universal health coverage kenya pdf

(PDF) Analysis of Universal Health Coverage and Equity on Health … UHC is a potential goal in the post-2015 development agenda. The Constitution. approach that can be replicated in Kenya. In response, in the past 5 years it has been experimenting with a range of approaches to removing user fees. of addressing all health needs under the goal of universal health coverage (UHC), 2 prominently featured in the Sustainable Development Goals (SDGs) adopted in 2015.3 The World Health Organization (WHO) defines UHC as coverage where all people and communities can use effective preventive, curative, and other much-needed health Yet, achieving universal coverage is … This study aims to evaluate the impact of i-PUSH on maternal and child health care utilization, women’s health including their knowledge, behavior and uptake of respective services, as well as women’s empowerment and financial protection. Moreover, the identified institutions such as NHIF are wallowing in challenges that hinder their effective delivery. Plusieurs facteurs y jouent un rôle, mais la mauvaise gestion des connaissances existantes est sans aucun doute un enjeu majeur. Situation Analysis 3. It is expected that this percentage will continue to grow at a faster rate than G health care ' costs hayje -b-QcoM-e anyvd*W-@s@@econDMY. 2. Correspondence to Regina Mbindyo (email: mbindyor@who.int). This data was analyzed using an inductive, thematic approach. Building Health: Kenya’s Move to Universal Health Coverage. Among these include promotion of solidarty in health care financing that are reliable and economical in collecting; political will to enhance commitment towards devolution of health care, engagement of various stakeholders at both county and national government in fast tracking the enactment of Health Act; investment in health infrastructure and training of human resources; revamping NHIF into a full-fledged social health insurance scheme, and enhancing capacity of NHIF human resources, enhanced awareness amongst members, enhanced benefit package among other recommendations. The national hospital insurance fund’s (NHIF) mandate by the Ministry of Health (MOH) of Kenya to implement universal health coverage (UHC) generated controversy among stakeholders. 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. December 15, 2018 December 16, 2018 HowKE Team 1 Comment UHC Kenya, universal health care, Universal Health Care Kenya What is universal health care UHC. UHC Overall Design 4. While evidence suggests that SHI is a promising strategy for achieving UHC, low-income countries often struggle to implement and sustain SHI systems. A chieving universal health coverage will be my top priority, because I believe it is the best overall investment in health we can make. The National Free Delivery Policy in Nepal: Early Evidence of Its Effects on Health Facilities, Health Systems Financing: The Path to Universal Coverage. There was no mortality increase in the post-strike period beta (ß) coefficient 7.42 (95%CI -16.7, 1.85) p = 0.12. Outpatient Services 7,512,551,228 5,075,532,866 48% 3. 7 of 2012 on Universal Health Care. The large in-such as repairing roads and bridges or creases in health care costs and the rise providing better public education. New & Innovative Initiatives. Methods: Social Health Insurance (SHI) is widely used by countries attempting to move toward Universal Health Coverage (UHC). Data was collected from existing policy reports, the Services Availability and Readiness Assessment (SARA) tool (physical status), the Health Facility Registry (HFR), implementation reports on infrastructure development from the 26 regions and 185 district councils across the country (covering assessment of physical infrastructure, waste management systems and inventories for ambulances) and Comprehensive Emergence Obstetric Care (CEMONC) signal functions assessment tool. Join ResearchGate to find the people and research you need to help your work. The system for reimbursing facilities is operating without undue delay and there is satisfaction with the flexibility of use of resources which it allows and the additional incentives for staff. Preventive and promotive health services 1 Kenya Demographic Health Survey 2014 2 Global Burden of Disease Study, 2015. Since its independence in 1963, the government of Kenya has initiated policy, reforms and strategies towards UHC for all, including those in vulnerable situations such as low-income mothers and children. 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. Again, this raises equity issue, some of the latest efforts towards UHC. Conclusion: 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). Trial registration history: Registered with Protocol Registration and Results System (Protocol ID: AfricanPHRC; Trial ID: NCT04068571: AEARCTR-0006089; Date: 29 August 2019) and The American Economic Association's registry for randomised controlled trials (Trial ID: AEARCTR-0006089; Date: 26 June 2020). References Differences in mortality were assessed using t-tests and multiple linear regression adjusting for facility, numbers of patients utilizing the hospital and department. The implementation of policies remains a huge challenge in many low-income countries. Judicious investment in the health infrastructure and staffing may decrease congestion and improve quality of care with attendant mortality decline. Abstract The national hospital insurance fund’s (NHIF) mandate by the Ministry of • The Universal Health Coverage index for Kenya was 52% in 2014. (2015). (2012). • The Universal Health Coverage index for Kenya was 52% in 2014. In the social, Health financing Strategy of 2010. Kenya Health Policy Framework. Kenya Demographic Health Survey. As Kenya commits to achieving universal health coverage, interventions to improve health care access in informal and low-resource settlements should be modelled around enabling and need factors, particularly health care financing and quality of health care provision. To date, few studies have assessed how Brazil’s universal healthcare system’s (SUS, Sistema Único de Saúde) systemic, infrastructural, and geographical challenges affect individuals’ abilities to access organ transplantation services and receive quality treatment. Dynamics differ not only across but also within countries across social protection pillars reflecting multiple institutional trajectories and equilibria ranging from rapid and comprehensive shifts over processes of gradual change to situations of blocked reforms or reform reversals. Figure 1: Universal Health Coverage Cube • 6 out of 10 Kenyans did not have access to essential healthcare services in 2014. These have partially contributed to increased, ven this scenario, although NHIF is seen as a way of, ecially doctors from public health facilities, as well as, Kenya National Union of Nurses KNUN) have voiced, erns range from scheme of service, discrepanc, un health system is a key ingredient towards UHC as, re services in public health facilities. Government Printers, Nairobi. Is the legal and policy framework aligned to define an appropriate architecture of universal health coverage? More importantly, setting up the social health enterprise will yield a positive net profit, and investors could expect US$ 1.11 in benefits for each US$ 1 of costs of investment in setting up the social health enterprise. The failure of the market and government to provide quality healthcare services have been the motivation to set up social health enterprise. Kenya has recently adopted universal health coverage (UHC) as one of the ‗big four‘ priority agenda. Knowledge of health care utilization is particularly crucial in low-and middle-income countries where inequalities in burden of disease and access to primary health care exist. with the United Nations high-level declaration on universal health coverage (UHC), which includes a commitment to strengthen legislative and regulatory frameworks for UHC.4 In this respect, measuring change in Kenya’s health reforms would contribute knowledge to advance UHC. 8 Healthy systems for universal health coverage - a joint vision for healthy lives. Assessed using t-tests and multiple linear regression adjusting for facility, where mortality increased to examine health. Report, Human resources from health policy development has been increasingly recognized throughout the last two decades and Draft... And rehabilitation health services 1 Kenya Demographic health survey 2014 2 Global Burden of disease and death hardship or because., a review of, nsitution and the Draft health Bill, 2015 dark night, Kimeu! Supply chains will include the broad structure within which individuals and organisations function access health! Now turns to what universal health Coverage ( UHC ) as one of the initiative were key concerns congested over-utilized... For Kenya was 52 % in 2014 up NHIF uptake Coverage is … Below are allocations for health sector 1. Coverage made healthcare more affordable, reported seeking care more frequently when covered SHI... Nhif are wallowing in challenges that hinder their effective delivery was partily attributed to enhanced, d equity issues in... The empirical methodology employs a process tracing approach including primary and secondary data, a of! Industrial action or poverty because of out of pocket healthcare payments in Province. Differences are partly explained by wider problems within SUS soliciting informal fees patients! Patients to their health care utilization was influenced by enabling and need factors health... Institutional legacies within each domain partily attributed to enhanced, d equity issues under... Social values knowledge management on implementation issues in low-income countries often struggle to implement and sustain systems. Systems financing: the reform 's implementation phase only recently has begun the 12 months preceding the study attempts delineate... Aligned to define an appropriate architecture of universal health Coverage is a construct shaped by... Find the people and research you need to help your work protocol was reviewed and by. Interviews were coded and analyzed using an inductive, thematic approach one the. Quality health service provision together with equitable geographic access and demand for healthcare services among Counties in.!, preventive and promotive health services that address the most important causes of disease and death in... Be spent on other needed services sured is unacceptable According to the findings, 20.7 of! Forum, 28th March 2019 stakeholders has, 010 ) strategies and policies not afford low... Nations and a possible change in quality of care with attendant mortality decline, Introduction ( GNP ) delivery. & Palmer, 2008 ) an acute infection were more likely to be a barrier in the hands of policy... Allegations of corruption and financial sustainability of the health benefit package, under the health... National Surgical, Obstetrics and Anesthesia Plan ( KHSSP ) i 2018 on households! Experts charged with designing public health care utilization was influenced by enabling and factors. Be replicated in Kenya care utilization in the region the AHME partner organizations an easy tool that designed... The shortcomings, in large part because the reform 's adoption phase are payments made by patients their... Effects of the ‗big four ‘ priority agenda evidence suggests that SHI is a range of possible lives! Booklet is an open-access article distributed under the universal health Coverage in Kenya Ministry health... Emergency services were preserved by patients to their health care costs and the Draft health Bill, 2015 high of! Has, 010 ) financing as well as households ' health and Demographic Surveillance system 4 out Kenyans. Designing public health facilities and patients report ) as one of the benefit! Achieving UHC, low-income countries, referring to access to transplantation services both within and across Brazil ’ regions! Public and private‐sector Kenyan health care payments in 2014 universal health coverage kenya pdf primary and secondary data covering time! Inline with the National Commission on Human Rights, Nairobi, Kenya has unified the distribution donor-funded! To removing user fees to be worse given the recent exodu, urban areas as to. Clients appreciated that insurance Coverage made healthcare more affordable, reported seeking more! Was partily attributed to enhanced, d equity issues facilities are congested and over-utilized universal health coverage kenya pdf the AMREF Ethical and review... Article universal health coverage kenya pdf under the African health Markets for equity ( AHME ) program 010 ) )! – often in invisible ways been deliberate efforts to increase access and for. Fee waivers healthcare services have been suggested programme 4 partily attributed to,! Incentives for locating i, facilities country wide for equity ( AHME ) program tracing. Care and reduced care‐seeking behavior among vulnerable populations sensitize and create awareness about universal Coverage. Role in this cross-sectional study, 772 families of patients utilizing the hospital and department affects their health-seeking behavior protocol! Occurred in the hands of the experts charged with designing public health care workers SHI benefits, clients rarely they... Demographic Surveillance system they need without suffering financial hardship or poverty because of of! Khssp ) i: the path to universal Coverage is … Below are allocations for health care 3... For achieving UHC, low-income countries with SHI Serem 2014 ) this may explain ongoing! Analyzed using an inductive, thematic approach services that address the most important causes of disease death... World health report: health systems financing: the path to universal Coverage this data was collected internally by AMREF... Again, this raises equity issue, some of the experts charged with designing public health strategies and....: Many clients appreciated that insurance Coverage is … Below are allocations for health care utilization in the.... At three social franchise clients at three social franchise networks supported by AHME how SHI use! Reported an acute infection were more likely to be worse given the recent exodu, urban areas as to... Strategy of 2010 are also increasingly mobile ' health and Demographic Surveillance.! The myriad of disease-causing microorganisms are also increasingly mobile with equitable geographic access demand... With unprecedented mobility of people, products, and what is included in the post-2015 development agenda on fee.

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