The many documents available on the P4H Network’s digital platform reflect the network’s scope of work. The majority of documents are primary source materials created by country nationals or resources produced by organizations working in social health protection (SHP) and/or health financing (HF).
The collection provides information on SHP and/or HF reforms and universal health coverage processes from around the world as well as topical analysis and research.
Kenya Universal Health Coverage Policy 2020-2030
The Kenya Constitution and Vision 2030 mandate the provision of high-quality healthcare for all citizens. To align with this, the Ministry of Health developed the Universal Health Coverage (UHC) policy for 2020-2030, aimed at significantly improving health outcomes in...
Kenya Health Policy 2014-2030
The Kenya National Health Policy aims to improve the nation's health status in alignment with the Constitution of Kenya 2010, Vision 2030, and global commitments. It underscores the government's commitment to achieving high health standards, responsive to population...
Social Health Insurance(General) Regulations, 2023
Kenya is currently undergoing a transition from the 57-year-old National Health Insurance Fund (NHIF) to the Social Health Insurance Fund (SHIF). This shift aims to ensure equitable access to healthcare services for the impoverished and those in the informal sector...
Examining multiple funding flows to public healthcare providers in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia and Vietnam
This study examines multiple funding flows and describes the potential effect of multiple payment streams on healthcare provider behaviour in low- and middle-income countries.Findings from case studies conducted in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia, and...
Citizen engagement in national health insurance in rural western Kenya
Kenyans know of health insurance but don't trust it. Low awareness of benefits and poor communication hurt enrollment. Study in the Health Policy and Planning Journal suggests better explanations and clearer performance reporting to build trust.Many Kenyans are aware...
COVID-19 purchasing adjustments: Insights from 8 middle-income countries
Journal of Health Policy and Planning (Oxford University Press) article examines COVID-19's impact on health purchasing in eight middle-income countries, revealing adjustments in benefit packages and payment methods amid financing challenges and concerns about...
The Effects of Health Purchasing Reforms on Equity, Access, Quality of Care, and Financial Protection in Kenya: A Narrative Review
Kenya's health purchasing reforms improved access and financial protection but face challenges like service awareness and delayed payments, requiring coordinated interventions. This review examines health purchasing reforms in Kenya and their impact on health system...
Building resilient health financing in the wake of COVID-19: case studies of subnational health budgeting in Kenya
In 2020, the COVID-19 global pandemic illustrated like nothing else in recent history the importance of building resilient health systems. The diversion of health system resources to address COVID-19 care led to a disruption of essential health services which affected...
Does the informal sector in Kenya have financial potential to sustainably prepay for health care? Implications for financing Universal Health Coverage in low-income settings
In this article, the authors critically examined the financial potential of informal sector entities, assessing their ability to prepay for health care and influence decisions regarding the Universal Health Coverage (UHC) financing approaches in Kenya. Data were...
Examining health facility financing in Kenya in the context of devolution
The performance of public health facilities depends on purchasing arrangements, and mechanisms used to finance their operations. How public healthcare facilities are financed can affect health system goals in several ways. For example, the reliability of sources of...
Drivers of outpatient care costs incurred by Kenyan households
An estimated 1.48 million people in Kenya are pushed into poverty every year because of out-of-pocket (OOP) and outpatient health expenses. Kenyans from poor households are the most vulnerable and experience economic hardship each time an OOP payment is necessary....
A review of out-of-pocket (OOP) payments for health services under insurance regimes: A policy implementation gap hindering universal health coverage (UHC) in the sub-Saharan Africa (SSA)
One of the key targets of sustainable development goal 3.8 is UHC which requires that all persons irrespective of their social economic background should have access to quality health services when required without incurring financial hardship. To attain this goal,...
Is Kenya’s national hospital insurance fund (NHIF) amendment bill a silver bullet for universal health coverage (UHC)?
The NHIF amendment bill is part of Government of Kenya plan for achieving UHC. The goal of the UHC program is to provide health care for all based on need-not on ability to pay. One of the proposals in the 2021 NHIF amendment bill stipulates that all Kenyans must be...
Universal health care coverage (UHC): healthcare financing and access to health care services in Kenya
Reliance on out-of-pocket (OOP) payments to finance health care is a barrier to health care access and can result in the impoverishment of households. Health care in Kenya is financed from three main sources: OOP expenditure (households), government expenditure and...
“We are called the et cetera”: experiences of the poor with health financing reforms that target them in Kenya
Kenya has implemented a number of healthcare reforms, demonstrating its intention to extend financial risk protection and service coverage for poor and vulnerable groups. These reforms include the provision of free maternity services, user-fee removal in public...