Dr. Joanne Ondera of GIZ's Health Sector Programme presented on the development of Kenya's Healthcare Financing Strategy. The strategy aims to guide Kenya's progress toward universal healthcare coverage by 2030. It is being developed through technical working groups and stakeholder engagement to make recommendations in key areas. Once finalized, the strategy will be presented to parliament for approval to reform Kenya's health financing system and social health protections to improve access, quality and efficiency of healthcare nationwide.

1. Page 1HSP
Presentation by Dr. Joanne Ondera
Component Lead Healthcare Financing, GIZ HSP
Implemented by
Health Financing Strategy
Development
GIZ Health Sector Programme
10/13/15

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Presentation Outline
•Objective of the GIZ-Health Sector Program(GIZ-
HSP)
•Background of developing the Healthcare
Financing Strategy
•Process of developing the Healthcare Financing
Strategy
•Impact of the Healthcare Financing Strategy
HSP10/13/15

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Objective of the German Development
Cooperation in the Health Sector
• The overall goal of the German Development
Cooperation is to improve access for poor and
disadvantaged groups to high quality basic health
services, including reproductive health and to
hedge against financial risks in case of illness.
• In the Health Sector the financial module is
implemented through KfW , whereas the technical
module is implemented by GIZ Health Sector
Programme.
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Background of developing the Healthcare
Financing Strategy
• The Kenyan government is committed towards
achieving universal health coverage (UHC) by
2030 .
• The Kenyan Constitution of 2010 provides for the
right to health for all Kenyans
• The Vision 2030 identifies UHC as a key pillar for
transforming Kenya to a Middle Income County
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Background of developing the Healthcare
Financing Strategy
• Health financing reforms are important aspects of
a country’s progress to UHC.
• The first major attempt to implement health
financing reforms for UHC was in 2004, when a
social health insurance (SHI) bill was design and
presented to parliament .
• The Bill was passed in parliament but did not
receive presidential assent due to a mix of
reasons included those related to technical
design and pressure from interest groups.
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Background of developing the Healthcare
Financing Strategy
• Discussions on the NHIS were initiated again in
2007 and a draft Health Financing Strategy (HFS)
was developed to guide the country towards UHC.
• A review of the draft HFS was conducted with
support from the Partners for Health consortium
(P4H) in 2012. The review identified areas of
strengths but also several challenges that need to
be addressed in the finalization of the strategy.
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Process of developing the Healthcare
Financing Strategy
• The Ministry of Health(MOH) has now embarked
on the finalization of the HFS strategy-UHC-
Coordinating TWG
• Through the Health Financing Inter-sectoral
Coordinating Committee formed 5 Technical
Working Groups to extensively explore and make
recommendations on the functions of Healthcare
Financing; Revenue Collection, Pooling,
Purchasing and Benefit Package, Governance
Structures and Quality
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Process of developing the Healthcare
Financing Strategy
• The 5 TWGs should submit their final outputs to
the Coordinating HFS working group to be
included in the draft HFS.
• Concurrent activities are a stakeholder analysis;to
identify and engage critical stakeholders i.e.
Council of Govenors to better understand their
views on elements of the HFS.
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Process of developing the Healthcare
Financing Strategy
• Communication Plan to engage stakeholders on
the HFS to build consensus on the HFS
• Once consensus is built the MOH will present the
HFS to parliament and subsequently to the
President for ascent.
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Impact of the Healthcare Financing Strategy
The Healthcare Financing Strategy is the first step
towards Universal Health Coverage for the Country
as it provides direction on the following :
(1) improving social health protection, by enrolling
all Kenyans in a health financing plan;
(2) moving towards pre-payment system, which can
either be financed through tax and/or health
insurance
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Impact of the Healthcare Financing Strategy
(3) improving the effectiveness, quality, efficiency
of the health financing system and the National
Hospital Insurance Fund and public budget
execution mechanisms;
(4) developing a uniform basic benefit package;
(5) developing purchasing capacity and sustainable
instruments for third party payers;
(6) retaining pluralistic services delivery and
autonomy of public hospitals.
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HSP
13.10.15
Implemented by
Thank You!
As a federal enterprise, GIZ supports the German Government in achieving its objectives in the
field of international cooperation for sustainable development.
Published by
Deutsche Gesellschaft für
Internationale Zusammenarbeit (GIZ) GmbH
Registered offices, Bonn and Eschborn, Germany
GIZ Health Sector Programme in Kenya
P.O. Box 41607 – 00100, Nairobi, Kenya
T +254 2725 683/4
F +254 726 610126
E heide.richter@giz.de
I www.giz.de
www.gizkeny ahealth.com
Responsible
Dr. Heide Richter-Airijoki
Author(s)
Onsomu Ivo Orina
Knowledge Management /Communications GIZ
HSP
Photo credits
© GIZ HSP