We can transform healthcare provision through primary networks

**Principal Secretary Mary Muriuki Muthoni.** [Samson Wire, Standard]

In the ever-evolving landscape of healthcare, one thing remains constant; the centrality of our communities.

At the heart of Kenya’s healthcare delivery system, the establishment of Primary Care Networks (PCNs) marks a monumental shift in our approach to healthcare.

These networks are not merely an administrative change; they represent a visionary transformation that embraces the principles of preventive and promotive healthcare.

PCNs play a pivotal role in weaving the intricate threads of our healthcare system. They are instrumental in integrating care across all levels, making our healthcare delivery more efficient and accessible.

But their impact goes beyond logistics. PCNs embody inclusivity, ensuring that every individual, regardless of their circumstances has access to quality healthcare. They establish a robust emergency referral system, a lifeline in times of crisis.

Collaboration is the cornerstone of PCNs. They facilitate the sharing of resources among different levels of care, enabling a more equitable distribution of critical resources.

Moreover, PCNs are data–driven, ensuring that decisions are not just timely but also well-informed.

This strategic shift aligns perfectly with the four pillars of the Universal Health Coverage (UHC: Human Resource for Health, Digital Health, Commodity Security and Health Care Financing).

It embodies a strategic manoeuvre aimed at lightening the burden of disease and enhancing the overall well-being of every Kenyan. PCNs, by offering an efficient, integrated and affordable healthcare system, herald a new era of healthcare delivery.

During the last Mashujaa Day celebration in Kericho County, we launched the Smart Primary Care Networks. This is aligned with the Kenya Kwanza government's commitment to the Bottom-up Economic Transformation Agenda (BETA) on health, with a steadfast focus on “Afya Bora Mashinani” – better healthcare at the grassroots.

Our journey towards accessible, available, affordable and acceptable quality healthcare has seen remarkable progress. The recruitment of 100,000 Community Health Promoters (CHPs) and the comprehensive assessment of over 14,000 healthcare facilities nationwide, form the bedrock of a data-driven approach.

This approach underpins evidence–based policy formulation, meticulous planning, and thoughtful healthcare programming, all geared towards achieving Universal Health Coverage.

Through partnership with county governments and development Partners for Health Kenya, significant strides are being made to operationalise all 315 primary care networks across the country. With Kisumu and Garissa counties leading the way, more will follow suit.

To fortify these efforts, the Ministry of Health has nurtured a team of Trainer of Trainers (TOTs), 248, who are posed to steer the digital development of model PCNs in all 47 counties.

Their mission is to strengthen the healthcare system and expand primary care across counties, creating a more resilient healthcare infrastructure.

In the relentless pursuit of extending healthcare access, efforts are also underway to expand Community Health Units (CHUs) to reach a target of 9,100 units.

These CHUs serve as the frontline of healthcare delivery, ensuring that quality care is within reach of every Kenyan, even in the remotest corners of the nation.

The establishment of Primary Care Networks (PCNs) and the expansion of CHUs signify more than just structural changes, they herald a seismic shift towards Universal Health Coverage. This underscores an unwavering commitment to building a healthier nation.

But the journey doesn’t end here. To truly achieve the vision of equitable healthcare for all, every citizen must be proactive and involved in preventive measures including regular check-ups and cultivating healthy habits.

- The writer is the Principal Secretary State Department for Public Health and Professional Standards