Health Financing in Kenya - The case of Wajir, Mandera, Turkana, Meru and Bun...Omondi Otieno
A brief look into Health Financing in Kenya using 5 demographically diverse rural counties as case studies. The Budget Analysis Study was commissioned by Save the Children (Kenya program) in January 2014, and conducted by Capacities For Health. The study team was led by Omondi Otieno and Dr. Nduta Githae.
Health Financing in Kenya - The case of Wajir, Mandera, Turkana, Meru and Bun...Omondi Otieno
A brief look into Health Financing in Kenya using 5 demographically diverse rural counties as case studies. The Budget Analysis Study was commissioned by Save the Children (Kenya program) in January 2014, and conducted by Capacities For Health. The study team was led by Omondi Otieno and Dr. Nduta Githae.
This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research.
For more information please visit www.healthmetricsandevaluation.org
Health financing within the overall health systemHFG Project
Presented during Day One of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Prof. Tanimola Akande and Dr. Francis Ukwuije. More: https://www.hfgproject.org/hcf-training-nigeria
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Overview of Community Based Health Insurance LessonsHFG Project
Presentation during the Institutionalizing Community Health Conference in Johannesburg, South Africa, on March 28th, 2017. This presentation gives an overview of Community-based Health Insurance (CBHI), and explores country experiences and lessons with CBHI in Rwanda, Ghana, and Senegal.
Community based Health Insurance Scheme: An option to Health Care Financing i...Dr. Nkiru Nwamaka Ezeama
A synopsis of how community-based health insurance can ease the burden of health care financing in Nigeria.
Presented during the 2016 Physicians week of the Nigerian Medical Association
“Follow the money” in order to better understand the framework for global health governance: this presentation by Dr. Tim Mackey employs IHME-coordinated research while teaching the evolution of global health financing.
“Function of a health system concerned with the accumulation, mobilization and allocation of money to cover the health needs of the people, individually and collectively, in the health system.” (WHO)
Revenue collection :
Taxation-most equitable system of financing
Health insurance contributions
User pays (out of pocket, no reimbursement)
Donor funding/Grants
Decentralizing Health Insurance in Nigeria: Legal Framework for State Health ...HFG Project
Presented during Day Three of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Dr. Jonathan Eke. More: https://www.hfgproject.org/hcf-training-nigeria
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Kenya Mobilizing financial resources needed for health in the SDG eraDeepak Mattur
- In 2015 the UN General Assembly formally accepted a new set of 17 measurable Sustainable Development Goals (SDGs), ranging from ending world poverty to achieving gender equality and empowering women and girls by 2030. The SDG target 3 encompasses 9 sub targets focussed on ensuring healthy lives and well-being for all. These goals set by the proposed SDGs are ambitious and challenging. It will not be achieved with a business-as-usual approach.
- ODA in Kenya: In 2013, ODA for Health reached its highest level at US$ 934 million. However, the outlook of future aid to Kenya remains flat.
- The share of government expenditure on health in Kenya has not shown a commensurate increase with its increase in GDP. The share has actually declined from 46% of the Total Health Expenditure in 2000 to 46% in 2000. Government needs to increase its share of health expenditure to meet the rising healthcare demands.
- At current level of health expenditure at US$ 1.9 BN, there exists an annual funding gap of US$ 1.4 BN to meet the needs of Healthcare services.
- Kenya needs to consider several instruments of innovative financing in order to achieve its financing needs for Health. Some of the potential options presented in this digital artefact are raising additional taxes, Debt-swaps and social bonds.
- There is a hope that Kenya will make a paradigm shift in its approach to health financing and the Healthcare financing gap in Kenya will be filled in with additional sources generated through innovative financing instruments.
This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research.
For more information please visit www.healthmetricsandevaluation.org
Health financing within the overall health systemHFG Project
Presented during Day One of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Prof. Tanimola Akande and Dr. Francis Ukwuije. More: https://www.hfgproject.org/hcf-training-nigeria
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Overview of Community Based Health Insurance LessonsHFG Project
Presentation during the Institutionalizing Community Health Conference in Johannesburg, South Africa, on March 28th, 2017. This presentation gives an overview of Community-based Health Insurance (CBHI), and explores country experiences and lessons with CBHI in Rwanda, Ghana, and Senegal.
Community based Health Insurance Scheme: An option to Health Care Financing i...Dr. Nkiru Nwamaka Ezeama
A synopsis of how community-based health insurance can ease the burden of health care financing in Nigeria.
Presented during the 2016 Physicians week of the Nigerian Medical Association
“Follow the money” in order to better understand the framework for global health governance: this presentation by Dr. Tim Mackey employs IHME-coordinated research while teaching the evolution of global health financing.
“Function of a health system concerned with the accumulation, mobilization and allocation of money to cover the health needs of the people, individually and collectively, in the health system.” (WHO)
Revenue collection :
Taxation-most equitable system of financing
Health insurance contributions
User pays (out of pocket, no reimbursement)
Donor funding/Grants
Decentralizing Health Insurance in Nigeria: Legal Framework for State Health ...HFG Project
Presented during Day Three of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Dr. Jonathan Eke. More: https://www.hfgproject.org/hcf-training-nigeria
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Kenya Mobilizing financial resources needed for health in the SDG eraDeepak Mattur
- In 2015 the UN General Assembly formally accepted a new set of 17 measurable Sustainable Development Goals (SDGs), ranging from ending world poverty to achieving gender equality and empowering women and girls by 2030. The SDG target 3 encompasses 9 sub targets focussed on ensuring healthy lives and well-being for all. These goals set by the proposed SDGs are ambitious and challenging. It will not be achieved with a business-as-usual approach.
- ODA in Kenya: In 2013, ODA for Health reached its highest level at US$ 934 million. However, the outlook of future aid to Kenya remains flat.
- The share of government expenditure on health in Kenya has not shown a commensurate increase with its increase in GDP. The share has actually declined from 46% of the Total Health Expenditure in 2000 to 46% in 2000. Government needs to increase its share of health expenditure to meet the rising healthcare demands.
- At current level of health expenditure at US$ 1.9 BN, there exists an annual funding gap of US$ 1.4 BN to meet the needs of Healthcare services.
- Kenya needs to consider several instruments of innovative financing in order to achieve its financing needs for Health. Some of the potential options presented in this digital artefact are raising additional taxes, Debt-swaps and social bonds.
- There is a hope that Kenya will make a paradigm shift in its approach to health financing and the Healthcare financing gap in Kenya will be filled in with additional sources generated through innovative financing instruments.
Linkages Between the Essential Health Services Package and Government-Sponsor...HFG Project
Priority setting is a key function of health systems that seek to achieve universal health coverage. The Essential Health Services Package (EHSP) explicitly prioritizes certain services; government-sponsored health benefit plans implicitly prioritize others. To gain insights into the purpose, policy objectives, and governance of the EPHS and dominant health benefit plans in Ethiopia, we conducted a case study in 2016. Methods included a desk review of relevant documents and qualitative analysis of 15 key informant interviews of leading health finance experts in Addis Ababa. All data were coded and analyzed using a thematic inductive framework.
This presentation by Akiko MAEDA and Cheryl CASHIN was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
Capital Investment in Health Systems: What is the latest thinking?HFG Project
Capital investment in health typically refers to large expenditures in construction of hospitals and other facilities, investment in diagnostic and treatment technologies, and information technology platforms. These investments are characterized by their longevity and they are critical to efforts to improve healthcare quality and efficiency. Contrary to developed countries where there is well documented experience on capital investment in the health sector, including use of public private partnerships for the investment; there is little evidence on capital investment in health from low and middle income countries.
This work was undertaken to add to the HFG’s knowledge and learning strategy by clarifying what good practice guidance exists in capital benchmark in LMICs health sectors, as well as the HFG project’s experience in the area. This brief will be of value to all those interested in the planning and financing the capital investment in the health sector. This includes politicians, planners, managers, health professionals, architects, designers, and researchers in both the public and private sectors.
Exploring the Potential Role Of Community Health Insurance Schemes In A Natio...David Lambert Tumwesigye
Exploring the Potential Role Of Community Health Insurance Schemes In A National Health Insurance Scheme-Presented to CHI practitioners of the Uganda Community Based Health Financing Association
At the 2016 CCIH Annual Conference, Dr. Albert Kalonji of SANRU discusses how faith-based organizations in the Democratic Republic of the Congo have been instrumental in the nation's system of decentralized health zone.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Health financing in bangladesh why changes in public financial management rul...HFG Project
Bangladesh has achieved remarkable improvement in health indicators since its independence in 1971, despite poor economic conditions. It achieved Millennium Development Goal 4 on child mortality and progressed substantially toward Goal 5 on maternal mortality, even with health system bottlenecks such as weak governance, insufficient health financing, and limited capacity to address local need. In a country with a history of adopting low-cost strategies with high health impact, focusing on primary health care—even with limited resources—was the single most important factor in these achievements.
The health of a people to a very large extent determines their productivity and wealth. The 2010
Population and Housing Census indicates that a significant proportion of the Bunkpurugu-Yunyoo District in
Ghana (over 75%) are living below the poverty line of GH¢228.00 per annum (approximately US $120 per
annum). It then implies that approximately the same proportion or even a little above that might not be able to
access health care under the ‘cash and carry’ system. Inability to access health care will lead to poor health
status of the residents and thus lower their productivity.
Policy Brief: What Steps Are Countries Taking To Implement Pro-Poor Universal...HFG Project
Universal health coverage (UHC)—ensuring that everyone has access to quality, affordable health services when needed—can be a vehicle for improved equity, health, financial well-being, and economic development. In its 2013 report, Global Health 2035: A World Converging within a Generation, the Commission on Investing in Health made the case that pro-poor pathways towards UHC, which target the poor from the outset, are the most efficient way to achieve both improved health outcomes and increased financial protection (FP). Countries worldwide are now embarking on health system changes to move closer to achieving UHC, often with a clear pro-poor intent.
Much has been written about what steps countries have taken and are currently taking to: (1) set and expand guaranteed services, (2) develop health financing systems to fund guaranteed services and ensure FP, (3) ensure high-quality service availability and delivery, (4) improve governance and management of the health sector, and (5) strengthen other aspects of health systems to move closer to UHC. As background for a meeting on UHC implementation, held at the Rockefeller Foundation’s Bellagio Center, Italy, from 7–9 July 2015, we reviewed this body of literature, and conducted interviews with global UHC implementers and researchers. In this short policy brief, we synthesize the key messages from the literature and interviews.
Understanding Health Accounts: A Primer for PolicymakersHFG Project
An update of the 2003 brief, this new primer provides an introduction to Health Accounts, the framework (System of Health Accounts 2011 or SHA 2011), and key steps involved in conducting Health Accounts exercises using SHA 2011 with particular emphasis on how policymakers can get involved to facilitate the process. The primer also includes country experiences illustrating show how Health Accounts data can be used for policy purposes, with specific attention to the importance of institutionalizing Health Accounts so that it may serve as an ongoing resource to policymakers.
Similar to Approaches of financing health care in kenya (20)
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
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. 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. 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.
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.
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. 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