The Institute of Healthcare Management (IHM) continues to play a leading role in healthcare research and research capacity strengthening within the Business School.

Firstly, it is also involved in the design and execution of world class Academic and Executive training Programmes

Secondly, Institute of Healthcare Management is involved in securing scholarships, PhD training slots, various ongoing and inception-stage research projects and publications.

In addition, it secures its mandate through close collaboration with several universities, donors and research institutes both locally and abroad. Apart from these activities, IHM is working with collaborators to find resources to help with the establishment of the Strathmore School of Global Public Healthcare.

Our Value Proposition

IHM has and will continue to provide solutions to national and international healthcare and development issues through researchconsultancies, seminars, policy development and most importantly student and faculty exchanges.

We will facilitate the establishment of a research Chair in logistics at Strathmore University through strategic partnerships with industry, development partners and relevant healthcare philanthropic organizations. 

Areas of Focus

  • Universal Healthcare in Kenya. Current subtopics include level of preparedness, Availability of essential medicines during the COVID-19 pandemic

  • Funding utilization Efficiency assessment for Illnesses such as HIV AIDS, Malaria and TB

  • African Digital Diagnostics Platform, to significantly improve access and quality of laboratory and diagnostic healthcare services for low-income populations in sub-Saharan Africa

  • Building knowledge and systems to promote availability of Blood for Transfusion at the points of critical need

  • Preparedness of Kenya Healthcare system for the exit of Development Partner (Donor) support

  • Sociotechnical Approaches to Road Safety

  • Covid-19 Supply Chain challenges

  • Availability of essential medicines

Senior Researchers in the Hub

Institute of Healthcare Management Project Portfolio

IHM has and will continue to provide solutions to national and international healthcare and development issues through researchconsultancies, seminars, policy development and most importantly student and faculty exchanges.

PI: Ben Ngoye

Team

  1. “Prof Kokwaro
  2. Jackline Ngure
  3. James Oyoo”

A grant was awarded to SBS the Bill and Melinda Gates Foundation (BMGF) to facilitate Leadership, Management, and Governance (LMG) training to the senior leadership of NMCP and MOH in 6 countries – Kenya, Mali, Cote d’Ivoire, Ghana, Rwanda and Cameroon.

Objectives

The primary objectives of this initiative are to develop and equip leaders and managers of National Malaria Control Program (NMCP) and Ministry of Health (MOH) to make effective use of data to inform decision making, to function effectively in their leadership and management roles, and to be able to attract resources and efficiently use those resources to sustainably and cost-effectively manage malaria (and other vector-borne disease) programs within the African context. This will allow high-burden malaria countries to transition from aid dependency to sustainable health system performance.

Value: USD 1.4M

PI: Prof Kokwaro

Team

  1. Prof Kokwaro
  2. Jackline Ngure
  3. Tim Chege

Multiple first line therapies (MFTs) have been proposed as a strategy to delay the emergence of malaria parasite resistance. Our overall aim is to pilot a practical framework for multiple first line therapies for uncomplicated malaria in a malaria-endemic region of western Kenya to generate information for scaling up of the concept to all parts of Kenya.

The study sites were;

  • Homabay and Migori Counties

Objectives

  1. To evaluate health system challenges associated with theuse of multiple first line treatment for uncomplicated malaria in 2 counties in a malariaendemic region of western Kenya.
  2. To conduct a mixed methods study to understand user and provider experiences, preferences, barriers and facilitators of use of MFTs for uncomplicated malaria.
  3. To  assess the cost-effectiveness of MFTs to optimise management of Malaria.
  4. To gather and analyse the relationship between MFTs and the incidence/prevalence of molecular markers of resistance against antimalarials.”

PI: Prof Kokwaro

Team

  1. Timothy Chege
  2. Dosila Ogira

Objectives

  1. Strengthen the African partners capacities through research of:
    • co-morbidities infectious diseases / NCDs
    • human-livestock infectious diseases interactions
    • infectious diseases diagnostics technologies
    • socio-economic factors of adoption of these technologies by African populations
  2. Technology development in diagnostics and digital tools and integration into existing data exchange infrastructures

PI: Prof Kokwaro

Team

  1. Dr. Joseph Onyango (CO-PI)
  2. Dosila Ogira

Description:

The Institute for Healthcare Management at Strathmore University will be the primary research partner of the Center for Policy Impact in Global Health for the 4Ds study in Kenya.

There are three key components to the research the Institute for Healthcare  Management at Strathmore University will undertake:

  1. Demographic and epidemiological modeling to project the changing needs of the  population between 2019-2030;
  2. A costing study to determine how much it will cost to deliver universal health coverage  that addresses the major contributors to Kenya’s disease burden; and
  3. Support to the Center for Policy Impact in Global Health on a mixed methods study to determine if Kenya has the capacity to finance universal health coverage given these disease and demographic transitions.

Consortium Composition:

  1. The Center for Policy Impact in Global Health (CPIGH), based in the Duke Global Health Institute (DGHI), Duke University
  2. Institute of Healthcare Management, Strathmore University Business School

Value: USD 55,200

Funder: BMGF (Bill & Melinda Gates Foundation)

PI: Prof. Gilbert Kokwaro

Team:

  • Dr. Joseph Onyango (CO-PI)
  • Dosila Ogira (Research Officer)

Description:

In this project, Strathmore University’s Institute of Healthcare Management is collaborating with Duke University’s Centre for Policy Impact in Global Health, to study how Kenya will  navigate these unprecedented times. This study will aim to understand how the COVID-19 pandemic has impacted the health sector in Kenya and how future policy priorities and health emergency preparedness has been affected by the pandemic. Given the key role of donors in the health sector, the study will also look at how the government, donors, and other key stakeholders are coordinating the country’s COVID-19 response.

This study is an addendum to an ongoing study titled : “Driving health progress during disease, demographic, domestic finance and donor transitions (the “4Ds”):  policy analysis and engagement with transitioning countries

Consortium Composition:

  1. The Center for Policy Impact in Global Health (CPIGH), based in the Duke Global Health Institute (DGHI), Duke University
  2. Institute of Healthcare Management, Strathmore University Business School

Value: USD 4,175

Funder: BMGF (Bill & Melinda Gates Foundation)

PI: Prof. Gilbert Kokwaro

Team:

  • Dr. Joseph Onyango (CO-PI)
  • Eric Tama (Research Lead)
  • Dosila Ogira (Research Officer)

Description:

One major source of inefficiency in Kenya relates to the way in which donors have funded individual health programs (e.g., an HIV program, a childhood vaccination program, etc.) that largely operate autonomously with potential overlaps and duplications. It will be difficult for Kenya to deliver and sustain health programs after transition if such autonomy is not addressed. The WHO argues that: “As contexts change, and in particular, as responsibility for funding these programs shifts more towards domestic resources, maintaining an array of  programs with distinct, separate organizational arrangements is unlikely to be affordable.” Key gaps in transition planning have been identified and will be addressed by this work (there are many additional gaps that our new project would not address).

Below are the gaps identified in Kenya:

  • Gaps in transition planning: Kenya is heavily reliant on DAH for key diseases and DAH for specific programs has led to each program operating autonomously, leading to
    • large volumes of funds that cannot be replaced by domestic sources, and
    • inefficiencies within services supported by donors

Proposed policy analysis/engagement: “Cross-programmatic” analysis to identify duplications, overlaps, and misalignments that will need to be addressed for successful transition from DAH.

Consortium Composition:

  1. The Center for Policy Impact in Global Health (CPIGH), based in the Duke Global Health Institute (DGHI), Duke University
  2. Institute of Healthcare Management, Strathmore University Business School

Value: USD 34,100

Funder: Africa Resource Center

PI: Prof. Gilbert Kokwaro

Team:

  • Dr. Joseph Onyango (CO-PI)
  • Dosila Ogira (Research Officer)

Description:

Kenya is one of the countries that has been largely affected with the COVID- 19 pandemic with the first case detected on March 12, 2020. Consequently, to date, the pandemic has spread rapidly in the country with devastating consequences on patients, health care workers and the  health systems including the shock experienced by the supply chain hence affecting the availability of essential medicines.

In this project, Strathmore University’s Institute of Healthcare Management will study how Kenya  will navigate these unprecedented times.

The key aims of the study are summarized below:

  1. AIM 1: Determine factors affecting access of essential drugs in Kenya due to the COVID-19 pandemic.
  2. AIM 2: To assess health system capacity by identifying gaps that hinder provision of essential medicines to sustain efforts to manage pandemics like COVID-19.
  3. AIM 3: Provide recommendations to stakeholders on how to improve country preparedness for future pandemics, while aiming at achieving UHC.”

Value: USD 14,950

Funder:The Alliance for Health Policy and Systems Research (APHSR)-World Health Organization  (WHO)

PI: Prof. Gilbert Kokwaro

Team:

  • Dr. Joseph Onyango (CO-PI)
  • Dosila Ogira (Research Officer)
  • Annette Murunga (Research Officer)

Description:

The reduction of external donor support is not just a moment to make the case to national stakeholders – including ministries of finance and health – to consider increases in domestic spending on health to replace these external funds. These shifts also present an opportunity for countries to assess how the overall health system and its functional components – including service delivery, financing, human resources and governance – can be potentially adapted to enable continued effective coverage for priority interventions no longer supported through external funds.

Value: USD 59,972

Funder:BMGF (Bill and Melinda Gates Foundation)

PI: Prof. Frank Wafula

Team:

  • Brenda Bunyasi
  • Dr. Noelle Orata
  • Dr. Peter Nguhiu

Description:

The African Health Diagnostics Platform (AHDP) project, which seeks to improve the accessibility and quality of diagnostic services through the implementation of an innovative public-private partnership (PPP) platform across four countries: Ethiopia, Ghana, Kenya, and Rwanda. In addition to evaluating outcomes related to the AHDP, this study seeks to advance research on public-private partnerships (PPPs) for laboratory services in Sub-Saharan Africa.

Value: USD 574,000

Funder: RISA-UK AID

PI: Prof. Frank Wafula

Team:

  • Brenda Bunyasi
  • Dr. Noelle Orata
  • Cornelius Kiptoo
  • Paul Waswa
  • Dr. Lyndon Marani
  • Annette Murunga
  • Eliud Muriithi
  • Irene Khayoni
  • Dr. Elizabeth Gitau

Description:

Building ecosystem cohesion to improve county uptake, financing and scaling of RMNCAH and health system innovations

Value: £ 163,200

STRATHMORE BUSINESS SCHOOL

Location: Ole Sangale Road, Madaraka.
Postal Address: P.O. Box 59857 – 00200, Nairobi, Kenya.
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Email: sbsinfo@strathmore.edu

STRATHMORE UNIVERSITY

Location: Madaraka Estate, Ole Sangale Road.
Postal Address: P.O. Box 59857, 00200, City Square, Nairobi, Kenya.
Mobile: +254 703 034 000/200/300 or (+254) (0) 730-734000/200/300
Fax: +254 20 6007498
Email: enquiries@strathmore.edu