Table 1

Summary of all RFP Models 1–3

General characteristics and overall management mechanismsModel 1
Community-managed RFP
Model 2
AMPATH-managed RFP
Model 3
Facility-managed RFP
 Year established201120122013
 Total number of RFPs established as of 201815750
 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 2018Hypertension: 10 622
Diabetes: 4231
Hypertension: 13 916
Diabetes: 10 943
Hypertension: 11 239
Diabetes: 2598
Total: 14 853Total: 24 859Total: 13 837
 Copay waiver systemYesYesMinimal
 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 procurementDirect bulk procurement through AMPATH programmeDirect bulk procurement through AMPATH programmeIndirectly through regional Model 1 and 2 RFPs
 Medicine inventory reportCarried out by RFP supervisors on a quarterly basisCarried out by RFP supervisors on a quarterly basisCarried out by MOH health facilities on a needs-based schedule
 Financial and accounting reportsCarried 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 revenueJointly by County MOH, local community and AMPATHOnly by AMPATH Research and Sponsored Projects OfficeOnly 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.