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. |