25/03/2026
𝗧𝗵𝗲 𝗙𝗮𝗰𝗶𝗹𝗶𝘁𝘆 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁 𝗙𝗶𝗻𝗮𝗻𝗰𝗶𝗻𝗴 (𝗙𝗜𝗙) 𝗶𝗻 𝗞𝗲𝗻𝘆𝗮 is a health reform that allows public health facilities to retain, manage, and use revenue collected (from insurance, user fees, donations, reimbursements etc)locally and Independently from county centralisation to improve service delivery. The framework designed to strengthen the financial management of public health facilities ensuring resources are available where care is delivered and needed most.
Here’s how FIF improves service delivery:
✅ 𝗙𝗶𝗻𝗮𝗻𝗰𝗶𝗮𝗹 𝗶𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝗰𝗲 𝗮𝘁 𝗳𝗮𝗰𝗶𝗹𝗶𝘁𝘆 𝗹𝗲𝘃𝗲𝗹
FIF allows public health facilities to retain and manage revenue collected through user fees and insurance payments. This gives facilities the flexibility to cover operational costs such as utilities, minor repairs, and essential supplies, & equipment without delays.
✅ 𝗦𝘁𝗿𝗼𝗻𝗴𝗲𝗿 𝗴𝗼𝘃𝗲𝗿𝗻𝗮𝗻𝗰𝗲 𝗮𝗻𝗱 𝗹𝗼𝗰𝗮𝗹 𝗱𝗲𝗰𝗶𝘀𝗶𝗼𝗻‐𝗺𝗮𝗸𝗶𝗻𝗴
The Act establishes a facility‑level governance framework that brings decision‑making powers closer to local communities, ensuring that health facilities are better managed at the facility level.
✅ 𝗜𝗻𝘁𝗲𝗴𝗿𝗮𝘁𝗶𝗼𝗻 𝗶𝗻𝘁𝗼 𝗰𝗼𝘂𝗻𝘁𝘆 𝗽𝗹𝗮𝗻𝗻𝗶𝗻𝗴 𝗮𝗻𝗱 𝗯𝘂𝗱𝗴𝗲𝘁𝗶𝗻𝗴
FIF integrates health facilities into county annual planning and budgeting processes, ensuring that facility priorities are considered alongside other county needs. This strengthens alignment between plans, budgets, and actual service delivery.
✅ 𝗗𝗶𝗿𝗲𝗰𝘁 𝘀𝘂𝗽𝗽𝗼𝗿𝘁 𝘁𝗼 𝗵𝗲𝗮𝗹𝘁𝗵 𝘀𝗲𝗿𝘃𝗶𝗰𝗲𝘀
Funds retained through FIF are used to support the delivery of health services. This includes the purchase of essential medicines, medical supplies, and basic equipment therefore directly improving the patient experience.
𝗧𝗵𝗲 𝗶𝗺𝗽𝗮𝗰𝘁 𝗼𝗳 𝗙𝗜𝗙 𝗶𝘀 𝗶𝗻𝗰𝗿𝗲𝗮𝘀𝗶𝗻𝗴𝗹𝘆 𝘃𝗶𝘀𝗶𝗯𝗹𝗲. 𝗜𝗻 𝗡𝗮𝗶𝗿𝗼𝗯𝗶 𝗖𝗼𝘂𝗻𝘁𝘆, 𝗳𝗮𝗰𝗶𝗹𝗶𝘁𝘆 𝗿𝗲𝘃𝗲𝗻𝘂𝗲𝘀 𝗺𝗼𝗿𝗲 𝘁𝗵𝗮𝗻 𝗱𝗼𝘂𝗯𝗹𝗲𝗱 𝘄𝗶𝘁𝗵𝗶𝗻 𝟮𝟬𝟮𝟱.
This growth translates into real benefits for patients: 𝗲𝘅𝗽𝗮𝗻𝗱𝗲𝗱 𝘀𝗲𝗿𝘃𝗶𝗰𝗲𝘀, 𝗯𝗲𝘁𝘁𝗲𝗿‐𝗺𝗮𝗶𝗻𝘁𝗮𝗶𝗻𝗲𝗱 𝗳𝗮𝗰𝗶𝗹𝗶𝘁𝗶𝗲𝘀, 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝗱 𝗮𝘃𝗮𝗶𝗹𝗮𝗯𝗶𝗹𝗶𝘁𝘆 𝗼𝗳 𝘀𝘂𝗽𝗽𝗹𝗶𝗲𝘀, 𝗮𝗻𝗱 𝗴𝗿𝗲𝗮𝘁𝗲𝗿 𝗰𝗮𝗽𝗮𝗰𝗶𝘁𝘆 𝘁𝗼 𝗿𝗲𝘀𝗽𝗼𝗻𝗱 𝘁𝗼 𝗲𝘃𝗲𝗿𝘆𝗱𝗮𝘆 𝗼𝗽𝗲𝗿𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗻𝗲𝗲𝗱𝘀.
Last week, facility in‑charges across Nairobi County convened to share best practices, learning from one another on how to manage FIF effectively and use these resources to strengthen service delivery.
𝗪𝗵𝗲𝗻 𝗳𝗮𝗰𝗶𝗹𝗶𝘁𝗶𝗲𝘀 𝗵𝗮𝘃𝗲 𝘁𝗵𝗲 𝗮𝘂𝘁𝗵𝗼𝗿𝗶𝘁𝘆, 𝘀𝘆𝘀𝘁𝗲𝗺𝘀, 𝗮𝗻𝗱 𝗿𝗲𝘀𝗼𝘂𝗿𝗰𝗲𝘀 𝘁𝗼 𝗮𝗰𝘁, 𝘀𝗲𝗿𝘃𝗶𝗰𝗲 𝗱𝗲𝗹𝗶𝘃𝗲𝗿𝘆 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝘀 — 𝗮𝗻𝗱 𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝘁𝗶𝗲𝘀 𝗳𝗲𝗲𝗹 𝘁𝗵𝗲 𝗱𝗶𝗳𝗳𝗲𝗿𝗲𝗻𝗰𝗲.
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