1 / 7

Health care funding sources

Health care funding sources. How are funds pooled. Payment mechanism. Services included in the benefit package: NHIF- ‘hotel costs’ Private insurance- all but depends on the premium. Govt-all? Equitable financing and delivery Who bears the burden?

basil-bird
Download Presentation

Health care funding sources

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Health care funding sources

  2. How are funds pooled

  3. Payment mechanism • Services included in the benefit package: • NHIF- ‘hotel costs’ • Private insurance- all but depends on the premium. • Govt-all? Equitable financing and delivery Who bears the burden? • OOP- the poor( no discrimination at the point of purchase)-inequitable • Govt (Taxes)- All • NHIF-inequitable-there is a “cap” after a cont of Kshs.320 • Private insurance-the rich-inequitable

  4. Who benefits from health care • Govt- (Rich)70% of Govt resources goes to hosp care-based in urban where the rich are found. • Utilization of health care at hosp. is dominated by the rich while at primary health care facilities by the poor (BIA). • OOP- Rich?? • Private insurance-rich • NHIF-Relatively rich

  5. Factors contribute to equity/inequity in financing • What factors contribute to equity/inequity in financing in your country • Distribution of facilities • Distribution of financial &human resources • Quality of care • Mechanisms to protect the poor are not working • To what extend does the system protect the poor • Waivers &exemption mechanisms • 10/20 policy • Free health care for the under five/maternity ?? • Free health care for HIV/AIDS patient-only ARVs, pay for CD4 count & other tests

  6. Way forward towards universal coverage • Phased implementation • Define the package and keep on expanding it as the contributions and economy improves • Distribution of health personnel • Rehabilitate facilities • Address the issue of quality of care • Improve governance efficiency issues-NHIF and MoH

  7. Lesson learnt • Sustained economic growth • Stakeholders involvement • Political will • Policy champion

More Related