Kmet delegation with Siaya Governor Hon. RasangaKMET, on 7th May 21, 2014, sat in a roundtable meeting with Siaya County Governor Hon. Cornel Rasanga. This introductory meeting was aimed at developing a rapport and forging a future working relationship between Kmet and the Siaya County Government.

 Of major emphasis was the issue of maternal and child health and how to improve healthcare standards within the county. Even though it has the highest doctor density in the county, Siaya still suffers from the highest infant mortality rate.

Speaking, The Governor lauded Kmet for its continued delivery of properly targeted interventions and asked for help in delivering interventions to the high number of women that deliver through unskilled delivery (49%) “What the population needs now are homegrown solutions that promote sustainability, he said, because with devolution in place, development should be nurtured to grow from down all the way up; not the other way round.”

In a subsequent meeting, at the same venue, attended by Sicco van Gelder, Mechtild VD Hombergh from ParmAccess (who is Kmet’s technical assistance partner on Bima Poa) the main objective was to introduce Pharmaccess Foundation and its work to the county government leadership and identify possible areas of collaboration.

A combination of the strengths of Pharmaccess, Kmet and the County Government would be key in planning on how to achieve universal healthcare and sharing this with interested donors for support. Governor Rasanga suggested that his government could contribute some funds to match the donor’s contributions. He also noted that in future, it would be interesting to see people exchange farm produce for health insurance as this would improve their living standards.

The County Director of Health, Dr. Omondi Owino also emphasized the importance of re-introducing amenity (private wings) at Siaya District Hospital, Yala Sub County Hospital and Bondo Sub County Hospital to attract patients who can afford to pay for health insurance. The governor explained that a free healthcare system is still in people’s minds thus the need for subsidies supported by the contribution of the county government and the donor.

A similar meeting also took place on 15th May, 2014 between Kmet, PharmAccess and The County Government of Kisumu, represented by Deputy Governor Hon. Ruth Odinga, who pointed out that there is need to customize some of the best practices and apply them to Kisumu County to make it a champion among other counties in Kenya.Meeting with Hon. Ruth Odinga

The county leadership agreed that they would, as a starting point, look at revamping some of the amenity wings of public hospitals starting with JOOTRH using the Safecare Standards with KMET informing on the costing process. Sounding impressed with Bima Poa, the county officials mentioned that it would be great if KMET included public hospitals especially Victoria Hospital amongst their list of healthcare providers.


KMET was last week represented at a lifeline communication training organized by BBC Media Action. This was a three day training that targeted aid workers, relief aid organizations, media practitioners and government/community leaders. The forum, which ran from 28th to 30th April 2014, trained participants on lifeline communications during disasters, i.e. handling communication issues to do with food, water, disease/healthcare and security to improve disaster response. KMET was represented by Deputy CEO and Programs Manager, Sam Owoko.

Incorporating practical work aided by real-life scenarios and dramatization, participants were trained on:

  • How communication with disaster affected populations can help both communities and relief providers.
  • Information needs of populations at different stages of a crisis.
  • Designing communications activities.
  • Crafting and targeting messages.
  • The importance of consistent, accurate messaging.
  • The role of two-way communication: allowing people to voice their needs and share their experiences.
  • Channels and options for two-way communication.
  • Working with the media.
  • Coordinating with other relief organizations on communications with affected communities.
  • The importance of preparedness to communicate (e.g. writing it into the budgets, pre-allocating staff, building contacts and skills beforehand

The training was part of BBC Media Action’s ‘Preparation for Lifeline’ work, to improve the readiness of media and aid agencies to meet the communication needs of people affected by crises.

The participants

During the three day training, the need for critical information regarding missing family members, food aid, water and sanitation, security shelter and routine government update was emphasized as there usually is a communication breakdown during such times. Of importance, as noted, was the need to pass/Increase reach to practical and useful information that is also timely relevant and effective to affected communities and give them a platform to share feedback and concerns with duty bearers.

Other organisations represented at the training include: Red Cross Society of Kenya and World Vision International.

Medical Credit Fund.

 Medical Credit Fund (MCF)

The healthcare situation in most counties in Kenya is seriously challenged  a scenario attributed to population increase  from 8 million  in 1960 to 40 million in 2010 a growth rate of 2.8% per annum.

Private health sector is also inadequate though it absorbs 50% of health expenditure in Kenya serving a crucial alternative option for healthcare.

KMET together with Medical Credit Fund and PharmAccess Foundation both from Netherlands initiated this intervention in 2010 to advance quality of healthcare services through the provision of affordable financing to the private health sector. Other partners include the Ministry of Health, Local banks (K-rep) and Chase bank administering the funds.


  • Provide healthcare financing and technical assistance to primary healthcare private facilities
  • Stimulate efficiency and quality improvements in the healthcare system

Program Objectives

  • Increasing the accessibility and availability of affordable financing for the sector in Kenya to enable further investments in quality improvement and increased capacity
  • Providing technical assistance on quality improvement for the primary healthcare delivery in the private health sector according to standards
  • Providing technical assistance to the private health sector to improve financial management and planning


  • Technical assistance to private practitioners
  • Health service standards development
  • Quality improvement training programs
  • Training in business planning
  • Hospital management information systems development and training for better data management
  • Accreditation against international standards

 Milestones made to date

The program has to date spread across sixteen counties in Western Kenya, recruited 203 health facilities and offered loans as follows:

Year 2011: KES 22,870,000

  • 38 Entry Loans (KES.12,320,000) disbursed
  • 5 Medium Loans (KES.10,550,000) disbursed

Year 2013: KES 96,496,000

  • 61Entry loans (KES.18,320,000) disbursed
  • 34 Medium loans (KES.76,176,000) disbursed

Year 2014- date:  76,150,000

  • 19 Medium loans (KES.44,150,000) disbursed
  • 2 Mature loan (KES.32,000,000) disbursed

Grand total loans offered to date: 204

Total Amount of loans offered to date: KES 224,045,000

Other Key Achievements:

  • Two centres of excellence have been established i.e. Siloam Hospital Ltd and Cherenganyi Nursing Home
  • 123 Facilities assessed                                                   
  • 122 Private Providers trained on Quality & Business Planning
  • 107 Business Plans and Quality Improvement Plans developed
  • 257 Facility-based staff trained on quality