RP-Department of Economic Theory

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Demand for Reproductive Health Vouchers and Utilization: A Case Study of Output Based Approach in Kilifi Kenya
(NIHR Health Technology Assessment Programme, 2017) Mwangangi, Mary N.; Kioko, Urbanus; Korir, Julius
Demand side financing initiatives are different forms of financing health services that aim to minimize financial obstacles to accessing health care and also decrease inequities by ensuring that services are made affordable to poor and underserved populations through provision of subsidies. Vouchers have been expected to improve health outcomes by improving on service quality, improving effectiveness while also increasing the utilization of health care services. Despite the fact that vouchers have been implemented in Kenya since 2006, very few studies have focussed on underlying factors that contribute to low utilization even with high demand for the vouchers particularly in Kilifi County. This study investigates the relationship between demand and household and individual characteristics and also the relationship between utilization and household characteristics. The findings indicate that age, education, marital status and occupation had a relationship with demand for the reproductive health vouchers while for utilization of the vouchers only age and marital status were found to be statistically significant.