The Dynamic Costing Model (DCM) was developed in Kenya as an adaptable costing tool to account for the normative and actual costs of delivering the Kenya Essential Package for Health (KEPH) and other general health services. It offers a powerful tool for capacity building, budgeting, resource allocation, and cost control and thus evidence based data for decision making. The model has been functional since 2009, but is currently mainly used within the GIZ Health Programme and hence not widely known in the Kenyan Health Sector. To overcome this limitation, this project seeks to institutionalize the DCM and turn it into a self-sustaining product that maximizes its utility within the Kenyan health sector. This shall be achieved through the identification and the capacity building of a suitable Housing Institution.
The ToR requires the performance of four tasks in implementing the project, including the development of criteria for selecting a suitable Housing Institution (HI), the selection of the HI itself, a planning and mentoring plan on the DCM, based on an in-depth capacity analysis of the housing institution, and finally the development of a work plan to institutionalize the DCM whilst engaging government agencies and partners.
The approach towards the institutionalization of the DCM and the capacity building of the HI foresees activities at policy, organizational and individual level. At policy level, the project will work closely with a national-level oversight body comprised of key national-level partners, including the Kenyan Ministries of Health, to formulate strategies that will assist in the institutionalization of the DCM at the organizational and the national policy level. The oversight committee will be invited to participate in all decision-making processes during the project and will be tasked to unanimously select the HI for the DCM, based on the selection process agreed upon. At the organizational level, the intervention focuses on easing operational changes within the HI so that it can effectively implement the DCM. Amongst others, this will be achieved through the use of change management concepts to assist the HI to undergo an organizational process aimed at empowering staff to accept and embrace changes in their current work environment. At the individual level, the project will assist the HI in developing a training plan to capacitate key personnel and stakeholders inside and outside of the Housing Institution in the use of the DCM.