HEALTH SYSTEMS STRENGTHENING AND INNOVATION FOR PROVISION OF QUALITY AYFS FOR REALIZATION OF UHC UNDER PHC
Since the launch of SDGs, Kenya has been a front runner country in implementing UHC agenda as an approach to health services delivery. In October 2019 at the UN General Assembly, President Kenyatta reaffirmed Kenyan Commitment to UHC Agenda as a key pillar in the government’s strategy for poverty alleviation. In December 2018, Kenya begun UHC pilot project under “Afya Care” in Kisumu, Nyeri, Machakos and Isiolo Counties.
Kenya has thereafter developed national
UHC policy and rolled up UHC program nationally.
In 2019, OAY began UHC accountability program and collected data from Kisumu, Nyeri, Machakos and Isiolo, Kiambu, Kajiado, Kirinyaga and Kakamega, Busia, Migori and Siaya Counties.
Determinants of health are positively influenced by all stakeholders and sustainable actions especially at Primary Healthcare (PHC) level, and within Universal Health Coverage (UHC) Principles so that adolescents and youth health is improved and safeguarded within a predictable ecosystem
Our main focus under HSS entails;
Key activities Conducted
In early 2019, Organization of African Youth - a youth led organization set out to collect youth voices, opinions and aspirations on UHC. This was a multi-phased process that employed a build-up and participatory action including the first ever Devolution Youth Caravan that directly reached about 650 adolescents and youth.
Further , OAY has been engaging young people and duty bearers in Kisumu County on issues of prioritization of Adolescent Youth Friendly Services (AYFS) as a primary health care package within Universal Health Care (UHC) since May 2019.
We also developed a Joint development of a communique with youth, governments and partners on prioritization of SRH within PHC, covering not only SRH specific issues but inclusive of other triggers towards negative SRH indicators.
On 12th December, 2019, OAY led ceremony in Kenya on World UHC day, an event that (1) led to Nyangoma Community delving deep on what UHC is (2) Led to CSOs in Kisumu County working around UHC to come together to ensure synergy of efforts with youth at the centre.
Through the interventions, different youth serving organizations in Kisumu have come up to create a UHC-SRHR alliance to advocate for inclusion of SRH services in the UHC package. The alliance also serves as a space for social accountability actions.
OAY’s HSS outcomes are derived from WHO’s HS framework. We believe that if there principles of service delivery, quality HRH, information and medicine access , financing and good governance are adhered to in any level , then there will be improved health , responsiveness , social and financial protection and efficiency.
OAY’s believes that the six HSS pillars should interact and be invested on simultaneous and sustainably for better results.
By young people being part of the County programs, they get to be in a more strategic position to get access to relevant information in strategic spaces that will enable them to contribute and influence discourses on UHC therein improving the quality of UHC services to the youth and adolescent communities.
Investing in UHC offers both opportunities for youth, the government, private sector, donors and other stakeholders.
ACHIEVEMENTS SO FAR
OAY generated Evidence on the key UHC/PHC Bottlenecks
CALL TO ACTION
We seek partnerships to expand our current HSS engagements to support young people to influence and positively change narratives around AYFS. Our main focus is primary health care level where we seek to have responsive health systems with accountable governance, effective communication challenges and health literacy programs, predictable resourcing (human and financial) and availability of supplies and basic infrastructure.
A functional health system should enhance health standards, service provision and remove all barriers and inequalities through in an optimal resource utilization, universal access, dignified and safe care.