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Devolution and Universal Health Coverage in Kenya: Situational Analysis of Health Financing, Infrastructure and Personnel

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dc.contributor.author Okech, Timothy Chrispinus
dc.date.accessioned 2016-11-30T12:36:19Z
dc.date.available 2016-11-30T12:36:19Z
dc.date.issued 2016
dc.identifier.issn 2348 0386
dc.identifier.uri
dc.identifier.uri http://erepo.usiu.ac.ke/11732/3016
dc.description A Journal article by Dr. Timothy Okech, an associate Professor of Economics in the Chandaria School of Business at USIU-Africa en_US
dc.description.abstract Availability and comprehensiveness of health services offered at a health facility is critical in realizing universal health coverage. This however partially requires a strong, efficient, as well as well-run health system, a sufficient capacity of well-trained, motivated health workers and a system for financing health services. The Kenya government with support of development partners has over the years initiated various policies and strategies aimed at realizing universal coverage. The paper aimed at taking stock of the country’s health financing, infrastructure and personnel and how these impact on health care delivery as the country moves towards universal coverage. To accomplish this, both primary and secondary data were collected in terms of health care financing, health infrastructure and personnel and how they impact on delivery of health care services. Notable findings include government’s commitment towards universal coverage through increased revenue allocation as well as investment in both health infrastructure and personnel aimed at enhancing geographical access. Notwithstanding this however, there is limited solidarity in financing of health care and that a significant portion of the financing is off-budget and skewed towards one donor raising sustainability and equity concerns. In terms of infrastructure there exist significant gaps, especially specialized medical equipment, maintenance of the equipment and the personnel to operate the equipment. Similarly, a number of the facilities in the country have dilapidated infrastructure coupled with disjointed health investments. Significant gaps were also identified in a number of key health personnel with a number opting to join private practice, while others opting for career change in spite of the resources invested in training them. In lieu of the findings, various recommendations are made including embracing financing mechanisms that embrace social solidarity, fast tracking the enactment of Health Act, development of health investment policy that assures coordinated, prioritized and sustainable investment; finalization and implementation of schemes of service across counties. Other recommendations include policy guidelines and procedures that support public private partnership initiatives such as the “Beyond Zero” campaign for purposes of equity and sustainability; and finally continuous investment in human resources guided by policy guidelines. en_US
dc.publisher International Journal of Economics, Commerce and Management en_US
dc.title Devolution and Universal Health Coverage in Kenya: Situational Analysis of Health Financing, Infrastructure and Personnel en_US
dc.type Article en_US


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