Huduma Poa HIV testing and counseling training.

Participants taking DBS samples during the post testKMET last week conducted an HIV Testing and Counseling (HTC) training for providers whose facilities are within the Huduma Poa franchise.
The main aim was to train participants who were drawn from 12 different counties on how to use and interpret results on the new HIV test kits before the current ones are completely faced out.
A number of cases have been reported of clients being given inconsistent results with regard to their HIV status a situation which has prompted the government to opt for new test kits which are time crucial and easier to interpret results.
Caren Omiya a lab technician, who was also a facilitator, said the new test kits are expected to reduce erroneous results given to clients hence improve on efficiency of testing services.
The peak of the training was during the practicum session at Kisumu District Hospital and Jaramogi Oginga Odinga Teaching and Referral hospital where one of the participants managed to counsel and test a street boy who after knowing his status decided to go back home.
Kisumu District Medical laboratory technologist, Samuel Onjoro, who was also a facilitator, stressed on the need for providers to practice ethics in counseling and testing clients for good results to be realized.
  Health Communication and Marketing Coordinator Amos Onderi urged providers to implement the lessons learnt during training to offer quality services.
Amos also informed the providers that the current HIV test kits are still in use until the new ones are supplied to facilities hence clients should not be turned away because of lack of new test kits.
In her remarks during the closure of training, KMET Executive Director, Monica Oguttu stressed to providers to record and manage data on HIV properly since data is the only indicator of progress.
She also called on the providers to improve on HIV counseling and testing services in antenatal clinics due to the low outcomes as indicated in such clinics.
Monica finally challenged the providers to go back, train others in the facilities and deliver quality services.

Job Vacancies 2017


Position: Consultant for End of Project Pilot Phase- Evaluation   
Location: Mainly from consultant’s base, reporting to KMET Office, Kisumu
Duration: 30 days in the period May-June, 2017
Reporting to: KMET Project & M&E Officers and IISAH in-country Consultant
Availability: May 1 to May 30, 2017

Opening Date: 5th April, 2017                Closing Date: 21st April, 2017



The Fisio-Rehab read (Physiotherapy) Project, started in August 2015, is an initiative of KMET and the Amsterdam-based IISAH Foundation. The purpose of this project is to improve access to quality physiotherapy in resource limited settings. The project aims at promoting healthcare financing private clinics and quality improvement in public and private facilities respectively. Fisio Rehab project has community based rehabilitation component whose overall goal is to involve the community in the rehabilitation process. The Fisio-Rehab program is being implemented in Kisii and Kisumu Counties in 5 pilot clinics.

The clinics involved are Rapha Physiotherapy Clinic, Oasis Physiotherapy Clinic, Kisumu Orthopaedic Clinic, Jalaram Physiotherapy Clinic all in Kisumu County, and Kisii Physiotherapy Clinic in Kisii County. Oasis and Rapha mainly serve clientele in Kisumu East Constituency while Kisumu Orthopedic Clinic serves clientele from Kisumu Central. Kisii Clinic serves clientele from the entire Kisii town and its environs. All the clinics are private and licensed by the Physiotherapy Council with the providers possessing relevant updated certificates of practice from the Kenya Society of Physiotherapists.

Purpose and Objectives of Consultancy
The purpose of the consultancy is to examine the extent to which objectives as stated above and in the partnership documents were met, and the extent to which the identified communities have sustainable strategies towards access to physiotherapy and rehabilitation services. The task for the consultant will be as follows:
1. Conduct a desk review of all materials and products and knowledge generated through the project and advise on how the gaps identified can be consolidated.
2. From 1 above, craft a list of possible evaluation questions, against the project documents, and the objectives articulated from the overall work plan.
For example: Is the quality improved (treatment, facility, management); is there business improvement in the clinics (financial, patient visits, increased selling of appliances); is there an improvement in access to care (for underserved communities) ; do local awareness creation sessions contribute to improve knowledge about physiotherapy care and related health issues.
3. Develop a draft design for the end-of-pilot project evaluation, including the methodology, process, and instruments and Participate in the execution of the evaluation as a member of the evaluation team (two team members will be KMET staff).

It is anticipated that the above-mentioned goal will be achieved in two phases. The first phase, to be complete in the first week of May 2017, will be to conduct the desk review, come up with indicative evaluation questions, and develop the design for the evaluation, including the methodology and evaluation instruments.
The main task of the second phase will be to execute the evaluation, the survey (or other self- reporting mechanisms), to conduct fieldwork (around the 5 project facilities) to validate self- reports, and report writing.  A tentative timeline for the activities is as follows:
1. Desk Review: (about 5 working days)
2. Evaluation Design: (about 5 days)
3. Analysis of self-reports:
4. Confirmatory visits and execution of evaluation in 5 urban informal settlements (5 days)
5. The evaluation team will endeavor to document the Fisio-Rehab project’s achievement, experiences in response towards implementation, challenges, and lessons learnt and to identify recommendation for improved coordination and response.

Expression of Interest
Consultants interested and meet the above requirements should submit their proposal that include the following:
1.  A profile of the consultant highlighting the relevant experience in doing similar work OR the CV of the consultant highlighting how they meet the requirements.
2.  Samples or evidence of previous work done that are similar to this consultancy.
3.  The consultant understanding of the TOR and methodology of how they intend to carry out this assignment.
4.  Proposed budget indicating the number of days, tasks and costs per main task inclusive of VAT
5.  Indication of availability to start and undertake this assignment
6.  Contacts of at least 2 organizations previously supported with similar assignments.



Interested and well qualified firms and individuals are invited to submit their applications on soft copy to: This email address is being protected from spambots. You need JavaScript enabled to view it. so as to arrive NOT later than 21st April, 2017 quoting consultancy title on the “subject line” Or forward a hard copy application to:

Human Resource and Administration Manager,
P.O Box 6805-40103, Kisumu.

Note: Only short listed applicants will be contacted. Failure to follow the above instructions will lead to automatic disqualification.



Beth Cobert Monique Dolfing-Vogelenzang Jennifer Pryce and Francis Kelly with the Medical Credit Fund OPIC Impact Award.Medical Credit Fund (MCF) was on March 12th 2014 awarded by OPIC (Overseas Private Investments Corporation) in the category of Access to Finance. This was in recognition of the role they play in providing affordable loans and technical assistance for small and medium-sized healthcare providers in Africa.

Beth Cobert Monique Dolfing-Vogelenzang Jennifer Pryce and Francis Kelly with the Medical Credit Fund OPIC Impact Award.

The Amsterdam based MCF (to which KMET together with PSK, APHTA, Hygea Foundation and Marie Stopes International are technical assistance partners) was awarded during the first ever impact awards held at the US Chamber Of Commerce In Washington DC and it’s the first ever socially marketed financial service, financing healthcare in African countries.

Speaking at the awards, MCF Managing Director, Monique Dolfing Vogelenzang said, “We are incredibly honored to have been recognized by this award”.

Medical Credit Fund seeks to improve provision of healthcare by targeting small privately owned clinics in business and quality training, clinics learn how to develop their business potential and how to improve the quality of their healthcare services. At the same time, access to capital allows them to purchase modern equipment, hire expert staff, make basic repairs or expand their facilities.

These clinics are targeted because they provide 50% of healthcare services in Africa and are staple for low and middle income populations. MCF is present in other African countries including Tanzania, Nigeria, Uganda and Ghana.

Mr. Odero, Otieno Martin, Head of Business Medical Credit Fund at KMET says KMET has so far recruited 172 private facilities in the quality improvement program and offered them entry loans amounting to 42,950,000 KES and medium loans amounting to 145,345,000 KES towards improvement of health care in those private facilities.


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.