The Tunza Family Health Network was established in December of 2008 to serve vulnerable and underserved populations in Kenya. The network comprises select medical practitioners who have an existing and licensed private practice offering primary health care services to the community.
Population Services Kenya (PS Kenya) uses a social franchising model by entering into contractual agreements with health providers to deliver a specified package of franchised services and value propositions in accordance with franchise standards under a common brand.
The network currently has a membership of 415 privately owned clinics across Kenya’s 47 counties.
Family Planning, with a focus on the more cost-effective, long-term and reversible methods such as intrauterine devices (IUCDs) and implants was the flagship of Tunza services after inception. However, with time, PS Kenya has integrated other services into the network; these include Cervical Cancer Screening and Preventative Treatment (CCS&PT), Safe Motherhood, HIV Testing and Counseling (HTC), HIV Care and Treatment, Integrated Management of Childhood Illnesses – IMCI (Malaria, Diarrehea, Pneumonia), Immunization, Tuberculosis screening and treatment, Hypertension and Voluntary Male Medical Circumcision (VMMC).
The Tunza network has a dedicated Social Behavior Change Communications (SBCC) team of over 100 Community Health Workers (CHWs) commonly referred to as Tunza Mobilizers (TMs). Their mandate is to create a robust and informed demand for the franchise by mainly targeting women of reproductive age individually or through small group sessions to educate them on PS Kenya’s supported health areas and refer to franchisd clinics. The Tunza Mobilizers are recruited, trained and supervised by PS Kenya Communication staff.
PS Kenya uses a two-pronged approach in ensuring that providers are meeting and continuously improving on the quality of care offered to clients. At a macro level, Tunza supports the provider to holistically improve clinic quality. Since 2019, PS Kenya introduced the government owned Kenya Quality for Health Model (KQMH) as the principle quality assurance framework for quality improvement within the franchise. The Kenya Quality Model for Health is defined as a conceptual framework for guiding and supporting coordination in an integrated manner, efforts and investments aimed at improving quality of healthcare in Kenya. At a micro level: Tunza works with providers to help them enhance proficiency in service delivery by ensuring that franchised services are offered in accordance with National guidelines and Standard Operating Procedures (SOPs)
The Government of Kenya aspires to achieve universal coverage by 2030 and the National Health Insurance Fund (NHIF) plays a pivotal role in taking this agenda forward. To this end, PS Kenya has worked closely with NHIF to ensure that Tunza franchised facilities receive NHIF accreditation status. Currently over 50% of the Tunza network is accredited and offers services to over 480,000 NHIF members registered with Tunza for out-patient care. On the demand side, PS Kenya has continued to support the NHIF marketing team to educate and enroll customers to their health micro insurance products, especially Supa Cover and Linda Mama.
PS Kenya works with franchised facilitates to offer business training and support. The key objective of this program is to support health providers to become a better business manager and to grow your health practice through our Tunza Exclusive Franchise Benefits. The program is designed to extend health systems strenthening interventions and financing to complement their quality improvement plans, upgrade their equipment and infrustructure and increase the scope of services offered.
Using a Social Enterprise model, PS Kenya and PSI are jointly seeking to evolve classic social franchising that is donor-reliant to a more sustainable model. In 2018, PS Kenya, commenced work on the social enterprise, and 65 facilities registered interest to join the new model. Branded as Tunza Platinum, PS Kenya’s vision for the social enterprise is to sustainably deepen access to quality and affordable health services by bringing together three critical players; healthcare consumers, private health providers and insurance organizations (NHIF/private). At the core of Tunza Platinum is ensuring that the poor have access to affordable payment mechanisms and can seek care in private facilities.
As part of Tunza Platinum, PS Kenya introduced an automated Clinic Management System (CMS) which 39 facilities have purchased and installed. The principle objective of installing the CMS is to help clinics increase client volumes and revenue by capitalizing on efficiency gains presented by improved clinic operations because of automation. The CMS is part of a five pillar Tunza Platinum value proposition, which, once fully implemented, promises business growth for member clinics. The other elements of the value proposition include improved business processes, quality and clinical improvements, access to affordable medical equipment and drugs, marketing, and aggregation of insurance business. PS Kenya’s will monetize various VP pillars to earn revenue to fund its franchise operations. Progressive scale up of Tunza Platinum is running concurrently with the pilot.