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Approaches of Financing Health
care in Kenya
Problem Statement.
• Kenya adopted a new constitution back in 2010 which
marked birth to devolution.
• Like many other cou...
The Challenges
• There has been promising improvements in majority of the counties across
majority of health system streng...
Situation in Kenya
Health in Kenya has been greatly beset by the aforementioned shortcomings.
Majority of counties are spe...
SOLUTIONS
• Its time for Kenya, the developing world as well as the world in general to rethink on strategies of
financing the healt...
Partnerships.
• One of the way to go if Kenya and other developing countries are willing to
attain SDG 3 is to advocate for partnerships...
Output-outcome-impact logic overview
Inputs Activities Outputs
Immediate results
of project activities
Outcomes
Short-term...
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Approaches of financing health care in kenya

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Final project that aims at helping the Healthcare stakeholders rethink on strategies that can help leverage enough fund for development.

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Approaches of financing health care in kenya

  1. 1. Approaches of Financing Health care in Kenya
  2. 2. Problem Statement. • Kenya adopted a new constitution back in 2010 which marked birth to devolution. • Like many other countries such as Singapore and Ethiopia where devolution had worked pretty well in aiding development, Kenyans invested much hope in devolution as the vehicle to development especially in the health sector where indicators were disturbing. • However, decentralization began after the 2013 elections and devolution kicked off, the health sector has been in a way beset my a bulk of challenges especially in health financing that have hindered improvement of numerous health care indicators.
  3. 3. The Challenges • There has been promising improvements in majority of the counties across majority of health system strengthening pillars but a whole lot still has to be done. • Health Sector Development Partner Forum (HSDPF) think-tank based at the Catholic University of Eastern Africa in Kenya, in which I was a co-convener, hosted a WHO endorsed knowledge sharing platform that brought together all key stakeholders in health with especial focus to counties. The theme of the forum being “Sustainable Healthcare partnerships in the Devolved Setup” allowed the county executive committee members for health to highlight the key challenges faced in their respective counties. The main challenges highlighted to be hindering attainment of Universal Healthcare Coverage (UHC) that stemmed from the forum include: i. Health financing, financing of healthcare activities . ii. Human resources in health. Therefore, there is a great need for different stakeholders in health to find innovative and efficient of ways to address these needs which pose a great threat to achievement of UHC and SDG 3
  4. 4. Situation in Kenya Health in Kenya has been greatly beset by the aforementioned shortcomings. Majority of counties are spending about 30% of their budget compared to the previous 6% that was spent by the national government to finance health and this may a pose a great threat to other development areas. Considering that health is dependent on various social determinant factors, a lot need to be done to fully finance the health activities as well as the determinants. Mismanagement of fund is also common in majority of counties where funds are invested into projects that do not have a clear goal or work structure. This leads to loss of funds that could have brought the difference if well managed. From Human Resources for Health perspective, WHO Global Atlas of Health Workforce identified Kenya as having a critical shortage of healthcare workforce since independence. With the shortage, strikes by health professional has been in rise due to what they term as dissatisfaction and poor payments. Therefore the paradox is, who will be responsible to halt this commotion? In terms of ODA for Kenya , the health sector allocations has averaged 24.1% of the in the last five years $3077.38 M received yearly. This is quite a significant amount if well utilised could be the turning point to a better health.
  5. 5. SOLUTIONS
  6. 6. • Its time for Kenya, the developing world as well as the world in general to rethink on strategies of financing the health sector. The following are some of the solution I propose Kenya to adopt to overcome the menace in health Effective use of ODA funds to mobilise funds. Considering that Kenya has been receiving a fair share of ODA allocation, its time for healthcare stakeholders to utilise the money allocated for health to improve the health situation in the country. As explained in Paying for Development: Domestic Resource Mobilization ODA allocation is expected to decrease in the near future and this will greatly apply to Kenya having attained a Lower middle income country. As explained by Ngozi Okonjo the impact of ODA should go beyond actual financing. ODA should be used effectively as catalytic source of finance by leveraging the millions and billions dollars in private sector. https://class.coursera.org/fin4devmooc-001/wiki/Week_2_Video_Talks This is well replicable in health sector where the ODA allocation can be used to leverage for other resources especially from the private sector. The only challenge in this is that there is inadequacy in capacity among the medics on how to use the ODA to leverage for more finances. Its therefore important for invent programs that are geared towards building capacity among health workers on how to efficiently use the ODA available in mobilising for adequate financing.
  7. 7. Partnerships.
  8. 8. • One of the way to go if Kenya and other developing countries are willing to attain SDG 3 is to advocate for partnerships. There is a lot of funds that are untapped. Blended capital is needed in the health sector as need in other sectors. This can done by creation of enabling environment in Kenya by the public sector to entice the private sector to participate in financing for health. ODA allocated for health should also be used mainly to mitigate risks and create an enabling environment as well that will help providing adequate finances for health. • In summary there is need for Kenya to invest efforts in Domestic resource mobilisation which is the path every country should follow in pursuit to success as quoted in “Why domestic revenue mobilization belongs on the post-2015 agenda” • To attain this, there is need for capacity building on how resources can be mobilised locally in quest to eradicate the old way of using fund especially the ODA funds. Below is a logical frame work that looks to summarize what ODA can achieve for Kenya in the health sector.
  9. 9. Output-outcome-impact logic overview Inputs Activities Outputs Immediate results of project activities Outcomes Short-term / intermediate Impacts Long-term ODA Capacity Building Leveraging Networking Increased financing base Domestic resource mobilisation Private public partnerships Improved health services Universal Health Coverage and SDG 3 Foreseen results Effective leadership Partnerships Enabling Environment

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