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Preliminary evaluation of the WHO Special Programme on Primary Health Care: Kenya case study

公用事业2024-06-18世界卫生组织G***

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Kenya Case Study: Preliminary Evaluation of the WHO Special Programme on Primary Health Care

Objective

The primary objective of this case study is to evaluate the effectiveness and impact of the World Health Organization's Special Programme on Primary Health Care (SP-PHC) within the Kenyan context. This study aims to:

Generate Evidence: Provide insights into the SP-PHC's support mechanisms aimed at strengthening primary health care systems and achieving Sustainable Development Goals, particularly SDG3 on good health and well-being.
Learning and Replication: Highlight best practices and lessons learned from Kenya that can inform improvements in SP-PHC support and potentially contribute to successful models in other countries.

Focus Areas

The study focuses on four strategic areas of the WHO/UNICEF PHC Operational Framework:

Political Commitment and Leadership
Governance and Policy Frameworks
Digital Technologies for Health
Monitoring and Evaluation

Methods

The research employs a multi-method approach combining:

Document Review: Analysis of existing documents related to the SP-PHC and Kenyan health sector.
Primary Data Collection:
- Key Informant Interviews (KIIs): 21 interviews with stakeholders across national and subnational levels involved in primary health care.
- Focus Group Discussions: Three sessions with diverse stakeholders, including representatives from the WHO Country Office, international development partners, civil society organizations, and ministry officials.

Limitations

Timing: The SP-PHC was not yet operationalized within the WHO Kenya Country Office at the time of study, limiting the assessment of tangible outcomes.
Data Availability: Limited access to comprehensive financial data tracking the allocation of funds from the Universal Health Coverage Partnership (UHC-P).

Findings and Recommendations

The study will delve into:

Design and Relevance: Analysis of the SP-PHC's alignment with Kenya's health care needs and objectives.
Implementation: Evaluation of efficiency and effectiveness of SP-PHC interventions.
Gender, Equity, and Human Rights: Examination of initiatives that promote inclusivity and fairness in health care access.
Lessons Learned: Identification of best practices and challenges faced during implementation.
Future Opportunities: Recommendations for enhancing SP-PHC support based on insights gained from the case study.

Conclusion

The preliminary evaluation aims to contribute to the broader understanding of how SP-PHC can be optimized for better health outcomes in Kenya and potentially inspire improvements in global health care delivery frameworks.

EVALUATIONOFFICE MAY2024 PreliminaryevaluationoftheWHOSpecialProgrammeonPrimaryHealthCare KenyaCaseStudy Credit:WHO/BillyMiaron WHO/DGO/EVL/2024.6 ©WorldHealthOrganization,2024 Somerightsreserved.ThisworkisavailableundertheCreativeCommonsAtribution-NonCommercial-ShareAlike3.0IGOlicence(CCBY-NC-SA3.0IGO;htps://creativecommons.org/licenses/by-nc-sa/3.0/igo). Underthetermsofthislicence,youmaycopy,redistributeandadapttheworkfornon-commercialpurposes,providedtheworkisappropriatelycited,asindicatedbelow.Inanyuseofthiswork,thereshouldbenosuggestionthattheWHOendorsesanyspecificorganization,productsorservices.TheuseoftheWHOlogoisnotpermited.Ifyouadaptthework,thenyoumustlicenseyourworkunderthesameorequivalentCreativeCommonslicence.Ifyoucreateatranslationofthiswork,youshouldaddthefollowingdisclaimeralongwiththesuggestedcitation:“ThistranslationwasnotcreatedbytheWorldHealthOrganization(WHO).WHOisnotresponsibleforthecontentoraccuracyofthistranslation.TheoriginalEnglisheditionshallbethebindingandauthenticedition”. AnymediationrelatingtodisputesarisingunderthelicenceshallbeconductedinaccordancewiththemediationrulesoftheWorldIntellectualPropertyOrganization(htp://www.wipo.int/amc/en/mediation/rules/). Suggestedcitation.PreliminaryevaluationoftheWHOSpecialProgrammeonPrimaryHealthCare:Kenyacasestudy.Geneva:WorldHealthOrganization;2024.Licence:CCBY-NC-SA3.0IGO. Cataloguing-in-Publication(CIP)data.CIPdataareavailableathtp://iris.who.int. Sales,rightsandlicensing.TopurchaseWHOpublications,seehtps://www.who.int/publications/book-orders.Tosubmitrequestsforcommercialuseandqueriesonrightsandlicensing,seehtps://www.who.int/copyright. Third-partymaterials.Ifyouwishtoreusematerialfromthisworkthatisatributedtoathirdparty,suchastables,figuresorimages,itisyourresponsibilitytodeterminewhetherpermissionisneededforthatreuseandtoobtainpermissionfromthecopyrightholder.Theriskofclaimsresultingfrominfringementofanythird-party-ownedcomponentintheworkrestssolelywiththeuser. Generaldisclaimers.ThedesignationsemployedandthepresentationofthematerialinthispublicationdonotimplytheexpressionofanyopinionwhatsoeveronthepartofWHOconcerningthelegalstatusofanycountry,territory,cityorareaorofitsauthorities,orconcerningthedelimitationofitsfrontiersorboundaries.Dotedanddashedlinesonmapsrepresentapproximateborderlinesforwhichtheremaynotyetbefullagreement. Thementionofspecificcompaniesorofcertainmanufacturers’productsdoesnotimplythattheyareendorsedorrecommendedbyWHOinpreferencetoothersofasimilarnaturethatarenotmentioned.Errorsandomissionsexcepted,thenamesofproprietaryproductsaredistinguishedbyinitialcapitalleters. AllreasonableprecautionshavebeentakenbyWHOtoverifytheinformationcontainedinthispublication.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,eitherexpressedorimplied.Theresponsibilityfortheinterpretationanduseofthemateriallieswiththereader.InnoeventshallWHObeliablefordamagesarisingfromitsuse.ThispublicationcontainsanindependentevaluationreportbytheWHOEvaluationOffice.ItdoesnotreﬂecttheviewsorpoliciesofWHO. Contents AbbreviationsandAcronyms 4 1.Purposeofthecasestudy 3 2.Methodsandapproach 3 3.Background 4 4.Keyﬁndings 11 DesignoftheSP-PHC–Relevanceandcoherence 11 Implementation–EfficiencyandeﬀectivenessoftheSP-PHC 15 Gender,equityandhumanrightsconsiderations 21 LessonslearnedandbestpracticesinadvancingselectedPHCleversinKenya 22 5.ConclusionsandopportunitiesforfutureSP-PHCsupporttoKenya 25 Annex1:Bibliography 29 Annex2:Discussionguidesforinterviewsandfocusgroups 31 ListoftablesTable1:PerformanceimpactindicatorsofKenya’shealthsystem 5 Table2:Keyhealthfinancingindicators 7 Table3OverviewofSP-PHCsupporttoKenyafrom2020-2023 11 ListoffiguresFigure1:TimelinefordevelopmentofkeynationalPHCpoliciesandstrategies(2) 5 Figure2:Primarycarenetworkmodel(18) 8 Figure3StructureofWHOKenya 10 AbbreviationsandAcronyms CHU communityhealthunit CRVS civilregistrationandvitalstatistics GAP GlobalActionPlan GPW GeneralProgrammeofWork HH households HPA healthpolicyadvisor HRH humanresourcesforhealth KI(I) keyinformant(interview) MoH MinistryofHealth MoI MinistryofInteriorandNationalAdministration PCN primaryhealthcarenetwork PHC primaryhealthcare PHCMFI PHCmeasurementframeworkandindicators SDG SustainableDevelopmentGoal SDG3GAP GlobalActionPlanforHealthyLivesandWell-being SP-PHC SpecialProgrammeonPrimaryHealthCare UHC universalhealthcoverage UHC-CN UHCcommunicableandnoncommunicablediseases UHC-LC UHClifecourse UHC-P UHCpartnership UNAIDS JointUnitedNationsProgrammeonHIV/AIDS UNICEF UnitedNationsChildren’sFund USAID UnitedStatesAgencyforInternationalDevelopment VSP vitalsignsprofile WHO WorldHealthOrganization 1.Purposeofthecasestudy Threecountrycasestudies(inChile,KenyaandTajikistan)wereconductedaspartofthepreliminaryevaluationoftheWHOSpecialProgrammeonPrimaryHealthCare(SP-PHC). Theoverallpurposeofthecasestudieswastwofold: 1.togenerateevidencefortheevaluationquestions,includingopportunitiestostrengthentheSP-PHCsupporttocountriesinachievingtheobjec

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Preliminary evaluation of the WHO Special Programme on Primary Health Care: Kenya case study

Kenya Case Study: Preliminary Evaluation of the WHO Special Programme on Primary Health Care

Objective

Focus Areas

Methods

Limitations

Findings and Recommendations

Conclusion

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