At the CCIH Annual Conference in 2016, Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses how the organization addresses the increasing problem of non-communicable diseases in Kenya.

1. “Promoting Access to quality healthcare”
70 Years of providing
Quality Health Care
1946-2016

2. “Promoting Access to quality healthcare”
Non-Communicable Diseases
CHAK Partnerships for addressing
NCDs
By Samuel Mwenda
General Secretary
Christian Health Association
of Kenya

3. “Promoting Access to quality healthcare”Christian Health Association
of Kenya
Overview of CHAK
Identity - CHAK is a national Faith Based
Organization of the Protestant Churches’ health
facilities and programs from all over Kenya that has
been in existence for 70 years since 1946
Our members: We serve our members (Hospitals,
Health Centres, Dispensaries, CBHC, Churches,
MTCs) and communities
Partnerships – we work in partnership with MOH,
County Health Departments, Donors, Consortium
partners, FBOs, MEDS, UN Agencies, Other NGOs,
other CHAs,Private Sector, Communities etc

4. “Promoting Access to quality healthcare”
CHAK Vision, Goal and Objectives
Efficient and high quality
health care that is accessible,
equitable, affordable and sustainable
to the glory of God
Health
Services
delivery
Health
systems
strengthening
Governance
&
leadership
Advocacy&
partnerships
Promoting access to quality healthcare in Kenya
Facilitate MHUs in their provision of quality healthcare services through advocacy,
health systems strengthening, networking and innovative health programmes
4

5. “Promoting Access to quality healthcare”
3.1 Child Health
3.2 Maternal Health
3.3 HIV/AIDS, Malaria & other diseases
3.4 Non-communicable diseases
3.8 Universal health coverage
including access to affordable Essential Medicine
3.c Increasing Health financing and the recruitment
and training of the health workforce
17.17 Encourage and promote effective
public- public-private and civil society partnerships
Sustainable Development Goals promote
partnerships
SDG 3: Good health and well-being

6. “Promoting Access to quality healthcare”
The tree of NCDs and its roots
Dr. Kibachio Joseph DNCD-

7. “Promoting Access to quality healthcare”
Burden of NCDs in Kenya
• It is Estimated that the mortality due to CVD
in Kenya is 8% (WHO NCD fact sheet 2014).
• The prevalence of Diabetes is about 4.7% (2.7%
in the rural and 10.7% in urban areas)
• The annual incidence of cancer is close to
37,000 new cases with an annual mortality of
over 28,000
• Kenya Health Policy and Strategic Plan have
prioritized UHC for NCDs & CDs and RMNCAH

8. “Promoting Access to quality healthcare”
NCD risk factors;
Rural communities also affected
Christian Health Association
of Kenya

9. “Promoting Access to quality healthcare”
CHAK NCD Program strategy
Components
• Education & Awareness
• Screening
• Capacity building of
HCWs and Task sharing
• Supply chain for access
commodities
• Treatment
• HMIS/M&E
Linkages
• Health facility
• Church
• Community
• Market places
• Workplaces
• Lessons from HIV
Christian Health Association
of Kenya

10. “Promoting Access to quality healthcare”
Patient
Quality
Care
Health
Facility
MOH
Church &
CHVs
Supply
Chain
MEDS
Private
Sector/
DPs
CHAK NCD Model

11. “Promoting Access to quality healthcare”
CHAK NCD Program cocerage
• Implementing the program in 23
counties
• 113 FBO health facilities
• Trained: - 450 CHVs
- 134 Religious Leaders
- 329 HCWs
Awareness provided to 1.9m
Screening conducted for 900,000 in
one year
140,000 found to have elevated BP
and referred to health facilities

12. “Promoting Access to quality healthcare”
Patient Pathway
Patient Pathway
Aware
Screened Referred Diagnosed
Treated Retained Controlled

13. “Promoting Access to quality healthcare”
BP screening by CHVs
Christian Health Association
of Kenya
0
20000
40000
60000
80000
100000
120000
140000
160000
Screening Numbers

14. “Promoting Access to quality healthcare”
Hypertension treatment numbers
Christian Health Association
of Kenya
0
200
400
600
800
1000
1200
1400
1600
1800
2000
TREATMENT NUMBERS

15. “Promoting Access to quality healthcare”
Diabetes - Hypertension co-mordity
• About 1/3 (29%)
of Diabetic patients
have hypertension.
• Men Vs Women
901
2181
0
500
1000
1500
2000
2500
53%47%
Female
Male

16. “Promoting Access to quality healthcare”
CHAK/Health facility-Church-Community
Volunteers partnerships for NCD
Presbyterian Church Women’s Group
member trained as CHV checks BP of
Group members
Hypertension
awareness mobilization

17. “Promoting Access to quality healthcare”
Community Based Strategies
Community mobilization and health
education by Religious Leaders and CHVs
through Churches

18. “Promoting Access to quality healthcare”
Lessons learnt
• Need for capacity building to facilitate Task sharing
• Provision of Tools aligned with MOH policy
• Great potential in engaging Churches, Religious
Leaders and CHVs and creating linkages with HCWs
• Partnerships are strategic for NCDs
• Health systems strengthening to cope with the
double burden of disease (NCD & CD)
• Utilize lessons from HIV treatment cascade to
strengthen patient linkages
• Need to build data for policy & resource mobilization
advocacy
Christian Health Association
of Kenya

19. “Promoting Access to quality healthcare”
Moving forward
• New CHAK Strategic Plan will expand scope to
include; CD, NCD, UHC,HSS
• Transition from pilot to full NCD program
• Integrate Hypertension and Diabetes
• Focus on building a complete treatment
cascade
• Embrace more PPPs to widen scope of NCDs
covered
• Strengthen Data for decision making
• To adopt outreaches by HF to ensure direct &
immediate linkage to treatment
Christian Health Association
of Kenya

20. “Promoting Access to quality healthcare”
FBOs BIG VISION & AMBITION IN HEALTH SERVICES
& MEDICAL EDUCATION EXPANSION:
A Regional Teaching, Research & Referral Mission Hospital in the Rift
Valley that will be linked with an FBO Referral Network across Kenya
(Academia-CHAK-Development Partners - Partnership)

21. “Promoting Access to quality healthcare”
Acknowledgement
Christian Health Association
of Kenya
We are grateful to our partners;
• Novo Nordisk
• Astra Zeneca
• Norvatis
• Roche
• Semens
• MOH
• DANIDA
• MEDS

22. “Promoting Access to quality healthcare”Christian Health Association
of Kenya
THANK
YOU