Investigation into factors affecting financing of public health service provision in Kenya
Dinga, Rose Awuor
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This research report presented the findings of a study of factors affecting financing of Public health service provision in Kenya, examining challenges faced by the Ministry of Health in the Financing of public health service provision, the research will also seek to establish whether inequity in budget allocation affect financing of health care provision. The Government of Kenya over the years has managed to allocate only about five to seven percent of the national budget to the financing of medical care. This has resulted to major under funding of medical services provision in Kenya. Financing of public health service provision in Kenya has been a major problem which has prompted the government to shift from old method of financing health services through general taxation to a new system of user charges in public health facilities. The research project was carried out in Nairobi Province, health care providers, Ministry of Health and Ministry of Finance staff were interviewed. The objectives of the research was to investigate factors that affect financing of public health services in Kenya, the challenges faced by the Ministry of Health in Financing Public Health care provision were also examined, the study also established whether inequity in resource allocation to the Ministry of Health affects the financing of health care provision in Kenya. In addressing the research objectives in the study the necessary data was collected using, a structured questionnaires and face to face discussions, after the preparation of these instruments, they were pre-tested by the researcher, later refined, before their use in the actual survey, for the questionnaires a drop and pick later method was used. The key respondents included staff of the Ministry of Health finance division, Ministry of finance Budgetary Division and the health care providers such as nurses, clinical officers, Doctors and administrators at the Kenyatta National Hospital. The results obtained from the questionnaires were analysis was on the percentage basis by use of management software statistical package for social scientists (SPSS). The findings indicated that there are a number of factors affecting financing of public health service provision in Kenya, these include corruption, inadequate financing, mismanagement in the public sector, poor planning, inadequate budget allocation and so on. Results from the Ministry of Health and Ministry of finance revealed that there are major challenges faced by the both the Ministries in financing of public health services provision such as political interference, corruption in drug distribution, defaulters of cost sharing payments, corruption in the Ministry of health and inadequate budget allocation to the public health service.