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Strategic Purchasing for Primary Health Care (SP4PHC) project aims to improve how governments purchase primary health care (PHC) services, with a focus on family planning (FP) and maternal, newborn, and child health (MNCH). The project is supported by the Bill & Melinda Gates Foundation and is being implemented by ThinkWell in five countries, including Kenya. In collaboration with the Ministry of Health (MOH), the Council of Governors, the National Hospital Insurance Fund (NHIF), and county governments, the SP4PHC team in Kenya is pursuing a program of work that combines strategies at the national and county levels to improve how public funds are used to pay for PHC services.
The team undertook a rapid situation analysis to understand county-level purchasing practices to inform the development of project activities. The study drew from an extensive desk review of the available literature and key informant interviews in Isiolo, Kilifi, and Makueni counties, which are among the project’s focus counties.
ThinkWell produced this report under the Strategic Purchasing for Primary Health Care (SP4PHC) grant from the Bill & Melinda Gates Foundation.