Programme material

The Vital Signs Profiles tool developed by the Primary Health Care Performance Initiative (PHCPI) is used to measure Primary Health Care (PHC) performance. Evidence for Action (E4A)-MamaYe team supported the County Government of Bungoma in Kenya to readapt this new measurement tool and fit their context. The VSP handbook will be useful for policymakers, advocates and citizens of Bungoma County to better understand the state of PHC in their county and identify issues of priority.

The Steps to Change model is a visual representation of how a joint goal by a coalition of advocates can be achieved through a series of steps/actions to address the root cause that led to a health problem. Steps to Change is about adaptation and flexibility with the aim to achieve the desired change.

Coalitions are a group working together, discussing a need or an issue, and then forming a plan to address those. It is a collaborative effort between advocates to address a common problem.

A scorecard is a visual display of performance against a set of agreed indicators against targets. Usually, traffic lights colours – green, amber and red – are used to depict performance, with green meaning good progress, amber meaning moderate progress and red meaning poor progress.

Public participation can enable citizens, including advocacy groups, to access information on budget decisions so that they are able to better understand the issues and options that the Government are considering. While participating in the process, citizens can influence decisions by speaking on behalf of the people they represent.

Planning health budget advocacy will help you and other advocates to ensure that your advocacy efforts happen at the right time and deliver the right information to the right audience.

Establishing the funding flow can give you a better understanding of how money flows through the health system and where there might be bottlenecks preventing money from reaching health facilities.

Mapping the budget cycle will help you explore when decisions are made, by whom, and how you can engage directly or via champions.

Establishing the health financing context can help you to get a better picture of the state of funding for health in your country. It will help you to check who is paying for health, and to what extent the Government are moving towards universal health coverage.

The Health Budget Advocacy Brief will help you to visualise complex health and budget information. It links financial data on budget allocation and budget performance (release and spending) to data on service delivery and utilisation.