Direct facility funding as a potential tool in user fee removal in Kenya
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CREHSFollow
Apr. 15, 2010•0 likes•900 views
Direct facility funding as a potential tool in user fee removal in Kenya
Apr. 15, 2010•0 likes•900 views
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Direct facility funding as a potential tool in user fee removal in Kenya
- 1. Delivering Effective Health Care for All Monday 29 th March, 2010
- 8. Expenditure of DFF Income
- 11. Incomplete adherence to user fee policy Health worker reports of fees charged for specific cases (n=30) Case Adherent (exc. lab costs) Child with malaria 22 Adult with malaria 5 Child with pneumonia 20 Adult with pneumonia 23 Adult with TB 22 Adult with gonorrhoea 3 Woman at first ANC visit 28 Mother requiring delivery 30 All above cases 0
Editor's Notes
- Prior to DFF, the only cash available for facilities from user fees and from IGA,
- First result is that DFF mechanisms working well Through:
- Less than 50% of clients at facilities had even heard of HFCs in their area
- Even based on facilities’ own self-reports many were not adhering to 10/20 Backed up by exit interview data where found e.g. payment U5s 0-45 KSH, median of 5 Many facilities clearly not adhering to the 10/20 policy As no baseline data, not possible to say whether DFF has had an impact on adherence to user fee policy
- Last bullet The evidence suggests…..., however to get full equity benefits from user fee removal, DFF must be …