KENYA ESSENTIAL

PACKAGE FOR
HEALTH
(KEPH)
 GROUP TWO
1. HSN211-0042/2022 -ERIC MWENDWA

2. HSN211-0012/2022 -MARK NYAMWEYA

3. HSN211-0016/2022 -ARON MUANGE

4. HSN211-0036/2022 -ANINJAH WANGAI

5. HSN211-0028/2022 -CELESTINE INYANJI

6. HSN211-0048/2022 -PURITY KARIITHI

7. HSN211-0054/2022 -ZUBEDA ABDULRAZAK

INTRODUCTION
 An essential package for health services (EPHS) can be defined as the package of
services that the government is providing or is aspiring to provide to its citizens
equitably.
 Essential packages are often expected to achieve multiple goals: improved efficiency,
equity, political empowerment, accountability, and altogether more effective care.
 The National Health Sector Strategic Plan II (2005-2010) defined the essential health
package that the health sector will deliver to Kenyans- the Kenya Essential Package for
Health (KEPH).
 The KHSSP defines the scope of health and related services that the sector intends to
focus on and thereby ensure universal coverage.

• It also details the investments required to provide the EPHS, and how the sector will
monitor and guide the attainment of universal coverage of the EPHS.
STRATEGIC OBJECTIVES
•The community strategy intends to improve the health status of Kenyan communities
through the initiation and implementation of life-cycle-focused health actions at Level 1
by:
• Providing Level 1 services for all cohorts and socioeconomic groups, including the
“differently abled” taking into account their needs and priorities.
• Building the capacity of the Community Health Extension Workers (CHEWS) and
the Community’s Own Resource Persons (CORPS) to provide health services at
Level 1.
 HOW THE HEALTH SYSTEM ADIMNISTERS THE EPHS
•The EPHS are delivered through:
• Government-sponsored community health workers.
• Public sector primary care facilities.
• Public sector referral facilities
•The Ministry of Health in Kenya laid out a clear vision for the delivery of the EPHS in
Kenya through the Kenya Health Policy, in which health and related services will be
available to all Kenyans through four tiers of care:
• Community
• Primary care
• County services
• National services.
 CONT…
• Community units are not facility-based. On average, there should be one community
unit for every 5,000 people.

• Primary care service units are either dispensaries (static or mobile clinics) or health
centers.
• A dispensary should exist for every 10,000 persons on average while health centers
should serve an average population of 30,000.
• Dispensary units can be static, physical facilities, but in areas where populations are
mobile and sparse, mobile facilities should replace dispensaries.
 CONT…
 Hospitals focus on the management of referral care.
 Hospitals are defined to be:
Primary
Secondary
Tertiary referral units.

a) Primary referral facilities: are targeted to serve a population of 100,000

b) Secondary referral facilities: should serve a population of 1 million and often serve
multiple counties
c) Tertiary referral facilities: should serve a population of 5 million and serve across
counties as well.
 DELIVERING THE EPHS TO DIFFERENT POPULATION
GROUPS
•The government’s strategy for implementing the EPHS includes specific activities to
improve equity of access to specific populations; these include:
Women,
Adolescents,
The indigent,
Rural populations.
 CONT…
•Kenya's revised EPHS specifies targeted subpopulations, or so-called cohorts, for each
service:
Pregnancy and the newborn (up to 28 days)
Early childhood (29 days-59 months)
Childhood and youth (5-19 years)
Adulthood (20-59 years)
Elderly (60 years and older)
 PREGNANCY, DELIVERY AND NEW BORN(1ST 2 WEEKS
OF LIFE)
 Provide exclusive breastfeeding education
 Provide knowledge on safe pregnancy and delivery of a healthy newborn
 Advocate for community leadership support for safe pregnancy and delivery of a
healthy newborn.

• Promote safe delivery through pregnancy monitoring and timely referral

 EARLY CHILDHOOD (2 WEEKS TO 5 YEARS)
 Promote child health -IMCI activities
 Conduct de-worming
 Disseminate key early childhood development health messages
 Support nutrition awareness and support for Orphans And Vulnerable Children (OVC)
 Promote food and nutrition security

• Monitor growth and development

 LATE CHILDHOOD: (5 TO 12 YEARS - SCHOOL-AGE)
 Promote gender-responsive school health activities
 Equip the children with knowledge and skills to promote a healthy lifestyle including
psycho-social development
 Train teachers and orient parents in school health services
 Promote child-to-child approach to healthy lifestyles
 ADOLESCENCE AND YOUTH (13–24 YEARS)
 Equip the youth (in and out of school) with knowledge and life skills, and facilitate a
supportive environment to enhance the adoption of healthy lifestyles for themselves &
the community
 Initiate comprehensive community-based youth-friendly centers in collaboration with
other arms of government, NGOs, etc.
 Raise awareness on STI/HIV/AIDS prevention.
 ADULTS (25–59 YEARS)
 Conduct C-DOTS activities and defaulter tracing
 Raise awareness of non-communicable disease control
 Care for chronically ill
 Equip adults with knowledge & skills for health and key health messages to promote
the adoption of healthy lifestyles and care-seeking
 ELDERLY PERSONS (OVER 60 YEARS)
 Equip elderly persons, the community, and health care providers with relevant
knowledge about:
common old age diseases, impairments, and disabilities;
how to improve quality of life;
sources of health care

 Advocate for the development of a social support system for the elderly and home-
based care for those with chronic illnesses.