Lexlink Consulting

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Portfolio Title: Boresha Uzazi

Grant Type: Innovation

Counties: Nairobi

Timeline: July 2017 - March 2019

Funding Round: 3

The Problem

Health facilities in Nairobi County receive regular supportive supervision from the County and Sub-County Health Management Teams (S/CHMT), aimed at providing technical support to the facility staff and identifying and resolving capacity needs, so as to improve the quality of services provided in the facility. This is usually supported by resources from the county government and development partners. In spite of this support, there has been limited improvement in the quality of maternal and newborn healthcare (MNH) services in these health facilities. This is attributed in part to the sub-optimal manner in which the supervision is conducted, and due to the inadequate utilisation of information and findings from the supervision visits for planning, decision-making and allocation of resources.

Embracing Technology to Address the Problem

Lexlink Consulting is addressing gaps in the provision of systematic, timely and action-oriented supportive supervision of MNH services in Embakasi East and West Sub-Counties, in a project dubbed Boresha Uzazi. It’s developing and institutionalising the use of an improved comprehensive supervisory tool that will be deployed on an electronic platform (Afyakit). The tool will be easy to use, provide timely actionable data electronically, and incorporate geo-stamping capabilities for accountability. The system has ability to capture important quality markers and provide this information to decision-makers in an expedient and actionable format, using mobile technology. This platform is envisaged to improve oversight, evidence-based decision-making, planning and resource allocation functions of the CHMT and SCHMTs. The tool covers all the eight World Health Organisation (WHO) quality standards and seeks to digitize the current Nairobi CHMT paper-based supervision checklist.

Expected Results

Through strenthening supportive supervision to health facilities, the project is expected to contribute to improvement in the quality of MNH services. Digitisation of the supervision tool will enable easier identification and remedying of service gaps while providing the health management teams with more accurate data for evidence-based planning and allocation of requisite resources. The embeded research component will generate evidence on feasibility, acceptability and effect of such a tool.

Progress as of August 2018

  • Baseline survey conducted, including mapping of stakeholders involved in supportive supervision.
  • Developed the Afyakit tool: a mobile platform for MNH supervision through an iterative process involving health facility staff, CHMT and SCHMT.
  • Trained health workers and managers on use of the Afyakit tool.
  • Deployed and commenced the use of the Afyakit tool in the two subcounties.
  • Data from the initial rounds of supportive supervision fed into data review and planning forums at subcounty and county levels.
  • Research component ongoing, including monitoring use of the tool, tracking actions from supervisory visits and soliciting feedback from users.

For more information about this project, contact:

Roseline K. Njogu

Lexlink Consulting


Kimani Karuga

Options Consultancy Services Ltd.