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HRIO Stakeholder Forum

HRIO Stakeholder Forum

18-19TH DEC 2018

MSP supported the HRIOs meeting which brought together all County Health Records and Information Officers, Association of Medical Records Officers (AMRO-K), private sector, civil society and other stakeholders to discuss the role of HRIOs in the UHC, Health cadre advocacy and strengthening of professional Association (AMRO-K).

UHC introduction to Phase 1- note that all 47 are in pilot phase but 4 has started actively with the aim of providing access to essential health care for all Kenyans and ensure 100% coverage on essential health services. UHC also intends to reduce financial barriers – increase the health budgetary allocation progressively from 6.7% to 15% of the annual budget by 2021for improvement of the overall quality of health services.

  • Increase the health facility density in 14 Counties from 1.7:10,000 to 2:10.000
  • Pilot phase Nov 2018 to Oct  2019 to Roll out Nov 2019 to Dec 2021- Implementation of UHC will be through a phased approach
  • Equip 6200 health facilities
  • Scale up to the remaining 43 Counties
  • Health systems strengthening in 43 Counties (Apply lessons to the 43 Counties)

Role of County Governments

  • Maintain a minimum of 30% budgetary allocation to health and increase subsequently.
  • Increase in-patient through coding and indexing to get accurate data.
  • Ensure adequate human resource for health.
  • Facilitate functional referral system.
  • Provide financial and non-financial reports.
  • Support supervision, M&E.

Role of National Governments

  • Policy guidelines, standards and regulation.
  • Capacity building for human resources.
  • Legal reforms.
  • Performance monitoring, joint supportive supervision, M&E.

Role of Private sector

  •  Health service provision through private health facilities.
  • Capacity building.

Role of FBOs/NGOs

  • Health service provision through FBO health facilities.
  • Capacity building.

Role of Training Institution

  • Capacity buildings.

Role of CHRIOs

  • Reporting of HSS at all levels.
  • Collate, analyze and interpret county health statistics and share with stakeholders.
  • Provide analyzed and vital health statistics at all time as required.
  • Provide administrative health statistics for HRH, infrastructure, LMIS, HAS etc.
  • Facilitate health facilities with MOH reporting tools.
  • Link with NHIF, CBS, other stakeholders on HIS and management.
  • Facilitate training for sub national level- HIS is beginning review of tools in which CHRIOs will be involved.
  • Participate in performance monitoring & evaluating of UHC.
  • Participate in planning and joint monitoring.
  • Coordinate health facility assessment and reporting.

Enablers for UHC

  • Priority (strong primary health care systems to deliver UHC).
  • Enablers and UHC and other line Ministries.

Discussion outcomes:

  • Review of the HRIO scheme of service.
  • Improve quality of training by a) review of the training curriculum b) employment of experience lecturers and not fresh graduates from colleges.
  • Full implementation of the Act of Parliament with formation of HRIM board.
  • Counties to adopt EMR.
  • All MOH tools to be reviewed in conformity with UHC.
  • AMRO-K to organize for AGM and elect leaders.