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A new survey looking at the Kenya’s health sector shows that an impressive number of Kenyans are happy with service delivery in the sector.
The Kenyan government has prioritized universal Health care, affordable housing, and infrastructure and food security themed Big 4 as critical sectors of focus under this administration.
The overall objective of the 2018 SDI was to ascertain the quality of health service delivery in Kenya. Data collection conducted between March and July 2018, with the first Kenya Health SDI was done in 2012 and the 2018 is the second and largest having been undertaken in all the 47 counties.
It was spearheaded by National Council for Population and Development (NCPD) and Ministry of Health (MOH). Funded by Government of Kenya, World Bank and UNFPA
Collaborated also with other partners among them Council of Governors, Kenya National Bureau of Statistics
The 2018 Kenya Health SDI survey collected data from 3,094 health facilities across Kenya and comprised of 2449 Level 2 (Dispensaries and clinics), 484 Level 3 (Health Centers) and 161 Level 4 (Primary referral Facilities-County Referral Hospitals)
Diagnostic accuracy
Providers only correctly diagnosed two-thirds (67.5 percent) of the tracer conditions (severe dehydration, pneumonia, pulmonary tuberculosis, type 1 diabetes)
Adherence to clinical guidelines
In Kenya 43.5 percent of the four tracer conditions were managed as per the provisions of the guidelines
Management of PPH and Neonatal asphyxia
Overall, providers adhered to only 34.5 percent of the clinical guidelines for managing maternal and neonatal complications
Caseload
Overall, the average caseload in Kenya is at 13.3 outpatients per provider per day
Samburu County had the highest outpatient caseload (42),
Absence rate
Was measured by assessing the presence of at most ten randomly selected health staff at a facility during an unannounced visit.
The absence rate in Kenya’s health sector is 52.8 percent during an unannounced visit
Reasons for absence
Almost half (48%) was authorized absence.
Infrastructure Availability
73% of HF had basic infrastructure (toilet, clean water and access to power)
Minimum/Basic equipment
46 % of HF had basic equipment (weighing scale, stethoscope, thermometer, and refrigerator)
Essential drugs availability
54% of Kenyan facilities had priority drugs at the survey time.
Vaccines availability
62% of vaccines are available in Kenyan facilities (only facilities that provide vaccination services)
Basic EmONC
54% of facilities offering delivery services have basic EmoNC
Governing committees
63 % of facilities had governing committees
Supervision visits
78% of the facilities received supervision in the previous year
Client Satisfaction with FP
Facilities that were offering FP services.
Over 95 % of clients (> 95 percent) were satisfied with various dimensions of service quality except waiting time (78.9 percent).
Average costs incurred by clients for FP services
Assessed if the clients paid for FP services at the facilities
About a fifth of the clients interviewed (22.2 percent) had to pay for FP services at the facilities.
On average, the clients paid Sh305.3.