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NACC calls for inclusion of HIV in the NHIF to attain Universal Health Care

May 24, 2018
Uncategorized
NACC calls for inclusion of HIV in the NHIF to attain Universal Health Care Talks on modalities of implementing Universal Health Coverage have gained momentum, so has the National AIDS Control Council similarly embarked on a process of ensuring HIV and AIDS is included in the Universal Health Coverage. The Council has constituted a multi sectoral coordination team to aid in voicing the need to have HIV and AIDS condition included in the National Health Insurance Fund (NHIF) in an effort towards attaining Universal Health Coverage. Currently health care related to HIV and AIDS is partly absorbed from the opportunistic infection perspective given that ARV are publicly provided by the government. However, the full and direct HIV and AIDS spectrum of treatment is not included due to high cost of retroviral therapy largely supported by donor funds. The Ministry of Health has already put in place a Rapid Results Initiative (RRI) to fast track the implementation of Universal Health Coverage which is one of the pillars of the Governments Big Four Agenda. Others pillars being Housing, Manufacturing, and Food Security. Anchored on Four Pillars the National AIDS Control Council coordination and reporting model seeks to guide the realization of Universal Health Care with the Inclusion of HIV and AIDS as well as People Living with HIV in the essential benefits package. Through the model, a replica of a similar coordination structure by the Ministry of Health, The NACC will be reporting to the Ministry in a well laid down mechanism up to the Presidency. The four committees namely communication, service delivery, HIV Financing and legal teams are critical in this process. The composition of the team includes representation drawn from the private sector, civil society, development partners and the community of People Living with HIV. [caption id="attachment_5172" align="alignleft" width="515"] Proposed Coordination structure and reporting mechanism Why leverage on HIV for Universal Health Care.[/caption]   The fight against HIV and AIDS like many other conditions is essential in the ongoing talks on the implementation of Universal Health Care. Cushioning People Living with HIV from expensive life-long anti-retroviral treatment certainly is critical in the realization of this Agenda. At the Centre of Universal Health Coverage is the issue of affordability. Thus Universal Health Coverage means people have access to health services required, not necessarily free but without suffering financial problems. It’s on this premise that the National AIDS Control Council is spearheading the inclusion of HIV response in the attainment of Universal Health Coverage through three pronged proposal under the rallying call of ‘Leaving no one behind’ in this important course.
  1. Attaining Universal Health Coverage requires that People Living with HIV and AIDS are also included in the Social Health Insurance Scheme under the Social Protection theme.
Kenya has 1.6 Million People Living with HIV. This constituency cannot be left behind in the Universal Health Coverage reach. Today, HIV and AIDS accounts for 29% of annual deaths in the country. Besides, it contributes to 15% of the country’s disease burden. Thus including HIV Testing and Prevention services as well as Anti-retroviral therapy in the Universal Health Coverage essential package is important. This is envisaged to increase the contribution to the social health insurance as it will encourage more people to enroll through the National Health Insurance Fund.
  1. Leveraging anti-retroviral therapy funding through the National Health Insurance to cover resources gaps and significantly accelerate achievements targets.
There’s a gap of approximately 280 USD per capita between essential Total Health Expenditure (THE) and the projected needs for ensuring 80% of the population has access to an essential benefit package for health. According to the Kenya National AIDS Spending Assessment 2017, there’s need to channel Ksh 47.02 Billion through a support mechanism to contribute to the risk pool of the national insurance scheme which is needed to support pooling of resources for Anti-Retroviral Therapy(ART). This essentially will bridge the funding gap, increase efficiency in money flows with reduced fragmentation and better link inputs with outcomes.
  1. Attaining Universal Health Coverage demands that the rising epidemic of Non-Communicable Diseases (NCDs) is controlled.
Non-communicable diseases are on the rise contributing to 50% of all adult hospital admissions and 40% of adult deaths. Over the last decade their contribution to overall mortality has increased by more than 60% while that of HIV has decreased by the same amount. Kenya’s significant progress has been through a multi-sectoral approach. Therefore the most effective and efficient way for the Ministry of Health to invest in the integration of Non Communicable Diseases (NCDs) prevention in to HIV and AIDS. The integration should be geared towards optimal utilization of the existing HIV prevention infrastructure and modalities. This will promote better health and control escalation of Non Communicable Diseases associated costs to the national health insurance scheme.

UNIVERSAL HEALTH CARE DOMINATES TALKS AT THE DEVOLUTION CONFERENCE

May 2, 2018
Uncategorized
UNIVERSAL HEALTH CARE DOMINATES TALKS AT THE DEVOLUTION CONFERENCE [caption id="attachment_5009" align="aligncenter" width="5760"] National AIDS Control Council C.E.O Dr.Nduku Kilonzo makes a point during a Health Sector panel discussion at the 5th Annual Devolution Conference.[/caption] The 5th Annual Devolution Conference under the theme of ‘Sustainable, productive, effective and efficient governments for results delivery’ sought among other things on building synergies among the two levels of Governments in fast-tracking processes and making sound investment priorities towards the realization of Governments Development Agenda espoused under the Big 4 Action Plan namely, Food security, Manufacturing, Housing and Affordable Health Care. The conference provided an opportunity for stakeholders in the Health Sector to deliberate on issues affecting Health Service delivery and modalities for the implementation of Universal Health Care.  Devolved units have greatly helped in health service delivery and transforming lives. The realization of Universal Health Care, not only on the two levels of Governments but also on other stakeholders in the Health Sector. President Uhuru Kenyatta, while addressing delegates at the conference noted that despite facing numerous challenges, devolution has transformed lives of the people. Singling out Health Sector, the Head of State said that County Governments have expanded health care provision through construction of new health facilities and devised innovative ways for affordable health care services complimenting efforts towards attaining Universal Health Care.   ‘There’s no doubt that devolved governments are finding their feet and transforming the lives of communities they serve for better. Today, Makueni has made good progress in rolling out its version of subsidized healthcare provision and in food processing too. Mandera Child Mortality has halved due to the County’s Investment in medical facilities and Kapenguria now has its first Medical Training College.’ Said President Uhuru Kenyatta. NACC C.E.O Dr. Nduku Kilonzo a panelist in a Health Sector Session. Good quality and affordable healthcare requires an enabling environment to thrive. Stakeholders in a panel discussion on critical enablers for optimizing healthcare performance sought to review the current legal and policy framework for the delivery of health services. National AIDS Control Council C.E.O Dr.Nduku Kilonzo a panelist in the afore-mentioned session said coordination of the HIV response has helped in harnessing resources in the fight against HIV and AIDS in the country. This she said has been critical in providing good quality data for policy decision making and planning purposes. ‘Our role as a State Agency in policy making and coordination of the HIV response has enabled generation of important data for policy decision making processes and planning. As we strive to attain Universal Health Care we require good data for planning and smooth implementation.’ Said Dr. Kilonzo. She also urged partners to ensure prudent utilization of resources meant to support HIV programmes. Kisumu County Governor Prof. Anyang Nyong’o on the other hand called for re-examination of the health sector systems in order to tackle inefficiencies. ‘We need to re-look at the Health sector in its entirety to establish bottlenecks hampering service delivery. Universal Health Care requires motivated basic health service providers and expanded Health Insurance Fund. Said Prof. Nyong’o who is also the Chairman of the Council of Governors Health Committee. NACC exhibits at the Devolution Conference. In our efforts to reach different publics with HIV and AIDS information, The National AIDS Control Council exhibited at the Annual Governors meeting. Showcasing HIV Situation room- an innovative and interactive dashboard that facilitates tracking of key HIV and Health indicators at country, county, sub county and facility level to support decision making. Besides, in collaboration with partners HIV Testing HIV and Counselling Services were offered during the entire period of the conference at strategic places. Information, Education and Communication materials including county specific policy booklets and HIV and AIDS data rich documents were distributed to different stakeholders making the Councils booth a truly one stop shop for HIV and AIDS information in a conference attended by close to 5,000 delegates. Condoms were equally distributed during the conference as we step up efforts for promotion of condom uptake to prevent new HIV infections. [caption id="attachment_5010" align="aligncenter" width="5760"] Delegates follow proceedings at the 5th Annual Conference at Kakamega High School[/caption]

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