provide for an efficient, secure and accountable mechanism for the collection, retention and management of revenue derived from health services rendered at public health facilities in Kenya;

establish a governance framework that will facilitate effective planning, coordination, mobilization and access of public health facilities' improvement financing in Kenya;

provide for the appropriation, management and use of budgeted health services revenue to supplement operations and facilitate quality service delivery in public health facilities;

promote equitable health facilities improvement financing including benefit sharing in accordance with the relevant laws of Kenya; and

provide for a unified system to guide financial management in public health facilities, improving efficiency and effectiveness and ultimately quality health service delivery.

own source revenues that include monies received as user fees, charges and monies paid as reimbursement for services received from insurance firms or other relevant entities;

money appropriated by the County Government to the health facilities from the equitable share;

conditional grants; and

donations and gifts.

support the respective public health facilities’ optimal operations for effective service delivery throughout the financial year;

subject to applicable financial laws and regulations, ensure readily available financial resources for purchase and acquisition of urgent goods and services at the respective health facility;

enhance, where applicable, the accessibility and predictability of finances for procurement of essential products, commodities and technologies;

ensure that health services are available, accessible, acceptable, affordable and of good quality and standard;

guarantee that health facilities are optimally resourced to offer quality care to all patients;

facilitate primary health care and preventive services at the community level;

sustain daily operations and promote improved access to health services to all residents in the Republic of Kenya; and

fund ambulance services for the transfer of patients from one health facility to another.

developing policy guidelines, including on revenue management and governance to promote transparency and prudent use;

collecting, receiving, collating and analyzing data for facility improvement financing policy formulation and support;

establishing a repository for financial information systems facility improvement financing linking county level plans to national level health policy interventions;

providing feedback based on data received to assist the national and county government performance monitoring of the facility improvement financing to ensure effective implementation; and

prescribing and assisting in the setting up of a standardized facility improvement financing health data systems.

facilitating effective collection and retention of facility improvement financing revenue by the public health facility in accordance with this Act;

collating and reporting on all facility improvement financing revenue collected by public health facilities and ensuring their reflection in the County Budget Implementation Review Report as Appropriation in Aid;

implementing policies that will ensure direct complementary funding for all public health facilities;

establishing a repository for financial information systems facility improvement within the respective county;

reviewing and approving expenditure plans and issuance of timely authority to incur expenditure to health facilities;

subject to the relevant financial laws, overseeing health facilities to ensure optimal management of revenues;

planning and budgeting support to health facilities to ensure integration into the county planning and budgeting process on facility improvement financing;

evaluating the quality of health services and its linkage to health resource allocation decisions on facility improvement financing;

ensuring that community members are represented in the facility improvement financing governance structures of public health facilities;

appointing health facility management committees, health management committees and Boards, where applicable, and publishing in the official Gazette; and

performing any other role that the county or national legislation may prescribe on facility improvement financing.

co-ordinating and overseeing the interpretation and implementation of county health laws and national health policies, including maintenance of standards on quality, performance, co-ordination and regulation, and control of all health and private sectors in their areas of jurisdiction;

reviewing, monitoring the implementation and advising the county department of health on appropriate measures to be adopted for effective implementation of relevant national and county legislation and policies;

co-ordinating, supporting and supervising the planning, implementation, monitoring and evaluation of technical and managerial activities for health services in the county;

ensuring that good governance and management standards are applied within facilities and in the relations between facilities;

supporting sub-county health management teams and facility management teams in preparing annual and quarterly operational plans, including their respective budgets and procurement plans;

reviewing and approving the consolidated facility plans submitted by sub-county hospitals;

providing support and supervision to the management of county health facilities;

developing supplementary sources of income for the provision of services, in so far as these are compatible with the applicable law;

making due provision and developing criteria to compensate health care facilities for debts arising through failure to secure payment for bills or from non-payment of treatment of indigent users;

checking the accuracy and timeliness of all financial reports submitted by the sub-county health facility management team to facilitate prompt approval of spending by facilities;

ensuring that available qualified human resources are equitably deployed, capacity building needs assessed and any identifed gaps effectively addressed;

ensuring an efficient and effective vertical and horizontal flow of information;

reviewing and approving annual financial statements and reports before submission to the chief officer of health; and

ensuring that health facilities are adequately resourced in terms of budgetary provisions, health products and technologies, equipment and human resource.

support health facility management teams in preparing annual and quarterly operational plans, including their respective budgets and procurement plans;

review and consolidate plans submitted by health facility management teams;

consolidate and send annual and quarterly facility budgets to the County Health Management Team for approval by the Department of Health; and

check the accuracy and timeliness of all financial reports submitted by the Hospital Management Team in order to facilitate prompt release of quarterly funds.

the medical superintendent;

the hospital administrator;

the hospital accountant;

the hospital procurement officer; and

all departmental heads.

prepare and present the annual hospital work plan and budget;

prepare monthly, quarterly and annual financial reports;

monitor the performance target of the facility improvement financing and other sources of funds to the facility;

undertake resource mobilization for the hospital;

ensure internal audits are periodically undertaken to mitigate financial risks;

ensure external audits are undertaken on a timely basis;

ensure efficient and effective utilization of resources paid into the facility improvement financing; and

receive reports and monitor collection, waivers, exemptions, expenditure and use of funds.

consider and submit for approval to the chief officer the annual facility work plan and budget;

consider and submit for approval to the chief officer the facility quarterly budgets;

ensure the quarterly implementation plans and budgets are based on available resources;

monitor the utilization of facility improvement financing and take corrective action in relation to implementation challenges identified that hinder efficient absorption of funds;

ensure all financial procedures and reporting requirements are met by the facility in-charges and conform to the Public Finance Management Regulations;

ensure strict adherence to procurement rules as prescribed in the Public Procurement and Asset Disposal Act (No. 33 of 2015);

ensure public awareness on administration of the facility improvement financing through public participation during annual planning and budgeting;

receive the audit report and initiate response to management queries;

implement the recommendations of the Auditor-General made pursuant to section 31(3)(a) of the Public Audit Act (No. 34 of 2015);

implement the recommendations of the Senate and the respective county assembly on the, relevant report of the Auditor-General;

implement the relevant recommendations of the Controller of Budget on the facility; and

act as liaison between the health center or dispensary and the community to strengthen delivery of quality health services.

submit the facility’s financial statements to the Auditor-General in accordance with the Public Audit Act (No. 34 of 2015); and

submit a copy of the facility’s financial statements to the Controller of Budget and the Commission on Revenue Allocation.