LIVE: President Ruto presides over Kenya Health Summit, KICC, Nairobi

Analyze trends. So as you can see, January there was a spike in February, and then March, April it's gone down. However, this year is not good enough. So if I add 2025, you can see that—

Yes, on VH every every. I'm very happy that we are now gathering data on a daily basis: how many mothers give birth, how many mothers we lose, how many newborns, and all that. And I think with this data now, we can be able to interface more and do what you were saying: learn from those who are doing well—

To improve on those who are not.

Your Excellency, before we started the review, when a mother dies, you review after 3 months. Right now, as a result of the interagency collaboration between the two levels of government, and so far through the intervention and the collaboration between the national government and the county governments, we've been able to mobilize equipment through your intervention for fee-for-service. Up to date, we have 862 pieces of equipment installed in 251 facilities from 44 counties. Why 44 counties? These are the counties that requisitioned the equipment as per the analysis that we did and what you guided—that counties must requisition for their needs. The three counties that have not requisitioned are Nyamira, Turkana, and Kiambu. Kiambu has not actually signed the IPA, so I think—

Yeah. So so far, we have imaging equipment, including CT scan and MRI—174 in the 251 facilities. We have 523 lab equipment. We have 140 assorted theatre equipment, and of course 24 dialysis machines in nine counties. So if you would want to pick a county to see how many facilities have picked, maybe you can just mention a county and we go straight to that county to see how we've deployed equipment. You can mention a county, Your Excellency.

Kisii. So Kisii is the highest. You see it's actually in blue, 90%. And these are the facilities that have actually gotten the equipment. Just go to the left. 90% of what they requested, they've gotten all the equipment. Then you see per county, we're able to track at the Council of Governors what the facilities are actually receiving and, just in case of anything, reagents and the like.

Yes, we do.

No, we don't have it here.

All right, we will give it. Okay. Excellent. Thank you very much. We truly appreciate. Asante.

Good morning. Good morning, Your Excellency. How are you, Your Excellency? So we'll be taking you through a journey of SHA in two years. And Your Excellency, we are calling it reform measured in lives. Your Excellency, to begin with, we have 32.3 million Kenyans registered. If we compare with where NHIF was at its best, we had 16.9 million Kenyans at that time, and now we have 32.3 million Kenyans registered. In terms of access, Your Excellency, we have an increase in the number of facilities from 8,667 to 10,713. And then some key impact that is measured in lives: two years of NHIF, we had 227,741 surgeries. In just two years for SHA, Your Excellency, we have been able to facilitate 501,839 surgeries. When you come to renal care, we had 8,831 patients during NHIF's time for two years. During SHA, we've nearly tripled that to 20,952 beneficiaries. Your Excellency, we will take you through what the impact has looked like in terms of numbers. That's how our registration has changed. 15.5 million more Kenyans are now covered under the Social Health Authority. Your Excellency, the next slide: we have care closer to Kenyans. If you look at our facility density, moving from 8,000 to 10,713 means more Kenyans are accessing more facilities. And if we look at the breakdown, Your Excellency, government facilities are more at 5,959, 4,534 private, and FBOs at 541. The next slide, Your Excellency, tells us about the resources: 178.5 billion paid out in all the funds. You can see the Social Health Insurance Fund has catered for 134 billion, PHC at 23 billion, public officers at 16.9 billion, and ECCF at 3.5 billion. Your Excellency, when we look at PHC, what does it look like in terms of Kenyans' lives? 9.3 million Kenyans have benefited from primary healthcare services. That's an increment of close to 27% from NHIF's time. When we look at deliveries, our mothers, at NHIF at its best, we had 985,000 mothers. For SHA, we've paid for 1.3 million mothers who've been able to deliver through SHA and paid out 17 billion to those mothers. In the next slide, Your Excellency, cancer patients: during NHIF, NHIF took care of 29,473 cancer patients. SHA has taken care of 50,000 cancer patients. Next slide: in terms of renal care, again, Your Excellency, we started at 8,831 for NHIF. 20,952 Kenyans have benefited from SHA. Your Excellency, when it comes to surgeries, 501,839 surgeries have taken place, paid for by SHA, and Kenyans have benefited from that. Your Excellency, in terms of critical care, NHIF did not cover for ICU; we used to pay zero in NHIF days. Now SHA is paying 28,000, and 31,975 Kenyans have benefited from ICU services. And Your Excellency, the newly launched ambulance dispatch center: Your Excellency, from the time you launched this ambulance dispatch center, we've had 506 incidents that we've been able to dispatch and reach Kenyans, and we've had 18,534 calls come in in the last two weeks. Now, Your Excellency, we want to move you to this end where you'll come and sit here with volunteer beneficiaries. They want to talk to you. They want to tell you what the experience has been. Your Excellency, that is Margaret, that is Vincent, that is Cindy, and that is Dr. Marion. Your Excellency, our beneficiaries here are volunteers. They want to tell you their story—the good, the bad, the ugly, and the successes of this reform. We'll start with Margaret. She's an oncology client, and she'll tell us how her journey has been, and she wants to have a conversation with you. They also have requests of you.

I'm very well. Thank you. Morning to you.

I found a lump. I'm just a housewife. For six months. Then 4,000 to register. I think hospital contact. Could speak. Chemotherapy already. This is my card. 63,000 per session. Almost 11 months. Treatment on October last year. 82,200. 550,000 up to 800.

From 550 to 800. Eight sessions, 63,000 multiply. Surgery 82,200 plus. There are supposed to be 18 cycles, so far 11. I mean 10 on the 24th, on the 24th, 11th. Yeah. To share with you.

These experiences—

Yes, we will also do that so that we don't take a lot of time. That's okay.

Yes, she's a beneficiary during NHIF and now SHA, Your Excellency.

Thank you so much, Your Excellency President, Deputy President, Cabinet Secretary. So here at KEMSA, we are saying we have to contribute to coverage. Our business is to ensure commodity security so that the 'Hakuna Dawa' syndrome that is in the heads of Kenyans is a thing of the past. So we are very happy to report, within the last 3-4 years, we have managed to move our order fill rate from 40% to over 90%. Actually, our target, Your Excellency, as we have agreed, is to 100%. Anything in public health over 95% is very good at the moment, so the 'Hakuna Dawa' thing should go away. How did we reach there, Your Excellency? When we found KEMSA buying 3,800 molecules, we asked, 'Do we really need all this?' So we sat with our team and the county pharmacists, and we discovered we just need about 500 SKUs. So we focused on smart buying on the 500. Again, we asked ourselves, 'Do we need to deal with the old policies where we keep stocks for six months?' Then we said no, shrink and grow: keep stocks for three months and then grow. That magically brought our order fill rate very high. So, Your Excellency, we have very serious visibility. We are not working in the darkness—end-to-end supply chain visibility. As an example, we can, in real time on this dashboard, see what our order fill rate is, how many orders we have—like the 984 orders—what the monetary value is (over 500 million for those orders), and we're serving about 855 facilities for that order across about 35 counties. It also tells us how much we have been able to push. The green one shows us we have pushed over 500 million to those facilities. Yes, Your Excellency.

Digitization has really helped us because visibility is everything. It will help us to be traceable, to be auditable, to be visible. So actually, KEMSA, I can say, is fully paperless at the moment. The next thing is now to hook into DHA so that we have one national LMIS for the country. Digitization has helped us. Dennis here is able to drill down to the exact facilities—the ones I've said, 855.

Your Excellency, KEMSA is the only agency that can do doorstep delivery—what we call doorstep. We don't deliver at the county or sub-county, the governors here; we deliver to the facility.

For some time now, that has been the model. We don't deposit anything at the county or sub-county; we deliver at the doorstep of the health facility.

Order turnaround time is the other thing that we measure, and we've also revolutionized that—the time between when you order and the time it takes for the medicines or products to be at your doorstep. We have changed that. When we came, the warehouse was working like a normal office, 8 to 5. We said, 'Is this a normal office? Can we do a shift system from 7:00 a.m. to 7:00 p.m. with the same staff?' So some are reporting at 7:00 and leaving at 4:00; some are reporting at 10:00 and leaving at 7:00. That actually improved our efficiency, and our order turnaround time has moved from 24 days to less than two weeks for rural health facilities, and from 20 days for hospitals to less than 10 days for hospitals now. Thank you, sir.

In 71 facilities—

71 facilities across the country, and that is in 31 counties. We've also been able to serve Level 6 hospitals—that is KNH Spinal Injury. We are supplying ultrasound where we are able to do obstetric, abdominal, pelvic, and all body scans. We've supplied 71 pieces of equipment, Your Excellency.

This is fee-for-service, so the cost of every equipment is about 3 million for the whole package. Additionally, Your Excellency, we are providing consumables for the entire contract period, and we're also giving refresher training, both clinical and technical, to our service health providers.

Maintenance is on us, Your Excellency.

We provide consumables, we provide maintenance, and then we also do training, both clinical and technical.

You only pay for use—fee-for-service. We have an uptime of 98%, Your Excellency. If it is not working, we have no money, so it is in our best interest and the government's interest that it works. Additionally, Your Excellency, we've also been able to integrate this equipment through the Digital Health Authority with SHA. So now there's no fraud: if a SHA-approved patient comes here in the worklist, we will get the names of the patient, a scan will be done, and a report is sent back to SHA through DHA confirming that the equipment has offered service and the service that has been offered.

Your Excellency, this equipment has been able to offer 217,000-plus scans since inception across the country.

Across 31 counties.

Hello, how are you, Your Excellency? Welcome to NESPP. I think we have Donald, who will take you through the MRI.

Welcome, Your Excellency.

So we have MRI in two facilities now.

We have the regular laboratory facilities where 609 equipment are deployed, and you can see the live transmission of all the facilities.

We have the hematology machine, we have the biochemistry machine, we have got immunoanalyzer—a mix of all the lab equipment in different facilities.

We provide the equipment, we provide the reagents, we provide the consumables, and also the training and the servicing and maintenance for the next seven years.

Then we also have the theatre. Theatre is also the same: we deployed to 96 facilities for theatre, and currently we're deploying more, up to 150 by the end of this month, under the same arrangements.

We have the anaesthetic machine, we have the operating tables—nine primary equipment for fully fledged theatres.

For 98 facilities, but by the end of this month, we'll be at 150 facilities. The same arrangement again, all the services. What we have done is we have integrated all the data, and we created the Laboratory Information System. So what you can see here is a live test that is being done by the facilities now.

Kenyatta, we have done 15 theatres. Moi Teaching, we have done nine; Jaramogi, we have done nine.

For one theatre, it is around 15 million, 15 to 20 million, because the highest is 20 million.

That's 150 million.

I thought you should know that lady for cancer, it's in her family. Her sister, as we speak right now, is a beneficiary.

We've done CT scans in different facilities.

I think so far the experience we saw is most of the patients who are coming for these services to Kenyatta have now gone back. So it has reduced the referrals.

Yes, how are you? Here we have dialysis. In short, dialysis does the work of a failed kidney by cleaning waste and fluid from the blood hours at a time, a couple of times a week. I'll jump to the numbers: at the moment, we have 24 machines installed. We've scheduled an additional 28 machines to be installed, including an installation being done this week, and we're projected to be at 100 machines by the end of the year. Additionally, we've digitized these machines, which allows the Ministry of Health to view this utilization in real time, verifying the services they're paying for. Additionally, it also provides analytics to help make better-informed decisions.

Good morning.

Thank you, sir. This is our awareness stand where we are championing ensuring that no mother in Kenya dies while giving life and no newborn dies from a preventable death. These are my team members from Maternal and Newborn Health, and also we have an innovation for our youth to access health through AI innovations done by Kenyans. This is our POCUS. POCUS is a point-of-care ultrasound. This is very handy and it's using an AI system.

635 facilities across 21 counties.

Yeah, Your Excellency. So this is the Kenya National Public Health Institute, established by the government as the health security agency guiding matters of protecting the public against public health threats. Here we are going to demonstrate the outbreaks that we have been trying to respond to in this current year. We have been able to respond to rabies, Chikungunya, cholera, and anthrax. Currently, we are responding to dengue fever, which is in Garissa and Wajir; we already had 1,678 cases. We have also been responding to mpox already and a measles outbreak that is currently ongoing at 263. As you're aware, Your Excellency, we have an Ebola outbreak in DRC, and recently Uganda also reported cases. There were 12, but it's done now. Kenya has not reported any case, but we have already tested around 196 samples that have come to our lab, but all of them have turned negative—people traveling, others who have come to the hospital with symptoms of Ebola and presented to the health facility, and in our history-taking we demonstrated that they had traveled to Uganda or DRC. We have already screened 420,000 people at points of entry.

How are you, Your Excellency? Your Excellency, we're going to show you what we have done in digitization. Remember, Your Excellency, one of the main problems we had on UHC is accessibility, and one of the first issues that was there is our public hospitals did not have the digital systems and digital infrastructure to be able to provide services. That's why even under NHIF, they used to get 34% of the money. Therefore, Your Excellency, the first thing we did is provide these tablets to all our public facilities—6,700 of them. This tablet, Your Excellency, comes with a power bank and paid-up internet for 10 years—

10 years, Your Excellency, so that our governors and our public hospitals do not need to pay for any internet connectivity in that area. Your Excellency, for big hospitals of Level 4, 5, and 6, because they take a lot of data, we're giving them these computers, Your Excellency, 4,500 of them.

Yes, there are 6,473 out of 6,700. A few of them, others are still ongoing. Your Excellency, you can see in every county how much we have distributed for them.

Yes, Your Excellency. And you can even see, as it is now, we are able to see how many are live now, because we also monitor; we do not allow anybody to use this device for any other purpose apart from health. Your Excellency, as we move to the second one, this is how the coverage looks like, and that is how Safaricom is giving us 2G, 3G, or 4G in every one of those areas. Your Excellency, the second area was the issue of data centers. Many of our public facilities used to have small data centers. For the first time, Kenya became the first country to have a sovereign cloud. This is where we centrally store the data for all our facilities and all health, and that is what you have done in supporting public facilities, Your Excellency, to be able—

Yes, we've got live sovereign clouds in three key areas in the country, Your Excellency, so that it will never go down. Your Excellency, after giving the infrastructure, we come in to give them the software, because they were also lacking the software. Dr. Mumo is here and he will take you through what the facilities are able to see now, how many we have done, and what exactly they are able to see to make decisions using data.

Your Excellency, welcome. You promised, we delivered, and with this, Your Excellency, 95% of our facilities in Kenya are digitized all the way from Level 2 to Level 6. You can see, for example, we have the map of Kenya here showing the distribution of all the facilities in the 47 counties. Your Excellency, Kenyatta National Hospital is the first public facility of its kind in Africa to be fully automated, actually paperless, because even from this week they are transmitting SHA claims electronically. We are proud to see this real-time live dashboard, Your Excellency, whereby we are seeing the number of patients who are admitted on a real-time basis. Also, the governors here can monitor the health workers wherever they are on a real-time basis.

Yes, Your Excellency. You can see the health workers in terms of names and how many clients they've seen. Like now, this one, Hassan, has seen 29 clients this morning. You can always monitor what is happening on a real-time basis, and Your Excellency, you can see the number of clients who are being seen in every facility on a daily basis. So you promised and now we have delivered. Close to 30 million clients have been seen through this electronic HMIS system, Your Excellency.

Yes, and we have insurance. You can see in a month, Your Excellency, we are having more than 4 million patients seen through the electronic platform. So you promised and now you can see we have delivered as a country. Thank you.

Your Excellency, the third area is about logistics: how do we ensure our drugs are safe, how do you ensure that you're able to track these drugs? Dr. Omesa will take you through, Your Excellency.

Good morning, Your Excellency. This is the new kid on the block in the Digital Health Agency. The starting point when digitizing health products and technologies is to have a dictionary on how we identify health products across the health sector. So what we have is the National Product Catalog, and that's what you're looking at. Everyone who's prescribing, dispensing, or bringing in medicines must read from this product catalog.

Exactly. From there, health facilities need to be consuming this particular product catalog, and we are doing that through our AfyaCare Hospital Management Information System.

Exactly, that's what I want to take us to now. The hospital needs to order medicines from KEMSA, and it needs to first identify what is in the store. The system has a pharmacy and stores module, so the pharmacist is able to see, 'This is what I have in store.' Then they are also able to e-requisition to KEMSA through what we are calling the National Logistics Management Information System.

Housed in DHA. Let me take you now to the NLMIS. This is a game changer, Your Excellency. Here we are going to onboard manufacturers and distributors. We've already onboarded KEMSA. We can see we have 10,609 products in real time; we can also see the prices. Today, when a pharmacist wants to buy medicines, they have to call somebody and ask what is happening. On the NLMIS, we have the marketplace. Once the order comes in, the facility is able to have a tracking experience. This has not been there—the facility-in-charge wondering, 'Is the truck arriving? When are the medicines coming?' Now with this, they are able to tell where their order is. All this is happening through the National Logistics Management Information System and audit logs. The last bit that we are working on with PPB is to uniquely identify health products. Your Excellency, I have two medicines in front of you. One has what we call the global standard used to uniquely identify the product, which is a 2D data matrix with lots of numbers. This other one just has a barcode. We want all medicines coming to Kenya to have this, and we are working with PPB to ensure that this happens. We are currently in a transition period, starting with the ones that already have it, but by 1st January, anything else coming in here must have this. With this, we have traceability.

Exactly. And then, Your Excellency, the connection with the patient: allow me to show you that. The last one is on Afya Yangu, because the patient must be in the story. Afya Yangu is an app that the patient has in their hand on a phone. This is actually me, who visited a health facility a few days back—I had a headache, I was feeling unwell, I went to a health center. This excited me, Your Excellency, because a few days later, when I went to my Afya Yangu, I actually saw the medicines that I was given. They didn't know that it was Joy; I was just unwell. This is where we want to reach when we say everyone has to be on the highway. All the health facilities must be on the highway, including the community pharmacies.