The Ministry of Health has released the Health Sector Services Fund (HSSF) list of disbursements to public health facilities for July 2014 to January 2015. The disbursements are given per county and per cost area. In this period, close to a billion Kenya shillings were disbursed to tier 2 public facilities.
The total of KShs. 907,899,888 went to a total of 2,541 Dispensaries and 847 Health Centres distributed across the 47 counties. The highest share of the funds went to free maternity services reimbursements – 27% of the total (although reported only upto October 2014). This was followed by reimbursements to Health centres (24%) and to dispensaries (23%). See chart below.
Counties that received the highest (total) reimbursements include Kiambu (KShs. 48m); Nairobi (KShs. 42m); and Bungoma (KShs. 39m). The lowest recipient counties include Isiolo (KShs. 3m) and Lamu (KShs. 2m).
The HSSF is innovative in two main ways – it disburses funds directly to health facilities thus helping reduce wastages that are associated with ‘leakages’ when too many government agents and processes are involved in the transfer of funds. Secondly, it empowers local communities to take charge of their health by actively involving them in the Health Facility Management Committees (HFMC). Through these committees, they have a say in identification of their health priorities, and in the planning and implementation of initiatives responsive to identified priorities.
GIZ-Health Sector Programme considers these two factors to be very important. Ensuring availability and predictability of fuds helps in planning and budgeting, while community involvement promotes accountability and transparency. These are key aspects of financial management at facility level. In the current phase, the GIZ-HSP will be working closely with health care service providers at facility, county and national levels to strengthen financial management.