Transcript Kenya Involving the Private Sector.

Involving the Private Sector in Increasing
Access to and
Utilization of Family Planning:
Experiences from Kenya
Walter Shikuku Odhiambo, Marie Stopes Kenya
Kigali 2010
Country FP Context
• Population: 40 million (75% Rural)
• Population growth rate: 2.8%, GDP growth rate: 11%
• Unmet need for FP: 25%
• Currently not using contraception: 54.5%
• Rural: 57%
• Urban: 47%
Why Public-Private Partnerships
• Private sector largest contributor of funds for FP;
• Private sector (41.0%), Public sector (34.2%), Donor (24.1%), Other (0.7%)
• Significant number of providers in private sector ;
• Public providers (61.0%), Private providers (29.8%), Other (9.2%)
• Households make 57% out of pocket expenditure on FP at private
providers
• Significant size of total HF (6,190) private provider owned;
• GoK Owned (52%), Private provider Owned (48%)
• GoK vision for healthcare: An integrated, holistic system to access FP
Innovations in Private Sector Delivery
• Social Franchising of FP
• Social Marketing
• Output Based Approach
• Peer Support Networks
“voucher babies”
Success Story – the AMUA case
• Rural Western Kenya
• Built provider capacity
• Built CBD capacity
• Achieved 1.2 million CYPs
• Enhanced public-private
relationships
• Joint ICC under MoPHS
• MoPHS-led PMCG
• Created strong brand of
quality services
Challenges
• Limited regulation &
coordination
• Limited government
funding
• Adverse macro-economic
performance
• Variable quality of care
• Disproportionate
distribution of qualified
personnel
Lessons Learnt
• Collaboration & networking
works
• Joint training & supportive
supervision enhances
partnerships
• CBD linkage increases access
• Rapid scale-up
Gaps & Next steps
• Financial sustainability
• Scale-up, add services
• Commodity security
• Advocacy
• Institutionalisation
Community Health Workers
Maximum
Speed
Allowed
Public-Private Partnerships
rapidly expands access!