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 |
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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 |
Total: 14 853 | Total: 24 859 | Total: 13 837 | |
Copay waiver system | Yes | Yes | Minimal |
Governance and stakeholders |
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Operation |
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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.