We have been measurably improving the health of Kenyans since 1989. Our approach harnesses the vitality of the private sector to improve health outcomes for “Sara” — our archetype that focuses our interventions.
We address the most serious health challenges affecting resource-poor and vulnerable communities in Kenya, including HIV/AIDS, reproductive health and family planning, and the greatest threats to children under five including malaria, diarrhea, pneumonia and malnutrition.
Transition to PS Kenya
After 25 years of successful operations in Kenya, we recognize that Kenya-and our organization-has come a long way. The challenges we face today are, while considerable, greatly different than the days when our program was established. In recognition of that evolution, from 2014, PSI’s operations and people will transition to a locally registered, independent, Kenyan entity. By doing so, we ensure that Population Services Kenya, or “PS Kenya” will be well positioned to sustainably improve the health of Sara for years to come.
This transition comes from one of strength. We’ve been led by exceptional Kenyan management teams, supported by strong and mature systems, and guided by a wise and diverse Board. We believe a locally led and governed organization will be well positioned to work with the Government of Kenya (GoK) and donors to deliver local solutions driven by best global practices. PSI will continue to provide technical assistance and support to PS Kenya throughout this transition, and beyond.
The goal of the Kenya National Malaria Strategy (NMS) 2009-2017 is to reduce malaria related illness and death by two-thirds. Key to this is scaling up access to malaria prevention and treatment to all persons living in malaria-risk areas. The Government of Kenya has adopted the vision of a malaria-free Kenya. Some of the strategies towards this are achieving universal net coverage and increasing ITN use to 80 percent.
PS Kenya focuses its ITN distribution program on endemic, epidemic and seasonal risk areas to increase access to and use of long-lasting insecticide-treated nets to prevent malaria. PS Kenya is also involved in malaria diagnosis and treatment programs through the 3T approach i.e test, treat and track.
PS Kenya’s malaria programs support the Ministry of Health through the Malaria Control Unit, in achieving its vision towards a malaria free Kenya.
Water, Sanitation and Hygiene
PS Kenya’s Safe Water Program started in 2003 with the promotion and distribution of WaterGuard, a liquid chlorine solution. In 2006, the program started distribution and promotion of PUR, a dual-action water purifier that acts on turbid water. In 2009, the program introduced Aquatabs into the commercial sector.
Through funding from the U.S. Agency for International Development and United Kingdom’s Department for International Development, PSI/Kenya works closely with key partners to address the Kenya National AIDS Strategic Plan (KNASP) indicators to contribute to the reduction of HIV incidence in Kenya.
PS Kenya’s HIV programs include: promoting delayed sexual debut, condom social marketing, prevention among people in concurrent sexual partnerships, sexual and gender based violence, promotion of HIV services including HIV Counseling and Testing (HTC) and Voluntary Medical Male Circumcision. In addition, PS Kenya supports the GOK with communications for the Blood Safety, Injection Safety and Orphaned and Vulnerable Children (OVC) programs..
In 1993, PS Kenya launched Trust condoms, the first socially marketed condom in Kenya aimed at increasing availability and accessibility targeting high-risk and sexually active groups. PS Kenya also implements various behavior change campaigns to reduce risky sexual practices among at risk and vulnerable populations. Some of this include the campaign targeting multiple concurrent relationships – ‘Wacha Mpango wa Kando, Epuka Ukimwi ‘(Stop ‘spare wheels’ relations – Avoid HIV) and latterly, ‘weka condom mpangoni’ (‘put a condom in that plan’); campaign to promote consistent condom use; campaigns to address barriers to uptake of HIV Testing & Counseling, Voluntary medical Male circumcision among others.PS Kenya has also distributed a Basic Care Package program targeting people living with HIV to reduce their morbidity and mortality to opportunistic infections. An innovative edutainment TV drama series dubbed ‘SIRI’ was also launched to support uptake of family planning and preventative behaviors of Kenyans related to HIV. Awareness is done mainly through mass media and community level small group and one on one sessions. PS Kenya has continued pioneering HIV messaging, for example in 2009.
In Kenya, less than half of married couples use modern family planning methods. The unmet need for family planning is high. PS Kenya helps to bridge this gap by distributing quality short term family planning products at highly subsidized prices. In addition PS Kenya airs communication to address barriers to uptake of FP methods including myths and misconceptions among other barriers. To address the supply side barriers, capacity building of pharmacists and Tunza franchise health providers to counsel clients on all methods is done thus improving their knowledge, skills, attitude and performance in offering quality family planning services. PS Kenya also supports provision of quality reproductive health services through the Tunza Family Network. These services include offering short term and long term family planning methods, cervical cancer screening as well as services to increase safe motherhood.
HSD: PS Kenya manages the Tunza Family Health Network, a social franchise targeted at providing quality health care to low-income and vulnerable populations.
It’s a fractional franchise launched in December 2008 comprising of selected private health clinics providing primary health care services with PS Kenya franchising the key health areas in line with national priorities.. PS Kenya trains and supports providers in– family planning, HIV counseling, testing and comprehensive treatment including elimination of mother to child transmission (eMTCT), , cervical cancer screening and preventative treatment (CCSPT), voluntary medical male circumcision(VMMC),integrated management of childhood illnesses (IMCI),Safe Motherhood (ANC, Skilled delivery and PNC) and Tuberculosis screening and treatment. Integration of non-communicable disease control is underway.
The emphasis is on continuous quality improvement– monthly support supervision, mentorship and bi-annual quality assessments are conducted through a dedicated quality assurance team.
PS Kenya conducts Provider Behavior change Communication (PBCC) through medical Detailing. This intervention equips pharmacy providers with the skills and tools required to improve on management of different health conditions, counseling of clients, and creating referral systems with clinicians for health conditions or undesired events that cannot be managed within a retail pharmacy.
Medical Detailing PBCC is on below health areas:
- Family planning
- Diarrhea management.
- Use of malaria Rapid diagnostic test kits –Pilot
The program works with 2400 pharmacies countrywide.
PS Kenya uses IPC interventions to:
- Support various health areas addressing behavioral factors that require one-on-one discussions and small group interactions. Such factors include demonstrations, skills building and social support.
- Create demand for socially marketed products and services offered through PS Kenya or its partners.
- IPC interventions are implemented either through partnership with local civil society organizations, or by engaging community health workers.
- PS Kenya mainly uses a community dialogue approach derived from motivational interviewing known as Education through Listening (ETL).
- Ministry of Health
- Malaria Control Unit
- Family Planning Unit
- Maternal and Child Health Unit
- National AIDS and STDs Control Programme
- National AIDS Control Council
- Division of Leprosy, TB and Lung Disease
- Kenya Medical Research Institute
- Marie Stopes Kenya
- FHI 360
- Safe Water and AIDS Project
- Evaluating the Impact of Social Franchising on Family Planning Use in Kenya
At the iHEA conference, PSI presented the results of a study that aimed to determine whether the Tunza Family Health network increases access to family planning for women of reproductive age in Kenya.
- Market Trends for Malaria Blood Testing in Sub-Saharan Africa, 2009-2014
In 2012, the World Health Organization (WHO) launched the Test, Treat, Track initiative recommending confirmatory testing prior to antimalarial treatment. National malaria control programs (NMCP) across subSaharan Africa (SSA) subsequently aligned national guidelines with this recommendation. Strategies to scale up testing using malaria rapid diagnostic tests (mRDT) were introduced by NMCPs. We examine malaria testing availability, price and market share using national market survey data collected by the ACTwatch project.
- Sp Availability and (Mis)Use in Sub-Saharan Africa: Antimalarial Market Data From 8 Countries
As evidence of reduced chloroquine efficacy against plasmodium falciparum mounted in the 1990’s, sulfadoxine-pyrimethamine (SP) became first-line malaria treatment in many endemic countries in sub-Saharan Africa (SSA). Between 2002-2005, countries in SSA adopted artemesinin combination therapies (ACT) as first-line treatment. SP is still recommended by the WHO and used across SSA for intermittent preventive treatment of malaria during pregnancy (IPTp). We examine availability and distribution of SP using national antimalarial market survey trend data collected by the ACTwatch project.
- A Tale of Two Providers: Similarities and Differences in Fever Case Management Practices Among Private Clinicians and Pharmacists in Kenya
Increasing the range of providers than can offer quality malaria diagnostic services is one way to improve access to testing and help meet the target of universal testing of fever for malaria.
- Evaluating the Impact of Social Franchising on Family Planning Use in Kenya
In Kenya, the private sector is an important component of health service delivery, and of providing access to preventive and curative health services. The Tunza Social Franchise Network, operated by Population Services Kenya, is the largest network of private providers, currently comprising of 323 clinics.
This one-pager explores the impact franchising has on access to family planning.
- A Comparison of Case-Mix, Client Volume and Revenue between Franchised and non-Franchised Providers in Kenya
Social franchising has emerged in an effort to improve the quality and scope of services provided in the private sector. Yet, little is known about the effect of franchising on the provider and clinic.
This paper highlights the differences in the volume of services provided, composition of services and revenue of franchised Tunza providers compared to non-franchised private providers.
- Using Research to Inform the Development of Social Marketing Campaigns for HIV Self-Testing in Kenya and South Africa
- The work of a social franchise network – From a program officer’s perspective
See how a PSI provider changes his community by establishing his franchise.
- UNITAID Private Sector RDT Project
This one pager outlines how the UNITAID Private Sector RDT Project aims to stimulate the creation of a private sector market for malaria, the project's expected impact and outcomes, and the partners involved.
- How Should HIV Self-Test Kits be Packaged in Kenya?
This report presents the findings from a 2013 qualitative research study on how to effectively package and label HIV oral self-test kits for a Kenyan market.