Projects Done.

Project Summary: A Health Facility Assessment Study in Higher and Tertiary Education Institutions (HTEIs) was commissioned by the United Nations Educational, Scientific and Cultural Organization (UNESCO) in partnership with the Swedish International Development Agency (SIDA). This is part of UNESCO’s Our Lives, Our Future (O3 Plus) Project, a multi-country project aiming to promote youth friendly services in institutions. HECTA team experts inclusive of young people implemented a mixed method research study in 10 campuses of the University of Nairobi and the main campus of Mount Kenya University to assess alignment of health facilities to WHO Global Standards for Quality Health Care Services for Young People. The learnings from the study are expected to support implementation of policies and programs that ensure that young people in HTEIs realize positive health and educational outcomes, and gender equality through sustained reductions in new HIV infections, unintended pregnancy and sexual and gender-based violence. The scope of the work made recommendations for investments required to align the health facilities to international standards.

Project Summary: HECTA conducted a research project to generate comprehensive high-quality evidence on Kenya’s policy response to the COVID-19 pandemic, to inform the development of a comprehensive framework for management of emerging threats and support the design and implementation of related development program, diplomacy and policy interventions. Data was collected at national and county levels (Trans Nzoia, Kisumu and Lamu). The project applied a unique approach to the analysis, which entailed developing a framework for thought and action that is based on five policy levers that governments (Kenya and other countries) can consider for a better sectorwide response to health emergencies in the future.

Project Summary: Implemented in partnership with Strathmore University and the Open Phences Hub, the FCDO funded project aimed to strengthen public private engagement, collaboration and partnerships for shared prosperity and public good. The work entailed unpacking the policy/legal/regulatory instruments governing uptake and scaling of innovations and partnerships more broadly; Studying the local (four counties’) RMNCAH market to understand need, locally relevant innovations, financing landscape; Bringing ecosystem actors across four Kenyan counties together to share findings and facilitate discussions towards a shared RMNCAH vision/goal; Design informed, fit-for-purpose RMNCAH models/solutions that optimize the strengths of actors across the entire ecosystem. The project first phase was implemented in 4 counties in Kenya i.e., Kisumu, Homabay, Trans-Nzoia and Kiambu. The Team completed the development of fundable investment cases in each of the four counties. Open Phences continues to engage the counties to seek ways of implementation of the investment priorities identified.

Project Summary: Hecta Consulting has been contracted by AMREF Strategic Purchasing Africa Resource Center (SPARC) to conduct a landscape analysis of the health financing environment for curriculum development to train health managers/health care providers in health financing. The landscape analysis will explore the healthcare financing space in Kenya for strengths and weaknesses of training contents and approaches to equipping health and managers through short courses to strengthen health financing and advance UHC. The analysis thereof will inform competency areas that a short course curriculum needs to equip the target groups to effectively play their roles.

Project Summary: AMREF and the National Cancer Institute of Kenya asked HECTA to lead the multi-actor and multiagency initiative of developing the Kenya National Cervical Elimination Framework. This was in line with global WHO cervical cancer elimination strategy through 90-70-90 targets i.e., Ninety percent of girls should be fully vaccinated by 15 years of age, 70% of women should be screened at least twice with a high-performance test by age 45 and 90% of women with precancer or cancer should receive the appropriate care and treatment, including palliative care. The framework was developed through desktop reviews and stakeholder engagements of key members from various disciplines including the health profession, policy makers, religious leaders and cultural leaders. Major focus was placed on primary prevention through HPV vaccination, secondary prevention through screening for early detection and tertiary prevention means for appropriate treatment and mortality prevention. The framework developed is accessible to the public and a key tool for national and county governments in policy development and implementation of reduction of cervical cancer burden.

Project Summary: To support county governments to build/strengthen health products and technologies supply chain systems through the provision of targeted technical assistance to optimize supply chain performance in twelve (12) counties. The areas of focus included strengthening county supply chain governance systems in the supported counties; improving county level supply chain management capacity through coaching and mentorship of supply chain managers and champions; quantification (forecasting and supply planning) to help counties determine commodity needs and improve alignment of demand and supply; support tracking of availability / stock outs of essential medicines; and supporting counties to institute quality improvement for enhanced supply chain performance.

Project Summary: The Pharmaceutical Society of Kenya needed analytical support to recommend amendments to pharmacy practice policy and laws. Hecta Consulting was contracted in 2018 to carry out a detailed landscape review, and gave recommendations, which guided PSK's submission to parliament. Analytical report attached. This can be shared. Project was funded by the Pharmaceutical Society of Kenya and the Business Advocacy Fund (BAF).

Project Summary: Following a major medical error in early 2018, the Kenyatta National Hospital Management Board contracted Hecta to carry out an extensive hospital operations, patient safety and quality management review (2018). This resulted in key changes in the management of quality and operations at the Hospital. This work was jointly undertaken with PKF Consulting, and was funded by the Kenyatta National Hospital.

Project Summary: Following concerns at the Global Fund over in-country accountability mechanism, Aidspan contracted Hecta Consulting to carry out a study to understand health systems accountability pathways. Hecta Consulting was contracted in 2014-15 to carry out a detailed review of the accountability mechanisms. The project was funded by Aidspan. Report is publicly available (https://www.aidspan.org/category/country-level-accountability)

Project Summary: Imperial Health sciences (IHS) contracted Hecta to carry out a detailed review of the flow of the Global Fund's Health Systems Strengthening funding across sub-Saharan Africa. The review covered 14 countries (Kenya, Uganda, Tanzania, Rwanda, Benin, DRC, Ethiopia, Malawi, Mozambique, Niger, Nigeria, South Sudan, Swaziland and Zimbabwe). The aim was to understand the role of Global Fund support on health systems, beyond direct support for the three diseases.

Impact and economic evaluation of Kenya Mentor Mothers’ Program (KMMP)
Project Summary: Hecta carried out an economic evaluation assessing health outcomes, psycho-social well-being and impact of KMMP across various sites. The study was done in 18 Kenyan facilities providing either peer education and psychosocial support.

Project Summary: The Bill and Melinda Gates Foundation contracted Hecta to carry out analytic work to describe the socio-economic profile of customers visiting shops owned by a retail pharmacy chain. This was to generate evidence on how the Gates Foundation and other development partners can better reach the poor.

Impact and economic evaluation of Kenya Mentor Mothers’ Program (KMMP)

Project Summary: Hecta was contracted to lead a pharmaceutical supply chain market study. The project's purpose was to inform the DFID-funded Private Sector Innovation Program on how to support the disruption of the Kenya pharmaceutical market to make it more accessible to the working poor. Read More..

Emerging healthcare delivery models and regulatory challenges

Project Summary: Hecta Consulting partnered with the London School of Hygiene and Tropical Medicine (LSHTM), University of Nigeria (Enugu Campus) and Public Health Foundation (India), to carry out research on e-commerce in health and consolidation of healthcare markets. The project was funded by the Wellcome Trust (UK).

Project Summary: Hecta Consulting was contracted by the WHO's Alliance for Health Policy and Systems Research (AHPSR) Group to map primary healthcare systems in Kenya, as part of the multi-country PRIMASYS project. The reports link is below:
The reports (both abridged and full, attached) are WHO outputs and therefore sharable. Links below: Full report..

Project Summary: Hecta Consulting was contracted by the Ministry of Health and UNICEF to lead the process of developing the first ever Kenya Community Health Policy. Work included doing a situational analysis, developing technical reference documents, coordinating and moderating technical working group discussions to discuss policy content, and drafting and presenting the policy.

Project Summary: In 2018, Hecta was contracted to carry out a socio-economic impact assessment of the Ministry of Health's Managed Equipment Service scheme, a multi-billion-dollar equipment leasing scheme, the largest in Africa.

Working towards inclusion of NCDs in the Universal Health Coverage – Essential Benefit Package (UHC-EBP) in Kenya.

Project Summary: Hecta partnered with AstraZeneca and other partners to support discussions and do analytic work towards supporting inclusion of NCDs in the Kenyan UHC benefit package. The Hecta team worked with key stakeholders: Ministry of Health, NHIF, KEMSA and county governments to raise the profile of some key interventions through analytics and stakeholder round table discussions.

Project Summary: Between 2016 and 2018, Hecta consulting worked with partners to conduct a study that mapped the typical breast cancer patient journey and its associated costs, as well as utilized resources, from diagnosis to treatment in the public and private sectors.

Project Summary: Hecta performed a baseline survey of community health services and an e-health readiness assessment for Uasin Gishu County. The project sought to assess both user and customer satisfaction, and examine e-health readiness in Uasin Gishu County.