Book Description

This report summarizes the findings of the Health Financing Progress Matrix assessment, WHO’s standardized assessment of a country’s health financing policies, for Kenya. The report highlights both strengths and weaknesses in Kenya current health financing arrangements, assessed against the desirable attributes of a health financing system, based on global evidence. Based on the findings, the report suggests a number of policy adjustments to drive accelerated progress towards universal health coverage (UHC) in the country. Priorities for attention include addressing or mitigating the consequences of fragmentation, for example across the numerous health coverage schemes, making more effective use of data and information systems, and improving public financial management within the health sector. Given the context of devolved decision-making for a substantial part of overall government health spending, a realistic health reform implementation roadmap should suggest mechanisms to bring about greater overall coherence in the system, identifying those features which can be established nationally while recognizing the limits of what can be imposed centrally. The Health Financing Progress Matrix assessment provides guidance to policy-makers, building on international experience and evidence, whilst at the same time reflecting the unique features and context of the Kenyan health system.