role of nhif in universal health coverage in kenya

Role In order to enhance access to health care as a step towards UHC, the government has identified and settled on NHIF as official vehicle for the successful implementation of universal health coverage for the country . NAIROBI, Kenyaâ National Hospital Insurance Fund (NHIF) and BodaBoda Association of Kenya on Monday signed a Memorandum of Understanding (MoU) to enhance Universal Health Coverage (UHC). Governance and accountability 2. The Constitution of Kenya (2010) contains a comprehensive Bill of Rights. UHC is one of President Uhuru Kenyattaâs âBig Fourâ agenda and is meant to give all Kenyans access to quality healthcare that is financially sustainable and consistent with the needs of the population. In Kenya, a similar national health insurance program exists, for salaried employees, and for self-employed if they want to enroll. NHIF's Public Notice To All Kenyans. Nairobi, KENYA April 6, 2018 â The Government has prioritized attainment of Universal Health Coverage (UHC) to reduce the expenditure burden that a majority of Kenyans incur while seeking healthcare. challenges in provision of universal health care by the national hospital insurance fund, kenya karanja jane wanjiru a research project submitted in partial fulfilment of the requirement for the award of degree of master of business administration, school of business, university of nairobi november, 2014 Having been instituted by an act of parliament in 1966 the National Hospital Insurance Fund (NHIF) is the leading health insurance institution in the country.It is mandated to ensure all Kenyans have access to quality and affordable health services,It plays a key role in implementing the universal health coverage agenda in Kenya. Having been instituted by an act of parliament in 1966 the National Hospital Insurance Fund (NHIF) is the leading health insurance institution in the country.It is mandated to ensure all Kenyans have access to quality and affordable health services,It plays a key role in implementing the universal health coverage agenda in Kenya Citation: Desire Aime Nshimirimana.et. 1) Case Report Journal of MAR Cardiology (Volume 3 Issue 5) Raila further argued that counties play a critical role in the access of health care services noting that devolved units play a critical role in the National Hospital Insurance Fund (NHIF) scheme. Amref Health Africa has outlined proposals to help accelerate the attainment of Universal Health Coverage (UHC). Catastrophic health expenditure would simply be explained as selling a key source of livelihood like land, livestock or â¦ Kenya has recently made high-profile political commitments to achieving universal health coverage (UHC) nation-wide by 2022. A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund Kenneth Munge 1*, Stephen Mulupi , Edwine W. Barasa , Jane Chuma,2 Abstract Background: Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. There is a push by the Kenyan government and international development actors to increase the role of the private sector in Kenya's â¦ Introduction This report assesses the Kenyan health financing system in light of ongoing reforms and the Government of Kenyaâs (GOKâs) ambitious commitments to achieve universal health coverage (UHC) through multiple initiatives. The study concluded that universal health care is essential to all people in Kenya and this translates to the acceptance of the fact that the economically strong will have to pay more than the poor. Role of CHWs & Health Insurance in the Journey towards Universal Health Coverage in Kenya Published on November 26, 2017 November 26, 2017 â¢ 56 Likes â¢ 1 Comments NHIF Online Registration â¦ New & Innovative Initiatives. Recent health-care financing reforms have been characterized by a move away from OOP payments towards universal access to health care with financing through the National Health Insurance Fund. NHIF is Kenyaâs equivalent As Kenya, continues making strides towards promoting UHC, at least 3.2 million Kenyans in four counties will be the first beneficiaries of a new health package being developed by the Government. In addition, the national government expanded service offerings within the countryâs national health insurance scheme, the National Hospital Insurance Fund (NHIF), in order to improve access to healthcare services. Universal Health Coverage. Approximately 5.2 million people in one way or â¦ The NHIF membership is open to all Kenyans as long as they have attained the age of 18 years and have a monthly income. The Kenyan Ministry of Health (MoH), in collaboration with the World Bank Group (WBG) and United States Agency for International Development (USAID), convened the Kenya health policy high level forum (HLF) in March 2014 to share national and international experiences and find options for achieving UHC. A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund Kenneth Munge 1*, Stephen Mulupi , Edwine W. Barasa , Jane Chuma,2 Abstract Background: Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. The Universal Health Care Goal aims at cushioning citizens against out of pocket expenditure on health services said the Cabinet Secretary for Health, â¦ Expert Speakers: Dr. Lydia Dsane-Selby, CEO National Health Insurance Authority (NHIA), Ghana. Prior allegations of corruption and financial sustainability of the initiative were key concerns. âUniversal health coverage means that every single Kenyan should have access to quality health care without suffering financial loss,â he said. Kenya Medical Association is a National Association of Doctors and Dentists and is mandated by its members to promote the quality practice of medicine in Kenya.KMA holds a strategic position in health sector policy by being in membership of national decision-making boards for the practice of medicine and the protection of patients in Kenya. NAIROBI, Kenya, Dec 1 â President Uhuru Kenyatta Tuesday said the government is still on track to provide 100% Universal Health Coverage for essential health services. A little bit of history about Kenyaâs journey to âuniversalâ health. Recent health-care financing reforms have been characterized by a move away from OOP payments towards universal access to health care with financing through the National Health Insurance Fund. The UHC program will prioritize broadening access to services, strengthening primary healthcare, increasing medical staff and medical supplies, digitizing health operations, and scaling up the National Health Insurance Fund (NHIF). However, no single study has collated evidence on the progress and bottlenecks on strategic health purchasing (SHP) in â¦ Dr. Peter Kamunyo Gathege, CEO National Hospital Insurance Fund (NHIF), Kenya Checking out and experiencing the thrill of the Renault Virtual Reality Technology at the @Total motorshow @KICC_kenya @NanaGecaga ; The partnership will benefit over 5 Million Kenyans who rely on the commercial motorcycle industry for a living. 2. Background: Kenya has committed to achieve universal health coverage (UHC) and prioritised purchasing reforms.Existing evidence indicates that purchasing can be leveraged to achieve health system objectives when done strategically. al, âRole of Social Health Insurance towards Universal Health Coverage for East African Community: An Analytical Review.â MAR Cardiology 3.5 www.medicalandresearch.com (pg. When the National Rainbow Coalition (Narc) came to power in 2002 they promised to deliver universal healthcare. A single national health insurance holds the hope of increasing the resources available for health and providing basic Universal Health Coverage. Universal Health Coverage: What you need to know. Around the world, funds like these collect contributions from a combination of employees, employers and government and then use them to provide health insurance to some or all citizens. We would like to show you a description here but the site wonât allow us. New plans on achieving Universal Health Coverage Kenya Healthcare Federation(KHF) Healthcare Financing committee held itâs last quarterly meeting at KHF offices on 7th December 2018 the meeting was chaired by the committee chair Dr. Njoki Fernandes. â¦ The health institution has partnered with Kenyaâs National Hospital Insurance Fund (NHIF) to fast-track the scale-up of UHC by using Community Health Workers (CHWs) as agents for NHIF registration at community level. Ministry of health stands at 7% far from the commitment of 15% as part of the Bamako initiative. Kenya envisions to have Universal Health Coverage (UHC) by 2022. Health care financing (HCF) is one of the building blocks of a health system. The Path to Universal Health Coverage in Kenya : Repositioning the Role of the National Hospital Insurance Fund. The health system is financed by revenues collected by (1) The government (national and county) through taxes and donor funding. The NHIF will play a central role in supporting the execution of Universal Health Coverage (UHC) in Kenya through provision of outpatient and inpatient packages at very low rates for the lower income segment. Achieve 100% Universal Health Coverage by scaling up NHIF uptake. National Health Insurance Fund (NHIF) and Universal Coverage. Universal Health Coverage, by addressing this complex and fractured health insurance market. Efficiency and effectiveness 3. To address these challenges, the Government of Kenya has made a commitment to reform the countryâs health financing system to accelerate progress towards Universal Health Coverage. In Kenya, NHIF is Kenya has adopted Universal Health Coverage as one of the big four agenda by His Excellency the President, with aspiration that by 2022, all persons in Kenya will be able to use the essential services they need for their health and wellbeing through a single unified benefit package, without the risk of financial catastrophe. On March 22nd, the three partners entered into an MOU to increase health insurance coverage and improve health systems with clearly defined roles towards infrastructure improvement, payment of NHIF premiums and availability of funds to health facilities by NHIF to facilitate healthcare provision. NHIF has taken the cue and has put in place measures to play its role in achievement of Universal Health Coverage; the main goal being to provide affordable, accessible, sustainable and quality health care to all Kenyans. Kenya is committed to achieving universal health coverage and this is also reflected in the 2016 RMNCAH Framework. The re- deficits will be much tougher to resolve in 12-24 months. â¦ i) Expansion of services ii) Inclusion of all persons iii) Reduction of out-of-pocket payments at the point of accessing health services To this end, the Cabinet Secretary for Health constituted Health Financing Reforms Expert Background: Kenya has committed to achieve universal health coverage (UHC) and prioritised purchasing reforms.Existing evidence indicates that purchasing can be leveraged to achieve health system objectives when done strategically. National Health Insurance Fund (NHIF) and Universal Coverage. In order to enhance access to health care as a step towards UHC, the government has identified and settled on NHIF as official vehicle for the successful implementation of universal health coverage for the country . Government of Kenya initiated a wide consultative process to formulate a national social protection framework. In response to 67 th session of the United Nations General Assembly, Kenya has embraced the issue of universal health coverage. Five years would not have been enough to put in place all that is required to spur the manufacturing sector. And the National Hospital Insurance Fund (NHIF) is at the centre of one of the most integral programs for better healthcare. Statement of the problem:A regressive system implies that rising income is matched with a falling fraction of income being paid to the health-care system. NHIF is a social health insurance fund. 1.2: Health care financing in Kenya Provision of health care services in Kenya is through the public and private sector, with the central government through the Ministry of Health being the largest provider (Kimalu et al, 2004). Background. NHIF into a universal health coverage system in order to make healthcare more affordable for all citizens of Kenya. Its mandate is to provide health insurance coverage to all Kenyans. The Government is working towards having a sustainable National Insurance Scheme that aims to progressively provide health care to all Kenyans. The goal will be achieved by supporting equitable, As Kenya, continues making strides towards promoting UHC, at least 3.2 million Kenyans in four counties will be the first beneficiaries of a new health package being developed by the Government. NHIF Kenya has, over time, enrolled significant reforms aimed at expanding services and meeting the populace's well-being needs. The health benefit package, under the Universal Health Coverage programme beneficiaries will come from Kisumu, Isiolo, Nyeri and Machakos counties. The investigation was conducted in two study areas; the 47 counties and NHIF. Activities of the Kenya National Accreditation Services (KENAS) in "It is completely outdated to continue calling this body National Hospital Insurance Fund. The NHIF is the largest health insurance provider in Kenya, covering 88.4% of the insured population [ 19 ]. The NHIF will play a central role in supporting the execution of Universal Health Coverage (UHC) in Kenya through provision of outpatient and inpatient packages at very low rates for the lower income segment. The NHIF is the main health insurer in Kenya, covering 16% of Kenyans, whereas the 32 private health insurers collectively cover a mere 1% of the Kenyan population. The study collected secondary data on the socioeconomic â¦ Addressing the gaps in the NHIF's purchasing performance requires a number of approaches. (2) The National Hospital Insurance Fund (NHIF) through member contributions. The National Health Insurance Fund is a state parastatal that was established by the Kenyan government in the year 1966. The constant utilization of out of pocket fees to finance health care is a constant barrier to health care access resulting in the impoverishment of households. Population and NHIF Coverage. To address these challenges, the Government of Kenya has made a commitment to reform the countryâs health financing system to accelerate progress towards Universal Health Coverage. Through this process, the Government has identified several key social protection actions in the areas of social assistance, social security, and health insurance. NHIF coverage among the formal sector is near universal, compared with only 15% NHIF coverage among the informal sector. During a 2012 survey of citizens living in a Nairobi slum, only 10% of survey respondents were enrolled in NHIF, and the majority were not enrolled in any type of health coverage at all (Kimani, 2012). He also spoke on political stabilisation, a doctrine which he said guided him on the path to the 'Handshake' with ODM leader Raila Odinga. The key agenda for the discussions were: Universal Health Coverage, Doctorâs price guidelines and â¦ The NHIF will play a central role in supporting the execution of Universal Health Coverage (UHC) in Kenya through provision of outpatient and inpatient packages at very low rates for the lower income segment. The Kenyan government's commitment to universal health coverage is taking shape. The evolving role of NHIF and its readiness to lead expansion toward universal health insurance The expanding role of the private sector in service provision Transition away from external financing and the basis for increased government spending on health Findings Kenyaâs health outcomes have improved significantly, though some health areas lag Recently, the government edged closer to implementing universal coverage and settled on NHIF as a vehicle towards the realization of universal coverage (NHIF, 2015; Okech & Lelegwe, 2016). Overall, Kenya shows a willingness for policy experimentation and is also a source of private market digital and financial innovation which, if harnessed, can accelerate key future health system solutions. Executive Summary 8 Government Vision for UHC and Health Financing Reform Relatively recent decentral â¦ the role of technology and data in strengthening health insurance to deliver Universal Health Coverage . UNICEF has reported that health insurance coverage in Tanzania has been growing steadily. December 1, 2021. That is presently THE buzzword across Kenyaâs health system. Universal Health Coverage (UHC). Upon attaining independence in 1963, the Government recognized the â¦ Kenya has adopted universal health coverage (UHC) as part of its Big Four policy agenda. NHIF AND UHC: FKE PERSPECTIVE In Kenya Universal Health Coverage (UHC) has become a national priority. â¢ â¦ We assessed the level and determinants of technical efficiency of the â¦ Background: Kenya is developing strategies to finance health care through prepayment to achieve universal health coverage (UHC). Universal health coverage (UHC) has In 2013, Kenya transitioned into a devolved system of government granting county governments autonomy over budgets and priorities. Ministry of health stands at 7% far from the commitment of 15% as part of the Bamako initiative. Kenya has adopted primary health care as the approach to deliver universal health coverage Explainer: What is Universal Health Cover and Why NHIF Plays Major Role Towards Its Achievement Source: Original. There have been a number of good and not-so-good things to be said of the Jubilee Administration. One obvious conclusion from this is that the NHIF is the vehicle that the government has picked to drive this agenda. Universal Health Coverage, by addressing this complex and fractured health insurance market. Mandatory NHIF coverage would raise revenues for UHC and improve prepayment and financial protection. Conclusion & significance: The progress towards universal access to health care through NHIF has been met with significant challenges i.e perceived lack of good governance and lack of capacity among other reasons. However, about four years since UHC was listed among the big four agenda, many Kenyans hardly understand what it is, their role and the governmentâs role towards making it a reality. Prior allegations of corruption and financial sustainability of the initiative were key concerns. Therefore allotment in financial contributions towards health care is a key component of modern day approaches to health system assessments (Murray and Evanâ¦ 9 In efforts to enhance the NHIFâs capacity to deliver the promise of UHC to Kenyans, the Kenyan government has introduced several reforms in the last eight years. A single national health insurance holds the hope of increasing the resources available for health and providing basic Universal Health Coverage. Universal Health Coverage (UHC). The World Bank Group (WBG), through collaboration between the health in Africa initiative program and â¦ Research Article Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage Edwine Barasa *,1,2, Khama Rogo3, Njeri Mwaura 3, and Jane Chuma3 1Health Economics Research Unit, KEMRIâWellcome Trust Research Programme, Nairobi, Kenya 2Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, â¦ Schools Details: Having been instituted by an act of parliament in 1966 the National Hospital Insurance Fund (NHIF) is the leading health insurance institution in the country.It is mandated to ensure all Kenyans have access to quality and affordable health services,It plays a key role in implementing the universal health â¦ Universal health coverage is one of the hottest topics of discussion in Kenya and the rest of the world, and for good reason. President Uhuru launches Universal Health Coverage Pilot Program Nairobi, (KENYA) December 13, 2018. Over the last decade, it has become clear that Kenyaâs National Hospital Insurance Fund (NHIF) is the vehicle through which the government hopes to eventually offer health insurance to all Kenyans. Table 1: Contributions and claims to the National Health Insurance Fund Plans to transfer free maternity services (FMS) from the Ministry of Health to the National Health â¦ What we are insuring are not hospitals but health. NHIF Chairman Lewis Nguyai making his remarks during the official opening of the boardâs workshop in Mombasa. NHIF is Kenyaâs equivalent of a social health insurance fund where all employees in formal employment as well as volunteer members (in informal employment), make contributions to the fund (National Hospital Insurance Fund 2011) which has since increased its benefit package from inpatient services to include outpatient services. Kenya is a country in East Africa with a population of about 48 million people and a life expectancy of 64 years for men and 69 years for women. The report warns that âexpanding coverage through the NHIF instead of investing in a strong public health system is not a small step â¦ As a vehicle for achieving UHC, the NHIF will be required to scale up social health insurance coverage in Kenya to 100% by 2030. Kenya is a signatory to Astana Declaration (2018) which highlighted the importance of community health services in advancing Universal Health Coverage. having been instituted by an act of parliament in 1966 the national hospital insurance fund (nhif) is the leading health insurance institution in the country.it is mandated to ensure all kenyans have access to quality and affordable health services,it plays a key role in implementing the universal health coverage agenda in kenya. 3. For Universal Health Coverage to be feasible, they should register more users as a share of population and both from the formal and informal sector given that the biggest revenue stream for the NHIF comes from membersâ contributions. NHIF Portal,Online Registration,Payments, Benefits and . However, if NHIF is going to anchor universal health coverage in Kenya, then it must be capable of managing its finances in an effective manner. 1.4 Role of National Hospital Insurance Fund (NHIF) in Kenyaâs Development Agenda Social Health insurance has been recognized in the Kenya Vision 2030 as one of the pillars for Kenya to achieve Universal Health Coverage. UNICEF has reported that health insurance coverage in Tanzania has been growing steadily. To achieve this, the National Hospital Insurance Fund (NHIF) was identified as a vehicle towards the realization of UHC. Currently, only about 20% of Kenyans have any form of health insurance coverage, with over 85% of them covered by NHIF. The GOK intends to provide Universal Health Coverage (UHC) for all as part of its Big Four Agenda. The NHIF will play a central role in supporting the execution of UHC in Kenya through provision of quality outpatient and inpatient packages at very low rates for the lower income segment. The country, which has been lagging behind its East African counterparts in providing basic health services, last week launched biometric registration for Universal Health Coverage scheme beneficiaries to be under the National Hospital Insurance Fund (NHIF) âthe government-run medical insurance service that oversaw the piloting of the scheme. The NHIF is implementing the digital transformation within the Universal Health Coverage (UHC) framework to ensure there are adequate measures to have their members receive efficient services. Having been instituted by an act of parliament in 1966 the National Hospital Insurance Fund (NHIF) is the leading health insurance institution in the country.It is mandated to ensure all Kenyans have access to quality and affordable health services,It plays a key role in implementing the universal health coverage agenda in Kenya The recent controversial attempt to expand outpatient coverage is also intended to position NHIF for a larger role in the health system. Plans to transfer free maternity services (FMS) from the Ministry of Health to the National Health Insurance Fund (NHIF) are a step towards UHC. The constitution of Kenya, under the Bill of Rights, gives the citizens the right to the highest attainable standards of health in line with the WHO Constitution which declares health a fundamental human right, thereby committing to ensuring the highest attainable level of health for all. In 2014 the Ministry of health developed the Kenya Health Policy (2014-2030)2 whose goal is attaining the highest possible standard of health. Universal Health Coverage (UHC) was among the top four agendas alongside food security, manufacturing and affordable housing. The majority of health care services in Thailand is delivered by the public sector, which includes 1,002 hospitals and 9,765 health stations. These are the conclusions of the Kenya Health Financing System Assessment 2018, which examines diverse trends in public financing of healthcare as well as the maturity of the National Hospital Insurance Fund (NHIF). While there has been much focus and discussion on the role of the National Health Insurance Fund (NHIF) in providing financial protection for Kenyans so as to reduce out of pocket spending for health, a lot less is being said about the quality of health care services, and â¦ As a result, experts portend that the ... Social health insurance financing through the NHIF is an augmenting financing avenue. NHIF is expected to be the backbone of expanded insurance coverage and an eventual consolidated single payer. The aim of this investigation was to analyze socioeconomic determinants of National Hospital Insurance Fund Health contributions and absorption. Healthcare providers are organized into four tiers, namely community, primary care, county referral and national referral hospitals. President Uhuru Kenyatta spoke on the industrialisation of the country and how Kenya can emulate nations such as Hong Kong, Taiwan, Singapore and South Korea. The National Hospital Insurance Fund (NHIF) is a critical vehicle that the government is using under the Ministry of Health to scale up Universal Health Coverage. â¢ NHIF Bill, passed by the National Assembly in September, requires all adults to make monthly contributions for successful Universal Health Coverage. rates and medical fees, the need for Universal Health Coverage has become more pronounced than ever before. NHIF has over the years been reviewed to accommodate the changing healthcare needs of the Kenyan population, employment and restructuring in the health sector. Over the last six years, the health sector in Kenya has exhibited significant developments, including the introduction of the Linda Mama (free maternity) initiative, the Beyond Zero campaign, efforts to revamp the National Hospital Insurance Fund (NHIF), as well as a multi-million dollar Medical Equipment Leasing scheme aimed at bringing advanced medical â¦ The national hospital insurance fundâs (NHIF) mandate by the Ministry of Health (MOH) of Kenya to implement universal health coverage (UHC) generated controversy among stakeholders. health insurance and tax financing aimed at protecting the poor and other vulnerable groups (NHIF, 2015). In this regard, there has been urgent need for NHIF to expand its benefits and coverage to other members of the society. Improving health system efficiency is a key strategy to increase health system performance and accelerate progress towards Universal Health Coverage. Critically, there is a need for the government through the MoH to embrace its stewardship role in health, while recognizing the multiplicity of actors given Kenya's devolved context. This move offers our research team a chance to follow developments, engagements and debates about UHC in Kenya, as they unfold. This was a shift from the previous regime where the poor and lower class citizens were subjected to paying for medical services out their pocket. Financing universal health coverage for Kenyaâs informal population Michael Owuor The GLOCEPS ... makers on the cornerstone role of UHC, resolv-ing the equitable health financing conundrum is inexorable. Body National Hospital Insurance Fund ensure that Ambitions set and conveyed by President Kenyatta when National... 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