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MINISTERIAL MEETING UNDER THE THEME “DOMESTIC FINANCING FOR HEALTH: INVESTING TO SAVE”, ADDIS ABABA, ETHIOPIA, 11- 12 NOVEMBER, 2013. Presentation outline. 1. Who finances health in Kenya 2. Health financing challenges 3. Domestic health financing initiatives.

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Presentation outline

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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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