KCM Malaria Constituency Feedback Meeting Report 2019 The Annual Malaria CSO meeting was held in Maanzoni Lodge on 28th and 29 March 2019 bringing together over 26 CSO leaders to discuss malaria and Global Fund agenda in Kenya.

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Table of contents

Contents 1. Acronyms/abbreviations ....................................................................................................................... 3

2. Introduction ........................................................................................................................................... 4

3. Purpose and Objectives of the Constituency feedback workshop......................................................... 4

4. 2018/2019 Activity Report.................................................................................................................... 5

5. Highlights of sessions covered during the meeting ............................................................................... 6

Malaria Control Program Update .......................................................................................................... 6

Kiarie James NMCP ................................................................................................................................. 6

Office of the Inspector General report on Kenya Grants .......................................................................... 7

Presented by KCM member ...................................................................................................................... 7

Panel Discussions by the Principal Recipients ......................................................................................... 7

Represented by Amref Health Africa, Kenya Red Cross and The National Treasury .............................. 7

The National Treasury .......................................................................................................................... 7

Kenya Red Cross ................................................................................................................................... 7

Amref Health Africa ............................................................................................................................. 8

6. Discussion/action points/recommendations .......................................................................................... 8

7. Constituency Work plan 2019/2020- (as per 2019/2020 work plan template –annexed ...................... 9

8. Conclusion and recommendations ...................................................................................................... 10

9. Annexe (Program, work plan reports, Participants list and Photos) ................................................... 11

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1. Acronyms/abbreviations

CCM Country Coordination Mechanism

CS Civil Society

CSO Civil Society Organization

GF/GFATM Global Fund to Fight HIV/AIDS TB and Malaria

KCM Kenya Coordination Mechanism

KeNAAM Kenya NGO Alliance Against Malaria

KMS Kenya Malaria Strategy

KNMF Kenya National Malaria Forum

MICC Malaria Interagency Coordination Committee

MPR Malaria Program Review

MSP Malaria Strategic Plan

NGO Non-Government Organization

NMCP National Malaria Control Program

TNT The National Treasury

TWG Technical Working Group

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2. Introduction

In the last year the Kenya malaria community has been engaged in reviwing its malaria program

as well as developing a new malaria strategic plan. Malaria constituency represenatives are

organizing a one and half day malaria CSO’s meeting aimed at understand this journey as well

as to interlogate the new opportunities for them to engage in malaria control & elimination.

The Global Fund grant implementation has been going on in the last year or so. The meeting will

provide the participants with an opportunity to interact with the three Principal Recipients (PR’s)

Kenya Redcross, Amref health Africa and The National Treasury who will provide

implementation update for the three diseases. On the secord day, a General meeting for

KeNAAM members has been organised in line with the constitution, as notified in a seperate

communication.

The two day meeting aims to bring together the malaria CSO to discuss the different outcomes

and outputs of the different processes as well sharing with them the outputs. In addition, the

meeting will provide updates and networking opportunities with various malaria stakeholder who

will be participating in the meeting

3. Purpose and Objectives of the Constituency feedback workshop

Objectives

The objectives of the workshop are to:

To share the output of Kenya Malaria Program Review

To elect the various CSO’s representatives in the various National policy & Technical

working groups as provided in the new malaria strategic plan

To share malaria information and obtain feedback from/with the CSO’s representatives

Meeting Outcomes

CSO participant to get updated Malaria Strategic Plan documents

To develop action plan on the implementation of the Kenya Malaria Strategy 2019-2024

To get CSO’s representation in the different national policy and technical working group

Participants

Workshop participants will include teams from KeNAAM secretariat and membership, Malaria

Civil Society Partners, technical experts/consultants, and other partners.

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4. 2018/2019 Activity Report

Activity Progress

Disseminate information on

Global Fund grants during the

Annual Malaria CSO

Forum/KeNAAM annual general

meeting

The meeting has been held in 2018 and quarterly meeting

taken place in Coast, Nairobi and Eldoret.

Provide feedback on GF grants

during Review Meeting

The CSO representatives participated in the Kenya Program

Review meetings/consultation between July and December

2018. The CSO's participation in the various meeting and

conferences. Further the CSO's participated in KCM

oversight visits in Kajiando and Kilifi

Disseminate information on GF

grants through the E-newsletter

and website

Over 100 messages in 2018 sent through the list serve with

have a membership of 280 emails members. Content for the

messages included Global Fund related newsletter/material,

networking & capacity building opportunity and funding

opportunities. Maintaining a vibrant malaria

mailing stakeholder liste serve

and goggle group for updates and

discussions

Participate in the Malaria ICC and

TWG

Malaria Representation at KCM and MICC was vibrant, the

representation was able to support of the CSO

representatives in various meetings and consultation across

the country

Regional Malaria Networks

Activities

The malaria advocacy network had their meeting supported

and capacity building meetings held for the leadership teams

such as social accountability, Budgeting and Advocacy

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Highlights of sessions covered during the meeting

Malaria Control Program Update

NMCP

A presentation was made by the Kenya NMCP highlighting the progress of the Strategic Plan

development and Malaria Program Review. Key issues are:

The proposed new strategy has incorporated new policy direction such as; Malaria Case

based investigation, universal coverage of all malaria interventions, scale up of community

case management of malaria, targeted interventions multi sectral engagement and continuous

stratification

In the Malaria Program Review there was concern on uptake of malaria due to devolution

such as high staff turnover, lack of coordination and prioritization

The next phase of malaria implementation will continue to look at transmission within the

vectors and the host by interrupting transmission by use of new tools such as the malaria

vaccine, larviciding, IRS especially in areas of high transmission.

The criteria for intervention selection include evidence based, resource constraint and

continuous stratification due to changing climate.

On issues of community strengthening, the NMCP has increased coverage through the

CCMM engaging the CHV’s and Community health strategy.

The new strategy is made up of the following objectives;

1. : To protect 100% of people living in malaria risk areas through access to appropriate

malaria preventive interventions by 2023

2. To manage 100% of suspected malaria cases according to the Kenya malaria

treatment guidelines by 2023

3. To achieve and sustain malaria elimination in targeted counties by 2023

4. To increase utilization of appropriate malaria interventions in Kenya to at least 80%

by 2023

5. To strengthen malaria surveillance and use of the information to improve decision-

making for programme performance

6. To provide leadership and management for optimal implementation of malaria

interventions at all levels, for the achievement of all strategic objectives by 2023

The six objectives are supported by the strategies and task in the KMS 2009/2023 and KM&E

framework accompanying the strategy

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Office of the Inspector General report on Kenya Grants

Presented by KCM member

The meeting was informed on the Outcome of program audit be the Inspector General finding

and the following were the discussion points.

• The members wanted to know how Kenya preparing to transition from overreliance of

the donors for key commodities. The Kenya GF grant are usually over 60-90%

procurement of core treatments and with the new status of middle income country, Kenya

CSO’s should be able to advocate for increased government contribution to its

commodity need.

• It was noted that even when the commodities are in country, there is usually stock out at

peripheral facilities. The interaction of county governments, NMCP, National

Government and KEMSA should work modalities to ensure there are no stock outs. The

CSO’s using the Regional Networks should be able to monitor and report where stock

outs are being experienced.

• While appreciating the devolution of health services, the CSO’s were concern that some

functions have not been accompanied by resources thus depriving the counties the

autonomy of decision making on the matters they have responsibilities.

Panel Discussions by the Principal Recipients

Represented by Amref Health Africa, Kenya Red Cross and The National Treasury

The following were key issues emerging from the discussions;

The National Treasury

Low absorption of funds: This was as a result of programming some of the procurement at the

onset of the grant implementation whereas procurement usually takes 6-9 months for it to be

paid. The issue of tax waiver has also delayed implementation of certain procurement of

commodities. Further, the issues of bank accounts for new grants opening as the government

have stringent processes for opening accounts. The issues are being addressed by relevant

departments for fast tracking the implementation of the grants.

Devolution of Global Fund: The discussion was on how the counties can receive GF monies as

conditional grants, while this option is the preferred one issues of accountability due to the

current dynamics that the counties are transitioning. For example current county budgets are

primarily for salaries and wages accounting to over 80% of the county funds. The CSO’s were

challenged to advocate for increased allocation to health especially for service delivery

interventions rather than for wages and salaries.

Kenya Red Cross

Key Population programming: The issue huge resources being allocated to key population

intervention at the expense of the general population. Clarification was made that the country has

Key population policies and those are the areas being supported by the GF grants while other

areas are supported by other funders. It was highlighted that the key population usually are left

behind as they shy away from seeking treatment making prevalence of HIV/AIDS high thus need

to increase programming to bring the prevalence down.

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Injecting Drug Users rehabilitation: The project has leveraged investments from GF to those

of UNDOC in supporting additional rehabilitation centers in the coast region. Quarterly meeting

are held in respective counties and are open to all partners working in IDU intervention.

Amref Health Africa

Uptake of CHS by the Counties: The CSO’s enquired on the progress of uptake of CHV’s by

the county government. Responding to this, they were informed that some counties had already

taken up the remuneration of CHV’s and the PR is reallocating the stipend equivalent to other

malaria activities within the county, resulting as an incentive for the counties to continue the

support of the CHS.

Integration of CHV’s in Malaria and TB activities. The program is working to ensure the

counties where the two programs are existing the CHV does double dip. It was noted that the

two program have different appreciation to CHV’s as one is performance based while the other is

a fixed rate. The PR’s should ensure the stipends are harmonized across board.

5. Discussion/action points/recommendations

i) Forums for sharing the new KMS with CSO’s: The meeting resolved to have a

platform to capacity build on the new KMS and to have popular versions of the Strategy.

This will allow the CSO’s mainstream and integrate malaria intervention to their current

work.

ii) Role of CSO’s in social accountability of the next strategic plan and GF

implementation. It was noted that while many interventions are happening there are no

forums for social accountability especially at the county level. This has led to

commodities stock out and expiries experienced the previous. The CSO’s would take this

role if supported

iii) Issue of Counties receiving GF grant;-role of CSO’s in oversight: The CSOs

expressed concern on the GF resources going to the counties while at the same time the

counties are not allocating resources for the 3 diseases . The GF should be incentivized so

that the counties with allocation receive resources rather than a blanket allocation. This

will allow the CSO’s to participate as the case at the national level.

iv) Capacity building of the CSO’s to undertake the above roles: The CSO’s have a lot of

work to undertake if equipped with necessary skills. Through the malaria Regional

Network an opportunity to engage an organized group to undertake such a capacity

building activity.

v) Support of representative to participate in both county and national events by

Regional Advocacy Network. The CSO’s participation in county and national level

policy making consultation would add value to the programming. Such support is needed

to CSO inorder for them to participate.

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6. Constituency Work plan 2019/2020- (as per 2019/2020 work plan template –annexed

Kenya Coordinating Mechanism

Constituency Feedback Workplan 2019

Malaria Constituency Workplan

Activity Responsible 2019

Jan-Mar Apr-June July-Sept Oct-Dec

1

Disseminate information on

Global Fund grants during

the KeNAAM annual

general meeting Edward/Mercy

X

2

Provide feedback on GF

grants during Review

Meeting Edward/Mercy

X X X X

3

Disseminate information on

GF grants through the E-

newsletter and website Edward/Mercy

X X X

4

Maintaining a vibrant

malaria mailing stakeholder

listeserve and goggle group

for updates and discussions Edward/Mercy

X X X X

5

Develop messages to be

disseminated to the Malaria

constituency Edward/Mercy

X X X X

6 Participate in the Malaria

ICC and TWG Edward/Mercy X X X X

7

Regional Malaria Networks

Activities Edward/Mercy X X X X

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7. Conclusion and recommendations

The meeting ended with Election of KCM Representative

Name Organization Policy Body

Edward Mwangi KeNAAM KCM Malaria

Representative-Member

Mercy Musomi Girl Child Network KCM Malaria Representative

Alternate

Eric Omondi Blue Cross (Lake Endemic

Region)

Malaria Health Sector

Working Group

Ngeno Titus ECO (Highland Endemic

Region

Eve Mokinson Malaria No More (Low

Endemic Region)

Harry Mwakilenge Coast Youth Coalition (Coast

Endemic Region)

Committee of Experts Prevention PS Kenya

Case Management Amref Health Africa

Elimination World Vision Kenya

SBCC PS Kenya/KeNAAM

SMEORS Smile Africa

Program Management Smile Africa

The above names to be submitted to respective secretariat for formal adoption from the

respective bodies

KeNAAM to remain the secretariat for all the information for the CSO’s Representation

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8. Annexe (Program, work plan reports, Participants list and Photos)

Section of the CSO participants during the meeting

Participants following through the deliberation

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Section of the participants

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Program for Annual CSO’s Meeting

TIME SESSION FACILITATOR

7:00 – 8:30

am

BREAKFAST

8:30 – 8:45

am

Registration

8:45 – 9:30

am Prayers

Introduction

Remarks by KCM Constituency representatives.

Remarks-KCM Secretariat.

Secretariat

9:30 – 9:45

am Purpose and objectives KCM Member

9.45a

m-10.30

Kenya Malaria Program Update

Kenya Malaria Strategy

Opportunities for CSOs in delivery of the Strategy

NMCP

10:30 – 11:00

am

TEA BREAK

11:00 am-

11.45

GF/KCM Updates

OIG Report, GF replenishment ,SR Selection Process

KCM Member

11:45 – 12:30

pm

Feedback from PRs;

Global Fund Grants successes & lessons

Amref Health Africa

Kenya red cross

The National

Treasury

12:30 – 1:00

pm

Q&A Session

1:00 – 2:00

pm

LUNCH

2:00 – 3:00

pm

Review and develop Constituency work plan /report

3.00pm to

4.00pm

Strategies to strengthen and sustain GF Programming

4.00pm to

4.30pm

Closure of Day 2

7:00 – 8:30

am

BREAKFAST

8:30 – 8:45

am

Registration Secretariat

8:45 – 9:15

am

Welcoming Remarks Board

9:15-9:30 am Confirmations of the minutes of the previous AGM and

matters arising from the minutes

Board

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9:30 – 9:45

am

Chairman Report to members Dr Maurice Odindo

9.45am-10.30 CEO Report to members Edward Mwangi

10:30 – 11:00

am

Health Break

11:00-11:45 Statutory Audit for 2018 Ms Maina Kinyua

CPA

11:45-12:00 Reelection of Auditors Treasurer

12:00 – 1:00

pm

Election of the Office Bearers

KeNAAM Board

Malaria Representation in the KCM

Malaria ICC and TWG

Members

1:00 – 2:00

pm

Networking Lunch

All