The Experiences on Attempts and Challenges of Providing Free or Affordable Universal Health Care in Developing Countries: Review of Kenyan Situation

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  •   James Mwashembe Malusha

Abstract


Ensuring the availability of quality and affordable health care for all citizens is a primary goal of every government. However, how they do it differs from country to country, but the bottom line is that many countries especially developing ones have challenges in providing accessible quality health care to all their citizens. Among the numerous approaches to providing health care to all, universal health care is the newest ‘kid in the block’ approach. Kenya has made numerous attempts to provide free or affordable health care to citizens but has encountered numerous challenges in the process. The approach has been mainly through health care reforms such as universal or categorical free health care or the introduction of health insurance and the expansion of its coverage. In Kenya, health care had been free since independence. Achieving quality health care requires concerted efforts aimed at diversifying and strengthening financing mechanisms and schemes as well as eliminating inefficiencies in health care. Moreover, there is a need to boost economic growth so as to raise GDP and income per capita which will go a long in improving the affordability of health care. This review article has looked at various mechanisms and challenges of financing health care in developing countries, with a particular focus on Kenya, in order to achieve universal health care. Nonetheless, there is a need for further research and comparative analysis on the cost-effectiveness of various financing mechanisms for health care in different countries. This is vital considering that health care is a right to all people.



Keywords: Developing Countries, Financing, Health, Kenya, Universal Health Care.

References

Abuya, T., Maina, T., & Chuma, J. (2015). Historical account of the national health insurance formulation in Kenya: experiences from the past decade. BMC Health Services Research, 15(56), p. 1-11.

Atieno, R., & Shem, A. O. (2007). The Role of Social Policy in Development: Health, Water and Sanitation in East Africa. In Social Policy in Sub-Saharan African Context: In Search of Inclusive Development. Adésínà, J. O. (Ed.). (171-197). Basingstoke/New York: Palgrave Macmillan.

Ensor, T. (1998). Health Insurance as a catalyst to change in former communist countries. Health Policy, 43(3), p. 203-2018.

Garrin, G., & Politi, C. (1996). Exploring the health impact of economic growth, poverty reduction and public expenditure. Technical Paper, 18. WHO Geneva.

Koltermann, U. (2004). Health care for all. In Social Health Insurance-Systems of Solidarity. Experiences from German development cooperation. GTZ (Ed.). (12-15). Eschborn: GTZ.

Krishna, A., Lumonya, D., Markiewicz, M., Mugumya, F., Kafuko, A., & Wegoye, J. (2006). Escaping poverty and becoming poor in 36 villages of Central and Western Uganda. Journal of Development Studies, 42(2), 346–370.

Künzler, D. (2014). Free maternity in Kenya? The catch-all politics of social policy in Kenya. Paper presentation, XVIII International Sociological Association (ISA) Congress, 17.07.14. Yokohama, Japan.

Kunzler, D. (2016). The Politics of Health Care Reforms in Kenya and their Failure. Social Policy.CH, 1(2016), p.1-20.

Lu, C., Schneider, M. T., Gubbins, P., Leach-Kemon, K., Jamison, D., Murray, C. J. (2010). Public financing of health in developing countries: A cross-national systematic analysis. The Lancet, 375(9723), 1375-1387.

Malusha, J. (2022, February 27). Problems Issues and Challenges affecting Universal Health Care in Kenya #separator_saProblems Issues and Challenges affecting Universal Health Care in KenyaDr James Malusha website. Dr James Malusha Website - a Site for Promoting Health and Safety. https://www.thehealthandsafety.org/problems-issues-and-challenges-affecting-universal-health-care-in-kenya/.

Meessen, B., Hercot, D., Noirhomme, M., Ridde, V., Ibouti, A., Tashobya, C. K., & Gilson, L. (2011). Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries. Health Policy and Planning, 28, p. ii16–ii29.

Olalere, N., & Munyua, G. (2020). Public Financing for Health in Africa: 15% of an Elephant is not 15% of a Chicken. Africa Renewal. African Voices for Climate Action. Accessed on 2022/10/10.

Otieno, A., Nicholas, W. (2013). The Impact of Health Insurance on Household Access to Healthcare in Eldoret, Kenya. In: Devereux, S., & Getu, M. (Eds.). Informal and formal Social Protection Systems in Sub-Saharan Africa (231-257). Kampala: Fountain Publishers.

Republic of Kenya. (2007). Kenya Vision 2030: The Popular Version. Accessed 31.07.2022 on http://www.konzacity.go.ke/wp- content/uploads/2014/12/Popular_Version.pdf.

Republic of Kenya. (2010). Constitution. Accessed 01.08.2022 on http://www.kenyalaw.org:8181/ exist/kenyalex/actview.xql?actid=Const2010.

Republic of Kenya. (2012). Sessional Paper No. 7 of 2012 on the Policy on Universal Health Care Coverage in Kenya. Nairobi: Ministry of Medical Services. Accessed on 11.09.2022 in http://www. universalhealth2030.org/index.php/documents-publications/category/3-kenya- health-system?

Republic of Kenya, Ministry of Health, (2014). Kenya Health Policy 2014-29030.

ThinkWell. (2020). Strategic Purchasing for Primary Health Care. Country Factsheet. Retrieved from: https://thinkwell.global/wp-content/uploads/2020/01/SP4PHC-Burkina-Faso-One-Pager_2.24.pdf.

UNDP. (2019). World Development Indicators data bank 2019 UNDP Human Development Reports. Retrieved on 2022/10/11 Kenya 2020, Washington, DC.

World Data Atlas. (2020). Retrieved from: https://knoema.com/atlas/Kenya#Health.

Witter, S., Ensor, T., Jowett, M., Thomson, R. (2000). Health Economics for Developing Countries: A practical guide. Macmillan Education Ltd.

World Bank. (2010). Private Health Sector Assessment in Kenya. Working Paper No. 193. Washington: World Bank. Retrieved from: http://www-wds.worldbank.org.

WHO (2019, July, 10) Health financing. Retrieved from: https://www.who.int/health-topics/health-financing.

WHO Regional Office for South East Asia. (2016). Community based health services: a vital part of Universal health coverage. Universal health coverage Discussion paper 1:2016.

World Bank. (2021). Kenya Healthcare Spending 2000-2022. MacroTrends. Retrieved from: https://www.macrotrends.net/countries/KEN/kenya/healthcare-spending.

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How to Cite
Malusha, J. M. (2022). The Experiences on Attempts and Challenges of Providing Free or Affordable Universal Health Care in Developing Countries: Review of Kenyan Situation. European Journal of Development Studies, 2(5), 32–37. https://doi.org/10.24018/ejdevelop.2022.2.5.174