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Kenya - Health equity and financial protection report (Inglês)

The health equity and financial protection reports are short country-specific volumes that provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Kenya's government is committed to improving equity and financial protection in health by implementing the Second National Health Sector Strategic Plan (NHSSP II). Kenya spends 4.3 per cent (2009) of its gross domestic product (GDP) on health. This is lower than the average spending levels in other lower income countries in Africa, which spent an average of 6.5 per cent (2009) of their GDP on health. The functions of the health system in Kenya have historically been centralized through top-down decision-making and resource allocations. However, in the past decade Kenya has committed to decentralization of certain core functions to the district level. These include managing the health management system, making resource allocation decisions, and delivering health services. The central government maintains control over the majority of the key functions of the health system including staffing, contracting, and maintaining the national health information system. Kenya has a form of social insurance through the 40 year-old National Hospital Insurance Fund (NHIF). Employees in the formal sector are compulsorily insured and must make monthly contributions from their wages.


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    Bilger,Marcel, Bredenkamp,Caryn, Buisman,Leander Robert, Prencipe,Leah Marie, Wagstaff,Robert Adam Stephen

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    Kenya - Health equity and financial protection report

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    inequality in health;maternal and child health;financial protection;concentration index;Demographic and Health Survey;insecticide treated bed net;government spending;health care utilization;inpatient and outpatient care;Democratic Republic of Congo;national health information system;financial protection in health;lack of health care;high prevalence of hiv;data availability;purchasing power parity;government health expenditure;degree of inequality;adult health outcomes;benefit incidence analysis;infant mortality rate;children with diarrhea;Health Service;poverty gap;inpatient care;skilled birth attendance;fruit and vegetable;acute respiratory infection;deaths among children;standard of living;principal component analysis;depth of poverty;gross domestic product;child health outcomes;pregnant woman;government expenditure;government subsidy;curative care;health problem;illness and death;health financing system;information in table;delivering health services;resource allocation decision;health management system;health insurance coverage;indicators of health;international development assistance;private health expenditure;sources of fund;direct budget support;total government spending;data on fees;public health programs;types of care;health care expenditure;social security fund;continuity of care;public health service;public health providers;public health center;health care financing;health care payment;per capita consumption;consumer price index;subsidized health insurance;Population and Health;standards of quality;inpatient hospital care;framework for regulation;oral rehydration salt;Sexually Transmitted Infection;household survey data;health spending increases;financing health care;value added tax;act of violence;preventive care;sexual intercourse;cost assumption;ill health;health payments;household consumption;health behavior;health status;Public Facilities;mosquito net;negative value;total consumption;benefit-incidence analysis;young child;public subsidy;Antenatal Care;section show;public hospital;living standard;government hospital;health facility;social insurance;asset information;poverty headcount;hiv positive;health module;poor household;voluntary counseling;live birth;standard deviation;contraceptive prevalence;inpatient stay;road traffic;breast cancer;Bodily injuries;medical treatment;financial consequence;clinical staff;ambulatory facility;Health Workers;medical service;outpatient visits;consumption quintile;budget share;evaluation procedure;inpatient day;considerable difference;insurance companies;income loss;Rural Poor;Mental health;payment mechanism;public entity;private employer;income quintile;private provider;Public Services;small fraction;primary care;health indicator;national hospital;educational enrolment;tuberculosis symptoms;patient cost;anthropometric data;hiv 1;information sector;monthly contribution;formal sector;geographical barrier;tobacco product;extreme poverty;pharmaceutical cost;catastrophic expenditure;disproportionate burden;wealth effect;hiv prevalence;household financial;children of ages;preventive service;socioeconomic differences;outpatient facilities;medical supply;resource mapping;health equity;outpatient service;private insurance;current consumption;hospital service;statistical significance;outcome indicator;equitable access;regulatory capacity;delivering services;average spending;tuberculosis screening;private funding;Learning and Innovation Credit;childhood immunization;expenditure source;inequality measure;reducing inequality;private source;population increase;poor health;modern contraception;food spending;household expenditure;nonfood expenditure;adverse health;Poverty measures;obstetric care;fee revenue;medical need;medical consumption;childhood illness;core functions;utilization rate;tertiary hospitals;Government Facility;health workforce;nonfood spending;quality care;administrative support;graphic design;financial contribution;hospital bed;inpatient service;management board



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