Universal Health Coverage Growth Strategies and Performance of National Health Insurance Fund in Machakos County Kenya
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Date
2023-11
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Kenyatta University
Abstract
Health insurance programs are frequently regarded as noteworthy social advances and significant avenues for industrial expansion. Nevertheless, the task of improving NHIF coverage and performance continues to present challenges, despite the existence of several motivating considerations. Presently, the NHIF provides coverage to around 15.8% of the population in Kenya, or almost 80% of individuals who own some type of health insurance. The performance of the NHIF has been a subject of criticism, despite its extensive coverage. The1main objective1of this1study is1to1investigate1the1influence1of the1expansion strategies of Universal1Health1Coverage (UHC) on the performance and efficacy of the NHIF in Machakos County, Kenya. Moreover, as an objective, the study includes examining the effects of resource mobilization, stakeholder participation, assessment and surveillance, and growth and research initiatives on the functioning of the NHIF in Machakos County. The study used of the descriptive design. The community under consideration consisted of 93 staff of the NHIF from two of its branches and three satellite offices located in Machakos County. These branches and satellite offices include Machakos branch, Kitengela branch, Kangundo Satellite, Matuu Satellite, and Masii Satellite. The researchers employed the random stratified sampling procedure with the goal to acquire a sample size of 76 participants. Primary data was gathered through the utilization of questionaries. A preliminary investigation was undertaken to evaluate the dependability and accuracy of the research tool. This pilot study involved the participation of nine employees from Machakos County. Moreover, the application of descriptive statistics were employed to calculate the mean deviation. In this study, inferential statistical techniques such as Pearson correlation and multivariate regression was utilized. The findings of the assessment was systematically arranged, succinctly précised, effectively offered, and comprehensively comprehended through the utilization of tables that distinctly illustrate the percentages and frequency. The study established that financing of NHIF in Kenya was majorly based on premium collection, Government budget allocation, tax financing, employer contributions, public-private partnerships, donor funding and development of an efficient administration framework. Stakeholder involvement plays a vital role in shaping the performance of Stakeholder involvement plays1a1vital1role in1shaping the performance of1NHIF, M&E in the context of the NHIF involves a systematic process of data collection, analysis, and reporting to measure progress and identify areas for improvement and that R&D at NHIF provides a foundation of evidence and data to support decision-making within the NHIF. The study concludes that resource mobilization, stakeholder involvement, monitoring and evaluation, research and development strategies all have a positive significant impact on performance of the NHIF in Machakos County. NHIF should develop a long-term resource mobilization strategy that aligns with the NHIF's strategic goals and objectives. It should establish a robust M&E system that contributes to evidence-based decision-making, ensure that stakeholder involvement efforts are inclusive and equitable, reaching all segments of the population, including vulnerable and underserved communities.
Description
A Research project submitted to the School of Business, Economics and tourism in partial Fulfillment of the Requirement for the Award of the Degree of masters in Business Administration (Strategic management) of Kenyatta university