Health

AccountabilityActivitiesEducationHealthMediaSocial AuditTechnology

Civil Society Ranks Jubilee as the Most Corrupt Administration

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TI-Kenya’s Executive Director, Mr. Samuel Kimeu with other civil society organisations marked this years’ African Anti-Corruption Day in 11th July 2018., asking the government to remain accountable in dealing with corruption suspects, and Kenyans to remain vigilant in the fight against corruption.

Video Curtesy of NTV.

 

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AccountabilityEducationHealthSocial Audit

Become an A4T Social Auditor for your Community

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By making it possible for all citizens to monitor government expenditure in the Health and Education Sectors in Nairobi, Action for Transparency, A4T, helps uncover suspected corruption and mismanagement of public funds. The Social Audits under the A4T project are aimed at determining the extent to which Government Services on Education and Health have managed to meet the requirements on Transparency Accountability and Participation of citizens.

If you would like to make an impact in your community as a social auditor please fill in this form and join the A4T Social Auditors Network

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AccountabilityHealth

Short Term Consultancy for Development of a Research Paper on Transparency and Accountability in Kenya’s Health Financing Models

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ASSIGNMENT: Short Term Consultancy for Development of a Research Paper on Transparency and Accountability in Kenya’s Health Financing Models
DURATION: 10 days
LOCATION: Nairobi
POSTING DATE: 18/10/2018
DEADLINE FOR SUBMISSION: 24/10/2018

Background

Transparency International Kenya (TI-Kenya) is a not-for-profit organisation founded in 1999 in Kenya with the aim of developing a transparent and corruption free society through good governance and social justice initiatives. TI-Kenya is one of the autonomous chapters of the global Transparency International movement that are all bound by a common vision of a world in which government, business, civil society and the daily lives of people are free of corruption.

The Constitution of Kenya under the Bill of Rights puts a heavy responsibility on the State to ensure equitable, affordable and quality health care to all citizens. The right to health as espoused under the Constitution refers to the highest attainable standards and in so doing obligates the state to surpass internationally set standards. The Constitution also provides a conducive overarching legal framework for ensuring more comprehensive and people-driven, rights–based approach to health. The Constitution makes citizen participation an integral part of Kenya’s  governance system. Participation of the people is recognized in Article 10 of the Constitution of Kenya as one of our national values and principles of governance. Further Article 174(c) provides that the object of devolution is to: “enhance the participation of people in the exercise of the powers of the State and in making decisions affecting them.”

Notwithstanding the Constitutional requirements and safeguards for the right to health services, the highest attainable health standards and public participation, there continues to be persistent inadequacies in the health sector that have faced Kenya since independence. The Health Sector in Kenya has struggled with stagnant or declining budgets for health, system inefficiencies,
human resource deficiencies, and unaffordable quality health services. Transparency and Accountability especially on resources for the Health sector has also been wanting. In 2017 for instance, the Health Sector witnessed major challenges flowing from
industrial unrests by health practitioners, corruption and poor service delivery leading to wastage of public funds. The U.S. Embassy to Kenya on May 9, 2017 reported the suspension of approximately $21 million (2.1 billion KSH) in assistance to the Kenyan Ministry of Health. According to the U.S government, these drastic measures resulted due to ongoing concerns
about reports of corruption and weak accounting procedures at the Ministry.
It is in view of the shortcomings identified in achieving Kenyans’ health goals as set out in the Constitution and other policy and legal frameworks that the need to assess the effectiveness of health financing models in Kenya is necessary. The research paper will be important in identifying the various health financing models in existence including through the Kenya National and
County Budgets, the National Health Insurance Fund, Private Health Insurance Companies, Development Partners(Including Donors, Faith Based and Non-Governmental Organisations) and Public Private Partnerships. The research paper will also seek to determine how each of the identified models and avenues for health financing respond to Transparency and Accountability principles as elucidated in the Constitution including: access to information, public participation and value for money.

Goal/Purpose

This consultancy’s main objective is to engage a consultant for a short-term study and development of a research paper on Transparency and Accountability in Kenya’s Health Financing Models.

Scope

  1. Identify and explain the various health financing models in use in Kenya.
  2. Evaluate the feasibility and attractiveness of the various models according to the
    following categories:

    • Enabling Environment: any laws, policies, rules, or regulations, at both a
      national and county-level, that might impede the effectiveness of the various
      health financing models.
    • Access to Information: the extent to which the identified health financing
      models are structured towards ensuring attainment of the highest attainable
      health standards including ensuring equitable, affordable and quality health
      care to all citizens.
    • Public participation: the extent to which public health financing models
      allow for effective public participation in their formation and implementation
      including transparency, accountability and feedback mechanisms.
    • Value for money: how the various health financing models respond to the
      need to ensure value for money in provision of services and health resources.
    • Recommend the most appropriate model(s), if any, with workable strategies
      identified to enhance people centred transparency and accountability
      principles in the health financing models.

Expected Outputs

The expected outputs from this consultancy are as follows:

  1. Develop a research paper on the effectiveness of the Health Financing Models in Kenya;
  2. Engage various stakeholders in contributing to and validating the research paper;
  3. Develop a working paper on the strategies identified to enhance a people centred approach, transparency and accountability in the health financing models;

Consultant’s Skills and Qualifications

Successful applicants will have the following competencies:

  • A postgraduate qualification in an area related to Research and Public Policy Development, Governance and Economic Development. Experience in Health Sector Governance will be an added advantage;
  • Extensive (over 5 years) knowledge and experience in conducting similar exercises preferably in the NGO and/or health sector.
  • Similar work in the last 3 years.
  • A demonstrated high level of professionalism and an ability to work independently and in
    high-pressure situations under tight deadlines.
  • Strong interpersonal and communication skills.
  • High proficiency in written and spoken English.
  • Deadline driven with a focus on results.
  • A person of high integrity that will model TI-Kenya’s core values.

Applications should include:

  1. A cover letter that provides reasoning for why the applicant is best suited to deliver
    against the Terms of Reference.
  2. Technical bid with methodology proposed.
  3. A brief work plan and financial proposal to deliver against the Terms of Reference, (1-2 pages.)
  4. CV or Resume of the consultant, and
  5. A sample of recently completed similar work previously conducted (hard copies or online link).

Contract Duration

10 days

Assurance of Confidentiality

All deliberations relating to this work, including all information collected from various meetings/documents shall be kept confidential and shall not be divulged to any third party either verbally or in writing or in any other form.

Logistics and Procedures

Transparency International Kenya will be responsible for paying the consultant all lawful costs incurred in the course of the consultancy.

Complaints Process

This call for Expression of Interest does not constitute a solicitation and TI-Kenya reserves the right to change or cancel the requirement at any time during the EOI process. TI-Kenya also reserves the right to require compliance with additional conditions as and when issuing the final solicitation documents. Submitting a reply to a call for EOI does not automatically guarantee receipt of the solicitation documents when issued. Invitations to bid or requests for proposals will be issued in accordance with TI-Kenya rules and procedures. Any grievances and or complaints arising from the evaluation process and final tender award can be addressed, in writing, to the Executive Director and the TI-Kenya Tender Complaints Committee.

Application Procedure

If you meet the above requirements, kindly send your portfolio (including your profile, CV and
references) to procurement@tikenya.org

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AccountabilityEducationHealthMedia

Toxic sip: How safe is your bottled water?

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A4T grantee, and award winning journalists, Stellar Murumba, has published a story she has been investigating on the safety of bottled water being sold in Nairobi.

Four out of 10 samples of bottled water picked from different areas of Nairobi that were submitted for analysis at the government chemist, were found to be unfit for human consumption. The sampled water had high levels of fluoride – in excess of the World Health Organisation guideline limits of 0.3 parts per mililitre (ppm) for drinking water. They also had high levels of iron and were alkalinity.

Despite the immense health risks associated with excessive chemical components in drinking water, Kenya Bureau of Standards Corporate Communication Manager Patricia Kimanthi said that any water available in the market is compliant as per the Kenya and East Africa Community minimum and maximum standards.

Read Stellar Murumba’s article at the Daily Nation, Healthy Living, September 25, 2018. Click here for the online article.

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AccountabilityHealth

How medical negligence is robbing families of loved ones

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Osman Mohamed Osman, A4T Investigative grantee, has been investigating cases of medical negligence in Kenya and the agony many citizens have had to go through without any remedy, which has led to loss of life. This article highlights what families are left to deal with after some medical negligence. Most doctors accused of causing permanent disabilities and death, are left unpunished due to poor investigations or lack of commitment from the Kenya Medical Practitioners and Dentist Board (KMPDU).

Read below Osman’s investigative piece on the Standard Newspaper, September 24, 2018, page 10-11. Click here.

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AccountabilityActivitiesEducationHealthMediaTechnology

How media can avoid legal pitfalls in their work

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by Victor Bwire

In an effort to balance many interests — including public interest which is the most important — the media sometimes report on issues which might increase the possibility of legal suits and harassment.

An example is the ongoing exposés of corruption in the public and private sectors.

As the media intensify efforts to expose graft, impunity and misuse of public resources, harassment and intimidation of journalists — including using courts which have been issuing huge defamation awards against media houses — are on the rise.

The search for documentary evidence and facts around public interest stories, particularly those that touch on plunder of public resources, has also become increasingly perilous for journalists.

It is for that reason that journalists need allies to partner with in the search for information to enable them generate accurate stories and avoid legal pitfalls.

Journalists and media houses would greatly insulate themselves from harassment, including judicial processes, if they adhered to the provisions in the Access to Information Act which requires that they write to relevant public agencies requesting for specific information.

They can also access information on open portals such as online platforms operated by public agencies or private citizens who comment on public matters.

The access and use of a myriad of ICT platforms and information posted on open data portals by public agencies has rendered access to important information that journalists need in their investigative work much easier and less expensive.

Platforms such as public agencies websites, the Kenya Open Data Portal, Integrated Financial Management Systems and social media accounts of government departments and public officials has increased the avenues for access to information that can help in holding government to account. 

A number of players have also come up with ways to enhance the availability of information which journalists can tap into to enrich their stories with facts and depth.

Institutions like Transparency International through interventions such as the Accountability for Transparency project (A4T) have come up with tools that empower members of the public to play a role in corruption prevention and monitoring.

In addition, the project has been mentoring journalists on use of various investigative skills, ICT tools and organising trainings by experienced journalists on how to investigate and produce in-depth stories.

Kenya is among the leading countries in use of web and mobile technologies.  The country had close to 95 per cent mobile penetration as at December 2017 with an uptake of smartphones was at 44 per cent and an internet usage of close to 50 per cent of the population.

Kenyans also have high presence on social media platforms at 49 per cent of population. This signifies the high potential for using these platforms to enhance transparency and accountability with the involvement of a majority of citizens.

This article was first published at the People Daily Newspaper, you can view this an more via this LINK—The writer is the programmes officer  at the Media Council of Kenya and a journalists safety trainer —victor@mediacouncil.or.ke

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A4T Twitterthon at University of Nairobi School of Journalism

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The Action for Transparency team organised a Social Media Engagement Forum (Twitterthon) on 3rd September 2018, at the School of Journalism and Mass Communication at the University of Nairobi.

Just like the previous Twitterthon held at Kenyatta University in May 2018, the objective of this social media engagement forum was to involve the youth in the fight against corruption and creating awareness among them on issues of accountability within the Education and Health Sectors. The participants were involved in tweeting about the A4T App, its features, usability and usefulness in advancing transparency and accountability, as a form of raising awareness and motivating the attendees and the general public to track budgetary expenditure and report corruption through the App. This social media engagement targeted journalism students at Nairobi University school of Journalism.

This discussion themed Media’s Role in the fight against Corruption, begun by a short presentation about the A4T project. As journalism students, they were informed about the project’s engagement with journalists through systematic/in-depth media forums, and advocacy missions for research and reporting, training of investigative journalists in unearthing of corruption cases through heavy use of public records and data.  The A4T team offered them a platform and resource to publish their stories – on the A4T journalist’s knowledge portal and website.

The Twitter hashtag #A4TApp was used in the tweets to track engagement  and as a motivational token for taking part in this engagement, the A4T team offered an award of airtime to buy Internet bundles to the top three individuals with the highest number of tweets. The hashtag #A4TApp, recorded 561 tweets, with a total combined reach of 819,864 online users.

Below are sampled tweets from the students of SOJMC – UoN…

Ngugi Gatua‏ @ngugigatua Sep 3

Media acts as the watchdog in that they help to reveal corrupt leaders and individuals to the citizens and holding them accountable @a4tkenya @TIKenya #A4TAPP

Dickens_Ngicho‏ @ngicho_dickens Sep 3

#a4tapp, Transparency International giving UoN students a talk on corruption and how to cover cases about corruption during journalistic practice. @TIKenya @A4TKENYA

Philip Nyamai‏ @NyamaiPhilip Sep 3

@a4tkenya @TIKenya does a major role in training journalist in investigation and seeks to raise awareness about integrity, transparency and accountability. #A4TApp

Jack Mula‏ @JMOkanga Sep 3

#A4TApp allows you to confidentially report any corruption cases across Kenya. Download on Google play store, install and join the race towards a corruption free society. @a4tkenya, @TIKenya

Michael Marcel‏ @OkothOtieno15 Sep 3

#A4TAPP Ensuring public funds are accounted for. It’s time! @TIKenya @A4TIKenya

John Mulei‏ @johnymulei07 Sep 3

#A4TAPP Transparency International is doing all it can to ensure that public fund is well spent. Kenya we are tired of embezzlement of public funds even in Primary school and with this move Kenya is headed for the right direction. Komesha ufisadi @Tikenya @a4tikenya

 

You can follow our conversations through our twitter handle @A4TKenya and facebook Action for Transparency Kenya. Thank you School of Journalism and Mass Communication at University of Nairobi, stay posted for our next visit to a university near you.

More photos! Follow this LINK.

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AccountabilityHealth

Kenya’s Drug-Resistant Tuberculosis Burden

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Iqra Salah, A4T grantee, has been investigating Kenya’s growing burden of drug resistant Tuberculosis. DR-TB is exerting a significant strain on the country’s economy and the health of the patients. It is six times more expensive to treat the disease per episode than it is drug-sensitive Tuberculosis, notwithstanding the severe side effects.

See the video below of Africa Uncensored’s Iqra Salah as she spoke to one of the patients whose condition is worsening as he can’t afford medication despite being covered by the National Health Insurance Fund (NHIF).

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AccountabilityActivitiesEducationHealthTechnology

A4T Mtaani – Radio interview at Mtaani FM

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A4T team Abraham Mariita and Samuel Komu were invited to breakfast show at Mtaani Radio, a community radio station located in Dagoretti area in Nairobi. The duo discussed the importance of promoting accountability and transparency in use of public funds. They got an opportunity to speak to listeners about the A4T App and how to use it. The show was live on 12th July 2018.

Click below to play the audio clip.

 

Mtaani radio broadcasts to an estimated population of 240,080 residents in Dagoretti South –Mutuini, Ngando, Riruta, Waithaka, Uthiru And Ruthimitu. Dagoretti North – Kilimani, Kawangware, Muthangari, Kileleshwa and Kabiro. Thank you for hosting us Kamadi Amata, Kevin Nyangweso and the Mtaani radio crew.

Follow Mtaani radio www.mtaaniradio.or.ke  www.facebook.com/mtaaniradio

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AccountabilityActivitiesEducationHealthTechnology

#A4TMtaani – Roadshow in Embakasi

Kaa Rada Komesha Ufisadi

The A4T team was in Embakasi West and Central constituencies on the  14th July 2018, for a day long roadshow. The roadshow was aimed at informing and empowering citizens in Embakasi to participate in governance processes of public funds in health and education, and to report suspected corruption through the Action for Transparency mobile App.

The procession started at Kangundo Road to Umoja estate where a first stop was made. Then later stopped at Tena Estate, Donholm, Mama Lucy Hospital, Komarock estate and Kayole.

 

During the stops, the MC briefed the participants about the roadshow, sensitising them on the importance of participating in budgetary processes and reporting corruption, while the A4T team, passed out fliers with brief information about the project and instructions on how to download the A4T App. The procession was marked with dance and performances by Wasanii Kibao youth group from Kariobangi area. The team also connected participants to internet WIFI in order to help interested members of the public download the A4T mobile App.

Wasanii Sanaa Youth group from Kibera, presented a captivating play about the effects of corruption and advocated for active participation of citizens to report corruption.

 

At Kayole II community hall, the team had extensive time engaging and entertaining the residents about the A4T APP, 43 participants download the App. See more photos Here.

The team will be planning more outreach activities in other parts of Nairobi in coming months.

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