18 results for "Jane Chuma"

A critical analysis of purchasing arrangements in Kenya: the case of micro health insurance

Kenneth Munge; Stephen Mulupi; Edwine Barasa et al.

BMC Health Services Research, Vol. 19 No. 1 · 2019 · English · DOAJ Scopus

Abstract Background Strategic purchasing can ensure that financial resources are used in a way that optimally enhances the attainment of health system goals. A number of low- and middle-income countries, including Kenya, have experimented with micro health insurance (MHIs) as a means to purchase…

Extending coverage to informal sector populations in Kenya: design preferences and implications for financing policy

Vincent Okungu; Jane Chuma; Stephen Mulupi et al.

BMC Health Services Research, Vol. 18 No. 1 · 2018 · English · DOAJ Scopus

Abstract Background Universal health coverage (UHC) is important in terms of improving access to quality health care while protecting households from the risk of catastrophic health spending and impoverishment. However, progress to UHC has been hampered by the measures to increase mandatory prepaid…

Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage

Edwine Barasa; Khama Rogo; Njeri Mwaura et al.

Health Systems & Reform, Vol. 4 No. 4 · 2018 · English · DOAJ Scopus

This article identifies and describes the reforms undertaken by the National Hospital Insurance Fund (NHIF) and examines their implications for Kenya’s quest to achieve universal health coverage (UHC). We undertook a review of published and grey literature to identify key reforms that had been…

Socio-economic inequality and inequity in use of health care services in Kenya: evidence from the fourth Kenya household health expenditure and utilization survey

Stefania Ilinca; Laura Di Giorgio; Paola Salari et al.

International Journal for Equity in Health, Vol. 18 No. 1 · 2019 · English · DOAJ Scopus

Abstract Background Kenya is experiencing persistently high levels of inequity in health and access to care services. In 2018, decades of sustained policy efforts to promote equitable, affordable and quality health services have culminated in the launch of a universal health coverage scheme…

A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund

Kenneth Munge; Stephen Mulupi; Edwine W. Barasa et al.

International Journal of Health Policy and Management, Vol. 7 No. 3 · 2018 · English · DOAJ Scopus

Background Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. Very little is known about purchasing arrangements in low- and middle-income countries (LMICs), and certainly not in Kenya. This study aimed to critically…

The catastrophic and impoverishing effects of out-of-pocket healthcare payments in Kenya, 2018

Paola Salari; Laura Di Giorgio; Stefania Ilinca et al.

BMJ Global Health, Vol. 4 No. 6 · 2019 · English · DOAJ Scopus

Introduction Progress towards effective service coverage and financial protection—the two dimensions of Universal Health Coverage (UHC)—has been limited in Kenya in the last decade. The government of Kenya has embarked on a highly ambitious reform programme currently being piloted in four Kenyan…

Avoidable pitfalls on the path to health financing self-reliance in low-income and middle-income countries

Edwine Barasa; Justice Nonvignon; Jane Chuma et al.

BMJ Global Health, Vol. 10 No. 11 · 2025 · English · DOAJ Scopus

Low-income and middle-income countries (LMICs) are facing an urgent and complex challenge: how to transition to greater self-sustainability in health financing amid declining donor support. While this shift is inevitable, the policy responses it elicits carry significant implications for health…

Examining the Implementation Experience of the Universal Health Coverage Pilot in Kenya

Lizah Nyawira; Yvonne Machira; Kenneth Munge et al.

Health Systems & Reform, Vol. 10 No. 3 · 2024 · English · DOAJ Scopus

The Kenyan government implemented a Universal Health Coverage (UHC) pilot project in four (out of 47) counties in 2019 to address supply-side gaps and remove user fees at county referral hospitals. The objective of this study was to examine the UHC pilot implementation experience using a…

Attribute development and level selection for a discrete choice experiment to elicit the preferences of health care providers for capitation payment mechanism in Kenya

Melvin Obadha; Edwine Barasa; Jacob Kazungu et al.

Health Economics Review, Vol. 9 No. 1 · 2019 · English · DOAJ Scopus

Abstract Background Stated preference elicitation methods such as discrete choice experiments (DCEs) are now widely used in the health domain. However, the “quality” of health-related DCEs has come under criticism due to the lack of rigour in conducting and reporting some aspects of the design…

Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution: a county-level case study in Kenya

Joshua Munywoki; Nancy Kagwanja; Jane Chuma et al.

International Journal for Equity in Health, Vol. 19 No. 1 · 2020 · English · DOAJ Scopus

Abstract Background Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector…

Examining the Implementation of the Free Maternity Services Policy in Kenya: A Mixed Methods Process Evaluation

Eric Tama; Sassy Molyneux; Evelyn Waweru et al.

International Journal of Health Policy and Management, Vol. 7 No. 7 · 2018 · English · DOAJ Scopus

Background Kenya introduced a free maternity policy in 2013 to address the cost barrier associated with accessing maternal health services. We carried out a mixed methods process evaluation of the policy to examine the extent to which the policy had been implemented according to design, and…

Does expanding fiscal space lead to improved funding of the health sector in developing countries?: lessons from Kenya, Lagos State (Nigeria) and South Africa

Jane Doherty; Doris Kirigia; Chijioke Okoli et al.

Global Health Action, Vol. 11 No. 1 · 2018 · English · DOAJ Scopus

Background: The global focus on promoting Universal Health Coverage has drawn attention to the need to increase public domestic funding for health care in low- and middle-income countries. Objectives: This article examines whether increased tax revenue in the three territories of Kenya, Lagos State…

Correction: A Cost Effectiveness and Capacity Analysis for the Introduction of Universal Rotavirus Vaccination in Kenya: Comparison between Rotarix and RotaTeq Vaccines

Albert Jan van Hoek; Mwanajuma Ngama; Amina Ismail et al.

PLoS ONE, Vol. 7 No. 11 · 2012 · English · PLOS Scopus

Also available at: DOAJ

A Cost Effectiveness and Capacity Analysis for the Introduction of Universal Rotavirus Vaccination in Kenya: Comparison between Rotarix and RotaTeq Vaccines

Albert Jan van Hoek; Mwanajuma Ngama; Amina Ismail et al.

PLoS ONE, Vol. 7 No. 10 · 2012 · English · PLOS Scopus

Background: Diarrhoea is an important cause of death in the developing world, and rotavirus is the single most important cause of diarrhoea associated mortality. Two vaccines (Rotarix and RotaTeq) are available to prevent rotavirus disease. This analysis was undertaken to aid the decision in Kenya…

Also available at: DOAJ

Performance assessment of the county healthcare systems in Kenya: a mixed-methods analysis

Wu Zeng; Anita Musiega; Laura Di Giorgio et al.

BMJ Global Health, Vol. 6 No. 6 · 2021 · English · DOAJ Scopus

Introduction A well performing public healthcare system is necessary for Kenya to continue progress towards universal health coverage (UHC). Identifying actionable measures to improve the performance of the public healthcare system is critical to progress towards UHC. We aimed to measure and…

Modelling the economic burden of SARS-CoV-2 infection in health care workers in four countries

Huihui Wang; Wu Zeng; Kenneth Munge Kabubei et al.

Nature Communications, Vol. 14 No. 1 · 2023 · English · DOAJ Scopus

Abstract Health care workers (HCWs) experienced greater risk of SARS-CoV-2 infection during the COVID-19 pandemic. This study applies a cost-of-illness (COI) approach to model the economic burden associated with SARS-CoV-2 infections among HCWs in five low- and middle-income sites (Kenya, Eswatini…