Table 1

Summary of all RFP Models 1–3

General characteristics and overall management mechanisms	Model 1 Community-managed RFP	Model 2 AMPATH-managed RFP	Model 3 Facility-managed RFP
Year established	2011	2012	2013
Total number of RFPs established as of 2018	15	7	50
Total number of health facilities with RFPs by levels of care (level 1–6)* as of 2018	Level 2: 3 facilities Level 3: 5 facilities Level 4: 6 facilities Level 5: 1 facility	Level 3: 1 facility Level 4: 3 facilities Level 5: 2 facilities Level 6: 1 facility	Level 2: 31 facilities Level 3: 11 facilities Level 4: 8 facilities
Cumulative number of patients served between 2011 and 2018	Hypertension: 10 622 Diabetes: 4231	Hypertension: 13 916 Diabetes: 10 943	Hypertension: 11 239 Diabetes: 2598
Cumulative number of patients served between 2011 and 2018	Total: 14 853	Total: 24 859	Total: 13 837
Copay waiver system	Yes	Yes	Minimal
Governance and stakeholders	County MOH and facility leadership Local community representatives AMPATH	County MOH and facility leadership Local community representatives AMPATH	County MOH and facility leadership AMPATH CDMprogramme
Operation	Existing MOH pharmaceutical technologist OR Occasional newly RFP-hired pharmaceutical technologist	New RFP-hired pharmaceutical technologist	Nurse in-charge or clinical officer in-charge OR Occasional support from the AMPATH CDM programme
Medicine procurement	Direct bulk procurement through AMPATH programme	Direct bulk procurement through AMPATH programme	Indirectly through regional Model 1 and 2 RFPs
Medicine inventory report	Carried out by RFP supervisors on a quarterly basis	Carried out by RFP supervisors on a quarterly basis	Carried out by MOH health facilities on a needs-based schedule
Financial and accounting reports	Carried out by RFP supervisors on a quarterly basis (via RFP developed electronic databases including an internally designed Excel database and QuickBooks)	Carried out by RFP supervisors on a quarterly basis (via RFP developed electronic databases including an internally designed Excel database and QuickBooks))	Carried out by health facilities and AMPATH CDM programme on a needs-based schedule (via existing health facility databases including paper-based bin cards)
Management of revenue	Jointly by County MOH, local community and AMPATH	Only by AMPATH Research and Sponsored Projects Office	Only by health facility

*Level 1=community-based care, Level 2=health dispensaries, Level 3=health centres, Level 4=subcounty hospitals, Level 5=county hospitals, Level 6=tertiary/referral hospitals.
AMPATH, The Academic Model Providing Access to Healthcare; CDM, chronic disease management; RFP, revolving fund pharmacy.