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Background

Health for all Kenyans through Innovations: A pilot introduction of the Healthcare Financing Strategy Introduction to the HAKI Pilots. Background. Ineffective financing systems have resulted in inequitable access to health care

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Background

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  1. Health for all Kenyans through Innovations:A pilot introduction of the Healthcare Financing StrategyIntroduction to the HAKI Pilots

  2. Background • Ineffective financing systems have resulted in inequitable access to health care • Risk of catastrophic expenditure for the average poor family in Kenya is high, both for outpatient and inpatient care • Development of comprehensive Healthcare Financing Strategy in 2009, which aims to expand the benefits package and reach the informal sector and the poor • HAKI project will pilot implementation of some of the basic reforms proposed in the HF strategy

  3. Evidence Based Interventions Pilot implementation is testing two approaches: 1) Removal of user fees and 2) Social health insurance

  4. Objectives of HAKI Pilots • Test feasibility of implementation • Assess impact on utilization and quality of care • Assess the financial protection effects for the poor • Build capacity at central and district levels

  5. HAKI in Context • Implementation within a wider generic health financing pilot framework developed by MOMS and MOPHS • Linkages to wider social protection agenda • Linkages to other health sector reforms (e.g., HSSF, Community Strategy, Referral Strategy)

  6. Social Health Insurance • Poverty targeting • In patient covered via NHIF • Out patient managed by private third party administrator • Implementation in Kericho District

  7. Waiving of User Fees • Intervention for all district residents • Covers Kenya Essential Package of Health (KEPH) • Facility reimbursement to cover user fees and out of pocket expenditure related to KEPH • District TBD

  8. Implementation • Development and implementation of poverty identification tool • Conducting of baselines at household and facility-level • Mapping and accreditation of facilities • Enrolment of targeted poor families in social health insurance pilot in a part of Kericho • Abolition of user fees in public and FBO health facilities in a district to be selected • Data management • Supervision and feedback

  9. Operational Research • Monitoring of impact on utilization by gender and socio-economic category • Assessment of financial protection effects for the poor • Design of scaling up using research findings

  10. Impact • Evidence for implementing health financing strategy • Impact of removing financial barrier on household utilization • Impact of interventions on health status • Impact of different financing mechanisms on providers including effect on quality

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