The projects have trained people in the Kisumu and Kwale communities in primary health care technologies and management, and catalysed community-based efforts to increase safe water supplies. In other projects in East Africa, AKF and AKHS are working with government services to develop tools for health sector policy design and resource allocation. AKDN’s international experience in primary health care management and information systems, acquired through its management advancement programme, is an important resource in this area. AKDN is also supporting projects that improve the health of vulnerable groups, like women, by enhancing their socio-economic status.
Hospitals use any operating surpluses to subsidise the increasing cost of care, using the principle of differential pricing to create access for those who cannot afford care.
Developing effective mechanisms for referral is another way of improving access. AKDN’s current hospital expansion will improve referral processes through better diagnostic services at all levels.
The Community Health Department (CHD) in Mombasa works in partnership with community-based health and social organisations, Non-governmental Organisations (NGOs), and the Ministry of Health in providing support from the dispensary level through to the national level. It works to demonstrate the effective provision of primary care services through capacity building (training), the development of efficient and useful Health Management Information Systems (HMIS) at household (community-based HIS), and facilities at all levels of care.
Education, Training and Human Resources Development
The regional health programme also includes human resource and training components for personnel from other institutions in the region, both public and private, as well as AKDN’s own facilities. AKUH-N - and increasingly Aga Khan Hospital, Dar - are becoming major regional centres for post-graduate education programmes for nurses and physicians.