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More efficient family planning market emerging in Kenya to reduce reliance on the public purse

Palladium's TMA framework has been used to identify market inequities and policy barriers to reduce the level of government and donor financing required to deliver family planning commodities.

The ESHE project supports increased government stewardship and stakeholder engagement for a Total Market Approach in Kenya.

Palladium strives to build new pathways to facilitate health equity and impact through Total Market Approaches (TMA). TMA is an evidence-based process that uses data to understand market trends, recognize the comparative strengths of various sectors, and apply market-shaping strategies to influence positive, sustainable growth of health products and services.

Kenya’s international donors have supported private sector health delivery at scale for many years, but with limited coordination among market players. Prior to 2015, there were occasional references to TMA in Kenya, yet few concrete actions or results.

In early 2015, Palladium’s DFID-funded Enabling Sustainable Health Equity (ESHE) family planning project was mandated to support the government with design and rollout of the country’s first comprehensive TMA for family planning (FP). The ESHE project supports increased government stewardship and stakeholder engagement for TMA in Kenya, providing important country-level perspective on everyday successes and challenges of TMA implementation. In 2016 and 2017, donor support for FP commodities was significantly reduced, created a funding gap of US$4.8 million in 2018 and projected funding gap of US$6.3 million in 2019. The emphasis on TMA in Kenya is timely as donors and government consider market-driven solutions to increase overall efficiency of the FP market.

This case study demonstrates how the Palladium TMA framework has been used to identify market inequities and policy barriers and design specific market-shaping interventions—highlighting how TMA can serve as a catalyst for a more efficient FP market overall and reduce the level of government and donor financing required to support delivery of FP commodities.

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