Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization
The 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. S...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://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 http://hdl.handle.net/10986/20807 |
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okr-10986-20807 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
BACKBONE BIDDING BUSINESS MODEL CAPABILITIES CAPITAL INVESTMENTS CASH CYCLE CASH FLOW CERTIFICATION COMMODITIES COMMODITY COMMUNICATION TECHNOLOGY COMMUNITIES CUSTOMER SERVICE CUSTOMIZATION DISTRIBUTION SYSTEM ELECTRONIC BULLETIN BOARD EQUIPMENT ESSENTIAL DRUGS FINANCIAL FLOW HEALTH CENTERS HEALTH FACILITIES HEALTH FINANCING HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HIV/AIDS HOSPITALS ICT INFORMATION SYSTEM INVENTORY INVENTORY MANAGEMENT LEGAL FRAMEWORK LEVELS OF INVENTORY LOGISTICS SERVICE PROVIDER MARKET CONDITIONS MARKETING MEDICAL SUPPLIES MEDICINES MOBILE PHONE MOBILE PHONES MOBILE SERVICE ORDER FULFILLMENT OUTSOURCING PERFORMANCE INDICATORS PHARMACISTS PHARMACY PRICE COMPETITIVENESS PRISONS PROCUREMENT PROCUREMENT PROCESS PRODUCT CATEGORIES PUBLIC HEALTH PURCHASING QUALITY CONTROL QUERIES RELATIONSHIP MANAGEMENT RESOURCE PLANNING RESULT RESULTS SALE SALES SERVICE LEVEL AGREEMENTS STANDARDIZATION STOCKS STORAGE SPACE SUPPLIER SUPPLIERS SUPPLY CHAIN SUPPLY CHAINS SUPPLY NETWORK TECHNICAL ASSISTANCE TECHNICAL ASSISTANCE PROJECTS TECHNICAL MEASURE TECHNICAL SUPPORT TRAINING WORKSHOPS TURNOVER UNIVERSAL SERVICE UNIVERSAL SERVICE OBLIGATION VERIFICATION WAREHOUSE WAREHOUSES WORKING STYLE |
| spellingShingle |
BACKBONE BIDDING BUSINESS MODEL CAPABILITIES CAPITAL INVESTMENTS CASH CYCLE CASH FLOW CERTIFICATION COMMODITIES COMMODITY COMMUNICATION TECHNOLOGY COMMUNITIES CUSTOMER SERVICE CUSTOMIZATION DISTRIBUTION SYSTEM ELECTRONIC BULLETIN BOARD EQUIPMENT ESSENTIAL DRUGS FINANCIAL FLOW HEALTH CENTERS HEALTH FACILITIES HEALTH FINANCING HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HIV/AIDS HOSPITALS ICT INFORMATION SYSTEM INVENTORY INVENTORY MANAGEMENT LEGAL FRAMEWORK LEVELS OF INVENTORY LOGISTICS SERVICE PROVIDER MARKET CONDITIONS MARKETING MEDICAL SUPPLIES MEDICINES MOBILE PHONE MOBILE PHONES MOBILE SERVICE ORDER FULFILLMENT OUTSOURCING PERFORMANCE INDICATORS PHARMACISTS PHARMACY PRICE COMPETITIVENESS PRISONS PROCUREMENT PROCUREMENT PROCESS PRODUCT CATEGORIES PUBLIC HEALTH PURCHASING QUALITY CONTROL QUERIES RELATIONSHIP MANAGEMENT RESOURCE PLANNING RESULT RESULTS SALE SALES SERVICE LEVEL AGREEMENTS STANDARDIZATION STOCKS STORAGE SPACE SUPPLIER SUPPLIERS SUPPLY CHAIN SUPPLY CHAINS SUPPLY NETWORK TECHNICAL ASSISTANCE TECHNICAL ASSISTANCE PROJECTS TECHNICAL MEASURE TECHNICAL SUPPORT TRAINING WORKSHOPS TURNOVER UNIVERSAL SERVICE UNIVERSAL SERVICE OBLIGATION VERIFICATION WAREHOUSE WAREHOUSES WORKING STYLE Yadav, Prashant Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| geographic_facet |
Africa Kenya |
| description |
The 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. |
| format |
Publications & Research :: Working Paper |
| author |
Yadav, Prashant |
| author_facet |
Yadav, Prashant |
| author_sort |
Yadav, Prashant |
| title |
Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| title_short |
Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| title_full |
Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| title_fullStr |
Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| title_full_unstemmed |
Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization |
| title_sort |
kenya medical supplies authority : a case study of the ongoing transition from an ungainly bureaucracy to a competitive and customer-focused medical logistics organization |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://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 http://hdl.handle.net/10986/20807 |
| _version_ |
1764447115181817856 |
| spelling |
okr-10986-208072021-04-23T14:03:59Z Kenya Medical Supplies Authority : A Case Study of the Ongoing Transition from an Ungainly Bureaucracy to a Competitive and Customer-Focused Medical Logistics Organization Yadav, Prashant BACKBONE BIDDING BUSINESS MODEL CAPABILITIES CAPITAL INVESTMENTS CASH CYCLE CASH FLOW CERTIFICATION COMMODITIES COMMODITY COMMUNICATION TECHNOLOGY COMMUNITIES CUSTOMER SERVICE CUSTOMIZATION DISTRIBUTION SYSTEM ELECTRONIC BULLETIN BOARD EQUIPMENT ESSENTIAL DRUGS FINANCIAL FLOW HEALTH CENTERS HEALTH FACILITIES HEALTH FINANCING HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HIV/AIDS HOSPITALS ICT INFORMATION SYSTEM INVENTORY INVENTORY MANAGEMENT LEGAL FRAMEWORK LEVELS OF INVENTORY LOGISTICS SERVICE PROVIDER MARKET CONDITIONS MARKETING MEDICAL SUPPLIES MEDICINES MOBILE PHONE MOBILE PHONES MOBILE SERVICE ORDER FULFILLMENT OUTSOURCING PERFORMANCE INDICATORS PHARMACISTS PHARMACY PRICE COMPETITIVENESS PRISONS PROCUREMENT PROCUREMENT PROCESS PRODUCT CATEGORIES PUBLIC HEALTH PURCHASING QUALITY CONTROL QUERIES RELATIONSHIP MANAGEMENT RESOURCE PLANNING RESULT RESULTS SALE SALES SERVICE LEVEL AGREEMENTS STANDARDIZATION STOCKS STORAGE SPACE SUPPLIER SUPPLIERS SUPPLY CHAIN SUPPLY CHAINS SUPPLY NETWORK TECHNICAL ASSISTANCE TECHNICAL ASSISTANCE PROJECTS TECHNICAL MEASURE TECHNICAL SUPPORT TRAINING WORKSHOPS TURNOVER UNIVERSAL SERVICE UNIVERSAL SERVICE OBLIGATION VERIFICATION WAREHOUSE WAREHOUSES WORKING STYLE The 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. 2014-12-18T21:21:31Z 2014-12-18T21:21:31Z 2012-04 http://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 http://hdl.handle.net/10986/20807 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa Kenya |