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Promoting Access to quality Promoting Access to quality healthcare” healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM ASSOCIATIONS PLATFORM (ACHAP) (ACHAP) PRESENTATION TO CHAS STUDY PRESENTATION TO CHAS STUDY CONSULTANCY TEAM, DEC. 2009 CONSULTANCY TEAM, DEC. 2009 BY SAMUEL MWENDA, ACHAP BY SAMUEL MWENDA, ACHAP SECRETARIAT SECRETARIAT

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Page 1: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Christian Health Association of Kenya

AFRICA CHRISTIAN AFRICA CHRISTIAN HEALTH ASSOCIATIONS HEALTH ASSOCIATIONS

PLATFORM (ACHAP)PLATFORM (ACHAP)

PRESENTATION TO CHAS STUDY PRESENTATION TO CHAS STUDY CONSULTANCY TEAM, DEC. 2009CONSULTANCY TEAM, DEC. 2009

BY SAMUEL MWENDA, ACHAP BY SAMUEL MWENDA, ACHAP SECRETARIATSECRETARIAT

Page 2: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Africa CHAs PlatformAfrica CHAs Platform• A networking forum for

Christian Health Associations & Networks from Sub-Saharan Africa

• Was established through a Declaration of the 3rd Biennial CHAs Conference held at Bagamoyo, Tanzania in January 2007

• Platform Secretariat is hosted by CHAK in Nairobi

• Governance structure & mandate was affirmed by the 4th CHAs Conference held in Kampala, Uganda in Feb. 2009

www.africachap.org

Page 3: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ACHAP member network in 26 ACHAP member network in 26 countriescountries

Christian Health Association of Kenya

Page 4: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ACHAP Governance structureACHAP Governance structure

Christian Health Association of Kenya

Africa CHAs Advisory Team

Africa CHAs Biennial

Conference

Africa CHAs Planning &

Editorial Committee

Africa CHAs Platform

Secretariat

Member CHA Member CHA Partner Organizations

Page 5: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Shared motivation of CHAs Shared motivation of CHAs involvement in health involvement in health

service deliveryservice delivery

• CHAs are inspired by their Christian foundation, faith and commitment to get involved in compassionate services

• They are inspired by desire for mission outreach to the underserved areas and vulnerable groups following the example of Christ Christian Health Association

of Kenya

Page 6: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Indicative CHAs health service Indicative CHAs health service coveragecoverage

• In most Sub-Saharan African Countries, Faith Based Organizations and in particular Christian Health Networks provide a large proportion of the national health services accounting for 20-40% of the national health service delivery and this increases even further in the remote hard to reach areas

• In Kenya 30% of ACT/AL procured through Global Fund support is distributed through MEDS (FBO Drug Supply Agency) to FBO Health facilities and 60% of Cataract surgeries in Kenya are by FBOs

• CHAZ is distributing Bed Nets to all health facilities 22Districts of Zambia

Christian Health Association of Kenya

Page 7: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ACHA Platform core ACHA Platform core functionsfunctions

• Networking– Biennial Conference– ACHA Bulletin– Exchange of reports and publications– Exchange visits

• Advocacy – With Governments– With Development Partners– On International Fora and platforms

• Capacity building through peer learning

Christian Health Association of Kenya

Page 8: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

• Promoting partnerships– North to South– South to South

• Facilitates communication among CHAs among CHAs including from Anglophone to Francophone

• Facilitates regular dialogue on HRH through HRH-TWG

• Collaborate with partners to support research/studies including mapping of CHAs health service delivery

Christian Health Association of Kenya

ACHA Platform core ACHA Platform core functionsfunctions

Page 9: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Exchange visit, UPMB ED & Exchange visit, UPMB ED & CBHC Manager at CHAK Kijabe CBHC Manager at CHAK Kijabe

HospitalHospital

Christian Health Association of Kenya

Page 10: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Kenya CHAs/MOH team visit to Kenya CHAs/MOH team visit to Zambia in search of PPP lessonsZambia in search of PPP lessons

Christian Health Association of Kenya

Page 11: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

CSSC leads Interfaith Tanzania CSSC leads Interfaith Tanzania team on a visit to Kenyateam on a visit to Kenya

Christian Health Association of Kenya

Page 12: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

CHAs members at 62CHAs members at 62ndnd WHA WHA plenary session on PHC plenary session on PHC

renewalrenewal

Christian Health Association of Kenya

Page 13: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

CHAs 4CHAs 4thth Biennial Biennial Conference, Feb 2009, Conference, Feb 2009,

KampalaKampala

Christian Health Association of Kenya

Page 14: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ACHAP facilitated FBOs meeting ACHAP facilitated FBOs meeting with the Global Fund in April with the Global Fund in April

2008 – 2008 – Christoph Benn, GF Director of Christoph Benn, GF Director of external relationsexternal relations

Christian Health Association of Kenya

Page 15: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

CHAs voice at World Bank - FBO CHAs voice at World Bank - FBO forum in Ghana – Sep 2009forum in Ghana – Sep 2009

Christian Health Association of Kenya

Page 16: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Role of CHAs in healthRole of CHAs in health• Broad range of health services from Community

Based Health Care to specialized treatment and rehabilitative services for Malaria, it’s complications and other diseases

• Integrated Primary Health Care (PHC) services• HIV prevention, care and treatment programs• Health education for health promotion and

disease prevention including training of Community Health Workers

• Drug Supply Agencies – eg MEDS, JMS, CHANPharm, CHAZ, MEMS & CHAM – for procurement, warehousing and distribution of Essential Drugs and other health commodities

Christian Health Association of Kenya

Page 17: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Extensive reach of CHA services Extensive reach of CHA services to the remote underserved to the remote underserved

areasareas

Christian Health Association of Kenya

Page 18: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Role of CHAs in healthRole of CHAs in health• Mobilization of local, national and international

resources for health• Advocacy for equity and access• Participate in health policy development, health

sector planning and performance monitoring• Contribute to the body of knowledge through

M&E and research• Training of Health Workers in Medical & Nursing

Colleges• Training of Community Health Workers – critical

workforce in community based health initiatives

Christian Health Association of Kenya

Page 19: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

Christian Health Association of Kenya

Dependable supply system for Dependable supply system for quality Essential Drugs & health quality Essential Drugs & health

commodities commodities

Mission For Essential Drugs & Supplies

www.meds.or.ke

Page 20: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ChallengesChallenges• Financial sustainability• Human resource challenges - attracting, developing,

motivating and retaining HRH• Limited involvement and recognition by Government

and International Development Agencies in some countries

• Global economic crisis• Limited documentation of their work and potential• Demands by regulatory authorities which have no

consideration for the inequities in resource distribution

• Limited technical capacity to compete for international funding opportunities

Christian Health Association of Kenya

Page 21: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

OpportunitiesOpportunities• More inclusive health sector reforms such as

sectorwide approach strategy (SWAps)• Renewal of PHC by WHO’s 62nd World Health

Assembly of May 2009• Formalized partnership with Government

through MoU with CHAs in several countries• Involvement in Strategic & Annual Health

sector Plans including Malaria Strategic Plans• Increasing appreciation of FBOs by

International Agencies; WHO, Global Fund, UNAIDS, RBM, UNICEF, GAVI & World Bank etc

Christian Health Association of Kenya

Page 22: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

OpportunitiesOpportunities

• International Health Partnerships initiatives and Global advocacy for scaling up funding for diseases responsible for the greatest disease burden

• Partnership with Faith Based Funding Agencies from the North

• CHAs that are at different levels of organization development and technical/technological expertise present opportunity for peer learning

Christian Health Association of Kenya

Page 23: “Promoting Access to quality healthcare” Christian Health Association of Kenya AFRICA CHRISTIAN HEALTH ASSOCIATIONS PLATFORM (ACHAP) PRESENTATION TO CHAS

““Promoting Access to quality Promoting Access to quality healthcare”healthcare”

ACHA Platform has ACHA Platform has provided an important provided an important

forum for dialogue, forum for dialogue, experiences exchange, experiences exchange,

networking and advocacynetworking and advocacy

Thank youThank you

Support is needed to take this to the next level

Christian Health Association of Kenya