About Us

Sikika activities

Sikika is currently implementing its 2010 – 2015 Strategic Plan, a programme that falls under three categories, as described later on this page.

The overall objective of the programme is to ensure equitable and affordable quality health care services through health systems social accountability at all levels of government. In order to achieve this, Sikika's activities focus on three areas which are:

Health Governance and Finance

Objective: Enhanced health and HIV/AIDS sector budget efficiency, transparency and accountability at both central and local government levels.

This component is geared towards stimulating policy makers for increased efficiency and effective budgeting. This will include conducting analyses of health and HIV/AIDS sector budgets in order to assess if allocations are according to plans, policies and priorities. We will also analyse how different groups, including MPs and citizens, access budget information.

In order to improve the oversight function of public resources, Sikika is also involved in conducting analysis of how the oversight bodies at central and district level perform and provide recommendations for improvement. We use radio, publications and other forms of media to raise awareness and spark discussion among citizens about the misuse and abuse of health and HIV/AIDS sector resources. We encourage citizens to demand for information from their local leaders and service providers, question issues and actively engage in demanding for better use of public resources.

Human Resource for Health

Objective: Improved accountability and equitable distribution of qualified health workers at all levels of service delivery.

This component's primary objective is to improve efficiency and equitable planning and budgeting for health workers. In achieving this, Sikika conducts analysis of health sector budget, plans, and expenditure reports regarding HRH training, hiring and equitable posting. We collect data, from the grassroots, about workloads and waiting times at health facilities to obtain information about equitable distribution of HRH across and within districts in relation to annual budgets. To improve equitable training, distribution and retention of health workers we conduct annual HRH deployment and retention monitoring surveys to gather information and advocate for equity in distribution and retention at all levels. To increase health workers' adherence to professional ethics (accountability) Sikika collects data and conduct analysis on citizens’ satisfaction with health workers adherence to ethics (corruption, language, case mismanagement). We also monitor the existence and use of facility based complaint mechanisms.

Medicines and Supplies

Objective: Increased transparency and accountability in the procurement and supply of quality medicines and medical supplies at all levels of health care delivery

This component mainly targets the availability of adequate standard medicines for the health system to be effective, efficient in the procurement, distribution and storage of medicines and supplies. To improve efficiency, equitable planning and budgeting for quality medicines, Sikika collect data on the amount of medicines and supplies ordered and received by health facilities in comparison to budget allocations. We also encourage citizens to collect data on medicine stock outs at the facilities. To improve efficiency, transparency and accountability in the procurement of medicines and supplies, Sikika periodically monitor availability of selected types of medicines and supplies at health facilities.