Universal Health Coverage KISUMU COUNTY Community Scorecard - 2020 presented to Members of County Assembly on 11/27/2020 in Kisumu City by ZEDDY MISIGA

1. UNIVERSAL HEALTH COVERAGE (UHC)
KISUMU COUNTY SCORECARD - 2020
Health for All
BACKGROUND
Universal Health Coverage (UHC) was launched in
November 2018 to ensure all Kenyans everywhere
get access to quality preventive, curative,
rehabilitative, and palliative health care services;
while also ensuring that these services do not expose
the service users to financial hardship.
The Kenyan UHC programme was piloted in a total
of 4 counties including; Kisumu, Isiolo, Nyeri, and
Machakos. Kisumu County was expected to register
up to 240,000 citizens.
Two years on (after the end of the pilot), the Sexual
Reproductive Health Rights (SRHR) - UHC
Alliance has embarked on evaluating the
performance of UHC coverage as a basic package of
health services by implementing a participatory
Community Score Card (CSC) – a first of its kind in
Kisumu County UHC implementation.
**CHMT – County Health Management Team; PM- Policy Makers; SU – Service Users; SP – Service Providers
OVERVIEW
OF
FINDINGS
KISUMU COUNTY SRHR-
UHC ALLIANCE
4 SUB-Counties Covered
Level 4, 3 & 2 Facilities
Policy Makers, CHMT, Service Providers
and Service Users Reached
93 Respondents
Indicator Maximum
Score
Score
given
Narrative Category Scores
Management 5 3 Uptake & leadership in
management of UHC is fair
CHMT only
Access to Quality Essential
Health Services
5 3 Immunization, Sexual &
Reproductive services is available.
ICU, PWD friendly & Mental Health
services are limited
SU 2, SP 3
Health Financing 5 3 While UHC Budget allocation is
fair, the UHC budget expensing is
poor
CHMT 2, PM 4, SP
3.5
Health Products 5 2 Drug & other essential supplies are
not regular. Storage facility not up
to standard
SU only
Health Products &
Technology
5 3 Though management of
pharmaceuticals & non-
pharmaceuticals is commendable,
Drug supplies& Electricity and
Internet availability is
unacceptable
CHMT 2, SP 4
Human Resource for
Health
5 2 Service providers though
inadequate, are accessible. Some
are not responsive
CHMT 3, SP 2, SU
2
Health Services 5 2 No regulation in UHC policy
availability & implementation
CHMT only
Health Systems
Strengthening & Policy
Implementation
5 1 There is NO UHC policy within the
(Kisumu) County
SP only
County Policy &
Legislative Frameworks
5 2 No regulation in UHC,
Communicable diseases, NCDs &
Child Welfare policies
PM only

2. RECOMMENDATIONS
Service Users
• Review health care performance based on giving continuous feedback in order to
improve evidence-based quality improvement & policy making
KISUMU COUNTY SRHR-
UHC ALLIANCE
County Health Management Team
• Strengthen supportive supervision &
Continuous Medical Education (CMEs) in
facilities
• Strengthen quality improvement teams &
plans and hospital boards
• Improve health budget expensing
• Strengthen commodity supply chain
management
• Establish a functional referral system
• Address staff shortage; employment,
rationalization, redeployment
Service Providers
• Continuous public relations training to service providers on SRH (Youth-
friendly), Customer Service & Disability friendly responsiveness particularly for
health care workers that interface with users
Policy Makers
• Adopt an explicit defined list of health services that can be accessed under UHC
package and those that require users to chip in
• Allocate budget (resources) that allows for at least one Youth Friendly Center per
Sub County