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Purchasing reforms and tracking health resources, Kenya.

Ileana Vilcu1, Boniface Mbuthia2, Nirmala Ravishankar3

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Summary

Health resource tracking tools in Kenya lack comprehensive data on funding flows to public facilities. Enhancing these methods can improve strategic purchasing for universal health coverage.

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Area of Science:

  • Health Economics
  • Health Systems Strengthening
  • Public Health Policy

Background:

  • Low- and middle-income countries are reforming health financing to achieve universal health coverage.
  • Strategic purchasing requires comprehensive data on funding flows to healthcare providers.
  • Existing health resource tracking tools may not fully support strategic purchasing decisions.

Purpose of the Study:

  • To assess if current health resource tracking tools in Kenya provide adequate data for strategic purchasing reforms.
  • To explore the nature of funding flows from public purchasers to public health facilities in Kenya.
  • To identify gaps in existing data and propose enhancements for better strategic purchasing.

Main Methods:

  • Qualitative assessment of funding flows in three Kenyan counties.
  • Analysis of payment methods used by public purchasers (county health departments, national health insurance agency).
  • Evaluation of existing health resource tracking activities.

Main Results:

  • Public purchasers in Kenya use diverse payment methods (financial and in-kind) for public facilities.
  • Significant variation exists in funding flows and facility financial autonomy across counties and care levels.
  • Current health resource tracking activities do not provide comprehensive data on provider payments.

Conclusions:

  • Existing health resource tracking tools in Kenya are insufficient for informing strategic purchasing reforms.
  • Enhancements to current methods are needed to capture detailed funding flow information.
  • Improved data on fund allocation can support more effective strategic purchasing and advance universal health coverage.