Ngao Ya Afya (‘Shield for Health’)

Partnership objectives

Develop an innovative and comprehensive digital service model for diabetes and hypertension care to:

  • Provide quality and affordable NCD care and treatments to patients
  • Connect patients, healthcare professionals and payers and provide almost real-time availability of transaction data
  • Empower patients to improve adherence to care

Engage with payers to ensure sustainability of the model in the long term and scale it up nationwide and in other countries

What are the health needs and challenges?

Diabetes and hypertension are on the rise. The Global Health Observatory data estimates that hypertension will cause 7.5 million deaths globally which accounts for 12.8 % of total deaths. Sadly, prevalence of hypertension is highest in Africa region, accounting for 46% prevalence across both sexes. In Kenya, the 2014 Kenya Demographic Health Survey estimated a prevalence of 14% while the STEPwise survey in 2015 showed a 23% prevalence. Diabetes on the other hand is also an emergency in slow motion. According to International Diabetes Federation (IDF, 2015), diabetes global prevalence stands at 8.8% accounting for 415 million diagnosed with diabetes; 75% of these cases are in low and middle-income countries while prevalence in Kenya stands at 3-5% owing to increased urbanization rates, increased inactivity, and low fruit and vegetable intake among other behavioural risk factors.

Description of partnership activities and how they address needs and challenges

PharmAccess, CarePay and Sanofi launched Ngao Ya Afya to enhance access to affordable and quality diabetes and hypertension care. Ngao ya Afya is delivered via M-TIBA, a mobile healthcare platform that connects patients, payers and providers through a mobile health wallet, which can be used by anyone with access to a simple mobile phone. The wallet allows people to save money and receive insurance or other entitlements, ring-fenced for healthcare that can be spent in connected clinics. M-TIBA enables direct and targeted reach of large groups of patients with entitlements at virtually no transaction costs. The platform generates an unprecedented amount of data along the care process that creates transparency on costs and outcomes of care, at an individual patient level. These data can be used to provide smart, real-time feedback to patients, providers and payers and improve the value of care.

Through Ngao Ya Afya, registered patients in participating clinics are empowered to take charge of their own health through:

  • Access to care: a mobile benefit giving access to discounted diabetes and hypertension consultations,  medical tests and discounted Sanofi medicines through M-TIBA
  • Self-management tools to help patients track and manage their condition including lifestyle and adherence support and incentives, remote communication with physicians

Value of care is further improved through M-TIBA data informed decision-making tools that assist doctors to provide quality care.

The pilot phase will include around 500 diabetes and/or hypertension patients

Partnership information

Company(ies) Sanofi

Partner(s) CarePay, PharmAccess Foundation

Type of Partner(s) NGOs, Other Business

Therapeutic Focus Non-Communicable Diseases

Disease(s) Diabetes, Hypertension

Program Type(s) Availability of Treatment - Differential Pricing, Health System Infrastructure - mHealth, Health System Infrastructure - Outreach & Medical Services, Prevention Programs - Awareness & Outreach

Region(s) Sub-Saharan Africa

Number of Countries 1

Country(ies) Kenya

Start Date 2018

Anticipated completion date 2019