UHC

Progress towards effective service

coverage and financial protection

01
How many medical appeal groups have you been
invited to in the last year?

How many times have you heard that NHIF paid

for just some services but not all?

How many private health providers accept NHIF

national scheme clients (NHIF-NS)?
02
Pain points
01 Consultation only

02 Capitation at Ksh. 100 per month per HH

03 Limited access to private facilities

04 KAP on selection of health facilities

03
Solution
01 Map out outpatient morbidity

02 Develop a outpatient package @ max Ksh. 1000

03 Sensitization on criteria for selection of facilities

KAP on selection of health facilities

04

04
Strategy
Outpatient package Ksh. 1000
Capitation/household: Ksh. 100
Number selecting health facility: x 02

Profitability index of 1 = revenue/ expenses

y% - maximum proportion of clients spending the package

Revenue per month = 100% * x* 100

Expense per month = y% * x * 1000
At break even, 10% are receiving the package per month
05
Market size
NHIF NS clients Laikipia - 68,230
TAM -25,928
38% in Nanyuki - 25,928

SAM - 6,931
Outpatient morbidity 2019 - 26%

6,931 NHIF NS OP morbidity

SOM - 2,772
Market share of 40% - 2,772
Assume this is 10% of NHIF -NS selecting our facility
100% - 27,720
06
Monthly revenue from capitation is Ksh. 2,772,000
Traction

07
Impact Attitudinal
&
Behavioral

Health
Policy
& Cultural
Wellbeing

Economic
08
Ask

09
Team
Founders Advisors

Dr. Maina Dr. Mathu Mrs. Wanjohi Mr. Kiarie

Mr. Mwaura Mr. Trevor Mr. Mancini
Administrative Clinical Director Human Resource Marketing &
Finance ICT Strategy &
Director communication
Innovation

Support team Medical Team

Ms. Ngina Ms. Okumu Dr. Gakenia Dr. Ndende Ms. Karanu Mr. Kiriiri. Lab
Dr. Muthembwa
support Admin Surgeon Physician C. O
Gyn/Obs