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Kenya economic update : take off delayed - Kenya's economy facing headwinds in 2014 with a special focus on delivering primary health care services : Executive summary (Inglês)

This is the tenth edition of the Kenya Economic Update. The special focus of this update identifies some of the challenges facing Kenya's health system. It examines how reforms have already improved primary care and suggests how Kenya can build on its devolved system of delivering primary health services to achieve the government' s goal of providing universal health coverage. Under Kenya's new devolved system of government, responsibility for delivering health care services lies with county governments. A series of actions on their part could improve health outcomes, increase the efficiency and effectiveness of the system, and move Kenya toward its goal of achieving universal health coverage. The report has three main messages: First, the economy remains strong despite the headwinds it faces in 2014. Kenya's record of maintaining macroeconomic stability and adhering to credible policies has underpinned its growth in the past;staying this course will help Kenyaweather the domestic shocks it faces, allowing it to grow at an annual rate of 4.7 percent in 2014 and 2015. Second, addressing the fiscal pressures emerging from fiscal expansion is a priority. Given the reduction in fiscal buffers and the fiscal risks linked to the wage bill and devolution, efficiency gains needs to be achieved. Additional spending should be pursued only if they are necessary and careful attention is given to sustainability. Third, Kenya's health outcomes are not commensurate with its aspirations of achieving middle income status. More needs to be done to improve these outcomes. Global evidence indicates that the best way to improve health outcomes is to improve primary health care. Doing so involves reallocating some of the health budget away from curative care towards preventive and promotive care.


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    Executive summary

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    primary health care;delivery of health care services;fiscal;public debt;public sector wage bill;access to primary care;stable exchange rate;quality and quantity;inflationary pressure;Macroeconomic Stability;fiscal deficit;demand for import;health care system;health care expenditure;growth in agriculture;access to health;domestic interest rate;health care outcome;direct funding;household consumption;domestic demand;private investment;monetary policy;electricity price;inadequate rainfall;real gdp;Fiscal policies;fiscal policy;income gap;base case;Fiscal Expansion;extreme poverty;community participation;Maternal Mortality;expenditure survey;child morbidity;health literacy;participatory approach;specialist care;capital good;inflation average;output growth;funding mechanism;agricultural output;fuel price;capital flow;federal reserve;increased volatility;forecast period;public consumption;public expenditure;budget execution;external demand;Investment Flow;global economy;net export;forecast horizon;National Treasury;consumption spending;transfer service;tradable sector;investor confidence;inflation expectation;production cost;international food;agricultural production;terrorist activity;monetary condition;macroeconomic instability;domestic security;increased insecurity;operational aspect;holistic approach;equitable access;tourism sector;efficiency gain;supply chain;potential investor;fiscal risk;Health cost;laboratory services;transport service;health outcome;Health Service;fiscal pressure;good policy;curative care;security situation;drought;



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