PiR2-IT Digital Health Transformation · demo Built-in agents

PiR2-IT demo

Kenya — digital health context

Kenya's digital health context from public sources: the Digital Health Act 2023 and Digital Health Agency, the Social Health Authority and its three funds, the Digital Health Superhighway registries, eCHIS and the World Bank BREHS project, mapped to the reference architecture.

Legal framework

  • Digital Health Act, 2023 (No. 15 of 2023) — Establishes the Digital Health Agency, a framework for digital health services and a comprehensive integrated health information system. Assented 19 October 2023; commenced 2 November 2023.
  • Primary Health Care Act, 2023 — Establishes primary care networks and formalises community health delivery through community health promoters organised in community health units. Operational 2 November 2023.
  • Social Health Insurance Act, 2023 — Establishes the Social Health Authority with three funds: the Primary Healthcare Fund, the Social Health Insurance Fund and the Emergency, Chronic and Critical Illness Fund. Operational 22 November 2023.
  • Facility Improvement Financing Act, 2023 — Part of the 2023 UHC legal package.
  • Data Protection Act, 2019 — General data protection law; health data handlers also follow the Digital Health Act, regulations and guidance from the Office of the Data Protection Commissioner (ODPC) and the Digital Health Agency.

Institutions

  • Ministry of Health — Policy, strategy and stewardship of the health sector.
  • Digital Health Agency (DHA) — Established by the Digital Health Act to develop, operationalise and maintain the comprehensive integrated health information system; leads the Digital Health Superhighway.
  • Social Health Authority (SHA) — Registers beneficiaries and manages the three funds; replaced the National Health Insurance Fund (NHIF); delivers the Taifa Care programme.
  • Office of the Data Protection Commissioner (ODPC) — Data protection regulator; issues guidance that applies alongside the Digital Health Act.
  • Kenya Medical Supplies Authority (KEMSA) — National supplier of health commodities; supply chain strengthening is supported by the World Bank BREHS project.
  • 47 county governments — Health service delivery is devolved; the Client Registry reports coverage across all 47 counties.

National platform

  • Kenya Client Registry (DHA) — Unified identity for health services; integrations with NHIF, IPRS, Safaricom KYC and the National Registration Bureau supported SHA enrolment (2024).
  • Health worker registry — One of the registries of the Digital Health Superhighway.
  • Kenya Master Health Facility List (KMHFL) — Master facility list referenced in the OpenHIE Kenya implementation.
  • Community health unit registry — Registry of community health units, part of the Superhighway registries.
  • National health information exchange / shared health record — Interoperability services connecting facility systems to the registries and a shared health record.
  • eCHIS — Electronic community health information system rolled out to community health workers nationwide (based on the Smart Health app by Living Goods and Medic).
  • SHA claims and benefits (Taifa Care) — Claims and contracting across the Primary Healthcare Fund, the Social Health Insurance Fund and the Emergency, Chronic and Critical Illness Fund.
  • IPRS / national ID (Maisha Namba ecosystem) — Population registration and identity sources used by the Client Registry.
  • KEMSA supply chain — Health commodity supply supported by the BREHS project.

P179698 · Building Resilient and Responsive Health Systems (BREHS)

To improve utilization of primary health care services, reduce inequities in financial risk protection, and strengthen performance of key health institutions. IDA credit US$160 million, IDA grant US$40 million and Global Financing Facility grant US$15 million; approved March 2024; closing 30 June 2029.

Illustrative countries and data. Independent PiR2-IT tool aligned with the six pillars of health digital transformation used in World Bank Group HNP practice; not an official World Bank Group product.

Digital Health Transformation Navigator — live demo

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