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Health financing in kenya cs addis presentation (1)
1. MINISTERIAL MEETING UNDER
THE THEME “DOMESTIC
FINANCING FOR HEALTH:
INVESTING TO SAVE”, ADDIS
ABABA, ETHIOPIA, 11- 12
NOVEMBER, 2013
2. Presentation outline
1. Who finances health in Kenya
2. Health financing challenges
3. Domestic health financing
initiatives
3. Health Financing: Who pays in
Kenya?
•
Source: National Health Accounts, GOK, 2001-02, 2005-06, 2009-10; WDI 2012
4. Expenditure by Key Priority areas,
2009/10
HIV/AIDS
25%
Other health
services
35%
Reproductive
health
14%
Tubeculosis
1%
Malaria
25%
5.
Health financing
High out of pocket spending –denying poor Kenyans access to health
Challenges
care
- 20% of sick can’t access health due to financial barrier
Inadequate funding from the Government
- GoK allocations below the Abuja targets
Heavy reliance on donor funding – sustainability issues
- Key priority programmes are over 70% financed by donors
Low population coverage by insurance
- Only 10% of Kenyan population have access to a medical cover
6. Current Health Financing
Initiatives
Restructuring of NHIF
Improve governance and increase coverage
Free deliveries at public facilities
Kshs. 3.1 billion allocate for deliveries
Increase access by the poor and reduce MMR
Abolition of user fees at lower level facilities
Kshs. 700m allocated to compensate facilities for lost revenue
Pro-poor initiative to reach communities in rural areas
Finalization of the Healthcare Financing Strategy
Define the Roadmap towards Universal Health Coverage
7. Proposed Means of
mobilizing Domestic
financing
Restructuring NHIF
To free huge amount currently used for administration to go towards payment
of benefits
Bring more formal sector participation including employer contributions
Include reimbursement of ART and outpatient care for opportunistic infections
within the NHIF cover
Efficient Improvement
Redirecting resources to lower level facilities (provide primary care at cheaper
costs)
Introducing performance based financing (reduce wastage)
HIV Trust Fund
Earmark 1% of government revenue for the Trust Fund
Finance 74% of HIV/AIDS financing gap by 2020
Fund to be expanded to cover other priority areas including NCDs