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Investing in Domestic Financing for Health: Kenya's Path to Sustainable Healthcare

This presentation outlines the financing landscape of health in Kenya, focusing on current challenges and initiatives aimed at improving domestic health financing. Key issues include high out-of-pocket spending, inadequate government funding, and heavy reliance on donor assistance. The presentation highlights current health financing initiatives such as the restructuring of the National Health Insurance Fund (NHIF), free deliveries at public facilities, and the abolition of user fees. It also proposes strategies for mobilizing domestic financing to achieve Universal Health Coverage and better health outcomes for Kenyans.

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Investing in Domestic Financing for Health: Kenya's Path to Sustainable Healthcare

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  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

  5. Health financing Challenges • High out of pocket spending –denying poor Kenyans access to health • 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

  8. Thank You

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