ORGANIZATION EXECUTIVE SUMMARY

Health Strat (HS) is an indigenous public health organization with current presence in all 47 counties in Kenya. HS designs and implements innovative projects to improve quality of health service delivery and access, with a focus on HIV prevention, care and treatment, tuberculosis, malaria and non-communicable diseases, capacity building for health, health technology and information systems, and commodity and supply chain management. HS has successfully managed and implemented health service delivery and health systems strengthening programs as a prime and as a sub-recipient where project objectives have consistently been met in a timely manner. Health Strat, registered in 2011 has also successfully set up robust systems for grants and financial management, managing over USD 27 million of donor funds.

OUR APPROACH

Health Strat applies a unique model of strengthening health systems through evidence-informed programming, continuous quality improvement, skills transfer for sustainability and innovative solutions for service delivery. Evidence-informed programming is achieved through the deployment of innovative tools to identify systemic gaps and design context specific solutions that are adaptable, scalable and sustainable. Some of these innovations include a) Qualicare 360, an innovative mobile based application, that assesses the status of health systems to provide insight into bottlenecks that prevent effective and efficient service delivery, b) HIV eDQA: A mobile based data quality assessment tool to determine M&E systems status, HIV data accuracy and consistency across various data sources. The assessments are then used to inform development of integrated improvement and monitoring plans anchored on total quality management and design targeted technical assistance. Skills transfer for sustainability is attained through the Twinning Model where high-level multidisciplinary improvement specialists work alongside their health management counterparts at national and county levels. This has led to incremental transfer of selected responsibilities to the county health managers. c) QualiLab App for coordinating sample transportation between the health facility and referral laboratory. This provides an “Uber-like” solution for sample collection, transportation, tracking and results delivery which has been integrated into existing laboratory information systems, thereby reducing sample losses, turn-around time and networking costs d) QualiPharm, a digitized commodity data reporting and requesting solution that integrates reporting through District Health Information System 2 (DHIS-2) and ordering through Kenya Medical Supplies Agency (KEMSA) Logistics Management Information Systems (LMIS). This provides real-time last mile commodity data visibility which in turn provides quality data for forecasting and quantification towards commodity security. QualiPharm has been endorsed by Ministry of Health as an innovative solution for commodity management.

OUR CORE COMPETENCIES

Technical Assistance for Service Delivery: Health Strat implements systematic and cost effective approaches to address gaps in program and grants management for HIV, TB and Reproductive Health at National and County level. Health Strat has implemented a number of grants from diverse donors including CDC, USAID, Born Free Africa Foundation, UNFPA among others (see summary table further below). Health Strat has put in place robust systems and engaged competent teams of professionals to deliver on project objectives in a timely manner. HS has managed more than 5 HIV grants in 47 counties in Kenya with 64,295 patients on ART, and Viral Suppression rates ranging between 88 – 92% across the projects.

Strategic Information (SI): Health Strat provides support for establishment and enhancement of SI systems that programs can depend on for tracking of progress, decision making and planning. Through the MESIS project, Health Strat actively supports NASCOP SIRI unit establishing and enhancing national and subnational (county, sub-county and health facility-level) M&E systems; CDC and CDC Implementing Partners in performance monitoring through the platform for partner progress monitoring (3PM), and DREAMS M&E support. The three objectives of the M&E activities are: 1) To strengthen human resources for health capacity on M&E; 2) To improve data quality, reporting, dissemination, demand and use and 3) To enhance evidence-driven planning and decision-making.

 Supply Chain Management: Health Strat understands that strong supply chains are essential for an effective health system. In this regard, we offer evidence based supply chain strengthening solutions to enhance existing supply chain systems with a view of institutionalization of best practices. Our Supply Chain Management (SCM) model employs a quality improvement approach that focuses on providing quality data for decision making. This includes the design and deployment of innovative solutions such as QualiPharm, a digitized reporting system that provides real-time last mile commodity data visibility by integrating routine Ministry of Health (MoH) reporting systems. Through the use of QualiPharm, quality data for use in ordering, forecasting and quantification has been made possible while reducing costs such as printing of paper based tools. QualiPharm has been deployed in over 1,300 facilities across 21 counties where significant improvement in supply chain indicators has been reported. In Homa Bay County, the reporting rates improved from 92% in May 2019 to 99% as at end of December 2019 to 100% in March 2020, and 58.5% in January 2020 to 94.5% in May 2020 in West Pokot County.

 Health Care Evaluation and Improvement: Health Strat designs and conducts rigorous mixed-methods healthcare evaluations using cutting edge technology that provides evidence based insights into gaps in the health system. Using our in-house solution, Qualicare 360, evaluations are fully digitized making data collection, validation and analysis efficient and effective. Evaluations that have successfully been conducted span the various health system building blocks and have included all 47 counties in Kenya. 

 Funds Management: Health Strat has vast experience in provision of funds management service to different organizations. This is achieved through proper planning, contracting, budgeting, disbursement of funds for intended purposes in a timely manner, as well as accounting and reporting to the donor in accordance to agreed contractual timelines. Management and accounting of funds is guided by established policies and procedures operating in a strong internal controls environment and the use of robust Enterprise Resource Planning (ERP) software to create efficiency and enhance accuracy in financial and accounting operations.  Further, audits by an independent firm are performed on an annual basis and where applicable adhere to the code of federal regulations 45CFR-200. This ensures alignment to donor regulations and guides decision making and reporting. Health Strat has successfully undertaken this function for the Born Free Africa Foundation, SPARK Health-University of Cape Town Graduate Business School, Clinton Health Access Initiatives (CHAI), Henry Jackson Foundation Medical Research International (HJFMRI), University College London on behalf of National Institute for Health Research and New York University on behalf of National Institute of Health.

 Human Resources for Health: The Kenyan government acknowledges that Health workers are one of the core building blocks of a health system. Recognizing that human resource demands are an integral part of the challenges confronting the National health system, the Health Sector Human Resources for Health (HRH) Strategy 2014 – 2018   is one of the steps the government in collaboration with partners is taking to strengthen the HRH in order to deliver services more efficiently. There are a myriad of challenges facing Kenya’s human resources for health which includes severe shortages of essential cadres, performance management and persistent inability to attract and retain health workers. Health Strat recruits, develops, trains, mentors and retains health care workers to ensure they have the capacity and right skills to deliver on their mandate. Health Strat believes that capacity strengthening of human resource for health is a critical ingredient for the improvement of health outcomes. To this end, our human capital management specialists have supported an array of institutions ranging from county governments in the devolved system, donor funded, philanthropic, and educational institutions to design and deploy a framework that supports acquisition, development, maintenance and separation of human resource. We establish systems that ensure health care workers are competent, motivated and productive through a rigorous performance management cycle. In the event that the scope covers training, we deploy our innovative and cost effective training approaches that are facility-based and through e-Learning platforms with the goal of making sure that health care workers are appropriately empowered to deliver their best. Health Strat has managed over 5 projects with HRH components supported by diverse donors including USAID, CDC, Born Free Africa Foundation, SPARK Health-University of Cape Town Graduate Business School, Clinton Health Access Initiatives (CHAI), and Henry Jackson Foundation Medical Research International (HJFMRI). Some of the achievements under this scope being strengthening governance and human resource structures through establishment of structures that saw recruitment of approximately 6,000 uniformed health care providers to support HIV and TB response in prisons under the PEPFAR CDC TACT Kenya Prisons service project.