The African Health Markets for Equity (AHME) is a five-year project that aims to improve health outcomes through the provision of quality private sector health care targeting the poor in Kenya, Nigeria and Ghana. In Kenya, the AHME project is supporting the National Hospital Insurance Fund (NHIF) to design, test, and scale-up the Health Insurance Subsidy Program (HISP) that will serve as a mechanism for the Government of Kenya to subsidize NHIF insurance cover for the poorest households in Kenya.

To supplement a quantitative impact evaluation of the programme, the NHIF plans to carry out a process evaluation. The aim of the process evaluation is to assess programme implementation and provide information that will help implementers determine the degree to which the HISP intervention was implemented as planned (implementation fidelity).

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