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Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization

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dc.contributor.authorYadav, Prashant
dc.date.accessioned2014-12-18T21:21:31Z
dc.date.available2014-12-18T21:21:31Z
dc.date.issued2012-04
dc.description.abstractThe Kenya Medical Supplies Authority (KEMSA) is a state-owned health logistics service company with the core mandate to procure, warehouse and distribute healthcare commodities to public sector health facilities and other public sector customers. Since the inception of KEMSA in 2000 there have been multiple projects and initiatives to improve the performance of KEMSA. However, despite these efforts, and until recently KEMSA had struggled to effectively demonstrate any sustained improvements in performance. In the last 3-4 years, KEMSA under its new leadership has shown sustained improvements in performance, accountability and transparency. In the last year, the Government of Kenya has embarked on the devolution of health financing to the counties to ensure that services are delivered effectively and efficiently to communities. The devolution has resulted in a significant change in the way KEMSA receives monies for carrying out its activities. Of particular relevance is that the devolution has led to ordering and payment for drugs and health commodities by counties. This required KEMSA to reconfigure its business model to serve the 47 counties in Kenya as its customers. The World Bank, through its Health Sector Support Project (HSSP), capitalized KEMSA in order to meet working capital needs that would arise under the new devolved system of financing. Competitive pressures arising from devolution and the new business model, a new management structure with strong leadership and governance, technical support from development partners such as the World Bank and United States Agency for International Development (USAID), and greater flexibilities arising from KEMSA s change of status to a public authority together are converging to create a new KEMSA. It is an opportune time to study the state of reforms at KEMSA, highlight the successes, and develop ideas for meeting the challenges ahead. The ongoing transformation of KEMSA from a bureaucratic state-run medicines supply agency to a more independent and competitive medical logistics authority is an important milestone and it presents opportunities for other countries to learn from the successes and failures at KEMSA.en
dc.identifierhttp://documents.worldbank.org/curated/en/2012/04/20330086/kenya-medical-supplies-authority-kemsa-case-study-ongoing-transition-ungainly-bureaucracy-competitive-customer-focused-medical-logistics-organization
dc.identifier.doi10.1596/20807
dc.identifier.urihttps://hdl.handle.net/10986/20807
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectBACKBONE
dc.subjectBIDDING
dc.subjectBUSINESS MODEL
dc.subjectCAPABILITIES
dc.subjectCAPITAL INVESTMENTS
dc.subjectCASH CYCLE
dc.subjectCASH FLOW
dc.subjectCERTIFICATION
dc.subjectCOMMODITIES
dc.subjectCOMMODITY
dc.subjectCOMMUNICATION TECHNOLOGY
dc.subjectCOMMUNITIES
dc.subjectCUSTOMER SERVICE
dc.subjectCUSTOMIZATION
dc.subjectDISTRIBUTION SYSTEM
dc.subjectELECTRONIC BULLETIN BOARD
dc.subjectEQUIPMENT
dc.subjectESSENTIAL DRUGS
dc.subjectFINANCIAL FLOW
dc.subjectHEALTH CENTERS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHIV/AIDS
dc.subjectHOSPITALS
dc.subjectICT
dc.subjectINFORMATION SYSTEM
dc.subjectINVENTORY
dc.subjectINVENTORY MANAGEMENT
dc.subjectLEGAL FRAMEWORK
dc.subjectLEVELS OF INVENTORY
dc.subjectLOGISTICS SERVICE PROVIDER
dc.subjectMARKET CONDITIONS
dc.subjectMARKETING
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICINES
dc.subjectMOBILE PHONE
dc.subjectMOBILE PHONES
dc.subjectMOBILE SERVICE
dc.subjectORDER FULFILLMENT
dc.subjectOUTSOURCING
dc.subjectPERFORMANCE INDICATORS
dc.subjectPHARMACISTS
dc.subjectPHARMACY
dc.subjectPRICE COMPETITIVENESS
dc.subjectPRISONS
dc.subjectPROCUREMENT
dc.subjectPROCUREMENT PROCESS
dc.subjectPRODUCT CATEGORIES
dc.subjectPUBLIC HEALTH
dc.subjectPURCHASING
dc.subjectQUALITY CONTROL
dc.subjectQUERIES
dc.subjectRELATIONSHIP MANAGEMENT
dc.subjectRESOURCE PLANNING
dc.subjectRESULT
dc.subjectRESULTS
dc.subjectSALE
dc.subjectSALES
dc.subjectSERVICE LEVEL AGREEMENTS
dc.subjectSTANDARDIZATION
dc.subjectSTOCKS
dc.subjectSTORAGE SPACE
dc.subjectSUPPLIER
dc.subjectSUPPLIERS
dc.subjectSUPPLY CHAIN
dc.subjectSUPPLY CHAINS
dc.subjectSUPPLY NETWORK
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTECHNICAL ASSISTANCE PROJECTS
dc.subjectTECHNICAL MEASURE
dc.subjectTECHNICAL SUPPORT
dc.subjectTRAINING WORKSHOPS
dc.subjectTURNOVER
dc.subjectUNIVERSAL SERVICE
dc.subjectUNIVERSAL SERVICE OBLIGATION
dc.subjectVERIFICATION
dc.subjectWAREHOUSE
dc.subjectWAREHOUSES
dc.subjectWORKING STYLE
dc.titleKenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organizationen
dspace.entity.typePublication
okr.date.disclosure2014-10-28
okr.date.doiregistration2025-05-05T12:18:47.260356Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2012/04/20330086/kenya-medical-supplies-authority-kemsa-case-study-ongoing-transition-ungainly-bureaucracy-competitive-customer-focused-medical-logistics-organization
okr.globalpracticeHealth, Nutrition, and Population
okr.guid876311468277741016
okr.identifier.externaldocumentum000470435_20141028095512
okr.identifier.internaldocumentum20330086
okr.identifier.report91864
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/28/000470435_20141028095512/Rendered/PDF/918640WP0P14870e0ongoing0Transition.pdfen
okr.region.administrativeAfrica
okr.region.countryKenya
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: Health system performance
okr.topicHealth Monitoring and Evaluation
okr.topicMacroeconomics and Economic Growth::Markets and Market Access
okr.topicHousing and Human Habitats
okr.topicHealth Systems Development and Reform
okr.topicPrivate Sector Development::E-Business
okr.topicCommunities and Human Settlements
okr.topicHealth, Nutrition and Population
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