Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

video

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

sound

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Persian Version

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View:

231
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Download:

202
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Cites:

1

Information Journal Paper

Title

A CRITICAL ANALYSIS OF PURCHASING ARRANGEMENTS IN KENYA: THE CASE OF THE NATIONAL HOSPITAL INSURANCE FUND

Pages

  244-254

Keywords

UNIVERSAL HEALTH COVERAGE (UHC) 
LOW- AND MIDDLE-INCOME COUNTRIES (LMICS) 

Abstract

 Background: Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. Very little is known about purchasing arrangements in low- and middle-income countries (LMICs), and certainly not in KENYA. This study aimed to critically analyse purchasing arrangements in KENYA, using the National Hospital Insurance Fund (NHIF) as a case study.Methods: We applied a principal-agent relationship framework, which identifies three pairs of principal-agent relationships (government-purchaser, purchaser-provider, and citizen-purchaser) and specific actions required within them to achieve STRATEGIC PURCHASING. A qualitative case study approach was applied. Data were collected through document reviews (statutes, policy and regulatory documents) and in-depth interviews (n=62) with key informants including NHIF officials, Ministry of Health (MoH) officials, insurance industry actors, and health service providers. Documents were summarised using standardised forms. Interviews were recorded, transcribed verbatim, and analysed using a thematic framework approach.Results: The regulatory and policy framework for STRATEGIC PURCHASING in KENYA was weak and there was no clear accountability mechanism between the NHIF and the MoH. Accountability mechanisms within the NHIF have developed over time, but these emphasized financial performance over other aspects of purchasing. The processes for contracting, monitoring, and paying providers do not promote equity, quality, and efficiency. This was partly due to geographical distribution of providers, but also due to limited capacity within the NHIF. There are some mechanisms for assessing needs, preferences, and values to inform design of the benefit package, and while channels to engage beneficiaries exist, they do not always function appropriately and awareness of these channels to the beneficiaries is limited.Conclusion: Addressing the gaps in the NHIF’s purchasing performance requires a number of approaches. Critically, there is a need for the government through the MoH to embrace its stewardship role in health, while recognizing the multiplicity of actors given KENYA’s devolved context. Relatively recent decentralisation reforms present an opportunity that should be grasped to rewrite the contract between the government, the NHIF and KENYAns in the pursuit of universal health coverage (UHC).

Cites

References

  • No record.

    • Cite

    APA: Copy

    MUNGE, KENNETH, MULUPI, STEPHEN, BARASA, EDWINE W., & CHUMA, JANE. (2018). A CRITICAL ANALYSIS OF PURCHASING ARRANGEMENTS IN KENYA: THE CASE OF THE NATIONAL HOSPITAL INSURANCE FUND. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 7(3), 244-254. SID. https://sid.ir/paper/338470/en

    Vancouver: Copy

    MUNGE KENNETH, MULUPI STEPHEN, BARASA EDWINE W., CHUMA JANE. A CRITICAL ANALYSIS OF PURCHASING ARRANGEMENTS IN KENYA: THE CASE OF THE NATIONAL HOSPITAL INSURANCE FUND. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2018;7(3):244-254. Available from: https://sid.ir/paper/338470/en

    IEEE: Copy

    KENNETH MUNGE, STEPHEN MULUPI, EDWINE W. BARASA, and JANE CHUMA, “A CRITICAL ANALYSIS OF PURCHASING ARRANGEMENTS IN KENYA: THE CASE OF THE NATIONAL HOSPITAL INSURANCE FUND,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 7, no. 3, pp. 244–254, 2018, [Online]. Available: https://sid.ir/paper/338470/en

    Related Journal Papers

  • No record.

    • Related Seminar Papers

  • No record.

    • Related Plans

  • No record.

    • Recommended Workshops






    Move to top