Last Updated: 25/09/2025

Afya Uwazi: Third-Party Monitoring (TPM) for the Kenya Health Sector

Objectives

Third-Party Monitoring Activity (TPM) to support and expand existing efforts by USAID/Kenya to monitor the flows of health commodities through Kenya’s supply chain. These cover the health commodity requirements for priority public health programs of the MOH including HIV/AIDS, FP/RMNCAH, Nutrition and Malaria commodities worth approximately $150 Million every year. Through partnership with the MOH, KEMSA and other Implementing partners, substantial USG investments have made significant progress in strengthening Kenya’s health supply chain.

Rationale and Abstract

USAID will utilize FY 2022 funds to implement the Afya Uwazi activity which is a TPM activity that seeks to establish a comprehensive commodity surveillance system that will provide USAID, the Government of Kenya, and Kenyan counties with a unified platform and a set of tools for monitoring, analyzing and visualizing supply chain performance and risk by county, facility and commodity. In recent years, the Kenya public health supply chain, managed through the Kenya Medical Supplies Authority (KEMSA), has faced challenges related to visibility and inventory management and struggled to demonstrate sustained improvements in performance, accountability and transparency. This independent third-party surveillance system supports an end-to-end visibility of health commodities as they move through the supply chain. The activity will maintain a commodity surveillance system informed by the risk control framework and strategic engagement with key stakeholders. The activity will also be complemented by collaboration and networking with other supply chain and service delivery implementing partners to improve supply chain transparency and accountability. The activity reinforces the Mission’s priority on zero tolerance to health commodity losses and the need to shift responsibility for monitoring and improving the supply chain to individual counties.

Date

Jul 2020 — Jun 2026

Total Project Funding

$9.26M

Project Site

Kenya

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