Abstract
<h3>Key Messages</h3> Institutionalizing community health services is a long journey that involves developing relevant policy documents that align with national and global priorities and have the support of political stakeholders. A legal framework and continuous engagement with leaders of subnational units is important to ensure standardization, institutionalization, and financing of policies. Policy should be informed by evidence generated from within the country to understand what is working well and address challenges that may limit implementation. Engage multiple stakeholders to use a multisectoral approach and to harness their various strengths to support policy development.
Highlights
Kenya has made tremendous progress in institutionalizing community health services at the policy and practice level
The strategic plan focused on providing community level health services for all, building the capacity of the community health extension workers (CHEWs), strengthening health facility-community linkages, and strengthening the community to progressively realize their rights for accessible and quality care
We describe how development of the community health policy has contributed to institutionalization of community health services and increased the visibility of the community strategy as a key pillar toward achieving the universal health coverage (UHC) and primary health care (PHC) priorities in Kenya
Summary
Kenya has made tremendous progress in institutionalizing community health services at the policy and practice level. Some county leaders did not recognize the CHVs’ role in the health system Other counties developed their own models of the strategy and overhauled the entire program with varying levels of success.[12] Some counties served as model counties by establishing mechanisms for remunerating CHVs (Siaya County), and others adapted the strategy to prioritize their health needs.[13] The varying implementation of the community strategy highlighted to the national MOH the urgent need for development of a national community health policy in response to the changes to the legal policy and institutional framework governing the health sector. Evidence-based Policy Making Community health policy and guidelines development in Kenya has been informed by research and
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