15+ Partners
Collaborating with leading organizations to strengthen primary healthcare
10
Underserved Counties
4
Thematic Playbooks
About the Project
Our Mission
​This project supports the Government of Kenya's efforts to strengthen primary health care (PHC) by scaling knowledge management and evidence translation across four key reform areas: performance management, healthcare financing, quality of care and supply chain systems.
Partnership with World Bank
Targeted Support
Universal Health Coverage Goal
In close collaboration with the World Bank Trust Fund and aligned with the Building Resilient and Responsive Health Systems (BREHS) initiative.
The project aims to improve service readiness, accountability and policy alignment by providing targeted support to 10 underserved counties.
Accelerating Kenya's progress toward equitable and sustainable Universal Health Coverage (UHC).
Key Objectives
1
Strengthening institutional capacity for health service delivery towards achieving universal health coverage.
2
Improving utilization of quality health services at primary care level.
3
Address challenges related to geographical inequities in health outcomes.
PHC Trust Fund: Target Counties
To advance PHC reforms at the county level, the Gates Foundation partnering with the World Bank established the PHC Trust Fund, targeting ten underserved counties.
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Critical Health System Challenges
These counties face severe health system challenges that disproportionately affect women and girls, who face additional barriers including limited access to respectful maternity care, family planning services and gender-responsive health financing.
23%
Average budget execution rates (vs. 85% target)
Critical gap in resource utilization
40%
Average commodity stockout rates (vs. <15% acceptable)
Significant supply chain challenges
2.8/5.0
Average facility quality scores (below national benchmarks)
Quality of care concerns
Why These Counties?
These gaps underscore the urgent need for coordinated, scalable solutions that integrate fragmented technical support into effective PHC strengthening. The challenges disproportionately affect women and girls, highlighting the need for gender-responsive interventions.
County Deep Dives
Explore detailed information about each target county's health system challenges, interventions and progress metrics.
Our Consolidated Approach
A comprehensive framework developed with input from multiple grantees to support the Trust Fund in catalyzing the BREHS project through strategic partnerships and evidence-based approaches.
Knowledge Management Platform Framework
Under investment INV-080070, Savannah Informatics worked with the grantees to consolidate insights and outputs into four first generation thematic playbooks, and established a learning and coordination mechanism that is aligned with the World Bank's Trust Fund Technical Assistance (TA) Focus areas.
Gates Foundation Strategy
Knowledge Management Platform
World Bank BREHS
Data Resources
Comprehensive data collection and analysis frameworks to inform evidence-based decision making
Policy Briefs
Evidence-based recommendations for policy makers to support healthcare reform initiatives
Toolkits & Guides
Practical implementation tools and step-by-step guides for healthcare workers and administrators
Coordination Mechanism
Learning and coordination framework aligned with World Bank's Trust Fund Technical Assistance
Case Studies
Real-world examples of successful implementations and lessons learned from field experience
Collaborative Approach
Multi-stakeholder engagement bringing together grantees, government, and implementing partners
Our Playbooks
Four comprehensive playbooks developed with input from various grantees to guide implementation across key areas of Kenya's primary healthcare system.
About the Playbooks
These playbooks represent evidence-based approaches including data resources, toolkits, case studies, and policy briefs. They're designed to support implementation across four key consortia: Performance Management, Healthcare Financing, Quality of Care, and Supply Chain Reforms.
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Each playbook consolidates insights from multiple grantees and is aligned with the World Bank's BREHS initiative and Kenya's national PHC priorities.
Four Consortia Focus Areas
Our work is organized around four 'consortia' partners to help bring out the grantees' synergies and strengthen collaboration across complementary reform areas.
Performance Management
Key Partners
ThinkWell
IDinsight
ARC
Drive accountability and continuous improvement by leveraging real-time data systems, strengthening governance structures, and embedding performance monitoring practices to enhance service delivery and health outcomes across Kenya's primary healthcare system.
Strategic Objectives
Implement real-time data monitoring systems
Strengthen governance and accountability
Develop performance metrics and KPIs
Build capacity for continuous improvement
15+
Partner Organizations
4
Consortia Areas
10
Target Counties
1
Unified Mission
​PHC Dashboard
Interactive dashboard providing real-time insights into primary healthcare performance across Kenya's underserved counties
Dashboard Overview
The PHC Dashboard consolidates data from multiple sources to provide comprehensive insights into healthcare system performance, resource utilization, and service delivery quality across all target counties.
Key Performance Indicators
Dashboard Overview
Current: 23%
needs improvement
Target: 85%
Facility Quality Score
Current: 2.8/5.0
needs improvement
Target: 4.0/5.0
Commodity Stockouts
Current: 40%
critical
Target: <15%
Service Readiness
Current: Improving
in progress
Target: High
County Performance Metrics
Real-time tracking of budget execution, service delivery, and health outcomes across all 10 target counties
Trend Analysis
Historical data visualization showing progress over time in key performance indicators
Resource Allocation
Visual breakdown of resource distribution, funding flows, and expenditure patterns
Impact Monitoring
Track the impact of interventions on healthcare access, quality, and equity outcomes
Data Sources
The dashboard integrates data from
County health information systems (KHIS)
Facility assessments and quality audits
Supply chain management systems
Budget execution reports from county governments