Table 3. Actors roles, interest, influences and position on the formulation and implementation process of the expanded FMP.
Category of actors | Role in formulation | Role in implementation | Interest | Level of power | Position | |
---|---|---|---|---|---|---|
Elected officials | The Presidency | + | + | High | High | Supportive |
The members of parliament and senate | No | + | Low | Low | Middle support | |
County Governor | No | +++ | Medium | High | Middle support | |
Member of county assembly | No | + | High | High | Middle support | |
Appointed officials/ offices | Office of the Auditor General | No | + | Low | Low | Middle support |
Council of Governors | +++ | +++ | High | High | Supportive | |
The National Treasury | +++ | +++ | High | High | Supportive | |
Cabinet secretary, Principal secretary for health, and Director General (National) | +++ | ++ | High | High | Supportive | |
MoH-Department of policy, planning and health Financing (Division of Health Policy and planning and division of healthcare financing) (National) | + | + | Medium | Medium | Supportive | |
MoH-Department of preventative and promotive health (Division of Family Health) (National) | + | +++ | High | High | Supportive | |
MoH-Other departments and divisions (Standards and quality assurance and regulations, M and E) | + | + | Medium | Medium | Middle support | |
County Executive Committee (CEC)–Health | No | + | Medium | High | Supportive | |
County Chief officer of health (County) | No | +++ | High | High | Supportive | |
The summit ((CHMT) County directors of Health, Administration and planning and their deputies) | No | +++ | High | Medium | Supportive | |
The County Treasury (Includes County accountants) | No | +++ | Medium | Medium | Supportive | |
County NHIF focal person | No | +++ | High | Low | Supportive | |
Purchaser of health services | NHIF (National level) | +++ | +++ | High | High | Supportive |
NHIF (County offices) | No | +++ | High | Medium | Supportive | |
Member of interest groups | The Church (SUPKEM, Council of churches) | + | + | Medium | High | Supportive |
The Kenya Private Sector Alliance | ++ | +++ | High | High | Supportive | |
HCWs Unions | ++ | +++ | High | High | Supportive | |
Donors and development partners | The World Bank | +++ | +++ | High | High | Supportive |
WHO | +++ | +++ | High | High | Supportive | |
JICA | +++ | +++ | High | High | Supportive | |
UN agencies (UNFPA) | + | ++ | High | Medium | Supportive | |
AMREF | + | ++ | High | High | Supportive | |
USAID | +++ | +++ | High | High | Supportive | |
Marie Stopes International | + | +++ | High | Low | Supportive | |
Population service International | + | +++ | High | Low | Supportive | |
PharmAcess | + | +++ | High | Low | Supportive | |
Civil society | Kenya Human Rights Commission | + | + | Low | Low | Immobilised |
KELiN | + | No | Low | Low | Immobilised | |
Centre for Reproductive Rights | No | + | Low | Low | Middle support | |
Beneficiaries | Individual citizens (Men and women) | + | +++ | High | Low | Supportive |
Private health facilities | +++ | +++ | High | High | Supportive | |
Public health facilities | + | +++ | High | Medium | Supportive | |
Academia and researchers | Kemri Wellcome Trust | No | ++ | High | Medium | Supportive |
Population Council | No | + | Medium | Low | Middle support | |
Mannion Daniels and Options Consultancy | No | + | Medium | Low | Middle support | |
ThinkWell | No | + | High | Low | Middle support | |
Media | Local and international media | ++ | +++ | High | High | Supportive |
Other | Beyond Zero | No | +++ | High | High | Supportive |
Jacaranda Health | No | +++ | High | Low | Supportive | |
Philips | No | ++ | High | Low | Supportive | |
AfyaTu | No | + | High | Low | Supportive | |
Key: | +++: Very good involvement; ++: Good involvement; +: Partial or weak involvement; No: no evidence of involvement. |
Source: Author, extracted from a review of documents, the IDIs, KIIs, or Exit interviews (Eis) (Note: It is plausible that some actors may have been omitted because they were not apparent in the document reviews or the IDIs, KIIs, or EIs. The EIs here have been discussed in detail else [11]).