Taming costs in accessing quality health services

Community Health workers assist in regestering ckients at Ahero Medical Centre

Community Health workers assist in registering clients at Ahero Medical Centre

Prohibitive costs often affect access to quality healthcare services. In public health facilities where the costs of accessing care is relatively lower as compared to the private sector, congestion and higher patient to doctor ratio causes general apathy for clients accessing services thus leading to more time being spent on long queues and exhausted medical staff. This may compromise quality of services in these facilities.
In private health facilities, accessing quality healthcare is a function of one’s ability to afford the same. Huduma Poa health facilities being in this category of private facilities are also faced with the same challenge. Apart from corporate clients who can access healthcare with the support of health insurance covers, the rest of the clients who visit these facilities pay for services directly from the pocket.
When KMET established the Huduma Poa social franchise, the goals towards which this vehicle was driving, were; access to healthcare; Quality in service provision; Equity, and Cost-effectiveness. The costs of accessing healthcare is increased by different factors, key among them being cost of labor (staff), procurement of commodities and rent for facilities that do not have permanent structures.
KMET has sought to link its network of providers to the Ministry of Health to procure commodities for the supported services or directly to KEMSA.
Ahero Medical Centre has embraced a strategy that ensures its clients get intra-natal and family planning services at subsidized rates. Unlike in most private facilities countrywide where the cost for utilization of long acting and permanent contraceptive methods (LAPMs) range from Ksh200 to Ksh 5000, the Output Based Activity (OBA) cards used at Ahero Medical has made access for easy. Clients only pay registration fee of Ksh 100 to utilize the integrated reproductive health services.
Huduma Poa community health workers from two community units (Kakmie and Kobong’o) help in the mobilization of clients and recruitment of clients to acquire the OBA cards. The use of these cards have greatly improved the access to long acting methods of family planning at the facility among other reproductive health services. Prohibitive costs are no longer a challenge in the provision of quality family planning services at Ahero Medical Centre. The use of the OBA cards is a revolutionary strategy
Joshua Adhola
Program Officer, KMET

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