The County Financial Management and Procedures Manual is launched by COG

 The County Financial Management and Procedures Manual is launched by COG

Nov. 25, Nairobi, Kenya To increase efficiency, the Council of Governors released the County Financial Management and Procedures Manual for County Health Spending Units.

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The Kenyan Constitution gives the County Governments the authority to supervise the administration and delivery of high-quality basic and secondary healthcare services.

The Chairperson recognised that health care has long been provided outside of the clearly defined and established governance framework.

As a result, the health industry has become less sustainable and inefficient.

We are also aware that hospitals are now subject to audits as separate expenditure entities. In order to manage resources and provide healthcare services, 

such divisions need to have the necessary systems and capabilities, he said.

The health facility in charge is responsible for overseeing and providing healthcare.
The facility's interior and exterior environments must be understood by the facility manager.

The handbook will position county health institutions as essential executors of the Universal Health Coverage goal under 

the Bottom Up Economic Transformation goal on Health, said Chairperson Ahmed Abdullahi during the introduction.

"The Social Health Insurance Act offers financing mechanisms for those spending units, while the Facilities Improvement Financing (FIF) Act grants health spending units complete financial autonomy," he stated.

Abdullahi said, 

"We are aware that the ongoing UHC reforms have introduced radical changes and drastically redefined how health is to be provided."

Forty-three of the forty-seven counties have permitted the retention of revenues earned by health institutions for the purpose of paying for services in order to implement UHC.

"Given that FIF cannot fully cover facility needs, all 47 counties are providing complementary funding to health facilities," he added.

In order to provide autonomy as envisioned by the FIF Act, the Council is still interacting with public finance management players at the national and county levels. 

The Chairperson urged Kenyans to register with the Social Health Authority, pointing out that 5,300 public health facilities had been registered, licensed, 

and accredited under SHA in just two months after the switch from NHIF to SHA.

"Counties have made significant contributions to the 14.8 million members who have registered with SHA, giving them access to 

primary health care services in Level 2 and Level 3 hospitals that are funded by taxes," he said.