Kenya Harmonized Health Facility Assessment (KHFA) 2018/2019 Main Report

The Harmonized Kenya Health Facility Assessment (KHFA) 2018 is a collective effort involving multiple Health Data Collaborative partners. The assessment succeeds past initiatives including the Service Availability Readiness Assessment Mapping (SARAM) in 2013, service delivery indicator (SDI) 2012/2018 and service provision assessment (SPA) in 2010 among others, that were aimed at providing information on the degree of preparedness of health facilities to offer services. The KHFA 2018 was implemented by the Kenya’s Ministry of Health in collaboration with the development partners.

The objectives of KHFA 2018 were: (i)  To provide essential information at national and county level to facilitate decision making on investments needed to deliver the essential health package towards Universal Health Coverage (UHC); (ii) to generate the evidence to support the ongoing national and county UHC roadmap, strategic plan development, annual health reviews to guide more effective county/country and partner investments; (iii) to provide baselines of health infrastructure situation which will assist in development of health infrastructure and maintenance of master plans for all planning entities in the health sector to improve access to healthcare; (iv) to fill critical data gaps in health service availability and readiness required for assessing and monitoring progress in health system strengthening, UHC roadmap, within the broader context of M&E of county and national health strategies; (v) to support county and national planners in planning and managing health systems (assessing equitable and appropriate distribution of services and resources, etc.); (vi) to provide a foundation for the continued service availability readiness monitoring mechanisms through the established formal routine reporting system for sustainability; and (vii) to establish the accountability and potential financial resources for each health facility to deliver the essential services. The following modules were included in the assessment: service availability, service readiness, management and finance, quality of care, and the community module. Data collection for the survey was conducted in November and December 2018 by a team of national supervisors, county supervisors, and research assistants (RAs) in all the 47 counties. The data was successfully collected in 2,927 (98%) health facilities out of the targeted 2,980 health facilities.