Agnes Gatome-Munyua is a health financing professional with more than 15 years of experience.
At Results for Development (R4D), Ms. Gatome-Munyua is a program director on the health team. She currently shares her time between the Financing Accelerator Network for Non-Communicable Diseases (FAN) and Advancing Realistic Health Systems Design and Planning for Primary Health Care (HSDP) projects.
She has also worked on the Strategic Purchasing Africa Resource Center (SPARC), Cross Programmatic Efficiency Analysis and the Act to End Neglected Tropical Diseases | East. She has broad experience in strategic purchasing and provider payment in Africa and Asia from her work on SPARC and as a technical facilitator on the Joint Learning Network for Universal Health Coverage (JLN).
In previous roles, Ms. Gatome-Munyua was a health financing specialist at Abt Associates where she worked on USAID-funded regional and global projects. In these roles, she supported private health insurers increase low-cost health insurance sales, costed health services across East African countries, conducted policy analysis, supported an IT firm to develop an electronic data interchange for claims processing, conducted market research for health insurance, and led a communication campaign to increase uptake of health insurance. She also participated in public-private sector engagement and dialogue and health financing forums at country and regional levels.
Ms. Gatome-Munyua has a master’s degree in health policy planning and financing from the London School of Economics and Political Sciences and London School of Hygiene and Tropical Medicine and a bachelor’s degree in medicine and surgery from the University of Nairobi. She is a member of the International Health Economics Association, Health Systems Global and African Health Economics and Policy Association.
- Gatome-Munyua A, Sparkes S, Mtei G, Sabignoso M, Soewondo P, Yameogo P, Hanson K, Cashin C. Reducing fragmentation of primary health care financing for more equitable, people-centered primary health care. BMJ Global Health. 2025;10:e015088. doi:10.1136/bmjgh-2024-015088 https://gh.bmj.com/content/bmjgh/10/1/e015088.full.pdf
- Gatome-Munyua A, Earle A, Sparkes S, Ravishankar N. Objective-Oriented Health Systems Reform: Implications for Moving Towards Universal Health Coverage. 2025. Health Syst Reform, 10(3). https://doi.org/10.1080/23288604.2024.2440214
- Gatome-Munyua, A, Kutzin, J., & Cashin, C. Policy Options for Contributory Health Insurance Schemes in Low and Lower-Middle Income Countries to Enable Progress Towards Universal Health Coverage. 2025. Health Syst Reform, 10(3). https://doi.org/10.1080/23288604.2025.2449905
- Nganga W, Mwangangi M, & Gatome-Munyua A. Health Reforms in Pursuit of Universal Health Coverage: Lessons from Kenyan Bureaucrats. 2024. Health Syst Reform, 10:3. https://doi.org/10.1080/23288604.2024.2406037
- Kutzin J. Earle A, Gatome-Munyua A, Ravishankar N, Sparkes S. Objective-Oriented Health System Reform. 2024. Health Syst Reform, 10:3. https://doi.org/10.1080/23288604.2024.2428415
- Binyaruka P, Maiba J, Mshana D, Gatome-Munyua A, Mtei G. Does provider autonomy work in Tanzania? Perspective of Primary Care facilities io budget execution under direct facility financing and factors affecting provider autonomy in Singida Region. 2024. Health Syst Reform, 10:3. https://doi.org/10.1080/23288604.2024.2432043
- Onwujekwe O, Ezenwaka U, Agwu P, Ukwuije F, Gatome-Munyua A, Earle A, Sparkes S. Assessing root causes and solutions to address cross-programmatic inefficiencies in a subnational health system: A case study of Anambra state, Nigeria. Health Syst Reform, 10:3. https://doi.org/10.1080/23288604.2024.2441533
- Uwaliraye P, Lyle V, Mwanza J, Biraro G, Earle A., Gatome-Munyua A. Rwanda’s Single Project Implementation Unit: An Effective Donor Coordination Platform in the Journey to Achieving Universal Health Coverage. 2024. Health Syst Reform, 10:3. https://doi.org/10.1080/23288604.2024.2403527
- Koricho M, Zerayacob T, Abebe F, Argaw M, Mengistu D, Birhane F, Negash S, Haileselassie A, Gatome-Munyua A. An Assessment of Provider Payment Mechanisms (PPMs) in Ethiopia: Implications for Redesign of PPMs and Progress Toward Universal Health Coverage. July 2024 Health Syst Reform, 10:1. https://doi.org/10.1080/23288604.2024.2377620
- Gatome-Munyua A & Cashin C. Introduction to the Special Issue on Making Progress on Strategic Health Purchasing in Africa. Sept 2022. Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2129026
- Gatome-Munyua A, Sieleunou I, Sory O, Cashin C. Why is strategic health purchasing so critical for universal health coverage in sub-Saharan Africa? April 2022 Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2051795
- Gatome-Munyua A, Sieleunou I, Barasa E, Ssengooba F, Issa K, Musange S, Otieno O, Makawia S, Boyi C, Amporfu E, et al. Applying the Strategic Health Purchasing Progress Tracking Framework: Lessons from Nine African Countries. April 2022. Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2051796
- Gatome-Munyua A, Tapsoba C, Cashin C. Collaborative learning to advance knowledge and practice of strategic health purchasing in sub-Saharan Africa. April 2022 Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2051793
- Cashin C, Gatome-Munyua A. The Strategic Health Purchasing Progress Tracking Framework: A Practical Approach to Describing, Assessing, and Improving Strategic Purchasing for Universal Health Coverage, April 2022. Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2051794
- Ezenwaka U, Gatome-Munyua A, Nwankwor C, Olalere N, Orji N, Ewelike U, Uzochukwu B, Onwujekwe O. Strategic Health Purchasing in Nigeria: Investigating Governance and Institutional Capacities within Federal Tax-Funded Health Schemes and the Formal Sector Social Health Insurance Programme. Jun 2022.Health Syst Reform, 8:2 https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2074630
- Matovu F, Gatome-Munyua A, Sebaggala R. Has strategic purchasing led to improvements in health systems? A narrative review of literature on strategic purchasing. Dec 2022. Health Syst Reform, 8:2. https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2151698
- Cashin C, Kimathi G, Otoo N, Bloom D, Gatome-Munyua A.SPARC the Change: What the Strategic Purchasing Africa Resource Center Has Learned about Improving Strategic Health Purchasing in Africa. Dec 2022. Health Syst Reform, 8:2.
https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2149380
- Matutina SU, Musange S, Nyandwi A, Gatome-Munyua A, Mumararungu A, Hitimana R, Rulisa A, Uwaliraye P. Strengths and weaknesses of strategic health purchasing for universal health coverage in Rwanda. June 2022. Health Syst Reform, 8:2. https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2061891
- Ekirapa-Kiracho E, Ssennyonjo A, Cashin C, Gatome-Munyua A, Olalere N, Ssempala R, Mayora C, Ssengooba F. Strategic purchasing arrangements in Uganda and their implications for universal health coverage. June 2022. Health Syst Reform, 8:2. https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2084215
- Mbachu, C, Okeke, C, Obayi, C, Gatome-Munyua A, Olalere N, Ogbonna I, Uzochukwu B, Onwujekwe O. Supporting strategic health purchasing: a case study of annual health budgets from general tax revenue and social health insurance in Abia state, Nigeria. Dec 2021. Health Econ Rev 11:47 https://healtheconomicsreview.biomedcentral.com/articles/10.1186/s13561-021-00346-8
- Gatome-Munyua Agnes, Charles Kandie, Samuel Kinyanjui, Julia Ouko and Esther Wabuge. 2018. Regulation of Private Primary Health Care in Kenya. A country assessment report. Joint Learning Network for Universal Health Coverage, Results for Development. http://www.jointlearningnetwork.org/uploads/files/resources/Kenya_PSE_Assessment_R1.pdf
- Gatome-Munyua Agnes, Sayaka Koseki, Benson Chuma, Stephen Musau and Ben Johns. 2015. An assessment of the cost and quality of private health services in Kenya. Bethesda, MD: Strengthening Health Outcomes through the Private Sector Project, Abt Associates Inc. https://www.shopsplusproject.org/resource-center/assessment-cost-and-quality-private-health-services-kenya
- Gatome-Munyua Agnes, Benson Chuma, Josef Tayag, Lauren Weir, and Sean Callahan. 2015. Increasing Domestic Resources for HIV trough Private Health Insurance in Kenya. Bethesda, MD: Strengthening Health Outcomes through the Private Sector Project, Abt Associates. https://www.shopsplusproject.org/resource-center/increasing-domestic-resources-hiv-coverage-through-private-health-insurance-kenya
- Kukla, Matt, Joe Tayag and Agnes Gatome-Munyua. 2014. What Does the Informal Sector Know about Health Insurance? Baseline Findings from a Knowledge, Attitudes and Perceptions Survey in Nairobi, Kenya. Bethesda, MD: Strengthening Health Outcomes through the Private Sector Project, Abt Associates Inc. https://www.shopsplusproject.org/resource-center/what-does-informal-sector-know-about-health-insurance
- Gatome-Munyua A. The third AfHEA International Scientific Conference, Nairobi, Kenya, 11 – 13 March 2014. International conference organized by African Health Economics and Policy Association. Presented a poster presentation on “Saving Money, Saving Lives: An Evaluation of Changamka’s maternity savings.” https://www.shopsplusproject.org/resource-center/saving-money-saving-lives-evaluation-changamkas-maternity-savings-card
- Kukla, Matt, Agnes Gatome-Munyua, and Joe Tayag. 2015. Can Communication Campaigns Promote Demand for Health Insurance in Kenya? Bethesda, MD: Strengthening Health Outcomes through the Private Sector Project, Abt Associates Inc. https://www.shopsplusproject.org/sites/default/files/resources/Can%20Communication%20Campaigns%20Promote%20Demand%20for%20Health%20Insurance%20in%20Kenya.pdf
- Gatome-Munyua A. AMREF Health Africa International Conference, Nairobi, Kenya, 24 – 26 November 2014. International conference organized by AMREF and WHO. Presented a poster presentation on “Understanding the role of the private sector in national HIV spending: a snapshot of four countries.” https://www.abtassociates.com/sites/default/files/migrated_files/ed7eaf44-1964-4b02-baec-f1bf915dbecb_3.pdf
- Gatome-Munyua A. Fourth Global Symposium on Health Systems Research 2016, Vancouver, Canada, 14 – 18th November 2016. E-poster presentation on “An assessment of the financial sustainability of health facilities along cross border areas in East Africa”. https://epostersonline.com/gshr2016/node/1457
