Factors(political, social and economic) influencing Health care provision in Kenya

1. SOCIAL, POLITICAL AND ECONOMIC
FACTORS INFLUENCING
MANAGEMENT AND
ADMINISTRATION OF HEALTH CARE
SERVICES IN KENYA
Gufu Abdikadir, BScN
Khadra Abdi Dahir, BScN
Sultwana Faraj, BScN

2. Definition of terms
• MANAGEMENT; process of controlling
resources( land, human and capital) for
achieving a common goal
• Activities ; Planning, organizing, coordination
and decision making.
• Managers brings together 5M’s of the
organization, i.e. Men(HR), Material,
Machines, Methods(Processes), and
Money(funds) so as to the desired output.

3. Ct
• ADMINISTRATION; systematic process of
overseeing and directing the management of
an organization,
• Functions; formation of plans, policies, and
procedures, setting up of goals and objectives,
enforcing rules and regulations.
lays down the fundamental framework of an
organization, within which the management of
the organization functions

4. Health services providers in Kenya
• Government
• Faith-based organizations (FBOs)
• Community-based organizations(CBOs)
• Private Sector

5. Political factors influencing Health
Service Provision in Kenya
1. Devolution; the 2010 amendment brought
devolution of health services in the country;
Counties receive funds from central
government and their budget approved by
county assembly. They perform all the health
sector function at county level whereas the
National Govt focuses on Health policies and
referal

6. Key components
a. Budgeting; Counties receive funds from central
government. County health budget approved by
county assembly
b. Human resource management; counties given
mandate to employ health professionals; Strikes,
Loss of job security,
c. Power and control; Nat. govt focuses on health
policy formulation and referral while other all
other services devolved.
d. Procurement; buying their own
supplies>embezzlement

7. Political factors Ct.
2. Legal requirements for starting health facilities; complicated processes in
terms of taxes and requirement negatively affect health provision in the
country and vice versa.
3. Training institutions and licensure of health professionals; overseeing
and encouraging training institutions by a government positively favors
management of health service provision in Kenya
4. Regulation bodies; functional regulatory bodies enhances
administration and management of health services to Kenyans
5. Political stability; peace and cohesion among citizens promotes admin.
And mgt of health services in Kenya.
6. Political goodwill; support from politicians e.g. immunizations , will help
citizen adherence hence smooth administration and mgt of health
services.
7. Diplomatic ties /Patnerships good rshps by Kenya with neighboring
countries and international communities will help us in case of tragedies
and funding therefore enhanced admin&mgt health services

8. Economic factors influencing service
provision in Kenya
• Unemployment
• Infrastructural devp;
• Expensive specialized care
• Limited resources
•

9. Socio-cultural factors influencing
health service provision in Kenya
• Fertility rate; ^sed population is a challenge in
mgt&admin of health service provision
• Gender-preference on service provision; gender
inequality poses a hindrance in efficient
admin&mgt of health service provision in Kenya.
• Poverty level; ^sed poverty level hinders efficient
mgt of healthcare provision
• Food security; e.g. Hunger, hinders efficient
admin&mgt of healthcare.

10. Ct
• Environmental pollution; e.g air pollution>^se disease
prevalence> challenge in health service provision
• Health awareness; low levels of awareness by the public
e.g. on hygiene ^ses waterborne diseases prevalence>
pressure on admin&mgt of services since there is HR
shortage
• Illiteracy level;
• Cultures e.g. FGM,
• Disasters; earthquakes
• Public-Private partnership; partnership with other
organization ^ses healthcare provision coverage>
efficiency in administration and mgt of health service
provision.