Dr. Elizabeth Ominde Ogaja, County Executive Committee Member (CECM) for Health Services and Promotion of Health Investments Kisumu County, Kenya
I think the purpose of this workshop was to get a sense from the evaluators, how far we have gone. For us in the counties it has also been an eye opener. I would really like to look at the issues, for example under health care financing, there are issues to be addressed at the national government level ,for us it’s at micro finance level, how do we get our systems first of all clean? , for instance this issue of paying in advance for health care prior to the event. Because you find that people doing things like ‘Harambees’ that in a sense impoverishes the community, it is important to get people to understand the National Hospital Insurance Fund ( NHIF) product as this is not very clear especially since the new changes came in.
If NHIF itself can come and explain its product to us at the county level then we know how to market, that is a very critical thing for health care financing.
On the issue of quality, we got the principles of quality, but we must really make this a culture. Thanks to GIZ, my governor – His excellency Jack Ranguma, me and a number of other representatives from various counties were able to visit Germany just to see how the devolved system works. One thing that came from the visit is that quality is a culture, it’s not just something to teach people and you expect them to do it.
This is what we are going to try and work with GIZ partnerships and other partners and see how we can really transform this culture into our system. There is quite a lot and we are really looking forward to receive the final report on which we can now craft some of the things that we as counties are going to do.
Also our connection with the national government on the issue of quality, Dr. Pacifica Onyancha (MOH) department of Standards Quality Assurance and Regulations is extremely important for us, within the inter-governmental forum and this is partly governance and partly a quality issue, we now need to see how we at the various levels work, so that we can really make these things alive for the citizens to come to our facilities .
I think somebody said when people make complains or when we receive robust comments from the public, it gives us something to actually work with, for instance we in Kisumu saw a report in the press about something which happened in our facility, we take this as a case study and within the structures created through this programme, we sit down and analyse these newspaper reports and see where has the system broken down in terms of quality.
January 15, 2018
September 15, 2017
May 5, 2017
May 2, 2017