Building Resilient Community Health Systems

In Kenya, where there is one doctor for every 5,000 people, we have partnered with the Ministry of Health and county governments since 2015 to train, equip, and support CHWs with mobile technology, enabling them to provide quality patient care. Today, we support 4,000 CHWs reaching 1.6 million Kenyans.

In Busia County, Living Goods operates a learning site where we directly support the digitizing, equipping, supervising and compensating (DESC) support to CHWs and test new interventions to cost-effectively improve the care families receive.

In Kisumu, Vihiga, and Busia Counties, Living Goods operates implementation support sites where we co-implement and co-finance community health programs alongside the county governments. The goal in these sites is to progressively increase government capacity to independently fund and implement their DESC-enabled community health programs. We support 10 additional counties through a USAID-funded Health System Strengthening (USAID Misingi Imara) project.

Our Locations

Digitizing Community Health

As a technical partner to Kenya’s Ministry of Health (MoH), Living Goods is helping develop and manage a nationwide electronic Community Health Information System (eCHIS) for 107,000 community health workers (CHWs). In 2021, the Kenyan Government used Living Goods’ SmartHealth app as the foundation to design their eCHIS, supporting Kenya’s Universal Health Coverage (UHC) agenda. This system enhances service delivery, data quality, and decision-making, ensuring consistent, high-quality care while enabling real-time performance management, commodity tracking, and disease surveillance.

Impact

3,800 CHWs trained and equipped, reaching 1.8 million Kenyans in 2023.

Focus Areas

Integrated healthcare for children, maternal health, family planning, immunization, and digital health.

Coverage

Living Goods has expanded our reach in Kenya to the following geographies:

Impact of Our Work in Kenya

Strengthening the Community Health Enabling Environment

We work closely with Kenya’s national and county governments to build supportive policies and strengthen supply chains, enhancing CHW capacity. Nationally, we partner with the Community Health Units for Universal Health Coverage (CHU4UHC) to shape policies that expand CHW services and increase funding for community health. Our support for Kenya’s Global Fund Grant Cycle 7 proposal, signed in June 2024, has mobilized significant resources toward achieving universal health coverage.
At the county level, Living Goods has helped develop and advocate for community health bills, supporting discussions, endorsements, and funding strategies. Seven counties have adopted these bills as of the end of 2023. Additionally, we strengthen supply chains at both national and county levels, focusing on accurate forecasting, quality control, and effective use of essential health commodities.

Digitizing Community Health

Living Goods has influenced the development of progressive policies around digital health to improve health outcomes at scale. Today, we serve alongside others in the ecosystem as a strategic technical partner to the MoH on the development and management of an electronic community health information system (eCHIS) for all 107,000 CHWs nationally.

A Living Goods-supported Community Health worker Conducts a Child Assessment

Securing Co-Financing Agreements for Sustainable Health Systems

Pioneering government co-financing since 2018, we secured agreements with four counties in Kenya: Isiolo, Kisumu, Busia, and Vihiga. These partnerships progressively transfer financial and operational responsibility to local governments, with counties covering approximately 50% of program costs in 2023. By 2026, co-investments from government and partners are projected to reach $43 million, creating a sustainable path for government-led community health programs.

Co-financing Demystified

Our Projects

With funding from USAID, Kenya Medical Training College (KMTC), Jhpiego, and Living Goods are working together to strengthen Kenya’s health workforce and improve healthcare in 10 counties, including Kakamega, Kajiado, Kilifi, Kwale, Nairobi, Nakuru, Taita Taveta, Trans Nzoia, Turkana, and West Pokot. The USAID Misingi Imara program focuses on creating solid foundations for health systems to improve healthcare access, quality, and equity.

The program built the counties’ capacity to develop policy briefs to address emerging community health system needs and sensitized community health focal persons on data analytics and dashboard utilization. This amplified the need for resource mobilization, prioritization, and allocation, contributing to a more equitable distribution of resources for community health services.

Additionally, the program supported the Department of Community Health in enhancing the commodity management tools and eCHIS workflows for tracking commodities at the last mile. Through performance review meetings and stakeholder coordination forums, the program leveraged data use to enhance progress monitoring and improve service delivery mechanisms.

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