MINISTERIAL MEETING UNDER THE THEME “DOMESTIC

FINANCING FOR HEALTH: INVESTING TO SAVE”, ADDIS

ABABA, ETHIOPIA, 11- 12 NOVEMBER, 2013

Presentation outline

1. Who finances health in Kenya

2. Health financing challenges

3. Domestic health financing initiatives

• Source: National Health Accounts, GOK, 2001-02, 2005-06, 2009-10; WDI 2012

Health Financing: Who pays in Kenya?

Expenditure by Key Priority areas, 2009/10

HIV/AIDS25%

Malaria25%Tubeculosis

1%

Reproductive health

14%

Other health services

35%

Health financing Challenges High out of pocket spending –denying poor Kenyans access to

health care

- 20% of sick can’t access health due to financial barrier

Inadequate funding from the Government - GoK allocations below the Abuja targets

Heavy reliance on donor funding – sustainability issues- Key priority programmes are over 70% financed by donors

Low population coverage by insurance- Only 10% of Kenyan population have access to a medical cover

Restructuring of NHIF Improve governance and increase coverage

Free deliveries at public facilities Kshs. 3.1 billion allocate for deliveries Increase access by the poor and reduce MMR

Abolition of user fees at lower level facilities Kshs. 700m allocated to compensate facilities for lost

revenue Pro-poor initiative to reach communities in rural areas

Finalization of the Healthcare Financing Strategy Define the Roadmap towards Universal Health Coverage

Current Health Financing Initiatives

Restructuring NHIF To free huge amount currently used for administration to go towards

payment of benefits Bring more formal sector participation including employer

contributions Include reimbursement of ART and outpatient care for opportunistic

infections within the NHIF cover

Efficient Improvement Redirecting resources to lower level facilities (provide primary care at

cheaper costs) Introducing performance based financing (reduce wastage)

HIV Trust Fund Earmark 1% of government revenue for the Trust Fund Finance 74% of HIV/AIDS financing gap by 2020 Fund to be expanded to cover other priority areas including NCDs

Proposed Means of mobilizing Domestic

financing

Thank You