these commodities in the public and private sectors at the community level, with special focus on managing pharmaceuticals essential for maternal, newborn, and child health.

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Kenya map
 

Country Profile

County Profile
The World Bank 
PRB 2009 World Population Data Sheet
Population1 39,802,000
Infant Mortality Rate per 1,000 live births1 55.0
Maternal Mortality Rate per 100,000 live births1
530
HIV & AIDS Adult Prevalence2 7.4%
Population Living Below US$2 per day2 40%
Life Expectancy at Birth, M/F1 54/55 yrs