Localising Leadership, Management & Governance in Kenya: The Journey of the GHWP Uongozi wa Afya Mashinani LG-46 Training

As we seek a new dawn in Kenya’s health sector, a transformative initiative is underway, shaping the future of community health leadership. From July 9th to July 18th, 2024, the Uongozi wa Afya Mashinani training brought together dedicated Ministry of Health (MoH) officials from 10 counties across Kenya at Strathmore University Business School. This intensive face-to-face training marks the beginning of a journey that will continue virtually until November, culminating in the graduation of these empowered leaders. The training was graced by Dr. Salim Hussein, Head DPHC, Ministry of Health (MOH), Dr. Kigen Bartilol, Head of Department, Standards and Regulatory Services, MOH and Mr. Sam Munga, Representative from Tropical Health Education Trust amongst others.

The Government of Kenya has advanced numerous strategies to improve the delivery of Primary Health Care (PHC) services as a key building block for scaling up Universal Health Coverage (UHC). However, to fully operationalize new policies and strategies, including the establishment of Primary Health Care Networks (PCNs), it is essential to address the gaps in the quality of health services and the management, recruitment, and performance of Kenya’s health workforce. Enhancing service delivery and improving health provider productivity, retention, and representation require strengthening the leadership, management, and governance (LMG) capacities of health managers at all levels. This can be achieved by supporting the implementation of PCNs in 10 counties and fostering inter-professional learning.

The Uongozi wa Afya Mashinani LG 46 Project is more than just a series of workshops; it is a collaborative effort funded by the UK Department of Health and Social Care (DHSC). This initiative is a vital component of the expansive Global Health Workforce Programme (GHWP) and is implemented by IntraHealth International – Kenya, Primary Care International (UK), and Strathmore Business School. The project seeks to enhance the capacity and effectiveness of community health leadership. Participants, selected from various MoH positions, convened to deepen their understanding of community health dynamics, management strategies, and leadership principles. Facilitated by seasoned experts in public health, leadership, and management, including Prof. Gilbert Kokwaro and Dr. Jackline Aridi of Strathmore University Business School, the training sessions have been meticulously designed to address the unique challenges and opportunities faced by health officials operating at the grassroots level.

The curriculum spans a diverse range of topics crucial for effective leadership in community health settings. Participants have engaged in modules covering: Primary healthcare (PHC) in Kenya, PHC implementation experiences, Gender Equity and Social Inclusion (GESI), Components of Health Systems, Healthcare Financing, Human Resource management, Health Management Information Systems as well as Coaching and Mentoring aspects throughout the project. Each module is designed not only to impart knowledge but also to encourage critical thinking and practical application in participants’ respective roles within the MoH.

As the program progresses, anticipation builds towards the culmination in November 2024, where participants will proudly graduate as certified leaders in community health. Armed with new skills, insights, and a strengthened network of peers and mentors, these individuals will return to their counties poised to initiate positive change and drive sustainable health improvements.

The impact of the Uongozi wa Afya Mashinani training extends beyond individual participants. By empowering health officials with enhanced leadership and management competencies, the program aims to propel systemic improvements in community health outcomes across Kenya. The ripple effects are expected to resonate through strengthened healthcare delivery, increased community engagement, and more resilient health systems capable of responding to emerging challenges.

It is safe to say that the Uongozi wa Afya Mashinani training represents a pivotal opportunity to nurture the next generation of community health leaders in Kenya. Through a blend of intensive face-to-face sessions and innovative virtual learning experiences, participants are not only gaining knowledge but also forging lasting connections and preparing to make a meaningful impact in their communities. As the journey continues towards graduation in November, the promise of enhanced healthcare leadership shines brightly, promising a healthier and more equitable future for all.

This initiative underscores the MoH’s commitment to fostering excellence in community health governance and service delivery, setting a precedent for effective leadership and sustainable development in Kenya’s healthcare landscape.

Article by: Judith Adhiambo Amolo