Evidence Informed Health Planning and Budgeting (EIHPB) Programme
Evidence Informed Health Planning and Budgeting (EIHPB) for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) is a technical assistance programme implemented in 15 counties in Kenya. With financial support from World Bank-executed Multi Donor Trust Fund (MDTF), the investment aims to support progress towards universal health coverage and enhance effectiveness in achieving sustainable RMNCAH results by strengthening health systems. The objective of the programme is to increase the probability of resource allocation matching health sector needs, with a focus on RMNCAH, based on an integration of credible planning, budgeting, monitoring and reporting (PBMR) processes with a strong monitoring and evaluation (M&E) system that supports informed decision making.
Through a training, mentorship and coaching approach, Options provides effective, timely and high-quality technical assistance (TA) focusing on strengthening the M&E systems at county, sub-county and facility levels. This includes:
- Improving functionality of Maternal and Perinatal Death Surveillance and Response (MPDSR) committees
- Increasing the capacity for data review and reporting at the county
- Improving the capacity to develop (and use) information products for evidence-informed planning and budgeting.
Delivered jointly with an implementing partner, ThinkWell, our tailored TA is targeted at key points in the county planning and budgeting cycle where data can be presented, discussed, and used to ensure increased prioritization of RMNCAH services. The support covers fifteen high priority counties: Bungoma, Garissa, Lamu, Mandera, Marsabit, Samburu, Tana River, Wajir, West Pokot, Turkana, Homa Bay, Isiolo, Kitui, Kisii and Machakos.
EIHPB builds on a previous phase of the MDTF where Options’ technical assistance focused on increasing the capacity of key actors in the departments of health in 15 counties, to better use RMNCAH data for decision-making. Some of the programme achievements include:
- Development of learning guides and trainer manuals to support the acquisition of knowledge and skills through sustainable approaches of demand-driven coaching, on-the-job mentorship and self-directed learning. The guides and manuals are aligned with government statutes such as the Public Finance Management Act, policy guidelines including on Medium Term Expenditure Framework, annual planning and budgeting cycle, and MPDSR. By working with and through the national Ministry of Health and Council of Governors, we aim to ensure that the guides, manuals and accompanying tools become readily available and are part of routine practice.
- In the 15 counties, we have revitalized various decision-making forums including the county health stakeholder’s forum (CHSF), the health sector working group (HSWG) and MPDSR Committees. Through these forums, the programme will institutionalise data demand and information use (DDIU) in decision-making, promoting greater transparency and accountability.
- We have seen a growing demand for data and information use amongst county decision-makers as demonstrated by the production and use of RMNCAH information products, including MPDSR Summary Sheets and RMNCAH Scorecards. In several counties, the information products have been used in annual performance review and work planning and budgeting. In some counties, the information has also been used in evidence-based advocacy targeting decision makers in the executive and legislative offices of the county governments.