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. 2024 Nov 21;4(11):e0002796. doi: 10.1371/journal.pgph.0002796

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]).