Policy Briefs from the EIPM Training Programme

  • Tackling High Maternal Deaths in Kenya July, 2016

    Non-communicable diseases and conditions (NCDs) include cardiovascular diseases, cancers, diabetes and chronic respiratory diseases. The World Health Organization estimates that NCDs kill 38 million people each year with three quarters of these deaths (28 million) occurring in low- and middle-income countries. Globally, 16 million NCD deaths occur before the age of 70, with 82 percent of these “premature” deaths occurring in low- and middle-income countries. The WHO further estimates that NCDs were responsible for 64 percent of the total deaths in 23 low- and middle- income countries, 47 percent of these occurring in people who were younger than 70 years.

    Among NCDs, cardiovascular diseases account for most deaths (17.5 million annually), followed by cancers (8.2 million), respiratory diseases (4 million) and diabetes (1.5 million). The major risk factors for these conditions include tobacco use, physical inactivity, alcohol consumption, and unhealthy diets. This policy brief discusses the key risk factors for NCDs, the economic and social costs involved in treating and managing these diseases and the need for Kenya to develop and implement a health promotion programme to educate the public on prevention, the augmentation and implementation of of fiscal and legislative measures and the integration of NCDs into primary healthcare services.

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  • Content Bill: What it Portends for Kenya’s Economy July, 2016

    Many resource-rich countries are increasingly introducing requirements for local content policy through legislation, regulations, contracts and bidding practices. If these policies are well implemented they will increase local content and can lead to job creation, boost the domestic private sector, facilitate technology transfer and build a competitive local workforce. However, local content goals are often unfulfilled and the opportunities are not captured due to inadequate local content enforcement.

    This policy brief covers the status of local content in Kenya, examples of countries that have effectively implement local content regulations and how Kenya can learn from these case studies.

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  • Additional Interventions Needed to Achieve the Aim of Free Maternity Services in Kenya July, 2016

    This Policy Brief begins by outlining the national framework guiding the right to reproductive health. It then highlights some barriers to free maternity service program and finally outlines several policy interventions to address the barriers to ensure that all women in need of maternal and child health services are able to access them when in need.

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  • Strengthening the Leadership and Management of the Health Information System for Improved Quality of Health Information in Kenya August, 2016

    Quality health information providing correct measurements and accountability in the health sector is very crucial for evidence-based decision-making and tracking progress of policy and programme actions. The health sector needs quality information primarily for performance, financial and political accountabilities required to implement the Vision 2030 goals as well as the mandates provided for in the Constitution. The sector requires critical information for efficient resource investments in these important areas to optimise provision of quality healthcare to the citizens. These areas include: organisation of service delivery; infrastructure development; financing; health workforce, health information systems; health products and technologies; coordination, leadership and governance; and research and development.

    Strengthening the health information system pillar of the health system is quite central in the strengthening of the other pillars (including leadership and governance, healthcare financing, human resources for health, service delivery, health infrastructure, commodities, vaccines, medical products and technologies), which all require information support to function effectively and efficiently.

    This policy brief therefore discusses the state of Kenya's own Health Information System (HIS), its challenges and recommendations that could be implemented as a remedy.

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  • Strengthening Community Health Workforce to Enhance Efforts to Reduce Maternal and Child Death in Kenya August, 2016

    The Constitution of Kenya 2010 recognises that every Kenyan has a right to the highest attainable standard of health. Even then, many Kenyans still lack access to quality health care, and key health indicators remain poor. For instance, according to the 2014 Kenya Demographic and Health Survey (KDHS 2014), maternal mortality ratio stands at 366 per 100,000, infant mortality rate at 39 per 1,000 live births, under-five mortality rate at 52 per 1,000, only 68 percent of children are fully immunised, only 61 percent of deliveries take place in a health facility, and the stunting rate in children remains high at 26 percent.

    Community participation is critical in Kenya’s efforts to accelerate progress in tackling these health challenges. The Kenya Health Policy (2014-2030) and the Kenya Health Sector Strategic and Investment Plan (2014-2018) have both identified community-level high impact intervention as one of the eight health sector flagship projects that will significantly contribute to the achievement of Vision 2030.

    This policy brief  discusses the role of community health in enabling access to universal health care and accelerating progress to reduce child and maternal deaths.

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  • Tackling the Rise in Non- Communicable Diseases and Conditions in Kenya August, 2016

    Non-communicable diseases and conditions (NCDs) include cardiovascular diseases, cancers, diabetes and chronic respiratory diseases. The World Health Organization estimates that NCDs kill 38 million people each year with three quarters of these deaths (28 million) occurring in low- and middle-income countries. Globally, 16 million NCD deaths occur before the age of 70, with 82 percent of these “premature” deaths occurring in low- and middle-income countries. The WHO further estimates that NCDs were responsible for 64 percent of the total deaths in 23 low- and middle- income countries, 47 percent of these occurring in people who were younger than 70 years.

    Among NCDs, cardiovascular diseases account for most deaths (17.5 million annually), followed by cancers (8.2 million), respiratory diseases (4 million) and diabetes (1.5 million). The major risk factors for these conditions include tobacco use, physical inactivity, alcohol consumption, and unhealthy diets. This policy brief discusses the key risk factors for NCDs, the economic and social costs involved in treating and managing these diseases and the need for Kenya to develop and implement a health promotion programme to educate the public on prevention, the augmentation and implementation of of fiscal and legislative measures and the integration of NCDs into primary healthcare services.

    Read More
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