UHC 2020 – Looking ahead

Listen Social health insurance is a key pillar for achieving UHC in Kenya. Ongoing reforms at NHIF are designed to make it more effective and responsive. These include restructuring the management structure, constantly reviewing member contributions, extending the benefit package to outpatients, and adopting new strategies to increase membership. But NHIF cannot do it alone. […]

The Makueni County model

Listen Makueni is a mainly rural county in southeast Kenya, with a population of approximately a million people. It borders Kajiado, Machakos, Kitui and Taita-Taveta counties. From May to September 2016, the county initiated a pilot programme titled MakueniCare. The focus of MakueniCare was senior citizens over 65 years of age for whom it reimbursed […]

NHIF and financing of UHC

Listen The National Hospital Insurance Fund (NHIF) is a State corporation whose primary mandate is to secure all Kenyans from financial risk occasioned by the high cost of healthcare services. This makes it a primary enabler of the government’s Universal Health Coverage (UHC) programme. According to its 2018–2022 Strategic Plan, it should do this by […]

Key legislative and institutional pillars of UHC

Listen To actualise the delivery of affordable healthcare for all through Universal Health Coverage (UHC), legislative reform is vital. The agency leading this key task is the Kenya Law Reform Commission (KLRC). Its work involves reviewing “current legal frameworks and systematic development of legislation through integration, unification of the law, elimination of anomalies, repeal of […]

Proposed lower cost of medicines and quality assurance; essential medicines list, including those for non-communicable diseases

Listen Lowering the cost of medicines in Kenya has been an uphill task, thus becoming one of the stumbling blocks to achieving UHC. According to WHO, 100 million people across the world fall into poverty because of out-of-pocket payments for medicines and related health services. In May 2019, Kenya’s Cabinet Secretary for Health, cognisant of […]

Reforms in KEMSA 2008-2013: Capacity building and coping with devolution

Listen Between 2000 and 2008, the Kenya Medical Supplies Agency was going through tough times, coupled with challenges such as: inadequate funding from the government; overall lack of confidence in transparency, accountability and performance at KEMSA; lack of timely disbursement of procurement, and operational budgets. These challenges were a great impediment to the Agency’s efforts […]

Evolution of UHC in Kenya

Listen The Kenya health sector has re-aligned its policies and strategic direction in line with the Constitution of Kenya, 2010.  The Constitution guarantees the highest attainable standard of health as a right while devolving governance to ensure improved service delivery, greater accountability, improved citizen participation and equity in the distribution of resources. Additionally, Kenya’s Vision […]