27/07/2025
Earlier this week, I had the opportunity to meet with Dr. Nicole Spieker, CEO of PharmAccess Foundation, based at their headquarters in Amsterdam.
PharmAccess has been a long-standing and strategic partner to Kisumu County, playing a vital role in helping drive and support innovation in healthcare delivery and mobilizing resources to support our local Universal Health Coverage (UHC) journey.
Together, we reflected on our shared progress over the years—from the rollout of the Marwa Kisumu Solidarity Health Cover which expanded insurance coverage for low-income households through digital platforms, to the implementation of SafeCare, a quality improvement model supporting health facilities to deliver safer, more efficient services.
We also discussed the ongoing pilot of the Safe MamaTech (MomCare) program, currently being implemented in Kisumu. This value-based model, co-created with the Kisumu County Department of Health, supports expectant mothers from pregnancy through postnatal care. It leverages mobile technology to improve antenatal attendance, encourage skilled facility-based deliveries, and offer integrated mental health support. The program also helps facilities enhance the quality of care, with performance incentives tied to quality improvement and patient satisfaction scores.
We further exchanged views on the potential impact of the ongoing withdrawal of U.S. government health funding, and the urgency of building sustainable, locally anchored solutions. Unfortunately, one of our most promising innovations—**Connect Diagnostics**, a program that supported community pharmacies to expand access to diagnostics—had to cease operations due to this funding cut.
With committed partners like PharmAccess, Kisumu remains focused on strengthening its health systems and advancing an inclusive, tech-enabled UHC model that puts people first.