Strategic Role in Advocacy

Church Health Services Coordination Committee (CHSCC)

A Partnership Structure of CHAK, KEC and MEDS

Appointed in line with the mandate given by the National Church Leaders Health Partnership Forum held on 29-30th July 2008 in Limuru

Membership includes 4 representatives each from KEC, CHAK and MEDS – including heads of the organizations

Chairman and Vice-Chairman positions are rotational between CHAK and KEC every two years and the Secretariat is held by MEDS

CHSCC also reports to MOH-FBHS-TWG on partnership issues with Government and monitors implementation of MoU between Government & Faith based health services 2

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CHSCC

KEC-CHC

CHAK

CHUCHU CHU CHU

MEDS

CHSCCTOR developed, approved and signed in Aug 2009Meetings held monthlyFacilitates/coordinates joint strategizing in engaging

governmentStrategizes on common engagement with Donor

partners of common interest eg AIDSRelief, PEPFAR & CDC

Organizes joint KEC/CHAK consultation with NHIFForum for sharing experiences, lessons and best

practices between CHAK-KEC-MEDSA very promising forum for a common voice for

Churches Health Services

PS-MoMS, Prof. Ole Kiyiapi & Religious Leaders from KEC, CHAK & SUPKEM during the signing of MoU on 9-7-2009: CHSCC will monitor implementation of the MoU

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AIDSRelief project achievement in statistics: Nov 2009Total HIV patients on care =60,000 Patients active on ART = 40,000Female = 66%Children = 12%Monthly enrollment rate = 6%Lost to follow up = 13%Retention rate = 81%New ART target for year 6 = 15,804Actual ART enrollment = 7,361 (47%)These statistics are also available per

Hospital

AIDSRelief Transition processCHAK, KEC and MEDS have engaged on transition strategy

discussions jointly under the Church Health Services Coordinating Committee (CHSCC)

Feedback on the progress made has been regularly provided to the governance structures of CHAK, KEC and MEDS

Transition dialogue with the Consortium Members has been engaging with slow but definite progress. We have been fully engaged in the Transition TWG

The Local Partners (KEC, CHAK, MEDS/CHSCC ) are clear on their understanding of what transition should be and are fully committed to the transition challenges

Church Leaders representing the Treatment Facilities were updated on the progress in a meeting on 3-2-2010. LPTFs managers have also been updated

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Ecumenical KenyaCaring in Love, Restoring Hope

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MEDS as Prime Recipient with role of Leadership and Grant Management

Regional Technical Team

(Will have all the necessary technical competencies)

Regional Technical Team

(Will have all the necessary technical competencies)

AR Consortium Provide targeted TA

AR Consortium Provide targeted TA

Treatment Facilities

Ecumenical HIV Care Kenya Project Office (MEDS, KEC, CHAK, UoN)

Will have competencies in clinical, Lab, supply chain, QA/QI, project management, community & adherence, counselling, SI, MC & M&E

CHSCC-Church Health Services Coordinating

Committee(Partnership building, advocacy &

coordination)

Treatment Facilities

Treatment Facilities

Treatment Facilities

MOH & NACCPolicy, Guidelines, M&E framework

LTO/Academic PartnerSpecialist TA

First level TA, mentorship,

supply chain and grant compliance support provided

to Treatment Facilities by

Regional Teams

AIDSRelief Country Management Team-CMT (CMs, MEDS, KEC, CHAK, UoN)

NASCOPARVs, Test Kits, TWGs

Church Health Services Coordinating Committee (CHSCC)

Shall coordinate advocacy, partnership building and engagement of MOH/NASCOP & NACC as per MoU

It will also have a role in project oversightKEC, CHAK and MEDS will continue to participate

in Policy development , planning, coordination & M&E meetings of NASCOP and NACC

Regular meetings will be held with NASCOP and NACC to update them on the achievements of the HIV Care project

CHSCC will participate in, and contribute to the national Joint Annual AIDS Program Review (JAPR) meetings of KNASP III organized by NACC

A member of CHSCC has been appointed to the KNASP III Oversight and Performance Monitoring Committee by NACC

MEDS as PrimeGrant managementEnsure complianceReporting and accountability to the Donor

Why MEDSJoint Trust of KEC and CHAK with long term commitment

to pharmaceuticals logistics and capacity building for quality health care

To ensure a harmonized approach to supporting both CHAK and KEC affiliated HIV Treatment Facilities

Experience in managing USG grantsCHSCC framework that assures access to other needed

competences

Role of KEC & CHAKSite Management – sub-grantee contractual

role with Treatment facilities mapped in geographical regions

Health Systems StrengtheningSupport for integration of HIV care to the

rest of hospital managementAdvocacy for government support to

Treatment Health Facilities with staffing and commodities

Church Leaders meeting on AIDSRelief Transition held on 3/2/2010 at Holiday Inn, Nairobi. Gave endorsement , offered their support & requested regular updates/communication

Other CHSCC Advocacy engagementsUSG for Health Systems Strengthening fundingNational Hospital Insurance Fund – for better

rebates to Church HospitalsTo MOH for inclusion in various Health Sector

policy and planning structuresMOH for fair consideration in the roll out of

the new Health Sector Service Fund (HSSF), which is a new direct funding mechanism for Health facilities in Kenya

With Capacity Kenya for HR Advisor supportWith UNICEF for IMCI capacity building

fundingOversee dissemination and implementation of

MoU with GoK

LessonsThere is strength and synergy in working

together in advocacyWe have pooled our resources which enables us

to tackle diverse issuesWe are encouraged and empowered to face new

challenges and to sustain our advocacy campaignsWe are able to mobilize the Church Leaders for

effective joint advocacyWe shall reclaim the space that is being taken up

by some NGO Networks and broader PPP framework