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.
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.
Health 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.
Human Resource for Health
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.
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.
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.