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Table 4 Kenya Results: Program strategy

From: Governing industry involvement in the non-communicable disease response in Kenya

Partnership principles Governance elements Assessment questions Assessment of the situation in Kenya
Program strategy Cross-cutting Regulation Do formal policies or legislation exist that regulate program design? • No formal rules or laws existed at the time of the research.
• The health sector partnership framework was under development.
If not, do clearly stated informal norms exist of what government expects from companies in this regard? • Government expects to be consulted on programs that interact with the health system.
• Government and civil society expect companies to use NCD technical working groups for stakeholder consultation.
In how far are these rules or norms backed up with sanctions to enforce compliance? • Only informal sanctions are currently in place to pressure companies into meeting government expectations (e.g. through non-cooperation or withholding licenses).
Alignment Direct government support Does government support program design processes with public resources (staff time, funds etc.)? • MoH assigns technical teams to support program development.
• MoH lacks sufficient capacity to do this for all industry-led programs.
Provision of strategies and policies Do sector strategies exist for companies to align with? • A broad set of policies and strategies are in place at national level.
• County development plans do not always exist and are often not costed.
Is this information accessible for companies? • Existing strategies are publicly accessible.
• A complete and easily database is not available.
Provision of data Does government provide data (e.g. on NCD prevalence and health system capacities) for needs assessments? • Publicly available data are not always complete or updated.
Is this information accessible for companies? • Health data are only partially accessible, but companies were able to work with KEMRI for better access to data in some cases.
Harmonization Mechanisms for information sharing among partners Does a registry of existing NCD programs exist for better harmonization? • The government conducted a mapping exercise in 2018 and results are available by request; beyond that, a government registry is not available.
• Access Observatory (AO) exists as a privately funded alternative
Is it complete and updated regularly? • The 2018 mapping was not comprehensive and remained a one-off project.
• AO is also not comprehensive. It is updated annually, but its future depends on AA’s continued funding.
Can companies access this information? • The AO is publicly accessible.
• The 2018 mapping information was not published, but could be provided on request.
Does government host an exchange structure for partners to plan jointly? • There is no regular public structure. There was a private initiative: AA country team hosted two large-scale networking meetings.
• The Development Partners in Health Roundtable is the leading coordination platform in the health sector where partners meet on a regular basis.
Is it open for companies? • AA/MoH meetings were company-focused.
• Existing donors have thus far neglected NCDs and do not accept corporations as development partners. Thus, the Roundtable has yet to invite corporations to its meetings.
Ownership and stakeholder involvement Structures for stakeholder engagement Does the government host stakeholder engagement structures? • An NCD Interagency Coordinating Committee and different technical working groups (TWGs) on specific NCD themes include various stakeholders.
• The TWG structure was only established effectively in 2019. Meetings are still irregular.
Do companies have access to them? • Companies can make use of these TWGs to discuss the design of their NCD programs, but are not full members.