اکنون در دسترس! پژوهش تلگرام ۲۰۲۵ — مهمترین بینشهای سال 
Community Health in Kenya
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پستهای کانال
| 2 |  +2CHP Assembly, Kenya Recognition
Last Week: 8th June
*CHP of the Week: Loice Adoyo, Lower Tamu CHU , Kisumu
*CHU of the Week: Ilmotiok CHU, Narok
This Week: 15th June
*CHP of the Week: Wako Kanchoro, Rukesa CHU, Marsabit
*CHU of the Week: Lelboinet CHU, Elgeyo Marakwet | 74 |
| 3 | Nimezama. 😃
Read the 2025 report of the Senate Health Comittee on CHPs Bill 2022 here https://www.parliament.go.ke/sites/default/files/2026-03/Report%20of%20the%20Health%20Comittee%20on%20Community%20Health%20Promoters-%20a.pdf .
I shared a copy on Telegram https://t.me/CHSKenya/7166 incase you are unable to download it there.
I support CHPs Bill 2022.
Isn't only Tana River only that has a CHS Act.
They said PHCA 2023 regulates CHPs. 😃 - CHPs are better regulated
The Committee recommended the bill shouldn't proceed. - Only Ledama made me see this
The bill should go on to be passed and assented. - It can still be amended
The Senate floor will decide in the second reading.✍🏿
SOCHE, CHESOA and ACHVOK presented to the committee.
I disagree with DLS advisory. - PHCA 2023 is for the whole health sector, CHP 2022 is for CHPs and level 1 only
Why don't we say PHCA 2023 isn't necessary when we have Health Act 2017 too?
If counties have own CHS acts, what is wrong having a national act harmonising the CHPs practice? 😃
DG of Health, NGOs, PHOTC
CS Health has the opportunity to nominate CHPs or CHOs or CHS Professionals into CHPC.
CoG will nominate 2 CCOs of Health.
The Registrar of CHPC should have a BSc in PH/EH or CH.
CHPs are given 2 years to comply with CHP 2022. - This can always be extended to accommodate the current CHPs
CHPC can work with KNQA to help serving CHPs get a Certificate in Community Health via RPL.
ACHVOK for a grandfather clause for CHPs with more than 5 years experience to be registered regardless of formal qualifications. ✍🏿
CHESOA + SOCHE called for the renaming / restructuring of the bill to a CHOs Bill. - The committee rejected this
ACHVOK supported the bill, requesting for further amendments.✅
From the report you can agree CHOs need a professional regulator. - For CHPs they need regulation too, involving all the CHS stakeholders
Whether you support the bill or not you can't ignore it if you are in the CHS space. | 79 |
| 4 | 2025 Report of the Senate Health Comittee on CHPs Bill 2022.pdf | 66 |
| 5 | For Jacqueline Khasandi Wafula, effective community health supervision starts with timely information and meaningful support. As a Community Health Assistant (CHA) serving Misikhu Ward in Webuye West Sub-County, Bungoma County, Jacqueline oversees Community Health Promoters (CHPs), manages malaria commodities, and monitors performance through Kenya’s Electronic Community Health Information System (eCHIS). - https://livinggoods.org/media/when-community-health-supervision-goes-digital/ | 65 |
| 6 |  Hawa wako serious wanataka CHPs?
Si hata CHOs.
I am trying to link with those qualifications. | 72 |
| 7 | Encouraging OJ,
You are a leader in CHS.
Leaders don't ignore engagements about them.
Stop overfocusing on money alone too.
A problem shared is half solved.
This knowledge not everyone gets it.
As a CHA you are expected to teach the people about SHA.
When your CHPs refer, it is expected the referred will pay via SHA.
You are a SHA ambassador in your area of work.
Wewe kukosa kulipwa SHA training doesn't mean ukose kutokea e-learning zao.
Currently KMTC is training Certificate and Diploma in Health Insurance Management and they will still need you.
Na CHS work is free and voluntary. - Change your heart 🙏🏿 | 70 |
| 8 |  CHP Assembly, Kenya 15.06.2026, 5 PM - The Role of CHPs in Ebola Virus Disease Preparedness and Response Q&A | 69 |
| 9 | CHP Assembly Programme 15.06.2026, 5 PM
🦠 Theme: The Role of CHPs in Ebola Virus Disease Preparedness and Response
📅 Monday, 15th June 2026, 5:00 PM – 6:00 PM (EAT)
🔗 Join here: https://amref.zoom.us/webinar/register/WN_yGHNS5gyRa-1t9A1ojkpNw
AMREF streaming / recording it LIVE on:
1. YouTube LIVE: https://www.youtube.com/live/bXusAe5fusc?si=3QK3A9WJwg5cFCMw
2. Facebook LIVE: https://www.facebook.com/share/v/1BobiVSof7/
3. X: https://x.com/i/status/2066523777173758303
Kisumu CCHSC Maureen Opiyo opened with a word of prayer.
Moderated by Ann Thitu.
Oscar Gaunya:
1. Presented on Ebola.
2. No positive Ebola case in Kenya.
3. This is part of training.
4. Let's discuss / capacity build ourselves on Ebola. - We are leveraging on the low lying fruits
5. You can still be re-infected.
Aloise Gikunda:
1. Moderated Q&A
2. Sensitize your fellow CHPs.
Stephen Joel asked a question.
Ben Salaash asked a question.
Mwahijah Mwange asked a question.
Dr. Maureen Kimani:
1. We have the right information.
2. Encourage your fellow CHPs to join this assembly.
3. Next we will have someone from SHA.
4.
Last Week: 8th June
*CHP of the Week: Loice Adoyo, Lower Tamu CHU , Kisumu
*CHU of the Week: Ilimotiok CHU, Narok
This Week:
CHP of the Week: Waqo Kanchoro, Goro Rukesa CHU, Marsabit
CHU of the Week: Lel Boinet CHU, Elgeyo Marakwet
5. We are heading to 10,000 CHPs engaged.
6. We are targeting at least 1,000 CHPs joining every Monday.
PS Mary Muthoni:
1. We are doing preparedness.
2. In July 2026 CHPs will be covered on SHA.
34 counties joined the webinar.
#CHPAssembly #CommunityHealth #EbolaPreparedness | 74 |
| 10 | Leo hansard imetoka. 😃 - Read it here https://www.parliament.go.ke/sites/default/files/2026-06/Thursday%2C%2011th%20June%2C%202026%20at%202.30%20p.m..pdf
Kumbe the health committee wanted to kill the bill after doing the same in the last Parliament.
I hope the Senate passes the bill.
I am okay with amendments.
***
Sen. Olekina: Madam Temporary Speaker, thank you for giving me an opportunity to make some brief, albeit insightful, comments on this Bill.
The Community Health workers have blamed the Senate for delaying this, Bill. I am looking at the committee report and it is quite baffling that the committee, which I sit in, unfortunately, I did not participate on that particular day, recommended that this Bill should not proceed.
There is some controversy, which I hope we can clear, so that we move with this Bill. With that in mind, as a disclaimer for my contribution, I want to be very objective in noting the controversy in this Bill. Sometimes it is important to be bold enough and say there is a controversy, but nothing stops us from working around it.
If you look at what this Bill is meant to provide, those who do not want it to proceed have indicated clearly that other pieces of legislation, such as the Community Health Bill of 2020, provide exactly what we want. There is also the Kenya Community Health Strategy, which is 2020 to 2025, that already establishes the community health units.
I guess the difference between this Bill, and it is important that we look at it from a community and a humanitarian perspective, is that for once, those people who have been in the frontline of providing health to Kenyans are going to be recognized. To demystify my many words, is that they are now going to be added into the payroll of Kenya.
*** | 63 |
| 11 |  بدون متن... | 53 |
| 12 | We will have to locate for these particular CHPs because there are elements that have to be handled. They include issues of transfer, promotion and scale at which they enter the workforce. Those need to be handled by CPSBs. However, we will have to set the agreement with the regulating bodies in the health practitioners space to see where CHPs will fall under. The committee will find time to look into that and guide us on how to conclude.
Part 1 comprises Clauses 1 and 2. Part 2 comprises Clauses 3 to 16 and so on and so forth. Therefore, this is a straightforward Bill which I believe Senators should give the priority it deserves.
Sen. Mungatana, you know well that there are thousands of CHPs deep down in Tana River. If there is a favour that you can do to them and those they attend to or those who draw services from them, you should ensure that you motivate them. Set up the regulatory framework like we are proposing in this particular Bill, so that when they go to vote during the next elections in Tana River, they will have a reason to say they sent a man to the Senate who represented their interests and made sure they are properly considered. The same should pass for all of us.
I am sure colleagues have various thoughts on how they think certain matters need to be handled. I know, for example, one of the challenges we will experience is how to transfer them from being on voluntary basis into the cycle of public service given that they were not necessarily competitively recruited. We normally have a big challenge with that.
When I served in the Parliamentary Service Commission, there were staffers we had requested from other Government entities like the National Youth Service (NYS) and the rest to do various duties within Parliament. They had served for long until one time we said we need to have them as part and parcel of the parliamentary staffers. However, it became a huge challenge because the constitutional dictates that all public service appointments be competitively recruited, yet we knew that these people provide us with specialised services. Therefore, there are certain things we will have to find a neater way of clearing and sorting out.
It is my utmost hope that Members will share their thoughts on how we can shape the space of Community Health Promoters (CHPs), to ensure that they serve effectively in the villages. Some of them provide services that even doctors would struggle with. They perform certain tasks that even modern hospitals would struggle with.
Do not underestimate the value of traditional medicine and people who have local knowledge on localised health challenges. Many of us here have the distinct privilege of coming from serene villages. I say this because I recently saw a clip of someone, I think it was the Senator for Nairobi, making it appear as if there is something to celebrate about coming from the city.
It is by nature that you choose what you represent. However, if I had a choice, I would pick the village any day over the city, with all its clogged-up city with all their challenges. I know many of you would do the same. There are unique challenges that come with working in villages that CHPs can handle better than even other health practitioners.
Therefore, I want to listen to colleagues share their thoughts and ideas on this topic, so that we progress and move with it to help achieve universal health care. With those remarks, I beg to move and request the Senator for Nandi, Sen. Samson Cherargei, to second. | 55 |
| 13 | Actually, this Bill seeks to set up the structure with which we can appreciate CHPs. I know that all of them, including those that voted for me in Kericho, watch their Senator on the Floor this afternoon. They are extremely proud and happy because I know that upon the passage of this Bill, we will duly recognise them, give them certification and make their pay even better.
We have just rolled out the Universal Health Coverage (UHC). You cannot expect that everything will be perfect from the start. However, three, four, five or six years from now, UHC will have settled properly and compensation to public hospitals, including dispensaries deep in the village where Sen. Catherine Mumma comes from in my neighbourhood down in Kisumu will be done. The minute we perfect the system and ensure that they get compensated directly and that a hospital can manage its affairs, order medicine and have some CHPs on call, so that if the doctor is away, CHPs can help locate the next facility, call for medical help and make the right determination, we will have celebrated these people. Therefore, this is for CHPs across the Republic of Kenya and there are so many. There are over 100,000, if I can recall.
Why I am particularly proud about this Bill is that CHPs were launched in Kericho in 2023 during Mashujaa Day. Kericho will always remain their home because that is where they began their work. I remember them matching during Mashujaa Day that particular morning at Kiprugut Chumo Stadium.
I know that as we work, by the time of drawing of the curtains of the session of this Parliament, we will have succeeded in concluding this Bill and ensured that CHPs are properly compensated, captured in the public health systems and given more training. While they might not be doctors, they have some basic training on matters public health and it will be extremely important to engage and interact with them.
Even though the First Schedule of the Health Act, Cap 241, designated
community health service as Level 1 service is delivered by community health extension workers, majority of CHPs are volunteers who sometimes receive allowances that are often delayed or never paid at all. It is embarrassing that there are certain counties that delay even the little Kshs5,000 we are talking about as compensation to these volunteers. We are proposing a legal framework to enhance their recognition and regulation so as to allow them to be entrenched in the Government health delivery system. It seeks to establish the Community Health Promoters Council and Community Health Promoters Disciplinary Committee to regulate the conduct of CHPs.
I have a challenge with that proposal because as much as health is a special and unique service, we will have to find a way. Sen. Maanzo, when county employees misbehave, generally all of them, it is the County Public Service Board (CPSB) that punishes them the same way it handles their promotion and discipline them in case of misbehaviour.
Remember one thing we have not successfully done as legislators is to establish a nexus between CPSBs and professional bodies that many of these staffers belong to. If it is accountants, how do you link a CPSB with the Institute of Certified Public Accountants of Kenya (ICPAK) and even recommend sanctions against, say, an accounting officer who participates in fraud?
Last week I was the Chief Guest at the Kenya Institute of Supplies Management (KISM) in Naivasha and we interacted with supply chain managers from our 47 counties. There were people from Makueni, Siaya and basically across the country.
Something we need to agree on is that we, as Parliament, and particularly as Senators, must create the nexus between regulatory bodies that regulate professional practice. We have ICPAK for accountants and KISM for those in supply chain. We also have the Kenya Medical Practitioners Pharmacists Dentists Union (KMPDU) and the Nursing Council of Kenya (NCK) for those in the health space. | 51 |
| 14 | THE SENATE: THE HANSARD - Thursday, 11th June, 2026
Bill Second Reading
THE COMMUNITY HEALTH PROMOTERS BILL (NATIONAL ASSEMBLY BILL NO.53 OF 2022)
The Senate Majority Leader (Sen. Cheruiyot): Mr. Temporary Speaker, Sir, I beg to move that the Community Health Promoters Bill (National Assembly Bills No.53 of 2022) be now read a Second Time.
The Community Health Promotes Bill (National Assembly Bills No.53 of 2025) proposes to amend the title of the Community Health Promoters Bill. It was published in the Kenya Gazette Supplement No.183 of 2024, dated 10th November, 2022. This Bill passed the National Assembly on the 2nd December, 2024 and was referred to the Senate for consideration.
The principal object of the Bill is to regulate the practice of the Community Health Promoters (CHPs), which many of us have come to love, and to establish the Community Health Promoters Council. Community Health Promoters serve as a bridge between communities and healthcare systems. They are trusted members of their communities, possessing a deep understanding of local cultures and dealing with language barriers to health access. This enables them to provide culturally appropriate health education, promote preventive care practices and facilitate access to essential medical services.
Their unique position allows them to build strong relationships with individuals and families, nurturing trust and encouraging active participation in managing own health. The CHPs impact and are of great importance to our society. Their contribution to the health ecosystem in this republic cannot be gainsaid. They increase access to healthcare, promote healthy behaviours and cultural practices, discourage communities from engaging in retrogressive cultural practices that injure the health of members of the society, as they are members of that community and they engage and participate in it.
By empowering communities to take control of their health and connecting them with the necessary resources, CHPs contribute to more equitable and sustainable healthcare systems, ultimately leading to healthier societies. They also reduce burden on hospitals and clinics, providing essential care at the community level. Even though the First Schedule of the Health Act, Cap 241, designates community health services as a Level 1 service, delivered by community health extension workers, the majority of community health workers now called CHPs are volunteers.
Yesterday, I heard Sen. Cherarkey mention that the stipend of Kshs5,000 they are paid is against the law. However, I believe that what they get is not compensation for the work that they do. To me, it looks like an appreciation more than a salary because there is no way you can pay anybody a salary of Kshs5,000.
This week, I was somewhere with some governors where we discussed the issue of division of revenue. We had requested that when it comes to division of revenue, we take the Kshs2,500 share of the national Government and make it part of sharable revenue to the counties. Why does the national Government insist on holding on to Kshs2,500 for Community Health Promoters (CHPs) as opposed to sending it directly to the counties? That is something that needs to be discussed.
They said that Kshs2,500 could be nothing to me. However, Kshs5,000 means a lot to many of those people. It is over and above what they earn on a daily basis. It helped me appreciate something that I was once told, that, as a leader, never lose sight of perspective.
There are many times that you say things just as you see them as a leader. However, sometimes a good leader sees things from the constituents’ or the people they represent perspective. While Kshs5,000 may be nothing to a wealthy don called Abdul from Garissa---
Mr. Temporary Speaker, Sir, it is not you. I am talking about another Abdul, who is my friend. To the ordinary Abdi deep down in the place we went to called Masalani, it means a lot. Of course, this is not to make the case that we should not remunerate them better. | 60 |
| 15 | The partnership between the Ministry of Health, World Bicycle Relief, County Governments and development partners has so far facilitated the distribution of over 7,700 bicycles to Community Health Promoters across the country, significantly improving access to healthcare services in rural and hard-to-reach communities.
Today, we met with a World Bicycle Relief delegation led by Maureen Kolenyo, Regional Director for East Africa, to explore strategies for accelerating this initiative and expanding mobility support for Community Health Promoters.
We also discussed plans for the distribution of an additional 864 bicycles to further enhance household reach, strengthen referrals, improve service delivery efficiency, and support our efforts to advance Primary Health Care and achieve Universal Health Coverage.
This collaboration continues to demonstrate the power of partnerships in strengthening community health systems, empowering Community Health Promoters, and ensuring that quality healthcare services reach every household across the country. | 64 |
| 16 |  بدون متن... | 62 |
| 17 |  CHP Assembly Programme 15.06.2026, 5 PM
🦠 Theme: The Role of CHPs in Ebola Virus Disease Preparedness and Response
📅 Monday, 15th June 2026, 5:00 PM – 6:00 PM (EAT)
🔗 Join here: https://amref.zoom.us/webinar/register/WN_yGHNS5gyRa-1t9A1ojkpNw
Usikose.
AMREF always stream CHP Assembly on their Facebook, X and YouTube too.
*Later I will do the text live commentary here*
#CHPAssembly #CommunityHealth #EbolaPreparedness | 74 |
| 18 |  | 71 |
| 19 |  +1Some #CHPsBill2022 progress here.
At 5 PM Senate Majority Leader Aaron Cheruiyot rose and led Second Reading of the CHPs Bill 2022.
He talked about the CHPC and Disciplinary Committee. - He shared his suggestions
He talked about the issue their transfer from volunteers to county employees.
He said we shouldn't underestimate traditional medicine.
He said there are some issues CHPs can handle better than the other health practitioners.
Cherargei seconded.
He said this is just a framework.
He added this is the foundation.
ODM PL Oburu said CHPs take care of the ordinary person.
He appreciated the concept came from Bamako. - Used to charge for revolving fund
Stipends came.
He added this is an improvement. - And formalised
There will be little qualifications.
Ledama termed CHPs as unsung heroes.
I can't wait to read and share the hansard.
Debate will continue from 16.06.2026.
See more here https://www.facebook.com/share/v/1c3bUJc2gk/ . | 77 |
| 20 | The_Nairobi_Childcare_Community_of_Practice_Study_Implementation.pdf | 67 |
