Center for Health Market Innovations (CHMI)

Programs

Penda Health

last updated May 9, 2013

Overview

Legal Status: 
Year Launched: 
2012
Stage: 
Pilot/startup stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Out-of-pocket payments
Additional Source(s) of Funding: 
Donor

Technology

Technology Used: 
Phones › SMS/MMS (Text Message), Computer
Technology Purpose: 
Facilitating Patient Communications › Encouraging Patient Compliance, Improving Data Management › Data Organization/Analysis

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
741 patients/month (as of Feb 2013); 614 paying patients in March; 654 in April; 7,000 patients total as of March 2013
Number of Facilities Operated/Networked: 
1 medical centre
Other Measures of Scale: 
The medical centre has provided cervical cancer screening for over 50 women.
Summary: 

Penda Health is a for-profit social enterprise that aims to provide high-quality general health services for hard to reach populations in Kenya, with a slight emphasis on women's health.

Program goals/rationale: 

Penda Health grew out of the realization that one in four women in Kenya have an unmet need for family planning services. Penda Health originally aimed to meet that need by opening a chain of Women's Health Centres and reaching out to customers via partnerships with community groups and places of employment. However, Penda found that women prefer to receive their reproductive health services at clinics where they can also take their children and husbands when they are sick. Therefore, Penda expanded the scope of its services to include the full range of primary care. They aim to provide: (1) accessibility; (2) affordability; (3) friendly, nonjudgmental staff; (4) high quality medical care; and (5) services for the whole family, including hard-to-find women’s services.

Key program components: 

Penda Health is open 12 hours a day on a walk-in basis. The medical centre is fully stocked with supplies, medicines, tests, and essential equipment. Medical Centres are outpatient, and staffed by nurses (or clinical officers) and receptionists, with medical officer oversight. Medical centres provide consultations, diagnostic tests and medicines, and specialize in women’s services such as breast and cervical cancer screening and family planning. In addition, staff hold information sessions at churches, community meetings, women’s groups, and other avenues that help them engage potential clients. Approximately 60% of Penda's patients are women, 20% are children and 20% are men.

Penda currently accepts payments made through MPESA. They also accept insurance from select private providers (a micro-insurance scheme and a larger corporate scheme) and are looking to get onto the national health insurance scheme.

Penda is a franchised member of the Tunza Family Health Network for their reproductive health services.

EHEALTH SOLUTIONS: Penda Health uses a customized system, accessible from a PC, to track stock and expiry dates. When supplies run low, a warning is triggered to make sure more are ordered. Staff also text patients to make sure they're taking their drugs at the right times and in the right way, or to tell groups of patients that a specialist is visiting. Penda is also working on developing their own electronic medical records system - that ultimately will allow them to share records, if need be, with specialists both within Kenya and internationally.

MOBILE CLINIC: As of March 2013, Penda has held 3 "mobile clinics" to reach patients farther away from their clinic. By keeping them simple (bringing their regular medical equipment and using tents and chairs) and placing them near markets, Penda has managed to break-even financially on these mobile clinics. These clinics are generally staffed by one or two clinicians and several support staff; Penda may also hire a day nurse or clinical offer. If patients require labs or additional treatment, they are asked to come to Penda's static clinic - Penda has found that patients are willing to make the longer trek to their clinic if a doctor tells them that they need to.

SCREENING DAYS: Once or twice a month, Penda holds a screening day at their medical centres during which they will provide free or discounted consulations for a specific ailment (e.g. diabetes). To attract additional patients and increase excitement, Penda will also provide face-painting, shoe-shining, massages, nail-painting, etc.

MOVING FORWARD: Penda is actively looking to increase the number of medical centres, aiming to reach 3 or 4 total by the end of 2013. Penda is also looking to get grant funding to experiment with a membership scheme called "Penda Unlimited." Under this scheme, patients would pay a monthly fee that would include preventative healthcare and treatment for disease.

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