universal health coverage kenya pdf

4.6.2 Broad coverage of the population ... recommended that other studies on universal health care in Kenya be done to avail more information on the health situation in Kenya. Although many sub‐Saharan African countries have made efforts to provide universal health coverage (UHC) for their citizens, several of these initiatives have achieved little success. than the young. We found that these regional differences are partially due to logistical challenges, especially in loosely populated areas but are also a consequence of disparities in resource allocations within SUS and under-capacitated health care facilities affecting transplantation services. The main concerns relate to wider systemic issues-in particular, understaffing in some key posts and areas, and dwindling general revenues for the facilities, especially through loss of wider user fee revenues. The large in-such as repairing roads and bridges or creases in health care costs and the rise providing better public education. Social protection reforms involve comprehensive processes of long-term institutional change. 4.Health services accessibility. Under capitation, accredited providers receive a lump sum payment from the NHIF on a regular basis that is based on the number of clients registered to their facility, regardless of whether or not each client seeks service. According to the World Health Organization, Universal Health Coverage/Care (UHC) is defined as ‘the ability for persons to receive the health services they need without suffering financial hardship’. This requires designing and implementing the operative and protective programs for understanding the important factors that affect equity in health financing, especially for poor households, against the unexpected health expenditures through the health care system. Are institutions like NHIF and County governments properly positioned to steer Kenya towards UHC? Health care utilization patterns by explanatory variables were described using proportions and multinomial logistic regression used to identify the predictors of private or public health care use. This study aims to review the challenges facing UHC in Ghana, Kenya, Nigeria, and Tanzania, and to suggest program or policy changes that might bolster UHC. Omission of human resources from health policy development has been identified as a barrier in the health sector reform's adoption phase. Background: In@W8, affeat concern of the federal and state over $2,000 per capita was spent on health governments, employers, providers and care, a 100 percent increase in per capita individuals. Interviews were coded and analyzed using an iterative thematic approach. universal health coverage by the National Hospital Insurance Fund in Kenya Rahab Mbau1*, Evelyn Kabia1, Ayako Honda2, Kara Hanson3 and Edwine Barasa1,4 Abstract Background: Kenya has prioritized the attainment of universal hea lth coverage (UHC) through the expansion of health insurance coverage by the National Hospital Insurance Fun d (NHIF). The of the underinsured and uninsured pop-United States spends more on health care ulation should cause us to address the than any other industrialized country. Data was descriptively analyzed so as to understand the distribution of primary health care facilities and their status (old, new, upgraded, under construction, renovated and equipped), and the service provided, including essential surgical services. Methods: This is a cluster randomised controlled trial (RCT) study that uses a four-pronged approach –including year-long weekly financial and health diaries interviews, baseline and endline surveys, a qualitative study and behavioral lab-in-the-field experiments–in Kakemega County, Kenya. The empirical methodology employs a process tracing approach including primary and secondary data covering the time period between 2001 and 2017. This cross-sectional study used data from the Lown scholars study conducted between June and July 2018. Access scientific knowledge from anywhere. This has seen, although there are still no reliable statistics, the scheme which seems to have had a negative impact on enrollment levels. Creative Commons Attribution 3.0 Unported, The Impact of i-PUSH on Maternal and Child Health Outcomes, Health Care Utilization and Financial Protection: A Cluster Randomised Controlled Trial Based on Financial and Health Diaries Data, Economic valuation of setting up a social health enterprise in urban poor-resource setting in Kenya, Enabling health supply chains for improved well-being, The impact of the nurses’, doctors’ and clinical officer strikes on mortality in four health facilities in Kenya, Seeking care in the context of social health insurance in Kenya and Ghana, Patterns and predictors of private and public health care utilization in an informal settlement in Nairobi, Kenya: A cross-sectional study, Development and upgrading of public primary healthcare facilities with essential surgical services infrastructure: a strategy towards achieving universal health coverage in Tanzania, “If the Big Fish are Doing It Then Why Not Me Down Here?”: Informal Fee Payments and Reproductive Health Care Provider Motivation in Kenya, Different pathways of social protection reforms: An analysis of long-term institutional change in Kenya, An Examination of the Legal, Policy and Institutional Framework for Universal Health Coverage in Kenya. Situation Analysis 3. Variables such as having members under 6 years or over 60 years in household, household size, employment of household head, households' income quintile, existence of the disabled member in households and the education level of the household's head are the most important factors that affect the incidence of out-of-pocket health payment indices. Figure 1: Universal Health Coverage Cube • 6 out of 10 Kenyans did not have access to essential healthcare services in 2014. © 2008-2020 ResearchGate GmbH. The highest incidence rate of out-of-pocket health payment indices occurred in the first quintile (poorest or Q1). supply chain, telemedicine For instance, whereas the ‗big four‘ agenda designates the National Hospital Insurance Fund (NHIF) as the institution to deliver universal health coverage by 2022, this new mandate is not enshrined in the National Hospital Insurance Fund Act (1998). Yet, achieving universal coverage is … Kenya Health Policy Framework. Our work touches lives around the world every day – often in invisible ways. The objective of this study was to determine the equity in health care payments and determining factors among households in Hamedan, a province in Iran. This may explain the ongoing charges for patients, which both facilities and patients report. Government Printers. Whereas secondary data was largely collected through critical review of policy documents and commissioned studies by the Ministry of Health and development partners, primary data was collected through interviews with various stakeholders involved in UHC including policy makers, implementers, researchers and health service providers. The second dataset was collected internally by the AHME partner organizations. A, This situation is likely to be worse given the recent exodu, urban areas as opposed to rural areas. To provide quality health services required for universal health coverage, health facilities should be structured to meet health care needs and equipped with utilities such as electricity, water and skilled health workforce and also to construct or renovate primary health facilities that are able to offer quality services, ... Near the time of data collection, Kenyan doctors and nurses were on strike to protest low wages, salary delays, and unequitable distribution of promotion and training opportunities ("Kenya's nurses strike takes its toll on health-care system" 2017; Makana 2016). Almost half (47%) of the respondents sought care from private facilities while about 33% and 20% used public and other facilities, respectively. Introduction 2. Also, implementing improvement methodologies and international standards has created a strong culture that promotes excellence, ... On June 1st 2013, government abolished user fees in all public dispensaries, health centers and all maternal health care including deliveries in all hospitals, compounding their over-utilization. The study attempts to delineate an integrated model of health supply chain enablers and their role in improving overall well-being. It is hoped that Universal Health Coverage will go a long way in building the social pillar in Kenya’s Vision 2030 since, over the next 5 to 10 years, the majority of poor Kenyans will have access to quality and affordable health care as the government rolls out its … Additionally, patients may be unaware that they are being asked to pay more than the official cost of services. Financial protection of household against the consequences of the health care expenditures is one of the most important functions of health care systems. Inconclusive evidence exists on health-seeking and utilization of health facilities in the informal settlements in Kenya. Second, laws, for instance, the National Hospital Insurance Fund Act, are yet to be aligned to the Constitution and to design a suitable legal architecture of UHC. About 33% (1673) of all health facilities had piped water and 5.1% had landline telecommunication system. 277 0 obj <>stream In addition, behavioral responses to uncertainty matter: Stronger information asymmetries within the cash transfer and fee waiver reform domains opened space for discretionary decision-making. Due to a lack of understanding of SHI benefits, clients rarely knew they had been charged inappropriately. We find that the feasibility of setting up a social health enterprise could be promising with 97 percent of respondents willing to pay about US$ 2 per person per month for a scheme that would provide quality healthcare services. f Kenya National Commission on Human Rights, Nairobi, Kenya. The worldwide The WHO call for ‘Leaving no one behind’ and ‘delivering the Triple Billion Together!’ found great resonance in Immaculate Otene’s words. Health care utilization in the urban informal settlements favours private health facility use. Infrastructure development and upgrading to support safe surgical services in primary health care facilities is an important step in the journey towards achieving Universal Health Coverage (UHC). Contribute to inclusive growth has been experimenting with a range of possible so-and lives longer, more dollars universal health coverage kenya pdf... To examine nuanced health care was 2.8 % among studied households from patients may be motivated a! Goal in the post-2015 development agenda are congested and over-utilized by the author ( s ), referring to to... A potential goal in the post-2015 development agenda, where mortality increased 1... 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