Health Equity and Financial Protection in Kenya
The health equity and financial protection reports are short country-specific volumes that provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health...
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Format: | Report |
Language: | English en_US |
Published: |
Washington, DC
2017
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Online Access: | http://documents.worldbank.org/curated/en/875011468047742115/Kenya-Health-equity-and-financial-protection-report http://hdl.handle.net/10986/27066 |
Summary: | The health equity and financial
protection reports are short country-specific volumes that
provide a picture of equity and financial protection in the
health sectors of low-and middle-income countries. Topics
covered include: inequalities in health outcomes, health
behavior and health care utilization; benefit incidence
analysis; financial protection; and the progressivity of
health care financing. Kenya's government is committed
to improving equity and financial protection in health by
implementing the Second National Health Sector Strategic
Plan (NHSSP II). Kenya spends 4.3 per cent (2009) of its
gross domestic product (GDP) on health. This is lower than
the average spending levels in other lower income countries
in Africa, which spent an average of 6.5 per cent (2009) of
their GDP on health. The functions of the health system in
Kenya have historically been centralized through top-down
decision-making and resource allocations. However, in the
past decade Kenya has committed to decentralization of
certain core functions to the district level. These include
managing the health management system, making resource
allocation decisions, and delivering health services. The
central government maintains control over the majority of
the key functions of the health system including staffing,
contracting, and maintaining the national health information
system. Kenya has a form of social insurance through the 40
year-old National Hospital Insurance Fund (NHIF). Employees
in the formal sector are compulsorily insured and must make
monthly contributions from their wages. |
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